Ruitong Wang,Chuan-Chin Huang,Mercedes C Becerra,Roger I Calderon,Carmen C Contreras,Jerome T Galea,Judith Jimenez,Leonid Lecca,Rosa M Yataco,Zibiao Zhang,Megan B Murray
{"title":"Transmissibility and Disease Progression of Asymptomatic Mycobacterium tuberculosis Infection, Lima, Peru.","authors":"Ruitong Wang,Chuan-Chin Huang,Mercedes C Becerra,Roger I Calderon,Carmen C Contreras,Jerome T Galea,Judith Jimenez,Leonid Lecca,Rosa M Yataco,Zibiao Zhang,Megan B Murray","doi":"10.3201/eid3204.251947","DOIUrl":"https://doi.org/10.3201/eid3204.251947","url":null,"abstract":"Estimating the transmissibility of asymptomatic Mycobacterium tuberculosis infection can clarify its contribution to tuberculosis (TB) spread. We conducted a prospective cohort study in Lima, Peru, enrolling index TB patients and their household contacts (HHCs) and classifying patients by the presence of symptoms including cough, night sweats, weight loss, or fever. We followed HHCs with serial tuberculin skin testing and clinical evaluations. Among 4,296 child HHCs, adjusted estimates for baseline infection (prevalence ratio 0.62 [95% CI 0.37-1.03]), incident infection at 6 months (hazard ratio (aHR) 0.63 [95% CI 0.27-1.49]), and TB disease during 1 year of follow-up (aHR 0.74 [95% CI 0.35-1.56]) were all consistent with lower risk for infection and disease progression among HHCs of asymptomatic compared with symptomatic index patients. Although asymptomatic infections may be less transmissible than symptomatic infections, the high prevalence of asymptomatic patients in national surveys suggest that they may contribute substantially to transmission.","PeriodicalId":11595,"journal":{"name":"Emerging Infectious Diseases","volume":"124 1","pages":""},"PeriodicalIF":11.8,"publicationDate":"2026-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147641309","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Aisling M Vaughan,Claire Park,Van P Ngo,Zuelma A Contreras,Jordan John Lee,Phoebe Danza,Meredith Haddix,Olivia Moir,Nicole Green,Michael Brown,Taylor Burleson,Amy Marutani,Ashley Nicholas,Tristan Hallum,Steve Vetrone,Liza Ortiz,Gladys Fernandez,Eric El-Tobgy,Jose Escobar,Tricia-Nicole Gandela,Cristin Mondy,Jan King,Brandon Dean,Elizabeth Rubin,Pablo Valadez,Stella Fogleman,Dawn Terashita,Sharon Balter,Umme-Aiman Halai
{"title":"Investigation of and Response to Autochthonous Dengue, Los Angeles County, California, USA, August-November 2024.","authors":"Aisling M Vaughan,Claire Park,Van P Ngo,Zuelma A Contreras,Jordan John Lee,Phoebe Danza,Meredith Haddix,Olivia Moir,Nicole Green,Michael Brown,Taylor Burleson,Amy Marutani,Ashley Nicholas,Tristan Hallum,Steve Vetrone,Liza Ortiz,Gladys Fernandez,Eric El-Tobgy,Jose Escobar,Tricia-Nicole Gandela,Cristin Mondy,Jan King,Brandon Dean,Elizabeth Rubin,Pablo Valadez,Stella Fogleman,Dawn Terashita,Sharon Balter,Umme-Aiman Halai","doi":"10.3201/eid3205.251812","DOIUrl":"https://doi.org/10.3201/eid3205.251812","url":null,"abstract":"Dengue is not endemic in the continental United States; most cases occur in returning travelers. During August-November 2024, a total of 14 locally acquired cases of dengue were identified in Los Angeles County, California, USA. Epidemiologic evidence indicates that locally acquired cases occurred in several neighborhoods, suggesting short transmission chains after introductions from returning travelers. In one neighborhood, evidence supported ongoing transmission for up to 7 weeks. Median patient age was 54 (range 5-79) years; 8 (57%) patients were female and 6 (43%) male, and 6 (43%) required hospitalization. Delays in healthcare seeking and diagnoses were noted; median time from symptom onset to specimen collection for dengue testing was 9 (range 2-34) days. Local