At least twelve states have issued air quality alerts and advisories due to the ongoing Canadian wildfires sending smoke down to the Great Lakes region and the northeastern United States, the National Weather Service reported on Tuesday.

Canadian wildfires are the cause of an air quality alert that’s in effect for the tri-state area, according to health officials. New York City’s air quality index is at 118 on Tuesday, AirNow’s tracker indicates.

Hazy skies descend over the New York City area again on Tuesday, re-upping some air quality alerts related to Canadian wildfire smoke. As of 9 a.m., the air quality index was 118, which is considered unhealthy for sensitive groups.