Air pollution has reached the highest possible level in some parts of the country, with "very high" readings reported in London and Kent.
High levels of smog are also forecast for East Anglia, the Midlands, Lincolnshire, the Wirral and the north coast of Wales and a health warning remains in force for millions of vulnerable people.
The elderly, people with asthma and those with lung and heart conditions are being told to take precautions, with forecasters warning the smog will not clear until Friday.
Sky News Correspondent Lisa Dowd, at the Acute Medical Unit in Solihull, near Birmingham, said the clinic had seen a "slight increase" in the number of people coming in with respiratory problems possibly linked to the poor air quality.
Forecast for April 3, 4 and 5. Purple/reds are highest levels. Pic: DefraKaren Lytton, who was among the patients admitted, said: "The breathing problems I suffer with have been getting worse.
"It's been getting harder to get about. Normally I'd be able to walk to the shops but yesterday I had to catch a taxi instead."
Parts of England are experiencing the highest level of air pollution ever recorded by the Department for Environment, Food and Rural Affairs (Defra), in part due to dust from the Sahara.
Level 10 readings were reported at monitoring sites in Harrow, northwest London, and Rochester, Kent.
A view of London's Canary Wharf on WednesdayTests by an independent monitoring company in Tewkesbury, Gloucestershire, revealed there were 130 micrograms of particulates - very fine particles, primarily from diesel-powered car and industry - in every cubic metre of air.
That figure is more than six times higher than normal and two and half times the European limit of 50 micrograms.
The plummeting air quality - caused by a cocktail of dust from the Sahara desert, domestic pollution and European emissions, coupled with low southeasterly winds - has led charities and health bodies to warn of possible health risks.
Sotiris Vardoulakis, of Public Health England, advised adults and children with lung problems, as well as adults with heart conditions, to consider reducing strenuous physical exercise, especially outdoors.
Some commuters have taken to wearing face masks"Anyone experiencing discomfort such as sore eyes, coughing or sore throat should also consider reducing activity," he said.
The UK's 3.6 million asthmatics have also been advised to use their blue reliever inhalers more often to prevent attacks.
Saharan dust gets blown over to Britain several times a year, with the latest episode caused by a large wind storm in North Africa.
Cars in some areas of the country have been covered with speckles of the dust.
The World Health Organisation estimates seven million premature deaths annually are linked to air pollution.
The UK is not the only place to be hit by increased smog levels.
Last month, Paris imposed a day-long driving ban after pollution particles in the air exceeded safe levels for five straight days.
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