(Sacramento, CA) — Stockton and Sacramento are among the top 50 worst cities in the nation for people with asthma. The rankings of the nation’s top 100 “Asthma Capitals” for 2023 are compiled by the Asthma and Allergy Foundation of America.

Stockton ranks 41st and Sacramento is right behind it at 42nd. Fresno has the worst ranking in California, coming in as the ninth asthma capital in the nation.

Doctors say this is a bad time of year for people with asthma because cold air causes inflammation in the lungs.