Haze from wildfires in Indonesia has spread even farther this week, reaching beyond Malaysia and Brunei to Singapore and the Philippines.

On Sept. 4, Singaporean residents woke to a smoggy sky as air quality reached unhealthy levels. By late afternoon, the city had the third-worst air quality globally, according to IQAir.

Earlier this week, Philippine authorities declared air quality in parts of Luzon island, including Manila’s metropolitan areas, Visayas island group and Mindanao island as “acutely unhealthy”, blaming it on the transboundary haze from Indonesia.

In the Malaysian state of Sarawak, which has been hit by transboundary haze for weeks, the capital Kuching has topped the rankings as the world’s most polluted city since early this week. Authorities declared a state of emergency in Serawak’s Serian district on Sept. 4.

Malaysia’s health ministry warned in late August that cases of asthma rose by 259% and those of upper respiratory tract infections increased by 124% in a week.