Environment Missouri Research & Policy Center's new report shows that St. Louis now ranks as the 7th smoggiest large metropolitan area in the country. Ground-level ozone, the main component of smog, is one of the most harmful and one of the most pervasive air pollutants. Exposure to smog pollution can exacerbate respiratory illness and even cause premature death. Sensitive populations including children, the elderly, and people with respiratory illness are particularly at risk of the adverse health effects of air pollution. Though air quality has improved significantly in the last decade as a result of policies at the state and federal level, there is still much to be done, as there are millions of people living in metropolitan areas around the country exposed to multiple days each summer when the air is unhealthy to breathe. This report ranks metropolitan areas for their unhealthy air days in 2010 and 2011. This report also presents data indicating that the problem may have been even worse than we thought. Because the national health standard for smog pollution set in 2008 was set at a level that scientists agree is not protective of public health, people across the country have been exposed to days of poor air quality each summer without even knowing it.