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Monday, April 06, 2026

Dangerous lignite: Bosnia and Herzegovina has problems with its energy transition

Ten years ago, 1000 people worked here. Today there are some 500. Soon there will be only 20 left.”



LONG READ

Published on 03/04/2026 
EURONEWS

Will Bosnia-Herzegovina's belated start to the energy transition delay its EU accession? The country is struggling to move away from coal-fired power generation. There is a shortage of desulphurisation plants. The air pollution is at an extreme level. The consequences are serious: Cancer from coal?

In Kakanj, an industrial town in the heart of Bosnia and Herzegovina, everything revolves around lignite. Thousands of jobs depend on it

Here lie 440 million tonnes of coal, one of the largest deposits in Europe. I get special authorisation to enter the huge open-cast pit.

Kakanj - one of the biggest lignite deposits in Europe. Muamer Kolar

Coal was already being mined in Kakanj during the time of the Austrian emperor. Before World War I, some five thousand miners toiled here. Today, there are still 1200.

One of them is Omer Hrustić: “I was literally a kid when my uncle brought me to the work site. Yeah, it’s three generations, literally. My granddad, my grandfather, my uncle… every male figure in my family is tied to mining. Mining is a big part of my life.”



Omer Hrustić: “Mining is a big part of my life." Hans von der Brelie

Production in Kakanj is now set to rise from 700.000 tonnes last year to 800.000 tonnes in 2026. This is despite the fact that burning lignite releases extremely high levels of pollutants. And there are massive emissions of CO2 and SO2.

Fossil fuels are the main cause of global warming and the climate crisis. Mining engineer Omer Hrustić knows this too: "As a society, we need to look for better ways to supply energy. When the time comes, we need to be prepared. But we are currently dependent on coal. And on our work, our hard work."

There are seven state-owned coal mines in the Federation of Bosnia-Herzegovina, one of the two entities of Bosnia and Herzegovina (the other being Republika Srpska with two big coal mines). Their mountain of debt is totalling around one hundred million euros.

Iso Delibašić, director of the Kakanj coal mine. Muamer Kolar

Financial disaster plus environmental problems: Why keep digging instead of phasing out coal? Iso Delibašić is the director of the Kakanj coal mine: "Bosnia and Herzegovina needs energy. The future of the coal mine must not be called into question."

“Let’s do some maths”, I ask Delibašić, “take the coal you still have in the ground today, how many years could it last?” The coal mine director estimates, that the geological reserves of the Kakanj coal mines could last “for the next 40-50 years”.


"The geological reserves of the Kakanj coal mines could last for the next 50 years", says coal mine director Iso Delibašić. Hans von der Brelie

Euronews: “In 2050, will this mine still be working or not?”

Delibašić: “We can say that Bosnia and Herzegovina still lacks a lot of energy. That’s why our future should not be jeopardised. Let’s take into consideration our geological coal reserves.”

Euronews: “Do you feel bad about helping to kill planet earth?”

Delibašić: “We produce coal. This coal is used by someone else. Do I feel bad about doing my job? Of course not!”

Let’s move on. The chimney of the Kakanj coal-fired power plant is as tall as the Eiffel Tower and emits huge amounts of pollutants and CO2. How does Bosnia and Herzegovina plan to become climate-neutral by 2050?

Bosnia and Herzegovina also committed to this goal at the Western Balkans summit in Sofia. The country is a member of the Energy Community, an international organisation in which the European Union and candidate countries develop rules for the energy market.

But Bosnia and Herzegovina is not complying. Some of the power plant units date back to the 1970s. Their remaining operating hours agreed have long since been exceeded.

Why weren’t these units shut down long ago? Hans von der Brelie

There is a lack of modern filters. Yet, many of these very old reactors are still in operation. Why weren’t these units shut down long ago?

Bosnia and Herzegovina's outdated coal-fired power plants emit over 200,000 tonnes of sulphur dioxide per year, eleven times more than permitted, reports Bankwatch, a network of regional non-governmental organisations.

Kakanj thermal power plant. Hans von der Brelie

The European Commission's 2025 Country Report also strongly criticises Bosnia and Herzegovina's energy policy. And the European Energy Community has initiated infringement proceedings.

Bosnia and Herzegovina's outdated coal-fired power plants emit over 200,000 tonnes of sulphur dioxide per year. Muamer Kolar

In Kakanj, unit 7 is one of the big troublemakers. Power plant director Adem Lujnović blames the local weather conditions for high pollution levels: “When inversion weather conditions occur, we experience high levels of air pollution. It happens in the winter or summer, when we have stable weather conditions and high air pressure.”

Years were wasted. Reforms were postponed. Laws were delayed. I ask the power plant director why the old units weren't shut down long ago. “We had already considered switching to natural gas in 2010”, he says, "but it wasn't cost-effective, coal was cheaper."

Outdated energy infrastructure (Kakanj thermal power plant). Hans von der Brelie

Locals are paying a high price for this decision: with their health. Edina Dogdibegović lives on the outskirts of Kakanj. "The power plant burns two million tonnes of coal a year," she says.

Air pollution alerts are issued in both summer and winter: "In January we had an air quality index of 9-9-5, very dangerous! 2000 micrograms of sulphur dioxide per cubic metre! Well above the limit!"

