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Analysis of data gathered using cutting-edge methodology — including detailed satellite images and measurements from more than 1,400 ground monitoring stations — reveals a dire picture of dirty air, with 98% of people living in areas with highly damaging fine particulate pollution that exceed World Health Organization guidelines. Almost two-thirds live in areas where air quality is more than double the WHO’s guidelines.

The worst hit country in Europe is North Macedonia. Almost two-thirds of people across the country live in areas with more than four times the WHO guidelines for PM2.5, while four areas were found to have air pollution almost six times the figure, including in its capital, Skopje. Eastern Europe is significantly worse than western Europe, apart from Italy, where more than a third of those living in the Po valley and surrounding areas in the north of the country breath air that is four times the WHO figure for the most dangerous airborne particulates.

This summer people have been suffering and dying because of heat waves and wildfires in many parts of the world. The past three years were the warmest ever recorded, and 2018 is likely to follow suit. What we do in the next 10-20 years will determine whether our planet remains hospitable to human life or slides down an irreversible path to what scientists in a major new study call “Hothouse Earth” conditions.