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The situation may not be better in other cities as only last year, a worldwide study published in the British Medical Journal (BMJ) estimated that Indias death rate from COPD during 2019 was 98 per 100,000 population, three times the American rate of 33 and the British rate of 31, although the three countries had comparable prevalence rates 3,300 to 3,700 per 100,000 population.

In general, the design is more austere and consists of the silver brand name and the dividing strip, the stylized image of a red button and the background under the button is covered with light gray wavy lines

History and physical examination are the most important tools in diagnosis

Steroid use was defined as a history of daily intake of more than 5 mg of steroids