Us Cities With The Worst Air Pollution Revealed

which us cities have the worst air pollution

Air pollution is a serious health threat, with nearly 4 in 10 Americans living in areas with unhealthy levels of air pollution in recent years. According to the American Lung Association's State of the Air report, the US experienced its worst period for air quality caused by particle pollution in the last 25 years from 2020 to 2022. This paragraph will explore which US cities have the worst air pollution and the factors contributing to this issue.

Characteristics Values
Date of Data 2023-2025
Number of People Affected by Air Pollution More than 156 million people live in counties that received an F for either ozone or particle pollution in "State of the Air" 2025. More than 42 million people live in counties that got an F for all three air pollution measures in "State of the Air" 2025.
Worst Cities for Short-Term Particle Pollution Bakersfield-Delano, Fairbanks-College, and Eugene-Springfield
Worst Cities for Year-Round Particle Pollution Bakersfield, Visalia, and Fresno-Madera-Hanford
States with Most Cities in Top 25 California
Cities with High Ozone Pollution Los Angeles-Long Beach, Sacramento, and Roseville
Cities with High Particulate Matter Pollution Grants Pass, Medford, Phoenix, and Mesa
Causes of Air Pollution Wildfires, vehicle emissions, industrial facilities, road dust, diesel exhaust, mining, construction, nitrogen oxides, and other gases or chemicals
Health Effects Asthma, lung cancer, chronic obstructive pulmonary disease, cardiovascular disease, stroke, heart disease, macular degeneration, glaucoma, and cataracts
Disproportionately Affected Groups People of color, children, older adults, people with lung diseases, and people with lower incomes

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California cities, including Bakersfield, Visalia, and Fresno, are among the worst for air pollution

California is known for its poor air quality, and several of its cities are among the worst in the US for air pollution. According to the American Lung Association's 2025 "State of the Air" report, Bakersfield, Visalia, and Fresno-Madera-Hanford are the top three metropolitan areas with the worst year-round particle pollution. The report is based on air quality data collected between 2021 and 2023, focusing on ground-level ozone air pollution (smog) and spikes in particle pollution (soot).

Bakersfield, located in California's Central Valley, has been consistently ranked as one of the most polluted cities in the US. The area is surrounded by mountains that trap toxic farming chemicals, dust, truck and train fumes, and oil-drilling exhaust. Local air regulators have been criticised for their lax enforcement against industrial polluters. Bakersfield's worst census tracts recorded up to 16 micrograms of fine particulate pollution.

Visalia, another Central Valley city, has fine particulate pollution levels nearly twice as high as new regulations allow, according to 2020-2022 data from the US Environmental Protection Agency. The city's poor air quality is attributed to intensive agricultural practices and the proximity of two major motorways. Smoke from fires and heavy-duty trucking emissions also contribute to Visalia's high levels of pollutants.

Fresno, also in California's Central Valley, faces similar issues with air pollution. The region's high volume of oil and gas drilling, diesel engines, and topographical features contribute to the area's poor air quality. Children in Fresno sometimes have to stay indoors all day due to the unhealthy levels of air pollution.

The pollution problem in California is exacerbated by the state's topography, with large mountain ranges creating a "bowl"-like shape that traps pollutants close to the ground. The state's large population, significant port industry, and growing economy also contribute to high emissions levels. While California has implemented measures to reduce transportation emissions, such as increasing public transportation infrastructure and encouraging the use of electric vehicles, many cities in the state continue to experience stagnated or worsening air quality.

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Los Angeles has the worst ozone pollution, caused by traffic, industry, and wildfires

Los Angeles, California, is notorious for its poor air quality, specifically its high levels of ozone pollution. The city's unique geography, high temperatures, and heavy traffic congestion contribute to this problem. The Los Angeles basin is surrounded by mountains to the west and north, and a daily breeze blows pollutants from west to east toward the mountains. The high-pressure system that sits over the basin prevents pollutants from dispersing, trapping them in the basin and creating a build-up of ground-level ozone.

Ozone is a harmful gas pollutant formed when sunlight reacts with nitrogen oxides and organic substances. Vehicle exhaust contains both of these components, making traffic a leading source of ozone pollution. The burning of fossil fuels by vehicles, ships, planes, and manufacturing industries also contributes significantly to LA's air pollution. The city is home to the two busiest container ports in the United States, the Port of Los Angeles and the Port of Long Beach, which rely heavily on fossil fuels and diesel for their operations. While efforts like the Clean Air Action Plan of 2006 have reduced particulate matter and nitrogen oxides, the ports remain a significant source of pollution, producing an estimated 100 tons of smog daily.

The large population of Los Angeles, with about 4 million people in the city and another 6 million in the surrounding county, also contributes to heavy vehicular emissions and traffic congestion. It is estimated that there are 6.5 million vehicles in the city alone. The high temperatures and dry conditions during the summer months further exacerbate the problem, as ozone formation is accelerated by higher temperatures. Additionally, the summer months experience higher frequencies of wind-blown dust and wildfires, which further contribute to the air pollution.

Wildfires driven by dry winds, low humidity, and high temperatures have become more frequent and intense in the Western US due to the climate crisis. These wildfires release toxic smoke and greenhouse gases into the atmosphere, impacting the air quality in Los Angeles and the surrounding region. The basin-like shape of LA's terrain further traps the ozone pollution, keeping it concentrated in the area.

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Wildfires and cookstoves in rural areas, and road dust and diesel exhaust in cities, are sources of air pollution

In the United States, wildfires and cookstoves in rural areas, and road dust and diesel exhaust in cities, are sources of air pollution. Air pollution is a serious health threat, affecting almost half of the US population. It can trigger asthma attacks, harm lung development in children, and even be deadly. Wildfires, for instance, spread dangerous particle pollution, and people of color and those with lower incomes are disproportionately affected by the poor air quality.

