COVID-19 among Health Workers in Germany and Malaysia
We report on the suspected case reports filed for SARS-CoV-2 infections and COVID-19 illnesses among health and social welfare workers in Germany. In addition, we report about COVID-19 in health workers in Malaysia. Claims for occupational diseases caused by SARS-CoV-2 are recorded separately in a d...
Gespeichert in:
Veröffentlicht in: | International journal of environmental research and public health 2020-07, Vol.17 (13), p.4881 |
---|---|
Hauptverfasser: | , |
Format: | Artikel |
Sprache: | eng |
Schlagworte: | |
Online-Zugang: | Volltext |
Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
container_end_page | |
---|---|
container_issue | 13 |
container_start_page | 4881 |
container_title | International journal of environmental research and public health |
container_volume | 17 |
creator | Nienhaus, Albert Hod, Rozita |
description | We report on the suspected case reports filed for SARS-CoV-2 infections and COVID-19 illnesses among health and social welfare workers in Germany. In addition, we report about COVID-19 in health workers in Malaysia. Claims for occupational diseases caused by SARS-CoV-2 are recorded separately in a database of the Statutory Accident Insurance and Prevention in the Health and Welfare Services (BGW). This database is analyzed according to its content as of May 22, 2020. In addition, the notifiable cases of SARS-CoV-2 infections from personnel in medical institutions (e.g., clinics and doctor's office) and social welfare institutions (e.g., nursing homes, shelters and refugee camps) following the German Infection Protection Act are analyzed. The report from Malaysia is based on personal experience and publications of the government. In Germany at present, 4398 suspected case reports for the diagnosis of SARS-CoV-2 infections among health and social workers have been filed. This figure is four times the number of all reported infections normally received per year. The majority of claims, regardless of being a confirmed infection, concerned nurses (n = 6927, 63.9%). The mortality rate for workers infected with SARS-CoV-2 is 0.2% to 0.5%. Doctors are affected by severe illness more frequently than other occupational groups (8.1% vs. 4.1%). In Malaysia, work-related infection of health workers (HW) occurred mainly when COVID-19 was not suspected in patients and no adequate personal protective equipment (PPE) was worn. Although knowledge on the spread of SARS-CoV-2 infections among workers remains limited, the impact appears to be substantial. This is supported by the mortality rate among infected workers. Occupational health check-ups carried out at the present time should be systematically analyzed in order to gain more information on the epidemiology of COVID-19 among HW. Since the supply and use of PPE improved, the infection risk of HW in Malaysia seems to have decreased. |
doi_str_mv | 10.3390/ijerph17134881 |
format | Article |
fullrecord | <record><control><sourceid>gale_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_7369938</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><galeid>A632145465</galeid><sourcerecordid>A632145465</sourcerecordid><originalsourceid>FETCH-LOGICAL-c457t-55ba0133927db23c62fa4db6b3829eab8ce57bf9049547f37ad216a7191f7f643</originalsourceid><addsrcrecordid>eNpVUU1LAzEQDaJYrV49yoLn1XxncxGkfhUUL34cw-xu0qbuJjXbCv33rlSrZQ4zzLz3eMND6ITgc8Y0vvAzm-ZTogjjRUF20AGREudcYrL7bx6gw66bYcwKLvU-GjAquSioPEBi9PQ6vs6JzqCNYZLdW2gW0-wtpnebusyH7M6mFsIqg1Bnj9DAqvNwhPYcNJ09_ulD9HJ78zy6zx-e7sajq4e84kItciFKwKT3SVVdUlZJ6oDXpSxZQbWFsqisUKXTmGvBlWMKakokKKKJU05yNkSXa935smxtXdmwSNCYefItpJWJ4M32JfipmcRPo5jUmhW9wNmPQIofS9stzCwuU-g9G8opLZTA_Bt1vkZNoLHGBxd7saqv2ra-isE63--vJKOECy7FH6FKseuSdRtLBJvvXMx2Lj3h9P8jG_hvEOwLrKyH8w</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2422875048</pqid></control><display><type>article</type><title>COVID-19 among Health Workers in Germany and Malaysia</title><source>MEDLINE</source><source>Sociological Abstracts</source><source>PubMed Central Open Access</source><source>MDPI - Multidisciplinary Digital Publishing Institute</source><source>EZB-FREE-00999 freely available EZB journals</source><source>PubMed Central</source><source>Free Full-Text Journals in Chemistry</source><creator>Nienhaus, Albert ; Hod, Rozita</creator><creatorcontrib>Nienhaus, Albert ; Hod, Rozita</creatorcontrib><description>We report on the suspected case reports filed for SARS-CoV-2 infections and COVID-19 illnesses among health and social welfare workers in Germany. In addition, we report about COVID-19 in health workers in Malaysia. Claims for occupational diseases caused by SARS-CoV-2 are recorded separately in a database of the Statutory Accident Insurance and Prevention in the Health and Welfare Services (BGW). This database is analyzed according to its content as of May 22, 2020. In addition, the notifiable cases of SARS-CoV-2 infections from personnel in medical institutions (e.g., clinics and doctor's office) and social welfare institutions (e.g., nursing homes, shelters and refugee camps) following the German Infection Protection Act are analyzed. The report from Malaysia is based on personal experience and publications of the government. In Germany at present, 4398 suspected case reports for the diagnosis of SARS-CoV-2 infections among health and social workers have been filed. This figure is four times the number of all reported infections normally received per year. The majority of claims, regardless of being a confirmed infection, concerned nurses (n = 6927, 63.9%). The mortality rate for workers infected with SARS-CoV-2 is 0.2% to 0.5%. Doctors are affected by severe illness more frequently than other occupational groups (8.1% vs. 4.1%). In Malaysia, work-related infection of health workers (HW) occurred mainly when COVID-19 was not suspected in patients and no adequate personal protective equipment (PPE) was worn. Although knowledge on the spread of SARS-CoV-2 infections among workers remains limited, the impact appears to be substantial. This is supported by the mortality rate among infected workers. Occupational health check-ups carried out at the present time should be systematically analyzed in order to gain more information on the epidemiology of COVID-19 among HW. Since the supply and use of PPE improved, the infection risk of HW in Malaysia seems to have decreased.</description><identifier>ISSN: 1660-4601</identifier><identifier>ISSN: 1661-7827</identifier><identifier>EISSN: 1660-4601</identifier><identifier>DOI: 10.3390/ijerph17134881</identifier><identifier>PMID: 32645826</identifier><language>eng</language><publisher>Switzerland: MDPI AG</publisher><subject>Adult ; Betacoronavirus ; Case reports ; Coronavirus Infections - mortality ; Coronaviruses ; COVID-19 ; Distribution ; Epidemics ; Epidemiology ; Female ; Forecasts and trends ; Germany ; Germany - epidemiology ; Health aspects ; Health care facilities ; Health Personnel - statistics & numerical data ; Health risks ; Health services ; Health Workforce ; Homeless people ; Human settlements ; Humans ; Illnesses ; Infections ; Malaysia ; Malaysia - epidemiology ; Male ; Medical personnel ; Medicine ; Middle East respiratory syndrome ; Mortality ; Nurses ; Nursing homes ; Occupational accidents ; Occupational diseases ; Occupational Health ; Pandemics ; Personal experiences ; Personal Protective Equipment ; Physicians ; Pneumonia, Viral - mortality ; Protective equipment ; Public health ; Refugee camps ; Refugees ; Respiratory diseases ; SARS-CoV-2 ; Severe acute respiratory syndrome ; Severe acute respiratory syndrome coronavirus 2 ; Shelters ; Social welfare ; Social workers ; Welfare services ; Workers</subject><ispartof>International journal of environmental research and public health, 2020-07, Vol.17 (13), p.4881</ispartof><rights>COPYRIGHT 2020 MDPI AG</rights><rights>2020. This work is licensed under http://creativecommons.org/licenses/by/3.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2020 by the authors. 