Pascal Canfin, chair of European parliament’s environment committee, says there are blueprints to tackle road traffic, coal and nitrogen.

The hills that circle Skopje keep citizens safe when smog grows thick, but they also trap the toxins that make its air among the most menacing of any city in Europe.

The mountains are the only escape, says Katarina, a 33-year-old accountant, as she walks home from an evening hike. “I was wearing a mask for air pollution before Covid.”

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