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exposure to dust or smoke (1·4 [1·3-1·6]) were all substantial risk factors for COPD. With more than three-quarters of global COPD cases in LMICs, tackling this chronic condition is a major and increasing challenge for health systems in these settings. In the absence of targeted population-wide efforts and health system reforms in these settings, many of which are under-resourced, achieving a substantial reduction in the burden of COPD globally might remain a difficult task. National Institute for Health Research and Health Data Research
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