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ti
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o
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.
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h
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e
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rc
h
f
o
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th
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les
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rin
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V
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19
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lt
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o
m
m
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ti
o
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g
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.
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w
e
v
e
r,
m
a
les
’
f
u
n
c
ti
o
n
a
l
f
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o
d
lo
y
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lt
y
w
a
s
n
o
t
sig
n
if
ica
n
tl
y
a
ff
e
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ted
b
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th
e
p
e
rc
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iv
e
d
th
re
a
t
o
f
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ID
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19
,
p
e
rc
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d
b
e
n
e
f
it
o
f
f
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n
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ti
o
n
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l
f
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o
d
re
late
d
to
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19
,
d
e
sc
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ip
ti
v
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n
o
rm
a
n
d
e
-
h
e
a
lt
h
li
tera
c
y
.
K
ey
w
o
r
d
s
:
C
OVI
D
-
19
p
an
d
e
m
ic
Dig
ital c
o
m
m
u
n
icatio
n
Fu
n
ctio
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f
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o
d
Hea
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b
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lth
ed
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T
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n
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c
c
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ss
a
rticle
u
n
d
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r th
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CC B
Y
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A
li
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se
.
C
o
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p
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A
uth
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:
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Natio
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b
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m
1.
I
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RO
D
UCT
I
O
N
Fu
n
ctio
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f
o
o
d
is
a
p
o
p
u
lar
t
o
p
ic
in
h
ea
lth
an
d
f
o
o
d
liter
atu
r
e
s
i
n
ce
it
p
r
o
v
id
es
m
an
y
h
ea
lth
b
e
n
ef
i
ts
[
1
]
.
Fu
n
ctio
n
al
f
o
o
d
ca
n
b
e
ex
p
lo
ited
b
y
a
g
o
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m
en
t
t
o
i
m
p
r
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v
e
t
h
e
h
ea
lt
h
s
tatu
s
o
f
its
citize
n
s
an
d
d
ec
r
ea
s
e
its
n
atio
n
al
h
ea
lt
h
co
s
t
[
1
]
.
I
n
d
o
n
esia
is
o
n
e
o
f
t
h
e
co
u
n
tr
ies
t
h
at
h
a
v
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m
an
y
r
a
w
m
ater
ial
s
t
h
at
ca
n
b
e
p
r
o
ce
s
s
ed
as
f
u
n
ctio
n
al
f
o
o
d
[
2
]
,
[
3
]
.
T
h
u
s
,
I
n
d
o
n
esia
ca
n
u
s
e
f
u
n
ctio
n
al
f
o
o
d
as
a
p
ar
t
o
f
its
n
atio
n
a
l
h
ea
lt
h
s
tr
ateg
y
.
No
w
ad
a
y
s
,
t
h
er
e
is
a
s
er
io
u
s
h
ea
lt
h
p
r
o
b
lem
w
o
r
ld
w
id
e,
n
a
m
e
l
y
C
o
r
o
n
a
v
ir
u
s
d
is
ea
s
e
2
0
1
9
(
C
OVI
D
-
19
)
p
an
d
e
m
ic.
As
o
f
J
an
u
ar
y
1
7
,
2
0
2
1
,
th
er
e
h
av
e
b
ee
n
9
5
,
4
2
9
,
1
7
6
p
eo
p
le
in
f
e
cted
b
y
C
OVI
D
-
19
ar
o
u
n
d
th
e
w
o
r
ld
[
4
]
.
Glo
b
a
ll
y
,
2
,
0
3
8
,
5
5
9
C
OVI
D
-
19
in
f
e
cted
p
eo
p
le
h
av
e
d
ied
[
4
]
.
I
n
I
n
d
o
n
esia,
T
h
e
C
OVI
D
-
19
p
an
d
e
m
ic
i
s
also
a
s
er
io
u
s
p
r
o
b
le
m
.
Mo
r
e
th
a
n
n
i
n
e
h
u
n
d
r
ed
th
o
u
s
an
d
I
n
d
o
n
esia
n
s
ar
e
i
n
f
ec
ted
C
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D
-
19
[
4
]
an
d
m
o
r
e
th
a
n
2
5
th
o
u
s
an
d
h
av
e
d
ied
d
u
e
to
C
OVI
D
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19
[
4
]
.
