When the Land Became the Clue: Geospatial Insights into Chronic Bronchitis in Rural Mysuru, India
For decades, Karya was like any other quiet village in southern India. Life moved with the seasons. Fields turned green after the monsoon, smoke rose gently from kitchen hearths at dawn, and men left home early to work in nearby farms or local industries. Coughs were common, especially among older adults, but they were rarely a cause for alarm. Breathlessness, persistent phlegm, and night-long coughing were accepted as part of aging, smoking, or years of cooking with firewood. Over time, however, something felt different. More villagers complained that their cough never went away. Some struggled to breathe even while walking short distances. Others woke each morning choking on thick sputum. The illness had no dramatic outbreak, no sudden beginning, it crept in quietly, year after year, embedding itself into daily life. What puzzled the villagers, and later the doctors, was a simple but troubling question: Why was chronic bronchitis so common here, but almost absent in neighboring vill...