Is there an alternative of ajax that does not require polling without server side modifications?

Comet is generally used for this kind of thing, and it can be a fragile setup as it's not a particularly common technology so it can be easy not to "get it right." That said, there are more resources available now than when I last tried it ~2 years ago.

I don't think you can do what you're thinking and have handler.php simply not return anything and stop execution: The web server will keep the connection open and prevent any further polling until handler.php does something (terminates or provides output). When it does, you're still handling a response.

You can try a long polling technique, where your AJAX allows a very large timeout (e.g. 30 seconds), and handler.php spins without responding until it has something to report, then returns. (You'll want to make sure the spinning is not resource-intensive). If handler.php "expires" and nothing happens, have it exit and let AJAX poll again. Since it only happens every 30 seconds, it will be a huge improvement over ~5 times a second. That would keep your polling to a minimum.

But that's the sort of thing Comet is designed for.

As Ajax only offers you a client server request model (normally termed pull, rather than push), the only way to get data from the server is via requests. However a common technique to get around this is for the server to only respond when it has new data. So the client makes a request, the server hangs on to that request until something happens and then replies. This gets around the need for frequent polling even when the data hasn't changed as you only need the client send a new request after it gets a response.

Since you are using PHP, one simple method might be to have the PHP code call the sleep command for 200ms at a time between checks for data changes and then return the data to the client when it does change.

EDIT: I would also recommend having a timeout on the request. So if nothing happens for say 2 seconds, a "no change" message is sent back. That way the client knows the server is still alive and processing its request.

Since this is tagged “html5”: HTML5 has <eventsource> and WebSocket, but the implementation side is still in the future tense in practice.

Opera implemented an old version of <eventsource> called <event-source>.