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Air Pollution Worsens Sleep Apnea

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Wednesday, October 1, 2025

By Dennis Thompson HealthDay ReporterWEDNESDAY, Oct. 1, 2025 (HealthDay News) — Air pollution could be making matters worse for people with sleep apnea, according to a new study.Sleep apnea patients have more episodes of reduced or stopped breathing during their slumber in areas with heavier air pollution, researchers reported Tuesday at an European Respiratory Society meeting in Amsterdam.Further, these sleep apnea episodes increased as air became more polluted, researchers found.“We confirmed a statistically significant positive association between average long-term exposure to air pollution, specifically fine particles known as PM10, and the severity of obstructive sleep apnea,” researcher Martino Pengo, an associate professor from the University of Milano-Bicocca in Italy, said in a news release.PM10 particles are less than 10 micrometers in diameter, according to the U.S. Environmental Protection Agency. By comparison, a human hair is 50 to 70 micrometers wide.People with sleep apnea snore loudly and their breathing starts and stops during the night, disturbing their sleep. The condition is known to increase risk of high blood pressure, stroke, heart disease and type 2 diabetes, according to the Mayo Clinic.For the study, researchers tracked more than 19,000 patients with sleep apnea from 25 cities in 14 countries. The team compared the patients’ apnea data from sleep studies with records of particle pollution in the air where they live.Results showed that the number of respiratory events — breathing slowing or stopping — per hour of sleep increased by 0.41 for every one-unit increase in PM10 particle pollution.“This effect may seem small for an individual, but across entire populations it can shift many people into higher-severity categories, making it meaningful from a public health perspective,” Pengo said.Researchers also found the link between particle pollution and sleep apnea varied in strength between cities. People in Lisbon, Paris and Athens were more affected by air pollution.“In some cities, the impact was stronger; in others, it was weaker or even absent,” Pengo said. “These regional differences might be due to things like local climate, the type of pollution or even how health care systems detect obstructive sleep apnea.”Sophia Schiza, head of the European Respiratory Society’s expert group on sleep disordered breathing, said that “for people with obstructive sleep apnea, especially those living in cities with high levels of air pollution, this study is important as it suggests pollution could be making their condition worse.”The study strengthens the connection between environmental health and sleep medicine, added Schiza, a professor of pulmonology at the University of Crete in Greece who was not involved in the research. “It reminds us that tackling air pollution isn't just good for the planet, it's also vital for our lungs and our sleep quality too,” she said in a news release.Findings presented at medical meetings should be considered preliminary until published in a peer-reviewed journal.SOURCE: European Respiratory Society, news release, Sept. 30, 2025Copyright © 2025 HealthDay. All rights reserved.

By Dennis Thompson HealthDay ReporterWEDNESDAY, Oct. 1, 2025 (HealthDay News) — Air pollution could be making matters worse for people with sleep...

By Dennis Thompson HealthDay ReporterWEDNESDAY, Oct. 1, 2025 (HealthDay News) — Air pollution could be making matters worse for people with sleep apnea, according to a new study.

Sleep apnea patients have more episodes of reduced or stopped breathing during their slumber in areas with heavier air pollution, researchers reported Tuesday at an European Respiratory Society meeting in Amsterdam.

Further, these sleep apnea episodes increased as air became more polluted, researchers found.

“We confirmed a statistically significant positive association between average long-term exposure to air pollution, specifically fine particles known as PM10, and the severity of obstructive sleep apnea,” researcher Martino Pengo, an associate professor from the University of Milano-Bicocca in Italy, said in a news release.

PM10 particles are less than 10 micrometers in diameter, according to the U.S. Environmental Protection Agency. By comparison, a human hair is 50 to 70 micrometers wide.

People with sleep apnea snore loudly and their breathing starts and stops during the night, disturbing their sleep. The condition is known to increase risk of high blood pressure, stroke, heart disease and type 2 diabetes, according to the Mayo Clinic.

For the study, researchers tracked more than 19,000 patients with sleep apnea from 25 cities in 14 countries. The team compared the patients’ apnea data from sleep studies with records of particle pollution in the air where they live.

Results showed that the number of respiratory events — breathing slowing or stopping — per hour of sleep increased by 0.41 for every one-unit increase in PM10 particle pollution.

