Air quality, especially particulate matter pollution levels in urban areas, is an essential academic and social topic due to its association with health issues and climate change. In Romania, increasing awareness of urban communities and the availability of low-cost sensors has led to the development of an independent monitoring network currently distributed in over 194 cities and towns. The uRADMonitor^® network consists of 630 sensors measuring PM10 and PM2.5 concentration levels. The spatial distribution of the sensors complements the national air quality network with sensors in residential areas, intense traffic zones, and industrial areas. The data are available through a user-friendly web-based platform from uRADMonitor^®. Based on data collected in 2021, we present an analysis of PM10 pollution levels in Romania’s five most populated urban areas by employing five annual statistical indicators recommended by the European Environmental Agency. For the case of Timișoara, we also compare the data measured by independent sensors with those from the national monitoring network. The results highlight the usefulness of our community-based network as it complements the national one.

Patients with respiratory pathologies are the risk group most affected by air pollution, being directly exposed, especially those diagnosed with chronic obstructive pulmonary disease (COPD). In this observational study, which included 79 patients, we evaluated whether COPD patients with the frequent exacerbating phenotype or the infrequent exacerbating phenotype live in residences with higher values of air pollution. An air quality monitoring station was installed in each patient’s house for at least 24 h and PM 1.0, PM 2.5, and PM 10 were measured. Average PM 1.0, PM 2.5, and PM 10 values were lower in the group of infrequently exacerbating patients compared to the frequently exacerbating ones. For every 1 µg/m³ increase in the average values of PM 1.0, PM 2.5, and PM 10, there is an increase of 1.7%, 1.8% and 1%, respectively, in the risk of developing exacerbations. More importantly, an average value of PM 1.0, PM 2.5, and PM 10 above 32.21 µg/m³, 82.32 µg/m³ and 42.89 µg/m³ increases the probability of developing an exacerbation by 3.83, 10.14, and 4.12 times, respectively. Our analysis showed that COPD patients with a frequently exacerbating phenotype live in residences with high levels of air pollution compared to infrequently exacerbating ones.