{"id":26858,"date":"2025-09-08T15:37:42","date_gmt":"2025-09-08T19:37:42","guid":{"rendered":"https:\/\/aafa.org\/?page_id=26858"},"modified":"2026-09-01T07:12:39","modified_gmt":"2026-09-01T11:12:39","slug":"asthma-health-outcomes","status":"publish","type":"page","link":"https:\/\/aafa.org\/asthma-allergy-research\/our-research\/asthma-capitals\/asthma-health-outcomes\/","title":{"rendered":"Asthma Health Outcomes"},"content":{"rendered":"<p>[et_pb_section fb_built=&#8221;1&#8243; admin_label=&#8221;Research T-Hero Section&#8221; module_class=&#8221;hero tert&#8221; _builder_version=&#8221;4.18.0&#8243; _module_preset=&#8221;default&#8221; background_image=&#8221;https:\/\/aafa.org\/wp-content\/uploads\/2022\/07\/AAFA-Website_Tertiary_Research.jpg&#8221; background_position=&#8221;top_right&#8221; custom_padding=&#8221;1%||1%||true|false&#8221; saved_tabs=&#8221;all&#8221; locked=&#8221;off&#8221; collapsed=&#8221;off&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_row _builder_version=&#8221;4.17.4&#8243; _module_preset=&#8221;default&#8221; background_enable_image=&#8221;off&#8221; background_size=&#8221;initial&#8221; background_position=&#8221;bottom_left&#8221; background_horizontal_offset=&#8221;0%&#8221; custom_margin=&#8221;||||false|false&#8221; custom_padding=&#8221;2%||0px||false|false&#8221; locked=&#8221;off&#8221; collapsed=&#8221;off&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;4.17.4&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_text admin_label=&#8221;Nav Parent Title&#8221; module_class=&#8221;tert-parent&#8221; _builder_version=&#8221;4.27.6&#8243; _module_preset=&#8221;default&#8221; header_2_font=&#8221;|600|||||||&#8221; header_2_text_align=&#8221;left&#8221; header_2_text_color=&#8221;#FFFFFF&#8221; header_2_font_size=&#8221;32px&#8221; custom_margin=&#8221;||0px||false|false&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<h2>Asthma Health Outcomes<\/h2>\n<p>[\/et_pb_text][et_pb_code admin_label=&#8221;Breadcrumbs&#8221; module_class=&#8221;bcrumb&#8221; _builder_version=&#8221;4.17.4&#8243; _module_preset=&#8221;default&#8221; text_orientation=&#8221;left&#8221; custom_margin=&#8221;||||false|false&#8221; custom_padding=&#8221;||||false|false&#8221; custom_css_main_element=&#8221;font-size:16px;||color: #fff;&#8221; global_colors_info=&#8221;{}&#8221;][\/et_pb_code][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=&#8221;1&#8243; admin_label=&#8221;Main Content&#8221; _builder_version=&#8221;4.17.4&#8243; _module_preset=&#8221;default&#8221; custom_padding=&#8221;2%||2%||true|false&#8221; locked=&#8221;off&#8221; collapsed=&#8221;off&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_row column_structure=&#8221;2_3,1_3&#8243; admin_label=&#8221;Row New&#8221; _builder_version=&#8221;4.17.4&#8243; _module_preset=&#8221;default&#8221; locked=&#8221;off&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_column type=&#8221;2_3&#8243; _builder_version=&#8221;4.17.4&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_text disabled_on=&#8221;off|off|off&#8221; admin_label=&#8221;Page Title&#8221; module_class=&#8221;secondary-intro&#8221; _builder_version=&#8221;4.27.6&#8243; _module_preset=&#8221;default&#8221; text_text_color=&#8221;#505050&#8243; text_font_size=&#8221;24px&#8221; text_line_height=&#8221;1.5em&#8221; header_font=&#8221;|700|||||||&#8221; header_text_color=&#8221;#008C99&#8243; header_font_size=&#8221;39px&#8221; header_line_height=&#8221;1.3em&#8221; header_2_font=&#8221;|600|||||||&#8221; header_2_text_color=&#8221;#008c99&#8243; header_2_font_size=&#8221;39px&#8221; custom_margin=&#8221;||3%||false|false&#8221; locked=&#8221;off&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<h1><span data-teams=\"true\">Asthma Capitals: Health Data That Impact Ranking<\/span><\/h1>\n<p>[\/et_pb_text][et_pb_text disabled_on=&#8221;on|on|on&#8221; admin_label=&#8221;Embargo&#8221; _builder_version=&#8221;4.27.6&#8243; _module_preset=&#8221;default&#8221; text_text_color=&#8221;#FFFFFF&#8221; link_font=&#8221;||||on|||#008c99|&#8221; link_text_color=&#8221;#008c99&#8243; link_line_height=&#8221;1.7em&#8221; ul_line_height=&#8221;1.7em&#8221; header_2_font=&#8221;|600|||||||&#8221; header_2_text_color=&#8221;#008c99&#8243; header_2_font_size=&#8221;39px&#8221; header_3_font=&#8221;|600|||||||&#8221; header_3_text_align=&#8221;left&#8221; header_3_text_color=&#8221;#008c99&#8243; header_3_font_size=&#8221;28px&#8221; background_color=&#8221;#692D87&#8243; custom_padding=&#8221;4%|4%|4%|4%|true|true&#8221; dvmd_hsp_mode=&#8221;show&#8221; box_shadow_style=&#8221;preset2&#8243; locked=&#8221;off&#8221; global_colors_info=&#8221;{}&#8221; disabled=&#8221;on&#8221;]<strong>The 2026 Asthma Capitals Report is embargoed until Sept. 1, 2026, at 7 a.m. ET. If you have any questions, contact us at <a href=\"mailto:media@aafa.org\" target=\"_blank\" rel=\"noopener\">media@aafa.org<\/a>.<\/strong> [\/et_pb_text][et_pb_text admin_label=&#8221;Tan Callout Box&#8221; _builder_version=&#8221;4.27.6&#8243; _module_preset=&#8221;default&#8221; text_text_color=&#8221;#505050&#8243; link_font=&#8221;||||on|||#008c99|&#8221; link_text_color=&#8221;#008c99&#8243; link_line_height=&#8221;1.7em&#8221; ul_line_height=&#8221;1.7em&#8221; header_2_font=&#8221;|600|||||||&#8221; header_2_text_color=&#8221;#008c99&#8243; header_2_font_size=&#8221;39px&#8221; header_3_font=&#8221;|600|||||||&#8221; header_3_text_align=&#8221;left&#8221; header_3_text_color=&#8221;#008c99&#8243; header_3_font_size=&#8221;28px&#8221; background_color=&#8221;#F5EDDF&#8221; custom_padding=&#8221;4%|4%|4%|4%|true|true&#8221; box_shadow_style=&#8221;preset2&#8243; locked=&#8221;off&#8221; global_colors_info=&#8221;{}&#8221;]To monitor the real-life impact of asthma on individuals, families, and communities,  AAFA  analyzes data to create its <a href=\"https:\/\/aafa.org\/asthma-allergy-research\/our-research\/asthma-capitals\/\">Asthma Capitals\u00ae<\/a> ranking.  The three most important measures are:<\/p>\n<ul>\n<li><a href=\"#rates\">Asthma prevalence (rates)<\/a> (how many people have asthma)<\/li>\n<li><a href=\"#ed\">Asthma-related emergency department (ED) visits<\/a><\/li>\n<li><a href=\"#deaths\">Asthma-related mortality (death) rates<\/a><\/li>\n<\/ul>\n<p>These outcomes are not weighted equally in calculating the rankings.<a name=\"rates\"><\/a>[\/et_pb_text][et_pb_text admin_label=&#8221;Estimated Asthma Rates (Prevalence) &#8221; _builder_version=&#8221;4.27.6&#8243; _module_preset=&#8221;default&#8221; header_text_color=&#8221;#28BDBA&#8221; header_2_font=&#8221;|700|||||||&#8221; header_2_text_color=&#8221;#28BDBA&#8221; border_color_all=&#8221;RGBA(255,255,255,0)&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<h3>Estimated Asthma Rates (Prevalence)<\/h3>\n<p>Nearly 28 million people living in the United States have asthma.<sup>1,2<\/sup> This equals about 8 out of 100 people. Nationally, the prevalence of \u201ccurrent asthma\u201d increased from 20.3 million people in 2001. The CDC determines the prevalence of asthma using a national survey. People who answer &#8220;yes&#8221; to the questions &#8220;Have you EVER been told by a doctor or other health professional that you had asthma?