"The government does not protect the people here", says Edina Dogdibegović. Muamer Kolar

There are also emissions from a cement works and residential furnaces. There seems to be an increase in cases of cancer. "In one out of every two households, someone has been diagnosed with cancer," reports Edina, “the government does not protect the people here.”

Many people in Bosnia-Herzegovina grow their own vegetables. This is also the case in Kakanj. However, the greens in the garden are poisonous. “Some analysis has shown an extremely high concentration of arsenic, cadmium and lead”, says Edina Dogdibegović, “and I just suggest to the people here not to use vegetables from here.”

The residents are afraid of poisonous vegetables, deadly air and cancer. But is all of this true? At the hospital in Kakanj, I meet an expert on respiratory diseases. Senka Balorda is one of the most renowned doctors in Bosnia and Herzegovina.

Senka Balorda is an outstanding expert on respiratory diseases. Hans von der Brelie

“Yes, we do have a problem in Kakanj”, Senka Balorda confirms. “I think that as reported for 2025, for the 35.000 citizens of Kakanj, we have 223 different cancer patients. That’s really huge.”

Euronews: “What is the connection between coal and the diseases?”

Senka Balorda: “The particle that we breath in goes through the trachea, the great bronchus to small bronchus, and at the end to the small, farthest paths of the smallest alveoli in the lungs.”


"Air pollution is a direct cause of lung cancer", says Senka Balorda. Hans von der Brelie

Euronews: “Can air pollution kill?”

Balorda: “Of course, because in this period large numbers of lung cancers have been discovered. I have sent seven of my patients to Tešanj hospital. All those seven patients have died. The air pollution is a direct cause of lung cancer.”

European Environment Agency and World Bank warn: High levels of air pollution in Bosnia and Herzegovina is responsible for over 3,000 premature deaths each year. When adjusted for population size, this is a European record.

European Environment Agency and World Bank warn: High levels of air pollution in Bosnia and Herzegovina is responsible for over 3,000 premature deaths each year. Hans von der Brelie

All over the country, people heat their homes and cook with coal or wood. The high levels of particulate matter pollution are therefore at least partly self-inflicted.

In the mining town of Kakanj, every second private household uses coal. Every third household burns wood and the rest use pellets.

Right next to the mosque is a modern measuring station. The Kemal Kapetanović Institute has installed nine fixed air monitoring points throughout the Zenica-Doboj Canton, to which Kakanj belongs – plus two mobile stations.

The Kemal Kapetanović Institute has installed nine fixed air monitoring points throughout the Zenica-Doboj Canton, to which Kakanj belongs – plus two mobile stations. Hans von der Brelie

Halim Prcanović knows all about dirty air. The scientist recently attended an international conference in London. Research findings prove that smog kills. Prcanović is concerned: “During last year and also this year, Kakanj has had a very high concentration of sulphur dioxide and particulate matter PM10.”

I am authorized to have a look on the measuring filters, they are black: toxic dust. With a loan from the World Bank, the authorities are promoting the transition: households are to stop using coal, Prcanović insists.

The air filters are black. Muamer Kolar

But what about the power plant? Halim Prcanović: “The thermal power plant has a very high chimney which is 300 meters tall and it pollutes a very big area.”

He shows me his computer screen: “And you see these peaks of sulphur dioxide in Kakanj? They are mostly from the thermal power plant’s chimney. That is the only source that can produce this high peak. It can be as high as 3000 micrograms per cubic meter. The yearly limit is 50 micrograms. So we are always above the yearly limit in Kakanj.”

Halim Prcanović shows SO2 emission peaks from the Kakanj thermal power plant. Hans von der Brelie

Prcanović is horrified, facts and figures are bad: “I know that they are emitting about 70.000 tonnes of sulphur dioxide per year. They need to lower these emissions to about 1.500 tonnes SO2 per year. So, you see how far it is above the limit!”

Prcanović is horrified: “They are emitting about 70.000 tonnes of sulphur dioxide per year." Hans von der Brelie

What does the mayor of Kakanj city, Mirnes Bajtarević, think about all this? Let’s have a talk.

Euronews: “What is your recommendation? Should the coal power plant close down or not?”

Mirnes Bajtarević: “If you ask me whether I am currently in favour of closing, unfortunately I’m afraid I cannot say yes, as life in this town depends on these industrial centres.”

Mirnes Bajtarević, mayor of Kakanj. Hans von der Brelie

Euronews: “I understand that you defend coal for historic, social and financial reasons. Are you responsible for the suffering of people who are dying from coal and pollution?”

Mirnes Bajtarević: “I don’t see my responsibility in this way. I am in favour of the idea that we should keep living and working here.”

Euronews: “And what about clean air?”

Mirnes Bajtarević: “Clean air is very much my concern. It is our goal to exert pressure on higher authorities, so to speak, to ensure that they take all measures prescribed in the environmental permits. And I expect smart plans to be developed so that people who worked for years in these industrial centres don’t just become a number in the unemployment offices.”

By the end of the last year, the air quality over Kakanj was so bad that the mayor called for an emergency meeting. Several power plant units were temporarily shut down. A desulphurisation plant is being built in Kakanj. It is scheduled to go into operation at the end of 2027.

