The environmental factor selected is air pollution. Air pollution has been associated with a range of adverse health consequences and can be particularly concerning for infants due to their developing immune systems (Jain & Jain, 2019). According to the World Health Organization (WHO), “outdoor air pollution causes 1.7 million deaths in children younger than 5 years every year” (World Health Organization, 2017). The primary sources of air pollutants are industrial processes, motor vehicle exhausts, nonroad engines, fires and agricultural burning as well as household activities such as cooking with solid fuels (World Health Organization, 2017). In addition to outdoor air pollution sources indirect sources include cigarette smoke indoors that affects both maternal and fetal health (Kesler et al., 2016; Li et al., 2019).
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