
Many cities across the globe suffer from poor air quality, which can be detrimental to the health of residents. The American Lung Association's State of the Air report ranks U.S. cities with the worst air quality based on daily and annual particle pollution and ozone levels. Los Angeles, for instance, is infamous for its smog, which is largely composed of ozone. In addition to Los Angeles, Bakersfield, California, and Pittsburgh, Pennsylvania, are among the cities with the worst air pollution in the United States. Globally, over 100 countries provide real-time air pollution data, allowing citizens to monitor the air quality in their communities and take precautions to protect their health.
| Characteristics | Values |
|---|---|
| Date of Data | 2024 |
| Source of Data | American Lung Association |
| Number of People Exposed to Poor Air Quality | 100 million across 26 states |
| Worst City for Ozone Pollution | Los Angeles |
| Number of States with Cities in the 25 Worst Metropolitan Areas for Ozone Pollution | 7 |
| Number of Cities in the 25 Worst Metropolitan Areas for Ozone Pollution in California | 10 |
| Number of Counties with Unhealthy Air Days | 58 |
| Number of People Living in Counties with Unhealthy Air Days | 32 million |
| Number of Days Marked as "Very Unhealthy" | 135 |
| Number of Days Marked "Hazardous" | 79 |
| Number of People Living in Counties that Received an F for Ozone or Particle Pollution | 156 million |
| Number of People Living in Counties that Received an F for All Three Air Pollution Measures | 42 million |
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What You'll Learn

Climate change and air quality
Climate change increases the risk of wildfires, which spread dangerous particle pollution and increase emissions of harmful greenhouse gases. Wildfires fuelled by climate change could become an increasingly important source of particulate matter. The particulate matter in wildfire smoke can travel on intercontinental scales.
Ozone in the atmosphere warms the climate, while different components of particulate matter can have either warming or cooling effects on the climate. For example, black carbon, a particulate pollutant from combustion, contributes to the warming of the Earth, while particulate sulfates cool the Earth's atmosphere.
Research on climate change and air quality includes developing and verifying air pollution emissions inventories, including greenhouse gas emissions, and modelling the chemical transport of air pollutants emitted into the atmosphere. The Clean Air Act, signed into law in 1970, has resulted in a 78% reduction in the six most common air pollutants, according to the EPA. However, climate change has made air quality harder to manage, especially as growing sections of the US grapple with soaring temperatures, longstanding drought, and unprecedented wildfires.
The future climate is expected to be more stagnant, due to a weaker global circulation and a decreasing frequency of mid-latitude cyclones. This will likely increase surface ozone in polluted regions, with the largest effects in urban areas and during pollution episodes.
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Air quality and health
Air pollution is defined as the presence of one or more contaminants in the atmosphere, such as dust, fumes, gas, mist, odour, smoke or vapour, in quantities and durations that can be harmful to human health. The main pathway of exposure is through the respiratory tract, but pollutants can also enter the bloodstream and travel to organs, causing damage to tissues and cells.
Health problems caused by air pollution can affect both children and adults, with the elderly, pregnant women, and children being more susceptible to air pollution-related diseases. Exposure to high levels of particulate matter in the air can lead to reduced lung function, respiratory infections, and aggravated asthma from short-term exposure. Long-term exposure to fine particulate matter increases the risk of non-communicable diseases, including stroke, heart disease, chronic obstructive pulmonary disease, and cancer. In addition, air pollution has been linked to adverse pregnancy outcomes, such as low birth weight and pre-term birth.
Furthermore, there is growing evidence of a link between air pollution and neurological disorders, including Parkinson's disease, Alzheimer's disease, and other dementias. Research has also suggested a possible connection between air pollution and an increased risk of other cancers, diabetes, cognitive impairment, and neurological diseases.
According to the American Lung Association, cities affected by drought and wildfires tend to have poorer air quality. Los Angeles, for example, is infamous for its smog, which is primarily composed of ozone. Other cities that have been mentioned in reports for their poor air quality include Bakersfield and Pittsburgh.
To protect oneself from the harmful effects of air pollution, individuals can check the air quality forecast in their community and avoid outdoor activities when unhealthy air quality is expected.
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Real-time air quality monitoring
There are several tools available for real-time air quality monitoring. For instance, AirNow.gov provides an interactive map that offers location-based air quality information. The map includes data on wildfires and smoke, which are significant contributors to poor air quality. Similarly, the World Air Quality Index (AQI) project offers a real-time air pollution map covering over 80 countries. The AQI scale is based on the latest US EPA standards, and the map displays data on particulate matter (PM2.5 and PM10), ozone (O3), nitrogen dioxide (NO2), sulfur dioxide (SO2), and carbon monoxide (CO) emissions.
