Most Polluted U.S. Cities

Guess the U.S. Cities with the most pollution decided by the American Lung Association

Only considering major metropolitan areas

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Last updated: November 12, 2018

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First submitted	November 12, 2018
Times taken	135
Average score	60.0%
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#	City
1	Bakersfield
2	Los Angeles
3	Fresno
4	Sacramento
5	Anchorage
6	Chicago
7	Pittsburgh
8	Lancaster
9	Washington D.C.
10	Modesto
11	Cleveland
12	San Jose
13	Philadelphia
14	Indianapolis
15	Detroit
16	Birmingham
17	Houston
18	Cincinnati
19	Louisville
20	Knoxville
21	Atlanta
22	Phoenix
23	Dallas/Fort Worth
24	Las Vegas
25	Denver