Assessment of health impacts and costs attributable to air pollution in urban areas using two different approaches. A case study in the Western Balkans.

In this study, two different air quality impact assessment methodologies were adopted and combined with a sensitivity analysis to estimate the unit costs. Air pollution health impact (mortality) assessment was carried out using one methodology based on log-linear concentration response functions (CRF) and another relying on the integrated exposure response curve (IER) from the Global Burden of Disease. Morbidity impacts were estimated with the CRF approach only. To assess the inequalities between low and high income countries, an area of low-medium income countries with a critical air pollution situation, was selected. The health impact and related external costs attributable to air pollution in 2019 were assessed in 30 urban areas of the Western Balkans region, one of Europe's air pollution hot spots. The evaluation was based on PM2.5, O3 and NO2 concentrations in background sites from official monitoring networks. In 2019, the cost of mortality attributable to PM2.5 in 26 urban areas was 7.8 and 9.0 billion Euro according to IER and CRF methodologies, respectively. The cost of O3 associated with all-cause mortality estimated with the CRF methodology in 17 urban areas was 1.0 billion Euro while the one attributable to NO2 pollution in 28 urban areas was 1.5 billion Euro. The study results suggest that the economic burden of air pollution in the Western Balkans is higher in terms of GDP than the one observed in EU27 in the same time window. The study concludes that CRF and IER methodologies are coherent, because the discrepancy in the results are explained by the differences in the assessed health outcomes. The two approaches are complementary because the combination of them makes it possible to obtain a wider range of outcomes. In addition, despite the different causes of death considered, the comparison between them is useful for cross-validation.

Urban pollution in the Danube and Western Balkans regions: The impact of major PM2.5 sources.

The SHERPA tool was used to assess the major pollution sources and the geographical areas impacting on the PM2.5 of the main cities in the Danube and Western Balkans regions. The activity sectors influencing most the PM2.5 levels in the study area are energy production (22%), agriculture (19%), residential combustion (16%) and road transport (7%). The energy production in inefficient coal-fuelled power plants was identified as one of main source of PM2.5 in the Western Balkans. As for the geographical origin of PM2.5, the transboundary pollution is confirmed as the main origin of PM2.5 (44%) in the investigated cities, while the city own emissions and the national sources outside the concerned city impact on average 22% and 15%, respectively. An association was observed between the long-range transport and the impact of agriculture and energy production, while both local urban emissions and long-range transport were associated with the residential sector. A special attention is given in this study to biomass, a renewable source, which use is often promoted in the frame of climate and energy policies. Nevertheless, the combustion of biomass in inefficient small appliances has considerable particulate matter emissions and therefore this type of practice impacts negatively on air quality. Considering that biomass is traditionally used in South-East Europe as fuel for residential heating, the interpretation of the model results was supported with the estimation of biomass burning contributions to PM2.5 obtained with receptor models and data on biomass fuel consumption from the literature. The analysis of the contributions from biomass burning derived from receptor models suggests that biomass burning is the dominant source within the residential heating sector in the studied area and that the emissions from this source are likely underestimated. This study concludes that more effort is needed to improve the estimations of biomass burning emissions and that policies to improve air quality in the cities should involve a geographic context wider than the city level.

Evaluation of a portable nephelometer against the Tapered Element Oscillating Microbalance method for monitoring PM(2.5).

Monitoring personal exposure to particle matter (PM(2.5)) in ambient air requires performing measurements using portable monitors. In this work, the portable nephelometer SidePak™ AM510 Personal Aerosol Monitor manufactured by TSI Inc. was evaluated against a Tapered Element Oscillating Microbalance (TEOM) equipped with a Filter Dynamics Measurements System (FDMS). Conventionally, the SidePak is calibrated with respect to the Arizona Road Test Dust and then multiplied by an environmental calibration factor to yield mass concentration. To adapt this calibration to specific field conditions, we present an implementation of this calibration by introducing a growing factor correction which takes into account relative humidity and the dry and wet portions of the refractive index estimated from TEOM-FDMS measurements. PM(2.5) sampling with several SidePaks AM510 was carried out in background and rural sites in the Po Valley (Italy). Modeled SidePak data were plotted vs. reference TEOM-FDMS data which show a good agreement.