As thick smog crept over India's capital this week and smudged landmarks from view, Nikunj Pandey could feel his eyes and throat burning.
Pandey stopped doing his regular workouts and said he felt tightness in his lungs. He started wearing a triple layer of pollution masks over his mouth. And he became angry that he couldn't safely breathe the air.
"This is a basic right," he said. "A basic right of humanity."
Pandey is among many people in New Delhi who have become more aware of the toxic air in recent years and are increasingly frustrated at the lack of meaningful action by authorities.
This week the air was the worst it's been all year in the capital, with microscopic particles that can affect breathing and health spiking to 75 times the level considered safe by the World Health Organization.
Experts have compared breathing the air to smoking a couple of packs of cigarettes a day. The Lancet medical journal recently estimated some 2.5 million Indians die each year from pollution.
Pandey said the millions of rural folk who have moved to the city understand the problem better than they once did, and are trying everything from tying scarves over their faces to eating "jaggery," a sugar cane product that some people believe offers a range of health benefits.
Masks once considered an affectation of hypochondriac tourists are these days routinely worn by government workers and regular people on the street.
Volunteers handed out thousands of green surgical masks this week to make a point about the pollution, but such masks likely have a limited impact on keeping out the tiny particles from people's lungs.
"This is truly a health emergency," said Anumita Roychowdhury, the executive director of research and advocacy at New Delhi's Centre for Science and Environment.
She said doctors in recent days have been dealing with a 20 per cent spike in emergency hospital admissions from people suffering heart and lung problems. And that's in a city, she said, where one in every three children already has compromised lungs.
Seema Upadhyaya, who heads a primary school, said she has never before witnessed so many children suffering from respiratory illnesses as she has this year. That has prompted changes to the curriculum.
"It's impacting everybody," she said.
Authorities have been taking extraordinary measures to try to mitigate the immediate crisis. They have temporarily closed schools and stopped most trucks from entering the city. Next week they are considering rationing car usage.
But everyone agrees such measures don't address the root causes, which remain hard to solve.
Roychowdhury said the city's pollution has been trapped this week by a lack of wind at ground level, colliding winds in the upper atmosphere, and cooling temperatures.
Air quality typically gets worse at this time of year as nearby farmers burn fields and people build street fires to keep warm. The conditions this week prompted the capital's top elected official, Arvind Kejriwal, to describe his city as a "gas chamber."
While crop burning has been banned in and around the capital, officials say it's hard to punish impoverished farmers for continuing traditional methods that have been handed down through the generations.
Pandey said it's part of a broader problem in India.
"Your water is not healthy, your food is not healthy, your vegetables are polluted, they are poisoned," he said. "I mean, everything is polluted right now."
Roychowdhury said she is encouraged there is rising awareness of the air quality problem, both among residents and the medical community. But she says authorities need to do more.
She said officials have been asking people this week to use more public transport, but at the same time the city doesn't have enough buses and hasn't bought any new ones in recent years.
"What we are saying, and the Supreme Court has already asked for it, is that there should be a comprehensive plan for all sources of pollution," she said.
Meanwhile, people like Pandey say they are going to have to suffer through, because New Delhi is where they need to be based for work opportunities and their families.
"We are India, right?" he said. "We just try to survive in whatever condition we are in. That is how it is."