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Comparable asthma rates show up in similarly depleted neighborhoods like central Harlem or North Philadelphia.
According to environmental experts, diesel exhaust can also contribute to high asthma rates.
But what has changed enough in the environment to explain spiking asthma rates?
Today, Cayce's buildings are in disrepair; pests and mold are rampant, and asthma rates are high.
East Harlem, where Mr. Williams lives, has one of the highest asthma rates in the United States.
Some new homes in the area make use of materials that are sensitive to Crotona's high asthma rates.
The schools are in terrible condition, not just from overcrowding, but high asthma rates and a lack of textbooks.
"It's definitely a crisis," Dr. Deepa Rastogi, director of the hospital's Asthma Center, said of the borough's asthma rates.
The human cost is seen in soaring asthma rates, including among children.
Asthma rates have also gone up in many other parts of the country.
For reasons scientists do not fully understand, asthma rates have been increasing globally.
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