(WPXI) – The American Lung Association’s annual “State of the Air” report says that the air in the Pittsburgh metro area is among the most polluted in the country. The area, which includes Pittsburgh, Weirton and Steubenville, ranked 16th worst in particle pollution, returning it to the list of the 25 most polluted cities. It also ranked 12th worst nationwide for year-round particle pollution, with the report saying 2023’s wildfire smoke contributed to poorer air quality. “The air pollutants highlighted in this report are widespread and pose a risk to everyone’s health. Both ozone and particle pollution can lead to premature death and cause serious health issues such as asthma attacks, heart attacks, strokes, preterm births, and even problems with cognitive function later in life. Particle pollution can also increase the risk of lung cancer,” said Elizabeth Hensil, Director of Advocacy in Pennsylvania, for the American Lung Association. “We’re urging Pennsylvania policymakers to take action to improve our air quality. We’re also calling on everyone to support the vital work of the U.S. Environmental Protection Agency (EPA),” Hensil said.