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About 156 million people breathe unhealthy air. Are you one of them?

About 156 million people breathe unhealthy air. Are you one of them?
P.M. EXPERTS SAY IT鈥橲 ALREADY BEEN A VERY ACTIVE YEAR WITH WILDFIRES. KELLY ANN WAS TELLING US ABOUT IT AND THERE ARE HEALTH CONSEQUENCES FROM THAT SMOKE THAT THE FIRES PRODUCED. JOINING US NOW IS DOCTOR PAUL DELLA RIPA, A RHEUMATOLOGIST AND A MEMBER OF THE CLIMATE ACTION COUNCIL AT BRIGHAM AND WOMEN鈥橲 HOSPITAL. DOCTOR, THANK YOU SO MUCH FOR JOINING US THIS MORNING. IN A TYPICAL YEAR, ABOUT 7 MILLION ACRES BURN IN THE U.S. BUT THIS YEAR, ONE FORECASTER PREDICTS THE NUMBER WILL BE CLOSER TO 9 MILLION. ACTUALLY, THAT鈥橲 A LOT OF SMOKE IN THE AIR. OF COURSE. WHY DOES A RHEUMATOLOGIST CARE? WELL, I THINK IT鈥橲 NOT JUST RHEUMATOLOGIST, BUT REALLY ANY PHYSICIAN OR HEALTH CARE PROVIDER NEEDS TO BE CONCERNED WITH THE EFFECTS OF SMOKE, SMOKE AND POLLUTION FOR PATIENTS WHO ARE AT RISK WHO HAVE LUNG DISEASE OR HEART DISEASE, SMOKE CAN REALLY GET INTO THE LUNGS AND NOT ONLY AFFECT THE LUNGS, BUT ALSO CAN SET OFF INFLAMMATION THAT COULD SPREAD TO THE REST OF THE BODY AND PEOPLE WHO HAVE SYSTEMIC DISEASES LIKE RHEUMATIC DISEASES, COULD HAVE DISEASE EXACERBATIONS. AND WE WE SOMETIMES THINK THAT DISEASE CAN ACTUALLY BEGIN WITH EXPOSURES LIKE THIS. SO I THINK THAT THE EFFECTS ARE WIDE RANGING AND AFFECT ALL DISCIPLINES AND ALL THE BODY ORGANS. SO THAT鈥橲 A PROBLEM. I DON鈥橳 KNOW IF WE鈥橰E EQUALLY IN DANGER, BUT DO YOU THINK THE AIR QUALITY IS A BIG THREAT HERE IN MASSACHUSETTS. SO I THINK THE AIR QUALITY VARIES. I THINK A LOT OF THESE PROBLEMS ARE LOCAL. SOME AREAS HAVE A HIGHER RISK THAN OTHERS. SO AREAS WHERE THERE鈥橲 LOTS OF INDUSTRIAL POLLUTION ARE GOING TO HAVE MORE OF A PROBLEM WHEN. SO WHEN THERE鈥橲 SMOKE OR WILDFIRE EXPOSURE IN AREAS WHERE THERE IS HEAVY OR DENSE AIR POLLUTION, LIKE IN URBAN AREAS, THAT COMBINATION CAN BE WORSE FOR THOSE PEOPLE WHO LIVE IN THOSE AREAS. SO I THINK THERE ARE PEOPLE WHO ARE AT RISK, AND THEN THERE ARE PEOPLE WHO ARE AT HIGHER RISK. SO WHAT ADVICE ARE YOU GIVING YOUR PATIENTS? SO I THINK THAT WHAT WE NEED TO UNDERSTAND IS, IS THAT THE RISKS, THE ENVIRONMENTAL RISKS ASSOCIATED WITH CLIMATE CHANGE AREN鈥橳 GOING TO GO AWAY. AND AS THIS PROBLEM BECOMES WORSE, WE鈥橰E GOING TO HAVE TO ADAPT. AND OUR OUR GOAL HERE IS TO HELP KEEP OUR PATIENTS OUT OF HARM鈥橲 WAY. THEY NEED TO BE PREPARED. AND HEALTH CARE SYSTEMS AND COMMUNITY GROUPS NEED TO HELP PATIENTS DEAL WITH THE PROBLEMS THAT ARE COMING, INCLUDING DROUGHTS, INCLUDING WILDFIRE SMOKE EXPOSURE AND AND HEAT EXPOSURE. AND SO DOING THOSE THINGS AND BEING PREPARED IN ADVANCE CAN HELP OUR PATIENTS PREPARE AND AND AVOID THE COMPLICATIONS THAT COULD AFFECT THEIR HEALTH. BEING AWARE VERY MUCH A GOOD START. THANK YOU. DOCTOR PAUL DELLA RIPA, A RHEUMATOLOGIST AND A MEMBER OF THE CLIMATE ACTION COUNCIL AT BRIGHAM A
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About 156 million people breathe unhealthy air. Are you one of them?
