Top 20 Most Challenging Cities for Asthma Patients
This article explores the 20 cities most affected by asthma, highlighting contributing factors such as poverty, pollution, and healthcare access. It provides insight into regional challenges and emphasizes the importance of managing environmental and social risk factors to improve respiratory health in vulnerable communities.

Top 20 Most Challenging Cities for Asthma Patients
Asthma affects approximately 25 million individuals nationwide and remains the most common chronic illness among children. While it cannot be cured, proper management includes symptom control and avoidance of triggers. This article highlights the 20 cities hardest hit by asthma, with 18 located along the East Coast.
Most Asthma-Prone Cities
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 key factors contribute to high asthma rates in these cities:
Poverty: Low-income populations often live in substandard housing near pollution sources and lack access to quality healthcare, increasing asthma risks.
Limited healthcare access: Without sufficient insurance, managing asthma becomes difficult due to high treatment costs and limited specialist availability.
Air Pollution: Urban pollution from vehicle emissions, smog, and airborne irritants worsens respiratory conditions.
Pollen: Seasonal pollen increases allergy symptoms, triggering asthma attacks, especially in warmer months.
Smoking Laws: Lax regulations around smoking lead to higher exposure to secondhand smoke, impacting asthma sufferers.
Healthcare Resources: Geographic disparities in access to specialists make effective asthma management challenging in certain areas.
Regions like the Northeast Mid-Atlantic, Ohio Valley, and areas influenced by climate and wildfires face compounded risks due to these factors, affecting residents’ respiratory health.