Northern Italy remains one of Europe’s most air-polluted regions. According to IQAir measurements, Italy recorded an annual mean PM2.5 concentration of approximately 14.2 µg/m³ in 2024 – nearly three times higher than the World Health Organization’s 2021 guideline of 5 µg/m³ for fine particulate matter. Air quality in Milan is even more concerning, with an annual mean of 18.1 µg/m³, approaching four times the WHO-recommended limit. What are the main reasons behind the smog in Italy?
Despite gradual improvements, air pollution remains a significant public health concern. The European Environment Agency estimates that more than 46,000 premature deaths in Italy each year are attributable to poor air quality. Beyond its human cost, air pollution undermines economic productivity and challenges the credibility of regional and national environmental policies.
Given these stakes, improving air quality is both an environmental and societal imperative. In the following sections, we examine five key drivers of air pollution in Italy and outline practical, actionable measures that citizens, local governments, and businesses can take to address the problem.
Urban air pollution hotspots: Milan, the Po Valley, Rome, and Naples
Air pollution in Italy is not confined to a single region, though its severity varies geographically. In July 2022, Milan ranked among Europe’s most polluted cities, underscoring the persistent challenges facing northern Italy. A study published in February 2024 found that the Po Valley region, including Milan, frequently experiences PM2.5 concentration peaks between 50 and 150 µg/m³ during atmospheric stagnation episodes – levels far exceeding health-based guidelines.
While the Po Valley remains the most affected area, air quality challenges extend to major metropolitan centers such as Rome and Naples. In 2023, the daily PM10 limit was met at 89% of Italy’s monitoring stations; however, exceedances were concentrated primarily in the north-eastern Po basin, the Vesuvius area, and the province of Frosinone.
Exceedances in the level of nitrogen dioxide (NO2) persist at monitoring sites heavily influenced by road traffic, notably in cities including Turin, Milan, Brescia, Genoa, Bologna, Florence, Rome, Naples, Catania, and Palermo.
According to the European Environment Agency (EEA), particulate matter remains the air pollutant with the most severe health impacts in Italy. As a result, despite measurable progress, many Italian cities continue to exceed WHO-recommended safety levels and experience dangerous episodic pollution peaks, particularly during periods of poor atmospheric dispersion.
Five key drivers of smog in Italy
Air pollution in Italy is the result of multiple interconnected factors. Understanding the main sources is essential for designing effective policies and interventions. The following five drivers highlight the primary contributors to poor air quality across the country.
- Domestic heating and solid-fuel combustion
In residential areas – particularly in northern Italy – outdated heating systems, biomass stoves, and wood- or coal-burning appliances are major sources of PM2.5 emissions. Their impact is especially pronounced during winter temperature inversions, when pollutants become trapped near ground level. - Industrial emissions
Northern Italy hosts dense clusters of heavy industry, power generation, and manufacturing, which continue to contribute significantly to both particulate matter and gaseous pollutants, despite gradual improvements in emissions controls. - Urban traffic and vehicle emissions
Major cities such as Milan, Rome, and Naples experience high traffic density, aging diesel fleets, and chronic congestion. Together, these factors substantially increase exposure to PM2.5 and nitrogen dioxide in urban environments. - Geographical and meteorological conditions
The Po Valley’s topography, enclosed by the Alps to the north and the Apennines to the south, severely limits air dispersion. This geography fosters temperature inversions and stagnant air, especially during cold, calm winter nights. Prolonged dry, low-wind conditions allow pollutants to accumulate, driving sustained pollution episodes. - Monitoring coverage and public awareness gaps
While Italy maintains relatively robust air-quality monitoring in major urban centers, coverage remains uneven in smaller towns and rural or coastal areas. Limited sensor networks and lower public awareness persist in parts of central Italy (including areas around Pescara) and across much of Sicily and Sardinia, constraining timely intervention and risk communication.
What citizens and stakeholders can do
Reaching WHO air-quality standards by 2035 will require coordinated action across municipalities, industry, and society.
