ASQ CMQ-OE : Manager of Quality/Organizational Excellence Certification Exam Dumps

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Exam Number : CMQ-OE
Exam Name : Manager of Quality/Organizational Excellence Certification
Vendor Name : ASQ
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Exam ID : CMQ-OE

Exam Title : MANAGER OF QUALITY/ORGANIZATIONAL EXCELLENCE CERTIFICATION CMQ/OE



The Certified Manager of Quality/Organizational Excellence is a professional who leads and champions process-improvement initiatives - everywhere from small businesses to multinational corporations - that can have regional or global focus in a variety of service and industrial settings.



A Certified Manager of Quality/Organizational Excellence facilitates and leads team efforts to establish and monitor customer/supplier relations, supports strategic planning and deployment initiatives, and helps develop measurement systems to determine organizational improvement.



The Certified Manager of Quality/Organizational Excellence should be able to motivate and evaluate staff, manage projects and human resources, analyze financial situations, determine and evaluate risk, and employ knowledge management tools and techniques in resolving organizational challenges.



The Certified Manager of Quality/Organizational Excellence evolved from the certified quality manager as a way to broaden the scope of the examination. The Quality Management Division surveyed certified quality managers and other recognized subject matter experts.



A. Organizational Structures Define and describe organizational designs (e.g., matrix, flat, and parallel) and the effect that a hierarchical management structure can have on an organization. (Apply)



B. Leadership Challenges



1. Roles and responsibilities of leadersDescribe typical roles, respon-sibilities, and competencies of people in leadership positions and how those attributes influence an organizations direction and purpose. (Analyze)

2. Roles and responsibilities of managersDescribe typical roles, responsibilities, and competencies of people in management positions and how those attributes contribute to an organizations success. (Analyze)

3. Change managementUse various change management strategies to overcome organiza-tional roadblocks, assess impacts of global changes, achieve desired change levels, and review outcomes for effectiveness. Define and describe factors that contribute to an organizations culture. (Evaluate)

4. Leadership techniques Develop and implement techniques that motivate employees and sustain their enthusiasm. Use negotiation techniques to enable parties with different or opposing outlooks to recognize common goals and work together to achieve them. Determine when and how to use influence, critical thinking skills, or Socratic questioning to resolve a problem or move a project forward. (Create) Topics in this new body of knowledge (BoK) include descriptive details (subtext) that will be used by the Exam Development Committee as guidelines for writing test questions. This subtext is also designed to help candidates prepare for the exam by identifying specific content within each topic that may be tested. The subtext is not intended to limit the subject matter or be all-inclusive of what might be covered in an exam but is intended to clarify how the topics relate to a managers role. The descriptor in parentheses at the end of each entry refers to the maximum cognitive level at which the topic will be tested. A complete description of cognitive levels is provided at the end of this document.BODY OF KNOWLEDGECertified Manager of Quality/Organizational Excellence (CMQ/OE)



5. Empowerment Apply various techniques to empower individuals and teams. Identify typical obstacles to empowerment and appropriate strategies for overcoming them. Describe and distinguish between job enrichment and job enlargement, job design, and job tasks. (Analyze)



C. Teams and Team Processes


1. Types of teamsIdentify and describe different types of teams and their purpose, including process improvement, self-managed, temporary or ad hoc (special project), virtual, and work groups. (Understand)

2. Stages of team developmentDescribe how the stages of team development (forming, storming, norming, performing) affect leadership style. (Apply)

3. Team-building techniquesApply basic team-building steps such as using ice-breaker activities to enhance team introductions and membership, developing a common vision and agreement on team objectives, and identifying and assigning specific roles on the team. (Apply)

4. Team roles and responsibilities Define and describe typical roles related to team support and effectiveness such as facilitator, leader, process owner, champion, project manager, and contributor. Describe member and leader responsibilities with regard to group dynamics, including keeping the team on task, recognizing hidden agendas, handling disruptive behavior, and resolving conflict. (Analyze)

5. Team performance and evaluation Evaluate team performance in relation to established metrics to meet goals and objectives. Determine when and how to reward teams and celebrate their success. (Evaluate)



