Eastern Europe's Newest Polluter: A Threat To The Region

what is eastern europe

Air pollution is a significant issue in Eastern Europe, with countries in the region experiencing high levels of PM2.5 exposures, well above the World Health Organization's (WHO) annual guideline value of 5 μg/m3. North Macedonia, in particular, has been identified as the worst-hit country in Europe, with almost two-thirds of its population living in areas with PM2.5 levels exceeding the WHO guidelines by more than four times. Other countries in Southeast Europe, including Albania, Bulgaria, Bosnia and Herzegovina, and Romania, also face elevated levels of air pollution, with significant health impacts on their populations. While there have been some improvements in air quality across Europe, the rate of deaths due to air pollution in Southeast Europe remains much higher than in other regions, underscoring the urgent need for effective policies and interventions to address this pressing environmental and public health challenge.

Characteristics Values
Country with the most polluted air in Europe North Macedonia
Number of deaths linked to air pollution in Southeast Europe in 2019 56,000
Number of deaths linked to air pollution in Europe 400,000
Number of deaths linked to air pollution in the EU in 2022 239,000
Number of deaths of people under 18 years attributable to air pollution in Europe 1,200
Number of deaths linked to PM2.5 in the EU between 2005 and 2022 45% decrease
Number of deaths linked to PM2.5 in the EU by 2030 55% decrease
Worst NOx polluter in Europe Drax
Second worst NOx polluter in Europe Bełchatów
Europe's biggest carbon dioxide (CO2) polluter Bełchatów

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North Macedonia has the most polluted air in Europe

According to the European Environment Agency for Air Pollution in Europe's latest report, North Macedonia has the worst urban air quality in Europe. The country's location in a valley surrounded by mountains traps pollution, and this is further exacerbated by a temperature inversion that keeps warm air above cool air. The socio-economic status of the country, including low average incomes, energy poverty, and reliance on solid fuels for cooking, heating, and lighting, all contribute to high levels of household and outdoor air pollution.

Skopje, the capital of North Macedonia, has been consistently ranked as one of the most polluted cities in Europe. In 2022, it was the 45th most polluted city on the continent. The issue is not with the cars or the bus system, but with the heating methods used in people's homes and small businesses. Many people in Skopje cannot afford heating and, therefore, burn wood or other materials for warmth. This, combined with the lack of wind during the winter months, results in poor air quality.

The poor air quality in North Macedonia has significant health implications for its residents. It contributes to morbidity and mortality, with PM air pollution linked to 7.3% of deaths in 2016, making it the eighth-largest mortality risk factor that year. Air pollution is associated with various health issues, including lung cancer, heart and respiratory diseases, stroke, and poor birth outcomes. It is particularly dangerous for older adults, causing about 4% of deaths among those aged 65 and above.

To address this issue, the North Macedonian government has committed to reducing air pollution by identifying its sources. The Ministry of Environment has concluded that a combination of measures is needed, including changing heating methods in households and small firms, improving construction practices, and supporting integrated transport solutions. The country's accession to the European Union provides an opportunity for improvement, as it must adapt its national institutions, standards, and infrastructure to meet EU obligations, including those related to air quality.

The University of Birmingham and local partners are also actively involved in promoting a systems-thinking approach to addressing air pollution challenges in North Macedonia. They emphasize the need for collective and multi-stakeholder cooperation across sectors to drive change and reach a “tipping point" in reducing air pollution.

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Fossil fuel use is a key contributor to poor air quality

Climate change, driven by greenhouse gas emissions from fossil fuel combustion, exacerbates the problem by increasing the frequency and intensity of extreme weather events such as wildfires and heatwaves, which further degrade air quality. The combustion of fossil fuels, particularly coal, oil, and natural gas, releases toxic by-products that are a significant threat to children's health and development, with respiratory illnesses and chronic diseases being common outcomes.

In Europe, air pollution is a pressing issue, with Eastern European countries like North Macedonia reporting the highest levels of polluted air on the continent. The burning of solid fuels for domestic heating and industrial use has led to elevated PM2.5 mortality rates in several European countries, including Poland, Northern Italy, and the Czech Republic. Germany, France, and Italy were the European countries with the highest overall GHG emissions in 2021.

Hungary has been identified as the EU country with the worst national and international climate policy, with counterproductive measures such as restricting renewable energy deployment and increasing fossil fuel subsidies and extraction. The use of fossil fuels has significant environmental and health externalities, including air pollution, water pollution, and climate change, which result in substantial costs that are often not reflected in market prices.

To address poor air quality and mitigate climate change, a transition to renewable energy sources and a reduction in energy demand, especially in developed countries, are crucial. Improving air quality to meet World Health Organization (WHO) standards could prevent a significant number of premature deaths caused by exposure to fine particulate matter in Europe and worldwide.

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Air pollution is the leading environmental threat to public health in Southeast Europe

Air pollution is a significant issue in Southeast Europe, posing a major threat to the health of its residents. The region experiences elevated levels of PM2.5, a harmful pollutant consisting of fine particles such as dust, smoke, and soot from exhaust. Southeast European countries, including Albania, Bulgaria, Bosnia and Herzegovina, Croatia, Montenegro, North Macedonia, Serbia, Romania, and Slovenia, have reported PM2.5 exposures well above the World Health Organization's (WHO) annual guideline value of 5 μg/m3.

