American Lung Association American Lung Association State of the Air 2006--Protect the Air You Breathe
American Lung Association State of the Air 2006

Table 2a: People at Risk In 25 U.S. Cities Most Polluted by Year-Round Particle Pollution (Annual PM2.5)

2006 Rank1 Metropolitan Statistical Areas Total Population2 Under 183 65 and Over3 Pediatric Asthma4,10 Adult Asthma5,10 Chronic Bronchitis6,10 Emphysema7,10 CV Disease8,10 Diabetes9,10
1 Los Angeles-Long Beach-Rivereside, CA
17,516,110
4,872,222
1,758,285
412,677
969,762
517,046
190,563
3,922,964
820,170
2 Bakersfield, CA
734,846
224,367
66,154
19,004
39,061
20,617
7,335
152,897
31,861
3 Pittsburgh-New Castle, PA
2,494,949
534,429
432,913
45,266
171,493
86,578
39,272
738,606
158,683
4 Visalia-Porterville, CA
401,502
130,518
37,363
11,055
20,726
11,015
4,011
82,489
17,265
5 Fresno-Madera, CA
1,005,723
304,593
98,575
25,799
53,635
28,576
10,494
215,302
45,047
6 Detroit-Warren-Flint, MI
5,428,855
1,391,873
630,017
117,892
334,560
169,745
66,925
1,343,533
284,277
7 Hanford-Corcoran, CA
142,561
39,811
10,374
3,372
7,801
3,987
1,253
27,664
5,627
8 Cleveland-Akron-Elyria, OH
2,942,303
709,772
416,421
60,118
189,311
96,106
40,652
788,868
168,326
9 Birmingham-Hoover-Cullman, AL
1,161,382
279,334
148,524
23,660
76,020
37,357
15,117
298,829
63,479
9 Atlanta-Sandy Springs-Gainesville, GA-AL
5,034,362
1,346,882
403,343
114,081
274,801
147,923
50,442
1,084,733
224,681
11 Chicago-Naperville-Michigan City, IL-IN-WI
9,608,458
2,533,135
1,042,656
214,557
598,199
293,267
111,789
2,273,008
477,889
12 Weirton-Steubenville, WV-OH
127,712
25,471
23,871
2,157
9,362
4,574
2,134
39,676
8,565
13 York-Hanover-Gettysburg, PA
499,935
116,635
68,179
9,879
34,237
16,415
6,825
133,737
28,466
13 St. Louis-St. Charles-Farmington, MO-IL
2,824,778
692,806
361,144
58,681
191,293
90,294
36,582
723,152
153,458
13 Cincinnati-Middletown-Wilmington, OH-KY-IN
2,100,501
530,912
246,114
44,968
132,969
65,740
25,787
517,182
109,342
16 New York-Newark-Bridgeport, NY-NJ-CT-PA
21,858,830
5,332,462
2,767,878
451,660
1,467,303
697,083
280,071
5,562,521
1,175,966
16 Lancaster, PA
487,332
125,918
69,059
10,665
32,095
15,523
6,580
127,152
27,106
18 Merced, CA
237,005
77,167
21,066
6,536
12,205
6,444
2,293
47,584
9,927
18 Canton-Massillon, OH
410,805
96,625
62,507
8,184
26,569
13,682
5,959
114,136
24,462
20 Charleston, WV
307,763
66,786
46,781
5,657
24,324
10,528
4,580
88,260
18,907
21 Washington-Baltimore-Northern Virginia, DC-MD-VA-WV
8,026,807
2,012,234
818,310
170,436
467,406
249,148
93,469
1,924,174
404,805
22 Reading, PA
391,640
93,203
55,741
7,894
26,559
12,771
5,359
103,981
22,147
22 Hagerstown-Martinsburg, MD-WV
244,796
57,378
31,715
4,860
16,391
7,910
3,187
63,227
13,359
24 Indianapolis-Anderson-Columbus, IN
1,939,349
516,493
216,475
43,747
119,784
59,300
22,945
464,051
97,681
25 Louisville-Elizabethtown-Scottsburg, KY-IN
1,334,002
326,664
161,546
27,668
83,430
42,505
16,939
338,564
71,675

(1) Cities are ranked using the highest design value for any county within that metropolitan area.
(2) Total Population represent the at-risk populations for all counties within the respective CSA or MSA.
(3) Those 18 & under and 65 & over are vulnerable to PM2.5 and are therefore included. They should not be used as population denominators for disease estimates.
(4) Pediatric asthma estimates are for those under 18 years of age and represent the estimated number of people who had asthma in 2004 based on national rates (NHIS) applied to county
population estimates (US Census).
(5) Adult asthma estimates are for those 18 years and older and represent the estimated number of people who had asthma during 2004 based on state rates (BRFSS) applied to county population estimates (US Census).
(6) Chronic bronchitis estimates are for adults 18 and over who had been diagnosed within 2004 based on national rates (NHIS) applied to county population estimates (US Census).
(7) Emphysema estimates are for adults 18 and over who have been diagnosed within their lifetime based on national rates (NHIS) applied to county population estimates (US Census).
(8) CV disease estimates are based on American Heart Association estimates of cardiovascular disease applied to county populations.
(9) Diabetes estimates are for adults 18 and over who have been diagnosed within their lifetime based on national rates (NHIS) applied to county population estimates (US Census).
(10) Adding across rows does not produce valid estimates, i.e. summing pediatric and adult asthma and/or emphysema and chronic bronchitis.

Tables continued...



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