“This effect may seem small for an individual, but across entire populations it can shift many people into higher-severity categories, making it meaningful from a public health perspective,” Pengo said.

Researchers also found the link between particle pollution and sleep apnea varied in strength between cities. People in Lisbon, Paris and Athens were more affected by air pollution.

“In some cities, the impact was stronger; in others, it was weaker or even absent,” Pengo said. “These regional differences might be due to things like local climate, the type of pollution or even how health care systems detect obstructive sleep apnea.”

Sophia Schiza, head of the European Respiratory Society’s expert group on sleep disordered breathing, said that “for people with obstructive sleep apnea, especially those living in cities with high levels of air pollution, this study is important as it suggests pollution could be making their condition worse.”

The study strengthens the connection between environmental health and sleep medicine, added Schiza, a professor of pulmonology at the University of Crete in Greece who was not involved in the research. 

“It reminds us that tackling air pollution isn't just good for the planet, it's also vital for our lungs and our sleep quality too,” she said in a news release.

Findings presented at medical meetings should be considered preliminary until published in a peer-reviewed journal.

SOURCE: European Respiratory Society, news release, Sept. 30, 2025

Copyright © 2025 HealthDay. All rights reserved.

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EPA, EES Coke Battery Are $135 Million Apart on Clean Air Act Penalties as Pollution Trial Ends

The U.S. Environmental Protection Agency is asking a judge to order a Michigan plant to pay a $140 million civil penalty over emissions and begin operating with full desulfurization technology within three years

