Asthma Capitals
2026 Asthma Capitals®
The Asthma and Allergy Foundation of America’s (AAFA) Asthma Capitals® report [3] ranks the largest 100 cities in the contiguous (“lower 48”) U.S. by how challenging they are to live in when you have asthma. AAFA publishes this report to show the nationwide burden of asthma. It is a call to action to help the nearly 28 million people in the U.S. with asthma.
Asthma is greatly influenced by where someone lives. People who have affordable and accessible health care, clean air, and economic stability have a greater chance of managing and controlling their asthma. The report ranks cities based on: asthma rates, emergency room visits, and deaths. These outcomes are influenced by various risk factors that can make asthma harder to manage and control.
Asthma Capitals 2026
Hover over each state to see more information about cities that rank in this year’s report [3].
Alabama
Birmingham ranks #86
Click on state to read full report.
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Alaska is not included in the ranking because finding data
that matches the data from the contiguous U.S. is challenging.
Click on state to read full U.S. report.
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Phoenix ranks #20 due to
higher-than-average asthma rates
Air pollution is a major risk factor
Tucson ranks #21
Click on state to read full report.
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Little Rock ranks #92
Fayetteville ranks #97
Click on state to read full report.
', 'url': 'https://aafa.org/wp-content/uploads/2026/07/aafa-2026-asthma-capitals-report.pdf', 'targt': '_blank', 'upclr': '#a9e5e3', 'ovrclr': '#92278f', 'dwnclr': '#692d87', 'enbl': true, 'title': 'usvn_4' }, 'usmap_5': { 'hover': 'California
Sacramento ranks #10 due to
higher-than-average asthma rates
and emergencies
Risk factors in Sacramento include
poor air quality, few asthma specialists,
and low RSV vaccination rates which can
lead to higher asthma rates and emergencies
Fresno ranks #12 due to high
asthma rates and deaths
Fresnso has the fewest asthma
specialists of all cities
San Francisco ranks #30
Stockton ranks #31
Los Angeles ranks #34
Riverside ranks #49
San Diego ranks #50
San Jose ranks #56
Oxnard ranks #66
Bakersfield ranks #72
Click on state to read full report.
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Denver ranks #69
Colorado Springs ranks #90
Click on state to read full report.
', 'url': 'https://aafa.org/wp-content/uploads/2026/07/aafa-2026-asthma-capitals-report.pdf', 'targt': '_blank', 'upclr': '#a9e5e3', 'ovrclr': '#92278f', 'dwnclr': '#692d87', 'enbl': true, 'title': 'usvn_6' }, 'usmap_7': { 'hover': 'Connecticut
Hartford ranks #8 due to
higher-than-average asthma
rates and deaths
Poverty is a major risk factor in Hartford
Bridgeport ranks #33
New Haven ranks #60
Click on state to read full report.
', 'url': 'https://aafa.org/wp-content/uploads/2026/07/aafa-2026-asthma-capitals-report.pdf', 'targt': '_blank', 'upclr': '#28bdba', 'ovrclr': '#92278f', 'dwnclr': '#692d87', 'enbl': true, 'title': 'usvn_7' }, 'usmap_8': { 'hover': 'Delaware
Though no Delaware metropolitan area falls within the top 100 most populated metropolitan areas in the contiguous United States, Wilmington is included in the Philadelphia MSA.
Click on state to read full U.S. report.
', 'url': 'https://aafa.org/wp-content/uploads/2026/07/aafa-2026-asthma-capitals-report.pdf', 'targt': '_blank', 'upclr': '#d7d7d7', 'ovrclr': '#92278f', 'dwnclr': '#692d87', 'enbl': true, 'title': 'usvn_8' }, 'usmap_9': { 'hover': 'Florida
Lakeland ranks #6 due to
higher-than-average asthma rates
and emergency visits (3rd highest)
Risk factors in Lakeland include
lack of health insurance,
few asthma specialists, and
low vaccination rates for flu and COVID-19
Miami ranks #39
Orlando ranks #42
Palm Bay ranks #64
Daytona Beach ranks #76
Jacksonville ranks #81
Sarasota ranks #88
Tampa ranks #89
Cape Coral ranks #98
Click on state to read full report.