A desulphurisation plant is being built in Kakanj. It is scheduled to go into operation at the end of 2027. Muamer Kolar

"The desulphurisation plant allows us to clean 1.5 million cubic metres of gases," explains Kakanj power plant director Adem Lujnović.

"We currently have sulphur dioxide concentrations of 8,000 milligrams per cubic metre", says Lujnović. "After desulphurisation, it will only be 150 milligrams. We could meet the European Union's emission limits by 2028."

The Kakanj power plant director wants to meet the European Union's emission limits by 2028. Muamer Kolar

Euronews: “When will the dirtiest power plant units be shut down?”

Adem Lujnović: "Block 5 will be decommissioned in 2027, Block 6 in 2035. Block 7 will run until 2045 or 2050, depending on the conditions."
Several units will be decommissioned in the upcoming years. Hans von der Brelie

Euronews: “So where do electricity and heat come from, in the near future?”

Lujnović: "We are building a gas-fired power plant here. One day, this could also be powered by hydrogen.”

Euronews: “Phasing out coal, when it will be done?”

Lujnović: "Decarbonisation and the phase-out of coal should be completed by 2050."

Thermal power plant director Lujnović: "Decarbonisation and the phase-out of coal should be completed by 2050." Muamer Kolar

Euronews: “Your vision of the future?”

Lujnović: "We need a paradigm shift; there needs to be a change in the way of thinking, that's the key."


Sarajevo is also struggling with heavy air pollution. Hans von der Brelie

Thick smog also hangs over the capital of Sarajevo. I have an interview appointment with Sanel Buljubašić, the top decision-maker at Elektroprivreda BiH, the country’s largest electricity supplier.

Around 60% of electricity is generated from coal combustion. The state-owned company wants to restructure its energy mix… but there are financing problems.

The headquarter of Elektroprivreda BiH in Sarajevo. Hans von der Brelie

Euronews: “Pollution levels are really high in Bosnia and Herzegovina and you are not complying with the European Union’s Large Combusion Plant Directive. Why are you not complying with your legal obligations?”

Sanel Buljubašić (General Director of Elektroprivreda BiH): “I think that we are very late with legislation, legislation that provides for a just transition. Especially in the context of building new facilitiesor more precicely, providing funds to build new energy facilities.”

Euronews: “What is your proposal?”

Sanel Buljubašić: “What we suggest is to adopt a special law that would provide for the faster construction of new production facilities from renewable sources.”



Sanel Buljubašić, General Director of Elektroprivreda BiH. Muamer Kolar

Euronews: “What is your wish-list for politicians and decision-makers, be it in Sarajevo or in Brussels?”

Sanel Buljubašić: “When we talk about a message to the European Union, we expect access to EU funds and to have equal treatment, similarly to citizens of the EU who have been through this process of just transition.”

Late with legislation? Ok, let’s have a chat with Vedran Lakić the energy minister of the BiH regional government. Ready for some tough talk with hard questions? “I am ready”, the minister says and invites me in.

Vedran Lakić, energy minister of the BiH regional government. Muamer Kolar

Euronews: “Well, Bosnia and Herzegovina wants to become a member of the European Union and the EU published a 2025 country report which is quite straightforward, saying that no progress has been made regarding compliant legislation on electricity supply security and the country’s redirection from coal to renewables. So, why has no progress been made?”

Vedran Lakić: “We have several laws that need to be adopted by the State Parliament and that’s number one. It’s the State Electricity Law. Our energy sector has been sleepwalking for the past 10 or 15 years and we need to make some changes now quickly. We are not in a good shape. But the European Union is pushing us to finish those things.”

Vedran Lakić: “Our energy sector has been sleepwalking." Hans von der Brelie

Euronews: “Regarding the EU’s 2025 country report on Bosnia-Herzegovina, it is written that there is an urgent need to implement a CO2 trading system and it’s not yet in place. Why?”

Vedran Lakić: “Yes, yes, you are absolutely right and I am hoping that the State Parliament will finish this procedure as soon as possible.”

And then there is the issue of CBAM, the European Union’s Carbon Border Adjustment Mechanism. To understand this, we need to take a step back. The European Union has set a target of achieving climate neutrality by 2050. This target is binding on all EU member states, and aligning with EU climate legislation is a requirement for any country wishing to join the EU. The Carbon Border Adjustment Mechanism (CBAM) is the EU’s policy tool to encourage cleaner industrial production outside the EU, by taxing imports like steel, cement, and aluminium, based on their embedded emissions.

Under CBAM, which entered into force on 1 January 2026, EU importers are legally responsible for reporting the embedded emissions of imported products, and are required to purchase CBAM certificates reflecting the carbon cost based on the EU Emissions Trading Scheme price, and submit annual declarations to EU authorities.

No exceptions are foreseen for Bosnia and Herzegovina from the obligations of CBAM.
Ferdinand Koenig
Spokesperson for the EU Delegation Sarajevo

Bosnia and Herzegovina exports to the EU from a number of high-carbon sectors, including production of iron, steel and aluminium as well as electricity generation. “No exceptions are foreseen for Bosnia and Herzegovina from the obligations of CBAM”, says Ferdinand Koenig, spokesperson for the EU delegation in Sarajevo.