When faced with testimony that Zug Island’s EES Coke Battery is one of Michigan’s worst sulfur dioxide polluters, an attorney for the facility said Monday: “So what?” The DTE Energy-owned facility was “permitted to do so,” said Michael Hindelang, attorney for the utility and its subsidiaries that are defendants in the EPA’s Clean Air Act lawsuit over the emissions.Hindelang and a U.S. attorney representing the EPA made their closing arguments Monday in a federal bench trial. U.S. District Judge Gershwin Drain said each party has until Oct. 9 to submit its findings of fact in the case.The EPA requested that EES Coke Battery pay a $140 million civil penalty and begin operating with full desulfurization technology within three years.Hindelang said a $5 million penalty should be assessed against EES Coke Battery, and the facility should continue reasonable environmental reporting requirements until otherwise directed by the state. The court should decide whether it’s a civil fine or environmental mitigation funding, and the facility is willing to install pollution controls that would reduce at least 33% of sulfur dioxide emissions, he said.The EPA is asking Drain to order the installation of full desulfurization, including the best available control technology with the lowest achievable emissions rate. EES Coke Battery produces coke, a raw material in the steelmaking process. The facility has contracts of one to five years in length to sell its product to Cleveland-Cliffs and ArcelorMittal, a DTE Vantage executive testified last week. Drain ruled Aug. 25 that EES Coke Battery violated the Clean Air Act by making a major modification to its operations, instead of a minor modification as its 2014 permit allowed. EPA lawyer on Zug Island pollution: ‘They buried their heads in the sand’ The U.S. government seeks to bring EES Coke Battery back into compliance and secure a penalty, Benson said Monday.To follow the law, EES Coke Battery needs to obtain New Source Review permits from the state within 90 days, pay $140 million, and begin operating full desulfurization within three years, he said. New Source Review is a Clean Air Act permitting program that requires facilities to install modern pollution controls when they build new plants or make major modifications.“This is not a shutdown order. Defendants can afford to comply with the law and keep running the battery,” Benson said. Hindelang said the government’s proposal amounts to a shutdown order — “a wolf in sheep’s clothing,” he said. The government is asking for an order EES Coke Battery cannot afford or physically accommodate, and it’s on an unfeasible timeline, Hindelang said. “Benson is saying the quiet part loud: ‘clean up or shut down,’” he said.EES Coke Battery can either clean up, by installing pollution controls that would cut at least 33% of sulfur dioxide emissions, or shut down, Hindelang said. The desulfurization technology the EPA proposes is “massively expensive” and would not fit on Zug Island, he said. EES Coke Battery can afford a Claus reactor, a type of desulfurization technology, that could prevent future violations on the island, Hindelang said. The Claus reactor is “good,” Hindelang said, but the government wants “great,” and “great is a shutdown order,” he said. Benson said a 33% reduction in sulfur dioxide emissions is “not a solution at all.” Referring to New Source Review permitting, the U.S. attorney said: “You can’t uncrack an egg.“Once a major modification is done, the law steps in,” Benson said. “The Clean Air Act has spoken, and they have to install the best available control technology and lowest achievable emissions rate.” Hindelang said EES Coke Battery made good faith efforts to comply with its permits, while Benson said the state never approved emissions increases that it did not know were occurring. “Closing your eyes is a choice that brought us here today,” he said. Clean Air Act penalties factor in the duration of a violation, which is seven years in this case, Benson said; prior payments, of which he said there are none; and the seriousness of the violation based on health impacts.“They buried their heads in the sand and hoped the court wouldn’t notice. They already harmed thousands of people downwind,” Benson said.“The community didn’t choose to roll the dice, but they lost nonetheless. Some had heart attacks, some died earlier than they should have.” Hindelang said installing desulfurization technology takes six years, not the three the government is requesting, “if everything goes smoothly.”Permitting would take two years, installation of desulfurization technology would take three, and engineering design would take more than a year, he said. The waterfall effect of a shutdown order would include a loss of $450 million in economic output from EES Coke Battery, a $900 million overall loss to Michigan, and 2,700 job losses across the state, Hindelang said. A shutdown order would eliminate the coke that supports the production of 2.5 million tons of steel a year, he said. EPA, DTE on Zug Island facility’s public health impact Twenty-six premature deaths, 3.8 nonfatal heart attacks, 8,000 acute respiratory symptom days, 14.5 new asthma cases, and additional Alzheimer’s cases are modeled to have occurred in 2019 due to sulfur dioxide and particulate matter pollution from the coke battery, an epidemiologist testified in federal court earlier in the trial.Joel Schwartz, professor at the Harvard T.H. Chan School of Public Health, said the social cost of pollution from EES Coke Battery from 2019-2022 totals $1 billion. An air quality expert with 40 years of experience testified Sept. 17 that EES Coke Battery’s excess particulate matter emissions are “one of the largest sources I’ve ever seen.”Pollution from the coke battery reached Maine, Missouri, and North Carolina’s coast, according to Lyle Chinkin, an air quality expert and CEO and chief scientist of Sonoma Technology.Hindelang said Monday there’s no proof that public health impacts can be traced to EES Coke Battery emissions. “We understand the concerns of the Sierra Club witnesses,” Hindelang said. Some of the witnesses called to testify were lifelong residents of 48217, the highly polluted zip code near Zug Island. Their stories of red-orange skies are from long before the coke battery opened, Hindelang said. The Sierra Club intervened in the lawsuit, which was filed by the EPA in 2022.The biggest harm to public health occurs at EES Coke Battery’s fenceline and is from fugitive sources like door leaks — when a worker opens the oven door to shovel coal in — and there’s no technology to fix that, Hindelang said.This story was originally published by Planet Detroit and distributed through a partnership with The Associated Press.Copyright 2025 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed.Photos You Should See – Sept. 2025

Trump administration eyes looser environmental restrictions to boost coal

The Trump administration is eyeing looser restrictions on pollution and public lands as part of its effort to bolster the U.S. coal industry. The Environmental Protection Agency (EPA) is proposing to delay by five years Biden-era standards that restrict power plants’ ability to release pollution into waterways. It also indicated that it could take further steps to...

