From Atlanta to Seattle, asthma has a major impact on cities throughout the United States, according to the most recent rankings of the Asthma Capitals - the 100 most challenging places to live if you have asthma, according to the Asthma and Allergy Foundation of America (AAFA). Topping the list for 2007 is Atlanta, GA, due in part to its higher than average crude death rate (CDR) for asthma, high year-round pollen levels, bad air pollution and a lack of public smoking bans for restaurants, bars or workplaces which many other cities across the U.S. have begun to adopt. Also contributing to Atlanta's high ranking on the list this year is its high poverty and uninsured rates, both of which are barriers to good asthma care for many Atlanta area residents. "Before we established a management plan for my son's asthma, he was sick more often than not", states Abby Sutton of Atlanta, GA. "I had to limit the places I took him. He spent most of his time at home. Now, he is an active and energetic little boy." The top 10 cities on the list this year are: 1. Atlanta, GA 2. Philadelphia, PA 3. Raleigh, NC 4. Knoxville, TN 5. Harrisburg, PA 6. Grand Rapids, MI 7. Milwaukee, WI 8. Greensboro, NC 9. Scranton, PA 10. Little Rock, AR The detailed ranking for all 100 cities is available at