<prompt> Translate the following text to EnglishKiwango cha 41 kwa siku ya mshtuko wa pumu ni kuzidishwa na mabadiliko ya jumla katika matukio ili kuamua faida za afya za uboreshaji wa ubora wa hewa kwa mkoa mzima.  <response>: 41 per asthma attack day is multiplied by total change in events to determine the health benefits of air quality improvements for the entire region. 