In October 1948 a temperature inversion trapped the effluent of Donora, Pennsylvania's mills for five days, killing about twenty people and sickening roughly six thousand. In December 1952 London's Great Smog killed about four thousand by the official count and far more by modern reanalysis. These two fogs founded air-pollution epidemiology and pushed Britain and the United States toward clean-air laws.
Whether fluoride from the zinc works or sulfur oxides and particulates alone killed at Donora is unresolved. London's roughly 12,000 deaths come from a modern reanalysis, and some scholars argue influenza explains more of the excess.



