Impact of air pollution on health in South-East Europe

Abstract

Abstract The Western Balkans (WB; Albania, Bosnia and Herzegovina, Kosovo*, Montenegro, North Macedonia and Serbia) is a region next to the European Union where the levels of air pollution are among the highest of Europe and transboundary pollution with neighbouring countries is frequent. The estimated PM2.5 average exposure index in the WB is above the exposure concentration obligation (20 µg/m3) of Directive EU/2008/50. In this study, the TM5-FAst Scenario Screening Tool (TM5-FASST) was used to estimate the trends of air quality impacts on health, from 2000 to 2050 in the WB. To that end, five ECLIPSE 6b emission scenarios with different assumptions on population growth, deployment of technologies and policies were compared. Mortality from PM2.5 and ozone were calculated using the integrated exposure-response model (IER) and a log-linear exposure-response function, respectively, in line with the Global Burden of Disease assessment for 2017. The implementation of the maximum feasible reduction (MFR) scenarios in the WB would lead to a decrease in the mortality associated with PM2.5 of 49% - 65% in 2050 compared to the current legislation baseline (CLE). On the contrary, no further control (NFC) scenarios would cause an increase in PM2.5 mortality of 16% - 21% in 2050 compared to the CLE. Furthermore, compared to the CLE baseline in 2050, lack of action would lead to an 11% - 21% increase in mortality in neighbouring countries, due to transboundary pollution originating in the WB region. As a whole, the study confirms that implementing the adopted policies would lead to a reduction of the air pollution impacts in the coming decades and provides estimates of the maximum benefits expected from ambitious policies and the impact of not implementing the currently adopted ones. (* This designation is without prejudice to position on status and is in line with the UNSCR 1244/99 and the ICJ Opinion on the Kosovo declaration of independence.)