Pakistan ’s smog situation has gone from bad to worse as air pollution rose to a record in Lahore. Sensors tracked by the Swiss monitor IQAir recorded an air quality index of 1,300 in the country’s second-largest city at 5 p.m. local time, the highest this year and well beyond a level of 50 that is deemed safe.

Record-high air pollution in Pakistan’s cultural capital of Lahore is sending more people to hospitals and private clinics and the city authorities warned a complete lockdown could be imminent if residents fail to don face masks and follow other guidance related to smog.