Air quality in the San Joaquin Valley (SJV) often fails to meet Environmental Protection (EPA) Standards for particulate matter (PM) ≤ 2.5 microns. The San Joaquin Valley Center for Air Injustice Reduction (SJV-CAIR) at the University of California, Merced, partnered with local community-based organizations to expand networks of low-cost air quality monitors (PurpleAir, PA-II) in Fresno County to increase community air monitoring to better characterize air pollution trends and spatial variability. In this study, we compared community and regulatory air pollution monitoring using PM_2.5 data from the SJV-CAIR network in Fresno County during June–July 2023. Measurements from community monitors identified locations across the county that may episodically exceed National Ambient Air Quality Standards (NAAQS) compared with regulatory monitors, while providing similar concentration estimates. Our study also compared characterization of spatial variability in PM exposure using interpolation maps with only regulatory monitors and the enhanced community monitoring network. These analyses identified four weeks with increased PM_2.5 concentrations in some locations that were not identified by regulatory monitors. These findings indicate that low-cost community sensors can be an effective tool for supplementing regulatory monitoring to provide localized PM_2.5 exposure information to residents and, importantly, identify high-risk areas that warrant ongoing assessment using approved regulatory monitors.

Air quality in the San Joaquin Valley (SJV) ranks among the worst in the US. Exposures to traffic-related air pollutants have been associated with pediatric health complications, and few studies have investigated respiratory complications in relation to short-term exposures to PM less than 2.5 microns in diameter (PM_2.5) in the SJV. We used Bayesian Poisson spatiotemporal conditional autoregressive models to analyze the association between PM_2.5 and pediatric respiratory emergency department (ED) visits in Fresno County, California. Additional analyses stratified respiratory outcomes by sex and age group. Weekly ambient PM_2.5 levels were estimated for each zip code using community science and regulatory air monitors. Weekly residential zip code counts of respiratory ED visits were provided by Fresno County Department of Public Health and Valley Children’s Hospital from 2 April 2022 to 31 December 2024. A ten-fold increase in PM_2.5 was associated with increased asthma ED visits among females (Relative Risk (RR):1.15; 95% Credible Interval (CrI):1.01, 1.32) and children aged 0 to 4 (RR:1.18; 95% CrI:1.03, 1.34) and other chronic respiratory conditions among males (RR:1.93; 95% CrI:1.19, 3.16) and ages 10 to 14 (RR:2.90; 95% CrI:1.32, 6.30). Findings suggest that efforts to better assess and reduce pollution exposures will improve public health in the SJV.