Nearly half of the people in the U.S. live in areas with unhealthy levels of air pollution 鈥� you could be among them.That's 25 million more people living with bad air than last year's report showed, according to air quality data from the American Lung Association (ALA). The new 2025 annual report covers data from 2021 to 2023, the most recent year available. Most of the increase comes from communities on the East Coast, which were plagued with smoke from the Canadian wildfires in 2023. 鈥淭he quality of air in this country should be getting better, but it鈥檚 not,鈥� said Katherine Pruitt, the senior director for Nationwide Clean Air Policy at the ALA.Air quality was improving across the country after the passage of the 1963 Clean Air Act, Pruitt said, but 10 years ago, progress halted. Increasing extreme heat events and wildfires have led to more ozone and particle pollution 鈥� two ways of measuring air quality 鈥� reversing clean air improvements.Now, the new Trump administration has started rolling back environmental protections. President Donald Trump has signed executive orders calling for energy production deregulation, and the Environmental Protection Agency has laid off staff amid the Department of Government Efficiency's restructuring. 鈥淲e鈥檙e at risk of losing our ability to measure and talk about the pollution that we are living with,鈥� Pruitt said.Only 885 counties monitor air pollution and have a complete enough dataset to be included in the report. The other more than 2,250 counties either don鈥檛 have enough funding or population to monitor air quality. Wildfires are one of the biggest factors leading to unhealthy air, especially as the changing climate causes more extreme heat and drought. Emissions, industry, oil and gas extraction, mining and construction also pollute the air.California has some of the worst air quality in the country, according to the State of the Air report.Los Angeles-Long Beach, California, was the most polluted metropolitan area by ozone levels. Ozone air pollution can irritate the lungs and make it hard to breathe. It also ranked within the top 10 worst cities in terms of both daily and annual particle pollution. To its northeast, Bakersfield-Delano, California, has the worst particle pollution both by daily spikes and annual averages. Breathing in polluted air poses a serious health risk for people, especially for certain vulnerable populations. People of color are more likely to breathe unhealthy air and are more likely to be living with asthma, diabetes and heart disease 鈥� all of which make air pollution more deadly, the report said. Hispanic or Latino people are nearly three times as likely to live in an area with polluted air as white people, according to the report.Poor air quality can increase the risk of premature birth, cause and worsen lung and heart disease, and lead to death, according to the ALA. Children, adults over 65, people of color, pregnant people, smokers and people experiencing poverty are all at heightened risk.To see the air quality in your hometown, search for your county in the graphic below. More counties improved than worsened in terms of ozone pollution in California, Idaho, Nevada, New Mexico and Wyoming. The cleanest areas to live in by ozone air pollution and particle pollution include:Augusta-Richmond County, Georgia/South CarolinaCasper, WyomingAsheville-Waynesville-Brevard, North CarolinaBangor, MaineUrban Honolulu, HawaiiThe full list of the cleanest-air cities to live in is published by the ALA here.PHNjcmlwdCB0eXBlPSJ0ZXh0L2phdmFzY3JpcHQiPiFmdW5jdGlvbigpeyJ1c2Ugc3RyaWN0Ijt3aW5kb3cuYWRkRXZlbnRMaXN0ZW5lcigibWVzc2FnZSIsKGZ1bmN0aW9uKGUpe2lmKHZvaWQgMCE9PWUuZGF0YVsiZGF0YXdyYXBwZXItaGVpZ2h0Il0pe3ZhciB0PWRvY3VtZW50LnF1ZXJ5U2VsZWN0b3JBbGwoImlmcmFtZSIpO2Zvcih2YXIgYSBpbiBlLmRhdGFbImRhdGF3cmFwcGVyLWhlaWdodCJdKWZvcih2YXIgcj0wO3I8dC5sZW5ndGg7cisrKXtpZih0W3JdLmNvbnRlbnRXaW5kb3c9PT1lLnNvdXJjZSl0W3JdLnN0eWxlLmhlaWdodD1lLmRhdGFbImRhdGF3cmFwcGVyLWhlaWdodCJdW2FdKyJweCJ9fX0pKX0oKTs8L3NjcmlwdD4=