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Atlanta ranks #44
Augusta ranks #83
Click on state to read full report.
', 'url': 'https://aafa.org/wp-content/uploads/2026/07/aafa-2026-asthma-capitals-report.pdf', 'targt': '_blank', 'upclr': '#a9e5e3', 'ovrclr': '#92278f', 'dwnclr': '#692d87', 'enbl': true, 'title': 'usvn_10' }, 'usmap_11': { 'hover': 'Hawaii
Hawaii is not included in the ranking because finding data
that matches the data from the contiguous U.S. is challenging.
Click on state to read full U.S. report.
', 'url': 'https://aafa.org/wp-content/uploads/2026/07/aafa-2026-asthma-capitals-report.pdf', 'targt': '_blank', 'upclr': '#d7d7d7', 'ovrclr': '#92278f', 'dwnclr': '#692d87', 'enbl': true, 'title': 'usvn_11' }, 'usmap_12': { 'hover': 'Idaho
Boise ranks #94
Click on state to read full report.
', 'url': 'https://aafa.org/wp-content/uploads/2026/07/aafa-2026-asthma-capitals-report.pdf', 'targt': '_blank', 'upclr': '#a9e5e3', 'ovrclr': '#92278f', 'dwnclr': '#692d87', 'enbl': true, 'title': 'usvn_12' }, 'usmap_13': { 'hover': 'Illinois
Chicago ranks #58
Click on state to read full report.
', 'url': 'https://aafa.org/wp-content/uploads/2026/07/aafa-2026-asthma-capitals-report.pdf', 'targt': '_blank', 'upclr': '#a9e5e3', 'ovrclr': '#92278f', 'dwnclr': '#692d87', 'enbl': true, 'title': 'usvn_13' }, 'usmap_14': { 'hover': 'Indiana
Indianapolis ranks #45
Click on state to read full report.
', 'url': 'https://aafa.org/wp-content/uploads/2026/07/aafa-2026-asthma-capitals-report.pdf', 'targt': '_blank', 'upclr': '#a9e5e3', 'ovrclr': '#92278f', 'dwnclr': '#692d87', 'enbl': true, 'title': 'usvn_14' }, 'usmap_15': { 'hover': 'Iowa
Des Moines ranks #96
Click on state to read full report.
', 'url': 'https://aafa.org/wp-content/uploads/2026/07/aafa-2026-asthma-capitals-report.pdf', 'targt': '_blank', 'upclr': '#a9e5e3', 'ovrclr': '#92278f', 'dwnclr': '#692d87', 'enbl': true, 'title': 'usvn_15' }, 'usmap_16': { 'hover': 'Kansas
Wichita ranks #67
Click on state to read full report.
', 'url': 'https://aafa.org/wp-content/uploads/2026/07/aafa-2026-asthma-capitals-report.pdf', 'targt': '_blank', 'upclr': '#a9e5e3', 'ovrclr': '#92278f', 'dwnclr': '#692d87', 'enbl': true, 'title': 'usvn_16' }, 'usmap_17': { 'hover': 'Kentucky
Louisville ranks #63
Click on state to read full report.
', 'url': 'https://aafa.org/wp-content/uploads/2026/07/aafa-2026-asthma-capitals-report.pdf', 'targt': '_blank', 'upclr': '#a9e5e3', 'ovrclr': '#92278f', 'dwnclr': '#692d87', 'enbl': true, 'title': 'usvn_17' }, 'usmap_18': { 'hover': 'Louisiana
New Orleans ranks #47
Baton Rouge ranks #65
Click on state to read full report.
', 'url': 'https://aafa.org/wp-content/uploads/2026/07/aafa-2026-asthma-capitals-report.pdf', 'targt': '_blank', 'upclr': '#a9e5e3', 'ovrclr': '#92278f', 'dwnclr': '#692d87', 'enbl': true, 'title': 'usvn_18' }, 'usmap_19': { 'hover': 'Maine
Maine does not have an Asthma Capital because its largest metropolitan area, Portland, falls just outside the 100 most populated metropolitan areas in the contiguous United States, and there are no other Maine cities that fall within other MSAs in the top 100 list.