D. ASQ Code of EthicsIdentify and apply behaviors and actions that comply with this code. (Apply)

II. Strategic Plan Development and Deployment (22 Questions)



A. Strategic Planning ModelsDefine, describe, and use basic elements of strategic planning models, including how the guiding principles of mission, vision, and values relate to the plan. (Apply)

B. Business Environment Analysis

1. Risk analysisAnalyze an organizations strengths, weaknesses, opportunities, threats, and risks, using tools such as SWOT. Identify and analyze risk factors that can influence strategic plans. (Analyze)

2. Market forces Define and describe various forces that drive strategic plans, including existing competition, the entry of new competitors, rivalry among competitors, the threat of substitutes, bargaining power of buyers and suppliers, current economic conditions, global market changes, and how well the organization is positioned for growth and changing customer expectations. (Apply)

3. Stakeholder analysis Identify and differentiate the perspectives, needs, and objectives of various internal and external stakeholders. Ensure that the organizations strategic objectives are aligned with those of the stakeholders. (Analyze)

4. Technology Describe how changes in technology can have long-term and short-term influences on strategic planning. Identify new and upcoming technologies that may impact business strategy and quality, such as automation, autonomation, Quality 4.0, cloud computing, or machine learning. (Understand)

5. Internal capability analysisIdentify and describe the effects that influence an organizations internal capabilities: human resources, facilities capacity, and operational capabilities. Analyze these factors in relation to strategy formation. (Analyze)

6. Legal and regulatory factors Define and describe how legal and regulatory factors can influence strategic plans. (Understand)



C. Strategic Plan Deployment

1. Tactical plans Identify basic characteristics of tactics: specific, measurable, attainable, relevant, and time-specific, and how these are linked to strategic objectives. Evaluate proposed plans to determine whether they meet these criteria. (Evaluate)

2. Resource allocation and deploymentEvaluate current resources to ensure they are available and deployed in support of strategic initiatives. Identify and eliminate administrative barriers to new initiatives. Ensure that all internal stakeholders understand the strategic plan and have the competencies and resources to carry out their responsibilities. (Evaluate)

3. Organizational performance measurementDevelop measurements and ensure that they are aligned with strategic goals, and use the measures to evaluate the organization against the strategic plan. (Evaluate)

4. Quality in strategic deployment Support strategic plan deployment by applying continuous improvement and other quality initiatives to drive performance outcomes throughout the organization. (Create)



III. Management Elements and Methods (31 Questions)



A. Management Skills and Abilities

1. Principles of managementEvaluate and use basic management principles such as planning, leading, delegating, controlling, organizing, and allocating resources. (Evaluate)

2. Management theories and styles Define and describe management theories such as scientific, organizational, behavioral, learning, systems thinking, and situational complexity. Define and describe management styles such as autocratic, participative, transactional, transformational, management by fact, coaching, and contingency approach. Describe how management styles are influenced by an organizations size, industry sector, culture, and competitors. (Apply)

3. Interdependence of functional areas Describe the interdependence of an organizations areas (human resources, engineering, sales, marketing, finance, research and development, purchasing, information technology, logistics, production, and service) and how those dependencies and relationships influence processes and outputs. (Understand)

4. Human resources (HR) management Apply HR elements in support of ongoing professional development and role in quality system: setting goals and objectives, conducting performance evaluations, developing recognition programs, and ensuring that succession plans are in place where appropriate. (Apply)

5. Financial managementRead, interpret, and use various financial tools including income statements, balance sheets, and product/service cost structures. Manage budgets and use the language of cost and profitability to communicate with senior management. Use potential return on investment (ROI), estimated return on assets (ROA), net present value (NPV), internal rate of return (IRR), and portfolio analysis to analyze project risk, feasibility, and priority. (Analyze)

6. Risk managementIdentify the kinds of risk that can occur throughout the organization, from such diverse processes as scheduling, shipping/receiving, financials, production and operations, employee and user safety, regulatory compliance and changes. (Apply)

