BACKGROUND, AIM AND SCOPE: Current scientific studies and evaluations clearly show that an increase of urban dust loads, alone or combined with other pollutants und certain meteorological conditions lead to different significant health effects. Premature death, increased hospital admissions and increased respiratory symptoms and diseases as well as decreased lung function can be observed in combination with high pollutant levels. Sensitive groups like elderly people or children and persons with cardiopulmonary diseases such as asthma are more strongly affected. Because of the direct contact between fine particles and lung tissue more information concerning the surface structure (mapping of toxic elements) is required. Materials and Methods:The NanoSims50 ion microprobe images the element composition at the surface of sub-micrometer air dust particles and documents hot spots of toxic elements as a possible threat for human health.Results:The atmospheric fine dust consists of a complex mixture of organic and inorganic compounds. Heavy metals are fixed on airborn particles in the form of hot spots in a nanometer scale. From a sanitary point of view, the hot spots consisting of toxic elements are particularly relevant as they react directly with the lung tissues. Discussion:To what extent particles can penetrate the various areas of the lungs and be deposited there depends on the one hand on their physical characteristics and on the other on breathing patterns and the anatomy of the lung, which is subject to change as the result of growth, ageing or illness. Once inhaled, some particles can reach the pulmonary alveoli and thus directly expose the lung tissues to toxic elements.Conclusions:Especially the mapping of toxic arsenic or heavy metals like copper on the dust particles shows local hot spots of pollution in the dimension of only 50 nanometers.Recommendations and Perspectives:Imaging of elements in atmospheric particles with NanoSIMS will help to identify the material sources.