Click on state to read full U.S. report.
', 'url': 'https://aafa.org/wp-content/uploads/2026/07/aafa-2026-asthma-capitals-report.pdf', 'targt': '_blank', 'upclr': '#d7d7d7', 'ovrclr': '#92278f', 'dwnclr': '#692d87', 'enbl': true, 'title': 'usvn_19' }, 'usmap_20': { 'hover': 'Maryland
Baltimore ranks #16 overall
and has the highest number
of asthma-related deaths
Poverty and air pollution are
major risk factors in Baltimore
Click on state to read full report.
Massachusetts
Worcester ranks #43
Boston ranks #75
Click on state to read full report.
', 'url': 'https://aafa.org/wp-content/uploads/2026/07/aafa-2026-asthma-capitals-report.pdf', 'targt': '_blank', 'upclr': '#a9e5e3', 'ovrclr': '#92278f', 'dwnclr': '#692d87', 'enbl': true, 'title': 'usvn_21' }, 'usmap_22': { 'hover': 'Michigan
Detroit ranks #2 due to
higher-than-average asthma rates
and asthma-related deaths
Detroit\'s risk factors include
high poverty rates, significant
air pollution, and health care barriers
Grand Rapids ranks #85
Click on state to read full report.
Minnesota
Minneapolis ranks #54
Click on state to read full report.
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Jackson ranks #36
Click on state to read full report.
', 'url': 'https://aafa.org/wp-content/uploads/2026/07/aafa-2026-asthma-capitals-report.pdf', 'targt': '_blank', 'upclr': '#a9e5e3', 'ovrclr': '#92278f', 'dwnclr': '#692d87', 'enbl': true, 'title': 'usvn_24' }, 'usmap_25': { 'hover': 'Missouri
St. Louis ranks #28
Kansas City ranks #82
Click on state to read full report.
', 'url': 'https://aafa.org/wp-content/uploads/2026/07/aafa-2026-asthma-capitals-report.pdf', 'targt': '_blank', 'upclr': '#a9e5e3', 'ovrclr': '#92278f', 'dwnclr': '#692d87', 'enbl': true, 'title': 'usvn_25' }, 'usmap_26': { 'hover': 'Montana
Montana does not have an Asthma Capital because its largest metropolitan area, Billings, is not in the 100 most populated metropolitan areas in the contiguous United States, and there are no other Montana cities that fall within other MSAs in the top 100 list.
Click on state to read full U.S. report.
', 'url': 'https://aafa.org/wp-content/uploads/2026/07/aafa-2026-asthma-capitals-report.pdf', 'targt': '_blank', 'upclr': '#d7d7d7', 'ovrclr': '#92278f', 'dwnclr': '#692d87', 'enbl': true, 'title': 'usvn_26' }, 'usmap_27': { 'hover': 'Nebraska
Omaha ranks #25
Click on state to read full report.
', 'url': 'https://aafa.org/wp-content/uploads/2026/07/aafa-2026-asthma-capitals-report.pdf', 'targt': '_blank', 'upclr': '#a9e5e3', 'ovrclr': '#92278f', 'dwnclr': '#692d87', 'enbl': true, 'title': 'usvn_27' }, 'usmap_28': { 'hover': 'Nevada
Las Vegas ranks #46
Reno ranks #51
Click on state to read full report.
', 'url': 'https://aafa.org/wp-content/uploads/2026/07/aafa-2026-asthma-capitals-report.pdf', 'targt': '_blank', 'upclr': '#a9e5e3', 'ovrclr': '#92278f', 'dwnclr': '#692d87', 'enbl': true, 'title': 'usvn_28' }, 'usmap_29': { 'hover': 'New Hampshire
Though no New Hampshire metropolitan area falls within the top 100 most populated metropolitan areas in the contiguous United States, some New Hampshire cities, such as Manchester and Concord, are included in the Boston metropolitan statistical area.
Click on state to read full U.S. report.
