Abstract
Ambient air pollution and environmental exposures
impose a measurable but often invisible burden on community health, particularly in rapidly urbanising regions where populations face simultaneous exposures from traffic emissions, construction activities, agrochemical residues, and degraded water quality. Despite this burden, low-cost integrated monitoring
frameworks that combine real-time IoT-based air quality sensing with individual-level health data in demographically matched cohorts remain scarce in Indian settings. This pilot study deploys a calibrated low-cost IoT-based air quality monitoring
framework alongside portable water quality instruments and structured self-reported health surveys to assess rural-urban environmental health disparities in Telangana, India. Urban PM2.5 (mean 78.7 µg/m3
, peak 684 µg/m3 ) substantially exceeded
rural levels (mean 50.2 µg/m3, peak 117 µg/m3
), with 51.3% of urban monitoring hours surpassing the 60 µg/m3 acute-concern threshold; both sites exceeded the CPCB National Ambient Air Quality Standards (NAAQS) PM2.5 limit of 40 µg/m3 . Water quality parameters were broadly similar across sites, isolating
air and noise pollution as the dominant differential exposures. Urban residents, particularly women and children, reported higher burdens of recurrent respiratory infections, antibiotic use, hair loss, headaches, and premenstrual symptoms. Together,
these findings demonstrate that a low-cost IoT-driven monitoring framework can identify patterns consistent with pollution-linked health outcomes in matched communities, offering a scalable model for environmental health surveillance across rural-urban
India.