As winter tightens its grip on North India, heavy fog and extremely low visibility has become a daily morning reality across Delhi and the National Capital Region (NCR). Often, the fog stays throughout the day as winter intensifies, leaving only occasionally during afternoons. While fog itself is a natural meteorological phenomenon, it's caused by tiny water droplets suspended near the ground, its interaction with polluted city air creates smog that seriously affects public health. Dense fog coupled with stagnant pollutants traps toxic particles close to the surface, leading to very poor to hazardous air quality and zero-visibility conditions that disrupt everyday life.
The India Meteorological Department (IMD) frequently issues fog alerts in winter due to calm winds and temperature inversions, conditions that cause pollutants from traffic, industrial and household emissions to accumulate near the ground instead of dispersing. The result is a dangerous mix of natural fog and anthropogenic smog that not only reduces visibility on roads and at airports but also poses serious respiratory and cardiovascular health risks.
Understanding the distinct health impacts of heavy fog and related air pollution, and how to protect yourself and your family, is essential for staying healthy during the cold season in North India.
Fog forms when the air near the ground cools and moisture condenses into fine droplets. However, in urban regions like Delhi and its surrounding cities, dense fog often mixes with pollutant particles (like PM2.5 and PM10) from vehicles, industry, biomass burning and domestic fuel use. These fine particles attach to water droplets, creating smog, a hazardous phenomenon that reduces visibility and worsens air quality.
Meteorological conditions in winter, low wind speeds, temperature inversions and high humidity, prevent these pollutants from dispersing. As a result, air quality can slide into the 'very poor' to 'severe' category, with AQI readings frequently crossing 300 and even 400, far above the safe limits set by public health authorities.
Also Read: 1-Minute Lung Health Check: The Guide You Need To Survive Despite Severe AQI
When fog combines with pollution, it becomes more than a visibility hazard, it becomes a public health concern and may cause the following issues:
Pollutant-laden fog can trigger or worsen:
This happens because fine particulate matter (PM2.5) can penetrate deep into the lungs, leading to inflammation and reduced lung function. Chronic exposure increases the risk of respiratory infections and reduced pulmonary health.
Studies show that poor air quality, especially high levels of PM2.5, is linked to heart attacks, arrhythmias, and stroke, since particulates can enter the bloodstream and strain cardiovascular systems. Vulnerable individuals (with existing heart conditions, diabetes or hypertension) are especially at risk.
The smog layer can irritate eyes, causing redness, itching and watering, and may aggravate sensitive skin due to increased exposure to airborne chemicals. For more details on how to handle eye health issues during heavy fog and smog, click here: Air Pollution Can Cause Dry Eyes, Irritation And Conjunctivitis: Expert Shares Prevention Tips
Prolonged exposure to polluted fog conditions can reduce the immune system's ability to fight off infections, making individuals more susceptible to cold, flu and bronchial infections.
Certain population groups are at heightened risk from fog-induced smog:
Experts and health authorities recommend the following safety measures:
Also Read: Mask Up, Stay Safe: Essential Air Pollution Survival Checklist As AQI Worsens
Seek immediate medical attention if you experience:
These could indicate serious respiratory or cardiovascular responses requiring prompt medical care.
Heavy fog in Delhi-NCR, especially when interacting with urban air pollution, presents a dual health challenge, combining poor visibility with toxic air exposure. While winter fog itself is a weather phenomenon, its health consequences are amplified when layered with particulate pollution. Monitoring daily AQI, adopting preventive measures such as limiting outdoor exposure and using protective masks, and protecting vulnerable family members can significantly reduce the health burden. With proactive awareness and simple precautions, residents can protect themselves against adverse health effects during foggy winter months.
Disclaimer: This content, including advice, provides generic information only. It is in no way a substitute for a qualified medical opinion. Always consult a specialist or your own doctor for more information. NDTV does not claim responsibility for this information.
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Written by Shreya Goswami© Copyright NDTV Convergence Limited 2026. All rights reserved.