7. Knowledge management (KM)Use KM techniques in identifying core competencies that create a culture and system for collecting and sharing implicit and explicit knowledge among workers, stakeholders, competitors, and suppliers. Capture lessons learned and apply them across the organization to promote best practices. Identify typical knowledge-sharing barriers and how to overcome them. (Apply)



B. Communication Skills and Abilities

1. Communication techniquesDefine and apply various modes of communication used within organizations, such as verbal, non-verbal, written, and visual. Identify factors that can inhibit clear communication and describe ways of overcoming them. (Apply)

2. Interpersonal skillsUse skills in empathy, tact, friendliness, and objectivity. Use open-minded and non-judgmental communication methods. Develop and use a clear writing style, active listening, and questioning and dialog techniques that support effective communication. (Apply)

3. Communications in a global economyIdentify key challenges of communicating across different time zones, cultures, languages, terminology, and business practices, and present ways of overcoming them. (Apply)

4. Communications and technology Identify how technology affects communications, including improved information availability, its influence on interpersonal communications, and etiquette for e-communications. Deploy appropriate communication methods within virtual teams. (Apply)

C. Project Management

1. Project management basicsUse project management methodology and ensure that each project is aligned with strategic objectives. Plan the different phases of a project: initiation, planning, execution, monitoring and controlling, and closure. Ensure the project is on-time and within budget. Consider alternate project management methodologies (linear, evolutionary, or iterative) as they apply to the project. (Evaluate)

2. Project planning and estimation tools Use tools such as risk exam matrix, benefit-cost analysis, critical path method (CPM), Gantt chart, PERT, and work breakdown structure (WBS) to plan projects and estimate related costs. (Apply)

3. Measure and monitor project activity Use tools such as cost variance analysis, milestones, and actual vs. planned budgets to monitor project activity against project plan. (Evaluate)

4. Project documentation Use written procedures and project summaries to document projects. (Apply)D. Quality System1. Quality mission and policyDevelop and monitor the quality mission and policy and ensure that it is aligned with the organizations broader mission. (Create)

2. Quality planning, deployment, and documentation Develop and deploy the quality plan and ensure that it is documented and accessible throughout the organization. (Create)

3. Quality system effectiveness Evaluate the effectiveness of the quality system using various tools: balanced scorecard, internal audits, feedback from internal and external stakeholders (including stakeholder complaints), warranty/return data analytics, product traceability and recall reports, and management reviews. (Evaluate)



E. Quality Models and Theories

1. Quality management standards Describe and apply the requirements and basic principles of ISO 9000-based standards used to support quality management systems. (Apply)

2. Performance excellence modelsDefine and describe common elements and criteria of performance excellence models such as the European Excellence Award (EFQM), Excellence Canada, ASQ International Team Excellence Award (ITEA), or Malcolm Baldrige National Quality Award (MBNQA). Describe how their criteria are used as management models to improve processes at an organization level. (Understand)

3. Other quality methodologiesDescribe and differentiate methods such as total quality management (TQM), continuous improvement, and benchmarking. (Apply)

4. Quality philosophies Describe and apply basic methodologies and theories proposed by quality leaders such as Shewhart, Deming, Juran, Crosby, Feigenbaum, and Ishikawa. (Apply)



IV. Quality Management Tools (30 Questions)



A. Problem-Solving Tools

1. The seven classic quality tools Select, interpret, and evaluate output from these tools: Pareto charts, cause and effect diagrams, flowcharts, control charts, check sheets, scatter diagrams, and histograms. (Evaluate)

2. Basic management and planning toolsSelect, interpret, and evaluate output from these tools: affinity diagrams, tree diagrams, process decision program charts (PDPCs), matrix diagrams, prioritization matrices, interrelationship digraphs, and activity network diagrams. (Evaluate)

3. Process improvement tools Select, interpret and evaluate tools such as root cause analysis, Kepner-Tregoe, PDCA, six sigma DMAIC (define, measure, analyze, improve, control), and failure mode and effects analysis (FMEA). (Evaluate)

Certified Manager of Quality/Organizational Excellence

4. Innovation and creativity toolsUse various techniques and exercises for creative decision-making and problem-solving, including brainstorming, mind mapping, lateral thinking, critical thinking, the 5 whys, and design for six sigma (DFSS). (Apply)

