Best Climate For COPD Illustration

The Best (and Worst) Climate for COPD in 2024

by | Updated: May 14, 2024

Chronic Obstructive Pulmonary Disease (COPD) is a group of progressive lung diseases that can significantly impact an individual’s quality of life.

One essential factor that can alleviate or exacerbate COPD symptoms is the surrounding climate.

As a result, identifying the best climate for those living with COPD is crucial for maintaining optimal health and well-being.

In this article, we will explore various climatic factors such as temperature, humidity, air quality, and altitude, providing details of their potential impact on individuals with COPD.

Additionally, we will present a comprehensive analysis of specific locations around the world that are known to provide the most suitable environment for those suffering from this debilitating condition.

What is the Best Climate For COPD?

The best climate for COPD patients is one with mild temperatures, moderate humidity levels (40-60%), good air quality, and low altitude. Such a climate helps reduce the severity of symptoms and the risk of flare-ups, ultimately enhancing the individual’s overall well-being and quality of life.

Ideal Climate for COPD

The ideal climate for individuals with chronic obstructive pulmonary disease (COPD) consists of several environmental factors, including:

  • Temperature
  • Humidity
  • Air quality
  • Altitude
  • Pollen
  • Pollution

Understanding and managing these factors in their daily life can help individuals with COPD manage symptoms and reduce flare-ups.


Extreme temperatures can exacerbate COPD symptoms, making it difficult for individuals to breathe comfortably.

Cold air can cause bronchoconstriction, which narrows the airways, leading to shortness of breath, coughing, and wheezing.

Conversely, hot weather can increase the risk of dehydration, leading to thicker mucus production and increased difficulty clearing the airways.

As a result, a mild and stable climate with moderate temperatures is preferable for individuals with COPD.


High humidity levels can worsen COPD symptoms by making the air feel heavy and harder to inhale.

Increased moisture in the air can also promote the growth of mold and mildew, triggering allergies and respiratory irritations.

On the other hand, extremely low humidity can dry out the airways, leading to increased mucus production and a heightened risk of infection.

Therefore, it is crucial to find a balance, with an ideal humidity level ranging between 40-60% for most COPD patients.

Air Quality

Air pollution, including particulate matter, ozone, and other harmful pollutants, can have a detrimental impact on lung function and exacerbate COPD symptoms.

Prolonged exposure to poor air quality can cause inflammation in the lungs, making breathing even more challenging for individuals with COPD.

Consequently, locations with better air quality, low pollution levels, and fewer allergens are more suitable for those suffering from this condition.


Higher altitudes often have thinner air, which can make breathing more difficult for individuals with COPD.

Low oxygen levels at high altitudes may lead to shortness of breath, increased heart rate, and exacerbation of COPD symptoms.

Ideally, living at or near sea level would be most beneficial for those with compromised lung function.


Pollen is known to be an allergen that can trigger respiratory issues. COPD sufferers should stay informed about local pollen counts and minimize their exposure during high pollen seasons.

Using air purifiers indoors and avoiding outdoor activities on days with high pollen counts can be helpful in managing COPD symptoms.


People with COPD should seek areas with low levels of air pollution, as poor air quality can aggravate symptoms.

Living in cities with cleaner air quality helps reduce irritation in the airways and prevent COPD flare-ups. Avoiding areas with high traffic and industrial activity is also advisable.

What is the Worst Climate For COPD?

The worst climate for COPD patients involves extreme temperatures, high or very low humidity, poor air quality with high pollution levels, and high altitudes. These conditions exacerbate symptoms, increase the risk of flare-ups, and negatively impact the individual’s overall respiratory health and well-being.

COPD Triggers to Avoid

COPD patients should avoid the following triggers to prevent exacerbations and manage their symptoms effectively:

  • Tobacco smoke: Smoking is the leading cause of COPD, and exposure to secondhand smoke can also worsen symptoms.
  • Air pollution: High levels of outdoor and indoor air pollution, including vehicle emissions, industrial pollutants, and household chemicals, can irritate the lungs and exacerbate COPD symptoms.
  • Dust and allergens: Dust mites, pet dander, pollen, and mold spores can trigger allergic reactions and worsen respiratory symptoms.
  • Cold air: Breathing in cold air can cause bronchoconstriction, leading to shortness of breath, coughing, and wheezing.
  • Strong odors: Chemical fumes, scented candles, and fragrances can irritate the respiratory system and exacerbate COPD symptoms.
  • Infections: Viral and bacterial respiratory infections can cause COPD flare-ups, so it’s essential to practice good hygiene, get vaccinated, and avoid contact with sick individuals.
  • Stress and anxiety: Emotional stress can trigger COPD symptoms, so it’s crucial to manage stress through relaxation techniques, deep breathing exercises, and proper sleep.
  • Poor indoor air quality: Indoor air quality can be compromised by tobacco smoke, chemical fumes, mold, and dust. COPD patients should maintain a clean, well-ventilated living space to minimize these triggers.

