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RIO DE JANEIRO, BRAZIL - Some 40 kilometers and 23 years of life separate a resident of Moema, a wealthy neighborhood in the southern part of São Paulo, from someone who lives in Cidade Tiradentes, a poor neighborhood in the eastern area.

The infant mortality rate in Marsilac, in the far south, is 23 times higher than in Perdizes, in the western area. You can walk to different cinemas in the Avenida Paulista area, yet 54 districts in the capital do not even have a single movie theater.

In a single city, São Paulo shows rates comparable to those . . .

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