dengue transmission in Los Angeles County highlights the emerging threat of mosquitoborne disease transmission in nonendemic areas and the need for rapid and coordinated public health and vector control responses to interrupt transmission.","PeriodicalId":11595,"journal":{"name":"Emerging Infectious Diseases","volume":"19 1","pages":""},"PeriodicalIF":11.8,"publicationDate":"2026-04-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147625507","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Border Region Surveillance of Malaria Drug Resistance, Northern Burundi, 2023-2024.","authors":"Denis Niyomwungere,Pierre Sinarinzi,Emmanuelle Caspar,Lucas Thiebaut,Pierre-Emeric Strubel,Yssimini Nadège Guillène Tibiri,Laurence Ma,Jérôme Rurihafi,Pierre Ndizeyimana,Pierre Hakizimana,Nestor Niyizompa,Adélin Witonze,Vénant Ndayiragije,Floride Ndayisenga,Malachie Ndikumukiza,Olive Niyonkuru,Jean Claude Niyonsaba,Césaire Bangirinama,Jolis Lazare Bigirimana,Nicaise Ntahondi,Landrine Mugisha,Marcelline Nibakire","doi":"10.3201/eid3204.251711","DOIUrl":"https://doi.org/10.3201/eid3204.251711","url":null,"abstract":"To evaluated artemisinin partial resistance (ART-R) in malaria in Burundi, during December 2023-June 2024, we studied 423 children <5 years of age with uncomplicated Plasmodium falciparum malaria in 8 health facilities in the northern part of the country. After artemether/lumefantrine treatment with only the first dose directly observed, 4.5% remained parasitemic on day 3. No pfkelch13 mutations, validated or candidate markers of ART-R, were detected. However, markers of antifolate and 4-aminoquinoline resistance were widespread: the dhfr triple mutant N51I/C59R/S108N was nearly fixed (92%), dhps double and triple mutants were common (41% and 47%), and pfcrt CVIET, associated with chloroquine and amodiaquine resistance, predominated (84%). Geographic differences occurred in day-3 positivity and haplotype frequencies. Although ART-R markers were absent, delayed parasite clearance and near fixation of multidrug-resistant haplotypes serve as a warning. Strengthened efficacy monitoring and regional molecular surveillance are urgently needed to prevent drug-resistant P. falciparum from becoming established in Burundi.","PeriodicalId":11595,"journal":{"name":"Emerging Infectious Diseases","volume":"21 1","pages":""},"PeriodicalIF":11.8,"publicationDate":"2026-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147599388","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Nadia Ali Rimi, Md Khaled Saifullah, Md Habibullah Fahad, Kamal Hossain, Rebeca Sultana, Ireen Sultana Shanta, David E Swayne, Syed Mohammad Golam Mortaza, Md Giasuddin, Md Zakir Hassan, Christopher LeBoa, Debashish Biswas, Mahbubur Rahman, Joshua A Mott, Erin D Kennedy, William G Lindsley
{"title":"Respirable Aerosol Production and Reduction of Avian Influenza Transmission Risk during Chicken Processing, Bangladesh.","authors":"Nadia Ali Rimi, Md Khaled Saifullah, Md Habibullah Fahad, Kamal Hossain, Rebeca Sultana, Ireen Sultana Shanta, David E Swayne, Syed Mohammad Golam Mortaza, Md Giasuddin, Md Zakir Hassan, Christopher LeBoa, Debashish Biswas, Mahbubur Rahman, Joshua A Mott, Erin D Kennedy, William G Lindsley","doi":"10.3201/eid3204.251878","DOIUrl":"10.3201/eid3204.251878","url":null,"abstract":"<p><p>In Bangladesh, influenza A(H5N1) viruses are endemic in poultry. Processing infected chickens can aerosolize viruses, increasing the risk for human infections. We evaluated particulate matter (PM<sub>2.5</sub>) mass concentration during slaughtering and defeathering methods used in live bird markets in Bangladesh to identify solutions to reduce aerosol exposure. We slaughtered 675 chickens using cones and barrels with 3 lid