&#8221; and &#8220;Do you still have asthma?&#8221; have current asthma.<\/p>\n<p>Asthma prevalence rates differ significantly by socioeconomic status, race, ethnicity, age and sex.<\/p>\n<p><strong>Income<\/strong><\/p>\n<ul>\n<li>Asthma is more common in adults living below the federal poverty level than adults with higher incomes.<sup>1<\/sup><sup><a href=\"#_ref\" name=\"ref\"><\/a><\/sup><\/li>\n<li>About 12 out of 100 adults living below the federal poverty level ($15,060 in 2024) have asthma, compared to about 8 out of 100 adults who made $30,120 or more in 2024.<sup>1<\/sup><sup><a href=\"#_ref\" name=\"ref\"><\/a><\/sup><\/li>\n<\/ul>\n<p><strong>Race<\/strong><\/p>\n<ul>\n<li>Black people in the U.S. are more likely to have asthma compared to White people.<sup>1<\/sup><\/li>\n<li>About 10 out of 100 (or about 3 million) Black adults in the U.S. have asthma, compared to 9 out of 100 (or about 18 million) White adults.<sup>1<\/sup><\/li>\n<li>About 11 out of 100 (or about 1 million) Black children in the U.S. have asthma, compared to 6 out of 100 (or about 3 million) White children.<sup>2<\/sup><\/li>\n<\/ul>\n<p><strong>Ethnicity<\/strong><\/p>\n<ul>\n<li>Data on asthma prevalence in Hispanic subgroups are limited; however, previous research suggests Puerto Ricans have the highest rate of asthma prevalence compared to any other racial or ethnic group in the United States.<sup>3<\/sup><\/li>\n<\/ul>\n<p><strong>Age<\/strong><\/p>\n<ul>\n<li>While there are more adults with asthma than children, asthma is a top chronic disease in U.S. children.<sup>4<\/sup><\/li>\n<li>Only tooth decay (cavities) is more common in kids than asthma.<sup>5<\/sup><\/li>\n<\/ul>\n<p><strong>Sex<\/strong><\/p>\n<ul>\n<li>In adults, asthma is more common in females than males. Around 11% (11 out of 100) of female adults have asthma, compared to 6% (6 out of 100) of male adults.<sup>1<\/sup><\/li>\n<li>Childhood asthma rates are close between sexes, with rates being a little higher in male children than female children. Around 7% (7 out of 100) of male children have asthma, compared to 6% (6 out of 100) of female children.<sup>2<\/sup><\/li>\n<\/ul>\n<p><strong>The cities with the highest estimated asthma prevalence<sup>\u2020<\/sup> are:<\/strong><\/p>\n<table style=\"border: 1px solid black; width: 100%; height: 277px;\">\n<tbody>\n<tr style=\"height: 47px;\">\n<td style=\"background-color: #e8e2ee; width: 25%; padding: 8px; font-size: 0.9em; height: 47px;\"><strong>2026 Asthma Prevalence<\/strong><\/td>\n<td style=\"background-color: #c3b1d1; width: 50%; padding: 8px; font-size: 0.9em; height: 47px;\"><strong>Metropolitan Area<\/strong><\/td>\n<td style=\"background-color: #d8efee; width: 25%; padding: 8px; font-size: 0.9em;\"><strong>2026 Asthma Capital Ranking Overall<\/strong><\/td>\n<\/tr>\n<tr style=\"height: 23px;\">\n<td style=\"width: 25%; padding: 8px; font-size: 0.9em; height: 23px;\">1<\/td>\n<td style=\"width: 50%; padding: 8px; font-size: 0.9em; height: 23px;\">Rochester, NY<\/td>\n<td style=\"width: 25%; padding: 8px; font-size: 0.9em;\">3<\/td>\n<\/tr>\n<tr style=\"background-color: #f8f7ed;\">\n<td style=\"width: 25%; padding: 8px; font-size: 0.9em; height: 23px;\">2<\/td>\n<td style=\"width: 50%; padding: 8px; font-size: 0.9em; height: 23px;\">Detroit, MI<\/td>\n<td style=\"width: 25%; padding: 8px; font-size: 0.9em;\">2<\/td>\n<\/tr>\n<tr style=\"height: 23px;\">\n<td style=\"width: 25%; padding: 8px; font-size: 0.9em; height: 23px;\">3<\/td>\n<td style=\"width: 50%; padding: 8px; font-size: 0.9em; height: 23px;\">Albany, NY<\/td>\n<td style=\"width: 25%; padding: 8px; font-size: 0.9em;\">15<\/td>\n<\/tr>\n<tr style=\"background-color: #f8f7ed;\">\n<td style=\"width: 25%; padding: 8px; font-size: 0.9em; height: 23px;\">4<\/td>\n<td style=\"width: 50%; padding: 8px; font-size: 0.9em; height: 23px;\">Hartford, CT<\/td>\n<td style=\"width: 25%; padding: 8px; font-size: 0.9em;\">8<\/td>\n<\/tr>\n<tr style=\"height: 23px;\">\n<td style=\"width: 25%; padding: 8px; font-size: 0.9em; height: 23px;\">5<\/td>\n<td style=\"width: 50%; padding: 8px; font-size: 0.9em; height: 23px;\">Syracuse, NY<\/td>\n<td style=\"width: 25%; padding: 8px; font-size: 0.9em;\">7<\/td>\n<\/tr>\n<tr style=\"background-color: #f8f7ed;\">\n<td style=\"width: 25%; padding: 8px; font-size: 0.9em; height: 23px;\">6<\/td>\n<td style=\"width: 50%; padding: 8px; font-size: 0.9em; height: 23px;\">Philadelphia, PA<\/td>\n<td style=\"width: 25%; padding: 8px; font-size: 0.9em;\">4<\/td>\n<\/tr>\n<tr style=\"height: 23px;\">\n<td style=\"width: 25%; padding: 8px; font-size: 0.9em; height: 23px;\">7<\/td>\n<td style=\"width: 50%; padding: 8px; font-size: 0.9em; height: 23px;\">Cleveland, OH<\/td>\n<td style=\"width: 25%; padding: 8px; font-size: 0.9em;\">5<\/td>\n<\/tr>\n<tr style=\"background-color: #f8f7ed;\">\n<td style=\"width: 25%; padding: 8px; font-size: 0.9em; height: 23px;\">8<\/td>\n<td style=\"width: 50%; padding: 8px; font-size: 0.9em; height: 23px;\">Fresno, CA<\/td>\n<td style=\"width: 25%; padding: 8px; font-size: 0.9em;\">12<\/td>\n<\/tr>\n<tr style=\"height: 23px;\">\n<td style=\"width: 25%; padding: 8px; font-size: 0.9em; height: 23px;\">9<\/td>\n<td style=\"width: 50%; padding: 8px; font-size: 0.9em; height: 23px;\">Allentown, PA<\/td>\n<td style=\"width: 25%; padding: 8px; font-size: 0.9em;\">1<\/td>\n<\/tr>\n<tr style=\"background-color: #f8f7ed;\">\n<td style=\"width: 25%; padding: 8px; font-size: 0.9em; height: 23px;\">10<\/td>\n<td style=\"width: 50%; padding: 8px; font-size: 0.9em; height: 23px;\">Charleston, SC<\/td>\n<td style=\"width: 25%; padding: 8px; font-size: 0.9em;\">9<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p style=\"font-size: 0.8em;\">\u2020For each city included in the 2026 Asthma Capitals, AAFA obtained an estimated asthma prevalence for its respective MSA. For this report, asthma prevalence is estimated using claims data for individuals who sought asthma care at any point in the 2025 calendar year. While this is not an exact measure of prevalence, it helps provide data that can be compared from city to city. Other prevalence estimates, such as those from the CDC, use self-reported data through surveys. <a href=\"https:\/\/aafa.org\/wp-content\/uploads\/2026\/08\/asthma-capitals-asthma-prevalence-health-outcome.jpg\" target=\"_blank\" rel=\"noopener\"><span data-teams=\"true\">Download image of Figure 1 table<\/span><\/a><a name=\"ed\"><\/a><\/p>\n<p>[\/et_pb_text][et_pb_text admin_label=&#8221;Emergency Department (ED) Visits&#8221; _builder_version=&#8221;4.27.6&#8243; _module_preset=&#8221;default&#8221; header_text_color=&#8221;#28BDBA&#8221; header_2_font=&#8221;|700|||||||&#8221; header_2_text_color=&#8221;#28BDBA&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<h3>Emergency Department (ED) Visits<\/h3>\n<p>Asthma can trigger severe symptoms that require a visit to the ED. Increased ED visits are a sign of poor asthma control. Nationally, asthma accounts for nearly 1 million emergency department visits each year.