Health in Africa

Different air under one sky: Almost everyone in South Africa breathes polluted air

Air quality is not monitored in most cities as they lack the resources to compile inventories

 
By Madhumita Paul
Published: Tuesday 06 September 2022

Nearly 100 per cent of the population in South Africa breathes air that doesn’t meet the World Health Organization’s (WHO) standards, according to a new report. 

Air pollution is now the second-largest cause of death in Africa. Clean air is not only an issue of environmental health but one of equity and justice, read the report released September 2, 2022.

The report titled ‘Different Air Under One Sky: The Inequity Air Research’ is published ahead of the United Nation’s International Day of Clean Air for Blue Skies, which will be held on September 7, 2022. It stated that air pollution remains a universal health issue affecting almost everyone worldwide.


Also read: Africa adopts strategy for better synergy between sectors


Disparities in air pollution exposure among vulnerable groups are investigated through a spatial analysis using the geographic information system.

The elderly, newborns and pregnant women are the most vulnerable groups as the dangers are unequally distributed throughout the population, stated the report released by non-profit Greenpeace.

The study investigated air pollution in eight countries — India, Malaysia, Thailand, Philippines, Indonesia, Turkey, South Africa and Colombia — predominantly in the global south.

The researchers used WHO guidelines to categorise annual mean particulate matter 2.5 (PM2.5) concentrations. PM2.5 refers to fine particles that penetrate deep into the body and fuel inflammation in the lungs and respiratory tract, leading to the risk of cardiovascular and respiratory problems.

The categorisations are:

  • Concentrations that meet the WHO guidelines
  • Concentrations that are not more than five times the WHO guidelines
  • Concentrations between five and 10 times the guidelines
  • Concentrations that are more than 10 times the guidelines

Almost the entire South African population is exposed to annual average PM2.5 concentrations that are more than five times the WHO guidelines. 

Some 41 per cent of the total population in South Africa were exposed to annual average PM2.5 concentrations of over 25 micrograms per cubic metre (ug/m3) and 7 per cent of the total population were exposed to annual average PM2.5 concentrations of over 50 ug/M3, according to the report.

Around 38 per cent of infants and 36 per cent of pregnant women in South Africa are exposed to annual average PM2.5 concentrations of over 25 ug/m3.

At provincial level, almost the entire population of Gauteng were exposed to annual average PM2.5 concentrations of over 25 μg/m3. The report also estimated that over 70 per cent of North West and Free State populations were exposed to annual average PM 2.5 concentrations of over 25 μg/m3.

Air quality monitoring stations are unevenly distributed across populated areas. This denies access of environmental data to some communities and prevents the authorities charged with managing environmental health from delivering evidence-based action programmes, the report added.

Around 40 per cent of the total population does not have access to an air quality station within 25 kilometres and 30 per cent of the population lives within 5 km of the same.

Only two provinces, Western Cape and Gauteng, have populations where at least 50 per cent of people live within 5 km of an air quality station. Almost the entire population in Northern Cape have no access to an air quality station within 25 km.

Gauteng, North West, Free State and Mpumalanga are the provinces with the worst exposure to PM2.5 pollution.

These provinces accommodate almost 50 per cent of South Africa’s total population. Over 80 per cent of the population in Free State and over 60 per cent in Mpumalanga do not have access to an air quality station within 25 km.

Air quality is not monitored in most cities as they lack the resources to compile inventories of the types and sizes of sources contributing to pollution. All these efforts require sustained long-term funding.

The implementation of minimum emissions standards (MES) is the biggest challenge faced by the country as the government does not ensure adequate and appropriate compliance with MES. MES mandate fossil fuel polluters to adhere with emission standards.

“The South African government must introduce a robust air quality monitoring system across the country and make the data available in real time,” the report stated.

A health advisory and ‘red alert’ for bad-air days should also be issued so that the public are able to take necessary steps to protect their health, the report added.

Air quality is closely linked to the earth’s climate and ecosystems globally. Many of the drivers of air pollution are also sources of greenhouse gas emissions. Policies to reduce air pollution, therefore, offer a win-win strategy for both climate and health.

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