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Similar reference levels exist and are widely used for lead, radon, and asbestos [37,38,39] and have played an important role in informing consumers, disclosing environmental hazards in renting and purchasing real estate, and reducing the exposure burden of vulnerable populations [40]

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MI was defined by hospital admission with ICD-10 codes I21 or I22, and stroke was defined by admission with ICD-10 code I63 or I64 from the NHID records