When exporters are unable to provide accurate and verified emissions data, they risk higher costs due to legal fees, and penalties incurred from failure to pay, trade delays, and could lose competitiveness compared to competitors from countries with robust reporting systems in place. Current estimates suggest that high-carbon sectors represent around 15% of BiH’s exports to the EU. “The future impact of CBAM will depend on the carbon intensity of industrial and electricity production and on BiH’s ability to report reliable emissions data in line with CBAM requirements”, Koenig points out.


Bosnia-Herzegovina has failed in recent years to establish a legal framework for the introduction of an EU-compatible Emissions Trading Scheme (ETS). Hans von der Brelie

Furthermore, Bosnia-Herzegovina has failed in recent years to establish a legal framework for the introduction of an EU-compatible Emissions Trading Scheme (ETS). “The EU Emissions Trading Scheme is an obligation for all countries wishing to join the EU”, emphasises Koenig. The introduction of an Emissions Trading Scheme will limit pollution, reward green solutions, and cut emissions affordably in Bosnia and Herzegovina.

Ferdinand Koenig: “The EU urges the relevant authorities in Bosnia and Herzegovina to make progress in this area. Currently, the country relies heavily on coal. Insufficient progress on climate policies mean the country is unprepared for the obligations of EU membership, and furthermore generates risks of trade penalties and higher costs for businesses.”

Insufficient progress on climate policies mean the country is unprepared for the obligations of EU membership.
Ferdinand Koenig
Spokesperson EU delegation Sarajevo

As regards the transition away from coal, the EU’s Just Transition policy framework aims to ensure a fair transition to a climate-neutral economy by 2050. “Within this context, EU funds have been made available to support a fair decarbonisation process in Bosnia and Herzegovina”, says Koenig, “for example through a recent project worth €5 million to facilitate just transition in coal dependent regions in the Western Balkans.”


The European Union tries to facilitate the process of "just transition" in traditional coal regions. Hans von der Brelie

Overall, the EU provides considerable support for Bosnia and Herzegovina’s transition to clean energy. The spokesperson for the EU delegation in Sarajevo is familiar with the figures: “Bosnia and Herzegovina has been allocated over €335 million in grants and favourable loans to accelerate its green transition by the EU, International Financial Institutions and EU Member States."

Projects include the modernisation of the Čapljina hydropower plant (€18M), building two major wind farms in Poklečani (132 MW, €200M) and Vlašić Travnik (50 MW, €91.7M), boosting energy efficiency in public buildings (€6M) and multi-apartment renovations (€3M), and rolling out large-scale public sector upgrades through the Regional Energy Efficiency Programme (REEP+) in Sarajevo Canton (€10M), Zenica-Doboj (€11M), Tuzla Canton (€10.7M), and Republika Srpska (€1M), while also receiving €4.5M for EU energy policy alignment, sector reforms, and stakeholder engagement to strengthen its climate and energy framework.

Bosnia and Herzegovina is yet to launch the implementation of its Reform Agenda.
Ferdinand Koenig
Spokesperson of the EU Delegation Sarajevo

Moreover, a significant proportion of the up to EUR 976.6 million available under the Growth Plan for Bosnia and Herzegovina supports this objective. “By effectively implementing its Growth Plan reforms, and in particular on energy transition, emissions reduction, and institutional alignment with EU climate policies, Bosnia and Herzegovina could unlock up to €100 million in EU financial support to modernise its economy and accelerate its green transition”, says Koenig. “Currently, Bosnia and Herzegovina is yet to launch the implementation of its Reform Agenda, including ratification of the Loan and Facility Agreements requesting the pre-financing and the appointment of a Coordinator.”



"Bosnia and Herzegovina is yet to launch the implementation of its Reform Agenda." (EU delegation Sarajevo) Hans von der Brelie

There is no doubt: Bosnia and Herzegovina has considerable clean energy potential, and there would be significant benefits for the country’s citizens from making progress on the clean energy transition. However, there are doubts about the effectiveness of the political decision-making processes. Historically rooted tensions between the different parts of the country are being exploited by regional politicians, whilst separatist tendencies in the Republika Srpska are blocking or delaying legislative initiatives that are crucial for the state’s reform agenda and EU accession.

Last stop Zenica. Hans von der Brelie

Our last stop is the Zenica pit, the heart of Bosnia-Herzegovina’s mining industry, the heart of the region’s mining history. The mine was founded in 1879. The miners call their underground tunnels “Stara Jama”, meaning “Old Shaft”. Now it is being filled in, the pit is closing down.


Stara Jama is closing down. Hans von der Brelie

Zenica coal mine director Mirsad Šahbazović has many years of experience, also abroad. He worked on projects in Saudi-Arabia and Sudan. Today he oversees the last days of Zenica’s Stara Jama pit.

Mirsad Šahbazović Hans von der Brelie

Euronews: “How many people worked here before, how many will remain, next year?”

Mirsad Šahbazović: “Ten years ago, 1000 people worked here. Today there are some 500. Soon there will be only 20 left.”

Mirsad Šahbazović: “Ten years ago, 1000 people worked here. Today there are some 500. Soon there will be only 20 left.” Hans von der Brelie

Euronews: “What’s going to happen with the workers?”

Mirsad Šahbazović: “Some of our workers will be employed in other coal mines. Some will opt for early retirement. Some are waiting to be paid off and go to other countries in Europe.”

Euronews: “How do you feel about closing down the pit?”

