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Air Pollution in Cities

Air pollution varies substantially among cities, seasons, and days. High PM2.5 levels have been measured in Cairo and many other megacities, but “a day equals a pack of cigarettes” is a model-based analogy, not a medical equivalence or a precise estimate for every day. Such equivalents depend on concentration, exposure duration, and the chosen risk model; ambient pollution and tobacco smoke have different mixtures. [1–3]

A cigarette “equivalent” is a model analogy, not a literal comparison.