going to come down to a pure level, a pure question of their questioning, of their fitness, how they are able to cope with actually breathing and taking in oxygen. a lot of this game will be determined by these conditions. you know, after the england-italy match which was played in manaos, one of the italian players marquees keys marquisio said he felt like he was suffocating. it s a question of fitness that could determine who really wins this match. maybe it s already having some sort of an impact. talk about health and fitness. how is the united states expected to fare without jozy altidore and also on the portuguese side cristiano ronaldo. reporter: yeah, absolutely. altidore s loss, a huge blow because he s the striker that the u.s. coach jurgen klinsmann was really, really expecting to be that star striker and really