The phrase "and exacerbated by the" is correct and usable in written English.
It can be used when discussing a situation or condition that has been worsened by a specific factor or event.
Example: "The economic downturn was severe, and exacerbated by the sudden rise in unemployment rates."
Alternatives: "and worsened by the" or "and intensified by the".
Europe is experiencing a huge shift of population, driven by economics and exacerbated by the rigidities of the eurozone.
In many situations, the line between the two is unclear and exacerbated by the fact that law enforcement is not required to tell people that consent is voluntary.
This was later aggravated by insufficient vaccine supply, due to the financial crisis, and exacerbated by the ongoing conflict and large-scale population displacement in eastern Ukraine".
Their Troopergate investigation was awfully fraught, and exacerbated by the feelings the Spitzer people had for the Cuomo peoiple and vice versa.
The BBKA attributed the alarming high bee mortality to the poor weather during 2012 continuing into 2013 and exacerbated by the late arrival of spring.
Sectarian tensions were encouraged and exacerbated by the occupying forces, and some of those now supporting Isis formed the opposition to this occupation.
Allies said it was a personal decision, driven by the relentless pace of Scottish politics over the past two years, and exacerbated by tensions with the party leadership in London.
These taboos are created and exacerbated by reports in the media of all prostitutes being drug addicts and "dirty".
Also, those physiological modifications of insulin sensitivity, as a consequence of insulin secretion, are different between males and females and are exacerbated by the obesity degree.
The learning curve for emergency managers, especially novice managers, is steep, and is exacerbated by the complexity and scope of emergency events.
It has trickled down to the media and been exacerbated by the 24/7 news cycle and the Internet.