<sup>6<\/sup><\/p>\n<p>Most asthma-related ED visits can be prevented. Effective asthma management \u2013 including reducing exposure to asthma triggers, having access to and taking prescribed asthma medicine, and following an Asthma Action Plan \u2013 may help reduce ED visits and hospitalizations.<\/p>\n<p>Asthma-related ED visits are nearly 6 times higher for Black patients than for White patients. Children are more likely than adults to have asthma-related ED visits, with children ages 0 to 4 having the highest rates of asthma-related ED visits.<sup>6<\/sup>\u00a0<span data-teams=\"true\">Asthma-related ED visits for school age children start to rise every year in September.<\/span><\/p>\n<p><strong>The cities with the highest asthma-related ED visits<sup>\u2020<\/sup> are:<\/strong><\/p>\n<table style=\"border: 1px solid black; width: 100%; height: 277px;\">\n<tbody>\n<tr style=\"height: 47px;\">\n<td style=\"background-color: #e8e2ee; width: 25%; padding: 8px; font-size: 0.9em; height: 47px;\"><strong>2026 Asthma Emergency Department Visits<\/strong><\/td>\n<td style=\"background-color: #c3b1d1; width: 50%; padding: 8px; font-size: 0.9em; height: 47px;\"><strong>Metropolitan Area<\/strong><\/td>\n<td style=\"background-color: #d8efee; width: 25%; padding: 8px; font-size: 0.9em;\"><strong>2026 Asthma Capital Ranking Overall<\/strong><\/td>\n<\/tr>\n<tr style=\"height: 23px;\">\n<td style=\"width: 25%; padding: 8px; font-size: 0.9em; height: 23px;\">1<\/td>\n<td style=\"width: 50%; padding: 8px; font-size: 0.9em; height: 23px;\">Allentown, PA<\/td>\n<td style=\"width: 25%; padding: 8px; font-size: 0.9em;\">1<\/td>\n<\/tr>\n<tr style=\"background-color: #f8f7ed;\">\n<td style=\"width: 25%; padding: 8px; font-size: 0.9em; height: 23px;\">2<\/td>\n<td style=\"width: 50%; padding: 8px; font-size: 0.9em; height: 23px;\">Virginia Beach, VA<\/td>\n<td style=\"width: 25%; padding: 8px; font-size: 0.9em;\">13<\/td>\n<\/tr>\n<tr style=\"height: 23px;\">\n<td style=\"width: 25%; padding: 8px; font-size: 0.9em; height: 23px;\">3<\/td>\n<td style=\"width: 50%; padding: 8px; font-size: 0.9em; height: 23px;\">Lakeland, FL<\/td>\n<td style=\"width: 25%; padding: 8px; font-size: 0.9em;\">6<\/td>\n<\/tr>\n<tr style=\"background-color: #f8f7ed;\">\n<td style=\"width: 25%; padding: 8px; font-size: 0.9em; height: 23px;\">4<\/td>\n<td style=\"width: 50%; padding: 8px; font-size: 0.9em; height: 23px;\">Chattanooga, TN<\/td>\n<td style=\"width: 25%; padding: 8px; font-size: 0.9em;\">29<\/td>\n<\/tr>\n<tr style=\"height: 23px;\">\n<td style=\"width: 25%; padding: 8px; font-size: 0.9em; height: 23px;\">5<\/td>\n<td style=\"width: 50%; padding: 8px; font-size: 0.9em; height: 23px;\">Oklahoma City, OK<\/td>\n<td style=\"width: 25%; padding: 8px; font-size: 0.9em;\">40<\/td>\n<\/tr>\n<tr style=\"background-color: #f8f7ed;\">\n<td style=\"width: 25%; padding: 8px; font-size: 0.9em; height: 23px;\">6<\/td>\n<td style=\"width: 50%; padding: 8px; font-size: 0.9em; height: 23px;\">Columbia, SC<\/td>\n<td style=\"width: 25%; padding: 8px; font-size: 0.9em;\">11<\/td>\n<\/tr>\n<tr style=\"height: 23px;\">\n<td style=\"width: 25%; padding: 8px; font-size: 0.9em; height: 23px;\">7<\/td>\n<td style=\"width: 50%; padding: 8px; font-size: 0.9em; height: 23px;\">Raleigh, NC<\/td>\n<td style=\"width: 25%; padding: 8px; font-size: 0.9em;\">59<\/td>\n<\/tr>\n<tr style=\"background-color: #f8f7ed;\">\n<td style=\"width: 25%; padding: 8px; font-size: 0.9em; height: 23px;\">8<\/td>\n<td style=\"width: 50%; padding: 8px; font-size: 0.9em; height: 23px;\">Columbus, OH<\/td>\n<td style=\"width: 25%; padding: 8px; font-size: 0.9em;\">37<\/td>\n<\/tr>\n<tr style=\"height: 23px;\">\n<td style=\"width: 25%; padding: 8px; font-size: 0.9em; height: 23px;\">9<\/td>\n<td style=\"width: 50%; padding: 8px; font-size: 0.9em; height: 23px;\">Stockton, CA<\/td>\n<td style=\"width: 25%; padding: 8px; font-size: 0.9em;\">31<\/td>\n<\/tr>\n<tr style=\"background-color: #f8f7ed;\">\n<td style=\"width: 25%; padding: 8px; font-size: 0.9em; height: 23px;\">10<\/td>\n<td style=\"width: 50%; padding: 8px; font-size: 0.9em; height: 23px;\">Greensboro, NC<\/td>\n<td style=\"width: 25%; padding: 8px; font-size: 0.9em;\">53<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p style=\"font-size: 0.8em;\">\u2020For each city included in the 2026 Asthma Capitals, AAFA obtained the total number of ED visits where an asthma ICD-10 code was included in a diagnosis field, for the respective census-designated metropolitan statistical area, or MSA, for calendar year 2025. Analysis included estimating the ED rate per 10,000 asthma patients. <a href=\"https:\/\/aafa.org\/wp-content\/uploads\/2026\/08\/asthma-capitals-asthma-ED-visits-health-outcome.jpg\" target=\"_blank\" rel=\"noopener\"><span data-teams=\"true\">Download image of Figure 2 table<\/span><\/a><br \/><a name=\"deaths\"><\/a><\/p>\n<p>[\/et_pb_text][et_pb_text admin_label=&#8221;Asthma-Related Deaths (Mortality)&#8221; _builder_version=&#8221;4.27.6&#8243; _module_preset=&#8221;default&#8221; header_font=&#8221;|700|||||||&#8221; header_text_color=&#8221;#28BDBA&#8221; header_2_font=&#8221;|700|||||||&#8221; header_2_text_color=&#8221;#28BDBA&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<h3>Asthma-Related Deaths (Mortality)<\/h3>\n<p>On average, between 9 to 11 people in the U.S. die from asthma each day. Nationally, there were 3,279 deaths attributed to asthma in 2024.<sup><a href=\"#_ref\" name=\"ref\">7<\/a> <\/sup>There hasn\u2019t been meaningful improvement in these numbers in the last decade. In 2020, deaths due to asthma rose for the first time in 20 years but have since returned to pre-pandemic level.<sup>8<\/sup><\/p>\n<p>Some populations are at higher risk of dying from asthma than others. The causes of higher asthma death rates are complex but must be addressed to save lives. The top 10 cities for asthma-related deaths must take action to prevent more tragedies.<\/p>\n<p><strong>The cities with the highest asthma-related deaths<sup>\u2020<\/sup> are:<\/strong><\/p>\n<table style=\"border: 1px solid black; width: 100%; height: 277px;\">\n<tbody>\n<tr style=\"height: 47px;\">\n<td style=\"background-color: #e8e2ee; width: 25%; padding: 8px; font-size: 0.9em; height: 47px;\"><strong>2026 Asthma-Related Deaths Ranking<\/strong><\/td>\n<td style=\"background-color: #c3b1d1; width: 50%; padding: 8px; font-size: 0.9em; height: 47px;\"><strong>Metropolitan Area<\/strong><\/td>\n<td style=\"background-color: #d8efee; width: 25%; padding: 8px; font-size: 0.9em;\"><strong>2026 Asthma Capital Ranking Overall<\/strong><\/td>\n<\/tr>\n<tr style=\"height: 23px;\">\n<td style=\"width: 25%; padding: 8px; font-size: 0.9em; height: 23px;\">1<\/td>\n<td style=\"width: 50%; padding: 8px; font-size: 0.9em; height: 23px;\">Baltimore, MD<\/td>\n<td style=\"width: 25%; padding: 8px; font-size: 0.9em;\">16<\/td>\n<\/tr>\n<tr style=\"background-color: #f8f7ed;\">\n<td style=\"width: 25%; padding: 8px; font-size: 0.9em; height: 23px;\">2<\/td>\n<td style=\"width: 50%; padding: 8px; font-size: 0.9em; height: 23px;\">St. Louis, MO<\/td>\n<td style=\"width: 25%; padding: 8px; font-size: 0.9em;\">28<\/td>\n<\/tr>\n<tr style=\"height: 23px;\">\n<td style=\"width: 25%; padding: 8px; font-size: 0.9em; height: 23px;\">3<\/td>\n<td style=\"width: 