North Carolina Ranked 12th for Lung Disease Risk
A new study evaluated state health factors, including smoking rates and air pollution, to determine residents' lung disease risk.
Updated on Oct. 3, 2026 in Asthma

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The Mesothelioma Center released a study ranking North Carolina 12th in the nation for lung disease risk. The state's ranking was determined based on an analysis of adult smoking rates, child exposure to smoke, air quality, and smoke-free law coverage.
Why it matters
The study highlights how specific health behaviors and environmental factors in North Carolina contribute to a higher lung risk profile than the national average. Identifying these drivers helps clarify which public health areas need greater focus to improve long-term outcomes for residents.
North Carolina ranks 12th nationally for lung disease risk based on a multi-factor scoring system. This includes 14.5% of adults who smoke and 11.8% of children living in smoking households, both figures exceeding national averages.
The players
The Mesothelioma Center
This organization researches and publishes studies focused on asbestos-related illnesses and environmental lung health risks.
The details
The Mesothelioma Center compiled this ranking by measuring four distinct factors, including fine particle air pollution and the extent of smoke-free law coverage in the state. While the tobacco industry remains a significant economic engine, contributing $12.7 billion to the North Carolina economy, researchers emphasized these metrics as key indicators for public respiratory health.
Timeline
The study was released on October 3, 2026.
Health Landscape
This ranking follows a pattern set by the 2003 SARS response protocols, which established modern standards for how institutions collect and report regional population health data to inform public policy. These evaluations provide a critical framework for comparing North Carolina against state-level benchmarks to identify systemic health gaps.
The findings underscore the importance of monitoring individual respiratory health and minimizing exposure to secondhand smoke in the home. Residents may consider consulting a primary care provider to discuss smoking cessation programs or screenings, especially given the identified regional risk factors.
The takeaway
Understanding these risk factors allows families to make informed decisions about their living environment and personal health habits. Reducing exposure to tobacco smoke and addressing indoor air quality are practical steps individuals can take to mitigate respiratory risks.
Further reading
Learn more about local respiratory health initiatives on our Asthma page.
Source note: This article includes information reported by Durham Herald Sun.
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