', 'url': 'https://aafa.org/wp-content/uploads/2026/07/aafa-2026-asthma-capitals-report.pdf', 'targt': '_blank', 'upclr': '#d7d7d7', 'ovrclr': '#92278f', 'dwnclr': '#692d87', 'enbl': true, 'title': 'usvn_29' }, 'usmap_30': { 'hover': 'New Jersey
Though no New Jersey metropolitan area falls within the top 100 most populated metropolitan areas in the contiguous United States, some New Jersey cities are included in the MSAs for New York City (Newark, Jersey City), Philadelphia (Camden), and Allentown (Easton).
Click on state to read full U.S. report.
', 'url': 'https://aafa.org/wp-content/uploads/2026/07/aafa-2026-asthma-capitals-report.pdf', 'targt': '_blank', 'upclr': '#d7d7d7', 'ovrclr': '#92278f', 'dwnclr': '#692d87', 'enbl': true, 'title': 'usvn_30' }, 'usmap_31': { 'hover': 'New Mexico
Albuquerque ranks #38
Click on state to read full report.
', 'url': 'https://aafa.org/wp-content/uploads/2026/07/aafa-2026-asthma-capitals-report.pdf', 'targt': '_blank', 'upclr': '#a9e5e3', 'ovrclr': '#92278f', 'dwnclr': '#692d87', 'enbl': true, 'title': 'usvn_31' }, 'usmap_32': { 'hover': 'New York
Rochester ranks #3 due to having
the highest asthma rates of all analyzed cities
Rochester\'s risk factors include lack of asthma
specialists and too much air pollution
Syracuse ranks #7 due to higher-than-
average asthma rates and deaths
Albany ranks #15
Poughkeepsie ranks #22
New York ranks #26
Buffalo ranks #73
New York has the most cities in the top 20
(and top 30) of this year\'s ranking.
Click on state to read full report.
North Carolina
Greensboro ranks #53
Raleigh ranks #59
Charlotte ranks #77
Durham ranks #84
Winston-Salem ranks #87
Click on state to read full report.
', 'url': 'https://aafa.org/wp-content/uploads/2026/07/aafa-2026-asthma-capitals-report.pdf', 'targt': '_blank', 'upclr': '#a9e5e3', 'ovrclr': '#92278f', 'dwnclr': '#692d87', 'enbl': true, 'title': 'usvn_33' }, 'usmap_34': { 'hover': 'North Dakota
North Dakota does not have an Asthma Capital because its largest metropolitan area, Fargo, is not in the 100 most populated metropolitan areas in the contiguous United States, and there are no other North Dakota cities that fall within other MSAs in the top 100 list.
Click on state to read full U.S. report.
', 'url': 'https://aafa.org/wp-content/uploads/2026/07/aafa-2026-asthma-capitals-report.pdf', 'targt': '_blank', 'upclr': '#d7d7d7', 'ovrclr': '#92278f', 'dwnclr': '#692d87', 'enbl': true, 'title': 'usvn_34' }, 'usmap_35': { 'hover': 'Ohio
Cleveland ranks #5 due to
higher-than-average asthma
rates, emergency visits, and deaths
Air pollution is a major risk factor
Cincinnati ranks #23
Columbus ranks #37
Dayton ranks #41
Toledo ranks #48
Akron ranks #55
Click on state to read full report.
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Oklahoma City ranks #40
Tulsa ranks #62
Click on state to read full report.
', 'url': 'https://aafa.org/wp-content/uploads/2026/07/aafa-2026-asthma-capitals-report.pdf', 'targt': '_blank', 'upclr': '#a9e5e3', 'ovrclr': '#92278f', 'dwnclr': '#692d87', 'enbl': true, 'title': 'usvn_36' }, 'usmap_37': { 'hover': 'Oregon
Portland ranks #71
Click on state to read full report.
', 'url': 'https://aafa.org/wp-content/uploads/2026/07/aafa-2026-asthma-capitals-report.pdf', 'targt': '_blank', 'upclr': '#a9e5e3', 'ovrclr': '#92278f', 'dwnclr': '#692d87', 'enbl': true, 'title': 'usvn_37' }, 'usmap_38': { 'hover': 'Pennsylvania
Allentown ranks #1 due to having the
highest rate of asthma emergencies
Philadelphia ranks #4 due to high rates
of asthma and higher-than-average
asthma-related deaths
Air pollution and poverty are major risk factors
affecting people of Allentown and Philadelphia
Harrisburg ranks #32
Pittsburgh ranks #68
Click on state to read full report.
