This article explores the 20 U.S. cities most impacted by asthma, highlighting the role of pollution, socioeconomic factors, and healthcare access in disease prevalence. It emphasizes the challenges faced by residents in managing asthma amid environmental and social obstacles, especially in eastern regions.

Top 20 Cities with the Highest Asthma Challenges

Asthma impacts around 25 million Americans and remains the leading chronic disease among youth. While it’s not curable, proper control focuses on managing symptoms and avoiding triggers. This article identifies the 20 cities facing the greatest asthma burdens, with 18 situated along the Atlantic coast.

Most Affected Urban Areas

1. Allentown, PA

2. Baltimore, MD

3. Richmond, VA

4. Milwaukee, WI

5. New Haven, CT

6. Cleveland, OH

7. Philadelphia, PA

8. Dayton, OH

9. Oklahoma City, OK

10. Tucson, AZ

11. Worcester, MA

12. Springfield, MA

13. Columbus, OH

14. Birmingham, AL

15. Detroit, MI

16. Louisville, KY

17. Hartford, CT

18. Boston, MA

19. Fresno, CA

20. Greensboro, NC

According to the Asthma and Allergy Foundation of America (AAFA), several factors contribute to elevated asthma rates in these cities:

Economic hardship: Lower-income communities often reside in poorer housing near pollution sources and lack access to quality healthcare, elevating asthma risk.

Healthcare accessibility: Limited insurance coverage and specialist availability hinder effective asthma management.

Air quality: Urban emissions from traffic, smog, and airborne irritants exacerbate respiratory issues.

Pollen levels: Seasonal allergens increase allergy symptoms and can trigger asthma attacks, especially during warmer months.

Smoking regulations: Weak anti-smoking laws lead to increased secondhand smoke exposure for vulnerable populations.

Resource disparities: Geographic differences in healthcare resources make managing asthma more difficult in certain regions.

Particularly in areas like the Northeast, Ohio Valley, and regions affected by climate and wildfires, these factors significantly compromise respiratory health.