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Long-term exposure to air pollution can exacerbate lung disease as much as a daily pack of cigarettes, a study has found Senior co-author Professor Joel Kaufman, of 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.' Previous research has shown a clear link between air pollution and heart and lung diseases