People in Noida and Ghaziabad seek lung tests without asthma or smoking history

Air pollution in Delhi-NCR is causing respiratory issues even among young, healthy individuals without prior lung problems, prompting them to undergo lung screening tests. Doctors recommend these as preventive measures amid rising cases.

Toxic air in Delhi-NCR is driving a surge in patients at hospitals in Noida and Ghaziabad, even those without any history of lung issues. A 19-year-old student, recently shifted from Delhi to Ghaziabad, sought consultation at Yashoda Medicity after a week of dry cough and sudden chest tightness with breathlessness. He has no asthma, allergies, or chronic respiratory illness but commutes via public buses and Metro, exposing him to traffic pollution.

Dr Ankit Bhatia, senior consultant at Yashoda Medicity, recommended a Pulmonary Function Test (PFT) for the student. "Pollution is now triggering airway obstruction even in people who never had respiratory complaints. That’s why we recommend PFTs to young adults experiencing unexplained breathlessness or persistent cough," he said.

The pulmonology department now sees 5-6 PFTs daily, up from tests mainly for those with prior conditions. Rakesh Kumar Gupta, a 60-year-old contractor from Muzaffarnagar, drove two hours after breathlessness following roadside exposure. The PFT, using a spirometer in a body box, takes 10-15 minutes and costs Rs 2,499.

At Felix Hospital, Dr Priyadarshi J Kumar advises tests for chronic cough, chest pain, or wheezing, including for school children. He noted pollution causes inflammation that can turn chronic and lead to lung cancer from carcinogenic particulates. Yatharth Hospital reports a 40% rise in lung issues compared to summer, with Dr Vipul Mishra recommending PFTs alongside chest X-rays and blood tests even for non-smokers without pre-existing disease.

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Illustration of young non-smoking lung cancer patient enjoying high-quality healthy diet of fruits, vegetables, and whole grains, with charts showing above-average scores and subtle pesticide exposure hints.
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Study of young lung cancer patients finds unexpectedly high diet-quality scores; researchers probe possible pesticide exposure

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Preliminary research from USC Norris Comprehensive Cancer Center, presented at the American Association for Cancer Research (AACR) annual meeting, found that non-smokers diagnosed with lung cancer before age 50 reported eating more fruits, vegetables and whole grains—and had higher overall Healthy Eating Index scores—than the U.S. population average. The researchers emphasized that the results do not prove diet causes lung cancer and said a possible explanation could involve environmental exposures such as pesticides, a hypothesis that requires direct testing.

From April, heavy smokers aged 50 to 75 in Germany can access an annual free lung cancer screening. The program uses low-dose computed tomography to detect cancer early. It targets current and former smokers with at least 15 pack-years of smoking.

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The American Lung Association's latest report reveals that 33.5 million US children, or 46 percent under age 18, live in areas failing at least one air pollution measure. An additional 7 million children reside in communities failing all three key metrics. The findings, based on 2022-2024 data, highlight worsening conditions amid environmental rollbacks.

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Karnataka's Gruha Arogya programme has identified significant regional disparities in non-communicable diseases through door-to-door screenings. The initiative screened millions for conditions like hypertension and diabetes, uncovering higher burdens in districts such as Belagavi and Mysuru. Officials emphasize the need for targeted health strategies based on these findings.

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