T
o
o
v
er
co
m
e
C
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D
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19
,
s
o
m
eo
n
e
m
u
s
t
h
a
v
e
a
g
o
o
d
i
m
m
u
n
e
s
y
s
te
m
[
5
]
.
Fu
r
th
er
m
o
r
e,
it
is
also
i
m
p
o
r
tan
t
to
p
r
ev
e
n
t
an
d
m
an
ag
e
n
o
n
-
co
m
m
u
n
icab
le
d
is
ea
s
es
(
NC
Ds)
s
i
n
ce
a
C
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D
-
19
in
f
ec
ted
p
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s
o
n
w
it
h
N
C
D
w
o
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ld
h
av
e
a
w
o
r
s
e
p
r
o
g
n
o
s
is
co
m
p
ar
ed
to
a
C
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D
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19
in
f
ec
ted
p
er
s
o
n
w
it
h
o
u
t
NC
D
[
6
]
.
Evaluation Warning : The document was created with Spire.PDF for Python.
I
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N
:
2
2
5
2
-
8806
I
n
t J
P
u
b
lic
Hea
lth
Sci
,
Vo
l.
11
,
No
.
1
,
M
ar
ch
20
22
:
1
21
-
1
2
8
122
R
elate
d
to
th
is
is
s
u
e,
f
u
n
ctio
n
al
f
o
o
d
co
n
s
u
m
p
tio
n
m
i
g
h
t
b
o
o
s
t
s
o
m
eo
n
e
’
s
i
m
m
u
n
e
s
y
s
te
m
a
n
d
r
ed
u
ce
h
is
o
r
h
er
r
is
k
o
f
co
n
tr
ac
ti
n
g
N
C
D
s
s
i
m
u
lta
n
eo
u
s
l
y
[
7
]
.
T
h
er
ef
o
r
e,
d
u
r
in
g
th
e
C
OVI
D
-
19
p
an
d
e
m
ic
,
it is
ess
e
n
tial
to
in
cr
ea
s
e
t
h
e
co
n
s
u
m
p
tio
n
o
f
f
u
n
ct
io
n
al
f
o
o
d
.
I
n
f
o
o
d
co
n
s
u
m
p
tio
n
b
eh
a
v
io
u
r
liter
at
u
r
e,
a
co
n
ce
p
t
th
at
h
a
s
an
i
m
p
o
r
tan
t
r
o
le
is
lo
y
a
lt
y
[
8
]
–
[
1
3
]
.
L
o
y
alt
y
h
as
b
ee
n
id
e
n
ti
f
i
ed
as
a
k
e
y
s
u
cc
e
s
s
o
f
a
b
u
s
i
n
es
s
th
at
s
h
o
u
ld
b
e
m
o
n
ito
r
ed
an
d
i
m
p
r
o
v
ed
[
1
4
]
.
So
m
eo
n
e
w
h
o
h
a
s
a
h
i
g
h
lo
y
a
lt
y
to
ce
r
tai
n
f
o
o
d
w
o
u
l
d
co
n
s
u
m
e
it
m
o
r
e
f
r
eq
u
en
tl
y
an
d
r
ec
o
m
m
en
d
it
t
o
o
th
er
s
[
8
]
,
[
1
0
]
,
[
1
1
]
,
[
1
3
]
.
T
h
er
ef
o
r
e,
it
is
i
m
p
o
r
tan
t
to
m
o
n
ito
r
an
d
i
n
cr
ea
s
e
lo
y
a
lt
y
to
w
ar
d
f
u
n
ctio
n
al
f
o
o
d
(
h
er
ein
a
f
ter
r
ef
er
r
ed
to
as f
u
n
ctio
n
al
f
o
o
d
lo
y
alt
y
)
.
Du
r
in
g
t
h
e
C
OVI
D
-
19
p
an
d
e
m
ic,
it
w
a
s
r
ev
ea
led
th
a
t
m
a
l
es
w
er
e
m
o
r
e
v
u
l
n
er
ab
le
to
C
OVI
D
-
19
th
an
f
e
m
ale.
Sev
er
al
s
tu
d
ie
s
s
h
o
w
ed
t
h
at
t
h
e
m
o
r
talit
y
r
at
e
o
f
C
O
VI
D
-
19
in
f
ec
ted
m
al
es
w
as
g
r
ea
ter
th
a
n
C
OVI
D
-
19
in
f
ec
ted
f
e
m
ale
s
[
1
5
]
,
[
1
6
]
.