types and defeathered 45 chickens using a defeathering machine with 5 lid types. We interviewed 3 slaughterers to understand method preference. For slaughtering, barrels with a solid or star-cut lid reduced PM<sub>2.5</sub> mass concentrations by 65%-73% compared with uncovered barrels. For defeathering, machines fully covered by a solid lid or lid with a hole and pivot door reduced PM<sub>2.5</sub> mass concentrations by 50% compared with machines with no lid. Slaughterers preferred barrels covered with solid lids and defeathering machines covered with solid or hinged lids. Those methods might reduce aerosol exposure during poultry processing.</p>","PeriodicalId":11595,"journal":{"name":"Emerging Infectious Diseases","volume":"32 4","pages":"603-613"},"PeriodicalIF":6.6,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13094850/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147688336","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Young Pyo Choi, Yu-Ran Lee, Hoo Chang Park, Yoon Hee Lee, Gordon Mitchell, In-Soon Roh, Hyun-Joo Sohn
{"title":"Chronic Wasting Disease in Farmed Cervids, South Korea, 2001-2024.","authors":"Young Pyo Choi, Yu-Ran Lee, Hoo Chang Park, Yoon Hee Lee, Gordon Mitchell, In-Soon Roh, Hyun-Joo Sohn","doi":"10.3201/eid3204.251046","DOIUrl":"10.3201/eid3204.251046","url":null,"abstract":"<p><p>Chronic wasting disease (CWD) was identified in imported elk in South Korea in 2001 and has spread among cervids nationwide. The country's surveillance and control policy culls cervids from any CWD-positive farms, and prevalence during 2020-2024 was <0.5%. Maintaining low prevalence in cervids will limit livestock, wildlife, and human CWD exposure.</p>","PeriodicalId":11595,"journal":{"name":"Emerging Infectious Diseases","volume":"32 4","pages":"614-618"},"PeriodicalIF":6.6,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13094843/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147688956","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Enhanced Detection of Coccidioides spp. Fungi from Environmental Samples Using Droplet Digital PCR.","authors":"Jessica Paulette Segovia-Mota, Ricardo Eaton-González, Jimena Carrillo-Tripp, Meritxell Riquelme","doi":"10.3201/eid3204.251146","DOIUrl":"10.3201/eid3204.251146","url":null,"abstract":"<p><p>Coccidioidomycosis (Valley fever), caused by Coccidioides spp. fungi, is a reemerging, neglected fungal disease endemic to arid and semiarid regions of the Americas. Environmental detection remains challenging because of spatial heterogeneity, seasonal variability, low DNA abundance, PCR inhibitors, and lack of standardized methods. We conducted environmental surveillance in Baja California, Mexico, an understudied region near the US-Mexico border, by collecting 74 soil samples from active rodent burrows across 5 locations. We evaluated droplet digital PCR (ddPCR) for Coccidioides detection and compared ddPCR with nested PCR targeting the internal transcribed spacer 1 region. ddPCR demonstrated greater sensitivity, detecting Coccidioides spp. DNA at all sampling sites, whereas nested PCR detected Coccidioides spp. DNA from only 1 site. Although additional work is required to rigorously quantify sensitivity and specificity, ddPCR could help identify Coccidioides environmental hotspots, thus enabling public health interventions, such as warning communities of areas that pose higher risk for infection.</p>","PeriodicalId":11595,"journal":{"name":"Emerging Infectious Diseases","volume":"32 4","pages":"500-509"},"PeriodicalIF":6.6,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13094836/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147688974","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Zachary J Madewell, Sandra J Kiplagat, India Kellum, Matthew J Lozier, Olga Lorenzi, Janice Perez-Padilla, Freddy A Medina, Jorge L Muñoz-Jordán, Laura E Adams, Gabriela Paz-Bailey, Stephen H Waterman, Roberto Barrera, Tyler M Sharp