50%; padding: 8px; font-size: 0.9em; height: 23px;\">Jackson, MS<\/td>\n<td style=\"width: 25%; padding: 8px; font-size: 0.9em;\">36<\/td>\n<\/tr>\n<tr style=\"background-color: #f8f7ed;\">\n<td style=\"width: 25%; padding: 8px; font-size: 0.9em; height: 23px;\">4<\/td>\n<td style=\"width: 50%; padding: 8px; font-size: 0.9em; height: 23px;\">Syracuse, NY<\/td>\n<td style=\"width: 25%; padding: 8px; font-size: 0.9em;\">7<\/td>\n<\/tr>\n<tr style=\"height: 23px;\">\n<td style=\"width: 25%; padding: 8px; font-size: 0.9em; height: 23px;\">5<\/td>\n<td style=\"width: 50%; padding: 8px; font-size: 0.9em; height: 23px;\">Richmond, VA<\/td>\n<td style=\"width: 25%; padding: 8px; font-size: 0.9em;\">27<\/td>\n<\/tr>\n<tr style=\"background-color: #f8f7ed;\">\n<td style=\"width: 25%; padding: 8px; font-size: 0.9em; height: 23px;\">6<\/td>\n<td style=\"width: 50%; padding: 8px; font-size: 0.9em; height: 23px;\">New York, NY<\/td>\n<td style=\"width: 25%; padding: 8px; font-size: 0.9em;\">26<\/td>\n<\/tr>\n<tr style=\"height: 23px;\">\n<td style=\"width: 25%; padding: 8px; font-size: 0.9em; height: 23px;\">7<\/td>\n<td style=\"width: 50%; padding: 8px; font-size: 0.9em; height: 23px;\">Philadelphia, PA<\/td>\n<td style=\"width: 25%; padding: 8px; font-size: 0.9em;\">4<\/td>\n<\/tr>\n<tr style=\"background-color: #f8f7ed;\">\n<td style=\"width: 25%; padding: 8px; font-size: 0.9em; height: 23px;\">8<\/td>\n<td style=\"width: 50%; padding: 8px; font-size: 0.9em; height: 23px;\">Milwaukee, WI<\/td>\n<td style=\"width: 25%; padding: 8px; font-size: 0.9em;\">19<\/td>\n<\/tr>\n<tr style=\"height: 23px;\">\n<td style=\"width: 25%; padding: 8px; font-size: 0.9em; height: 23px;\">9<\/td>\n<td style=\"width: 50%; padding: 8px; font-size: 0.9em; height: 23px;\">Chattanooga, TN<\/td>\n<td style=\"width: 25%; padding: 8px; font-size: 0.9em;\">29<\/td>\n<\/tr>\n<tr style=\"background-color: #f8f7ed;\">\n<td style=\"width: 25%; padding: 8px; font-size: 0.9em; height: 23px;\">10<\/td>\n<td style=\"width: 50%; padding: 8px; font-size: 0.9em; height: 23px;\">Memphis, TN<\/td>\n<td style=\"width: 25%; padding: 8px; font-size: 0.9em;\">61<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p style=\"font-size: 0.8em;\">\u2020For each city included in the 2026 Asthma Capitals, AAFA obtained the estimated asthma-related crude death rate per 100,000 people for its respective county from 2020-2024 (most recent available data<em>)<\/em>. <a href=\"https:\/\/aafa.org\/wp-content\/uploads\/2026\/08\/asthma-capitals-asthma-deaths-health-outcome.jpg\" target=\"_blank\" rel=\"noopener\"><span data-teams=\"true\">Download image of Figure 3 table<\/span><\/a><\/p>\n<p>Asthma-related deaths are preventable. To reduce asthma deaths, people need:<\/p>\n<ul>\n<li>Wealth and income above the Federal Poverty Level<\/li>\n<li>Affordable asthma medicines<\/li>\n<li>Regular vaccinations to protect against respiratory infections<\/li>\n<li>Good air quality indoors (at home, school, work) and outdoors<\/li>\n<li>Insurance coverage for health care and additional asthma support tools such as asthma self-management education, home assessments and remediation, and tobacco cessation<\/li>\n<li>Immediate access to the treatments prescribed by their clinicians without insurance delays such as step therapy or prior authorization<\/li>\n<li>Nearby hospitals and emergency or urgent care services that recognize and treat asthma emergencies<\/li>\n<li>Health care teams that prioritize reducing asthma mortality disparities among patients<\/li>\n<\/ul>\n<p>If someone\u2019s life is in danger, seek emergency care immediately. An Asthma Action Plan can help identify when asthma is a medical emergency. Visit <a href=\"https:\/\/aafa.org\/asthma\/asthma-treatment\/asthma-treatment-action-plan\/\"><strong>aafa.org\/actionplan <\/strong><\/a>to download a sample plan.<\/p>\n<p>[\/et_pb_text][et_pb_accordion open_toggle_text_color=&#8221;#FFFFFF&#8221; open_toggle_background_color=&#8221;#f0f0f0&#8243; closed_toggle_text_color=&#8221;#FFFFFF&#8221; closed_toggle_background_color=&#8221;#f0f0f0&#8243; toggle_icon=&#8221;&#x4c;||divi||400&#8243; icon_color=&#8221;#FFFFFF&#8221; use_icon_font_size=&#8221;on&#8221; icon_font_size=&#8221;20px&#8221; disabled_on=&#8221;on|on|on&#8221; admin_label=&#8221;Accordion&#8221; module_id=&#8221;references&#8221; module_class=&#8221;accord pa-accordion&#8221; _builder_version=&#8221;4.27.4&#8243; _module_preset=&#8221;default&#8221; toggle_text_color=&#8221;#FFFFFF&#8221; toggle_font=&#8221;|600|||||||&#8221; toggle_font_size=&#8221;22px&#8221; closed_toggle_font=&#8221;|600|||||||&#8221; closed_toggle_font_size=&#8221;22px&#8221; body_font=&#8221;||||||||&#8221; body_text_color=&#8221;#505050&#8243; body_font_size=&#8221;16px&#8221; body_line_height=&#8221;1.4em&#8221; body_link_font=&#8221;||||on|||#008C99|&#8221; text_orientation=&#8221;left&#8221; height_tablet=&#8221;&#8221; height_phone=&#8221;&#8221; height_last_edited=&#8221;on|desktop&#8221; custom_margin=&#8221;||2%||false|false&#8221; custom_css_free_form=&#8221;.et_pb_toggle_title:before {|| font-size: 20px;|| position: absolute;|| color: #FFFFFF;|| font-family: ETmodules !important;|| font-weight: 400 !important;|| content: %22%924c%22 !important;|| right: 2% !important;|| display: inline-block !important;||}||.accord .et_pb_toggle_content {|| color: #008c99;|| font-size: 16px;|| font-weight: 500;||}&#8221; border_width_all=&#8221;0px&#8221; disabled=&#8221;on&#8221; saved_tabs=&#8221;all&#8221; locked=&#8221;off&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_accordion_item title=&#8221;Closed&#8221; open=&#8221;on&#8221; _builder_version=&#8221;4.18.0&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][\/et_pb_accordion_item][et_pb_accordion_item title=&#8221;Estimated Asthma Rates (Prevalence)&#8221; _builder_version=&#8221;4.27.4&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221; open=&#8221;off&#8221;]Over 28 million people living in the United States have asthma.<sup><a href=\"#_edn1\" name=\"_ednref1\">[1]<\/a>,<a href=\"#_edn2\" name=\"_ednref2\">[2]<\/a><\/sup> This equals about 1 in 12 people. Nationally, the prevalence of \u201ccurrent asthma\u201d \u00a0increased from 20.3 million people in 2001.\u00a0 The CDC determines the prevalence of asthma using a national survey. People who answer &#8220;yes&#8221; to the questions &#8220;Have you EVER been told by a doctor or other health professional that you had asthma?&#8221; and &#8220;Do you still have asthma?&#8221; have current asthma. Asthma prevalence rates differ significantly by socioeconomic status, race, ethnicity, age and sex. <strong>Income<\/strong><\/p>\n<ul>\n<li>People living below 100% of the Federal Poverty Level (FPL) are more likely to have asthma than people living at any percentage above the poverty level. Around 12.5% of adults with family income below 100% of the FPL have asthma, compared to 11.1% of adults with family income of 100%-199% of the FPL and 7.9% of persons with family income of at least 200% of the FPL.<sup><a href=\"#_edn2\" name=\"_ednref2\">[2]<\/a><\/sup><\/li>\n<\/ul>\n<p><strong>Race<\/strong><\/p>\n<ul>\n<li>Black people in the U.S. are also disproportionally diagnosed with asthma compared to White people.