5. Cost of quality (COQ)Define and distinguish between prevention, appraisal, internal, and external failure cost categories and evaluate the impact that changes in one category will have on the others. (Evaluate)



B. Process Management

1. Process goalsDescribe how process goals are established, monitored, and measured and evaluate their impact on product or service quality. (Evaluate)

2. Process analysisUse various tools to analyze a process and evaluate its effectiveness on the basis of procedures, work instructions, and other documents. Evaluate the process to identify and relieve bottlenecks, increase capacity, improve throughput, reduce cycle time, and eliminate waste. (Evaluate)

3. Lean tools Identify and use lean tools such as 5S, just-in-time (JIT), kanban, value stream mapping (VSM), quick-changeover (single-minute exchange of die), poke-yoke, kaizen, standard work (training within industry), and productivity (OEE). (Apply)

4. Theory of constraints (TOC)Define key concepts of TOC: systems as chains, local vs. system optimization, physical vs. policy constraints, undesirable effects vs. core problems, and solution deterioration. Classify constraints in terms of resources and expectations as defined by measures of inventory and operating expense. (Understand)

C. Measurement: Assessment and Metrics

1. Basic statistical use Use statistical techniques to identify when, what, and how to measure projects and processes. Describe how metrics and data gathering methods affect resources and vice-versa. (Apply)

2. Sampling Define and describe basic sampling techniques such as random and stratified. Identify when and why sampling is an appropriate technique to use. (Understand)

3. Statistical analysisCalculate basic statistics: measures of central tendency (mean, median, mode) and measures of dispersion (range, standard deviation, and variance). Identify basic distribution types (normal, bimodal, skewed) and evaluate run charts, statistical process control (SPC) reports, and other control charts to make data-based decisions. (Evaluate)

4. Measurement systems analysis Understand basic measurement terms such as accuracy, precision, bias, and linearity. Understand the difference between repeatability and reproducibility in gauge R&R studies. (Understand)

5. Trend and pattern analysisInterpret graphs and charts to identify cyclical, seasonal, and environmental data trends. Evaluate control chart patterns to determine shifts and other trend indicators in a process. (Evaluate)

6. Process variationAnalyze data to distinguish between common and special cause variation. (Analyze)

7. Process capabilityRecognize process capability (Cpand Cpk,) and performance indices (Pp and Ppk). (Understand)

Certified Manager of Quality/Organizational Excellence

8. Reliability terminology Define and describe basic reliability measures such as infant mortality, end of life (e.g. bathtub curve), mean time between failures (MTBF), and mean time to repair (MTTR). Understand the value of estimating reliability to meet requirements or specifications.

NOTE: Reliability calculations will not be tested. (Understand)



V. Customer-Focused Organizations (21 Questions)

A. Customer Identification and Segmentation

1. Internal customers Define internal customers and describe the impact an organizations treatment of internal customers will have on external customers. Evaluate methods for influencing internal customers to improve products, processes, and services and evaluate the results. (Evaluate)

2. External customers Define external customers and describe their impact on products and services. Evaluate strategies for working with them and integrating their requirements and needs to improve products, services, and processes. (Evaluate)

3. Customer segmentationDescribe and assess the process of customer segmentation and its impact on aligning service and delivery to meet customer needs. (Evaluate)

4. Qualitative examIdentify subjective information such as verbatim comments from customers, observation records, and focus group output. Describe how the subjective information differs from objective measures and determine when data should be captured in categories rather than numeric value. (Analyze)



B. Customer Relationship Management

1. Customer needs Use quality function deployment (QFD) to capture the voice of the customer (VOC) and examine customer needs in relation to products and services offered. Analyze the results to prioritize future development in anticipation of changing customer needs. (Analyze)

2. Customer satisfaction and loyaltyDevelop systems to capture positive and negative customer feedback and experiences, using tools such as listening posts, focus groups, complaints and warranty data, surveys, and interviews. Use customer value analysis to calculate the financial impact of existing customers and the potential results of losing those customers. Develop corrective actions and proactive methods to improve customer satisfaction, loyalty, and retention levels. (Create)

