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 3a: People at Risk In 25 Counties Most Polluted by Long-Term Particle Pollution (Annual PM2.5)

  At-Risk Groups PM2.5 Annual, 2002-2004
2006 Rank1 County ST Total Population2 Under 183 65 and Over3 Pediatric Asthma4,10 Adult Asthma5,10 Chronic Bronchitis6,10 Emphysema7,10 CV Disease8 Diabetes9 Design Value11 Pass/
Fail12
1 RIVERSIDE CA
1,871,950
534,328
217,741
45,258
101,805
55,076
21,193
424,140
88,859
24.8
FAIL
2 SAN BERNARDINO CA
1,921,131
590,853
157,655
50,045
101,975
53,378
18,462
390,748
81,249
23.4
FAIL
3 LOS ANGELES CA
9,937,739
2,732,330
988,760
231,428
552,691
294,228
107,900
2,227,574
465,287
21.7
FAIL
4 KERN CA
734,846
224,367
66,154
19,004
39,061
20,617
7,335
152,897
31,861
20.6
FAIL
5 ALLEGHENY PA
1,250,867
267,531
215,799
22,660
86,088
43,299
19,545
367,940
78,994
20.4
FAIL
6 TULARE CA
401,502
130,518
37,363
11,055
20,726
11,015
4,011
82,489
17,265
19.5
FAIL
7 FRESNO CA
866,772
265,454
83,825
22,484
45,996
24,480
8,957
184,033
38,496
18.7
FAIL
8 WAYNE MI
2,016,202
559,268
234,849
47,370
120,639
61,309
24,356
486,553
102,901
18.6
FAIL
9 KINGS CA
142,561
39,811
10,374
3,372
7,801
3,987
1,253
27,664
5,627
18.4
FAIL
10 ORANGE CA
2,987,591
796,815
309,791
67,490
168,504
90,221
33,759
692,672
145,112
17.6
FAIL
10 CUYAHOGA OH
1,351,009
327,852
205,816
27,769
86,470
44,413
19,309
369,684
79,015
17.6
FAIL
12 JEFFERSON AL
658,495
158,291
88,434
13,407
43,214
21,304
8,779
172,546
36,598
17.5
FAIL
12 FULTON GA
814,438
206,588
62,709
17,498
45,245
24,351
8,204
177,635
36,843
17.5
FAIL
14 LAKE IN
490,844
129,702
63,351
10,986
30,484
15,416
6,363
124,995
26,580
17.2
FAIL
15 HANCOCK WV
31,507
6,343
5,936
537
2,549
1,131
532
9,889
2,133
17.0
FAIL
16 MADISON IL
264,350
62,923
37,166
5,330
17,046
8,594
3,582
69,746
14,823
16.9
FAIL
16 HAMILTON OH
814,611
202,699
110,223
17,169
51,954
26,082
10,801
211,000
44,886
16.9
FAIL
16 JEFFERSON OH
71,420
14,415
13,279
1,221
4,784
2,547
1,186
22,050
4,759
16.9
FAIL
16 YORK PA
401,613
93,985
54,653
7,961
27,477
13,195
5,497
107,774
22,942
16.9
FAIL
20 NEW YORK NY
1,562,723
269,996
195,325
22,869
114,728
53,057
19,999
408,564
84,923
16.8
FAIL
20 LANCASTER PA
487,332
125,918
69,059
10,665
32,095
15,523
6,580
127,152
27,106
16.8
FAIL
22 MERCED CA
237,005
77,167
21,066
6,536
12,205
6,444
2,293
47,584
9,927
16.5
FAIL
22 STARK OH
381,229
89,766
58,212
7,603
24,644
12,695
5,535
105,936
22,707
16.5
FAIL
22 BROOKE WV
24,785
4,713
4,656
399
2,029
896
416
7,737
1,672
16.5
FAIL
25 KANAWHA WV
195,218
41,084
32,162
3,480
15,577
6,801
3,043
57,876
12,430
16.4
FAIL

(1) Counties are ranked by design value. See note 11 below.
(2) Total Population represent the at-risk populations in counties with PM2.5 monitors.
(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.
(11) The Design Value is the calculated concentration of a pollutant based on the form of the national ambient air quality standard, and is used by EPA to determine whether or not the air quality in a county meets the standard. The source for the Design Values is EPA, communication from the Office of Air Quality Planning & Standards, Mark Schmidt, October 12, 2005.
(12) Grades are based on EPA’s determination of meeting or failure to meet the NAAQS for annual PM2.5 levels during 2002-2004. Counties meeting the NAAQS received grades of Pass; counties not meeting received grades of Fail.

Tables continued...



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