The study reports a consistent comparison of emission inventories, concentration trends, and PM source apportionment in different European regions and, mostly, a thorough investigation of meteorological parameters influencing atmospheric pollutants’ dispersion. The study focuses on the reasons why Northern Italy still has difficulties complying with EU air quality standards for PM₁₀ and NO₂, despite strong emission reductions. The study demonstrates that, in the colder seasons, wind speed, PBL height, and atmospheric pressure in the Po basin are three to five times less efficient at diluting and dispersing pollutants than those occurring in regions north of the Alps. Since air quality standards aim at countering health impacts, it is advisable to consider atmospheric particulate toxicity in addition to PM₁₀/PM_2.5 mass concentration as a limit value. A discussion is reported about PM toxicity factors depending on source-specific aerosols and PM composition. We obtained PM toxicity factors that can vary by 10 times (according to carbonaceous content) across Europe, suggesting that, even at the same mass concentration, the effects of PM₁₀/PM_2.5 on human health are significantly variable. Modern PM source apportionment and reliable toxicity and epidemiological analyses represent the correct tools to build a new consistent health metric for ambient PM.