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Air Pollution and the AQI: Separating Myth From Guidance

Air Pollution and the AQI: what people commonly get wrong, set against what published US guidance says.

Sofia Lindqvist, MPH Public health writer 4 min read 5 views
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Forest — Environmental Health
Photo by Cole Patrick on StockSnap · CC0

Polluted air is linked to asthma attacks, heart attacks and strokes, and checking the daily AQI lets you plan activity to cut your exposure.

Key takeaways

  • Good (green): 0 to 50
  • Moderate (yellow): 51 to 100
  • Most useful single change: Check the AQI daily on AirNow or a weather app, especially in wildfire season.
  • Commonest mistake: Hard outdoor exercise when the AQI is orange or worse if you are in a sensitive group.
  • See a doctor if any of the signs under "When to speak to a doctor" below apply to you.

What the guidance actually says

The published position, before we get to what people believe instead.

Published figures for Air Pollution and the AQI
MeasureFigure
Good (green)0 to 50
Moderate (yellow)51 to 100
Unhealthy for sensitive groups (orange)101 to 150
Unhealthy (red)151 to 200
Very unhealthy (purple) and hazardous (maroon)201 to 300, and 301 or higher
Sensitive groupspeople with heart or lung disease, children, older adults, pregnant people and outdoor workers

Where people go wrong

Each of these is popular. None of it matches the guidance.

  • Hard outdoor exercise when the AQI is orange or worse if you are in a sensitive group
  • Relying on cloth or surgical masks for smoke protection
  • Burning wood, candles or frying food indoors on smoky days

What to do instead

  • Check the AQI daily on AirNow or a weather app, especially in wildfire season
  • Move exercise indoors or to times when pollution is lower; ozone is often highest on summer afternoons
  • Keep windows closed on smoky days and run a portable HEPA air cleaner or a MERV 13 filter in your HVAC system
  • Wear a well-fitting N95 respirator if you must be outdoors in heavy smoke
  • Keep rescue inhalers and other medicines on hand and follow your asthma action plan

The part that is genuinely uncertain

Guidance changes, and it changes because evidence does. The figures above reflect current US guidance from the bodies named at the foot of this page; where those bodies revise their position, theirs is the account to follow rather than this one.

Where to go next

When to speak to a doctor

See your doctor if poor air days regularly worsen your asthma, COPD or heart symptoms, so your treatment plan can be adjusted. Call 911 for chest pain, severe shortness of breath, an asthma attack not relieved by your rescue inhaler, or signs of a stroke.

Where this comes from

  • AirNow — Air Quality Index (AQI) Basics
  • EPA — Wildfires and Indoor Air Quality
  • CDC — Wildfire Smoke and Your Health

How this page was put together

Every figure, recommendation and warning above is taken from the guidance named in Where this comes from. Nothing on this page is inferred, summarized or generalized beyond what those bodies publish: where they give a number, it is their number, and where they are silent, so are we. Pages are rebuilt whenever the underlying record changes. Sign-off by a named clinician, where it has happened, is shown at the top of the page along with the date.

Medical disclaimer

This article is general information, not medical advice. It cannot account for your own history, medication or circumstances. Always speak to your doctor, pharmacist or another qualified health professional before making changes that affect your treatment, and never delay seeking medical advice because of something you have read here. In an emergency, call 911.

Spotted something wrong? Report an error on this page. We correct on the page and say what changed.

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Sofia Lindqvist

Public-health writer with a background in infectious disease communication. Her rule for this section: if a claim cannot be traced to a named guideline, it does not get published.

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