Ambient air pollution impairs lung development in children, particularly in industrialized areas. The air quality in Zabrze, a city located in the Upper Silesian Industrial Region of Poland, is among the worst in Europe. We compared lung function and the frequency of respiratory or allergic symptoms between children living in Zabrze and those living in Gdynia, a city on the Baltic coast, which has the best long-term air quality in Poland. We enrolled children aged 9–15 years from both cities who were able to perform a spirometry. The following spirometry variables were measured for all participants: forced vital capacity (FVC), forced expiratory volume during the first second of expiration (FEV1), FEV1/FVC index, and peak expiratory flow (PEF). The frequencies of respiratory or allergic symptoms were taken from a survey completed by the participants’ parents. In total, 258 children from Gdynia and 512 children from Zabrze were examined. The mean values of FVC, FEV1, and PEF were significantly greater among children in Gdynia than those reported in Zabrze (p ≤ 0.032), and the frequencies of seasonal rhinorrhea (p = 0.015) or coughing episodes (p = 0.022) were significantly higher in Zabrze than in Gdynia. In conclusion, lung function was significantly impaired in children living in Zabrze, an area which is associated with poor air quality. Strategies to improve air quality in the Silesia region are urgently needed.

A strong and consistent association has been observed between morbidity or mortality rates and PM concentration, and is well documented in many countries. In Poland, despite poor air quality, studies concerning the evaluation of acute health effects of ambient air pollution on morbidity from respiratory or cardiovascular diseases are rare. We examined the short-term impact of PM_x concentration on hospital admission in 31 Polish cities based on the daily PM₁₀, PM_2.5 concentration, meteorological variables, and hospital data. The generalized additive model (GAM) and a random-effects meta-analysis were used to assess the impact of air pollution on morbidity within the exposed population. Almost 1.6 million cardiovascular admissions and 600 thousand respiratory disorders were analyzed. The RR values for PM₁₀-related cardiovascular and respiratory hospital admissions in Poland are equal to 1.0077 (95% confidence interval, 1.0062 to 1.0092) and 1.0218 (95% confidence interval, 1.0182 to 1.0253), respectively, while for PM_2.5 1.0088 (95% confidence interval, 1.0072 to 1.0103) and 1.0289 (95% confidence interval, 1.0244 to 1.0335), respectively. Moreover, a moderate heterogeneity of RR estimates was observed between the analyzed cities (I² values from 27% to 45%). The presented analysis confirms the significant association between hospital admission and PM_x concentration, especially during heating seasons.

In this study Health Impact Assessment (HIA) methods were used to evaluate potential health benefits related to keeping air pollution levels in Poland under certain threshold concentrations. Impacts of daily mean particulate matter (PM)10 levels on hospital admissions due to cardiovascular and respiratory diseases were considered. Relative risk coefficients were adopted from WHO HRAPIE project. The analyses covered period from 2015 to 2017, and were limited to the heating season (1st and 4th quarter of the year), when the highest PM10 concentrations occur. The national total number of hospital admissions attributed to PM10 concentration exceeding WHO daily Air Quality Guideline value of 50 µg/m³ was calculated for each of the 46 air quality zones established in Poland. We found that the reduction of the attributable hospital admissions by 75% or 50% of that expected for the “best case scenario”, with no days with PM10 concentration exceeding 50 µg/m³ would require avoidance of exceedance by the daily mean PM10 concentration of 64 µg/m³ and 83 µg/m³, respectively. These concentrations were proposed as the information and alert thresholds, respectively. The alert thresholds were exceeded on 2 and 38 days per year in the least and the most polluted zones, respectively. Exceedances of the information thresholds occurred on 6 and 66 days in these zones.

Emissions from the household sector are the most significant source of air pollution in Poland, one of the most polluted countries in the EU. Estimated health impacts of the reduction of these emissions under three scenarios are presented. The EMEP4PL model and base year emission inventory were used to estimate average annual PM₁₀ and PM_2.5 concentrations with spatial resolution of 4 km × 4 km. The change in emissions under each of the scenarios was based on data from a survey on household boilers and insulation. Scenario 1 included replacement of all poor-quality coal-fired boilers with gas boilers; Scenario 2 included replacement of all poor-quality coal-fired boilers with low-emission boilers but still using solid fuels; and Scenario 3 included the thermal refurbishment of houses with the worst insulation. Impacts on the following health parameters were estimated: premature deaths (PD), Chronic Bronchitis (CB), Bronchitis in Children (BiC) and Work Days Lost (WDL). The concentration–response functions recommended by the WHO HRAPIE project were used. The analysis was conducted for two regions: Lower Silesia and Lodzkie province. The largest reduction of health impact was observed for Scenario 1. For Lower Silesia, the annual PD decreased by 1122 (34.3%), CB by 1516 (26.6%), BiC by 9602 (27.7%) and WDL by 481k (34.7%). For Lodzkie province, the largest impacts were estimated as decreases in PD by 1438 (29.9%), CB by 1502 (25.3%), BiC by 9880 (26.8%) and WDL by 669k (30.4%).