T
h
is
co
n
d
itio
n
i
n
d
icate
d
th
e
i
m
p
o
r
ta
n
ce
o
f
a
s
tu
d
y
to
u
n
d
er
s
ta
n
d
m
ales
’
f
u
n
ctio
n
al
f
o
o
d
lo
y
a
lt
y
d
u
r
i
n
g
C
OVI
D
-
19
p
an
d
e
m
ic.
L
o
y
alt
y
i
s
a
p
o
p
u
lar
to
p
i
c
in
co
n
s
u
m
p
tio
n
b
eh
av
io
u
r
r
esear
c
h
.
In
co
n
s
u
m
p
tio
n
b
eh
a
v
io
u
r
liter
atu
r
e,
m
o
s
t
o
f
r
e
s
ea
r
ch
er
s
a
g
r
ee
d
th
at
lo
y
alt
y
w
as
d
ef
in
ed
as
s
o
m
eo
n
e
’
s
d
ee
p
co
m
m
it
m
en
t
to
co
n
s
u
m
e
s
o
m
et
h
i
n
g
c
o
n
tin
u
o
u
s
l
y
[
9
]
,
[
1
2
]
,
[
1
7
]
.
Fu
r
th
er
m
o
r
e,
lo
y
alt
y
g
en
er
all
y
w
as
m
ea
s
u
r
ed
u
s
i
n
g
t
w
o
in
d
icato
r
s
,
n
a
m
el
y
i
n
ten
tio
n
t
o
k
ee
p
co
n
s
u
m
i
n
g
an
d
w
illi
n
g
n
e
s
s
to
r
ec
o
m
m
e
n
d
[
8
]
,
[
1
0
]
–
[
1
3
]
.
L
o
y
al
t
y
co
u
ld
also
b
e
m
ea
s
u
r
ed
u
s
i
n
g
co
n
s
u
m
p
tio
n
f
r
e
q
u
en
c
y
[
9
]
.
Ma
n
y
r
esear
ch
er
s
h
a
v
e
i
n
v
esti
g
ated
lo
y
alt
y
in
v
ar
io
u
s
co
n
te
x
ts
[
1
7
]
–
[
2
1
]
.
Ho
w
e
v
er
,
in
t
h
e
co
n
tex
t
o
f
f
u
n
ctio
n
al
f
o
o
d
co
n
s
u
m
p
tio
n
r
esear
c
h
,
th
is
s
t
u
d
y
id
en
t
if
ied
s
ev
er
al
r
ese
ar
ch
g
ap
s
.
First,
th
er
e
w
as
a
lack
o
f
f
u
n
ct
io
n
al
f
o
o
d
co
n
s
u
m
p
t
io
n
r
esear
ch
th
at
s
p
ec
i
f
icall
y
i
n
v
e
s
ti
g
ated
f
u
n
ctio
n
al
f
o
o
d
lo
y
alt
y
.
Mo
s
t
p
r
ev
io
u
s
s
t
u
d
ies
o
n
f
u
n
ctio
n
al
f
o
o
d
co
n
s
u
m
p
t
io
n
f
o
cu
s
ed
o
n
t
h
e
a
w
ar
e
n
es
s
o
r
th
e
ac
ce
p
ta
n
ce
o
f
f
u
n
ctio
n
a
l
f
o
o
d
[
2
2
]
–
[
2
8
]
.
Seco
n
d
,
th
er
e
w
a
s
a
lack
o
f
r
e
s
ea
r
ch
o
n
f
u
n
ctio
n
a
l
f
o
o
d
co
n
s
u
m
p
tio
n
p
er
f
o
r
m
ed
in
th
e
co
n
tex
t
o
f
t
h
e
C
OVI
D
-
19
p
an
d
e
m
ic.
