Indigenous and other marginalized communities are struggling with the harsh effects of living in the shadow of Vedanta Aluminium's refinery at Lanjigarh in Orissa state, eastern India. In the two years that the refinery has been running, local communities have had to contend with contaminated water, polluted air and constant dust and noise. In this case sheet Amnesty International urges the Government of India and the Orissa state authorities to assess the impact of the pollution on the communities' rights to water and health.