The Trump administration is eyeing looser restrictions on pollution and public lands as part of its effort to bolster the U.S. coal industry. The Environmental Protection Agency (EPA) is proposing to delay by five years Biden-era standards that restrict power plants’ ability to release pollution into waterways. It also indicated that it could take further steps to potentially weaken the regulation in the meantime, saying in a press release that it is requesting information on challenges related to the Biden-era rule to “inform potential future rulemaking.” The rule in question would have been expected to reduce pollution including releases of mercury and arsenic and result in fewer cancer cases as a result. Meanwhile, the Interior Department announced that it planned to open up 13.1 million acres of federal land for coal leasing.  A spokesperson for the department said specifically that it would be opening up areas blocked off in parts of North Dakota, Wyoming, and Montana. Additionally, the Energy Department announced that it would put $625 million toward supporting coal. This includes $350 million for recommissioning and retrofitting plants for near-term power and an additional $175 million for projects in rural areas.  It’s not entirely clear where the funds come from, and a spokesperson or the department did not immediately respond to a question from The Hill. Overall, Interior Secretary Doug Burgum described the push for more coal as part of an effort to bolster AI, whose use is expected to drive up the demand for electricity. “This is as critical as any Manhattan Project we've ever talked about,” said Burgum, who also leads the White House’s National Energy Dominance Council. “If we don't win...on that front, we are defenseless. And so the battle for electricity is something that we're pursuing.” The Trump administration has repeatedly made moves to bolster fossil fuels, including coal. It has argued that these are important for meeting increased electricity demand that is accompanying the rise of AI, but it has also made moves to hamper renewable power. Environmental advocates criticized the Trump administration's decisions, pointing to coal’s significant contributions to pollution. “The Trump administration’s reckless actions announced today will hurt the American people, all to prop up the aging and outdated coal industry,” said Sierra Club Chief Program Officer Holly Bender in a written statement.  “Rather than investing in clean, affordable energy to power our country, more coal will increase deadly air pollution, poison our water with harmful heavy metals, and drastically worsen the health of our loved ones,” Bender added 

Kids’ Eyes Getting Worse? Air Pollution May Be to Blame

By I. Edwards HealthDay ReporterTHURSDAY, Sept. 25, 2025 (HealthDay News) — Air pollution is known to raise the risk of heart disease, strokes and...

THURSDAY, Sept. 25, 2025 (HealthDay News) — Air pollution is known to raise the risk of heart disease, strokes and breathing problems, but new research suggests it may also harm something else: kids’ vision.In a study of nearly 30,000 schoolchildren in Tianjin, China, researchers found that kids exposed to higher levels of fine particulate matter (PM2.5) and nitrogen dioxide (NO2) were more likely to develop myopia.Also known as nearsightedness or shortsightedness, myopia causes distant objects to appear blurry while close ones appear clear."We showed that air pollution contributes to myopia development in children," study co-author Zongbo Shi, a professor of atmospheric biogeochemistry at the University of Birmingham in the U.K., told The Washington Post."What this means," he said, "Is that if their exposure to air pollution is high, the risk to become shortsighted is higher."The findings were published Sept. 23 in the journal PNAS Nexus.The research combined genetic, lifestyle and environmental data using a machine-learning model. While genetics were the strongest factor in whether a child developed vision problems, air quality also played an important role.Children living in areas with cleaner air tended to have better vision, the study found. In fact, when researchers created “clean air” scenarios, primary schoolers saw almost double the vision improvement compared with older students.What's more, lifestyle also mattered: Lack of sleep and long hours of screen time increased the risk of poor eyesight, researchers said.“There are factors that you cannot change,” Shi explained. “But you can change habits. You can reduce air pollution so that would improve eyesight.”While some experts noted the findings raise important questions, others remained cautious.For example, past research has shown that spending more time outdoors can reduce the risk of myopia. But in this study, outdoor time appeared to be one of the least important factors.“I worry about this unconventional approach giving us an unconventional answer,” Dr. Donald Mutti, an optometry professor at Ohio State University who was not involved with the study, told The Post.Still, the results add to a growing body of evidence linking air pollution to vision problems. Other studies have also suggested pollution can worsen eye inflammation and contribute to the progression of myopia in kids.Researchers say reducing pollution exposure can help protect a child's eyesight.“Improving air quality will not only benefit or reduce disease burden, but it can also improve eye health,” Shi said. “Reducing exposure is the key.”The American Academy of Ophthalmology has more on myopia.SOURCE: The Washington Post, Sept. 24, 2025Copyright © 2025 HealthDay. All rights reserved.

Environment Agency failed to visit serious pollution incidents, files show

Data from inside England's environment watchdog show an agency struggling to monitor serious pollution.

