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evels will have an important impact on health in urban areas. Our results show a significant effect of temperature on mortality above a city-specific threshold, both in Antwerp and in Brussels. These findings are important given the ongoing global warming. Recurrent, intense and longer episodes of high temperature and expected changes in air pollutant levels will have an important impact on health in urban areas. Although farming is often considered a risk factor for COPD, data regarding the burden and characteristics of COPD in dairy f