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The air quality in metropolitan areas of Russia and Italy, although with different distribution and intensity, raises similar concerns for the respective public authorities about vehicle emissions, as well as about the stagnation of toxic pollutants in urban areas. This article discusses some typical situations in both these countries. In order to obtain suitable solutions to diminish this form of impact, different tools that are based on different approaches can be proposed. It is necessary to consider both the practical possibility of application and the cost-benefit balance that takes into account the realization cost and industrial system transformation on one side, and the results in terms of air quality improvement on the other. The different instruments (technological intervention on engines, chemical modification of fuels, mobility and road infrastructural planning) are presented for the considered countries, and also in more developed European and American areas, with a concentrated interest in areas of applicability, costs and obtained results. The externality of this form of pollution is presented and discussed, and the aspect of limitation of impact and consequent external costs is evaluated in comparison with monetary and infrastructural costs for emissive system modification. © 2016 WIT Press, www.witpress.com.