American Lung Association Releases Air Quality Reports for Delaware and Maryland


Today, the American Lung Association released its “State of the Air” report, finding nearly half of U.S. children are exposed to unhealthy air. In Delaware, more than 200,000 children face poor air quality on multiple days, though counties still earned passing grades for ozone and particle pollution. In Maryland, over 570,000 children are affected, even as communities across the state saw little change. Aleks Casper–Director of Advocacy for the American Lung Association– tells the Talk of Delmarva the report highlights why residents in both states should pay attention…

 

“State of the Air” is an annual report released by the American Lung Association, with the latest marking its 27th edition.

 

The American Lung Association’s 27th annual State of the Air Report focused on the impacts of poor air quality on children. Aleks Casper–Director of Advocacy for the American Lung Association– tells the Talk of Delmarva…

The report emphasizes that nearly half of U.S. children are breathing unhealthy air, including more than 200,000 kids in Delaware and over 570,000 in Maryland, with exposure occurring on multiple days. It highlights that children are especially vulnerable to air pollution, which can trigger asthma attacks, harm lung development, and lead to long-term respiratory and health issues.

 

 

Additional Information from the American Lung Association:

Report for Delaware:

All Delaware Grades Remain Passing Even as Philadelphia-Reading-Camden Metro Area (Covering Kent and New Castle Counties) Earns Straight F’s, Worse for Year-round Particles, now 17th Worst in U.S.

Federal actions threaten progress in protecting Delaware children from air pollution, according to the American Lung Association’s “State of the Air” report

 

DELAWARE – (April 22, 2026) – Today, the American Lung Association released its 27th annual “State of the Air” report, which finds that nearly half of the children in the U.S. are breathing unhealthy levels of air pollution graded F even as over 200,000 kids in Delaware are exposed to air pollution that reaches unhealthy levels on multiple days. However, Delaware Counties continue to earn only passing grades for both ozone smog and particle pollution. New Castle County posted the only worsening result for any measure in the state (for ozone smog) but still retained its D grade.

 

The report finds that the Philadelphia-Reading-Camden, PA-NJ-DE-MD metro area, which includes both Kent and New Castle Counties, continued to earn straight Fs for ozone smog and fine particle pollution, ranking 43rd worst in the nation for ozone and 27th worst for the daily measure of particles. The metro area again worsened and failed for the year-round measure of particles, dropping its rank from 26th to 17th worst in the country. Sussex County does not fall within a metro area.

 

Other observations for Delaware include:

  • New Castle County was worst in the state for all three measures of air quality, earning
    • a D for its worsened weighted yearly average of 2.7 days with unhealthy levels of ozone,
    • a D for an improved average of 2.8 unhealthy days for the daily (short-term) measure of fine particle pollution, and
    • a passing mark for its improved year-round measure of particles.
  • All Delaware counties earned D grades for their daily measure of particles.
  • No Delaware county was listed among the cleanest in the country for any measure. The state’s best letter grade was a B in Sussex County for its 0.7-day average for ozone smog.

The Lung Association’s “State of the Air” report grades counties’ air quality in terms of unhealthy levels of ground-level ozone air pollution (also known as smog), and year-round and short-term spikes in particle pollution (also known as soot) over a three-year period (2022-2024). The report also ranks counties and metropolitan areas in cleanest and most polluted lists for each pollutant. Ozone and particle pollution can cause premature death and other serious health effects such as asthma attacks, heart attacks and strokes, preterm births and impaired cognitive functioning later in life. Particle pollution can also cause lung cancer.

 

Infants, children, and teens as a group are more susceptible to the health impacts of air pollution. Their lungs are still developing; they breathe more air for their body size than adults, and they are frequently exposed to outdoor air. Air pollution exposure in childhood can cause long-term harm, including reduced lung growth, new asthma cases, and increased risk of respiratory diseases.

