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2) Not all relevant environmental exposures are necessarily  included in the index. Data inclusion is dependent on data collection and coverage; if relevant data are not being collected, the exposure will not be captured in the EQI.
3) In areas where little data collection occurs the data may be over representing the environmental profile of those areas. For example, a county that contains a national park without data collected and a town with data collection will be solely represented by the town area, though that may be inaccurate for the entire county.
4) Focused solely on the outside environment, which may not be the most relevant exposure in relation to human health and disease.
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