Environment Agency failed to visit serious pollution incidents, files showJonah FisherEnvironment correspondentGetty ImagesOne reservoir's fish were all killed by pollution in one incident Documents and data shared with BBC News from inside England's much criticised environment watchdog show an agency struggling to monitor incidents of serious pollution.The information shows the Environment Agency (EA) only sent investigators to a small fraction of reported incidents last year and often relied on water companies - who may be responsible for the pollution - for updates.An internal EA document from this year states that all potentially serious incidents should be attended by staff. But in 2024, the EA didn't go to almost a third of nearly 100 water industry incidents that were eventually ruled to have posed a serious threat to nature or human health. The agency also downgraded the environmental impact of more than 1,000 incidents that it initially decided were potentially serious without sending anyone to take a look.The EA says it does "respond" to all incidents but has ways to assess pollution that don't involve going in person. It says when reports come in it is "careful not to underestimate the seriousness of an incident report".But the EA insider who provided the BBC with the data was critical of the agency. "What not attending means is that you are you are basically only dealing with water company evidence. And it's very rare that their own evidence is very damning," the insider said.Among the incident reports shared with the BBC were an occasion when a chemical spilled into a reservoir killing all its fish and which the EA did not attend. Another time, sewage bubbled up into a garden for more than 24 hours with no deployment from the EA.The BBC is not printing specific details from the reports to protect the identity of the whistleblower. But they show an agency often slow to respond and frequently copying water company updates into EA documents verbatim before downgrading incidents.Other documents show pollution incidents that were reported to the EA by water companies hours after the problem had already been solved, making the impact much harder to assess as the evidence may have washed away. The data show that overall the agency went to just 13% of all the pollution incidents, serious and more limited, that were reported to it in 2024.Jonah Fisher/BBCAshley Smith from the campaign group Windrush Against Sewage Pollution (WASP) says its "virtually impossible" to get the Environment Agency to come out. "It's virtually impossible to get them to come out," Ashley Smith a veteran water quality campaigner from the Oxfordshire based campaign group Windrush Against Sewage Pollution (WASP) told the BBC."(When you call the EA) they go through a scenario where they'll say 'are there any dead fish'. And, typically there are not dead fish because often the fish are able to escape."The EA then says – we'll report that to Thames Water – and it will be Thames Water if anyone who gets in touch with you."Jonah Fisher/BBCMatt Staniek (front row) is leading a campaign to get Windermere in the Lake District cleaned upMatt Staniek is a water quality campaigner in the Lake District and cited several incidents where he says the EA took explanations from the local water company about sewage spills at face value, which later through his own data requests were proved wrong."The Environment Agency has not been holding United Utilities accountable," he says. "And the only way that we get them to properly turn up to pollution incidents and now actually try and do a proper investigation is by going to the media with it, and that should not be the case."A United Utilities spokesperson responded saying "we are industry leading at self-reporting incidents to the Environment Agency".As part of the government's landmark review of water industry regulation it has promised to end "self reporting" of incidents by water companies.There is widespread agreement that the current system is not working and plans are being drawn up to merge the regulators – including the EA - which oversee different parts of the water industry – into just one."The Environment Agency is so hollowed out that it cannot investigate pollution crimes, effectively telling polluters they can act with impunity," James Wallace, the chief executive of campaign group River Action, told the BBC.In July the BBC revealed that staff shortages had led to the EA cancelling thousands of water quality tests at its main laboratory in Devon."We respond to every water pollution incident report we receive," an Environment Agency spokesperson said."To make sure we protect people and the environment, we are careful not to underestimate the seriousness of an incident report when it comes in. Final incident categorisations may change when further information comes to light. This is all part of our standard working practice."

