This is not true of asthma. Outdoor air quality in the United States has improved over time [1] and asthma rates has increased.
So perhaps the asthma numbers are influenced by an increased willingness to diagnose it. Just a thought.
https://www.cdc.gov/asthma/asthma_stats/asthma_underlying_de...
Do you have any intuition for how to identify an increased willingness to over-diagnose? It may be true, but how do we test this hypothesis?
It will be interesting to see the driving environmental causalities behind these autoimmune disease increases if pollution is not a key variable.