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The report argues that the PAEL for the Thabametsi power plant is based on flawed Atmospheric Impact Reports and permits outdated sub-critical CFB technology that is less efficient and more polluting than super-critical alternatives. It highlights that the license fails to require continuous emissions monitoring and underestimates NOx, SO2, and particulate matter emissions. Furthermore, the author asserts that adding a new coal plant to the Waterberg Bojanala Priority Area is unjustified given existing violations of National Ambient Air Quality Standards (NAAQS) in the region.

The Centre for Environmental Rights (CER) and groundWork are urging the South African Department of Health to join the Highveld Priority Area (HPA) Multi-Stakeholder Reference Group (MSRG). They argue that the Department of Health's involvement is critical given the severe health burden caused by air pollution in the HPA, particularly from Eskom's coal-fired power stations. The document cites data suggesting thousands of premature deaths and significant IQ loss due to mercury emissions, as well as the economic costs of these health impacts, to justify the need for health officials to collaborate on air quality solutions.

The Centre for Environmental Rights (CER), representing several environmental justice organisations, submitted comments on the 2016 Draft Strategy to Address Air Pollution in Dense Low Income Settlements. While welcoming the document, the CER argues that it lacks measurable plans, adequate baseline data, and a strategy for community consultation to effectively address the health impacts of domestic fuel burning in South Africa.

The Centre for Environmental Rights (CER) is calling on the South African Department of Environmental Affairs to formally publish the draft Strategy to Address Air Pollution in Dense Low-Income Settlements for public comment by 30 April 2015. The CER argues that residents in low-income settlements suffer disproportionate exposure to poor air quality from industrial sources and domestic fuel burning, leading to severe respiratory and cardio-vascular illnesses, particularly in children and the elderly. The document highlights that the strategy was a deliverable as far back as 2010 and is essential for local governments, such as the Nkangala District Municipality, to meet air quality compliance goals by 2020. The CER asserts that the state's failure to address these health risks violates constitutional rights to an environment not harmful to health and the progressive realisation of adequate housing.

The Centre for Environmental Rights (CER) submitted a statement to the Department of Environmental Affairs (DEA) opposing Eskom's applications to postpone compliance with Minimum Emission Standards (MES). The CER argues that Eskom failed to provide required health impact assessments and future compliance plans, while monitoring data indicates that Eskom's emissions cause frequent, year-round exceedances of air quality guidelines, contributing to significant regional health risks.

A letter from the Centre for Environmental Rights to the South African Department of Environmental Affairs requesting urgent improvements to the management of Multi-Stakeholder Reference Group (MSRG) and Implementation Task Team (ITT) meetings for designated air quality priority areas.

This 2019 Phase 1 Initial Impact Assessment, produced by the Department of Environment Forestry and Fisheries (DEFF) for the South African Presidency's Socio-Economic Impact Assessment System (SEIAS), evaluates the need for regulations to enforce Air Quality Management Plans (AQMPs) in three priority areas. The document identifies a failure to meet National Ambient Air Quality Standards (NAAQS) due to ineffective AQMP implementation and a lack of accountability for non-industrial stakeholders.