Do some Big Congested Cities Help Breed a High ROM

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   Do some big congested cities help breed some disease death and pandemics?

This goes back to a discussion I had earlier with techno here. on. the coronavirus, pneumonia, ace2,  the human lungs, asians, virus deaths, smokers and post med treatment symptom. All found. In various medical journals. 
(personal disclaimer)
  This is not fake news nor propaganda, it is simply an idea on a train of thought I had and nothing more. 
  But. . . Since in the published medical studies it was evident that chronic smokers were more suseptable pneumonia death after coronavirus infection. And in a seperate study on asian%50.  vs white% 5?  . was it possiblethat in the study amongst the asians they smoked more amd came from congested asian high smog cities. And the smog and ctamped quarters may have also like smokets affected the ace2 lumg count convetsely showing more sever symtoms and less immume defence becaise not of yje genetics but because of the environment
   If this is a correct possibility 
    This would mean we would see a higher death rate per population in congested cities rather than outlying areas  which less poulated areas would still be contracting the illness but recovery rate of these outlying areas would be slightly better in the statistics (all medical availabilty held constant)
  I am wondering of we can see the effect of pollution on the immune system by looking at population motality rates on a given disease. 
  Wacthing say california vs nackwoods minnesota. And even cities outside the US like wuhan and hong kong bs others 
  If you look at the highest city pollution rates here in tje US on the EPA  website california rums at the top of the list in the US. greatly i n polluting cities. Or at least they ised to have that list. It was quite impressive O havet gone nack but ot was easily in the top 10 polluting US Cities.  
  Those cities should be correlated with ROM. to show the effects on the immune system. 
   Just wonderimg if this would hold true