Cairo sunset
19 Dec 2017 Story Air quality

Cairo’s bad breath

If the Nile is Cairo’s ailing heart, then polluted skies are its black lungs.

Choking the city with swirling dust from the early hours, they cake the towering apartment blocks with muck and blanket the Great Pyramids in an impenetrable haze. Air-conditioning units clog up, no longer able to fend off the filth; asthmatics often stay indoors – prisoners in their own homes.

For shopkeepers on Cairo’s biggest, most heavily-trafficked thoroughfares life can seem like a perpetual battle to breathe. “I don’t even smoke, but on some days it feels like I do!” said Hassan Sabry Mohammed, a fruit vendor in the downtown district, as he doused the surrounding sidewalk with water to keep the dust down.

He’s not alone. With some 20 million people crammed into a relatively compact space, Cairo was never going to have the cleanest air. No one, however, anticipated how bleak the situation has become. Rates of respiratory disease have soared, adding to the burden on the state’s already-ailing hospitals. The economy is taking a pummelling, with poor air quality knocking off at least one per cent of gross domestic product every year, according to the World Bank. Pollution is even changing the capital’s make up, as some young families gravitate towards the fast expanding satellite cities in pursuit of cleaner air. ‘Live Fresh’, scream highway billboards for a new desert compound. After years of stalled clean-up efforts, those who remain appear resigned to the conditions.

The economy is taking a pummelling, with poor air quality knocking off at least one per cent of gross domestic product every year

But for the first time in a while, there is some hope that Egypt’s mega metropolis might be getting to grips with its bad breath. Public transport projects are progressing at their fastest pace in almost a decade, while authorities appear to be slowly reining in illegal agricultural waste fires. This year’s ‘Black Cloud’, the annual burning of the rice straw in the Nile Delta, was less noxious than in past years. Most importantly, perhaps, a growing cadre of entrepreneurs, start-ups, and business leaders are turning their talents to tackling some of their hometown’s most debilitating woes. If cities like London, afflicted by the ‘Great Smog’ in the 1950s, could clean up their act, why can’t Cairo? “When I opened this place I thought I could make nice things from something that would otherwise just be burnt,” said Enas Khamis, whose non-profit group, Nafeza, employs deaf people to make arts and crafts out of rice straw. “So you’re helping people and the environment.”

Though among the most polluted cities of its size, Cairo and its residents are far from unique. Globally, only 12 per cent of urban areas meet the World Health Organization’s air quality standards. And at least one in nine deaths can be traced back to air pollution, or roughly seven million people a year. But while most cities suffer from some kind of air quality-related woe, it’s particularly problematic in many developing countries. Rapid urbanization, weak enforcement of environmental regulations and cheaper fuels have left hundreds of millions of poorer urbanites vulnerable to bad air. As populations continue to boom, often overwhelming services, experts say officials and citizens alike will have to pull out all the stops to tackle these crises. “There is increasing awareness, and more knowledge on the issue of air quality on a global scale, despite the lack of data in some regions. We also know a lot more about solutions now,” says Soraya Smaoun, a senior air quality specialist at UN Environment. “But I think a lot more pressure is needed to keep the momentum on.”

Farms to factories

Cairo is something of a classic case. Once a relative oasis of green along the Nile, its pollution problems have surged along with its population. The skyline has bulged, as developers race to accommodate numbers that have more than tripled since the 1970s. With narrow streets between most of the tower blocks, there’s nowhere for the toxins to go. Almost all of the city’s trees, its most effective dust sponges, have disappeared under the concrete, as has much of the surrounding agricultural land. Up to 30,000 acres of greenery is lost to urban sprawl across the country every year, so there’s even less of a barrier when regular blobs of sand and occasional storms blow in off the nearby Sahara. And like Tehran and Los Angeles, both of which suffer from varying degrees of poor air quality and which are at least partly surrounded by mountains, Cairo’s topography doesn’t always help either. The Mokattam hills, above the citadel to the city’s southeast, prevent the prevailing northerly winds from blowing away as much of the filth.