“Clean air is essential to the health and wellbeing of families across Delaware. Children deserve to breathe air that won’t make them sick,” said Aleks Casper director of advocacy for the American Lung Association. “Unfortunately, too many people across the state, , are living with unhealthy levels of ozone and particle pollution. This air pollution is causing kids to have asthma attacks, contributing to chronic health conditions, and making people who work outdoors sick.”

 

Casper added: “To compound the issue further, the U.S. Environmental Protection Agency’s (EPA) rollbacks of critical healthy air rules are impacting our residents[. We urge Delaware policymakers to continue take action to improve our air quality, including  and we are calling on everyone to tell EPA that our kids’ health counts.”

 

Nationally, the report found that 33.5 million children in the U.S., or 46% of people under 18 years old, live in an area that received a failing grade for at least one measure of air pollution. In total, 44% of people of all ages in the U.S. (152 million people in total) live in a county that received a failing grade for at least one measure of air pollution. 32.9 million people live in counties with failing grades for all three measures.

 

Key Findings for Philadelphia-Reading-Camden, PA-NJ-DE-MD metro area: 

Ground-level Ozone Pollution:  

Ozone “smog” affects the largest number of people in the U.S. Smog forms when gases from tailpipes, smokestacks, factories and other pollution sources react with sunlight. It is a powerful respiratory irritant with effects that have been likened to a sunburn of the lungs.   

  • The Philadelphia-Reading-Camden, PA-NJ-DE-MD metro area ranked 43rd worst in the nation for ozone pollution. 
  • The ranking was based on the area’s worst counties’ average number of unhealthy days—6.2 days per year, an F grade, in Gloucester County, NJ and Philadelphia County, PA.
  • The ranking was the same as the area’s ranking in last year’s report of 43rd worst, but the new average was slightly better than last year’s average of 6.3 days per year, an F grade.   

Particle Pollution:  

Fine particle pollution can be extremely dangerous and even deadly. These particles come from wildfires, wood-burning stoves, coal-fired power plants, diesel engines and other sources. The report has two grades for particle pollution: one for “short-term” particle pollution, or daily spikes, and one for the annual average “year-round” level that represents the concentration of particles in each location. 

  • The Philadelphia-Reading-Camden, PA-NJ-DE-MD metro area ranked 27th worst in the nation for short-term particle pollution. 
  • The ranking was based on the area’s worst county’s average number of unhealthy days—5.3 days per year, an F grade, in Philadelphia County. 
  • This was worse than the area’s ranking in last year’s report of 30th worst, even though the new result improved from last year’s value of 5.8 days per year, an F grade.   
  • For the year-round average level of particle pollution, the area’s worst county, Philadelphia, received a failing grade for pollution levels above the federal standard.  
  • The Philadelphia-Reading-Camden, PA-NJ-DE-MD metro area ranked 17th worst in the nation. 
  • This was worse than the area’s ranking in last year’s report of 26th worst in the nation.

The Lung Association is calling on everyone to urge EPA to value the health of America’s kids. Historically, EPA has played an essential role in protecting people’s health from air pollution. The current EPA has retreated from its public health foundation by rolling back clean air protections. This EPA has also taken the recent step of eliminating health-related information from its economic analyses, meaning that the costs of pollution to kids, families and communities will not be counted as policies are undone. EPA must not devalue kids’ health.

See the full report results and take action at Lung.org/sota.

 

Report for Maryland:

Over 570,000 Kids in Maryland Are Breathing Unhealthy Air; Both Particle Pollution Grades in Washington-Baltimore-Arlington Metro Area Now Passing, but Area Fails for Ozone Smog as Baltimore County Worst

Federal actions threaten progress in protecting Maryland children from air pollution, according to the American Lung Association’s “State of the Air” report

 

MARYLAND – (April 22, 2026) – Today, the American Lung Association released its 27th annual “State of the Air” report, which finds that nearly half of the children in the U.S. are breathing unhealthy levels of air pollution—including over 570,457 children in Maryland—even as communities across the state rarely worsened for both ozone smog and particle pollution.

