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News

How more warehouses lead to higher asthma rates in children

October 6, 2026

By Nicolo Lalama, Sabre Iglesias, and Kira Ferrer

Semi-trucks pass an Amazon fulfillment center along a freeway, with dry hills and mountains behind the building.
Trucks pass an Amazon fulfillment center in the Inland Empire.

Every day, children in our neighborhoods face a higher risk of asthma than the average Californian youth. In Ontario, the rapid spread of warehouses continues to pollute the air which fills our kids’ lungs as they go to school, play outside, and visit friends. I know this because I was one of them.

A child wears a clear nebulizer mask connected to a breathing-treatment machine.
A child receives a breathing treatment through a nebulizer mask.

At the age of 6, I was diagnosed with asthma along with many of my peers. At that time, warehouses in Ontario began expanding, releasing pollutants like particulate matter, ozone, nitrogen dioxide and carbon monoxide into the air, all of which inhibit respiratory functions and irritate airways.

It is no coincidence that out of the top five most polluted cities in North America, the Inland Empire — including Ontario — make up four of them. As an adult, nothing has changed. Warehouses continue to grow unregulated across my hometown, and I watch as this new generation of youth suffer from the same hardships I faced.

Map of warehouse growth across San Bernardino and Riverside counties, with orange clusters around Ontario, Fontana, Rancho Cucamonga, Chino, and Moreno Valley.
Warehouse growth across San Bernardino and Riverside counties. In the last 10 years, more than 90% of that growth was in those two counties. Graphic by Lorena Elebee / Los Angeles Times, using Warehouse CITY, a tool from Radical Research and the Robert Redford Conservancy.

A study entitled “Pediatric Asthma in the Inland Empire: Environmental Burden, Gaps in Preventive Care, and Unmet Needs” by Catherine Kim, Christine Gharib, and Hani Atamna explores in greater detail how warehouse culture of the IE sets our children back in terms of mental health, education, and of course, physical health. They note that pediatric emergency room visits for asthma in the Inland Empire is 60.5 percent — higher than the state’s average of 56.7 percent. Furthermore, children in San Bernardino aged 0–4 are hospitalized for asthma at a rate of 24.4 percent compared to the state’s average rate of 17.3 percent.

Bar chart of asthma hospitalization rates for ages 0–4 and 5–17 in California, San Bernardino, Riverside, Alameda, and Orange. San Bernardino’s 0–4 bar is the tallest.
Asthma hospitalization rates by age group, 2022. San Bernardino’s rate for children ages 0–4 is the highest bar on the chart. Source: Catherine Kim, Christine Gharib, and Hani Atamna, “Pediatric Asthma in the Inland Empire: Environmental Burden, Gaps in Preventive Care, and Unmet Needs,” Children (2025). Data from California Breathing, California Department of Public Health.

While the physical effects are obvious — higher risk of respiratory disease, for instance — this has also proven to lead to poorer exam scores, lower grades, less involvement in class, and increased cases of school absences.

The article notes another study which found that:

Of 715 respondents [of children aged 5–11] representing an estimated 314,200 California schoolchildren with asthma, approximately 50.3% of students missed at least one school day, and 11.7% missed more than nine days of school due to asthma.

By allowing warehouses to function as they are, Ontario youth will be at a major disadvantage in terms of education. They will receive lower grades, miss more classes, and consequently, have less employment opportunities as adults. In turn, Ontario will suffer as a whole. Additionally, children in less wealthy regions of the Inland Empire who suffer from asthma have more difficulty accessing treatment at all compared to their wealthier peers. The article notes that “children in underrepresented regions of the IE who experience health insurance gaps also have 2.5-times higher odds of all-cause ED visits compared to continuously privately insured peers.”

Nearly every aspect of a child’s life — from school to home — is made worse by the heightened pollution levels in the Inland Empire. The article also notes that kids with asthma get less sleep and have a declined ability to concentrate, all of which “are critical to learning and social development.” Though there is much more to the article, the point is clear — action must be taken now to ensure our children enjoy a healthy and prosperous future. Join me, Nicolo Lalama, in our goal to make this possible by restricting the expansion of warehouses in Ontario and allowing our kids the right to breathe clean air.

Thank you very much.