3. Customer service principles Demonstrate strategies that support customer service principles: courtesy, politeness, smiles, cheerfulness, attention to detail, active listening, empathy, rapid response, and easy access for information and service. (Apply)

4. Multiple and diverse customer managementEstablish and monitor priorities to avoid or resolve conflicting customer requirements and demands. Develop methods and systems for managing capacity and resources to meet the needs of multiple customers. Describe the impact that diverse customer groups can have on all aspects of product and service development and delivery. (Evaluate)



VI. Supply Chain Management (17 Questions)

A. Supplier Selection and ApprovalDefine and outline criteria for selecting, approving, and classifying suppliers, including internal rating programs and external certification standards. (Analyze)

B. Supplier Risk Management Assess and manage supplier risk and the impact it may have on various internal processes of the organization. (Evaluate)

C. Supplier CommunicationsPrepare and implement specific communication methods with suppliers, including regularly scheduled meetings and routine and emergency reporting procedures. Direct, communicate, and confirm explicit expectations so that the supplier is aware of critical product and delivery requirements. (Apply)

D. Supplier PerformanceDefine, assess, and monitor supplier performance in terms of quality, cost, delivery, and service levels, and establish associated metrics for defect rates, product reliability, functional performance, timeliness, responsiveness, and availability of technical support. (Evaluate)

E. Supplier ImprovementDefine and conduct supplier audits, evaluate corrective and preventive action plans, provide feedback, and monitor process improvements. (Evaluate)

F. Supplier Certification, Partnerships, and AlliancesDefine, appraise, and implement supplier certification programs that include process reviews and performance evaluations. Outline strategies for developing customer-supplier partnerships and alliances. (Evaluate)

G. Supplier Logistics and Material AcceptanceDescribe the impact purchased products and services can have on final product assembly or total service package, including ship-to-stock and just-in-time (JIT). Describe the incoming material inspections process. (Understand)



VII. Training and Development (16 Questions)

A. Training PlansDevelop and implement training plans that are aligned with the organizations strategic plan and general business needs, including leadership training and alignment of personal development plans. (Create)

B. Training Needs AnalysisUse various tools and techniques such as surveys, performance reviews, regulatory guidances, and gap analyses to identify and assess training needs. (Evaluate)

C. Training Materials, Development, and DeliveryUse various tools, resources, and methodologies to develop training materials and curriculum that address adult learning principles and the learning needs of an increasingly diverse workforce. Describe various methods of training delivery: classroom, workbooks, simulations, computer-delivered, on-the-job, and self-directed. Use mentoring and coaching to support training outcomes. (Apply)

D. Training Effectiveness and EvaluationAssess training effectiveness and make improvements based on feedback from training sessions, end-of-course test results, on-the-job behavior or performance changes, and departmental or area performance improvements. (Evaluate)



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ASQ Quality/Organizational syllabus

 

New York City air becomes some of the worst in the world as Canada wildfire smoke blows in

Smoke from the wildfires raging across Canada has created a thick haze across New York City's iconic skyline, nearly fading out the Statue of Liberty and high-rises. The quality of air has become so bad in the past few days that now, the city has some of the worst air pollution in the world. 

Early Wednesday morning, New York City was second only to Delhi, India for the worst air quality and pollution out of 100 tracked countries, according to Swiss air quality technology company IQAir. According to the company, the city currently has an Air Quality Index of 160, categorized as an "unhealthy" amount, meaning that some people may experience health effects. That ranking was soon bumped down to third after Detroit's AQI hit 162. 

Particulate matter in New York's air was measured at 14.5 times the World Health Organization's annual air quality guideline value, IQAir said, but it's expected that it will improve to at least "moderate" through the weekend. 

This is a stark difference from the typical air in New York City, which IQAir says has had an AQI of less than 50, classified as "good," in recent years. 

Although it had not yet been formally listed on the IQAir world's-worst air quality list for unknown reasons, Washington, D.C., according to the company, has an AQI of 180 – 22.3 times the WHO's recommendation – which would place it just behind Delhi. According to the government-run website AirNow, the air quality in the nation's capital is even higher, with an AQI of 194.  