Almost all of the city’s trees, its most effective dust sponges, have disappeared under the concrete, as has much of the surrounding agricultural land

Into this already potent mix has come a growing mass of car and factory emissions. The number of vehicles in Egypt grew from seven to eight million between 2013 and 2014 alone, but neither Cairo’s roads nor its vehicle inspection standards have kept pace. Air quality is noticeably better during the school holidays when there are fewer trips. And among industry, too, there’s been a barely-controlled boom – often within densely populated neighborhoods. From Helwan’s massive brickworks and iron and steel works in the south to Shubra Al-Kheima’s sprawling smelters and chemical plants in the north, the city is now practically ringed by big-time polluters. Few of them seem to be sticking to the rules. “At the moment, industry is violating every imaginable industrial regulation,” said Laila Eskander, a former minister of the environment. “And no one is even talking about the quality of fuel.”

And then there’s the burning of agricultural waste. Every year, between September and November, long plumes of toxic smoke waft down to Cairo from the Nile Delta, leaving a cancerous trail of chronic respiratory problems in their wake. Unable to easily dispose of the detritus from their rice crops – and with nowhere to stash it on their small plots of land, many farmers torch the straw, despite a government ban. These fires, which are so big they can be seen from space, now account for almost half the country’s air pollution, the Ministry of Environment says. 

Black lungs to bicycles

Unsurprisingly, all of this has exacted a grave public health toll. Roughly 40,000 people are dying from pollution-related problems across Egypt every year, according to Breathe Life 2030, a joint initiative of the World Health Organization, UN Environment and the Climate and Clean Air Coalition to boost awareness of air pollution. And among the living, bleak air quality is saddling more and more Cairenes with severe medical woes. “There’s narrowing of the airways, increasing risk of infection, more bronchial spasms, lung infections, pneumonia,” said Mahmoud El-Zorkany, a professor of chest diseases at Cairo University. “It’s only getting worse.” In November last year, Cairo American College, a private school in the Maadi district, sent out air quality warning emails on 11 occasions, often shifting sports sessions indoors when the conditions were too grim. 

There is, nevertheless, some reason to believe Egypt might be turning the corner. Because for all the challenges, there are at least some partial solutions on the table. Cairo’s third metro line, another much-needed link across the traffic-clogged Nile, is steaming ahead after some lengthy stoppages. A number of start-ups, like Swvl and Bus Pooling, have sprung up, intent on pushing private car owners into more sustainable modes of transport. Cycling, too, appears to be experiencing something of a boom, leading some environmentalists to wonder whether Cairo might one day take to two wheelers in serious numbers. “The idea was that the city is swelling with cars, and that the air quality is really bad and really exhausting for everyone,” said Moustafa Darsh Hussein, a former organizer at the Cairo Cyclists’ Club and a team member at the Green Arm, an environmental think tank. “We were thinking what can we do, and thought that if people use bikes instead of cars that might be a good solution in the long run.” He and his colleagues are busily installing bike racks at some metro stations and lobbying local authorities to mark out cycling lanes.

The international community, including UN Environment, is devoting more attention and resources to confronting what’s now considered the world’s biggest environmental health risk

Even more pressingly, perhaps, the public and private sectors both appear to have come up with some solutions to the rice straw-burning epidemic. An architect, Essam Hosni, has designed building blocks out of the straw, possibly providing an answer to Egypt’s lack of affordable construction materials in the process. “It’s converting this problem to our benefit!” he says. Potters in the capital’s Old Cairo district have taken to packing their delicate wares with rice straw; some small businesses collect it, consolidate it, and sell it to the cement industry. And after years of negotiation, the Ministry of Agriculture seems close to agreeing a deal with farmers, whereby they would be paid to deliver their straw to government depots.

On a global level, too, the international community, including UN Environment, is devoting more attention and resources to confronting what’s now considered the world’s biggest environmental health risk. UN Environment and the World Health Organization have partnered to evaluate and work out how to better monitor the health implications of poor air quality. Starting with Addis Ababa, Nairobi and Kigali, UN Environment will also begin providing support for urban air pollution management systems. In a reflection of the urgency with which experts believe this problem must be tackled, the 2017UN Environment Assembly focused on pollution.There, experts are keen to push the idea that polluted cities, like the Egyptian capital, can transform their fortunes, and without breaking the bank.

"There are some low-hanging fruits. It’s not necessary to always use sophisticated technologies to monitor air quality and have complicated policies if they are not enforced,” says UN Environment’s Soraya Smaoun. “There are local solutions to monitor and manage air involving a wide range of stakeholders in sectors such as clean and sustainable transportation, waste management, cleaner industries to name a few. This is something that cities like Cairo can work on."