Water treatment plants are being built, but much polluted water is still discharged untreated into the Vardar. Waste is disposed of in the open-air municipal landfill site,  north of the city. Every day, it receives 1,500 m3 of domestic waste and 400 m3 of industrial waste. Health levels are better in Skopje than in the rest of North Macedonia, and no link has been found between the low environmental quality and the health of the residents.