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Geographic cancer epidemiology in the UK shows higher levels of many diseases in terms of standardized mortality rates in urban or other polluted areas in Britain, correlating excess morbidity with excess air pollution . Large modern fossil fuel plants built near population centers may use high chimneys to disperse the effluent. This reduces exposure of the adjacent population but contributes to long-distance pollutant effects, carrying sulfur and nitrogen oxides to forests and bodies of water, and creating sulfuric and nitric acid or acid rain. Acid precipitation affects rivers, streams, and lakes, many already burdened with sewage effluent and pesticide runoff, damaging the ecosystem and animal and plant life. The effects The best national football league seattle seahawks go hawks full printing ugly sweateron human health are not easily measurable in a directly attributable way, but environmental damage affects the quality of life. International transmission of environmental damage is seen in nearly a quarter of Europe’s forests from acid rain originating in Eastern European countries with poor emission control standards. In the USA in the 1920s, the use of tetraethyl lead in fuel was promoted to improve automobile performance. This led to a long struggle between public health regulatory agencies and the automobile industry. Industry won, and leaded gasoline was used well into the 1960s and is still available in many parts of the world. Alice Hamilton investigated the widespread use of lead in industry during the 1920s and successfully lobbied for legislative changes to increase surveillance and improve safety by reduced exposure (Box 9.16).
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