Mirsad Šahbazović: “A few months ago was a very emotional moment. We cut the rope that had been used to extract coal from underground for more than 100 years. This was a very, very sad moment.”

A sad moment. Hans von der Brelie

Mirsad Šahbazović proposes preserving at least some parts of the coal mine as a mining museum. Does this industrial hertage site have a future as a tourist attraction? Nothing has been decided yet. The problem here, too, is financing.

Mirsad Šahbazović: “This place is one of the oldest original coal mines constructed in the Austro-Hungarian period in Europe. Our idea is to keep this machinery for the next generations to see what has happened here.”

Restructuring the energy sector requires plans, money and political will. This is precisely what has been lacking in recent years. A country on a side track? Or rolling towards the European Union? Bosnia and Herzegovina must choose which path to take.


Wednesday, April 01, 2026

Peer-Reviewed Health Study Warns of Trump’s ‘Silent But Deadly Assault’ on Health of Americans

“This is not just a policy shift—it’s a wholesale abandonment of government commitments to the American public,” said one advocate.



Kentucky Utilities Ghent Generating Station, a coal-fired power plant, is seen on February 14, 2026 in Ghent, Kentucky.
(Photo by Jon Cherry/Getty Images)


Julia Conley
Mar 31, 2026
COMMON DREAMS

The so-called “Make America Healthy Again” movement encapsulated a key campaign promise ahead of President Donald Trump’s second term in office, with Trump telling one Pennsylvania crowd in 2024, “We’re going to get toxic chemicals out of our environment, and we’re going to get them out of our food supply.”

But the Trump administration has gradually announced a slew of public health-related policies and proposals since the president took office—pushing to loosen emissions rules for the cancer-causing gas ethylene oxide; suggesting the polio vaccine should be optional; and mandating the production of carcinogenic glyphosate—and a peer-reviewed study has now cataloged the “grave threat to America’s health” that Trump’s policies present.

“During the first administration of President Donald Trump, nearly 100 environmental and occupational protections, including air-quality safeguards, were rescinded,” reads the study, published in The New England Journal of Medicine (NEJM) on March 25. “Although many of those rescissions were delayed by litigation or reversed by President Joe Biden, they inflicted considerable harm on Americans’ health. The second Trump administration’s actions have been even more aggressive, portending greater harm.”

Weeks after the US Senate confirmed Health and Human Services Secretary Robert F. Kennedy in February 2025—a confirmation that he secured after making the baseless claim that Americans would prefer the for-profit insurance system over universal healthcare and refusing to reject debunked claims about vaccines—the administration appeared to make clear its true views on public health when it announced 31 climate regulation rollbacks.

“Those initiatives and other administration actions are set to reverse progress on pollution, make workplaces more dangerous, and (in Environmental Protection Agency Administrator Lee Zeldin’s words) drive ‘a dagger straight into the heart of the climate change religion,’” reads the study.

The proposals swiftly introduced by the administration included:Loosening standards for particulate matter 2.5 pollution, which killed approximately 460,000 people in the US from 1999 to 2020;
Ending subsidies for clean energy production under the One Big Beautiful Bill Act;
Weakening tailpipe emissions standards, putting Americans at greater risk for cardiopulmonary mortality and climate crisis risks; and
Delaying implementation of stronger silica rules for coal miners—putting them at risk for black lung disease—while also demanding that coal plants continue production.

Ken Cook, co-founder of the Environmental Working Group (EWG), said the study described “a deliberate dismantling of safeguards that protect the air, water, and health of nearly every person in this country—all in the service of polluters.”

“This is not just a policy shift—it’s a wholesale abandonment of government commitments to the American public and the MAHA movement that helped propel Trump into office,” said Cook, who did not contribute to the study.

Philip Landrigan, a pediatrician and public health physician who directs the Global Observatory on Planetary Health at Boston College and is the lead author of the paper, told EWG that the “impacts of these rollbacks will fall most heavily on the most vulnerable among us—including infants—resulting in brain injury, neurodevelopmental disorders, increased preterm births, and elevated lifelong risk of chronic disease.”

Children and other vulnerable populations, including those in low-income communities situated close to petrochemical industrial areas, are likely to have increased mercury, benzene, and arsenic exposures—raising their risk of developing cancers and other diseases—due to the Trump administration’s rollbacks, according to the study.

“Several proposed policies would weaken water-quality standards, reducing drinking-water safety for millions of people,” reads the paper. “For example, the EPA seeks to weaken regulations governing effluent discharges from coal-fired power plants. The resulting increase in waterborne lead, mercury, and arsenic will increase the incidence of bladder cancers and adversely affect children’s cognitive function.”

The study’s authors emphasized that “statistics and documentation are not enough” to protect the public from the White House’s harmfiul policies.

“Unless health professionals speak up, and unless we put a human face on the tragic consequences of these environmental rollbacks, the connection between these seemingly abstract policy changes and the real health harms they cause may remain invisible,” reads the study. “We health professionals must call urgent attention to this silent but deadly assault on Americans’ health, work with broad coalitions to halt it, and ultimately rebuild the agencies, protections, and shared sense of trust and responsibility that have given us clean air and water and enabled us and our children to live longer, healthier lives.”