2020</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c457t-55ba0133927db23c62fa4db6b3829eab8ce57bf9049547f37ad216a7191f7f643</citedby><cites>FETCH-LOGICAL-c457t-55ba0133927db23c62fa4db6b3829eab8ce57bf9049547f37ad216a7191f7f643</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7369938/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7369938/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,881,27323,27903,27904,33753,53770,53772</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32645826$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Nienhaus, Albert</creatorcontrib><creatorcontrib>Hod, Rozita</creatorcontrib><title>COVID-19 among Health Workers in Germany and Malaysia</title><title>International journal of environmental research and public health</title><addtitle>Int J Environ Res Public Health</addtitle><description>We report on the suspected case reports filed for SARS-CoV-2 infections and COVID-19 illnesses among health and social welfare workers in Germany. In addition, we report about COVID-19 in health workers in Malaysia. Claims for occupational diseases caused by SARS-CoV-2 are recorded separately in a database of the Statutory Accident Insurance and Prevention in the Health and Welfare Services (BGW). This database is analyzed according to its content as of May 22, 2020. In addition, the notifiable cases of SARS-CoV-2 infections from personnel in medical institutions (e.g., clinics and doctor's office) and social welfare institutions (e.g., nursing homes, shelters and refugee camps) following the German Infection Protection Act are analyzed. The report from Malaysia is based on personal experience and publications of the government. In Germany at present, 4398 suspected case reports for the diagnosis of SARS-CoV-2 infections among health and social workers have been filed. This figure is four times the number of all reported infections normally received per year. The majority of claims, regardless of being a confirmed infection, concerned nurses (n = 6927, 63.9%). The mortality rate for workers infected with SARS-CoV-2 is 0.2% to 0.5%. Doctors are affected by severe illness more frequently than other occupational groups (8.1% vs. 4.1%). In Malaysia, work-related infection of health workers (HW) occurred mainly when COVID-19 was not suspected in patients and no adequate personal protective equipment (PPE) was worn. Although knowledge on the spread of SARS-CoV-2 infections among workers remains limited, the impact appears to be substantial. This is supported by the mortality rate among infected workers. Occupational health check-ups carried out at the present time should be systematically analyzed in order to gain more information on the epidemiology of COVID-19 among HW. Since the supply and use of PPE improved, the infection risk of HW in Malaysia seems to have decreased.</description><subject>Adult</subject><subject>Betacoronavirus</subject><subject>Case reports</subject><subject>Coronavirus Infections - mortality</subject><subject>Coronaviruses</subject><subject>COVID-19</subject><subject>Distribution</subject><subject>Epidemics</subject><subject>Epidemiology</subject><subject>Female</subject><subject>Forecasts and trends</subject><subject>Germany</subject><subject>Germany - epidemiology</subject><subject>Health aspects</subject><subject>Health care facilities</subject><subject>Health Personnel - statistics & numerical data</subject><subject>Health risks</subject><subject>Health services</subject><subject>Health Workforce</subject><subject>Homeless people</subject><subject>Human settlements</subject><subject>Humans</subject><subject>Illnesses</subject><subject>Infections</subject><subject>Malaysia</subject><subject>Malaysia - epidemiology</subject><subject>Male</subject><subject>Medical personnel</subject><subject>Medicine</subject><subject>Middle East respiratory syndrome</subject><subject>Mortality</subject><subject>Nurses</subject><subject>Nursing homes</subject><subject>Occupational accidents</subject><subject>Occupational diseases</subject><subject>Occupational Health</subject><subject>Pandemics</subject><subject>Personal experiences</subject><subject>Personal Protective Equipment</subject><subject>Physicians</subject><subject>Pneumonia, Viral - mortality</subject><subject>Protective equipment</subject><subject>Public health</subject><subject>Refugee camps</subject><subject>Refugees</subject><subject>Respiratory diseases</subject><subject>SARS-CoV-2</subject><subject>Severe acute respiratory syndrome</subject><subject>Severe acute respiratory syndrome coronavirus 2</subject><subject>Shelters</subject><subject>Social welfare</subject><subject>Social workers</subject><subject>Welfare