California has the worst air quality, as discovered by studies conducted by the American Lung Association. As noted by the U.S. Department of Health and Humans, “The report found that the cities with the worst air include: Los Angeles-Long Beach-Riverside; Bakersfield-Delano; Visalia-Porterville; Fresno-Madera; Sacramento-Arden-Arcade-Yuba City (Calif.-Nev.); Hanford-Corcoran; San Diego-Carlsbad-San Marcos; and Merced — all of which are in California with the exception of one county just across the border in Nevada.:
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