While exposure to ozone air pollution causes adverse health effects in most people, children are especially susceptible to these effects. Children spend significantly more time outdoors, especially in the summertime when ozone levels are the highest.

National statistics show that children spend an average of 50 percent more
time outdoors than do adults.
Children spend more time engaged in vigorous activity (i.e., exercise). Such
activity results in breathing in more air, and therefore more pollution being
taken deep into the lungs. 
Children have a higher breathing rate than adults relative to their body
weight and lung surface area. This results in a greater dose of pollution
delivered to their lungs. Most biological air pollution damage is related to the
dose of pollution inhaled in relation to the body weight and surface area of the
target organ.

Even when children experience significant drops in lung function, they do not
seem to suffer or report some of the acute symptoms, such as coughing, wheezing
or shortness of breath, associated with ozone exposure in adults. Thus, children
are not likely to receive or may not understand the biological warnings to
reduce their ozone exposure by stopping their exercise or moving indoors.