Breathing clean air isn’t a given in every American city. Some places battle smog year-round, putting residents at risk of serious health issues.
Ozone pollution, also known as smog, forms when pollutants from cars, factories, and other sources react in sunlight. It’s a major problem in cities with hot, stagnant air. Here’s a ranking of the worst offenders, from the most polluted to the least—though none of them are breathing easy.
1. Los Angeles-Long Beach, California

No surprise here—Los Angeles has led the nation in ozone pollution for decades. Trapped between mountains and filled with traffic, LA’s famous smog is a daily reality. While efforts to cut emissions have helped, the city’s warm, sunny climate keeps ozone levels high.
2. Bakersfield, California

Bakersfield sits in California’s Central Valley, where pollution lingers due to stagnant air. The city’s agriculture and oil industries contribute to its worsening air quality. Combined with extreme heat, these factors make it one of the worst places for ozone pollution.
3. Visalia, California

Nestled near the Sierra Nevada, Visalia suffers from pollution blown in from other parts of California. The region’s air stagnation and intense summer heat trap ozone in place, making it dangerous for outdoor activity.
4. Fresno-Madera-Hanford, California

Another Central Valley hotspot, Fresno’s air quality issues stem from both local pollution and bad luck with geography. With little wind to clear the air, ozone builds up fast. Residents often face multiple high-smog days every year.
5. Phoenix-Mesa, Arizona

Phoenix’s sprawling metro area and sweltering temperatures make it a prime spot for smog. Vehicle emissions mix with the intense sun, creating dangerous ozone levels. Despite strict pollution controls, the city still struggles with dirty air.
6. Sacramento-Roseville, California

California’s capital city might not be as famous for smog as LA, but it still ranks among the worst. The region’s vehicle traffic and wildfire smoke add to its pollution burden. Hot summers only make the problem worse.
7. San Diego-Chula Vista-Carlsbad, California

San Diego’s cool ocean breezes help a little, but the city still suffers from high ozone levels. Heavy freeway traffic and pollution drifting in from LA keep smog levels stubbornly high.
8. Denver-Aurora, Colorado

Denver’s famous mountains aren’t just scenic—they also trap pollution. The city’s high elevation and warm summers create a perfect storm for ozone buildup. As the population grows, so do the emissions making the problem worse.
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9. Salt Lake City-Provo-Orem, Utah

Utah’s biggest metro area faces a unique challenge: winter and summer pollution spikes. In the colder months, temperature inversions trap dirty air close to the ground. In the summer, the heat leads to increased ozone levels. It’s a year-round problem.
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10. San Jose-San Francisco-Oakland, California

The Bay Area might be known for its tech industry, but its air quality is a different story. Despite its coastal location, the region still battles ozone pollution from heavy traffic and industrial emissions. It ranks the lowest on this list, but that doesn’t mean the air is clean.
These cities prove that even with modern technology, air pollution is still a major concern. If you live in one of these areas, checking air quality reports and limiting outdoor activity on high-smog days is essential.
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