Beijing air pollutionWith the latest round of global climate change talks set to begin this week in Cancun, Mexico, the assembled delegates should be thankful they're not meeting in, say, Beijing or New Delhi. Those two cities are tied at the top of a list no city should want to be on: those with the world's worst air quality.

Indeed, one reason -- beyond melting glaciers and rising sea levels -- that nations are meeting again to try to hammer out some consensus on what to do about earth's deteriorating climate is that the very air we're breathing is dangerous. Some of the world's largest and most densely populated cities have air that's so polluted that people suffer from lung diseases at rates that are orders of magnitude above global averages. Birth defects in these cities are also at extraordinarily high levels, as are heart disease and cancer rates.

Many of these cities are among the fastest-growing in the world. And in some, residents burn wood and coal for warmth, releasing additional deadly pollution into the atmosphere.

But which cities have the world's worst air? To compile such a list, 24/7 Wall St. has reviewed several dozen studies on air quality conducted over the past few years, along with data from government websites and private sources. Our review examined data about the following pollutants:

  • Sulfur dioxide: Produced when fossil fuels are burned and is the primary cause of acid rain. Exposure causes eye irritation, coughing, worsening of asthma and respiratory-tract infections.
  • Nitrogen dioxide: Produced by generators, power plants and motor vehicles. It has been shown to cause bronchitis and other pulmonary diseases.
  • Particulates: Refers to a variety of small pollutants, including lead, dust, ammonia, soot and pulverized minerals. They're a leading cause of lung cancer. According to the World Health Organization (WHO), mortality in cities with high levels of particulates "exceeds that observed in relatively cleaner cities by 15% to 20%."

With that background, here are 24/7's 10 cities with the worst air quality:

1) Beijing, China (tie)
Beijing's air quality has become so bad that the city has recently been engulfed in a hazardous haze (pictured above). As a result, schools have been forced to cancel outdoor activities, and health experts have asked that children, the elderly and people with respiratory ailments stay indoors. The city recorded the world's highest level of sulfur dioxide concentrations for 2000 to 2005 and has the third-highest level of nitrogen dioxide behind only Sao Paulo and Mexico City. Pollution improved in 2008 because officials banned roughly half of the city's cars when it hosted the Olympic Games. Of course, the air got worse again after the games left town.

1) New Delhi, India (tie)
According to WHO's most recent findings, New Delhi ranks second in concentrations in particulates, at a level more than six times higher than what WHO considers safe. According to the Harvard International Review, two in every five of the city's 13.8 million residents suffer from respiratory illness. The report says the main cause of New Delhi's air pollution is car exhaust and dust kicked up from overcrowded roads. As a result, construction workers and taxi drivers are most at risk for debilitating illness or even early death.

3) Santiago, Chile
According to WHO, a city's airborne particulate matter should not exceed 50 micrograms per cubic meter. In Santiago, an alert is issued when the level hits 200 micrograms. In 2008, on some days the city reached 444 micrograms. Additionally, Santiago has the second-highest level of ground-level ozone, according to WHO.

4) Mexico City, Mexico
According to researchers from the University of Salzburg, Mexico City has high concentrations of nearly every major harmful airborne pollutant, including sulfur dioxide, nitrogen oxides and carbon monoxide. By far the worst problem gripping the city is the massive cloud of smog that hangs over it almost every day. Mexico City has the highest level of ground-level ozone in the world, according to WHO.

5) Ulaanbaatar, Mongolia
In Ulaanbaatar, the annual average particulate matter concentrations are 14 times higher than WHO's recommended level. The city's poor air quality has caused high incidences of chronic bronchitis and cardiovascular diseases. A thick smog often blankets the city, and at times daytime visibility is so poor that cars must use their headlights.

6) Cairo, Egypt
The most recent WHO data ranked Cairo as having the second-highest levels of particulates in the world after New Delhi. Another WHO report, issued a few years ago, equated living in the city of 7.8 million to smoking a pack of cigarettes a day. Because Egypt doesn't use unleaded gasoline, citizens are exposed to high levels of lead every day. On occasion, Cairo is also under what's commonly called "the black cloud": a dense, poisonous mass of smoke caused by the seasonal burning of rice by local farmers.

7) Chongqing, China
One of the fastest-growing cities in China, Chongqing has extremely high levels of air pollution because of coal-burning by power plants and industry. The poor air quality is sickening the city's residents. Studies have found that 4.63% of children under 14 suffer from asthma, although prevalence in girls may be underreported due to cultural bias. Levels of nitrogen oxide are rising because of vehicle emissions.

