India's economic growth has come at a terrible price. In two decades, while the GDP more than doubled, vehicular pollution increased eight times over and industrial pollution by four times. But policy makers have consistently underscored the cost of death and disease due to environmental degeneration. The country is only now learning that wealth that comes at the cost of health is hollow. An extensive and exclusive study on the rise in pollution load, conducted by the Centre for Science and Environment, assesses the ugly side of economic growth