This map shows how air pollution travels to your neighborhood

If you search for your city on a new map and zoom in, you can see pollution drifting from factories, power plants, and ports into your neighborhood. The map—a first-of-its-kind air quality tool from Climate TRACE, a nonprofit coalition cofounded by former Vice President Al Gore—shows how pollution moves through cities. The new interactive tool, launching September 24, is powered by a sophisticated model that tracks local air pollution and weather data and feeds the map. It shows PM 2.5 pollution (responsible for nearly 9 million deaths each year globally) in more than 2,500 cities. Orange dots indicate sources of pollution, with a stream of smaller dots showing how it moves over the city, shifting course with the wind. Right now, the map presents snapshots of average and bad air days in each city. But it will later offer data in near real time. [Image: Climate TRACE] “Eventually, we will have it on a daily basis, so that if you have a child with asthma or if you have family members with lung and heart conditions that make them sensitive to air pollution, you can go to your favorite weather app and see exactly what the pollution flows have been through your neighborhood that particular day,” Gore says. Health researchers can use the data to see how pollution is linked to disease at the neighborhood level. Louisiana’s Cancer Alley, for example, has one of the highest levels of air pollution in the world. One community in the area, called Reserve, has a cancer rate 50 times higher than the U.S. average. [Image: Climate TRACE] The tool’s visualizations can aid policymakers in making the case for more state regulation and help the worst-polluting sites transition to cleaner tech. (As the Environmental Protection Agency moves to stop collecting some emissions data, Climate TRACE, which stands for “tracking real-time atmospheric carbon emissions,” can also help partially fill that data gap.) Companies can use its data to identify and replace the worst polluters in their supply chains. Because the same sources are responsible for both climate emissions and air pollution, highlighting the health impacts also helps build support for climate action. “Connecting those two streams of pollution, and tracing them back to the same combustion process, makes it easier to understand exactly why we have to accelerate the transition away from fossil fuels,” says Gore. [Image: Climate TRACE] The coalition launched in 2020 to track greenhouse gas emissions using satellite images, other data, and machine learning to estimate the pollution emitted by industrial sites. Last year, the group added “co-pollutants” like particulate matter and sulfur dioxide to its database, using data on the size and type of each polluting site. The new tool can help make the issue of air pollution seem more immediate and personal. “My experience with everyone I’ve showed this to is that it feels abstract until they see themselves in the story,” says Gavin McCormick, cofounder of Climate TRACE. “You can show people on a map where their house is, they can show you where their kid goes to school, and you can see the pollution. I think that’s just kind of making people realize this is happening to them.”

If you search for your city on a new map and zoom in, you can see pollution drifting from factories, power plants, and ports into your neighborhood. The map—a first-of-its-kind air quality tool from Climate TRACE, a nonprofit coalition cofounded by former Vice President Al Gore—shows how pollution moves through cities. The new interactive tool, launching September 24, is powered by a sophisticated model that tracks local air pollution and weather data and feeds the map. It shows PM 2.5 pollution (responsible for nearly 9 million deaths each year globally) in more than 2,500 cities. Orange dots indicate sources of pollution, with a stream of smaller dots showing how it moves over the city, shifting course with the wind. Right now, the map presents snapshots of average and bad air days in each city. But it will later offer data in near real time. [Image: Climate TRACE] “Eventually, we will have it on a daily basis, so that if you have a child with asthma or if you have family members with lung and heart conditions that make them sensitive to air pollution, you can go to your favorite weather app and see exactly what the pollution flows have been through your neighborhood that particular day,” Gore says. Health researchers can use the data to see how pollution is linked to disease at the neighborhood level. Louisiana’s Cancer Alley, for example, has one of the highest levels of air pollution in the world. One community in the area, called Reserve, has a cancer rate 50 times higher than the U.S. average. [Image: Climate TRACE] The tool’s visualizations can aid policymakers in making the case for more state regulation and help the worst-polluting sites transition to cleaner tech. (As the Environmental Protection Agency moves to stop collecting some emissions data, Climate TRACE, which stands for “tracking real-time atmospheric carbon emissions,” can also help partially fill that data gap.) Companies can use its data to identify and replace the worst polluters in their supply chains. Because the same sources are responsible for both climate emissions and air pollution, highlighting the health impacts also helps build support for climate action. “Connecting those two streams of pollution, and tracing them back to the same combustion process, makes it easier to understand exactly why we have to accelerate the transition away from fossil fuels,” says Gore. [Image: Climate TRACE] The coalition launched in 2020 to track greenhouse gas emissions using satellite images, other data, and machine learning to estimate the pollution emitted by industrial sites. Last year, the group added “co-pollutants” like particulate matter and sulfur dioxide to its database, using data on the size and type of each polluting site. The new tool can help make the issue of air pollution seem more immediate and personal. “My experience with everyone I’ve showed this to is that it feels abstract until they see themselves in the story,” says Gavin McCormick, cofounder of Climate TRACE. “You can show people on a map where their house is, they can show you where their kid goes to school, and you can see the pollution. I think that’s just kind of making people realize this is happening to them.”

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