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Here, the article ‘a’ is inappropriate before ‘very few’. ‘Very few’ here refers to very few people, which is plural. Hence, ‘a’ cannot be used before it. If it was ‘very few number of people’, ‘a’ can be used before ‘very few’, because ‘number’ is singular and ‘a’ has to be used. While issues like high blood pressure, diabetes and smoking are widely discussed as public health concerns, very few know that poor air quality also results in a similar number of deaths.
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