Top 20 Cities Facing Severe Asthma Challenges
This article reviews the 20 U.S. cities experiencing the highest asthma rates, highlighting key factors like pollution, socioeconomic issues, and healthcare access that contribute to the health crisis. It emphasizes the importance of environment, policy, and healthcare improvements for managing asthma effectively.

Asthma affects approximately 25 million Americans, making it the most common chronic disease among children. Although incurable, asthma can be effectively managed through treatment and trigger avoidance. This list highlights the 20 U.S. cities with the highest asthma prevalence. Notably, 18 are located along the East Coast.
Cities with the Highest Asthma Rates
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
The Asthma and Allergy Foundation of America (AAFA) attributes these high rates to various factors. Key contributors include socioeconomic challenges, pollution, limited healthcare access, and environmental triggers. Poverty often results in substandard housing and exposure to pollutants. Lack of health insurance limits treatment options. Urban smog, pollen, and tobacco smoke aggravate symptoms. Limited access to specialists further complicates disease management. Geographical regions face different primary challenges, from urban pollution in Northeastern cities to climate-related factors in the West.