Despite improvements in air quality in past decades, 156 million Americans still breathe in too much soot or ozone, says the annual State of the Air report from the American Lung Association.

The American Lung Association report finds that climate events are causing more people in the U.S. to breathe toxic air even as other pollution falls.

Air pollution levels keep getting worse for more people in the US, according to a new report, and experts say the Trump administration’s proposed deregulation plans will make it even harder for people to get clean air.