Best Cities for Living With COPD

The best cities for living with COPD are those that ensure good air quality, limited exposure to allergens and pollutants, moderate temperatures and humidity levels, and low altitudes.

According to the American Lung Association’s State of the Air Report for 2023, these are the top-ranked cleanest cities in the United States:

  1. Honolulu, HI
  2. Kahului, HI
  3. Cheyenne, WY
  4. Wilmington, NC
  5. Bangor, ME
  6. Bellingham, WA
  7. St. George, UT
  8. Duluth, MN
  9. Amarillo, TX
  10. Colorado Springs, CO

Worst Cities for Living With COPD

On the other hand, there are cities where COPD patients might find it challenging to manage their symptoms due to factors such as extreme temperatures, poor air quality, and high altitude.

According to the American Lung Association, these are the worst-ranked cities in terms of air quality and pollution:

  1. Bakersfield, CA
  2. Visalia, CA
  3. Fresno, CA
  4. Los Angeles, CA
  5. Fairbanks, AK
  6. Sacramento, CA
  7. Medford, OR
  8. Phoenix, AZ
  9. San Francisco, CA
  10. Indianapolis, IN

Note: Keep in mind that individual preferences and sensitivities may vary, and consulting healthcare professionals is crucial when deciding where to live or visit as a COPD patient.

FAQs About COPD and Climate

Can the Weather Cause a COPD Exacerbation?

Yes, weather can cause a COPD exacerbation. Extreme temperatures, high or very low humidity, poor air quality, and rapid changes in weather can worsen COPD symptoms and increase the risk of flare-ups.

What is the Best Weather for COPD?

The best weather for COPD patients is characterized by mild temperatures, moderate humidity levels (40-60%), good air quality, and minimal variations in temperature and atmospheric pressure.

This type of climate helps reduce the severity of symptoms and the risk of exacerbations.

What is the Worst Weather for COPD?

The worst weather for COPD patients involves extreme temperatures (both hot and cold), high or very low humidity levels, poor air quality with high pollution levels, and rapid fluctuations in temperature or atmospheric pressure.

These conditions can exacerbate symptoms and increase the risk of COPD flare-ups.

How to Improve Air Quality Inside Your Home?

Improving indoor air quality can significantly impact the well-being of individuals with COPD. Here are some tips to enhance the air quality in your home:

  • Ensure proper ventilation: Regularly open windows to allow fresh air in and use exhaust fans in the kitchen and bathroom to remove pollutants.
    Maintain cleanliness: Vacuum and dust regularly to reduce allergens like dust mites, pet dander, and pollen.
  • Use air purifiers: Air purifiers with HEPA filters can help remove allergens and pollutants from the indoor air.
  • Control humidity: Use a dehumidifier or air conditioner to maintain ideal humidity levels (40-60%) to prevent mold and mildew growth.
  • Avoid smoking indoors: Do not smoke or allow others to smoke inside your home, as tobacco smoke can exacerbate COPD symptoms.
  • Use unscented or natural cleaning products: Avoid harsh chemicals and strong fragrances that can irritate the respiratory system.

Should I Move to a Better Climate for COPD?

Deciding whether to move to a better climate for COPD is a personal choice that depends on your individual circumstances and the severity of your condition.

A more suitable climate may improve your symptoms and overall well-being, but it is essential to consider other factors such as healthcare accessibility, support system, and personal preferences.

Before making any decisions, consult with your healthcare professionals and conduct thorough research on the potential benefits and drawbacks of relocating to a different climate.

Final Thoughts

Finding the best climate for individuals with COPD can significantly improve their quality of life by reducing the severity of symptoms and minimizing the risk of flare-ups.

Our analysis suggests that regions with mild temperatures, low humidity, good air quality, and minimal altitude variation may be the most beneficial for COPD patients.

However, it is crucial to remember that personal preferences and individual sensitivities also play a significant role in determining the ideal climate.

Ultimately, consulting with healthcare professionals and considering various climatic factors can aid individuals with COPD in making informed decisions about relocating or traveling to locations that promote better respiratory health and overall well-being.

John Landry, BS, RRT

Written by:

John Landry, BS, RRT

John Landry is a registered respiratory therapist from Memphis, TN, and has a bachelor's degree in kinesiology. He enjoys using evidence-based research to help others breathe easier and live a healthier life.


  • Márovics, Gergely et al. “How Vulnerable Are Patients with COPD to Weather Extremities?-A Pilot Study from Hungary.” Healthcare (Basel, Switzerland) vol. 10,11 2309.
  • Agarwal AK, Raja A, Brown BD. Chronic Obstructive Pulmonary Disease. [Updated 2022 Aug 8]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing
  • American Lung Association State of the Air 2023.

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