<sup><a href=\"#_edn3\" name=\"_ednref3\">[3]<\/a><\/sup> Around 11.3% of Black people in the U.S. have asthma, compared to 8.5% of White people.<sup><a href=\"#_edn2\" name=\"_ednref2\">[2]<\/a><\/sup><\/li>\n<\/ul>\n<p><strong>Ethnicity<\/strong><\/p>\n<ul>\n<li>Data on asthma prevalence in Hispanic subgroups are limited; however, previous research suggests Puerto Ricans have the highest rate of asthma prevalence compared to any other racial or ethnic group in the United States.<\/li>\n<\/ul>\n<p><strong>Age<\/strong><\/p>\n<ul>\n<li>While there are more adults with asthma than children, asthma is a leading chronic disease in children.<sup><a href=\"#_edn4\" name=\"_ednref4\">[4]<\/a><\/sup><\/li>\n<li>Only dental cavities are more common in kids than asthma.<sup><a href=\"#_edn5\" name=\"_ednref5\">[5]<\/a><\/sup><\/li>\n<\/ul>\n<p><strong>Sex<\/strong><\/p>\n<ul>\n<li>In adults, asthma is more common in females than males. Around 11.0% of female adults have asthma, compared to 6.8% of male adults.<sup><a href=\"#_edn2\" name=\"_ednref2\">[2]<\/a><\/sup><\/li>\n<li>In children, asthma is more common in males than females. Around 7.6% of male children have asthma, compared to 5.7% of female children.<sup><a href=\"#_edn4\" name=\"_ednref4\">[4]<\/a>\/sup&gt;<\/sup><\/li>\n<\/ul>\n<p>The cities with the highest estimated asthma prevalence<sup>\u2020<\/sup> are:<\/p>\n<table style=\"border-color: #000000; width: 100%;\">\n<tbody>\n<tr>\n<td style=\"background-color: #d8efee; width: 25%; padding: 8px;\"><strong>2025 Asthma Capital Ranking Overall<\/strong><\/td>\n<td style=\"background-color: #e8e2ee; width: 25%; padding: 8px;\"><strong>2025 Asthma Prevalence Ranking<\/strong><\/td>\n<td style=\"background-color: #c3b1d1; width: 50%; padding: 8px;\"><strong>Metropolitan Area<\/strong><\/td>\n<\/tr>\n<tr>\n<td style=\"width: 152.535px;\">2<\/td>\n<td style=\"width: 159.219px;\">1<\/td>\n<td style=\"width: 245.972px;\">Rochester, NY<\/td>\n<\/tr>\n<tr style=\"background-color: #f8f7ed;\">\n<td style=\"width: 152.535px;\">1<\/td>\n<td style=\"width: 159.219px;\">2<\/td>\n<td style=\"width: 245.972px;\">Detroit, MI<\/td>\n<\/tr>\n<tr>\n<td style=\"width: 152.535px;\">8<\/td>\n<td style=\"width: 159.219px;\">3<\/td>\n<td style=\"width: 245.972px;\">Albany, NY<\/td>\n<\/tr>\n<tr style=\"background-color: #f8f7ed;\">\n<td style=\"width: 152.535px;\">3<\/td>\n<td style=\"width: 159.219px;\">4<\/td>\n<td style=\"width: 245.972px;\">Allentown, PA<\/td>\n<\/tr>\n<tr>\n<td style=\"width: 152.535px;\">7<\/td>\n<td style=\"width: 159.219px;\">5<\/td>\n<td style=\"width: 245.972px;\">Hartford, CT<\/td>\n<\/tr>\n<tr style=\"background-color: #f8f7ed;\">\n<td style=\"width: 152.535px;\">4<\/td>\n<td style=\"width: 159.219px;\">6<\/td>\n<td style=\"width: 245.972px;\">Philadelphia, PA<\/td>\n<\/tr>\n<tr>\n<td style=\"width: 152.535px;\">6<\/td>\n<td style=\"width: 159.219px;\">7<\/td>\n<td style=\"width: 245.972px;\">Fresno, CA<\/td>\n<\/tr>\n<tr style=\"background-color: #f8f7ed;\">\n<td style=\"width: 152.535px;\">5<\/td>\n<td style=\"width: 159.219px;\">8<\/td>\n<td style=\"width: 245.972px;\">Cleveland, OH<\/td>\n<\/tr>\n<tr>\n<td style=\"width: 152.535px;\">15<\/td>\n<td style=\"width: 159.219px;\">9<\/td>\n<td style=\"width: 245.972px;\">Harrisburg, PA<\/td>\n<\/tr>\n<tr style=\"background-color: #f8f7ed;\">\n<td style=\"width: 152.535px;\">9<\/td>\n<td style=\"width: 159.219px;\">10<\/td>\n<td style=\"width: 245.972px;\">Providence, RI<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>\u2020For each city included in the 2025 Asthma Capitals, AAFA obtained an estimated asthma prevalence for its respective metropolitan statistical area (MSA). MSAs include cities and their surrounding areas (like suburbs). For this report, asthma prevalence is estimated using claims data for individuals who sought asthma care at any point in the 2024 calendar year. While this is not an exact measure of prevalence, it helps provide data that can be compared from city to city. Other prevalence estimates, such as those from the CDC, use self-reported data through surveys. [\/et_pb_accordion_item][et_pb_accordion_item title=&#8221;Emergency Department (ED) Visits&#8221; _builder_version=&#8221;4.27.4&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221; open=&#8221;off&#8221;]Asthma can trigger severe symptoms that require a visit to the ED. Increased ED visits are a sign of poor asthma control. Nationally, asthma accounts for nearly 1 million emergency department visits each year.<sup><a href=\"#_edn6\" name=\"_ednref6\">[6]<\/a><\/sup> Most asthma-related ED visits can be prevented. Effective asthma management\u2014including reducing exposure to asthma triggers, having access to and taking prescribed asthma medicine, and following an Asthma Action Plan\u2014may help reduce ED visits and hospitalizations. Asthma-related ED visits are 6 times higher for Black patients than for White patients. Children are more likely than adults to have asthma-related ED visits, with children ages 0 to 4 having the highest rates of asthma-related ED visits.<sup><a href=\"#_edn7\" name=\"_ednref7\">[7]<\/a><\/sup>\u00a0Asthma-related ED visits spike every year in September when children return to school. The cities with the highest asthma-related ED visits<sup>\u2020<\/sup> are:<\/p>\n<table style=\"border-color: #000000; width: 100%;\">\n<tbody>\n<tr>\n<td style=\"background-color: #d8efee; width: 25%; padding: 8px;\"><strong>2025 Asthma Capital Ranking Overall<\/strong><\/td>\n<td style=\"background-color: #e8e2ee; width: 25%; padding: 8px;\"><strong>2025 Asthma Prevalence Ranking<\/strong><\/td>\n<td style=\"background-color: #c3b1d1; width: 50%; padding: 8px;\"><strong>Metropolitan Area<\/strong><\/td>\n<\/tr>\n<tr>\n<td style=\"width: 152.535px;\">10<\/td>\n<td style=\"width: 159.219px;\">1<\/td>\n<td style=\"width: 245.972px;\">Milwaukee, WI<\/td>\n<\/tr>\n<tr style=\"background-color: #f8f7ed;\">\n<td style=\"width: 152.535px;\">49<\/td>\n<td style=\"width: 159.219px;\">2<\/td>\n<td style=\"width: 245.972px;\">Louisville, KY<\/td>\n<\/tr>\n<tr>\n<td style=\"width: 152.535px;\">42<\/td>\n<td style=\"width: 159.219px;\">3<\/td>\n<td style=\"width: 245.972px;\">Memphis, TN<\/td>\n<\/tr>\n<tr style=\"background-color: #f8f7ed;\">\n<td style=\"width: 152.535px;\">23<\/td>\n<td style=\"width: 159.219px;\">4<\/td>\n<td style=\"width: 245.972px;\">Virginia Beach, VA<\/td>\n<\/tr>\n<tr>\n<td style=\"width: 152.535px;\">82<\/td>\n<td style=\"width: 159.219px;\">5<\/td>\n<td style=\"width: 245.972px;\">Madison, WI<\/td>\n<\/tr>\n<tr style=\"background-color: #f8f7ed;\">\n<td style=\"width: 152.535px;\">3<\/td>\n<td style=\"width: 159.219px;\">6<\/td>\n<td style=\"width: 245.972px;\">Allentown, PA<\/td>\n<\/tr>\n<tr>\n<td style=\"width: 152.535px;\">60<\/td>\n<td style=\"width: 159.219px;\">7<\/td>\n<td style=\"width: 245.972px;\">Oklahoma City, OK<\/td>\n<\/tr>\n<tr style=\"background-color: #f8f7ed;\">\n<td style=\"width: 152.535px;\">30<\/td>\n<td style=\"width: 159.219px;\">8<\/td>\n<td style=\"width: 245.972px;\">Stockton, CA<\/td>\n<\/tr>\n<tr>\n<td style=\"width: 152.535px;\">51<\/td>\n<td style=\"width: 159.219px;\">9<\/td>\n<td style=\"width: 245.972px;\">Dayton, OH<\/td>\n<\/tr>\n<tr style=\"background-color: #f8f7ed;\">\n<td style=\"width: 152.535px;\">57<\/td>\n<td style=\"width: 159.219px;\">10<\/td>\n<td style=\"width: 245.972px;\">Columbus, OH<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>\u2020For each city included in the 2025 Asthma Capitals, AAFA obtained the total number of ED visits where an asthma ICD-10 code was included in a diagnosis field, for the respective census-designated metropolitan statistical area, or MSA, for calendar year 2024. Analysis included estimating the ED rate per 10,000 asthma patients.