"State of the Air" is the American Lung Association's annual national air quality "report card." It uses the most recent air pollution data, compiled by the U.S. Environmental Protection Agency (EPA), for the two most widespread types of pollution—ozone (smog) and particle pollution (PM2.5, also known as soot). The report grades counties and ranks cities and counties based on their scores for ozone, year-round particle pollution and short-term particle pollution levels. Since 2000, the American Lung Association has analyzed data from official air quality monitors to compile the "State of the Air" report.

Did You Know?

  1. People of color and people with lower incomes are disproportionately affected by air pollution that puts them at higher risk for illness.
  2. Particles in air pollution can be smaller than 1/30th the diameter of a human hair. When you inhale them, they are small enough to get past the body's natural defenses.
  3. If you live or work near a busy highway, traffic pollution may put you at greater risk of health harm.
  4. Breathing ozone irritates the lungs, resulting in inflammation—as if your lungs had a bad sunburn.
  5. People who work or exercise outside face increased risk from the effects of air pollution.
  6. Ozone and particle pollution are both linked to increased risk of premature birth and lower birth weight in newborns.
  7. Breathing in particle pollution can increase the risk of lung cancer.
  8. Nearly half of the people in the U.S. live where the air they breathe earned an F in “State of the Air” 2025.
  9. Policymakers at every level of government must take steps to clean the air their constituents breathe.
  10. More than 42 million people live in counties that got an F for all three air pollution measures in “State of the Air” 2025.
  11. Millions of people are especially vulnerable to the effects of air pollution, including children, older adults, and people with lung diseases such as asthma and COPD.
  12. Climate change enhances conditions for ozone pollution to form and makes it harder to clean up communities where ozone levels are high.
  13. Particle pollution can cause early death and heart attacks, strokes, and emergency room visits.
  14. The U.S. Environmental Protection Agency is under threat. Despite EPA’s lifesaving role in protecting people’s health from air pollution, big staffing and funding cuts are endangering their work.
  15. You can protect yourself by checking the air quality forecast in your community and avoiding exercising or working outdoors when unhealthy air is expected.
  16. Climate change increases the risk for wildfires and resulting smoke that spreads dangerous particle pollution.
  17. More than 156 million people live in counties that received an F for either ozone or particle pollution in “State of the Air” 2025.
  18. The U.S. Environmental Protection Agency is critical for cleaning up air pollution. EPA’s staff ensure that air pollution is monitored, write sound rules to clean it up, and make sure those rules are enforced.
  19. The nation has the Clean Air Act to thank for decades of improvements in air quality. This landmark law has successfully driven pollution reduction for over 50 years.
  20. Air pollution is a serious health threat. It can trigger asthma attacks, harm lung development in children, and even be deadly.
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