KEY POINTS
  • Los Angeles retains its dubious distinction as the U.S. city with the dirtiest air, according to the American Lung Association's annual "State of the Air" report.
  • More than 141 million Americans remain at risk from smog, according to the report.
  • The report identifies six other California cities in the top 10 with the worst smog-fouled air, and also names Phoenix, Houston and New York.
A layer of pollution can be seen hovering over Los Angeles, California on October 17, 2017.

Los Angeles retained its dubious distinction as the U.S. city with the dirtiest air, but Phoenix, Houston and New York also made the top 10 list, the American Lung Association said Wednesday.

According to the 2019 "State of the Air" report, four in 10 Americans live with unhealthy air. It said increased heat and a more active wildfire season in California, Oregon, Washington and Montana also contributed to a particle pollution problem.