According to the World Health Organization's 2022 ambient air quality database, Delhi, India recorded the highest annual average PM2.5 concentration among major global cities.
Lahore (Pakistan), Dhaka (Bangladesh), Baghdad (Iraq), Hotan (China), Peshawar (Pakistan), Bhiwadi (India), Ghaziabad (India), Noida (India), New Delhi (distinct from Delhi NCT).
PM2.5 penetrates lungs, enters bloodstream → cardiovascular/respiratory disease, lung cancer, cognitive decline, reduced life expectancy (estimated 10+ years lost for Delhi residents per AQLI).
Graded Response Action Plan (GRAP), odd-even vehicle rationing, BS-VI fuel, electric bus push, stubble management subsidies — but enforcement and regional coordination remain weak.
Real-time AQI: aqicn.org/city/delhi, IQAir.