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Dr Joel Kaufman, from the University of Washington, said: "We were surprised to see how strong air pollution's impact was on the progression of emphysema on lung scans, in the same league as the effects of cigarette smoking, which is by far the best-known cause of emphysema." Ground-level ozone is produced when UV light reacts with pollutants from fossil fuels, and the process is accelerated by heatwaves

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