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Asthma is one of the leading respiratory complaints presenting to Emergency Departments and a prevalent cause of hospitalizations. Urban environments present special issues related to the pathophysiology, underlying causative conditions, management, and long-term outcomes. Environmental pollutants and traffic-related pollution are two important factors affecting urban asthmatics. There are also significant socioeconomic and numerous social determinants of health that impact urban environments in the management of asthma. These conditions affect prevalence, morbidity, and mortality, so a holistic approach to management and treatment is crucial for patient’s outcome. Understanding these differences can help identify opportunities for improved management on the individual and population basis.
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