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Income disparities may lead to poor health and death not only among the poor but also wealthier people due to increased stress, according to research released Wednesday in the British Medical Journal.

The disparities could result in 1.54 million extra deaths in 15 countries, including 23,000 extra deaths in Japan, according to the research estimates presented by the group, including Naoki Kondo, assistant professor at Yamanashi University’s medical school.

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