The review examined research published from 2010 to 2025 on outdoor particle concentrations near cement plants. Twenty-one studies from 12 countries were included in the qualitative review, while six provided enough information for a quantitative analysis.

Using a random-effects model, the researchers estimated a weighted average fine-particle concentration of 20.76 micrograms per cubic metre. This was about 4.2 times the WHO’s 2021 annual guideline of 5 micrograms per cubic metre, but the researchers described the result as a summary of the observed concentrations rather than a single value that applies to every cement plant.