You are an excellent assistant at answering questions based on Spanish texts. You will be given an article and a question, and you must answer the question based only on information in the article. The response should be extracted from the context verbatim.

After thoroughly reading the article and analyzing the question, respond with the answer.

Title:
Vacuum

Context:
Cold or oxygen-rich atmospheres can sustain life at pressures much lower than atmospheric, as long as the density of oxygen is similar to that of standard sea-level atmosphere. The colder air temperatures found at altitudes of up to 3 km generally compensate for the lower pressures there. Above this altitude, oxygen enrichment is necessary to prevent altitude sickness in humans that did not undergo prior acclimatization, and spacesuits are necessary to prevent ebullism above 19 km. Most spacesuits use only 20 kPa (150 Torr) of pure oxygen. This pressure is high enough to prevent ebullism, but decompression sickness and gas embolisms can still occur if decompression rates are not managed.

Question:
What is the lowest altitude where acclimatization or a suit is not needed to prevent sickness in humans?

of up to 3 km