Having this poor of air can be "hazardous to anyone," the National Weather Service has warned. Essentially all of New York State has been placed under health advisories. 

"Air quality has plummeted across much of the northeast as smoke from wildfires in Canada moves south," the agency said. "...Before spending time outdoors, check the air quality forecast. Make sure you aren't doing yourself more harm than good." 

Being exposed to pollution at the levels currently being experienced can cause headaches, irritated eyes, asthma attacks, difficulty breathing and more, particularly for the elderly, children and those who are immunocompromised. 

And it could last for a while, Weather Channel meteorologist Stephanie Abrams said on CBS Mornings on Wednesday. 

"There are fires burning all across Canada with over 9.3 million acres charred," Abrams said. "...From the Midwest to the Northeast and even into the South, there's going to be thick smoke pollution at least through Saturday, especially in the Northeast."

The situation stems from the dozens of wildfires that continue to burn across eastern Canada. On Monday, the nation's government said that June has the "potential for continued higher-than-normal fire activity" throughout most of its land because of drought and warm temperatures. 

"For June, warm and dry conditions will increase wildfire risk in most of Canada from British Columbia and Yukon eastward into western Quebec and the Atlantic region," the government said. "During July, wildfire potential is expected to expand into Yukon, although the eastern edge will recede from western Quebec into central Ontario."

Steven Guilbeault, the minister of environment and climate change, said it's "one of the worst wildfire seasons on record." 

"The threat of increased fires due to climate change is one of the many reasons our government is developing a robust National Adaptation Strategy with all levels of government and Indigenous groups, so we can be sure our communities are well prepared for the impacts of climate change."

Trending News

Li Cohen

Investigation into USS George Washington suicides finds US Navy failed to provide a basic quality of life for sailors

CNN  — 

A monthslong investigation into a series of Navy suicides last year found the service failed to provide a basic quality of life for sailors, housing them in unacceptable living conditions and failing to provide adequate mental health resources.

The investigation concluded that the issues were compounded on the USS George Washington, a nuclear-powered aircraft carrier going through overhaul in the Newport News shipyard in Virginia, because of the lengthy refit process, which was delayed as the Navy shifted its priorities to other ships.

Ultimately, sailors from the ship told CNN they were forced to move on board the ship before it was ready, leaving the crew facing power outages, a lack of hot water, and unbearable temperatures.

“It was pointedly obvious that the Navy had failed the George Washington through a host of things that we put that ship into,” said Navy Fleet Forces Commander Adm. Daryl Caudle in a briefing to reporters Thursday.

The Navy’s top leaders said the blame for the suicides on board the carrier and at a separate facility in Norfolk late-last year did not fall on any single commander or leader.

“Collectively, Navy senior leadership, officer and civilian, let our standards slip – and in doing so we let our people down,” wrote Navy Secretary Carlos Del Toro and Navy Chief Adm. Michael Gilday in a memo following the conclusion of the investigation.

In response, the Navy’s top leaders committed to addressing quality of life issues for sailors – first at shipyards, then across the service.

In April of last year, three sailors from the USS George Washington crew died by suicide within one week. A Navy investigation found that the deaths were “not related or connected,” but were the result of “unique and individualized” challenged facing each individual sailor, coupled with a “readily available” means to die by suicide and an “impaired mental state.”

Then in December, four sailors at the Mid-Atlantic Regional Maintenance Center (MARCMC) died by suicide within a month. A Navy investigation found there was no “direct correlation or connection” between the deaths, nor was there a toxic climate within the command. The newly-released investigation, which is separate from the broader investigation into quality of life issues and more, did find there were missed opportunities for supervisors to intervene.

The suicides put additional pressure on the Pentagon to implement the Brandon Act, a law requiring the Defense Department to provide mental health resources. The law is named after Brandon Caserta, a 21-year-old sailor who took his life at Naval Air Station Norfolk in 2018. The implementation of the law, required as part of the 2022 National Defense Authorization Act, was delayed by more than a year until it was finally signed earlier this month.