[\/et_pb_accordion_item][et_pb_accordion_item title=&#8221;Asthma-Related Deaths&#8221; _builder_version=&#8221;4.27.4&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221; open=&#8221;off&#8221;]On average, between 9 to 11 people in the U.S. die from asthma each day. Nationally, there were 3,190 deaths attributed to asthma in 2023.<sup><a href=\"#_edn7\" name=\"_ednref7\">[7]<\/a><\/sup>There hasn\u2019t been meaningful improvement in these numbers in the last decade. In 2020, deaths due to asthma rose for the first time in 20 years but have since returned to pre-pandemic level.<sup><a href=\"#_edn8\" name=\"_ednref8\">[8]<\/a><\/sup> Some populations are at higher risk of dying from asthma than others. The causes of higher asthma death rates are complex but must be addressed to save lives. The top 10 cities for asthma-related deaths must take action to prevent more tragedies. The cities with the highest asthma-related deaths<sup>\u2020<\/sup> are:<\/p>\n<table style=\"border-color: #000000; width: 100%;\">\n<tbody>\n<tr>\n<td style=\"background-color: #d8efee; width: 25%; padding: 8px;\"><strong>2025 Asthma Capital Ranking Overall<\/strong><\/td>\n<td style=\"background-color: #e8e2ee; width: 25%; padding: 8px;\"><strong>2025 Asthma Prevalence Ranking<\/strong><\/td>\n<td style=\"background-color: #c3b1d1; width: 50%; padding: 8px;\"><strong>Metropolitan Area<\/strong><\/td>\n<\/tr>\n<tr>\n<td style=\"width: 152.535px;\">13<\/td>\n<td style=\"width: 159.219px;\">1<\/td>\n<td style=\"width: 245.972px;\">Baltimore, MD<\/td>\n<\/tr>\n<tr style=\"background-color: #f8f7ed;\">\n<td style=\"width: 152.535px;\">32<\/td>\n<td style=\"width: 159.219px;\">2<\/td>\n<td style=\"width: 245.972px;\">St. Louis, MO<\/td>\n<\/tr>\n<tr>\n<td style=\"width: 152.535px;\">16<\/td>\n<td style=\"width: 159.219px;\">3<\/td>\n<td style=\"width: 245.972px;\">Richmond, VA<\/td>\n<\/tr>\n<tr style=\"background-color: #f8f7ed;\">\n<td style=\"width: 152.535px;\">47<\/td>\n<td style=\"width: 159.219px;\">4<\/td>\n<td style=\"width: 245.972px;\">Jackson, MS<\/td>\n<\/tr>\n<tr>\n<td style=\"width: 152.535px;\">42<\/td>\n<td style=\"width: 159.219px;\">5<\/td>\n<td style=\"width: 245.972px;\">Memphis, TN<\/td>\n<\/tr>\n<tr style=\"background-color: #f8f7ed;\">\n<td style=\"width: 152.535px;\">77<\/td>\n<td style=\"width: 159.219px;\">6<\/td>\n<td style=\"width: 245.972px;\">Chattanooga, TN<\/td>\n<\/tr>\n<tr>\n<td style=\"width: 152.535px;\">25<\/td>\n<td style=\"width: 159.219px;\">7<\/td>\n<td style=\"width: 245.972px;\">New York, NY<\/td>\n<\/tr>\n<tr style=\"background-color: #f8f7ed;\">\n<td style=\"width: 152.535px;\">6<\/td>\n<td style=\"width: 159.219px;\">8<\/td>\n<td style=\"width: 245.972px;\">Fresno, CA<\/td>\n<\/tr>\n<tr>\n<td style=\"width: 152.535px;\">4<\/td>\n<td style=\"width: 159.219px;\">9<\/td>\n<td style=\"width: 245.972px;\">Philadelphia, PA<\/td>\n<\/tr>\n<tr style=\"background-color: #f8f7ed;\">\n<td style=\"width: 152.535px;\">22<\/td>\n<td style=\"width: 159.219px;\">10<\/td>\n<td style=\"width: 245.972px;\">Tucson, AZ<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>\u2020For each city included in the 2025 Asthma Capitals, AAFA obtained the estimated asthma-related crude death rate per 100,000 people for its respective county from 2019-2023 (most recent available data). To reduce the risk of death from asthma, it is important to:<\/p>\n<ul>\n<li>Have access to asthma medicines and take them as prescribed<\/li>\n<li>Seek medical care if symptoms occur more than twice per week<\/li>\n<li>Avoid or reduce exposure to asthma triggers<\/li>\n<li>Learn the signs and symptoms of asthma, including early warning signals<\/li>\n<li>Have an Asthma Action Plan and take quick action according to the plan<\/li>\n<\/ul>\n<p>If someone\u2019s life is in danger, seek emergency care immediately. An Asthma Action Plan can help identify when asthma is a medical emergency. Visit <a href=\"https:\/\/aafa.org\/asthma\/asthma-treatment\/asthma-treatment-action-plan\/\"><strong>aafa.org\/actionplan <\/strong><\/a>to download a sample plan. [\/et_pb_accordion_item][\/et_pb_accordion][\/et_pb_column][et_pb_column type=&#8221;1_3&#8243; _builder_version=&#8221;4.17.4&#8243; _module_preset=&#8221;default&#8221; custom_padding=&#8221;6%||||false|false&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_image src=&#8221;https:\/\/aafa.org\/wp-content\/uploads\/2026\/08\/aafa-2026-asthma-capitals-report-web-lg.jpg&#8221; alt=&#8221;2026 Asthma Capitals report cover&#8221; title_text=&#8221;aafa-2026-asthma-capitals-report-web-lg&#8221; url=&#8221;https:\/\/aafa.org\/wp-content\/uploads\/2026\/07\/aafa-2026-asthma-capitals-report.pdf&#8221; url_new_window=&#8221;on&#8221; align=&#8221;center&#8221; force_fullwidth=&#8221;on&#8221; admin_label=&#8221;Asthma Capitals Report Cover 2026&#8243; _builder_version=&#8221;4.27.6&#8243; _module_preset=&#8221;default&#8221; custom_margin=&#8221;||1%||false|false&#8221; box_shadow_style=&#8221;preset3&#8243; global_module=&#8221;33026&#8243; saved_tabs=&#8221;all&#8221; locked=&#8221;off&#8221; global_colors_info=&#8221;{}&#8221;][\/et_pb_image][et_pb_button button_url=&#8221;https:\/\/aafa.org\/wp-content\/uploads\/2026\/07\/aafa-2026-asthma-capitals-report.pdf&#8221; url_new_window=&#8221;on&#8221; button_text=&#8221;View Full Report&#8221; button_alignment=&#8221;center&#8221; admin_label=&#8221;Asthma Capitals Button 2026&#8243; _builder_version=&#8221;4.27.6&#8243; _module_preset=&#8221;default&#8221; custom_button=&#8221;on&#8221; button_bg_color=&#8221;#28BDBA&#8221; button_font=&#8221;|600|||||||&#8221; button_use_icon=&#8221;off&#8221; custom_margin=&#8221;6%||||false|false&#8221; custom_css_main_element=&#8221;width:100%;&#8221; global_module=&#8221;33028&#8243; saved_tabs=&#8221;all&#8221; locked=&#8221;off&#8221; global_colors_info=&#8221;{}&#8221;][\/et_pb_button][et_pb_text admin_label=&#8221;Top 10 list&#8221; module_class=&#8221;sidebar-blurb&#8221; _builder_version=&#8221;4.27.6&#8243; _module_preset=&#8221;default&#8221; text_text_color=&#8221;#505050&#8243; text_font_size=&#8221;16px&#8221; link_font=&#8221;|600||on|||||&#8221; link_text_align=&#8221;left&#8221; link_text_color=&#8221;#692d87&#8243; link_font_size=&#8221;16px&#8221; header_4_font=&#8221;|600|||||||&#8221; header_4_text_align=&#8221;left&#8221; header_4_text_color=&#8221;#008c99&#8243; header_4_font_size=&#8221;20px&#8221; header_6_font_size=&#8221;10px&#8221; background_image=&#8221;https:\/\/aafa.org\/wp-content\/uploads\/2022\/06\/teal_scribble.png&#8221; background_size=&#8221;initial&#8221; background_position=&#8221;top_left&#8221; custom_margin=&#8221;8%||8%||true|false&#8221; custom_padding=&#8221;2%||2%||true|false&#8221; saved_tabs=&#8221;all&#8221; locked=&#8221;off&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<h3><b>Top 