Nearly half of the people in the U.S. live in areas with unhealthy levels of air pollution 鈥� you could be among them.

That's 25 million more people living with bad air than last year's report showed, according to air quality data from the American Lung Association (ALA). The new covers data from 2021 to 2023, the most recent year available.

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Most of the increase comes from communities on the East Coast, which were plagued with smoke from the Canadian wildfires in 2023.

鈥淭he quality of air in this country should be getting better, but it鈥檚 not,鈥� said Katherine Pruitt, the senior director for Nationwide Clean Air Policy at the ALA.

Air quality was improving across the country after the passage of the 1963 Clean Air Act, Pruitt said, but 10 years ago, progress halted. Increasing extreme heat events and wildfires have led to more ozone and particle pollution 鈥� two ways of measuring air quality 鈥� reversing clean air improvements.

Now, the new Trump administration has started environmental protections. President Donald Trump has signed executive orders calling for energy production , and the Environmental Protection Agency has staff amid the Department of Government Efficiency's restructuring.

鈥淲e鈥檙e at risk of losing our ability to measure and talk about the pollution that we are living with,鈥� Pruitt said.

Only 885 counties monitor air pollution and have a complete enough dataset to be included in the report. The other more than 2,250 counties either don鈥檛 have enough funding or population to monitor air quality.


Wildfires are one of the biggest factors leading to unhealthy air, especially as the changing climate causes more extreme heat and drought. Emissions, industry, oil and gas extraction, mining and construction also pollute the air.

California has some of the worst air quality in the country, according to the State of the Air .

Los Angeles-Long Beach, California, was the most polluted metropolitan area by ozone levels. Ozone air pollution can irritate the lungs and make it hard to breathe.

It also ranked within the top 10 worst cities in terms of both daily and annual particle pollution. To its northeast, Bakersfield-Delano, California, has the worst particle pollution both by daily spikes and annual averages.


Breathing in polluted air poses a serious health risk for people, especially for certain vulnerable populations.

People of color are more likely to breathe unhealthy air and are more likely to be living with asthma, diabetes and heart disease 鈥� all of which make air pollution more deadly, the report said. Hispanic or Latino people are nearly three times as likely to live in an area with polluted air as white people, according to the report.

Poor air quality can increase the risk of premature birth, cause and worsen lung and heart disease, and lead to death, . Children, adults over 65, people of color, pregnant people, smokers and people experiencing poverty are all at heightened risk.

To see the air quality in your hometown, search for your county in the graphic below.

More counties improved than worsened in terms of ozone pollution in California, Idaho, Nevada, New Mexico and Wyoming.

The cleanest areas to live in by ozone air pollution and particle pollution include:

  • Augusta-Richmond County, Georgia/South Carolina
  • Casper, Wyoming
  • Asheville-Waynesville-Brevard, North Carolina
  • Bangor, Maine
  • Urban Honolulu, Hawaii

The full list of the cleanest-air cities to live in is published by the ALA .