Diesel engines produce harmful pollution that can be reduced immediately. Older diesel engines emit a mixture of particles, metals and gasses including over 40 "hazardous air pollutants" as classified by the U.S. Environmental Protection Agency (EPA) under the Clean Air Act. Diesel pollution can trigger asthma and cause lung cancer, stroke, heart attack and infant death, contributing to 21,000 early deaths a year. The cancer risk from diesel exhaust is 7.5 times higher than the total cancer risk from all other 133 air toxins tracked by the EPA combined.