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How Can I Protect My Child from the Harmful Effects of Poor Air Quality?

SNIPPETSCOMMON CHILDHOOD DISORDERS

Dr Praful Gowda

3 min read

Every winter, many Indian cities—especially Delhi, NCR, Bengaluru, Mumbai, Pune, and several North Indian towns—see a sharp rise in Air Quality Index (AQI) levels. Parents worry when they read headlines like “Severe pollution today” or see their child coughing more, feeling breathless, or falling sick frequently.

If you are wondering,
“Is this polluted air harming my child?”
“Should I stop outdoor play?”
“Do air purifiers and masks really help?”

Let’s talk about what worsening air quality means, how it affects your child, and what practical steps you can take to protect them—especially in high-pollution cities like Delhi.

What Does “Poor Air Quality” Mean?

Air Quality Index (AQI) tells you how clean or polluted the air is.

  • 0–50: Good

  • 51–100: Satisfactory

  • 101–200: Moderate

  • 201–300: Poor

  • 301–400: Very Poor

  • >400: Severe

In many Indian cities, especially during winter, AQI often crosses 300–400+, which is harmful for children.

Why Are Children More Affected by Air Pollution?

Children are more vulnerable because:

  • Their lungs are still growing

  • They breathe faster than adults

  • They spend more time outdoors

  • Their immunity is still developing

Exposure to polluted air, especially high AQI levels, can irritate and damage the lungs over time.

Common Effects of Poor Air Quality on Children

You may notice:

  • Frequent coughing or throat irritation

  • Runny or blocked nose

  • Wheezing or noisy breathing

  • Shortness of breath

  • Headaches, fatigue, poor concentration

  • Increased asthma attacks

  • More frequent chest infections

Long-term, repeated exposure can impact lung development.

When Should Parents Worry?

Seek medical help urgently if your child has:

  • Persistent or severe cough

  • Difficulty breathing or fast breathing

  • Chest pain

  • Wheezing not settling with medicines

  • Fever with breathing difficulty

  • Extreme tiredness or poor feeding in young children

Children with asthma, allergies, heart disease, premature birth history, or weakened immunity need extra caution.

How to Protect Your Child During High AQI Days

1️⃣ Check AQI Daily and Plan Accordingly

Use reliable apps or government dashboards.
If AQI is above 200, limit outdoor activities.
If above 300, avoid strenuous activity and prolonged outdoor play.

2️⃣ Reduce Outdoor Exposure

  • Avoid early morning and late evening outdoor play (pollution often peaks)

  • Prefer indoor play or structured indoor activities

  • Avoid outdoor exercise and sports on very poor AQI days

3️⃣ Use Masks Correctly (For School-Going Kids)

For children above 5–6 years:

  • Use N95 or KN95 masks

  • Ensure proper fit

  • Cloth masks do not protect from pollution

For toddlers and babies, masks are generally not practical—reduce exposure instead.

4️⃣ Improve Indoor Air Quality

You don’t need expensive solutions always.

You can:

  • Keep windows closed during high AQI periods

  • Ventilate during low-pollution hours

  • Avoid incense sticks, mosquito coils, indoor smoking, and aerosols

  • Keep the house dust-free

Air purifiers may help in severely polluted cities but are not mandatory for everyone.

5️⃣ Keep Your Child Hydrated and Healthy

  • Encourage water, warm liquids, soups, fruits

  • A balanced diet rich in fruits and vegetables supports immunity

  • Avoid unnecessary antibiotics and OTC cough syrups without doctor advice

6️⃣ Special Care for Children with Asthma or Allergy

  • Continue prescribed inhalers regularly

  • Keep reliever inhaler handy

  • Follow your pediatrician’s asthma action plan

  • Do not stop inhalers fearing “addiction”—they protect the lungs

What to Expect During a Clinic Visit

Your pediatrician may:

  • Examine breathing and oxygen levels

  • Check for chest congestion

  • Prescribe inhalers, bronchodilators, allergy medicines if needed

  • Advise tests only if required

Doctor’s Tips for Parents

  • Children do not need to “adjust” to polluted air—pollution is harmful

  • Do not wait for severe symptoms; act early

  • School-going kids in high AQI cities benefit from masks

  • Never expose babies and toddlers to polluted outdoor air unnecessarily

  • Indoor smoking is extremely harmful—avoid completely

FAQs

1️⃣ Should I completely stop outdoor play?

On extremely high AQI days (above 300), yes, reduce outdoor exposure. On moderate days, short outdoor play is okay with precautions.

2️⃣ Do air purifiers really help?

They may help in closed indoor environments in highly polluted cities like Delhi. But they are not a magic solution. Reducing exposure is more important.

3️⃣ Can pollution cause long-term lung problems?

Repeated exposure can affect lung growth and worsen asthma. That’s why protection is important.

Conclusion

Poor air quality is a real health concern for children, especially in cities like Delhi. With simple, sensible precautions—reducing exposure, masking, safer indoor environments, and timely medical care—you can protect your child’s lungs and overall health.

References

  • Indian Academy of Pediatrics (IAP) recommendations on air pollution

  • WHO – Air Pollution and Child Health

  • American Academy of Pediatrics – Air Pollution and Children’s Health

  • Government of India AQI Guidelines