The study revisits the environmental and health effects of the Nichemtex textile industry on local residents 10 years after a previous study. It finds that liquid waste constitutes the highest waste generated at 51.5% and is discharged into a local river without adequate treatment. A survey of 200 residents finds high rates of environmental problems like surface water pollution (4.28 rating) and offensive odors (4.29 rating). Common health issues reported include skin rashes, malaria, typhoid fever. The study concludes the industry's effluent discharge and other pollution remains high and has likely contributed to ongoing environmental health problems for residents.