To achieve this goal, municipalities and local governments should:
– Expand and enforce low-emission zones, especially in high-traffic areas
– Support clean residential heating through targeted subsidy programs
– Deploy dense air quality sensor networks and partner with data providers to deliver real-time, local dashboards and alerts
– Run public awareness campaigns aligned with health recommendations
– Redesign urban mobility, prioritizing public transport, electric vehicles, walking and cycling
– Invest in green corridors and urban greening to reduce exposure and heat stress.
These measures should be aligned with industrial and energy-sector commitments to further emissions reductions, the retrofitting of existing facilities, and active participation in smart-city partnerships. Collaboration with businesses in the air quality sector can accelerate progress: sensor networks such as Airly’s provide real-time, precise, and hyperlocal data, enabling evidence-based policymaking and faster responses to pollution episodes.
Alongside governments and major companies, citizens also play an essential role. Using air-quality apps and public dashboards can inform daily decisions – such as limiting outdoor activity during high-pollution episodes – while choosing low-emission transport, replacing solid-fuel stoves with cleaner alternatives, and improving home insulation and energy efficiency can meaningfully reduce emissions and exposure.
Why clean air matters – and why the time to act is now
Air pollution is not only an environmental issue, but it is one of the most significant public-health challenges of our time. Globally, the average human lifespan is shortened by approximately 1.8 years due to exposure to air pollution. The main drivers of this loss are ambient PM2.5 (around 1.0 years), household air pollution (0.7 years), and ambient ozone (0.07 years). Together, these pollutants contribute to higher rates of cardiovascular and respiratory disease, reduced productivity, and mounting healthcare costs.
Compared with many Western European countries, Italy’s urban populations remain exposed to consistently higher pollution levels, particularly in large metropolitan areas and the Po Valley. While progress has been made in recent decades, pollution levels in main cities still exceed WHO-recommended safety thresholds, with recurring peaks that place vulnerable populations at heightened risk.
Yet this challenge also represents a clear opportunity. Italy already has access to advanced monitoring technologies, robust scientific data, and proven policy tools. What we need now is a faster, more coordinated implementation. Through collaboration between all stakeholders – including air-quality innovators such as Airly – Italian cities can shift from reactive pollution management to proactive, data-driven clean-air strategies.
Italy’s urban citizens still breathe air far from safe. Yet the data and the tools exist to turn a crisis into an opportunity. With collaborative partnerships – between city governments, industry, community groups, and technology partners – Milan, Rome, and Naples can move from being among Europe’s most polluted to being models of clean-air transformation. Cleaner air means better lives, healthier economies, and stronger regional leadership.
References:
- https://atmosphere.copernicus.eu/extreme-episode-particulate-matter-air-pollution-across-italys-po-valley
- https://www.iqair.com/italy
- https://www.iqair.com/ae/newsroom/november-10-2025-milan-among-top-10-most-polluted-cities-in-the-world
- https://www.eea.euzropa.eu/en/analysis/maps-and-charts/italy-air-pollution-country-2023-country-fact-sheets
- https://www.euronews.com/green/2022/07/07/europes-most-polluted-cities-the-destinations-with-the-best-and-worst-air-quality-this-sum
- https://atmosphere.copernicus.eu/extreme-episode-particulate-matter-air-pollution-across-italys-po-valley
- https://www.isprambiente.gov.it/en/archive/ispra-events/2024/02/presentation-of-the-air-quality-report-2023-edition
- https://www.eea.europa.eu/en/analysis/maps-and-charts/italy-air-pollution-country-2023-country-fact-sheets?.com
- https://www.cetjournal.it/cet/24/109/075.pdf
- https://weirditaly.com/2024/01/31/pollution-in-northern-italy-the-po-valleys-air-quality-challenge/
- https://greentechnologyinvestments.com/these-are-the-most-polluted-cities-in-italy/7913/
- https://atmosphere.copernicus.eu/extreme-episode-particulate-matter-air-pollution-across-italys-po-valley
- https://www.stateofglobalair.org/sites/default/files/documents/2022-03/soga-life-expectancy_0.pdf