Since late 2019, severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) has infected millions of people worldwide and resulted in more than 200,000 coronavirus disease 2019 (COVID-19) deaths. Emerging data suggest that elderly people as well as individuals with underlying health conditions are at a higher risk of hospitalization and death. 1-3 Interestingly, the Centers for Disease Control and Prevention's list of risk factors for severe COVID-19 (Fig 1) largely overlap with the list of diseases that are known to be worsened by chronic exposure to air pollution, including diabetes, heart diseases, and chronic airway diseases, such as asthma, lung cancer, and chronic obstructive pulmonary disease. 3 In this editorial, we highlight potential links between exposure to air pollution and COVID-19 severity, and we also hypothesize that disparate exposure to air pollution is one of the factors that contribute to the disproportionate impact COVID-19 is having on inner-city racial minorities. Air pollution is a complex mixture of particulate matter smaller than 2.5 or 10 mm (PM 2.5 , PM 10), nitric dioxide (NO 2), carbon monoxide (CO), ozone (O 3), and volatile organic compounds derived from vehicular traffic, industrial emissions, and indoor pollutants. Given overwhelming evidence linking chronic exposure to air pollution with increased morbidity and mortality across a range of cardiopulmonary diseases, 4 there is growing concern that air pollution may also contribute to COVID-19 severity, by directly affecting the lungs' ability to clear pathogens and indirectly by exacerbating underlying cardiovascular or pulmonary diseases. Such a link was reported during the 2003 SARS outbreak in China, where a positive association was observed between both acute and chronic pollution measures from the air pollution index (CO, NO 2 , SO 2 , O 3 , and PM 10) and SARS case-fatality rates. 5 Now, preliminary data are suggesting similar associations for COVID-19. In cities of China's Hubei province, the epicenter