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Concentration index (CI) analysis showed no significant change in the equity of the global distribution of DALYs between 1990 and 2021 (CI: 0.17), but the mortality CI edged up from 0.17 (95% CI: 0.140.19) to 0.18 (95% CI: 0.140.21), suggesting a slight increase in the concentration of death burden in high SDI regions ( Figure 5 , Supplementary Tables S4 , S5 )

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Born in 1872, the son of a saddle maker to the aristocratic class, Alfred Dunhill was a man of his time and foresaw the car displacing the horse in everyday life

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