D
u
r
in
g
th
e
C
OVI
D
-
19
p
an
d
em
ic,
b
ased
o
n
th
e
h
ea
lt
h
b
elie
f
m
o
d
el
(
HB
M)
,
t
w
o
f
ac
to
r
s
m
i
g
h
t
h
a
v
e
an
e
s
s
e
n
tial
r
o
le
in
d
eter
m
i
n
in
g
s
o
m
eo
n
e
’
s
f
u
n
ctio
n
al
f
o
o
d
lo
y
alt
y
,
n
a
m
e
l
y
p
er
ce
iv
ed
th
r
ea
t
o
f
C
OV
I
D
-
19
an
d
p
er
ce
iv
ed
b
en
ef
it
o
f
f
u
n
c
tio
n
al
f
o
o
d
r
elate
d
to
C
OVI
D
-
19
[
3
]
,
[
2
9
]
.
T
h
ir
d
,
f
u
n
ctio
n
al
f
o
o
d
ca
n
b
e
ca
teg
o
r
ized
as
h
ea
lth
y
f
o
o
d
[
5
]
.
B
ased
o
n
h
ea
lt
h
y
f
o
o
d
s
co
n
s
u
m
p
tio
n
b
e
h
av
io
u
r
liter
at
u
r
e
,
s
ev
er
al
f
ac
t
o
r
s
th
at
m
ig
h
t
h
a
v
e
an
e
s
s
e
n
ti
al
r
o
le
in
f
o
r
m
in
g
s
o
m
eo
n
e
’
s
f
u
n
ct
io
n
al
f
o
o
d
lo
y
alt
y
,
n
a
m
el
y
elec
tr
o
n
ic
h
ea
l
th
liter
ac
y
(
e
-
h
ea
lth
li
ter
ac
y
)
[
3
0
]
,
[
3
1
]
,
d
ig
ital
h
ea
lt
h
co
m
m
u
n
icatio
n
m
ed
ia
u
s
a
g
e
[
3
1
]
,
[
3
2
]
,
attitu
d
e
to
w
ar
d
f
u
n
ctio
n
al
f
o
o
d
[
3
3
]
,
[
3
4
]
,
f
u
n
ctio
n
al
f
o
o
d
ac
ce
s
s
ib
ilit
y
[
3
5
]
–
[
3
7
]
,
an
d
s
o
cial
in
f
l
u
e
n
ce
s
-
i
n
j
u
n
ct
iv
e
n
o
r
m
a
n
d
d
escr
ip
ti
v
e
n
o
r
m
[
3
8
]
,
[
3
9
]
.
Un
f
o
r
tu
n
atel
y
,
n
o
r
esear
ch
h
as
d
ev
elo
p
ed
an
d
test
ed
f
u
n
ctio
n
al
f
o
o
d
lo
y
al
t
y
m
o
d
el
t
h
at
i
n
v
o
lv
ed
e
-
h
ea
l
th
liter
ac
y
,
d
i
g
ita
l
h
ea
lt
h
co
m
m
u
n
icatio
n
m
ed
ia
u
s
a
g
e,
attitu
d
e
to
w
ar
d
f
u
n
ctio
n
al
f
o
o
d
,
f
u
n
ctio
n
al
f
o
o
d
ac
ce
s
s
i
b
ilit
y
,
an
d
s
o
cial
in
f
lu
e
n
ce
s
,
d
escr
ip
ti
v
e
n
o
r
m
an
d
in
j
u
n
ct
iv
e
n
o
r
m
.
T
o
f
ill
th
e
r
esear
ch
g
ap
s
,
th
i
s
r
esear
ch
ai
m
ed
to
test
:
th
e
ef
f
ec
t
o
f
p
er
ce
i
v
ed
th
r
ea
t
o
f
C
OVI
D
-
19
,
p
er
ce
iv
ed
b
en
ef
i
t
o
f
f
u
n
ctio
n
al
f
o
o
d
r
elate
d
to
C
OVI
D
-
19
,
e
-
h
ea
lth
liter
ac
y
,
d
ig
ital
h
ea
lt
h
co
m
m
u
n
icat
io
n
m
ed
ia
u
s
a
g
e,
at
titu
d
e
to
w
ar
d
f
u
n
ctio
n
al
f
o
o
d
,
f
u
n
c
tio
n
al
f
o
o
d
ac
ce
s
s
ib
ilit
y
,
an
d
s
o
cial
i
n
f
lu
en
ce
s
-
i
n
j
u
n
cti
v
e
n
o
r
m
an
d
d
escr
ip
tiv
e
n
o
r
m
o
n
m
a
les
’
f
u
n
ctio
n
al
f
o
o
d
lo
y
alt
y
d
u
r
in
g
th
e
C
OVI
D
-
19
p
an
d
e
m
ic
.
