The situation has been exacerbated by a national economic crisis.
A slowdown in Japanese tourism has now been exacerbated by a dearth of American visitors.
But fine-particle pollution has been exacerbated by a staggering citywide construction binge that shows no signs of letting up.
This pessimistic sensibility has been exacerbated by a widespread belief that French culture is itself in crisis.
The pain of bereaved families has been exacerbated by a defensive attitude on the part of NHS trusts.
As the report says, it has been exacerbated by a fundamental bias in federal farm policy and supports.
In the U.S., after all, the chaos of last year both led to and has been exacerbated by a shortage of its own: credit.
These cost pressures have been exacerbated by a shortage of trained nurses which is putting severe strain on both the NHS and the independent sector.
Those legal hurdles have been exacerbated by a gun lobby that has conveyed a perception that tighter laws are by definition a violation of the Second Amendment.
Abbas's problem is not new but has been exacerbated by a war against Israel in which his Islamist rivals have, with a degree of plausibility, claimed victory.
Such issues have been exacerbated by a sharp downturn in technology purchases, which has taken a brutal toll on all companies that sell goods tied to computers.
