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Dr Sara De Matteis, Associate Professor in Occupational and Environmental Medicine at Cagliari University, Italy, and member of the ERS Environmental Health Committee said: “Urban air quality has improved in the last half century, but petrol and especially diesel vehicle fumes remain a serious problem. and ground-level ozone (O?)
The American College of Sports Medicine (ACSM) recognizes this, which is why for the 2019 American Fitness Index rankings, the ACSM added air quality as an environmental indicator of a city’s health. But man-made elements — including vehicular use plus industrial emissions — especially affect air quality. with the worst air quality.
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