2.
M
E
T
H
O
D
2
.
1
.
Va
ri
a
bles
a
nd
m
ea
s
ure
s
T
h
i
s
r
e
s
e
a
r
c
h
u
s
e
d
n
in
e
m
a
in
v
a
r
i
a
b
l
e
s
,
n
am
e
ly
f
u
n
c
t
i
o
n
a
l
f
o
o
d
l
o
y
al
ty
,
p
e
r
c
e
iv
e
d
th
r
e
a
t
o
f
C
O
V
I
D
-
19
,
p
e
r
c
e
i
v
e
d
b
en
ef
it
o
f
f
u
n
c
t
i
o
n
a
l
f
o
o
d
r
e
l
a
t
e
d
t
o
C
O
VI
D
-
19
,
e
le
c
t
r
o
n
i
c
h
e
al
th
l
it
e
r
a
cy
,
d
ig
i
t
a
l
h
e
al
th
c
o
m
m
u
n
i
c
at
i
o
n
m
e
d
i
a
u
s
a
g
e
,
at
t
i
tu
d
e
t
o
w
a
r
d
f
u
n
c
ti
o
n
a
l
f
o
o
d
,
f
u
n
c
t
i
o
n
al
f
o
o
d
a
c
c
ess
i
b
i
li
ty
,
in
ju
n
c
ti
v
e
n
o
r
m
,
an
d
d
e
s
c
r
i
p
t
iv
e
n
o
r
m
.
T
a
b
l
e
1
s
h
o
w
s
th
e
d
ef
in
i
ti
o
n
s
an
d
th
e
n
u
m
b
e
r
o
f
th
e
i
n
d
i
c
a
t
o
r
s
o
f
th
e
v
a
r
ia
b
l
e
s
.
A
l
l
in
d
i
c
a
t
o
r
s
w
e
r
e
m
e
a
s
u
r
e
d
u
s
in
g
a
f
o
u
r
-
p
o
i
n
t
L
ik
e
r
t
s
c
a
l
e
.
2
.
2
.
Co
ns
t
ruct
v
a
lid
it
y
a
nd
re
lia
bil
it
y
T
h
i
s
r
e
s
e
a
r
ch
p
e
r
f
o
r
m
e
d
a
f
ac
t
o
r
a
n
aly
s
is
t
o
ch
e
ck
t
h
e
co
n
s
t
r
u
c
t
v
a
l
i
d
i
ty
o
f
th
e
in
s
t
r
u
m
en
t
an
d
C
r
o
n
b
a
ch
’
s
a
l
p
h
a
a
n
a
ly
s
i
s
t
o
t
e
s
t
th
e
r
e
l
i
a
b
i
l
ity
o
f
th
e
in
s
t
r
u
m
e
n
t
.
T
h
e
c
o
n
s
t
r
u
c
t
v
a
li
d
i
ty
o
f
a
v
a
r
i
a
b
l
e
m
e
asu
r
em
en
t
i
n
s
t
r
u
m
en
t
w
as
c
o
n
f
i
r
m
e
d
if
th
e
in
s
t
r
u
m
en
t
f
u
lf
il
l
e
d
th
r
e
e
r
e
q
u
i
r
em
en
ts
:
i
)
t
h
e
K
a
is
e
r
-
M
ey
e
r
-
O
lk
in
(
K
MO
)
v
a
lu
e
e
q
u
a
l
s
t
o
o
r
g
r
e
a
te
r
th
an
0
.
5
,
ii
)
p
-
v
a
lu
e
o
f
B
a
r
tl
e
tt
’
s
t
e
s
t
o
f
s
p
h
e
r
i
c
i
ty
e
q
u
al
s
t
o
o
r
l
o
w
er
t
h
an
0
.
0
5
an
d
ii
i
)
th
e
f
a
c
t
o
r
l
o
ad
i
n
g
v
a
lu
es
f
o
r
e
a
ch
i
n
d
i
c
a
t
o
r
e
q
u
a
ls
t
o
o
r
g
r
e
at
e
r
th
an
0
.
5
[
4
0
]
.
