Industrial toxic emissions on the South Baltimore Peninsula are among the highest in the nation. Because of the concentration of factories and other chemical industries in their neighborhoods, residents face elevated rates of lung cancer and other respiratory illnesses in addition to heart attacks, strokes, and cardiovascular disease, all of which can lead to premature death. Fighting to Breathe follows a dynamic and creative group of high school students who decided to fight back against the race- and class-based health disparities and inequality in their city. For more than a decade, student organizers stood up to unequal land use practices and the proposed construction of an incinerator and instead initiated new waste management strategies. As a Baltimore resident and activist-scholar, Towson University Professor of Anthropology Nicole Fabricant documents how these young organizers came to envision, design, and create a more just and sustainable Baltimore.