Air pollution as a global issue is an essential health problem, faced by millions of people all over the world. It is a huge problem encountered by the citizens of the city of Prishtina, too. The benefit from the cheapest forms of energy, that generated from coal-fired power plants, and the one derived from the low financial cost, raises the question: do we have to compensate this energy with our health? This paper presents the analysis of the emanations, such are coal-fired power plants in the vicinity of the city of Prishtina, and aims to determine the accepted level and health framework boundaries for coal-fired power plants and coal processing activities. The research methods consist of empirical observations and data analysis on health degradation, environmental and greenhouse gas contribution to the climate change. The actual state of energy production is not the most effective pathway to the stability of basic load for energy. Hence, the debate focused around environment tends to fail the essential need for supplying Kosovo with electricity, something for which power plants are suitable. Unfortunately, with all our environmental stubborn beliefs, renewable sources such as sun and wind are not, in the present efficiency for Kosovo. The present hazardous air quality requires well defined lawful steps and activities. Thus, the research findings recommend and promote precise immediate environmental measures.