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Ana Santos Rutschman, Professor of Law, Villanova University

New report ranks Philadelphia and Allentown among toughest cities in America for people with asthma

The top 5 'asthma capitals' in the U.S. are Detroit, Rochester, Allentown, Philadelphia and Cleveland, according to the Asthma and Allergy Foundation of America's 2025 report. Terry Vine/DigitalVision Collection via Getty Images

Philadelphia has once again been named one of the “asthma capitals” of the U.S. – ranking No. 4 in a report released on Sept. 9, 2025, by the Asthma and Allergy Foundation of America. Allentown was ranked No. 3, Harrisburg No. 15 and Pittsburgh No. 44.

The AAFA, which is the largest patient group in the country for people with asthma and allergies, ranks cities based on “how challenging they are to live in” for people with asthma. The ranking combines data on asthma prevalence rates, visits to the ER and deaths related to asthma.

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