During times when every other day, new reported polio cases highlight the vulnerability of the young lives of Pakistan, UNICEF has now warned that Pakistan faces a serious crisis with pollution levels threatening the health of millions, especially young children. Over 11 million children under five in Punjab are currently exposed to extreme levels of smog, with air quality declared a ‘calamity’ last month. Though schools, parks and public spaces have been closed to minimise exposure, it does not mean that the vulnerable lot is safe from dangers. On Monday, the major cities of Punjab had an extremely hazardous air quality index which soared above 400. Every day, new cities are being added to the most polluted cities. In Lahore and Multan, the pollution levels recently broke records, with many children hospitalised as a result. Medical experts say that the impact of this smog on children is intense. Young children’s developing lungs are vulnerable to pollution which makes them highly susceptible to respiratory and developmental problems. This exposure to toxic air can impair cognitive development, affecting their health and learning abilities for life. Pregnant women and unborn children are also at risk, with polluted air linked to low birth weight, premature births, and respiratory issues. While the full impact of these pollution levels is yet to be measured, the consequences for children’s health could be devastating. In addition to the pollution crisis, Pakistan continues to face the ongoing threat of polio. For decades, polio has haunted communities, especially affecting children under five. Despite massive vaccination efforts, the virus remains a constant challenge. Together with air pollution, these two threats are creating a compound health crisis for Pakistan’s youngest generation. The government’s response has included shifting schools to online learning and limiting outdoor activities. However, this is not enough as the real solution lies in mitigating the AQI levels. Stronger efforts to regulate and reduce emissions are crucial. Air pollution stems from industrial and agricultural activities, as well as transportation emissions. To protect our children, the government must enforce stricter emission regulations and encourage sustainable practices in these sectors. For the future health of children, immediate action is essential. Clean air is not a luxury but a basic right. The well-being of millions of children depends on the actions we take now. *