Air quality & the lungs

Is Mexico City's air quality affecting your breathing?

Valley air can be crystal clear one morning, then sting your throat by mid afternoon. Learn to read CDMX's pollution index, know which dates turn rough, why that happens, plus which symptoms deserve a lung specialist's attention.

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Mar to Mayozone season: spring sun turns exhaust into ozone
1 to 5 pmthe roughest window on high-ozone days
PM2.5trapped by thermal inversions on cold winter mornings

Most healthy visitors breathe just fine here. On especially dirty days authorities declare a contingencia ambiental, a pollution alert that asthma, COPD and sensitive airways feel first.

Make sense of CDMX's air index

One index, two names

CDMX's Índice Aire y Salud, successor to IMECA: one number, one color, green to purple. Check aire.cdmx.gob.mx (SIMAT stations) or any AQI app.

Green or yellow

Clean or acceptable air: run outside, bike, open windows. Most days land here, especially once summer rains arrive.

Orange

Bad for sensitive groups: asthma, COPD, pregnancy, 60+ or small children. Shorten outdoor exertion, avoid the 1-to-5 pm peak.

Red or purple

Bad for everyone: move exercise indoors, close windows until evening. This is contingencia territory.

Rough days, explained

Ozone season: March to May

Spring sunshine cooks vehicle emissions into ozone, peaking early-to-mid afternoon. Most alerts cluster here, plan outdoor time before lunch.

Winter thermal inversions

Cold, windless mornings from November through February trap fine particles near the ground until midday sun stirs them loose.

Geography works against you

Mountains ring the valley, so stagnant air can't drain. Thin air at 2,240 m adds its own challenge: altitude and breathing in Mexico City.

What triggers an alert

Ozone or PM2.5 past official thresholds: CAMe activates a contingencia, extra driving restrictions and sensitive groups asked indoors. Full guide in Spanish →

Smart habits for bad-air days

Exercise early

Ozone bottoms out around sunrise; get your run done before late morning. Orange showing? Take workouts indoors.

Ventilate at dawn, seal by lunch

Windows open at daybreak, shut roughly 1 to 7 pm on smoggy afternoons. June-to-October rains scrub the sky daily.

Reliever within reach

Don't skip maintenance doses, and carry your reliever inhaler with you. Smoggy afternoons punish medication left behind.

Check before you plan

Ten seconds on today's index: park morning or museum afternoon? During alerts, Hoy No Circula driving restrictions expand.

When it's harmless, when it's urgent

Usually harmless

Itchy eyes, scratchy throat, a mild dry cough that eases indoors. Annoying, yet it settles without treatment.

Get medical help now

  • Struggling to breathe while sitting still
  • Chest pressure or pain
  • Wheezing your reliever can't calm
  • Lips or nail beds turning bluish
  • A pulse-ox reading under 90%
  • New confusion or unusual drowsiness
Who treats you

Your specialist doctor

Dr. William César Lara Vázquez, pulmonologist trained at the INER, Mexico City

Dr. William César Lara Vázquez

Pulmonologist (Neumólogo) · Advanced COPD specialization (in progress)
  • Pulmonology: National Institute of Respiratory Diseases (INER), Mexico's national referral center.
  • 500+ pulmonology consultations personally handled in 2025 in Mexico City, each with a treatment plan explained to the patient.
  • Advanced COPD specialization in progress: ongoing clinical training in obstructive lung disease.
  • Current board certification by the Consejo Nacional de Neumología (CNN-2102).
  • Clinical practice at Hospital Santa Coleta, with spirometry, FeNO, home sleep testing and pleural procedures interpreted directly.
Cédula Prof. 12588976 Cédula Esp. 15595809 CNN-2102 Cofepris 2609142002A00265
Full profile →  ·  How to get there →

Common questions, answered

Is the air quality in Mexico City bad?
It varies a lot by season and by day. Many days are moderate, and some are genuinely clean, especially after rain. The rough stretches are ozone season from March to May and cold winter mornings, when fine particles get trapped over the valley. Healthy visitors usually notice little; people with asthma or sensitive airways should check the daily index.
What is a contingencia ambiental (environmental alert)?
It is an official emergency alert issued when ozone or PM2.5 pollution passes set thresholds in the Valley of Mexico. Authorities restrict driving, suspend outdoor school sports and ask sensitive groups to stay indoors. If you hear one is active, keep outdoor plans light, close windows during the afternoon and follow the local index until it lifts.
Can I exercise outdoors in Mexico City?
Yes, on most days. The smart window is early morning, before ozone builds up; the worst window is roughly 1 to 5 pm during ozone season. Check the air index first: green or yellow means go, orange means take it easier if your airways are sensitive, and on red days or during an alert move your workout indoors.
Should I wear a mask on high-pollution days?
Only a well-fitted N95 or KN95 actually filters fine particles; cloth and surgical masks do not, and no mask filters ozone. For most visitors a mask is unnecessary. It makes sense if you have asthma or COPD and must spend time outdoors during an alert. Limiting time outside in the afternoon protects you more than any mask.

Don't wait for it to get worse

Breathing worse on bad-air days?

One appointment, in person or by video, to test how your airways handle this season, with a written plan. Mon-Fri 4-9 pm, Sat-Sun 10 am-5 pm.

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Educational content reviewed by Dr. William César Lara Vázquez; it never replaces medical consultation, diagnosis or treatment. For respiratory emergencies anywhere in Mexico, dial 911. Personal information stays protected under Mexico's LFPDPPP; details in our privacy notice.

Contenido educativo revisado por el Dr. William César Lara Vázquez; no reemplaza la valoración, el diagnóstico ni el tratamiento médico presencial.

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