12 Countries Struggling With the World’s Worst Air Quality

The air you breathe says a lot about a country’s health, economy, and environmental policies. But not every horizon is equally clear. Some corners of the globe wrestle with pollution so severe it clouds skies, chokes lungs, and leaves entire communities grappling with long-term health burdens. The numbers are chilling, and the stories they tell are even more so.
If you’ve been wondering where the greatest challenges in air quality reside, here’s your chance to explore. Below, we’re taking a virtual trip to 12 countries battling the worst air quality, based on PM2.5 pollution and various reports from organizations like IQAir and the World Health Organization. Along the way, we’ll uncover the reasons behind these troubling rankings and the human cost of pollution.
1. Bangladesh

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It’s one of the most vibrant and densely populated countries in the world, but the air tells a different story. According to IQAir’s annual report, Bangladesh has topped the list of countries with the worst air quality for several years in a row. With an average PM2.5 concentration of 76.9 µg/m³, Dhaka’s air is often thick with pollutants from brick kilns, vehicle emissions, and industrial waste. Residents here live under smog-filled skies, which significantly increase respiratory and cardiovascular diseases.
2. Pakistan

www.hrw.org
Urban centers like Lahore and Karachi boast rich histories and culture but are plagued by hazardous air. Pakistan’s average PM2.5 reaches 59 µg/m³, driven by vehicular emissions, coal-powered industrial facilities, and rampant crop burning. Lahore’s infamous “smog season” leaves schools closed, visibility near zero, and thousands turning to emergency hospital visits.
3. India

https://blogs.worldbank.org/
Whether you’re thinking of bustling Mumbai or the capital, New Delhi, India’s air quality crisis affects its 1.4 billion citizens daily. With PM2.5 levels hovering around 58 µg/m³, the toll extends beyond smoky horizons to staggering public health costs. Primary culprits include unchecked vehicle emissions, power plants, and the widespread burning of agricultural waste.
4. Mongolia

https://www.catalystplanet.com/travel-and-social-action-stories/battling-air-pollution-in-mongolia
Mongolia might conjure images of open steppes and pristine blue skies, but Ulaanbaatar, the capital, tells a different tale. Its air quality problem peaks each winter when PM2.5 levels average 46 µg/m³. During harsh winters, the city’s reliance on coal and raw materials for heating homes creates a haze so severe that some days feel like night at noon.
5. Afghanistan

https://www.rferl.org/a/afghanistan_pollution_environmental_problems_commentary/2338554.html
Conflict-stricken Afghanistan faces more than political and economic challenges; its air quality issues are also dire. Kabul frequently records PM2.5 levels over 46 µg/m³, stemming from outdated vehicles, unregulated fossil fuel burning, and poor waste management. Daily life here involves breathing in particulate matter that silently damages citizens’ lungs.
6. Indonesia

https://www.todayonline.com/world/toxic-air-10-million-children-indonesia-risk-haze-warns-un-body
Known for its stunning biodiversity and sprawling archipelagos, Indonesia struggles with choking skies, especially on the islands of Java and Sumatra. Seasonal “haze” events from land-clearing fires and rampant peat burning spike PM2.5 concentrations to alarming levels, averaging 40 µg/m³ nationally.
7. China

https://chinapower.csis.org/air-quality/
Once deemed the poster child for pollution, China’s recent environmental reforms have seen some improvement, but the numbers remain concerning. The country averages 34.7 µg/m³ of PM2.5. Beijing and surrounding cities grapple with air pollution sourced from industrial activities and coal-fired plants, although renewable energy shifts aim to clear the skies.
8. Nepal

https://www.nepalminute.com/detail/369/air-pollution-killing-thousands-of-nepalis-every-year
Nestled in the Himalayas, Nepal often surprises visitors with its severe air pollution woes. The contrast between its serene mountain peaks and Kathmandu’s stifling air is jarring. With an average PM2.5 concentration of 34.5 µg/m³, brick kilns, widespread deforestation, and dense urbanization suffocate the valley.
9. Saudi Arabia

https://news.uci.edu/2014/12/15/hazy-road-to-mecca-2/
Surprised to find Saudi Arabia on this list? While the country is known for its arid deserts rather than industrial smog, wind-blown sand and dust significantly contribute to its average PM2.5 of 34 µg/m³. Add emissions from oil refineries and vehicles, and the cocktail for poor air quality becomes clear.
10. Nigeria

https://phys.org/news/2018-04-nigerians-demand-air-quality-pollution.html#google_vignette
The dense smog enveloping Lagos or Kano isn’t just an aesthetic problem; it’s a public health crisis. Nigeria reports PM2.5 levels of 31 µg/m³, with considerable contributions from open waste burning, diesel fuel, and the lack of environmental regulations. Indoor pollution is another major issue, stemming from biofuel use for cooking.
11. Iraq

https://insideclimatenews.org/news/29122021/iraq-ecocide/
Post-conflict instability and energy demands take their toll on Iraq’s environment. Baghdad and Basra report air pollution driven by flaring gas in oil fields, vehicle exhaust, and storms leaking particulate matter into urban spaces. PM2.5 levels average 30 µg/m³, profoundly affecting health and visibility.
12. Egypt

https://www.zawya.com/en/special-coverage/zawya-green/egypt-world-bank-collaborate-on-greater-cairo-air-pollution-management-and-climate-change-project-p80n6rtu
While the pyramids of Giza remain among the world’s wonders, they sit beneath Cairo’s noxious air. With PM2.5 levels at 21 µg/m³, open burning and traffic emissions pile on to worsen the pollution “black cloud” period, which sparks health alerts every year.
These Numbers Are More Than Just Statistics

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Terrible air quality isn’t simply a fact of life for the millions living in these countries; it’s a ticking time bomb for global health, biodiversity, and economies. Research shows links between elevated air pollution and reduced life expectancy, leading to millions of deaths annually, not to mention chronic lung ailments in communities affected.
While global initiatives aim to bring down emissions, local governments play an essential role. Solutions include stricter regulations, transitioning to renewable energy, and investment in air monitoring systems.
At the individual level, raising awareness and engaging in responsible travel can also make a difference. Traveling doesn’t mean ignoring the impact of pollution, but rather committing to actions that minimize your environmental footprint while supporting sustainable initiatives wherever possible.
Thinking Globally, Acting Locally

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Air quality reflects a collective responsibility. Whether at home or abroad, sustainable choices today lead to clearer skies tomorrow. If you’re passionate about environmental issues, start by sharing this article, learning more about high-pollution zones, and advocating for change in your community. Together, we can help clean the air—for today and future generations.