I did a couple of tours in Kosovo (Obilić) based next to a lignite burning power station, when it was snowing in the winter - the snow would be black with all the 'soot' particles that the power station produced - and that was over a mile away. I can imagine people that live their all their lives have various health problems and lung related diseases.
They're not subject to EU standards.... like the Chinese and Indians aren't. Nor the Russians. Nor Americans.