Unlike your car, a four-stroke engine with a catalytic converter, a leaf blower is a two-stroke that burns oil by design. The amount of particulate emissions is hard to understate, and the amount of NOx these belch out is staggering. Asthma, cancer, heart disease, COPD, all are on the table with this type of system.
https://en.wikipedia.org/wiki/Two-stroke_engine#Emissions https://en.wikipedia.org/wiki/NOx#Health_and_environment_eff...