This report presents past and current annual emissions of Pb, Ni, Cu, Cd, and V to the atmosphere from major anthropogenic sources in the Mediterranean Sea region and discusses projected emissions for the 1998-2015 period. Gasoline combustion still represents the major emission source of Pb in the urban environment, however its contribution to the regional atmospheric budget is following a downward trend. On a country-by-country basis, spatial distributions of current Pb emissions show that Syria is the leading emitting country with 18.7% of the regional total, followed by Italy (12.3%), France (11.2%), Turkey (11.1%), Egypt (7.5%), Yugoslavia (6.3%), Spain (6.2%), Libya (5.5%), Algeria (5.1%), Israel (4.0%), Bulgaria (3.1%), Morocco (2.3%), Lebanon (2.2%), Greece (2.1%), Jordan (1.1%), Tunisia (0.5%), Cyprus (0.5%), Albania (0.3%). The emission of trace elements from the combustion of fossil fuels as well as from primary and secondary non-ferrous metal smelters represents an important source of Pb, Ni, Cu, Cd and V in the region as a whole. Greece, Tunisia and Lebanon are the major per-capita contributors of Pb released to the regional atmosphere, whereas over 50% of Ni is released from anthropogenic sources in Lebanon, Tunisia, Bulgaria and Cyprus. Cadmium emissions are significant in Lebanon, Tunisia and Bulgaria, whereas Libya is the major emitter of Cu in the region. Annual emissions in the Mediterranean Sea region are compared with those derived for other regions and the variations in emission patterns by source category are discussed. The projected emissions of trace elements up to the 2015 are estimated considering an upper and lower case scenario in the temporal variations of the control efficiency of major emission source categories.