I do not believe Scruffenbury Hill is a real place, as my instincts and google tells me. I could be wrong though. :/
The correct answer is World's Worst Air Quality. These cities has the worst air quality in the world, since these two cities suffer from air pollution due to the overuse of cars, the exhaust of cars expels a lot of smoke that forms within the air that causes bad quality and increases particulates in the air, which results to respiratory illnesses among the citizens of the said countries/states. <span />
I think i would chose d, although the others aren't bad either :/ i would say d because of their involvement in the war