Public hospitals need to be publicly reporting increased smoke pollution admissions and there needs to regular reports tabled on pollution-related deaths
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Can't you just use aggregate numbers. i.e. this is how many respiratory cases and plot against air quality data to see the rise in number of cases. There's no need for medical examination to estimate whether the patient only presented due to the smoke.
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You can, but aggregates are often misleading

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Thought it worth an update - asked a friend who works in the area, apparently respiratory admissions in NSW are basically flat so far. Doesn't mean smoke isn't causing issues, but from the raw figures there's no difference at all
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