', 'url': 'https://aafa.org/wp-content/uploads/2026/07/aafa-2026-asthma-capitals-report.pdf', 'targt': '_blank', 'upclr': '#e23b4d', 'ovrclr': '#92278f', 'dwnclr': '#692d87', 'enbl': true, 'title': 'usvn_38' }, 'usmap_39': { 'hover': 'Rhode Island
Providence ranks #17 due to
higher-than-average asthma rates
Poverty is a major risk factor:
1 in 5 people in Providence live in poverty
Click on state to read full report.
South Carolina
Charleston ranks #9 due to
higher-than-average asthma rates
and high rates of asthma emergencies
Columbia ranks #11 due to
high asthma rates and
higher-than-average emergencies
Greenville ranks #35
Statewide, flu vaccination rates are low, and
can contribute to asthma emergencies
Click on state to read full report.
', 'url': 'https://aafa.org/wp-content/uploads/2026/07/aafa-2026-asthma-capitals-report.pdf', 'targt': '_blank', 'upclr': '#28bdba', 'ovrclr': '#92278f', 'dwnclr': '#692d87', 'enbl': true, 'title': 'usvn_40' }, 'usmap_41': { 'hover': 'South Dakota
South Dakota does not have an Asthma Capital because its largest metropolitan area, Sioux Falls, is not in the 100 most populated metropolitan areas in the contiguous United States, and there are no other South Dakota cities that fall within other MSAs in the top 100 list.
Click on state to read full U.S. report.
', 'url': 'https://aafa.org/wp-content/uploads/2026/07/aafa-2026-asthma-capitals-report.pdf', 'targt': '_blank', 'upclr': '#d7d7d7', 'ovrclr': '#92278f', 'dwnclr': '#692d87', 'enbl': true, 'title': 'usvn_41' }, 'usmap_42': { 'hover': 'Tennessee
Chattanooga ranks #29 (up from #77 in 2025)
due to higher rate of asthma emergencies
Nashville ranks #57
Memphis ranks #61
Knoxville ranks #99
Click on state to read full report.
', 'url': 'https://aafa.org/wp-content/uploads/2026/07/aafa-2026-asthma-capitals-report.pdf', 'targt': '_blank', 'upclr': '#a9e5e3', 'ovrclr': '#92278f', 'dwnclr': '#692d87', 'enbl': true, 'title': 'usvn_42' }, 'usmap_43': { 'hover': 'Texas
Dallas ranks #18 due to
higher-than-average asthma
rates and emergencies
Dallas has the 3rd highest rate of
people without health insurance
El Paso ranks #70
San Antonio ranks #74
Austin ranks #78
McAllen ranks #79
Houston ranks #95
Click on state to read full report.
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Ogden ranks #80
Salt Lake City ranks #93
Provo ranks #100
Click on state to read full report.
', 'url': 'https://aafa.org/wp-content/uploads/2026/07/aafa-2026-asthma-capitals-report.pdf', 'targt': '_blank', 'upclr': '#a9e5e3', 'ovrclr': '#92278f', 'dwnclr': '#692d87', 'enbl': true, 'title': 'usvn_44' }, 'usmap_45': { 'hover': 'Vermont
Vermont does not have an Asthma Capital because its largest metropolitan area, Burlington, is not in the 100 most populated metropolitan areas in the contiguous United States, and there are no other Vermont cities that fall within other MSAs in the top 100 list.
Click on state to read full U.S. report.
', 'url': 'https://aafa.org/wp-content/uploads/2026/07/aafa-2026-asthma-capitals-report.pdf', 'targt': '_blank', 'upclr': '#d7d7d7', 'ovrclr': '#92278f', 'dwnclr': '#692d87', 'enbl': true, 'title': 'usvn_45' }, 'usmap_46': { 'hover': 'Virginia
Virginia Beach ranks #13
Virginia Beach has the 2nd highest
number of asthma emergencies
Strengthening public smoking laws and
supporting RSV vaccination would help protect
residents and visitors
Richmond ranks #27
Click on state to read full report.
