The inky haze lasts from October to November; it is a time when hospitals see a rise in patient numbers, and parents consider keeping their children out of school to avoid the worst of the throat-burning smog.
"Straw burning-induced pollution causes acute health problems," Mahmud Abdel Meguid, chairman of the state-run Abbasiya Chest Hospital, told IRIN. "This pollution causes a long list of diseases, including chronic obstructive pulmonary disease, and chest sensitivity at best, and respiratory failure at worst."
Egypt's farmers have been burning the waste after the rice harvest for over 12 years. With more than 486,000 hectares of land devoted to the staple, farmers have huge amounts of straw to dispense with and torching it is the easiest solution.
The straw could be converted to animal feed or bio fuels, but farmer Gamal al-Saedy says no one in his area of Sharqia, about 150km north of the capital, Cairo, has found a buyer. That makes burning "the normal solution for us".
Suffering
Emad Hosni, a 30-year-old villager from the same governorate as al Saedy, has been visiting the Abbassiya Chest Hospital for more than three years seeking treatment for his respiratory problems.
"My suffering increases particularly in October and November when the farmers burn the rice straw," Hosni said. "I lock myself up in my home when I see the black cloud, but I am really afraid that my children may have respiratory diseases too."
The Environment Ministry says rice straw burning accounts for 42 percent of Egypt's overall air pollution during the two-month season, but it regards industrial pollution, the burning of garbage, and vehicle emissions as the biggest year-round threats to the air quality of the country's 80 million people .
Compared with previous years, the burning this year is much less," said Ahmed Abulsoud, responsible for air quality at the Environment Ministry. "The cloud used to appear for 15 days, but now it appears briefly."
However, with the burning of an estimated four million tons of straw this season, critics are loath to accept that the impact is minor.
"True, the government does its best to reduce the burning, but the reality is the cloud is ushering in diseases that were rare in the past," said Mohamed Awad Tag Eddin, Egypt's former health minister.
"The farmers must get to know that the burning of the straw puts them and their fellow countrymen in extreme peril," he told Egyptian TV recently.
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