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I dont think most people appreciate that the quality of the air they breathe is also affecting their cardiovascular mortality not to the same extent, but it is still a factor. In April 2019, the American Lung Association reported that nearly half of Americans, 141.1 million people, lived in areas with unhealthy amounts of air pollution, an increase of more than 7.2 million people since 2018

Tobacco use is one of the main risk factors for noncommunicable diseases, associated with lung cancer, and coronary heart disease in adults

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