PurpleAir is another platform that provides real-time air quality monitoring through sensors deployed worldwide. Their sensors measure particulate pollution (PM2.5), temperature, humidity, and pressure. The data collected by PurpleAir is accessible through their API and is also visualised on maps, enabling users to make informed decisions about their health and well-being.
While these monitoring tools provide valuable information, it is essential to recognise that air quality can vary within a city. Local factors, such as industrial emissions or traffic congestion, can create air pollution hotspots. Therefore, it is advisable to utilise multiple sources of information, including local air quality sensors and forecasts, to gain a comprehensive understanding of the air quality in your specific area.
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Air quality and wildfires
Climate change has made air quality harder to manage, despite policies designed to protect it. This is especially true in areas facing soaring temperatures, long-standing droughts, and unprecedented wildfires. Wildfire smoke is a mixture of air pollutants, with particulate matter being the principal public health threat. While most healthy adults and children will recover quickly from wildfire smoke exposure, certain groups of people may be at greater risk of experiencing health effects. These include people with respiratory or cardiovascular diseases, children, the elderly, pregnant women, people of lower socioeconomic status, and outdoor workers.
The American Lung Association's "State of the Air" report ranks U.S. cities with the worst air quality based on daily and annual particle pollution and ozone levels. The report found that cities affected by drought and wildfires had the worst air quality, with eight cities in California and two each in Nevada, Oregon, and Washington. Los Angeles, infamous for its smog, ranked as the worst city for ozone pollution in the country. Extreme heat, lack of precipitation, and wildfires associated with climate change have undermined attempts to reduce emissions, especially in western states.
Pittsburgh, which ranked 19th on the list of cities with particle pollution year-round, received failing grades for daily particle pollution and ozone as well. The report also noted that high ozone days and spikes in particle pollution related to extreme heat, drought, and wildfires are putting millions of people at risk. Across the country, researchers marked a continued climb in the number of days where particle pollution was considered "very unhealthy" or "hazardous."
To protect yourself from poor air quality due to wildfires, it is recommended to check the air quality forecast in your community and avoid exercising or working outdoors when unhealthy air is expected. The AirNow website provides an interactive map that allows users to learn about air quality and smoke in their area. Additionally, the Clean Air Act has successfully driven pollution reduction for over 50 years, and the U.S. Environmental Protection Agency (EPA) plays a critical role in monitoring, regulating, and enforcing air pollution standards.
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Air quality improvement
According to the American Lung Association, Los Angeles is the worst city for ozone pollution in the US, with Bakersfield, Pittsburgh, and several cities in California, Nevada, Oregon, and Washington following closely behind. The Clean Air Fund reports that 49 cities across 6 continents have joined the C40 Clean Air Accelerator, a global coalition for clean air that aims to create healthy, resilient, and equitable cities.
Reduce Emissions and Adopt Clean Energy Sources: Cities can encourage the use of public transportation, cycling, or walking as alternative modes of transportation. They can also provide incentives for the purchase of electric vehicles, low-energy appliances, and energy-efficient housing. Additionally, cities can invest in renewing old diesel and carbon boilers, as Madrid has done through the Change 360 Plan.
Improve Waste Management: Composting food and garden waste, recycling non-organic trash, reusing grocery bags, and proper trash disposal can help minimize waste emissions. Burning trash or biomass for cooking or heating should be avoided, as it directly contributes to air pollution.
Monitor Air Quality: Cities can establish air quality monitoring networks, utilizing microsensors and non-reference sensors to collect valuable data. This information can help identify areas with high pollution levels and guide decisions to improve air quality.
Implement Low Emission Zones and Zero Emission Areas: Creating low-emission and zero-emission zones can significantly improve air quality and bring health and well-being benefits to residents. These zones reclaim public spaces from vehicle emissions, making cities more livable and promoting active mobility and sustainable transport options.
Address Climate Change: Climate change exacerbates air quality issues by creating conditions favorable for ozone formation and making it more challenging to mitigate pollution. Policymakers and governments must address climate change and implement measures to reduce greenhouse gas emissions, such as the Clean Air Act, which has successfully driven pollution reduction for over 50 years.
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Frequently asked questions
According to the American Lung Association's report, the cities with the worst air quality in the US are Bakersfield and Los Angeles.
Climate change, extreme heat, lack of precipitation, and wildfires are the main factors that undermine attempts to improve air quality.
Exposure to particle pollution can potentially cause or exacerbate respiratory and cardiovascular problems.
People can check their community's air quality forecast and avoid outdoor activities when unhealthy air is expected.
Yes, there are real-time air pollution maps and monitors available for over 100 countries, providing instant access to air pollution levels.








































