American Lung Association American Lung Association State of the Air 2005--Protect the Air You Breathe
American Lung Association State of the Air 2005

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

2005 Rank1 Metropolitan
Statistical Areas
Total Population2 Under 183 65 and Over3 Pediatric Asthma4,10 Adult Asthma5,10 Chronic Bronchitis6,10 Emphy-
sema7,10
CV Disease8 Diabetes9
1 Los Angeles-
Long Beach-
Riverside,CA
17,262,730 4,773,688 1,726,890 406,241 1,047,189 487,063 163,371 3,845,468 755,712
2 Bakersfield,CA 713,087 216,213 65,323 18,400 41,841 19,203 6,268 149,137 29,278
3 Visalia-
Porterville,CA
390,791 126,408 36,887 10,757 22,353 10,274 3,433 80,469 15,870
4 Pittsburgh-New
Castle,PA
2,503,738 538,346 435,205 45,813 164,460 82,962 35,011 736,454 148,913
5 Fresno-
Madera,CA
850,325 259,249 82,665 22,062 49,895 22,966 7,676 180,181 35,477
6 Detroit-Warren-
Flint,MI
5,415,338 1,392,569 627,690 118,508 368,210 161,747 58,570 1,330,602 264,494
7 Hanford-
Corcoran,CA
138,564 38,461 10,142 3,273 8,350 3,709 1,052 27,004 5,182
8 Cleveland-Akron-
Elyria,OH
2,944,276 721,823 416,349 61,427 158,085 91,507 35,833 781,539 156,839
9

Atlanta-Sandy
Springs-
Gainesville,GA

4,929,880 1,318,562 389,845 112,210 252,956 138,358 42,575 1,054,739 205,061
10 Weirton-
Steubenville,
WV-OH
128,569 26,143 23,950 2,225 7,746 4,384 1,907 39,547 8,037
10 Cincinnati-
Middletown-
Wilmington,
OH-KY-IN
2,089,089 535,904 242,847 45,605 118,183 62,165 22,369 508,620 101,057
12 New York-
Newark-
Bridgeport, NY-NJ-CT-PA
21,766,731 5,275,035 2,759,958 448,905 1,247,221 664,658 245,683 5,518,674 1,097,159
12 Chicago-
Naperville-
Michigan City,IL-IN-WI
9,549,014 2,523,955 1,030,638 214,789 532,303 278,102 96,917 2,241,250 442,939
14 St. Louis-St.
Charles-
Farmington,MO-IL
2,793,856 702,031 357,247 59,743 166,100 84,776 31,743 707,479 141,212
15 Canton-
Massillon,OH
407,118 97,939 61,706 8,335 22,024 12,896 5,218 112,025 22,588
15 Birmingham-
Hoover-Cullman,AL
1,150,916 281,635 147,392 23,967 64,783 35,264 13,199 294,560 58,774
17 Charleston,WV 306,836 67,586 46,682 5,752 19,444 10,015 4,046 87,273 17,576
18 York-Hanover-
Gettysburg,PA
491,375 115,215 67,052 9,805 31,379 15,419 5,927 130,685 26,156
18 Merced,CA 231,574 75,202 20,841 6,400 13,191 6,022 1,959 46,518 9,142
18 Lancaster,PA 482,775 124,674 68,520 10,610 29,877 14,702 5,768 125,415 25,165
21 Louisville-
Elizabethtown-
Scottsburg,KY-IN
1,323,199 329,497 159,412 28,040 94,091 40,100 14,696 331,990 66,049
22 Indianapolis-
Anderson-
Columbus,IN
1,912,560 511,695 212,471 43,545 113,077 55,793 19,783 454,173 89,859
22 Columbus-
Marion-
Chillicothe,OH
1,900,497 476,433 197,869 40,544 100,495 55,993 19,057 446,106 87,931
24 Washington-
Baltimore-
Northern
Virginia,DC-MD-VA-WV
7,910,633 1,975,905 800,559 168,150 466,322 235,122 80,473 1,885,083 372,285
24 Huntington-
Ashland,WV-KY-OH
286,517 62,088 44,066 5,284 18,836 9,302 3,719 80,354 16,147

(1) Cities are ranked by using the highest weighted average for any county within that metropolitan area.
(2)
Total Population represents the at-risk populations for all counties within the respective MSAs.
(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 2003 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 2003 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 2003 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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