10 Most Challenging Places to Live with Asthma<\/b><\/h3>\n<ol>\n<li>Allentown, PA<\/li>\n<li>Detroit, MI<\/li>\n<li>Rochester, NY<\/li>\n<li>Philadelphia, PA<\/li>\n<li>Cleveland, OH<\/li>\n<li>Lakeland, FL<\/li>\n<li>Syracuse, NY<\/li>\n<li>Hartford, CT<\/li>\n<li>Charleston, SC<\/li>\n<li>Sacramento, CA<\/li>\n<\/ol>\n<p>[\/et_pb_text][et_pb_code admin_label=&#8221;Join Community Form&#8221; module_class=&#8221;joinwidget&#8221; _builder_version=&#8221;4.24.2&#8243; _module_preset=&#8221;default&#8221; background_color=&#8221;#28bdba&#8221; custom_css_free_form=&#8221;.joinform {color: white;}&#8221; box_shadow_style=&#8221;preset2&#8243; global_module=&#8221;8956&#8243; saved_tabs=&#8221;all&#8221; global_colors_info=&#8221;{}&#8221; raw_content__hover_enabled=&#8221;off|desktop&#8221;]<\/p>\n<div class=\"joinform\"><!-- [et_pb_line_break_holder] -->\t\t<\/p>\n<h3 style=\"text-align:center; color: white;\">Join Our Online Support Community<\/h3>\n<p><!-- [et_pb_line_break_holder] -->\t\t<\/p>\n<form method=\"get\" action=\"https:\/\/community.aafa.org\/join\" id=\"Join\" name=\"AAFAJoin\"><!-- [et_pb_line_break_holder] -->\t\t\t<pee>Email:<input type=\"text\" name=\"email\" value=\"\" maxlength=\"40\" style=\"width:100%\"><\/pee><!-- [et_pb_line_break_holder] -->\t\t\t<pee>Display Name: <input type=\"text\" name=\"displayName\" value=\"\" maxlength=\"40\" style=\"width:100%\"><\/pee><!-- [et_pb_line_break_holder] -->\t\t\t<pee style=\"text-align:center; color: white;\"><input type=\"submit\" value=\"Join Now\"><\/pee><!-- [et_pb_line_break_holder] -->    <\/form>\n<p><!-- [et_pb_line_break_holder] -->\t\t\t<pee><!-- [et_pb_line_break_holder] -->\t\t\t\tAAFA is dedicated to improving the quality of life for people with asthma and allergic diseases. Our community is here for you 24\/7. You can connect with others who understand what it is like to live with asthma and allergies. You&#8217;re not alone.<!-- [et_pb_line_break_holder] -->\t\t\t<\/pee><!-- [et_pb_line_break_holder] -->      <!-- <pee style=\"display:block; text-align:center \"><img decoding=\"async\" src=\"https:\/\/www.aafa.org\/media\/1003\/aafa-mobile.png\" loading=\"lazy\" \/><\/pee>\t--><!-- [et_pb_line_break_holder] --><\/div>\n<p>[\/et_pb_code][\/et_pb_column][\/et_pb_row][et_pb_row column_structure=&#8221;2_3,1_3&#8243; admin_label=&#8221;Asthma Capitals disclaimers&#8221; _builder_version=&#8221;4.17.4&#8243; _module_preset=&#8221;default&#8221; saved_tabs=&#8221;all&#8221; locked=&#8221;off&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_column type=&#8221;2_3&#8243; _builder_version=&#8221;4.17.4&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_text admin_label=&#8221;About the Report&#8221; _builder_version=&#8221;4.27.6&#8243; _module_preset=&#8221;default&#8221; text_text_color=&#8221;#505050&#8243; text_font_size=&#8221;16px&#8221; header_3_font_size=&#8221;20px&#8221; header_5_font=&#8221;|600|||||||&#8221; header_5_text_align=&#8221;left&#8221; header_5_text_color=&#8221;#008c99&#8243; custom_margin=&#8221;||3%||false|false&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<h3>About the Report<\/h3>\n<p>AAFA publishes the <a href=\"https:\/\/aafa.org\/asthma-allergy-research\/our-research\/asthma-capitals\/\">Asthma Capitals\u00ae<\/a> report to raise awareness about the nationwide impacts of asthma. The report analyzes asthma data across the United States and ranks cities by the most critical of health outcomes \u2013 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.<\/p>\n<p>AAFA only evaluates the top 100 populated places (based on metropolitan statistical areas or MSAs) in the contiguous (\u201clower 48\u201d) states for this report. MSAs are cities and their surrounding areas (like suburbs and nearby rural areas). The report does not reflect:<\/p>\n<ul>\n<li>Cities and areas not in the top 100 list by population size<\/li>\n<li>Completely rural areas that are not located within a metropolitan statistical area<\/li>\n<li>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<\/li>\n<\/ul>\n<p>[\/et_pb_text][et_pb_text admin_label=&#8221;Acknowledgements&#8221; _builder_version=&#8221;4.27.6&#8243; _module_preset=&#8221;default&#8221; text_text_color=&#8221;#505050&#8243; text_font_size=&#8221;16px&#8221; header_3_font_size=&#8221;20px&#8221; header_5_font=&#8221;|600|||||||&#8221; header_5_text_align=&#8221;left&#8221; header_5_text_color=&#8221;#008c99&#8243; custom_margin=&#8221;||3%||false|false&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<h3>Acknowledgements<\/h3>\n<p>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 <strong>Amgen, AstraZeneca, Chiesi, <\/strong>and<strong> Sanofi and Regeneron<\/strong>. AAFA also thanks Komodo Health and Pollen Sense, LLC for additional support for data used in this report. <span class=\"s1\">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.<\/span><\/p>\n<p>[\/et_pb_text][et_pb_text admin_label=&#8221;Recommended Citation&#8221; _builder_version=&#8221;4.27.6&#8243; _module_preset=&#8221;default&#8221; text_text_color=&#8221;#505050&#8243; text_font_size=&#8221;16px&#8221; header_3_font_size=&#8221;20px&#8221; header_5_font=&#8221;|600|||||||&#8221; header_5_text_align=&#8221;left&#8221; header_5_text_color=&#8221;#008c99&#8243; custom_margin=&#8221;||3%||false|false&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<h3>Recommended Citation<\/h3>\n<p><span style=\"font-weight: 400;\">Asthma and Allergy Foundation of America, (2026). <em>2026 Asthma Capitals\u00ae<\/em>. Retrieved from asthmacapitals.org.<\/span><br \/>\n[\/et_pb_text][et_pb_text admin_label=&#8221;Media Inquiries&#8221; _builder_version=&#8221;4.27.6&#8243; _module_preset=&#8221;default&#8221; text_text_color=&#8221;#505050&#8243; text_font_size=&#8221;16px&#8221; header_3_font_size=&#8221;20px&#8221; header_5_font=&#8221;|600|||||||&#8221; header_5_text_align=&#8221;left&#8221; header_5_text_color=&#8221;#008c99&#8243; custom_margin=&#8221;||3%||false|false&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<h3>Media Inquiries<\/h3>\n<p><span style=\"font-weight: 400;\">For media and related inquiries, contact <a href=\"mailto:media@aafa.org\">media@aafa.org<\/a><\/span><span style=\"font-weight: 400;\">.