Q: You are given a background paragraph that describes one or more causal or qualitative relationships such as a relationship in economics or a scientific law and a story that makes use of the concepts or the relationship described in the provided paragraph. You need to come up with a question about the story that requires an understanding of the relationship described in the background paragraph. The generated question should not be answerable without both the background and story. Write a question about the story that requires a relationship in the background paragraph to answer. Check whether your question requires both the background paragraph and the story to answer. If your question can be answered by only one of these, try to rewrite your question so that it requires both. Note that "flipping" a word in the question can give rise to a new question where the answer will be different from the original question. Often, "flipping" a word gives rise to flipping the direction of the relationship, for example, from "increase" to "decrease."
Background Paragraph: Air pollution is harmful to human beings and other living things. About 22 million people die from air pollution each year. Breathing polluted air increases the risk of developing lung diseases such as asthma and lung cancer. Breathing bad air also increases the chances of dying from other diseases. Children are most likely to be affected by air pollution. That’s because their lungs are still developing and growing. Children also take in more air for their size than adults do. Some air pollutants damage the environment as well as the health of living things. The type of damage depends on the pollutant. Air pollution can also harm the environment. 
Story: Sarah and Sophie are sisters living in two different cities. Sarah lives in a very rural area with hardly any air pollution. Sophie lives in a heavily industrialized urban area with many factories and people driving cars to their destinations. This all leads to Sophie's city having a large amount of pollution going into the atmosphere.
A:

Show your work and conclude with the exact phrasing "Therefore, the final answer is [answer]." where [answer] is just the final number or expression that solves the problem.
user
Does Sarah's city do more or less harm to the environment than Sophie's?