The Singrauli region produces 16% of coal and 13% of thermal power in India. Various state and non-state institutions have examined the consequent regional pollution. This paper attempts to document the health damage to the regional population. A survey of 4,383 families in southern Sonbhadra district yielded data on select health impacts, which were then mapped to correlate to the industrial gaseous emissions. The consequent economic losses were calculated using the procedure outlined in the Employee’s Compensation Act, 1923 and court judgments. These economic externalities borne by the local population range from 23 to 124 times the total environmental compensation that courts have so far ordered industries to pay to the state for environmental remediation.
