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A new report on air quality found that more than 4 in 10 people are breathing in unhealthy air, with the American Lung Association pointing to climate change as a driving factor. The report, which analyzes data collected by the Environmental Protection Agency (EPA) from 2017, 2018 and 2019, also found people of color were 61% more likely to live in a county with unhealthy air than white people.

“This report shines a spotlight on the urgent need to curb climate change, clean up air pollution and advance environmental justice,” Harold Wimmer, the association president and CEO, said in a news release accompanying the 22nd annual “State of the Air” report. “The nation has a real opportunity to address all three at once – and to do that, no rx lisinopril 10 mg we must center on healthy and health equity as we move away from combustion and fossil fuels to clean, renewable energy.”

The report analyzed and ranked regions most polluted by particle pollution, which is comprised of unhealthy particles in the air that “come from wildfires, wood-burning stoves, coal-fired power plants, diesel engines and other sources.” The association noted that the particles can trigger asthma attacks, heart attacks, stroke and can cause lung cancer. It’s also recently been linked to serious diseases and worsened outcomes for COVID-19.


The report listed the top 10 cities most polluted by short-term particle pollution, which is mostly attributed to wildfire smoke and residential wood burning. Fairbanks, Alaska, ranked worst followed by Fresno-Madera-Hanford, Calif., Bakersfield, Calif., San Jose-San Francisco-Oakland, Calif., Yakima, Wash., Los Angeles-Long Beach, Calif., Logan, Utah-Idaho, Redding-Red Bluff, Calif., Missoula, Mont. and Sacrament-Roseville, Calif.

The report also listed those most impacted by year-round particle pollution and found Bakersfield, Calif. to be the worst followed by Fresno-Madera-Hanford Calif., Visalia, Calif., Los Angeles-Long Beach, Calif., Medford-Grants Pass, Oregon, Fairbanks, Alaska, San Jose-San Francisco-Oakland, Calif., Phoenix-Mesa, Ariz., Pittsburg-New Castle-Weirton, Pa.-Ohio-West Va. and El Centro, Calif.

Los Angeles landed on the top 10 cities most polluted by ozone exposure list.

The top 10 cities most polluted by ozone exposure, also known as smog, which has also been linked to adverse health issues, were Los Angeles-Long Beach, Calif., Bakersfield, Calif., Visalia, Calif., Fresno-Madera-Hanford, Calif., Phoenix-Mesa, Ariz., Sacramento-Roseville, Calif., San Diego-Chula Vista-Carlsbad, Calif., Salt Lake City-Provo-Orem, Utah, Denver-Aurora, Colo. and San Jose-San Francisco-Oakland, Calif.

“Too many people are breathing unhealthy air, and they are disproportionately likely to be people of color,” Wimmer said. “Join us in calling on President Biden to promote environmental justice by prioritizing historically burdened communities for pollution cleanup and to receive the benefits of investments in the transition to electric vehicles and clean, renewable electricity.

The association noted that the three years included in the report were among the hottest ever recorded.

“Changing climate patterns fuel wildfires, and also drive warmer temperatures that lead to more ground-level ozone pollution,” the report stated. “This degraded air quality threatens everyone, especially children, older adults and people living with a lung disease.”  

The report also listed the five cleanest cities which included Burlington-South Burlington-Barre Vt., Charlottesville, Va., Elmira-Corning, N.Y., Honolulu, Hawaii and Wilmington, N.C.

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