S u m mary. The paper presents the results of studying the qualitative and quantitative representation of anthropogenic pollutants in the ambient air environment of Belgorod and evaluating their impact on the prevalence of neonatal congenital malformations. The level of atmospheric pollutant emissions is shown to vary by an average of 4 to 10 times in some areas. The vast majority (91.7%) of pollutants form clusters (n = 11), suggesting their combined influence. Each group of clusters includes 2 to 9 pollutants (median 4.64 pollutants). Atmospheric pollutants have been ascertained to adversely affect the prevalence of congenital malformations in children. A multiple regression equation has been derived to predict the frequency of congenital malformations, by taking into account the qualitative and quantitative spectrum of atmospheric pollutants.