I think that Australia and NZ might be very high because of skin cancers and the infamous ozone hole. India can probably be extremely polluted in the cities but

I think that Australia and NZ might be very high because of skin cancers and the infamous ozone hole. India can probably be extremely polluted in the cities but I wonder if it's the same in the country side. And fair enough, african countries might have undetected cancers and have people die of other disease before getting old enough for cancers. But I was comparing Umbria to Belgian Flanders which are both 1st world countries.