8) Guangzhou, China
Guangzhou, a provincial capital, has a population of roughly 12 million and one of the worst levels of particulates in China. Total suspended particles, according to a 2007 study, were worse than in Beijing. Sulfur dioxide levels, according to the most recent WHO data, were second only to Beijing. As industrial production and traffic within Guangzhou continue to increase, more people are suffering from shortness of breath, coughing, dizziness, weakness and nausea.

9) Hong Kong
Hong Kong features excessive levels of nitrogen dioxide, ozone, sulfur dioxide and carbon monoxide. The Air Pollution Index, which rates the likelihood of people getting ill from breathing a city's air, has recently reached 500, the highest possible level, for multiple parts of Hong Kong. This year saw the worst levels of pollution since 1995, prompting the government to warn people against doing outdoor activities. These levels were 12 to 14 times worse than WHO standards. No wonder a recent Gallup poll has shown that 70% of Hong Kong's population are dissatisfied with their horrible air quality.

10) Kabul, Afghanistan
Because of the war in Afghanistan, the nation's capital has been flooded by refugees from the surrounding countryside. According to an NPR report, Kabul's infrastructure is designed for about 500,000 residents, but it now supports more than 5 million. The overcrowded city is full of wood-burning stoves, and gas-powered generators are commonly used to supply electricity that a war-ravaged grid cannot provide. Cars use leaded gasoline, and residents sometimes burn plastic tires to stay warm. As a result of the increasingly high levels of dangerous particulates in the air, President Hamid Karzai has declared a state of emergency in the capital city. According to the director for the Ministry of Public Health, "Air pollution is a huge problem here, it leads to so many diseases -- respiratory diseases, allergies, miscarriages and even cancer."

--Michael B. Sauter, Charles B. Stockdale and Douglas A. McIntyre

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Ahmad Abousamra

who said Egypt doesn't use unleaded gasoline!! that was back in the 90s or something i've been filling my gas tank for 8 years now with unleaded and i never really encountered any gas stations that has LEADED gasoline. check your sources

July 25 2012 at 8:40 PM Report abuse rate up rate down Reply

ATTENTION : Santiago, Chile has pollution only in the winter due meteorological conditions from late April thru September, the month of winds. This report is biased. I did visited Santiago during its summertime in January and February and its a paradise to live. It's a breezy city in summer. Lovely!

Add Los Angeles or Sao Paulo on 3rd place. Santiago's smog is just seasonal due lack of winter ventilation.

March 13 2011 at 9:38 PM Report abuse +1 rate up rate down Reply

All of you silly people who keep referring to "greedy" corporations are certainly not clear thinkers. A corporation is an organization of human beings. Corporations are NEVER greedy, but some of the people who run some of them are greedy. The very term "greedy corporation" sounds as absurd as "The White House announced today that blah, blah." Yes, we seem to have talking buildings in Washington, maybe only in Washington. I have never heard that "The Empire State Building announced today . . .."

December 04 2010 at 3:26 PM Report abuse +1 rate up rate down Reply

Interesting to see US corporations are off the hook! Thanks to GW Bush and the GOP sending all our "JOBS" overseas the past decade! Finially our poor corporations do not have to worry about the environmental protection agency scarfing up all their profits on silly things like clean air for our world to breathe!Greedy Corporate America, has more rights and lobbying influence than "we the people" according to the US supreme court judges, lucky that corporations are not human so they do not breathe! A new "Labor Party" needs to take hold in America and revolt against corporate lobbist before it is too late!

December 03 2010 at 9:24 PM Report abuse +2 rate up rate down Reply

This is not surprising considering that none of these places have any air quality standards or regulation. We all live on this one planet and the failure of these countries to clean up the air affects everyone. Pressure should be put on these countries to enforce air quality standards.

December 03 2010 at 2:33 PM Report abuse +3 rate up rate down Reply

The price of success.

November 30 2010 at 1:26 AM Report abuse +1 rate up rate down Reply


November 30 2010 at 1:21 AM Report abuse +2 rate up rate down Reply

thank god a few people are getting filthy rich! you know we need money more than air or water to servive

November 29 2010 at 10:14 PM Report abuse +2 rate up rate down Reply
1 reply to dsmithsfamily's comment

You are so right! Have greedy corporate CEOs ever heard the old saying," what goes around ,comes around"! Well,that nasty air will come around sooner or later to all of us!

December 03 2010 at 9:47 PM Report abuse +2 rate up rate down Reply

Bogota, Colombia could easily be in the top worst.

November 29 2010 at 9:22 PM Report abuse +1 rate up rate down Reply

The upside of losing all of our manufacturing jobs to China.They will miss being able the breathe the air and drink the water.....

November 29 2010 at 9:19 PM Report abuse rate up rate down Reply