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Research on the cardiovascular effects of noise in Serbia started in the year 2002, including experimental studies on humans and epidemiological studies on the adult and children population of Belgrade and Pancevo. Experimental exposure to noise [L eq = 89 dB (A)] had a hypodynamic effect, significantly lowering the cardiac index, cardiac work, and pump performance (P < 0.01). The vasoconstrictive effect of noise was shown through the significant elevation of after-load (P < 0.01). In a cross-sectional population study that was carried out on 2874 residents [1243 males and 1631 females] in Pancevo City, a significant odds ratio (adjusted for age, body mass index (BMI), and smoking habits) was found for self-reported hypertension (OR = 1.8, 95% CI = 1.0 - 2.4, P < 0.01) in men with a high level of noise annoyance compared to those with a low level of noise annoyance. In another study on 2503 residents (995 men and 1508 women) residents of Belgrade, the proportions of men with hypertension in the noisy [(L night , 8h > 45 dB (A)] and quiet areas [(L night , 8h ≤ 45 dB (A)] were 23.6% and 17.5%, respectively. The adjusted odds ratio (OR) for hypertension of the exposed group was 1.58 (95% CI = 1.03 - 2.42, P = 0.038), where men living in quiet streets were taken as a reference category. Associations between road traffic noise and blood pressure were also investigated in 328 preschool children in Belgrade. The systolic blood pressure was significantly higher among children from noisy residences and kindergartens, compared to children from both quiet environments (97.30 ± 8.15 and 92.33 ± 8.64 mmHg, respectively, P < 0.01). As a continuation of the study on preschool children, investigations were also carried out on 856 school children, aged between seven and eleven years, in Belgrade. It was found that systolic pressure was significantly higher among children from noisy schools and quiet residences, compared to children from both quiet environments (102.1 ± 9,3 and 100.4 ± 10.4 mmHg, respectively, P < 0.01).

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In suburban Belgrade, there are some 200 local water supply systems which are not connected to either the Belgrade Water Supply System or to supply systems operated by municipal utilities. The small systems in Belgrade suburbs are either operated by local municipality (local government) or even by the group of local citizens who have neither technical capability nor financial resources to do it properly. Roughly 200,000 of Belgrade's inhabitants obtain their drinking water from these water supply systems. The water quality delivered by these local water supply systems is often compromised in terms of microbiological, physical and/or chemical compliance with drinking water standards in addition to the general lack of strategy on water safety plans and risk assessment. WHO Guidelines on water quality standards as well as the recommendations on safety plans and whole risk assessment are strictly respected in the main (central) Water Supply System in Belgrade. Most frequently, elevated concentrations of ammonia, nitrites, nitrates and iron lead to lack of chemical compliance, while elevated counts of aerobic mesophilic bacteria and the presence of bacteria indicative of faecal pollution tend to be behind microbiological lack of compliance with drinking water standards. In most cases, failure to meet drinking water standards can be attributed to groundwater pollution. No sewer system exists in these areas, and wastewater from septic tanks, in practice infiltration wells, is in direct contact with groundwater. Of a total of 72 laboratory-tested drinking water samples, 51.3% failed to meet physical and/or chemical standards, and 73.6% failed to meet microbiological standards. Groundwater pollution can only be prevented if wastewater disposal system is provided for all households and all suburban residential areas which obtain their water supply from local water supply systems. Some possible mitigation measures have been indicated. In the interim period, water must be disinfected continually, and the feasibility of ozonation or UV irradiation, in addition to chlorination, should be assessed.