Caudle made no excuses for the Navy’s failure to address quality of life issues before they contributed to a series of suicides.

“I am never going to try to give you a reason why it takes a large mishap, incident, 9/11 event to make the Navy – my organization which I love – wake up and attack a problem that we should’ve seen coming,” said Caudle. “I’ll just tell you there is no excuse for that.”

As part of a series of 48 recommendations, Caudle said the Navy should define when a ship is habitable, provide adequate housing and facilities before sailors move aboard a ship, and have more mental health resources available for sailors.

For the first time, the Navy also wants to develop a standard for what it calls “quality of service,” the combination of quality of life and the work experience.

But there is no timeline yet for implementing the quality-of-life recommendations across the service, and the Navy acknowledged it will require additional resources to address the problem.

“Navy [Quality of Service] will not be corrected with the stroke of a pen,” Del Toro and Gilday said in their letter.

Editor’s Note: If you or a loved one have contemplated suicide, call The National Suicide and Crisis Lifeline at 988 or 1-800-273-TALK (8255) to connect with a trained counselor.


For many cities around the world, bad air an inescapable part of life

WASHINGTON (AP) — Thick, smoky air from Canadian wildfires made for days of misery in New York City and across the U.S. Northeast this week. But for much of the rest of the world, breathing dangerously polluted air is an inescapable fact of life — and death.

Almost the entire world breathes air that exceeds the World Health Organization's air-quality limits at least occasionally. The danger grows worse when that bad air is more persistent than the nightmarish shroud that hit the U.S. — usually in developing or newly industrialized nations. That's where most of the 4.2 million deaths blamed on outdoor air pollution occurred in 2019, the UN's health agency reported.

“Air pollution has no boundaries, and it is high time everyone comes together to fight it,” said Bhavreen Kandhari, the co-founder of Warrior Moms in India, a network of mothers pushing for clean air and climate action in a nation with some of the world's consistently worst air. “What we are seeing in the U.S. should shake us all."

“This is a severe air pollution episode in the U.S.,” said Jeremy Sarnat, a professor of environmental health at Emory University's Rollins School of Public Health. "But it’s fairly typical for what millions and millions of people experience in other parts of the world.”

Last year, nine of the 10 cities with the highest annual average of fine particulate matter were in Asia — including six in India, according to air quality company IQAir, which aggregates readings from ground level monitoring stations worldwide.

Fine particulate matter, sometimes denoted as PM 2.5, refers to airborne particles or droplets of 2.5 microns or less. That’s far smaller than a human hair, and the particles can reach deep into lungs to cause eye, nose, throat and lung irritation and even affect heart function.

Sajjad Haider, a 31-year-old shopkeeper in Lahore, Pakistan, rides his motorbike to work daily. He wears a mask and goggles against frequent air pollution in the city of 11 million, but suffers from eye infections, breathing problems and chest congestion that get worse as smog grows in winter.

On his doctor's advice, he relies on hot water and steam to clear his chest, but said he cannot follow another bit of the doctor's advice: Don't go out on his motorbike if he wants to keep his health.

“I can't afford a car and I can't continue my business without a motorbike," said Haider.

Last year, Lahore had the world's highest average concentration of fine particulate matter at nearly 100 micrograms per cubic meter of air. By comparison, New York City’s concentration hit 303 at one point on Wednesday.

But New York's air typically falls well within healthy levels. The U.S. Environmental Protection Agency’s standard for exposure is no more than 35 micrograms per day, and no more than 12 micrograms a day for longer-term exposure. New York’s annual average was 10 or below the past two years.

New Delhi, a heaving city of more than 20 million where Kandhari lives, usually tops the list of the many Indian cities gasping for breath as haze turns the capital's sky gray and obscures buildings and monuments. It's worse in autumn, when the burning of crop residues in neighboring states coincides with cooler temperatures that trap deadly smoke over the city, sometimes for weeks.

Vehicle emissions and fireworks set off during the Hindu Diwali festival add to the murk, and the results include coughs, headaches, flight delays and highway pileups. The government sometimes asks residents to work from home or carpool, some schools go online and families that can afford them turn to air purifiers.

