Asthma affects around 26.5 million people in the United States, and while triggers can vary, poor air quality remains a common problem for many. When pollution is high, irritants in the air can cause serious breathing issues.

Furthermore, limited access to healthcare can make managing asthma more difficult. According to data from the Asthma and Allergy Foundation of America (AAFA), some cities are far worse for those living with asthma. Here’s a breakdown of the top five U.S. cities where asthma sufferers face the greatest challenges.

1. Detroit, Michigan

Detroit is ranked as the worst city for asthma sufferers, with consistently poor air quality being a major concern. High ozone days and elevated levels of particle pollution significantly affect residents’ health. The city's location, with heavy traffic and manufacturing industries, contributes to this pollution problem. Detroit ranks third for asthma cases and eighth for asthma-related deaths. High poverty levels also pose an additional challenge, making it harder for many to access proper treatment and manage their asthma effectively.

2. Cleveland, Ohio

Cleveland comes in second due to its high rates of asthma cases, emergency room visits, and asthma-related deaths. Pollution, particularly ozone, plays a big role in exacerbating asthma symptoms. This is why residents here often rely on quick-relief asthma treatments like inhalers. The city’s pollution issues, combined with the need for frequent emergency care, make Cleveland a tough place for asthma sufferers.

3. Allentown, Pennsylvania

Allentown ranks third on the list, where high rates of asthma prevalence and emergency room visits are a constant concern. The city’s high pollen counts, along with other pollutants, worsen asthma symptoms, making it one of the worst cities for those with respiratory conditions. The high number of ER visits related to asthma also suggests that managing asthma in Allentown can be particularly challenging.

4. Lakeland, Florida

In Lakeland, Florida, asthma cases are alarmingly high, and residents frequently need emergency care. Many people in Lakeland rely on quick-relief asthma treatments, and the city lacks enough asthma specialists to adequately address the issue. A large portion of the population also lacks health insurance, further complicating efforts to control asthma. These factors contribute to a higher likelihood of needing emergency treatment for asthma in this city.

5. Fresno, California

Fresno rounds out the top five with its persistently low air quality, high ozone, and pollution levels. Like many other cities on this list, Fresno struggles with a shortage of asthma specialists, which makes managing asthma even harder. With high rates of asthma cases and frequent ER visits, the combination of environmental and healthcare challenges places Fresno as one of the worst cities for asthma sufferers.

For those living with asthma, it's crucial to consider the air quality and healthcare accessibility of their city. Poor air quality and limited healthcare options can make managing asthma far more difficult, leading to more frequent and severe attacks.