Top 25 - Total Health ImpactsTop 25 - PM2.5 Health ImpactsTop 25 - O3 Health Impacts
Rank (2017-2019)CityAnnual Excess Mortality (PM2.5 and O3)
1Los Angeles-Long Beach-Anaheim, CA 2,287
2Riverside-San Bernardino-Ontario, CA 1,298
3Chicago-Naperville-Elgin, IL-IN-WI 820
4San Francisco-Oakland-Berkeley, CA 548
5Phoenix-Mesa-Chandler, AZ 491
6Houston-The Woodlands-Sugar Land, TX 460
7New York-Newark-Jersey City, NY-NJ-PA * 405
8Detroit-Warren-Dearborn, MI * 421
9Philadelphia-Camden-Wilmington, PA-NJ-DE-MD * 411
10Pittsburgh, PA 403
11Bakersfield, CA 333
12Fresno, CA 307
13Sacramento-Roseville-Folsom, CA 304
14San Diego-Chula Vista-Carlsbad, CA 281
15Dallas-Fort Worth-Arlington, TX 273
16Cleveland-Elyria, OH 261
17Cincinnati, OH-KY-IN 235
18San Jose-Sunnyvale-Santa Clara, CA 190
19Seattle-Tacoma-Bellevue, WA 187
20Stockton, CA 183
21St. Louis, MO-IL 182
22Atlanta-Sandy Springs-Alpharetta, GA 173
23Indianapolis-Carmel-Anderson, IN 169
24Visalia, CA 149
25Modesto, CA 146
* Rankings are based on a weighted total of excess mortality, lung cancer, morbidity and impacted days.
Rank (2017-2019)CityAnnual Excess Mortality (PM2.5)
1Los Angeles-Long Beach-Anaheim, CA 1,670
2Riverside-San Bernardino-Ontario, CA 1,013
3Chicago-Naperville-Elgin, IL-IN-WI 681
4San Francisco-Oakland-Berkeley, CA 512
5Pittsburgh, PA 373
6Phoenix-Mesa-Chandler, AZ 363
7Detroit-Warren-Dearborn, MI 351
8Houston-The Woodlands-Sugar Land, TX 344
9Philadelphia-Camden-Wilmington, PA-NJ-DE-MD * 294
10Bakersfield, CA * 295
11Fresno, CA 269
12Sacramento-Roseville-Folsom, CA 243
13Cleveland-Elyria, OH 226
14Cincinnati, OH-KY-IN 203
15New York-Newark-Jersey City, NY-NJ-PA 193
16San Jose-Sunnyvale-Santa Clara, CA 178
17San Diego-Chula Vista-Carlsbad, CA * 167
18Stockton, CA * 168
19Seattle-Tacoma-Bellevue, WA 159
20Indianapolis-Carmel-Anderson, IN 145
21St. Louis, MO-IL * 144
22Dallas-Fort Worth-Arlington, TX * 145
23Atlanta-Sandy Springs-Alpharetta, GA 140
24Visalia, CA 131
25Modesto, CA 128
* Rankings are based on a weighted total of excess mortality, lung cancer, morbidity and impacted days.
Rank (2017-2019)CityAnnual Excess Mortality (O3)
1Los Angeles-Long Beach-Anaheim, CA 616
2Riverside-San Bernardino-Ontario, CA 285
3New York-Newark-Jersey City, NY-NJ-PA 212
4Chicago-Naperville-Elgin, IL-IN-WI 139
5Dallas-Fort Worth-Arlington, TX * 128
6Phoenix-Mesa-Chandler, AZ * 128
7Houston-The Woodlands-Sugar Land, TX 116
8San Diego-Chula Vista-Carlsbad, CA * 114
9Philadelphia-Camden-Wilmington, PA-NJ-DE-MD * 117
10Detroit-Warren-Dearborn, MI 70
11Sacramento-Roseville-Folsom, CA 61
12Las Vegas-Henderson-Paradise, NV 58
13Baltimore-Columbia-Towson, MD 49
14Denver-Aurora-Lakewood, CO 45
15Washington-Arlington-Alexandria, DC-VA-MD-WV 43
16Bakersfield, CA * 38
17Fresno, CA * 38
18San Francisco-Oakland-Berkeley, CA * 36
19Boston-Cambridge-Newton, MA-NH * 37
20St. Louis, MO-IL * 37
21Atlanta-Sandy Springs-Alpharetta, GA * 34
22Cleveland-Elyria, OH * 35
23Tampa-St. Petersburg-Clearwater, FL 33
24Cincinnati, OH-KY-IN 33
25San Antonio-New Braunfels, TX 30