10 Cities to Avoid if You Have Asthma

Worst Places to Live With Asthma

If you have asthma, you know how challenging it can be to deal with on a regular basis. In fact, some people with severe cases of asthma need to plan their entire lives around their condition, including where they live. This article reviews the top ten cities to avoid living in if you have asthma, as well as common treatment options.

1. Bakersfield, California

Anywhere with poor air quality will be a challenge for those with asthma to live in. Unfortunately for Bakersfield, CA, it's known for its low quality air. In fact, it consistently ranks high for having especially dirty air. The combination of agricultural activity, oil production and a dry climate makes it challenging for asthma sufferers.

2. Fresno, California

California is high up on our list, but this time we're looking specifically at Fresno. This city experiences high levels of ozone pollution and particulate matter most likely due in part to its location in California’s Central Valley. This is a common area for pollutants to get trapped, contributing to its high ranking.

3. Springfield, Massachusetts

Springfield, MA has high rates of asthma prevalence and emergency room visits related to asthma. In fact, some studies even call it the number one asthma capital of the entire country with Springfield sources citing 41% of Massachusetts children in school missing at least one day of school per year due to asthma related issues. Pollen and air quality issues further exacerbate this issue, making it a particularly challenging area for people with asthma to live.

4. Philadelphia, Pennsylvania

It should come as no surprise that Philadelphia, PA is on this list. The city’s industrial activity, high population density and traffic contribute to poor air quality, making it difficult for residents with asthma to breathe easily.

5. Cleveland, Ohio

While it’s not quite as high as Springfield’s, Cleveland, OH reports a high level of residents with asthma. In fact, studies show a shocking statistic: that one in every six women living in Cleveland has asthma. Cleveland suffers from industrial pollution and high pollen counts, both of which can trigger asthma attacks. Additionally, its fluctuating weather conditions can exacerbate symptoms.

6. Detroit, Michigan

Detroit, MI has exceptionally high levels of industrial emissions and vehicle pollution, making it a particularly tough environment for asthma sufferers. The city also struggles with access to quality healthcare for many residents, which only exacerbates the issue.

7. Memphis, Tennessee

There are quite a few significant reasons for Memphis, TN’s place on this list. Some of the main factors include high levels of humidity, pollen and air pollution. These factors can combine to create a particularly challenging environment for anyone living in Memphis, but particularly for those struggling with asthma.

8. Oklahoma City, Oklahoma

Oklahoma has made the list yet again, but this time with Oklahoma City as the culprit. Indeed, Oklahoma City struggles from high pollen counts, strong winds that stir up dust and ozone pollution. These issues make it a difficult place to live for those with asthma.

9. Louisville, Kentucky

Louisville, KY is known for having high pollen levels and industrial pollution. It also ranked poorly for ozone and particle pollution as well as asthma-related healthcare access and outcomes.

10. Atlanta, Georgia

You might be surprised to see Atlanta, GA on this list due to its relatively high abundance of greenery and nature. However, the city actually struggles with high pollen counts and traffic-related air pollution, both of which can aggravate asthma symptoms.

Managing Asthma in Challenging Environments

If you have asthma and are living in any of these cities, or are looking to make a move to one of them, all is not lost. There are lots of effective treatment options available and ways to combat high levels of pollution. Some of the most common options include:

• Air purifiers. Use air purifiers at home to reduce indoor allergens and pollutants.
• Regular medication. Stay consistent with prescribed medications, including inhalers and corticosteroids.
• Allergen reduction. Minimize exposure to known allergens, such as dust mites and pet dander.
• Monitoring air quality. Use apps or websites to check daily air quality and plan outdoor activities accordingly.
• Humidifiers. Maintain optimal indoor humidity levels to prevent respiratory irritation.