Fresno is among top 10 most polluted cities in U.S., American Lung Association. Here’s why

Fresno has some of the worst air quality in the United States, according to the American Lung Association.

The Central Valley is one of the top 10 most polluted cities in the United States, according to the American Lung Association’s 2024 State of the Air report.

Each year, the association issues report cards for all U.S. cities and counties where air quality data is collected on ozone and particle pollution. Metro areas are ranked from cleanest to most polluted in terms of pollution and each county is given a grade ranging from A to F.

The Los Angeles-Long Beach metro area topped the list of the spots with the most high ozone days.

Bakersfield, meanwhile, led the nation in terms of year-round and short-term particle pollution.

“Particle pollution and ozone are a threat to human health at every stage of life,” the American Lung Association said on its website, noting that “some groups of people are more at risk of illness and death than others.”

These include children, pregnant people, people 65 and older and those with asthma and other lung diseases.

Smoke billows from a mountainside east of Mariposa as the Oak Fire rages near Yosemite National Park in 2022.
Smoke billows from a mountainside east of Mariposa as the Oak Fire rages near Yosemite National Park in 2022.

What’s the air quality in Fresno?

The American Lung Association paired Fresno, Madera and Hanford together as a single metropolitan area with a combined population of more than 1.3 million people.

The metro area was No. 4 on the list of the places with the worst ozone pollution with an annual average 52.2 days of high ozone days.

Ozone can be seen as smog, but is a gas composed of molecules that forms in the lower atmosphere.

When it comes to 24-hour particle pollution, the Fresno-Madera-Hanford area came in second place, with 54.8 days of high particle pollution per year on average.

The area was third on the list of places with the highest annual particle pollution, with a yearly average concentration of 17.5 micrograms per cubic meter of air.

Particle pollution is a “mixture of tiny bits of solids and liquids in the air” that we later breathe, according got the American Lung Association.

Fresno County scored failing grades for ozone, short-term particle pollution and long-term particle pollution on its 2024 State of the Air report card.

Smoke from the Creek Fire puts downtown Fresno under a pall in September 2020.
Smoke from the Creek Fire puts downtown Fresno under a pall in September 2020.

Which US cities have the worst ozone pollution?

Here are the top 10 most polluted metropolitan areas in the United States in terms of ozone, according to the American Lung Association:

  1. Los Angeles-Long Beach

  2. Visalia

  3. Bakersfield

  4. Fresno-Madera-Hanford

  5. Phoenix-Mesa, Arizona

  6. Denver-Aurora, Colorado

  7. Sacramento-Roseville

  8. San Diego-Chula Vista-Carlsbad

  9. Salt Lake City-Provo-Orem, Utah

  10. Houston-The Woodlands, Texas

What are the top 10 worst cities for particle pollution?

These 10 metro areas had the worst year-round particle pollution, the State of the Air report said:

  1. Bakersfield

  2. Visalia

  3. Fresno-Madera-Hanford

  4. Eugene-Springfield, Oregon

  5. San Jose-San Francisco-Oakland

  6. Los Angeles-Long Beach

  7. Sacramento-Roseville

  8. Medford-Grants Pass, Oregon

  9. Phoenix-Mesa, Arizona

  10. Fairbanks, Alaska

These 10 metro areas topped the list for the worst short-term particle pollution:

  1. Bakersfield

  2. Fresno-Madera-Hanford

  3. Fairbanks, Alaska

  4. Eugene-Springfield, Oregon

  5. Visalia

  6. Reno-Carson City-Fernley, Nevada

  7. San Jose-San Francisco-Oakland

  8. Redding-Red Bluff

  9. Sacramento-Roseville

  10. Chico

How does American Lung Association come up with rankings?

The American Lung Association’s State of the Air report for 2024 ranked U.S. cities and graded counties based on ozone and particle pollution during 2020, 2021 and 2022, according to its website.

Data on ozone and short-term particle pollution at locations across the country came from the U.S. Environmental Protection Agency’s Air Quality System, as did data on year-round particle pollution by county.

The American Lung Association said it was assisted by members of the National Association of Clean Air Agencies and the Association of Air Pollution Control Agencies.

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