The 15 cities in the US with the worst air quality, ranked

Swiss company IQAir ranked the most and least polluted countries and cities in the world in a recent air quality report. Unlike some other rankings, IQAir, which sells air-purification products, based its report entirely on PM2.5 levels, a type of small-particle pollution that has been linked to heart and lung issues.

2024-04-30T13:23:00Z
  • IQAir's air quality report ranked the world's most and least polluted areas.
  • The report revealed 92.5% of countries and only 9% of cities met WHO's PM2.5 guidelines in 2023.
  • Cities in California, Georgia, and Iowa were named the most polluted.

Swiss company IQAir ranked the most and least polluted countries and cities in the world in a recent air quality report.

Unlike some other rankings, IQAir, which sells air-purification products, based its report entirely on PM2.5 levels, a type of small-particle pollution that has been linked to heart and lung issues.

According to the report, 92.5% of countries have too much PM2.5. And only 9% of cities surveyed achieved WHO's guidelines of acceptable PM2.5 levels in 2023.

In a statement sent to Business Insider, the organization said it used publicly available data, including from low-cost sensors and government-operated regulation stations, to monitor PM2.5 levels in 2,933 US cities between January and December of 2023.

Cities in Arizona, Nevada, and Colorado were among the least polluted in the US.

Meanwhile, cities in California, Georgia, and Iowa were named the most polluted, as shown in the below ranking.

Only cities with populations over 50,000 were included in this ranking.

Baldwin Park, California

Buildings in Baldwin Park, California. BING GUAN/Reuters

Population: 69,455.

Baldwin Park in San Gabriel Valley, California, was the most polluted city in the 2023 report.

The city is well known for its public parks and diverse range of restaurants.

At the time of writing, PM2.5 levels in the city are 2.2 times the WHO annual air quality guideline.

San Bernardino, California

Classic cars are pictured in San Bernardino. MediaNews Group/The Riverside Press-Enterprise via Getty Images

Population: 220,328.

San Bernardino in southern California was the second overall most polluted city in the 2023 report. At the time of writing, PM2.5 concentration in San Bernardino is 1.7 times the WHO annual air quality guideline.

Sandy Springs, Georgia

Traffic in Sandy Springs, California. John Bazemore/Getty Images

Population: 107,763.

Sandy Springs is roughly a 35-minute drive to the city of Atlanta and is surrounded by 950 acres of parks and natural areas.

Though it was ranked the fourth most polluted city in 2023, PM2.5 levels in Sandy Springs met the WHO annual air quality guidelines as of April 2024.

Dubuque, Iowa

The Old Court House, Dubuque, Iowa. Joe Sohm/Visions of America

Population: 58,873.

Dubuque is a small city in Dubuque County on the Mississippi River. It is located in the Tri-State Area of Iowa, Illinois, and Wisconsin.

At the time of writing, PM2.5 levels in Dubuque meets WHO annual air quality guidelines.

Columbus, Ohio

Part of the Columbus skyline. joe daniel price/Getty Images

Population: 907,971.

PM2.5 levels in Columbus are currently 1.4 times the WHO annual air quality guidelines.

Smyrna, Georgia

People wait outside Smyrna Community Center, an early voting location, in October 2020. ELIJAH NOUVELAGE/Getty Images

Population: 56,160.

Smyrna is located around 10 miles northwest of Atlanta. Though it's a small city, it likely welcomes a lot of traffic since it is surrounded by three interstate highways.

At the time of writing, PM2.5 levels in Smyrna meet the WHO annual air quality guidelines.

Wheaton, Illinois

Locals celebrate Eid at the Islamic Center of Wheaton on May 13, 2021 in Wheaton, Illinois. Scott Olson/Getty Images

Population: 52,984.

Wheaton is located in DuPage County, around 26 miles west of Chicago.

At the time of writing, PM2.5 levels in Wheaton meet the WHO annual air quality guidelines.

West Des Moines, Iowa

Des Moines, Iowa. Jacob Boomsma/Shutterstock

Population: 70,741.

West Des Moines was among the top 15 cities with the most PM2.5 levels in 2023. However, according to the Lung Association, it ranked extremely low for levels of ozone pollution.

Exposure to ozone pollution, also known as "smog," can cause breathing difficulty and aggregate health conditions such as asthma, emphysema, and chronic bronchitis, according to the Environmental Protection Agency.

PM2.5, meanwhile, can get deep into the lungs and even the bloodstream. It is known to cause premature death in people with heart or lung disease, nonfatal heart attacks, and other lung and heart problems, the agency said.

At the time of writing, PM2.5 levels in West Des Moines meet WHO annual air quality guidelines.

Fort Wayne, Indiana

Buildings in Fort Wayne. Getty Images

Population: 267,927.

Fort Wayne in Allen County is Indiana's second-largest city.

PM2.5 levels in Fort Wayne are currently 1.1 times the WHO annual air quality guidelines.

Dearborn, Michigan

A residential area in Dearborn, Michigan. Google Maps

Population: 107,710.

PM2.5 levels in Dearborn are also currently 1.9 times the WHO annual air quality guidelines.

Lancaster, Pennsylvania

An aerial view of Lancaster, Pennsylvania. Christian Hinkle/Shutterstock

Population: 57,453.

Lancaster is a small city in Pennsylvania with good train links to major cities like Philadelphia and New York. Just outside the city, there is the oldest Amish settlement in the country.

At the time of writing, PM2.5 levels in Lancaster are 2.6 times the WHO annual air quality guidelines.

La Habra, California

A housing complex in La Habra. Robert Gauthier/Getty Images

Population: 61,978.

PM2.5 levels in La Habra, Orange County, are 1.9 times the WHO annual air quality guidelines at the time of writing.

Ontario, California

Traffic in Ontario, California. Irfan Khan/Getty Images

Population: 179,061.

PM2.5 levels in Ontario, a southern city located in San Bernardino county, are currently 2.5 times the WHO annual air quality guidelines.

Council Bluffs, Iowa

Lewis & Clark Monument and Scenic Overlook in Council Bluffs, Iowa. Education Images/Getty Images

Population: 62,405.

PM2.5 levels in Council Bluffs,Pottawattamie County, currently meet the WHO annual air quality guidelines.

Diamond Bar, California

NFL Athlete Bret Lockett rallies the student athletes at the NFL New England Patriot Bret Lockett & Snoop Dogg Football Camp in Diamond Bar, California, in 2012. Jerod Harris/Getty Images

Population: 52,855.

Diamond Bar is a small city in Los Angeles county. It was the US' 15th most polluted city in 2023.

At the time of writing, PM2.5 levels in Diamond Bar meet the WHO annual air quality guidelines.

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