The metallurgical industry is an integral part of the Russian economy. Therefore, the improvement of technological processes at enterprises and the expansion of the raw material base by involving new deposits and production waste pose a significant threat to the environment. The city of Shelekhov is one of the most polluted cities not only in the Irkutsk Region, but also in Russia. Based on the results of a study of various literary sources, it has been found that Shelekhov is a city with a high level of air pollution and a high concentration of emissions per person per year, which makes the problem under consideration relevant. In our work, we used the methodology for calculating atmospheric air pollution, in which the duration of exposure to concentrations exceeding the established standards was used as a criterion for assessing atmospheric pollution. Based on the results of the calculations, it was confirmed that the concentration of pollutants in the form of aerosols in the atmospheric air for a long time exceeded the established average daily maximum allowable concentration. As a result of the calculations, we made a schematic map of the distribution of impurities from stationary sources in Shelekhov. This affects the general well-being of the city’s population, primarily among children and adolescents. Based on the studies concerning the disease incidence of the population, it was found that over time, the overall rate of illnesses in children only increases, and the most frequent diseases are respiratory ones.