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When individuals (or groups) originally from the capital cities of the world (or metropolitan) assume an air of superiority over everyone else. Cities where the problem is prevalent include; London, Edinburgh, Belfast, Dublin, Paris, Athens, Rome, Berlin, Vilnius, Vienna, Barcelona, Lisbon, Oslo, Stockholm, Helsinki, Washington, D.C., Mexico City, Ottawa, Cape Town, New Delhi, Beijing and Tokyo. The phenomenon (disease) is mainly confined to Europe, North America and the developed english speaking world. However we cannot rule out its existence elsewhere.
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