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How can rickets disease be linked with living conditions?

I was reading about people living in Africa. Its a very sad life there full of suffering. And to top it up there is water problem. I read that rickets disease can sometimes be caused by living conditions like poor housing facilities and unclean enviornments. How is this possible that this can cause rickets disease since it is mainly linked to vitamin d deficiency. Please help me. I am trying to do something good about this disease.

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