{"title":"Evaluation of Effectiveness of Autocidal Gravid Ovitraps for Preventing Zika Virus Infection, Puerto Rico, USA.","authors":"Zachary J Madewell, Sandra J Kiplagat, India Kellum, Matthew J Lozier, Olga Lorenzi, Janice Perez-Padilla, Freddy A Medina, Jorge L Muñoz-Jordán, Laura E Adams, Gabriela Paz-Bailey, Stephen H Waterman, Roberto Barrera, Tyler M Sharp","doi":"10.3201/eid3204.251206","DOIUrl":"10.3201/eid3204.251206","url":null,"abstract":"<p><p>Aedes aegypti mosquitoes drive arboviral outbreaks in tropical regions. Zika virus (ZIKV), linked to congenital and neurologic complications, caused a major outbreak in Puerto Rico, USA, in 2016, infecting ≈26% of the population. Autocidal gravid ovitraps (AGOs), pesticide-free devices targeting gravid Ae. aegypti mosquitoes, have been shown to reduce transmission of another arbovirus, chikungunya. During March-May 2017, we conducted a household-based serosurvey in 4 demographically similar communities in southeastern Puerto Rico, 2 with long-term AGO deployment (≈85% coverage) and 2 without, to assess effects of AGOs on ZIKV transmission. Among 271 participants >5 years of age, ZIKV seroprevalence was much lower in intervention than nonintervention communities (9.6% vs. 20.0%). Protective effects were strongest among older adults, larger households (>4 persons), and persons spending more time at home. Although study design and measurement limitations could limit generalizability of results, our findings support AGOs as sustainable nonchemical tools for reducing ZIKV infections.</p>","PeriodicalId":11595,"journal":{"name":"Emerging Infectious Diseases","volume":"32 4","pages":"510-520"},"PeriodicalIF":6.6,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13094846/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147688994","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Faisal Ali, Miguel Imperial, Muhammad Morshed, David M Goldfarb, Jonathan B Gubbay, Catherine A Hogan, Rohit Vijh, Ellie N Andres, Marta Jaeckel, Jaskiran Sajan, Heidi Wood, Alyssia Robinson, Jennifer Tam
{"title":"Pediatric Meningoencephalitis Cluster Caused by Snowshoe Hare Virus, Whistler, British Columbia, Canada, 2024.","authors":"Faisal Ali, Miguel Imperial, Muhammad Morshed, David M Goldfarb, Jonathan B Gubbay, Catherine A Hogan, Rohit Vijh, Ellie N Andres, Marta Jaeckel, Jaskiran Sajan, Heidi Wood, Alyssia Robinson, Jennifer Tam","doi":"10.3201/eid3204.251392","DOIUrl":"10.3201/eid3204.251392","url":null,"abstract":"<p><p>Snowshoe hare virus (SSHV) is an arbovirus in the California serogroup known to circulate throughout Canada and northern latitudes of the United States. The clinical spectrum of SSHV infection ranges from asymptomatic or mild febrile illness to neuroinvasive disease; neuroinvasive disease occurs more often in children and young adults. We describe a cluster of confirmed and probable SSHV meningoencephalitis cases in 3 children from Whistler, British Columbia, Canada, in the summer of 2024. We highlight the shared epidemiology, clinical manifestations, serologic diagnostic methods, and outcomes for the cases. All 3 children acquired the infection locally and made a full recovery. This case series suggests underrecognized SSHV infection prevalence that warrants enhanced surveillance and review of existing diagnostic algorithms. California serogroup viruses, including SSHV, should be recognized as a potential cause of neuroinvasive disease in North America during mosquito season, particularly when initial diagnostic testing is inconclusive.</p>","PeriodicalId":11595,"journal":{"name":"Emerging Infectious Diseases","volume":"32 4","pages":"477-483"},"PeriodicalIF":6.6,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13094835/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147688412","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Patrick van Schelven, Roel Nijhuis, Casper Jamin, Sophie Goemans, Putri Hintaran, Marischka van der Jagt-Zwetsloot, Annelies Smilde, Annelot Ter Horst, Melanie de Graaf, Daan W Notermans, Anne Russcher, Stijn Raven