services</subject><subject>Workers</subject><issn>1660-4601</issn><issn>1661-7827</issn><issn>1660-4601</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>BHHNA</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><recordid>eNpVUU1LAzEQDaJYrV49yoLn1XxncxGkfhUUL34cw-xu0qbuJjXbCv33rlSrZQ4zzLz3eMND6ITgc8Y0vvAzm-ZTogjjRUF20AGREudcYrL7bx6gw66bYcwKLvU-GjAquSioPEBi9PQ6vs6JzqCNYZLdW2gW0-wtpnebusyH7M6mFsIqg1Bnj9DAqvNwhPYcNJ09_ulD9HJ78zy6zx-e7sajq4e84kItciFKwKT3SVVdUlZJ6oDXpSxZQbWFsqisUKXTmGvBlWMKakokKKKJU05yNkSXa935smxtXdmwSNCYefItpJWJ4M32JfipmcRPo5jUmhW9wNmPQIofS9stzCwuU-g9G8opLZTA_Bt1vkZNoLHGBxd7saqv2ra-isE63--vJKOECy7FH6FKseuSdRtLBJvvXMx2Lj3h9P8jG_hvEOwLrKyH8w</recordid><startdate>20200701</startdate><enddate>20200701</enddate><creator>Nienhaus, Albert</creator><creator>Hod, Rozita</creator><general>MDPI AG</general><general>MDPI</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7U3</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8C1</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>BHHNA</scope><scope>CCPQU</scope><scope>COVID</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>5PM</scope></search><sort><creationdate>20200701</creationdate><title>COVID-19 among Health Workers in Germany and Malaysia</title><author>Nienhaus, Albert ; Hod, Rozita</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c457t-55ba0133927db23c62fa4db6b3829eab8ce57bf9049547f37ad216a7191f7f643</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Adult</topic><topic>Betacoronavirus</topic><topic>Case reports</topic><topic>Coronavirus Infections - mortality</topic><topic>Coronaviruses</topic><topic>COVID-19</topic><topic>Distribution</topic><topic>Epidemics</topic><topic>Epidemiology</topic><topic>Female</topic><topic>Forecasts and trends</topic><topic>Germany</topic><topic>Germany - epidemiology</topic><topic>Health aspects</topic><topic>Health care facilities</topic><topic>Health Personnel - statistics & numerical data</topic><topic>Health risks</topic><topic>Health services</topic><topic>Health Workforce</topic><topic>Homeless people</topic><topic>Human settlements</topic><topic>Humans</topic><topic>Illnesses</topic><topic>Infections</topic><topic>Malaysia</topic><topic>Malaysia - epidemiology</topic><topic>Male</topic><topic>Medical personnel</topic><topic>Medicine</topic><topic>Middle East respiratory syndrome</topic><topic>Mortality</topic><topic>Nurses</topic><topic>Nursing homes</topic><topic>Occupational accidents</topic><topic>Occupational diseases</topic><topic>Occupational Health</topic><topic>Pandemics</topic><topic>Personal experiences</topic><topic>Personal Protective Equipment</topic><topic>Physicians</topic><topic>Pneumonia, Viral - mortality</topic><topic>Protective equipment</topic><topic>Public health</topic><topic>Refugee camps</topic><topic>Refugees</topic><topic>Respiratory diseases</topic><topic>SARS-CoV-2</topic><topic>Severe acute respiratory syndrome</topic><topic>Severe acute respiratory syndrome coronavirus 2</topic><topic>Shelters</topic><topic>Social welfare</topic><topic>Social workers</topic><topic>Welfare services</topic><topic>Workers</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Nienhaus, Albert</creatorcontrib><creatorcontrib>Hod, Rozita</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Social Services Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Public Health Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>Sociological Abstracts</collection><collection>ProQuest One Community College</collection><collection>Coronavirus Research Database</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Publicly Available Content Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>International journal of environmental research and public health</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Nienhaus, Albert</au><au>Hod, Rozita</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>COVID-19 among Health Workers in Germany and Malaysia</atitle><jtitle>International journal of environmental research and public health</jtitle><addtitle>Int J Environ Res Public Health</addtitle><date>2020-07-01</date><risdate>2020</risdate><volume>17</volume><issue>13</issue><spage>4881</spage><pages>4881-</pages><issn>1660-4601</issn><issn>1661-7827</issn><eissn>1660-4601</eissn><abstract>We report on the suspected case reports filed for SARS-CoV-2 infections and COVID-19 