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The authors' reply: We thank Professor Joseph for his thoughtful comments on our study. As his letter points out, our review identified a number of studies that showed an apparently reduced risk of myocardial infarction associated with higher ambient ozone levels.1 Similar short-term ‘protective’ associations with ozone have been observed in studies of other outcomes—for example, cardiovascular admissions2 and general practitioner consultations for upper respiratory diseases.3 On the other …
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