The World Bank released a strategic report titled 'A Breath of Change' on January 29, 2026, addressing air pollution across the Indo-Gangetic Plains and Himalayan Foothills -- a region home to nearly one billion people. The report proposes the '4Is framework' (Information, Incentives, Institutions, Infrastructure) to tackle regional air quality issues.

Key findings include: air pollution causes an estimated 2.1 million premature deaths annually in India; economic losses from air pollution reach 3.5% of GDP; crop residue burning accounts for 30% of winter pollution in Delhi-NCR; and transboundary cooperation between states is essential. The report recommends real-time air quality monitoring networks, clean cooking fuel subsidies, brick kiln modernisation, and electric vehicle adoption incentives.