Cook noted that the NEJM itself has been a target of the administration, with Kennedy calling highly respected, science-based journals “corrupt” and the Department of Justice questioning the publication’s editorial integrity.

“No amount of political pressure or intimidation should silence independent science or the experts working to protect public health,” Cook said. “The NEJM and the study’s authors rightly ignore those threats and lay bare the real-world consequences of the Trump administration’s actions—and the American people deserve to hear it.”
Coalition Sues Trump EPA for Torching Air Pollution Standards

“The repeal of these protections will mean more asthma attacks, emergency room visits, and premature deaths,” said more than two dozen environmental and health groups.



The flue-gas stacks of Mill Creek Generating Station, a coal-fired power plant, are seen from the Valley Village neighborhood on February 14, 2026 in Louisville, Kentucky.
(Photo by Jon Cherry/Getty Images)

Stephen Prager
Mar 30, 2026
COMMON DREAMS

A coalition of more than two dozen environmental and health groups sued the Trump administration on Monday for repealing Environmental Protection Agency rules that curbed dangerous chemical pollution from coal-fired power plants.

As part of President Donald Trump’s efforts to dramatically expand the use of coal, the EPA last month finalized the repeal of the 2024 Mercury and Air Toxics Standards (MATS), which tightened existing restrictions on the emission of mercury, lead, and other brain-damaging chemicals from power plants.

Coal emits more planet-heating carbon dioxide per unit than any other fossil fuel. Coal plants also release a slew of other chemicals that can cause numerous health complications, including asthma, lung cancer, and respiratory infections.

The EPA says coal-fired power plants are also the single largest source of airborne mercury emissions, which can impair cognitive development, especially in young children.

MATS was created in 2012 to counter these effects and proved quite successful. Within six years of its enactment by the EPA, the amount of toxic mercury being emitted into the atmosphere from energy plants had declined by 90%, according to an agency report.

The Trump EPA has not repealed MATS entirely. Instead, it has targeted amendments enacted by the Biden administration in 2024 that lowered caps on mercury emissions, as well as on other toxic chemicals such as nickel and arsenic.

The EPA has also repealed rules requiring constant monitoring of toxic chemical emissions. Instead of installing expensive systems to track their outputs 24/7, plants can revert to conducting occasional checks.

The repeal came after the administration had already given dozens of coal plants a two-year exemption from the standards last April, even though, according to the agency, 93% were already on track to meet the requirements.

According to an analysis of EPA data by the Natural Resources Defense Council (NRDC) last month, sulfur dioxide pollution from coal plants increased by 18% last year, with those exempt from the rules surging almost twice as much as those not exempt.

The lawsuit, filed in the US Court of Appeals for the District of Columbia, argues that the Trump administration’s actions violate the Clean Air Act, ignore the scientific record, and endanger communities living near power plants.

The suit is backed by groups including the NRDC, the Sierra Club, and the Environmental Defense Fund, as well as the American Academy of Pediatrics and the American Lung Association.

“The repeal of these protections will mean more asthma attacks, emergency room visits, and premature deaths,” the groups said in a statement challenging the repeal. “This administration is not just rolling back rules, it is eliminating the monitoring infrastructure needed to know what is coming out of these smokestacks in the first place.”

“It is allowing coal plants to spew out more neurotoxic mercury into our air and food supply, while simultaneously keeping the communities most at risk in the dark about how serious that threat is,” they said. “This is a betrayal of the EPA’s core mission.”

Saturday, March 28, 2026

 

Iran risks ‘going many years backward’ as environmental destruction threatens long-term health

FILE - A thick plume of smoke rises March 8, 2026, from an oil storage facility struck overnight in Tehran, Iran.
Copyright AP Photo/Vahid Salemi, File


By Marta Iraola Iribarren with AP
Published on 

Attacks on gas fields, nuclear sites, and desalination plants are leaching toxic pollutants into air, soil, and water, that could impact health for decades, experts say.

Oil depots spewing black smoke. Debris is sinking in the Persian Gulf. Missiles are pounding military sites.

The Iran war has unleashed a toxic mix of chemicals, heavy metals, and other pollutants that threaten everything from agriculture to drinking water to people’s health – and will leave behind environmental damage and health risks that could persist for decades, experts said.

“All the burning of oil and gas fields in the coastal areas, all the ships that are there, the oil tankers that are being burned or [sunk] – all of these mean pollution,” said Kaveh Madani, an Iranian scientist and director of the United Nations University Institute for Water, Environment and Health.

“For someone like me who has fought for sustainability and protection of the environment in that region, this is like going many years backward,” he added.

Documenting the damage has proved daunting, with a full accounting impossible for now, noted Doug Weir, director of the Conflict and Environment Observatory, a United Kingdom-based nonprofit that monitors environmental harms from armed conflicts.

The group uses remote satellite sensing and open-source intelligence to identify damage and score environmental risks to people, ecosystems, and agricultural land.

So far, it has recorded more than 400 environmentally concerning incidents related to the war, though much is still unknown due to delays in satellite imagery and an internet blackout in Iran, Weir said.

The air pollution unleashed could lead to many health problems

Perhaps the most enduring images of the war are of darkened skies from oil infrastructure set ablaze by airstrikes, including two weeks ago when black rain fell near Tehran, Iran's capital.

