Despite significant efforts to reduce polluting air emissions, during and after the economic transition in the 1990s, Poland remains home to many of the most polluted cities in the European Union (EU). This report examines the nature and magnitude of ambient air pollution (AAP) in Poland. It provides estimates of the health burden, and economic cost associated with the health impacts, of ambient air pollution i.e., particulate matter (PM) both at national and regional or voivodeship levels in Poland. It also explores the roles of various sources of air pollution emissions on ambient air quality in Poland. With emphasis on the critical residential sector, this report analyses the likely impacts of national and EU legislative scenarios on future pollution emissions and ambient air quality in Poland. In addition, the report performs a demonstrative cost-benefit analysis of selected interventions to reduce AAP in residential and transport sectors and from point sources in the voivodeships that bear the heaviest burden of the impacts of AAP. Institutional factors that affect the effectiveness of ambient air quality management are discussed. Finally, policy recommendations for air pollution prevention, reduction and abatement are presented. The current study estimates that 25,280 - 44,811 deaths were caused by ambient PM2.5 pollution in Poland in 2016. The analysis applied two methodologies: (i) the approach from the 2016 Global Burden of Disease study; and (ii) the approach used by the EEA in their 2018 study. GBD studies analyze the health risks attributable to environmental factors, for different years, for most countries by linking environmental factors with the burden of disease attributable to them. Consistent with the GBD methodology, the analysis in this chapter applies a conservative approach by calculating premature, age-specific mortality from five diseases - ischemic heart disease, stroke, COPD, lung cancer, lower respiratory illness, that are directly linked to PM pollution. By contrast, the EEA approach calculates all-cause or non-accidental mortality (i.e., all deaths excluding poisoning, suicide and war), and assumes a linear relationship between mortality and PM concentration for population above age 30. The morbidity health burden is estimated in this report using HRAPIE recommended methodology (WHO, 2013) that focuses on acute bronchitis for children, chronic bronchitis for adults, cardiovascular and respiratory hospital admissions and lost work days caused by PM air pollution.

Many cities in Kosovo suffer from poor air quality, with ambient concentrations of particulate matter with a diameter of 2.5 micrometers or less (PM2.5) significantly exceeding the national and European Union (EU) standards and global air quality guidelines for PM2.5 established by the World Health Organization (WHO). The air pollution in the capital city of Prishtina rivals that of big cities like Beijing, Mumbai, and New Delhi. Especially in winter, urban areas face severe smog episodes, caused by the increased demand for heat from the residential and commercial sector, which is mainly provided by burning solid fuels. Such levels of air pollution are unsafe for Kosovo's population of 1.9 million and cause significant deleterious health impacts. This report is one in a series of three reports on air quality management (AQM) in Kosovo, Bosnia and Herzegovina, and North Macedonia. It examines the nature and magnitude of ambient air pollution (AAP) in Kosovo. It provides estimates of the health burden and the economic cost associated with the health impacts of AAP, that is, PM2.5, in Kosovo. It also analyzes of the roles of various sources of PM2.5 emissions on ambient air quality in Kosovo at a national level. The institutional and policy framework for AQM in the country is examined, including contributions of other development institutions in supporting Kosovo in addressing air pollution. Furthermore, the report presents experiences of selected countries that have applied different policy, investment, and technical interventions for air pollution, prevention, reduction, and abatement. Finally, it provides recommendations for reducing air pollution in Kosovo.

This overview of climate change activities in the Kyrgyz Republic is part of a series of country notes for five Central Asian countries that summarize climate portfolio in a number of sectors, namely agriculture, forestry, water, health, energy, and transport. Recognizing the nature and significance of climate change contribution to an increase in disaster risk, the note also looks into the development partners' approaches and measures in this area. This note further provides a brief overview of the Kyrgyz Republic climate context in terms of observed impacts and historical trends as well as climate projections specific to sectors that are considered to be essential to the country's economic development. Finally, the note assesses national policy and institutional context related to climate change as well as suggests potential ways forward that can help the Kyrgyz Republic mainstream climate considerations into development activities and planning and create public demand for climate actions.