Washington
Spokane ranks #14
Spokane has one of the highest
pollen scores (5th in the nation)
Seattle ranks #52
Click on state to read full report.
West Virginia
Though no West Virginia metropolitan area falls within the top 100 most populated metropolitan areas in the contiguous United States, Jefferson County is included in the Washington, DC MSA.
Click on state to read full U.S. report.
', 'url': 'https://aafa.org/wp-content/uploads/2026/07/aafa-2026-asthma-capitals-report.pdf', 'targt': '_blank', 'upclr': '#d7d7d7', 'ovrclr': '#92278f', 'dwnclr': '#692d87', 'enbl': true, 'title': 'usvn_48' }, 'usmap_49': { 'hover': 'Wisconsin
Milwaukee ranks #19 due to
higher-than-average asthma
rates and emergencies
Poverty and air pollution are major
risk factors for Milwaukee
Madison ranks #91
Click on state to read full report.
', 'url': 'https://aafa.org/wp-content/uploads/2026/07/aafa-2026-asthma-capitals-report.pdf', 'targt': '_blank', 'upclr': '#28bdba', 'ovrclr': '#92278f', 'dwnclr': '#692d87', 'enbl': true, 'title': 'usvn_49' }, 'usmap_50': { 'hover': 'Wyoming
Wyoming does not have an Asthma Capital because its largest metropolitan area, Cheyenne, is not in the 100 most populated metropolitan areas in the contiguous United States, and there are no other Wyoming cities that fall within other MSAs in the top 100 list.
Click on state to read full U.S. report.
District of Columbia
Washington ranks #24
Click on state to read full report.
', 'url': 'https://aafa.org/wp-content/uploads/2026/07/aafa-2026-asthma-capitals-report.pdf', 'targt': '_blank', 'upclr': '#a9e5e3', 'ovrclr': '#92278f', 'dwnclr': '#692d87', 'enbl': true, 'title': 'usvn_51' }, }The colors on the map indicate if the state has cities in the top #1 spot, top 20, rank 21-100, or has no Asthma Capital. ![]()
Report Ranking Criteria
The Asthma Capitals report ranking is based on 3 health outcomes.
Report Ranking Criteria
The Asthma Capitals report ranking is based on 3 health outcomes.
Risk Factors
Social and environmental influences can worsen asthma rates and increase the risk of emergencies and deaths related to asthma. The report analyzes the following risk factors:
Risk Factors
Social and environmental influences can worsen asthma rates and increase the risk of emergencies and deaths related to asthma. The report analyzes the following risk factors:
About the Report
AAFA publishes the Asthma Capitals® [9] report to monitor the nationwide impacts of asthma. The report analyzes asthma data across the United States and ranks cities by the most critical of health outcomes – asthma prevalence, emergency department visits due to asthma attacks, and asthma-related mortality. The outcomes are not weighted equally. The report also examines asthma risk factors that influence the outcomes.
AAFA only evaluates the top 100 populated places (based on metropolitan statistical areas or MSAs) in the contiguous (“lower 48”) states for this report. MSAs are cities and their surrounding areas (like suburbs and nearby rural areas). The report does not reflect:
- Cities and areas not in the top 100 list by population size
- Completely rural areas that are not located within a metropolitan statistical area
- Anchorage, Alaska, Honolulu, Hawaii, or San Juan, Puerto Rico, Navajo Nation Reservation, or Cherokee Nation Reservation due to lack of matching data with other cities, counties, state
Acknowledgements
The 2026 Asthma Capitals report is an independent research project of the Asthma and Allergy Foundation of America (AAFA) and made possible by support from Amgen, AstraZeneca, Chiesi, and Sanofi and Regeneron. AAFA also thanks Komodo Health and Pollen Sense, LLC for additional support for data used in this report. The views and opinions expressed in this report are those of the AAFA authors and do not necessarily reflect the policies or positions of the sponsors or other individuals, organizations, or companies.
Recommended Citation
Asthma and Allergy Foundation of America, (2026). 2026 Asthma Capitals®. Retrieved from asthmacapitals.org.