Microscopic soot raises risks of lung and heart problems, while toxic chemicals pose long-term cancer risks, and heavy metals from the fallout could contaminate soil and water supplies, experts say.

Soot, ash, and toxic chemicals from strikes on fuel depots and a refinery combined with water droplets in the atmosphere and fell back to Earth as an oily, acidic rain that prompted warnings to stay indoors.

Debris and contamination from missiles, as well as potential strikes on manufacturing facilities and other infrastructure, also could unleash harmful pollution throughout the region, according to experts.

“If you hit an ammonia-producing plant for fertiliser or for food production... those release chemicals that are absolutely toxic and harmful if they spread,” said Mohammed Mahmoud, head of Middle East Climate and Water Policy with the United Nations University Institute of Water, Environment and Health, and founder of the Climate and Water Initiative.

Continued access to clean water is a big concern

Countries in the Persian Gulf region rely on hundreds of desalination plants for drinking water, raising health and security risks if plants are damaged or water is polluted, experts say.

People in the region "struggle with having access to clean drinking water, even at peace times," noted Madani, the Iranian scientist and UN official. “Any damage to water infrastructure can have long-lasting impacts.”

Iran has said a US airstrike damaged one of its desalination plants, while neighbouring Bahrain accused Iran of damaging one of its plants. Experts fear more could be targeted the longer the war goes on.

FILE - First responders inspect the remains of a residential building hit in an overnight strike during the U.S.-Israeli military campaign in Tabriz, Iran, March 24, 2026.
FILE - First responders inspect the remains of a residential building hit in an overnight strike during the U.S.-Israeli military campaign in Tabriz, Iran, March 24, 2026. AP Photo/Matin Hashemi, File

Addressing environmental damage could take decades

After the war, as Iran and other countries rebuild, environmental damage could be a low priority, experts say.

The focus will be on energy and water infrastructure, manufacturing plants, and food production facilities, according to Mahmoud. Some pollution, especially to the gulf or other waterways, “I doubt will be addressed soon, and in some cases, not at all.

In densely populated Tehran, for example, a huge number of strikes have hit not just oil infrastructure, but also buildings and residential areas, generating harmful contamination from pulverised building materials.

People are being exposed to dust and chemicals, which may continue for a long time after the war eventually ends and rebuilding begins.

Population-based lung cancer screening can reduce mortality in people who have never smoked, study shows in China




European Society for Medical Oncology





COPENHAGEN, Denmark, 27 March 2026 – New evidence from a Chinese cohort presented today at the European Lung Cancer Congress (ELCC) 2026 shows that onetime lowdose computed tomography (LDCT) screening can significantly reduce lung cancer mortality in a non–risk based population, including individuals with no smoking history. (1) The findings support reconsideration of current eligibility criteria, which still rely heavily on tobacco exposure.

In the prospective non-randomised controlled study conducted between 2017 and 2021 within the Chinese LungCare Project, nearly 12,000 adults aged 40–74 in Guangzhou underwent LDCT screening and were compared with a geographically matched control cohort receiving standard risk based care. After seven years of follow up, LDCT screening was associated with a 55% reduction in lung cancer–specific mortality (HR 0.45; 95% CI 0.32–0.65; P<0.001). The mortality benefit was observed across sexes and was particularly pronounced among women with 72% risk reduction (HR 0.28; 95% CI 0.13–0.60; P<0.001) compared to male (HR 0.55; 95%CI 0.36–0.83, P=0.004). Among patients diagnosed with lung cancer over the course of the study period, screen-detected cases demonstrated significantly better overall survival compared with the non-screened group (HR 0.13; 95% CI 0.09–0.19; p<0.001). In the screening group, 81.5% of cancers were diagnosed at stage I, compared with 25.1% in the non-screening group. In contrast, advanced-stage disease accounted for about 70% of cases in the non-screened group. 

These results challenge how countries currently decide who is eligible for lung cancer screening. Today, most screening programmes mainly target longtime or heavy smokers. However, this approach overlooks a rapidly growing group: people who develop lung cancer despite never having smoked. In many parts of the world—especially in Asia but increasingly also elsewhere (2)—nonsmokers make up a substantial proportion of new lung cancer cases (3), often linked to factors like fine particulate matter (PM2.5) in air pollution or genetic susceptibility.

“Current screening guidelines were built around smoking history and in doing so, they leave behind a large and growing group of people who develop lung cancer despite never having smoked. In Asia, this is not a marginal issue: never-smoking women represent a substantial share of all lung cancer cases, driven by factors like air pollution and genetic risk rather than tobacco. The LUNG-CARE Project shows that when we screen beyond conventional risk criteria, we catch disease earlier, over 80% of screen-detected cancers were Stage I, and that translates directly into lives saved. A 72% mortality reduction in women is not a signal to note; it is a signal to act on.”, commented Prof. Marina Garassino, University of Chicago, who was not involved in the study.  