{"title":"Panton-Valentine Leukocidin-Encoding Methicillin-Resistant Staphylococcus aureus, the Netherlands, 2023-2024<sup>1</sup>.","authors":"Patrick van Schelven, Roel Nijhuis, Casper Jamin, Sophie Goemans, Putri Hintaran, Marischka van der Jagt-Zwetsloot, Annelies Smilde, Annelot Ter Horst, Melanie de Graaf, Daan W Notermans, Anne Russcher, Stijn Raven","doi":"10.3201/eid3204.251646","DOIUrl":"10.3201/eid3204.251646","url":null,"abstract":"<p><p>We describe a community outbreak of Panton-Valentine leukocidin-positive methicillin-resistant Staphylococcus aureus (MRSA) during November 2023-June 2024 in the Netherlands. We identified a massage center as the source. Case-patients experienced skin infections and abscesses. This study highlights the importance of genomic surveillance of MRSA in distinguishing Panton-Valentine leukocidin-positive MRSA.</p>","PeriodicalId":11595,"journal":{"name":"Emerging Infectious Diseases","volume":"32 4","pages":"640-643"},"PeriodicalIF":6.6,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13094855/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147688959","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Cristina Andrés, Ignasi Prats-Méndez, Sofie Midgley, Natasa Berginc, Alejandra González-Sánchez, Caroline Klint Johannesen, Andrés Antón, Patricia Nadal-Barón, Thea K Fischer, Heli Harvala, Kimberley S M Benschop
{"title":"Circulation Patterns, Genetic Diversity, and Public Health Implications of Enterovirus D68, Europe, 2014-2024.","authors":"Cristina Andrés, Ignasi Prats-Méndez, Sofie Midgley, Natasa Berginc, Alejandra González-Sánchez, Caroline Klint Johannesen, Andrés Antón, Patricia Nadal-Barón, Thea K Fischer, Heli Harvala, Kimberley S M Benschop","doi":"10.3201/eid3204.251022","DOIUrl":"10.3201/eid3204.251022","url":null,"abstract":"<p><p>Enterovirus D68 (EV-D68) represents a continuing public health concern, given its association with severe respiratory illness and neurologic complications. In this study, we analyzed EV-D68 circulation and genetic evolution during 2014-2024 using data from 18 countries in Europe. Of 61,297 enterovirus-positive specimens, molecular detection and viral protein 1 sequencing identified 3,541 (6%) EV-D68 cases. A biennial circulation pattern was observed; detection rates ranged from 9% in 2014 to 0.9% in 2019. The pattern was disrupted in 2020 because of measures implemented in response to the COVID-19 pandemic, but then notable increases occurred in 2021 (14%), 2022 (10.7%), and 2024 (20.6%). Subgenogroups B3 (59.8%) and A2/D (28.0%) were predominant; A2/D reemerged as dominant in 2024. Mutation analyses revealed changes in antigenic regions. Our findings underscore the persistent adaptation and resurgence of EV-D68 after COVID-19. Continued genomic surveillance is essential to monitor transmission patterns caused by antigenic changes.</p>","PeriodicalId":11595,"journal":{"name":"Emerging Infectious Diseases","volume":"32 4","pages":"491-499"},"PeriodicalIF":6.6,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13094849/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147688962","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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