 

The report finds that the Washington-Baltimore-Arlington, DC-MD-VA-WV-PA metro area, including 16 Maryland counties, improved for all three measures of air pollution compared with last year’s report, but still earned an F for ozone smog recorded in Baltimore County, ranking the metro area at 49th worst in the nation. Meanwhile, the Philadelphia-Reading-Camden, PA-NJ-DE-MD metro area, including Cecil County, again worsened and failed for the year-round measure of fine particle pollution, dropping its rank from 26th to 17th worst in the country. No data was recorded in the three-county Salisbury-Ocean Pines, MD metro area.

 

Parts of the state showed declines, improvements or continued strong performance for certain pollution measures, highlighting air quality contrasts across Maryland communities. In particular:

  • In the Washington-Baltimore-Arlington, DC-MD-VA-WV-PA metro area, home to about 93% of the state’s population, Baltimore County, worst in all of Maryland for the number of days with unhealthy levels of ozone smog, also was worst in that large metro area, with a weighted average of 5.8 unhealthy days per year and earning an F grade.
  • Harford County was worst in the state for the daily (short-term) measure of particle pollution, earning a D grade for a weighted yearly average of 2.2 days with unhealthy air.
  • All Maryland counties graded for fine particle pollution earned passing marks for both the daily and year-round measures.
  • Only one Maryland county was listed among the cleanest in the country for any measure—Garrett County, continuing for its ninth consecutive year with an A grade for ozone smog.

The Lung Association’s “State of the Air” report grades counties’ air quality in terms of unhealthy levels of ground-level ozone air pollution (also known as smog), and year-round and short-term spikes in particle pollution (also known as soot) over a three-year period (2022-2024). The report also ranks counties and metropolitan areas in cleanest and most polluted lists for each pollutant. Ozone and particle pollution can cause premature death and other serious health effects such as asthma attacks, heart attacks and strokes, preterm births and impaired cognitive functioning later in life. Particle pollution can also cause lung cancer.

 

Infants, children, and teens as a group are more susceptible to the health impacts of air pollution. Their lungs are still developing; they breathe more air for their body size than adults, and they are frequently exposed to outdoor air. Air pollution exposure in childhood can cause long-term harm, including reduced lung growth, new asthma cases, and increased risk of respiratory diseases.

“Clean air is essential to the health and wellbeing of families across Maryland. Children deserve to breathe air that won’t make them sick,” said Aleks Casper, director of advocacy for the American Lung Association. “Unfortunately, too many people across the state, particularly in several of our metro areas, are living with unhealthy levels of ozone and particle pollution. This air pollution is causing kids to have asthma attacks, contributing to chronic health conditions, and making people who work outdoors sick.”

Casper added: “To compound the issue further, the U.S. Environmental Protection Agency’s (EPA) rollbacks of critical healthy air rules are impacting our residents. We urge Maryland policymakers to continue to take action to improve our air quality, ] and we are calling on everyone to tell EPA that our kids’ health counts.”

 

Nationally, the report found that 33.5 million children in the U.S., or 46% of people under 18 years old, live in an area that received a failing grade for at least one measure of air pollution. In total, 44% of people of all ages in the U.S. (152 million people in total) live in a county that received a failing grade for at least one measure of air pollution. 32.9 million people live in counties with failing grades for all three measures.

 

Key Findings for Washington-Baltimore-Arlington, DC-MD-VA-WV-PA metro area: 

Ground-level Ozone Pollution:  

Ozone “smog” affects the largest number of people in the U.S. Smog forms when gases from tailpipes, smokestacks, factories and other pollution sources react with sunlight. It is a powerful respiratory irritant with effects that have been likened to a sunburn of the lungs.   

