From policy to practice: why Ireland must treat clean air as a public good

Muluken Basa, Ross Brannigan, Maisoon Mairghani, Melissa Sharp and Debbi Stanistreet

Ireland is often promoted as the beautiful emerald isle, blessed with rolling green hills and glorious clean air. While that is true across a lot of the country, the reality is that air pollution remains a significant problem, particularly in cities, but also in many rural settings, and it is causing a lot of preventable illness, inequality and premature death. 

Whilst this is recognised by the government as an important policy area for action, evidence to date, suggests that Ireland is unlikely to meet the new World Health Organization (WHO) air pollution targets set by the EU for 2030, and the question remains as to whether there is sufficient resolve to turn that policy ambition into a lived reality.

Globally, the WHO estimates that almost everyone breathes air pollution that exceeds safe limits. While the heaviest burden falls on poorer countries, Europe is far from immune. The European Environment Agency links hundreds of thousands of premature deaths each year to pollutants such as fine particulate matter (PM2.5), nitrogen dioxide and ozone. These are not abstract statistics: they translate into heart disease, asthma, stroke and shortened lives.

Traffic in Dublin city

The underestimated cost

Ireland is no exception. Air pollution is estimated to contribute to around 1,700 premature deaths annually, equivalent to losing a small town every year. Solid-fuel burning for home heating, traffic emissions and agricultural activity are the main culprits. Levels of PM2.5  (tiny particles that can lodge in the lungs, brain and other organs) regularly exceed recommended limits, quietly increasing the risk of cardiovascular and respiratory disease, and even dementia. The cost is borne not only by the health system, but by families, communities and the economy.

As with many environmental harms, air pollution does not affect everyone equally. People living in disadvantaged areas, near busy roads or in poorly insulated homes, are exposed to higher levels of pollution while having the least capacity to reduce their risk. Children, older people and those with chronic illness are particularly vulnerable. The Lancet Countdown on Health and Climate Change has repeatedly warned that climate and air-pollution harms deepen existing inequalities and Ireland’s experience to date, would echo that message.

To its credit, the government has not been idle. Ireland’s Clean Air Strategy, published in 2023, provides a comprehensive framework aimed at meeting EU and WHO standards through better monitoring, cross-sectoral action and public engagement. On paper, it is thoughtful and wide-ranging. In practice though, it seems somewhat constrained by a familiar weakness; lack of legislative power. The strategy is not legally binding, local authorities lack strong enforcement powers, and insufficient attention has been paid to protecting energy-poor households.

Home heating is the main source of PM2.5 in Ireland. The continued burning of peat and wood (and in some cases, coal) causes sharp winter spikes in particulate pollution, particularly in smaller towns. Retrofitting and fuel-poverty schemes are intended to address this, but long waiting lists, upfront costs and administrative hurdles have blunted their impact to date. Without addressing these issues and without stronger income supports, cleaner heating risks becoming another benefit that bypasses those who need it most.

Transport is perhaps a better recognised cause of air pollution in Ireland, and is responsible for the greatest contributor to nitrogen oxide emissions (although tyres and brakes also contribute to PM2.5). Ireland remains deeply car-dependent, with congestion worsening year on year, especially in the cities. Dublin’s ranking as the third most congested city in Europe is not just an inconvenience; it’s an important public health warning light, yet progress on transformative measures has been slow. While projects such as BusConnects, CycleConnects and TFI Local Link promise cleaner, more efficient mobility, delivery has been hampered by fragmented governance, limited local capacity, delays in rollout and political caution.

Health in all policies approach

What is missing is a consistent focus on health. A Health in All Policies approach would require decision-makers in transport, housing, energy and planning to account explicitly for the health consequences of their choices. Clean air should be treated as a public good, not an optional co-benefit of climate policy. When infrastructure is designed, when budgets are allocated, when fuels are regulated, the question should be simple: will this reduce pollution and improve health, especially for the most vulnerable?

Good intentions alone will not deliver clean air. Ireland has no shortage of strategies, plans or targets. What it lacks is consistent, coordinated delivery and the political courage to enforce standards, phase out high-emission fuels and prioritise equity. A just transition must extend beyond energy and industry to include transport, housing and public health. Clean air is achievable, affordable and economically beneficial. The true cost of delay is not only measured in euros, but in lives shortened, healthcare costs and communities left behind.

Moving from policy to practice is now the test. Ireland’s air – and its people – deserve nothing less.

Researchers at the RCSI School of Population Health are leading the Mitigating Air Pollution (MAP) Impact Project, funded by the Environmental Protection Agency (EPA) under the EPA Research Programme 2030. The project focuses on Dublin and Cork, brings together experts from RCSI, the HSE, the EPA, the National Health Intelligence Unit, and SETU, and also works closely with partners such as the Irish Heart Foundation and the Asthma Society of Ireland. The aim of the project is to evaluate the health and economic burden of air pollution in Ireland and provide practical recommendations to reduce it.

In the coming weeks, we will explore the main source of air pollution in greater detail and outline some of the interventions that need to be considered if Ireland is to meet the new EU 2030 targets on air pollution.

Authors

  • Dr Muluken Basa is a postdoctoral researcher on the MAP Impact project, Department of Public Health and Epidemiology, School of Population Health, RCSI
  • Dr Ross Brannigan is a lecturer in the Department of Public Health and Epidemiology, School of Population Health, RCSI
  • Dr Maisoon Mairghani is a senior postdoctoral researcher in the Department of Public Health and Epidemiology, School of Population Health, RCSI
  • Dr Melissa Sharp is a research officer at the Health Research Board 
  • Professor Debbi Stanistreet is Professor of Public Health in the Department of Public Health and Epidemiology, School of Population Health, RCSI 

 

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