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The report argues that doubling the SO2 emissions limit would lead to significant increases in PM2.5 exposure and mercury deposition, resulting in approximately 3,300 premature deaths, with a high concentration of impacts in the Gauteng region.

The report finds that granting Eskom's requests for non-compliance with Minimum Emission Standards would lead to significant excess emissions of SO2, NOx, particulate matter, and mercury, resulting in an estimated 16,000 avoidable premature deaths across South Africa, with 3,100 of those in the Gauteng region.

The report finds that Eskom's current retrofit plan is insufficient to address sulphur dioxide (SO2) emissions, leading to significant projected mortality and economic losses. Full compliance with the MES by 2025 would avoid approximately 2,300 deaths and R42 billion in economic costs annually. The most stringent scenario, applying Best Available Technology (BAT), would reduce health impacts by over 90% by 2031 compared to the current plan.