The rate of deaths due to air pollution in Southeast Europe is significantly higher than in other parts of the continent. In 2019, more than 56,000 deaths were linked to air pollution in the region, with the average rate of death nearly four times higher than in Western Europe. Exposure to air pollutants, particularly PM2.5, has severe health consequences, including respiratory diseases, heart disease, lung cancer, stroke, and poor birth outcomes. Fossil fuel use, residential combustion, and energy production are key contributors to the region's poor air quality.

The agricultural sector, transport, and industry also play a role in air pollution in Southeast Europe. The burning of solid fuels for domestic heating and industrial use further exacerbates the problem. As a result, Southeast Europe faces significant health and economic challenges due to increased healthcare costs, reduced life expectancy, and lost working days. The high rate of infant deaths linked to air pollution is particularly concerning, with Bosnia and Herzegovina and North Macedonia having the highest percentages of infant deaths attributed to outdoor PM2.5 exposures.

While air pollution is a widespread issue across Europe, Southeast Europe faces unique challenges in addressing it. The region's socioeconomic background and lack of effective climate policies contribute to the severity of the problem. Additionally, the overlap with other factors, such as limited green spaces, noise pollution, and extreme heat, further compounds the health risks associated with air pollution in Southeast Europe.

To address this pressing issue, Southeast European countries need to implement stringent climate policies that encourage the adoption of renewable energy sources and reduce the demand for energy. By transitioning away from fossil fuels and improving energy efficiency, these countries can significantly improve air quality and mitigate the health risks associated with air pollution, ultimately protecting the well-being of their citizens.

Renewable Energy: Pollution-Free Power?

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Eastern Europe is significantly worse than Western Europe

Air pollution is a significant issue in Europe, with almost everyone on the continent breathing toxic air. According to a Guardian investigation, this is linked to around 400,000 deaths per year. The air quality has improved over the last two decades, but there are still stark differences between Eastern and Western Europe.

The main sources of air pollution in Eastern Europe are coal-dependent energy and outdated industry sectors, the widespread use of wood and coal for residential heating and cooking, old vehicle fleets, agricultural practices with high ammonia emissions, poor waste management, and open landfill waste burning. These issues are rooted in poverty and socioeconomic and geopolitical systems dating back to the Soviet era and civil wars in the 1990s. In contrast, major sources of air pollution in Western Europe include traffic in urban areas, local industry, energy production, and wood burning for residential heating.

While Germany, France, and Italy had the highest overall GHG emissions in Europe in 2021, this is due to their larger populations and higher resource and energy consumption. When adjusted for population differences, Hungary is the EU country with the worst national and international climate policy, followed by Poland and Romania. Hungary has been criticised for its counter-productive policies restricting the deployment of renewable energy, such as banning the expansion of wind power and increasing fossil fuel subsidies and extraction.

The disparities in air quality between Eastern and Western Europe demand urgent action. Reducing and eliminating this inequality should be a key priority in implementing the EU Green Deal Zero Pollution Goals. Strategies to achieve this include decreasing the burning of fossil fuels, increasing renewable energy deployment, and improving energy efficiency.

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The EU has adopted strict policies on air quality

Air pollution is a significant environmental and public health concern in Europe, causing various adverse health effects and impacting the economy. Since the 1980s, the EU has been at the forefront of addressing this issue by implementing strict policies and regulations aimed at improving air quality.

The EU's Ambient Air Quality Directives set comprehensive standards and targets for various air pollutants, demonstrating their commitment to tackling this issue. These directives provide a framework for monitoring, assessing, and informing the public about ambient air quality, ensuring transparency and accountability. The directives also establish common methods for consistent data collection and analysis.

Over time, the EU has strengthened and revised these directives to align more closely with the recommendations of the World Health Organization (WHO). The revised Ambient Air Quality Directive, adopted in 2022 and entered into force in December 2024, sets even stricter standards and targets for member states to achieve by 2030. This directive specifically targets fine particulate matter (PM2.5) and nitrogen dioxide (NO2), which are major contributors to air pollution and have significant health impacts.

The EU's efforts to improve air quality are not limited to directives. The Zero Pollution Action Plan, for example, sets a target to improve air quality by 2030, focusing on reducing PM2.5 concentrations. Additionally, the EU has proposed an updated directive for cleaner air, aiming to bring EU standards in line with WHO recommendations. This includes cutting the allowed annual limit for PM2.5 by more than half.

The impact of these policies is evident in the declining air pollution levels across Europe. Between 2005 and 2022, the number of deaths attributable to PM2.5 in the EU decreased by 45%, and emission levels of key air pollutants have also dropped. However, challenges remain, especially in Eastern European countries, where air pollution levels are often the highest. Insufficient national and international climate policies in some EU countries, such as Hungary, Poland, and Romania, hinder progress. Nevertheless, the EU's strict policies provide a solid foundation for continued improvement in air quality, safeguarding the health and well-being of its citizens.

Frequently asked questions

North Macedonia has the most polluted air in Europe, with almost two-thirds of its population living in areas with more than four times the World Health Organization's (WHO) guidelines for PM2.5.

Fossil fuel use is a key contributor to poor air quality in Eastern Europe, with residential combustion and energy production being the largest contributors to deaths related to air pollution.

Hungary has the worst national and international climate policies in the EU, with very low grades from the CCPI national experts.

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