<\/span> <a name=\"_ref\"><\/a> [\/et_pb_text][et_pb_accordion open_toggle_text_color=&#8221;#FFFFFF&#8221; open_toggle_background_color=&#8221;#f0f0f0&#8243; closed_toggle_text_color=&#8221;#FFFFFF&#8221; closed_toggle_background_color=&#8221;#f0f0f0&#8243; toggle_icon=&#8221;&#x4c;||divi||400&#8243; icon_color=&#8221;#FFFFFF&#8221; use_icon_font_size=&#8221;on&#8221; icon_font_size=&#8221;20px&#8221; disabled_on=&#8221;off|off|off&#8221; admin_label=&#8221;Accordion &#8211; References&#8221; module_id=&#8221;references&#8221; module_class=&#8221;accord pa-accordion&#8221; _builder_version=&#8221;4.27.6&#8243; _module_preset=&#8221;default&#8221; toggle_text_color=&#8221;#FFFFFF&#8221; toggle_font=&#8221;|600|||||||&#8221; toggle_font_size=&#8221;20px&#8221; closed_toggle_font=&#8221;|600|||||||&#8221; closed_toggle_font_size=&#8221;20px&#8221; body_font=&#8221;||||||||&#8221; body_text_color=&#8221;#505050&#8243; body_font_size=&#8221;16px&#8221; body_line_height=&#8221;1.4em&#8221; body_link_font=&#8221;||||on|||#008C99|&#8221; text_orientation=&#8221;left&#8221; custom_margin=&#8221;||2%||false|false&#8221; custom_css_free_form=&#8221;.et_pb_toggle_title:before {|| font-size: 20px;|| position: absolute;|| color: #FFFFFF;|| font-family: ETmodules !important;|| font-weight: 400 !important;|| content: %22%924c%22 !important;|| right: 2% !important;|| display: inline-block !important;||}||.accord .et_pb_toggle_content {|| color: #008c99;|| font-size: 16px;|| font-weight: 500;||}&#8221; border_width_all=&#8221;0px&#8221; locked=&#8221;off&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_accordion_item title=&#8221;Closed&#8221; open=&#8221;on&#8221; _builder_version=&#8221;4.23.2&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][\/et_pb_accordion_item][et_pb_accordion_item title=&#8221;References&#8221; _builder_version=&#8221;4.27.6&#8243; _module_preset=&#8221;default&#8221; body_font=&#8221;|300|||||||&#8221; body_text_color=&#8221;#505050&#8243; body_font_size=&#8221;16px&#8221; global_colors_info=&#8221;{}&#8221; open=&#8221;off&#8221;]1. <!--StartFragment --><span class=\"cf0\">National Center for Health Statistics. <\/span><span class=\"cf1\"><em>2024 NHIS Adult Summary Health Statistics<\/em>.<\/span><span class=\"cf0\"> Data accessed August 18, 2026. Available from <\/span><a class=\"cf0\" href=\"https:\/\/data.cdc.gov\/d\/25m4-6qqq\" target=\"_blank\" rel=\"noopener\"><span class=\"cf0\">https:\/\/data.cdc.gov\/d\/25m4-6qqq<\/span><\/a><\/p>\n<p>2. <!--StartFragment --><span class=\"cf0\">National Center for Health Statistics. <\/span><em><span class=\"cf1\">2024 NHIS Child Summary Health Statistics<\/span><\/em><span class=\"cf0\">. Data accessed August 18, 2026. Available from <\/span><a class=\"cf0\" href=\"https:\/\/data.cdc.gov\/d\/wxz7-ekz9\" target=\"_blank\" rel=\"noopener\"><span class=\"cf0\">https:\/\/data.cdc.gov\/d\/wxz7-ekz9<\/span><\/a><\/p>\n<p>3. El Burai F\u00e9lix, S., Bailey, C. M., &amp; Zahran, H. S. (2015). Asthma prevalence among Hispanic adults in Puerto Rico and Hispanic adults of Puerto Rican descent in the United States &#8211; results from two national surveys. <em>The Journal of Asthma,<\/em> <em>52<\/em>(1), 3\u20139. <a href=\"https:\/\/doi.org\/10.3109\/02770903.2014.950427\" target=\"_blank\" rel=\"noopener\">https:\/\/doi.org\/10.3109\/02770903.2014.950427<\/a><\/p>\n<p>4. Ferrante, G., &amp; La Grutta, S. (2018). The Burden of Pediatric Asthma.\u00a0<em>Frontiers in Pediatrics, 6. <\/em><a href=\"https:\/\/doi.org\/10.3389\/fped.2018.00186\" target=\"_blank\" rel=\"noopener\">https:\/\/doi.org\/10.3389\/fped.2018.00186<\/a><\/p>\n<p>5. National Institute of Dental and Craniofacial Research. (2019).\u00a0<em>Dental caries (tooth decay) in children ages 2 to 11 years<\/em>. National Institutes of Health.\u00a0<a href=\"https:\/\/www.nidcr.nih.gov\/research\/data-statistics\/dental-caries\/children\" target=\"_blank\" rel=\"noopener\">https:\/\/www.nidcr.nih.gov\/research\/data-statistics\/dental-caries\/children<\/a><\/p>\n<p>6. Agency for Healthcare Research and Quality. (2023). <em>Healthcare Cost and Utilization Project (2020).\u00a0<\/em>U.S. Department of Health and Human Services, Centers for Disease Control and Prevention.\u00a0<a href=\"https:\/\/www.cdc.gov\/asthma\/healthcare-use\/2020\/table_a.html\" target=\"_blank\" rel=\"noopener\">https:\/\/www.cdc.gov\/asthma\/healthcare-use\/2020\/table_a.html<\/a><\/p>\n<p>7. National Center for Health Statistics.\u00a0<em>National Vital Statistics System: Mortality (2018-2024).<\/em>\u00a0U.S. Department of Health and Human Services, Centers for Disease Control and Prevention.\u00a0<a href=\"https:\/\/wonder.cdc.gov\/ucd-icd10-expanded.html\" target=\"_blank\" rel=\"noopener\">https:\/\/wonder.cdc.gov\/ucd-icd10-expanded.html<\/a><\/p>\n<p>8. CDC National Asthma Control Program (NACP). (2023).\u00a0<em>Asthma Surveillance in the United States, 2001\u20132021<\/em>. National Center for Environmental Health, Centers for Disease Control and Prevention.\u00a0<a href=\"https:\/\/www.cdc.gov\/asthma\/asthma-prevalence-us-2023-508.pdf\" target=\"_blank\" rel=\"noopener\">https:\/\/www.cdc.gov\/asthma\/asthma-prevalence-us-2023-508.pdf<\/a><br \/>\n[\/et_pb_accordion_item][\/et_pb_accordion][et_pb_code admin_label=&#8221;Print&#8221; module_id=&#8221;print&#8221; module_class=&#8221;clearfix&#8221; _builder_version=&#8221;4.17.6&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;]<a href=\"https:\/\/aafa.org\/asthma-allergy-research\/our-research\/asthma-capitals\/asthma-health-outcomes\/print\/\" rel=\"nofollow\" title=\"Print post\"><svg class=\"WP-PrintIcon wp-print-icon\" width=\"16\" height=\"16\" viewbox=\"0 0 20 20\" fill=\"currentColor\" aria-hidden=\"true\" focusable=\"false\"><path d=\"M6 2h8v4H6z\" \/><path d=\"M3 7h14v7h-3v-3H6v3H3z\" \/><path d=\"M6 12h8v6H6z\" \/><\/svg> Print post<\/a> [\/et_pb_code][\/et_pb_column][et_pb_column type=&#8221;1_3&#8243; _builder_version=&#8221;4.17.4&#8243; _module_preset=&#8221;default&#8221; custom_padding=&#8221;6%||||false|false&#8221; global_colors_info=&#8221;{}&#8221;][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=&#8221;1&#8243; admin_label=&#8221;Blog Feed Section &#8211; Asthma Caps&#8221; module_class=&#8221;int-blog-ftr&#8221; _builder_version=&#8221;4.18.0&#8243; _module_preset=&#8221;default&#8221; background_color=&#8221;#F5EDDF&#8221; custom_margin=&#8221;||||false|false&#8221; custom_padding=&#8221;2%||2%||false|false&#8221; top_divider_color=&#8221;#28BDBA&#8221; top_divider_flip=&#8221;horizontal&#8221; bottom_divider_color=&#8221;#28BDBA&#8221; bottom_divider_height=&#8221;50px&#8221; bottom_divider_arrangement=&#8221;above_content&#8221; global_module=&#8221;27286&#8243; saved_tabs=&#8221;all&#8221; locked=&#8221;off&#8221; collapsed=&#8221;on&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_row _builder_version=&#8221;4.18.0&#8243; _module_preset=&#8221;default&#8221; 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If you have any questions, contact [&hellip;]<\/p>\n","protected":false},"author":16,"featured_media":33010,"parent":26613,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"_et_pb_use_builder":"on","_et_pb_old_content":"","_et_gb_content_width":"","footnotes":"","_links_to":"","_links_to_target":""},"class_list":["post-26858","page","type-page","status-publish","has-post-thumbnail","hentry"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v28.5 (Yoast SEO v28.5) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Asthma Capitals: Measuring the Burden of Asthma on Communities<\/title>\n<meta name=\"description\" content=\"AAFA ranks the top cities in the U.S. by 3 important measures: asthma rates, asthma-related ED visits, and asthma-related deaths.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" 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