On Thursday, even as a hazardous haze disrupted life for millions across the U.S., New Delhi still ranked as the second-most polluted city in the world, according to daily data from most air quality monitoring organizations.

Kandhari, whose daughter had to give up outdoor sports over health scares related to the bad air, said the air pollution is constant but policymakers only seem to notice its most acute moments. That has to change, she said.

“We should not compromise when it comes to access to cleaner air,” Kandhari said.

Many African countries in the Sahara Desert regularly grapple with bad air quality mainly due to sandstorms. On Thursday, AccuWeather gave nations ranging from Egypt in the north to Senegal thousands of miles west a rating of purple, for dangerous air quality. It was the same rating given this week to New York and Washington, D.C.

Senegal has suffered from unsafe air for years. It's especially bad in Senegal's east as desertification — the encroachment of the Sahara onto drylands — carries particles into the region, said Dr. Aliou Ba, a senior Greenpeace Africa campaigner based in the capital of Dakar.

The Great Green Wall, a massive tree-planting effort aimed at slowing desertification, has been underway for years. But Ba said pollution has been growing worse as the number of cars on the road, burning low-quality fuel, increases.

In the U.S., the 1970 passage of the Clean Air Act cleared up many of the country’s smog-filled cities by setting limits on most sources of air pollution. The landmark regulation led to curbs on soot, smog, mercury and other toxic chemicals.

But many developing and newly industrialized nations often have weak or little-enforced environmental laws. Those nations suffer increased air pollution for other reasons, too, including a reliance on coal, lower vehicle emissions standards and the burning of solid fuels for cooking and heating.

In Jakarta, capital of Indonesia, the world's fourth-most populous country, it's often difficult to find clear blue sky. In one apartment building in the north of the city, between two busy ports where coal is shipped and stockpiled, residents tried filtering coal dust with a net. It didn't work.

“My family and I often feel itching and coughing," Cecep Supriyadi, a 48-year-old resident, said. “So, when there is a lot of dust entering the flat, yes, we must be isolated at home. Because when we are outside the house, it feels like a sore throat, sore eyes, and itchy skin.”

They've also tried mediation and advocacy to force companies and the government to clean up the air, with limited success.

China has improved since Beijing was notorious for eye-watering pollution that wreathed office towers in haze, diverted flights and sent the old and young to hospitals to be put on respirators. When the air was at its worst, schools that could afford it installed inflatable covers over sports fields with airlock-style revolving doors and home air filters became as ubiquitous as rice cookers.

Key to the improvement was closing or moving heavy industries out of Beijing and nearby areas. Heavily polluting older vehicles were taken off the road, many replaced with electric vehicles. China still is the world’s largest producer and consumer of coal, but almost none is consumed at street level. The average PM 2.5 reading in Beijing in 2013 of 89.5 — well above the WHO’s standard of 10 — fell to 58 in 2017 and now sits at around 30. China had just one city — Hotan — in the world's top 10 for worst air.

Mexico City, ringed by mountains that trap bad air, was one of the most polluted cities in the world until the 1990s, when the government began limiting the number of cars on the streets. Pollution levels dropped, but even still, the city's 9 million people — 22 million including suburbs — rarely see a day when air pollution levels are considered “acceptable.”

Each year, air pollution is responsible for nearly 9,000 deaths in Mexico City, according to the National Institute of Public Health. It's usually worse in the dry winter and early spring months, when farmers burn their fields to prepare for planting.

Authorities haven’t released a full-year air quality report since 2020, but that year — not considered particularly bad for pollution, because the pandemic reduced traffic— Mexico City saw unacceptable air quality on 262 days, or 72% of the year.

In the rainy summer months, intense rains clean the city's air somewhat. That's what brought Verónica Tobar out on Thursday with her two children to a small playground in the Acueducto neighborhood near one of the city's most congested avenues.

“We don’t come when we see that the pollution is very strong," Tobar said. Those days “you feel it in your eyes, you cry, they’re itchy," she said.

Her son was diagnosed with asthma last year and changes in temperature make it worse.

“But we have to get out, we can’t be locked up,” Tobar said as her children jumped off a slide.


 




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