A study examining air quality and respiratory health in communities surrounding the Salton Sea in Southern California shows how environmental conditions, poor housing quality, and structural inequities combine to place children at greater risk for respiratory illness. The Salton Sea, California’s largest inland lake, has been shrinking as water inflows decline and temperatures rise. The exposed lakebed generates windblown dust that can worsen air quality and poses growing health concerns for nearby communities. The study, conducted with 15 Latina mothers caring for children with asthma or other respiratory conditions, paired indoor air quality monitoring with a photovoice project that allowed caregivers to document and share their experiences through photographs and personal narratives.