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The air quality in our region is notoriously bad, and a growing body of research is revealing just how damaging this is for children, in particular.
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That link is to the 2004 report. Tennessee’s air has improved considerably since then.
2004 report
http://lungaction.org/reports/SOTA04_stateozone.html?geo_area_id=47
2007 report
http://lungaction.org/reports/SOTA07_stateozone.html?geo_area_id=47
For whatever reasons the grades haven’t improved as much as the actual numbers. For instance, Blount County went from 45 orange days and 3 red days for ozone in 2004, to 18 orange days and no red days in 2007, yet its grade remained an F.