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Heart disease patients in Europe are being advised to avoid being outside during rush hour traffic in a paper published Dec. 9 in European Heart Journal. The position paper on air pollution and cardiovascular disease was written by experts from the European Society of Cardiology and also recommends decreasing the use of fossil fuels.

According to the paper, air pollution accounts for 3.1% of global disability-adjusted life years, an index that measures the time spent in states of reduced health. “More than 3 million deaths worldwide are caused by air pollution each year,” Professor Robert F. Storey, corresponding author of the paper, said in a news release.

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