Urban air pollution is a major health risk in several large Iranian cities. Transportation, extensive use of fossil fuels, outdated urban fleets of gasoline and diesel vehicles, industrial sources within and close to the city boundaries and natural dust are major contributing factors. Starting with Tehran, emission inventories and mathematical air pollution models are being developed. Air quality is being monitored and reported to the public, though data availability and validity remain a challenge. While national and local air pollution mitigation plans are in place, progress remains slow, coordination is weak, and sources of funding are limited.