  • The Washington-Baltimore-Arlington, DC-MD-VA-WV-PA metro area ranked 49th worst in the nation for ozone pollution. 
  • The ranking was based on the area’s worst county’s average number of unhealthy days—5.8 days per year, an F grade, in Baltimore County, Maryland. 
  • This was better than the area’s ranking in last year’s report of 36th worst, with 7.5 days per year, an F grade, also in Baltimore County.   

Particle Pollution:  

Fine particle pollution can be extremely dangerous and even deadly. These particles come from wildfires, wood-burning stoves, coal-fired power plants, diesel engines, and other sources. The report has two grades for particle pollution: one for “short-term” particle pollution, or daily spikes, and one for the annual average “year-round” level that represents the concentration of particles in each location. 

  • The Washington-Baltimore-Arlington, DC-MD-VA-WV-PA metro area ranked 60th worst in the nation for short-term particle pollution. 
  • The ranking was based on the area’s worst counties’ average number of unhealthy days—3.2 days per year, a D grade, in Frederick County, Virginia and the District of Columbia. 
  • This was better than the area’s ranking in last year’s report of 53rd worst, with 3.7 days per year, an F grade.   
  • For the year-round average level of particle pollution, the area’s worst county, Berkeley County, West Virginia, received a passing grade for pollution levels below the federal standard.  
  • The Washington-Baltimore-Arlington, DC-MD-VA-WV-PA metro area ranked 66th worst in the nation. 
  • This was the same as the area’s ranking in last year’s report of 66th worst in the nation.  

Key Findings for Philadelphia-Reading-Camden, PA-NJ-DE-MD metro area: 

Ground-level Ozone Pollution:  

  • The Philadelphia-Reading-Camden, PA-NJ-DE-MD metro area ranked 43rd worst in the nation for ozone pollution. 
  • The ranking was based on the area’s worst counties’ average number of unhealthy days—6.2 days per year, an F grade, in Gloucester County, NJ and Philadelphia County, PA.
  • The ranking was the same as the area’s ranking in last year’s report of 43rd worst, but the new average was slightly better than last year’s average of 6.3 days per year, an F grade.   

Particle Pollution:   

  • The Philadelphia-Reading-Camden, PA-NJ-DE-MD metro area ranked 27th worst in the nation for short-term particle pollution. 
  • The ranking was based on the area’s worst county’s average number of unhealthy days—5.3 days per year, an F grade, in Philadelphia County. 
  • This was worse than the area’s ranking in last year’s report of 30th worst, even though the new result improved from last year’s value of 5.8 days per year, an F grade.   
  • For the year-round average level of particle pollution, the area’s worst county, Philadelphia, received a failing grade for pollution levels above the federal standard.  
  • The Philadelphia-Reading-Camden, PA-NJ-DE-MD metro area ranked 17th worst in the nation. 
  • This was worse than the area’s ranking in last year’s report of 26th worst in the nation.

The Lung Association is calling on everyone to urge EPA to value the health of America’s kids. Historically, EPA has played an essential role in protecting people’s health from air pollution. The current EPA has retreated from its public health foundation by rolling back clean air protections. This EPA has also taken the recent step of eliminating health-related information from its economic analyses, meaning that the costs of pollution to kids, families and communities will not be counted as policies are undone. EPA must not devalue kids’ health.

See the full report results and take action at Lung.org/sota.

 

Media Resources

 

About the American Lung Association

The American Lung Association is the leading organization working to save lives by improving lung health and preventing lung disease through education, advocacy and research. The work of the American Lung Association is focused on four strategic imperatives: to defeat lung cancer; to champion clean air for all; to improve the quality of life for those with lung disease and their families; and to create a tobacco-free future. For more information about the American Lung Association, which has a 4-star rating from Charity Navigator and is a Platinum-Level GuideStar Member, or to support the work it does, call 1-800-LUNGUSA (1-800-586-4872) or visit:? Lung.org