Implementing mass LDCT screening comes with challenges. Although broader screening can be cost effective in some settings, the costs of imaging and follow up tests after positive results may be difficult for certain health systems to sustain. LDCT also has a relatively high false positive rate—about 8% (4) —which can lead to unnecessary invasive procedures, added costs, and patient anxiety. As a result, adoption into national programmes has been slow, and where screening is available, participation remains uneven due to barriers such as fear of diagnosis and low perceived personal risk. (5) 

“This is a game-changer for Asian populations, but we should resist the temptation to over-generalise. Lung cancer in Asia follows a different epidemiological playbook: never-smokers, women, environmental exposures and guidelines built on Western smoking-based data simply do not serve these populations. On the other hand, Western guidelines cannot simply copy-paste these results. What this study does demand, urgently, is updated criteria that recognise Asian ancestry as an independent risk factor for screening eligibility,” Garassino concluded. 

-END- 


Tuesday, March 24, 2026

Europe’s Air Pollution Crisis Persists Despite Progress on Emissions

  • Air pollution caused 182,000 deaths in the EU in 2023, with most urban residents exposed to unsafe levels.

  • The EU is tightening guidance through the new Cancer Code, urging both policy reform and behavioral changes.

  • Failure by several member states to meet emissions targets highlights enforcement gaps and the need for faster clean energy transition.


Air pollution has become a growing concern around the globe, with several governments now acting to improve air quality. The new European Cancer Code addresses the problem of air pollution directly and suggests that greater action must be taken. However, several EU countries are failing to properly manage air pollution, resulting in a multitude of health conditions and contributing to global warming.

A 2025 report from the European Environment Agency (EEA) suggests that, between 2005 and 2023, air pollution in the EU contributed to thousands of preventable deaths. While premature deaths linked to fine particulate matter fell by 57 percent during this period, according to the report, air pollution still contributed to 182,000 deaths in 2023. Italy reported the highest number of deaths, at 43,083 in 2023. This was followed by Poland, with 25,268 attributable deaths, and Germany, with 21,640 attributable deaths.

Particulate matter consists of tiny particles in the air that have a diameter of 2.5 micrometres (PM2.5) or less. If inhaled, these particles can lead to severe health issues, such as asthma, ischemic heart disease, and lung cancer. Most PM2.5 comes from human sources, such as vehicle emissions, air fresheners, and emissions from manufacturing. They can also come from natural events, such as wildfires, which are becoming more common due to climate change.


At present, around 95 percent of Europeans living in urban areas are exposed to air pollution levels “considerably” higher than the recommendations set out by the World Health Organisation (WHO) in 2021.

The European Code Against Cancer, 5th edition (ECAC5), which was published in January, includes recommendations for individuals and policymakers, aimed at reducing the cancer burden from both outdoor and indoor air pollution. The report recommends that individuals should limit car use, avoid second-hand smoke, refrain from burning wood or coal indoors or outdoors, and limit walking or cycling along heavily trafficked routes.

The authors also call on policymakers to align EU air quality limit values with WHO recommendations, as well as introduce stricter regulations on combustion emissions, promote active and environmentally friendly transportation, and incentivise the use of cleaner energy sources for heating and cooking. By cutting air pollution, governments can help reduce the prevalence of certain types of cancer, such as bladder, kidney, and brain cancers, according to the report. 

In the publication of ECAC5, it is the first time that the authors of the report have given clear direction to governments to reduce air pollution, rather than solely focusing on the individual. Sylvia Jochems, who is part of the expert team that established the code, stated, “The key message is that this needs action at the EU, national and local level.”

To reduce air pollution, several experts suggest that we need to change our energy usage by transitioning more rapidly to clean energy sources. The energy sector contributes over three-quarters of total greenhouse gas emissions globally, and, at present, much of the world continues to rely heavily on fossil fuels, which release harmful pollutants into the atmosphere when burned.

Shifting to a reliance on cleaner energy sources could help significantly reduce air pollution. This can be achieved by deploying more renewable energy capacity and electrifying energy-intensive sectors such as industry, transport, and building.

Several EU countries are still failing to properly manage air pollution, according to recent reports. For example, the European Commission (EC) referred Bulgaria, Lithuania, Portugal, and Sweden to the Court of Justice of the European Union for not respecting their emission reduction commitments for several air pollutants as required by the Directive on the reduction of national emissions of certain atmospheric pollutants (the NEC Directive).

The NEC Directive establishes emission reduction commitments for a range of air pollutants, which must be achieved by every EU member state each year between 2020 and 2029, and introduces more ambitious aims beyond 2030. Member states are also required to establish and update National Air Pollution Control Programmes to demonstrate how they plan to achieve their reduction commitments.

In 2025, the EC found that Bulgaria, Portugal, and Sweden had failed to meet the emission reduction commitment for ammonia (NH3), and Lithuania for nitrogen oxides (NOx) and non-methane volatile organic compounds (NMVOC) in the emission data provided up to 2023.

Environmental reform is a core condition of EU membership; as such, European countries looking to join the EU must meet certain environmental standards to be considered. North Macedonia, which is an applicant for EU accession, is at risk of losing credibility as a candidate for failing to meet basic air quality standards. In its most recent progress report, the EC warned that despite receiving significant funding, North Macedonia’s reforms continue to be hampered by a lack of ownership among authorities, weak coordination, and limited administrative capacity.

The EU is increasingly focused on reducing air pollution across the region, which can lead to or exacerbate a wide range of health conditions, as well as contribute to global warming. However, achieving this reduction relies heavily on the commitment of member state governments to taking meaningful action to align national environmental policies with EU standards and effectively implement these policies.

By Felicity Bradstock for Oilprice.com