Tackling air pollution for a safer, healthier life

There is no safe level of air pollution for our health

Breathing clean air is a fundamental human right. Yet, 99% of the world’s population lives in areas with dangerous air quality.

Air pollution is a global public health emergency that affects every part of our body, increasing the risk of serious conditions from heart and lung disease to dementia and mental health issues.

Toxic air affects us all, but not equally. The World Health Organization (WHO) estimates that 6.7 million people die prematurely from air pollution every year. 91% of these deaths occur in low- and middle-income countries, with children, older people, and vulnerable communities disproportionately impacted.

UNICEF warned that dangerous levels of air pollution contribute to 600,000 child deaths annually.

6.7 million people die prematurely from air pollution every year
91 % of deaths occur in low- and middle- income countries
600,000 deaths of children annually are attributed to dirty air

Cities are taking bold actions against air pollution

Cities around the world are taking ambitious action to protect their residents from the harmful impacts of air pollution, implementing policies that cut emissions and improve health, safety, and quality of life.

Over 30 C40 cities have signed up to the Green & Healthy Streets Accelerator to transform streets and public spaces by 2030. Through actions like electrifying public transport, creating low- or zero- emission zones, and expanding walking and cycling infrastructure, they’re making bold changes for cleaner air.

Furthermore, more than half of all C40 cities have committed to taking action through the Clean Air Accelerator. They are addressing air pollution across sectors such as waste management, building energy efficiency, freight transport, while improving air quality monitoring. These actions aim to deliver cleaner air and better health for an estimated 252 million people. Air quality is improving across C40 cities. Today, 99% of them meet at least one air quality guideline set by the World Health Organization for nitrogen dioxide (NO₂). As of 2023, a quarter of cities had fine particle (PM2.5) levels lower than the World Health Organization’s first target, below 10 micrograms per cubic metre.


Hope is in the air: a global movement for clean air zones

It’s in the Air: 2024 global marathon

In 2024, cities around the world – including frontrunners Bogotá, Johannesburg, London, Paris, Quito, Seattle, and Stockholm – participated in a global marathon that highlighted the importance of clean air zones, one of the most impactful transport policies for cutting emissions and transforming how we move around our cities.

The campaign ran for eight weeks, starting during the Summer Olympic Games in Paris until International Day of Clean Air for Blue Skies. Cities were joined by various key stakeholders, including partners and youth leaders, to celebrate the important work being done to transform streets and public transport, improve air quality, and people’s health.

More than 10,000 city residents across four regions took part in on-the-ground community activities, air quality workshops, and #ItsInTheAir creative events during the marathon. The campaign reached millions online through multimedia content that amplified the campaign’s vision, showcased on-the-ground activities, highlighted local community stories, provided useful information, and tackled common myths about sustainable transport and clean air zones.

It’s in the Air x Breathe Cities

In 2025, It’s in the Air partnered with Breathe Cities to grow the marathon and launch a cultural campaign that connects clean air, sports, and health, sparking local and global momentum for urban clean air action.

Breathe Cities is a pioneering initiative aiming to cut air pollution by 30% (from 2019 levels) by 2030 across 14 major cities, making the air safer to breathe for millions. By boosting advocacy, strengthening policies, and supporting mayors to deliver bold solutions, Breathe Cities is setting new global standards for air quality action.

From the World Health Organization (WHO) Air Pollution & Health Conference in March 2025, to community events in Bangkok, Johannesburg, and Rio, and a major global moment this November, the campaign is bringing together a powerful group of voices,

Mayors, athletes, doctors, footballers, scientists, activists, and more are coming together to demand cleaner air, fight misinformation, and show what real change looks like in cities around the world.


Resources

Everyone has a role to play.

C40’s Clean Air Toolbox is a practical guide to help cities design clean air zones, engage communities, and build public and political support. It includes expert advice, global case studies, and best practices for city staff, campaigners, and civil society.

Download it now in English, French, Portuguese, or Spanish.