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. 2020 Oct 20;5(10):e003160. doi: 10.1136/bmjgh-2020-003160

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© Author(s) (or their employer(s)) 2020. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.

This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/.

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Flow chart of the discrete time microsimulation model. The simulation of individuals started at 18 years old, progressed at 1- year increment, and ended at death or 90 years old. AMI, acute myocardial infarction; BMI, body mass index; PM 25, particulate matter; QALY, quality-adjusted life years; SBP, systolic blood pressure; TC, total cholesterol.