There's no exact "safe" AQI for kids, but because children's lungs are still developing they feel poor air sooner than adults. Outdoor play is fine at an AQI of 100 or below; from 101 keep it shorter and gentler; move hard play indoors from 151 (Unhealthy); and keep all activity indoors by 201 (Very Unhealthy).
Children don't handle dirty air the way adults do. Kids' lungs are still developing, and they breathe more air relative to their body size than adults do.1 That makes children more sensitive to air pollution than adults2, so the line for bringing them in sits lower.
On a clean-air day, let them run. At Good or Moderate air quality, an AQI of 100 or below, it's a good day for kids to be active outside, though a child who is unusually sensitive may still get symptoms.23 Once the AQI enters the orange band, 101 to 150, children should ease off prolonged or hard exertion, keeping play shorter and less intense with more breaks.234
Higher up the scale, bring the activity indoors. In the Unhealthy range, 151 to 200, move longer or harder play inside or put it off to another day.23 By Very Unhealthy, 201 to 300, keep all outdoor activity indoors.23 One timing trick helps on smoggy days. Ozone runs lower in the morning, so schedule a child's outdoor time earlier to cut their exposure.24
If your child has asthma, keep their quick-relief inhaler handy and follow their asthma action plan whenever the air is poor.2 This is a good time to review their plan, and double-check with their pediatrician to make sure it's up to date.
Sources
- [1] U.S. EPA / USFS / CDC / CAPCOA / NPS / CARB. Wildfire Smoke: A Guide for Public Health Officials (Revised 2026). June 2026. Accessed August 6, 2026. https://www.epa.gov/system/files/documents/2026-06/wildfire-guide-for-public-health-officials-2026.pdf
- [2] Air Quality and Outdoor Activity Guidance for Schools. Accessed August 7, 2026. https://document.airnow.gov/air-quality-and-outdoor-guidance-for-schools.pdf
- [3] U.S. EPA (AirNow). Air Quality Index (AQI) Basics. Accessed August 6, 2026. https://www.airnow.gov/aqi/aqi-basics/
- [4] Patient Exposure and the Air Quality Index. Accessed August 7, 2026. https://www.epa.gov/pmcourse/patient-exposure-and-air-quality-index
About the author

Dr. Colin Little
MD, FAWM, Chief Medical Officer, GOES Health
- Board Certified Emergency Physician
- Fellow of the Academy of Wilderness Medicine (FAWM)
- Wilderness Medicine Fellowship, University of Utah
- Emergency Medicine Residency and Chief Resident, Stanford / Kaiser
- Doctor of Medicine, University of Arizona College of Medicine – Phoenix