illnesses among health and social welfare workers in Germany. In addition, we report about COVID-19 in health workers in Malaysia. Claims for occupational diseases caused by SARS-CoV-2 are recorded separately in a database of the Statutory Accident Insurance and Prevention in the Health and Welfare Services (BGW). This database is analyzed according to its content as of May 22, 2020. In addition, the notifiable cases of SARS-CoV-2 infections from personnel in medical institutions (e.g., clinics and doctor's office) and social welfare institutions (e.g., nursing homes, shelters and refugee camps) following the German Infection Protection Act are analyzed. The report from Malaysia is based on personal experience and publications of the government. In Germany at present, 4398 suspected case reports for the diagnosis of SARS-CoV-2 infections among health and social workers have been filed. This figure is four times the number of all reported infections normally received per year. The majority of claims, regardless of being a confirmed infection, concerned nurses (n = 6927, 63.9%). The mortality rate for workers infected with SARS-CoV-2 is 0.2% to 0.5%. Doctors are affected by severe illness more frequently than other occupational groups (8.1% vs. 4.1%). In Malaysia, work-related infection of health workers (HW) occurred mainly when COVID-19 was not suspected in patients and no adequate personal protective equipment (PPE) was worn. Although knowledge on the spread of SARS-CoV-2 infections among workers remains limited, the impact appears to be substantial. This is supported by the mortality rate among infected workers. Occupational health check-ups carried out at the present time should be systematically analyzed in order to gain more information on the epidemiology of COVID-19 among HW. Since the supply and use of PPE improved, the infection risk of HW in Malaysia seems to have decreased.</abstract><cop>Switzerland</cop><pub>MDPI AG</pub><pmid>32645826</pmid><doi>10.3390/ijerph17134881</doi><oa>free_for_read</oa></addata></record> |
fulltext | fulltext |
identifier | ISSN: 1660-4601 |
ispartof | International journal of environmental research and public health, 2020-07, Vol.17 (13), p.4881 |
issn | 1660-4601 1661-7827 1660-4601 |
language | eng |
recordid | cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_7369938 |
source | MEDLINE; Sociological Abstracts; PubMed Central Open Access; MDPI - Multidisciplinary Digital Publishing Institute; EZB-FREE-00999 freely available EZB journals; PubMed Central; Free Full-Text Journals in Chemistry |
subjects | Adult Betacoronavirus Case reports Coronavirus Infections - mortality Coronaviruses COVID-19 Distribution Epidemics Epidemiology Female Forecasts and trends Germany Germany - epidemiology Health aspects Health care facilities Health Personnel - statistics & numerical data Health risks Health services Health Workforce Homeless people Human settlements Humans Illnesses Infections Malaysia Malaysia - epidemiology Male Medical personnel Medicine Middle East respiratory syndrome Mortality Nurses Nursing homes Occupational accidents Occupational diseases Occupational Health Pandemics Personal experiences Personal Protective Equipment Physicians Pneumonia, Viral - mortality Protective equipment Public health Refugee camps Refugees Respiratory diseases SARS-CoV-2 Severe acute respiratory syndrome Severe acute respiratory syndrome coronavirus 2 Shelters Social welfare Social workers Welfare services Workers |
title | COVID-19 among Health Workers in Germany and Malaysia |
url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-22T23%3A16%3A39IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-gale_pubme&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=COVID-19%20among%20Health%20Workers%20in%20Germany%20and%20Malaysia&rft.jtitle=International%20journal%20of%20environmental%20research%20and%20public%20health&rft.au=Nienhaus,%20Albert&rft.date=2020-07-01&rft.volume=17&rft.issue=13&rft.spage=4881&rft.pages=4881-&rft.issn=1660-4601&rft.eissn=1660-4601&rft_id=info:doi/10.3390/ijerph17134881&rft_dat=%3Cgale_pubme%3EA632145465%3C/gale_pubme%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2422875048&rft_id=info:pmid/32645826&rft_galeid=A632145465&rfr_iscdi=true |