Wildfires

Climate change increases the risk of wildfires, which spread dangerous particle pollution. The smoke from wildfires can cause serious health issues, especially for vulnerable groups such as children, older adults, and those with pre-existing health conditions.

Cookstoves in Rural Areas

Household air pollution (HAP), primarily from biomass fuels used for cooking, is associated with adverse health outcomes and premature mortality. In low-income and low-resource communities, HAP can affect nearly half of the world's population. While improved biomass cookstoves (ICS) have been developed to reduce HAP emissions, their effectiveness varies, and some communities may struggle with cost and availability.

Road Dust

Road dust is a comparatively new area of study regarding its health effects. Some studies have shown a significant association between adverse health effects and road dust, particularly regarding respiratory tract inflammation. For example, zinc was found to be the most abundant element in road dust, and exposure to it has been linked to adverse health effects, especially in children.

Diesel Exhaust

Diesel exhaust is a significant contributor to air pollution, leading to serious health issues such as asthma, respiratory illnesses, and worsened heart and lung disease. It also damages crops, trees, and other vegetation, as well as water sources, affecting the human food chain. The Diesel Emissions Reduction Act was established to promote and fund projects aimed at reducing diesel emissions.

Air Pollution: A Lethal Threat to Life

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People of colour are disproportionately affected by air pollution, facing higher risks of illness

People of colour are disproportionately affected by air pollution and face higher risks of illness. This is due to various factors, including systemic racism, housing policy, and income inequality. Racial and ethnic minority groups are often located near major sources of pollution, such as factories, congested roadways, or shipping routes, increasing their exposure to harmful pollutants.

A study by researchers at the EPA-funded Center for Air, Climate, and Energy Solutions found that people of colour in the United States breathe more particulate air pollution on average, regardless of income level or region. The findings, published in "Science Advances" in 2021, have serious public health implications. Exposure to fine particulate matter (PM2.5) can cause lung and heart problems, especially for vulnerable populations such as children, older adults, and people with chronic diseases.

Communities of colour across the United States are shouldering a growing burden of diseases linked to air pollution, according to a study by researchers at the George Washington University. The study found that racial and ethnic disparities in cases of pollutant-linked diseases like asthma have increased over the last decade. Non-Hispanic Blacks and Hispanics were more likely to live in counties with worse particle and ozone pollution, respectively.

The impact of air pollution on communities of colour is not just a matter of exposure but also of susceptibility to health threats. Factors such as lack of access to healthcare, poorer job opportunities, and existing health conditions can increase the risk of harm from air pollution for people of colour. For example, a 2008 study found a greater risk of premature death for communities with higher African American populations and higher unemployment rates.

The environmental injustice faced by people of colour due to air pollution is a serious issue that requires attention and action. Regulations and policies must be designed to effectively address the disproportionate impact of air pollution on these communities and protect their health and well-being.

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Climate change increases the risk of wildfires, which spread dangerous particle pollution

Climate change is a key factor in increasing the risk, intensity, and extent of wildfires. Warmer temperatures, prolonged droughts, and drier conditions contribute to forests becoming more vulnerable to fires. Climate change has doubled the number of large fires in the western United States between 1984 and 2015, and the trend is expected to continue.

Wildfires release a range of harmful pollutants into the atmosphere, including black carbon, carbon monoxide, nitrogen oxides, and particulate matter. These pollutants have severe impacts on human health and the environment. The smoke from wildfires spreads dangerous particle pollution, affecting air quality and causing respiratory issues, especially for vulnerable groups such as children, older adults, and people with lung diseases.

In the United States, cities in California, such as Bakersfield, Visalia, and Fresno-Madera-Hanford, consistently rank among the most polluted metropolitan areas in terms of air quality. Other cities like Atlanta and Birmingham also have areas with high air pollution, often overlapping with historically redlined communities and communities of color.

The interconnectedness of climate change, wildfires, and air pollution creates a vicious cycle. Wildfires are both a consequence and a driver of climate change, as they release super pollutants that contribute to global warming and further increase the risk of wildfires. Breaking this cycle requires a joined-up approach from policymakers and governments, addressing the root causes of climate change and air pollution simultaneously.

To mitigate the impacts of wildfires and reduce the risk to communities, several strategies can be implemented. These include smart zoning rules that discourage residential developments near fire-prone forests, increasing the distance between structures and potential fuel sources, incorporating fire-resistant design features, and enhancing resources for firefighting and prevention. By proactively addressing these challenges, communities can better protect themselves from the harmful effects of wildfires and the associated particle pollution.

Frequently asked questions

According to a 2025 report by the American Lung Association (ALA), Bakersfield, Visalia, and Fresno-Madera-Hanford are the top three metropolitan areas with the worst year-round particle pollution. Six of the top seven cities are in California, with four in the state's Central Valley.

The main sources of air pollution in these cities vary. In Los Angeles, for example, air pollution is due to the basin's surrounding mountains and daily breeze that blows pollutants towards them. In Denver, the elevation leads to more UV light and, therefore, more ozone. In other cities, wildfires, industrial pollution, and vehicle emissions are major contributors.

Air pollution has been linked to various health issues, including stroke, heart disease, asthma, lung cancer, and chronic obstructive pulmonary disease. It can also lead to vision problems such as cataracts, glaucoma, and macular degeneration. Poor air quality can trigger asthma attacks, harm lung development in children, and even be deadly.

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