Ozone, Asthma Hospitalizations Not Linked in Los Angeles 2009-2011


Average and maximum ground-level ozone measurements were not correlated with emergency admissions for asthma at a large Los Angeles hospital during 2009-2011.


The U.S. Environmental Protection Agency (EPA) asserts that ambient ozone (smog or O3) exposures increase hospital emergency admissions for asthma.

The EPA claims, for example, that reducing the 8-hour ozone standard from the current 75 parts per billion (ppb) to 65 ppb would reduce the number of asthma exacerbations by 38,000 and related hospitalizations by 11,000 annually.

So we undertook to compare O3 measurements with hospital admissions for asthma in Los Angeles, which is often said to have some of the “worst” air quality in the U.S.


Through the Freedom of Information Act, we obtained the daily tally of hospital admissions for asthma from the Veterans Administration West Los Angeles Medical Center for the period January 1, 2009 to December 31, 2011, a total of 726 admissions.

We correlated these tallies with the highest average and maximum daily O3 levels as measured at the by the California Air Resources Board for the South Coast Air Basin, the air quality management district that includes the Los Angeles area.

We correlated the O3 and hospital admissions data on a same day, 1-day lag, 2-day lag and 3-day lag bases.


The Pearson correlations and 95% confidence intervals between O3 measurements in the Los Angeles’ area and hospital admissions are presented in the table below.

A Pearson’s correlation of 1.0 indicates perfect correlation (i.e., higher ozone measurements are correlated with more asthma hospital admissions), a −1.0 indicates perfect inverse correlation (higher ozone measurements are correlated with fewer hospital admissions) and zero indicates no correlation between ozone measurement and hospital admissions.

All the correlations presented below are slightly negative and their 95 percent confidence intervals bound the no-correlation level.

Pollutant Pearson’s correlation 95% Confidence Interval
Average O3 (No lag) -0.021 (-0.080, 0.038)
Average O3 (1-day lag) -0.007 (-0.067, 0.052)
Average O3 (2-day lag) -0.017 (-0.076, 0.042)
Average O3 (3-day lag) -0.056 (-0.114, 0.003)
Maximum O3 (No lag) -0.046 (-0.104, 0.013)
Maximum O3 (1-day lag) -0.030 (-0.089, 0.029)
Maximum O3 (2-day lag) -0.044 (-0.103, 0.015)
Maximum O3 (3-day lag) -0.051 (-0.109, 0.008)


These results indicate that average and maximum O3 measurements in the Los Angeles area were not correlated with admissions for asthma at the VA West Los Angeles Medical Center for the three-year period January 1, 2009 to December 31, 2011 — despite that the Los Angeles metropolitan area is said to have some of the worst air quality in America.

If ambient O3 measurements were in fact associated with hospital admissions for asthma, one could reasonably expect — and, in fact — ought to find a correlation in these data. But we did not.

Note: The study data are available upon request.

4 thoughts on “Ozone, Asthma Hospitalizations Not Linked in Los Angeles 2009-2011”

  1. Well done. The oft cited claims of repiratory damages, deaths, asthma by the EPA are not supportable. Where people live in hovels and regularly breathe air contaminated by smoke from wood or dung fires asthma is virtually unheard of. The air we breathe is far cleaner than that in developing countries like China.

  2. Interesting, Steve — I’d appreciate your sending me the study data.


    Mike Holliday

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