T
h
e
r
e
l
i
a
b
i
li
ty
o
f
a
v
a
r
i
a
b
l
e
m
e
as
u
r
em
en
t
i
n
s
t
r
u
m
en
t
w
as
c
o
n
f
i
r
m
e
d
if
th
e
C
r
o
n
b
a
ch
’
s
a
l
p
h
a
c
o
ef
f
i
c
i
en
t
e
q
u
al
s
t
o
o
r
g
r
e
at
e
r
th
an
0
.
6
[
4
0
]
,
[
4
1
]
.
T
a
b
l
e
2
e
x
h
i
b
i
ts
th
e
r
esu
l
ts
o
f
th
e
c
o
n
s
t
r
u
c
t
v
a
li
d
i
ty
an
d
r
el
i
a
b
il
i
ty
t
es
t
in
g
.
B
a
s
e
d
o
n
T
a
b
l
e
2
,
th
e
r
e
s
e
a
r
ch
in
s
t
r
u
m
en
t
w
as
v
a
li
d
a
n
d
r
e
li
a
b
l
e
.
2
.
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ted
th
e
s
o
cial
p
r
es
s
u
r
e
f
e
lt
b
y
s
o
m
eo
n
e
d
u
e
to
o
th
er
s
’
b
eh
a
v
io
u
r
[
2
7
]
,
[
4
9
]
.
T
h
e
p
r
ess
u
r
e
m
ig
h
t
b
e
m
o
r
e
s
ig
n
i
f
ica
n
t
i
f
t
h
er
e
w
er
e
s
u
b
s
tan
tial
in
ter
ac
tio
n
s
b
et
w
ee
n
p
eo
p
le.
Du
r
in
g
t
h
e
C
OVI
D
-
19
p
an
d
e
m
ic,
I
n
d
o
n
es
i
an
g
o
v
er
n
m
e
n
t
li
m
ited
p
h
y
s
ic
al
in
ter
ac
tio
n
s
,
s
u
c
h
as
g
r
o
u
p
m
ee
ti
n
g
s
,
th
at
co
u
l
d
in
cr
ea
s
e
s
o
cial
p
r
ess
u
r
es.
Fu
r
th
er
m
o
r
e,
it
is
also
w
e
ll
k
n
o
w
n
th
at
s
o
m
e
o
n
e
m
i
g
h
t
c
h
an
g
e
h
i
s
b
eh
av
io
u
r
to
g
et
a
g
o
o
d
im
ag
e
i
f
th
er
e
was
n
o
p
h
y
s
ical
in
ter
ac
tio
n
as
a
v
er
if
icatio
n
o
f
h
i
s
r
ea
l
b
eh
av
io
u
r
.
An
o
th
er
ex
p
la
n
atio
n
m
i
g
h
t
r
elate
to
I
n
d
o
n
es
ian
co
m
m
u
n
i
ties
’
f
a
m
iliar
it
y
w
it
h
f
u
n
ctio
n
al
f
o
o
d
co
n
ce
p
t.
T
h
e
co
n
ce
p
t
o
f
f
u
n
ctio
n
al
f
o
o
d
th
at
ca
n
m
iti
g
a
te
th
e
n
e
g
ativ
e
ef
f
ec
t
o
f
C
OVI
D
-
19
w
as
s
till
u
n
p
o
p
u
lar
i
n
I
n
d
o
n
esia
n
co
m
m
u
n
it
y
.
T
h
er
e
w
a
s
n
o
m
a
s
s
i
v
e
p
r
o
m
o
tio
n
o
n
t
h
e
u
s
e
f
u
l
n
e
s
s
o
f
f
u
n
c
tio
n
al
f
o
o
d
to
h
elp
w
ith
C
OVI
D
-
19
.
T
h
e
ig
n
o
r
an
ce
m
i
g
h
t
u
n
d
er
m
i
n
e
th
e
v
alu
e
o
f
f
u
n
ctio
n
al
f
o
o
d
s
d
u
r
i
n
g
th
e
p
an
d
e
m
ic
a
n
d
th
e
s
o
cial
p
r
ess
u
r
e
to
co
n
s
u
m
e
th
e
m
.
Evaluation Warning : The document was created with Spire.PDF for Python.
I
n
t J
P
u
b
lic
Hea
lth
Sci
I
SS
N:
2252
-
8806
F
a
cto
r
s
in
flu
en
cin
g
ma
les’
lo
y
a
lty
to
w
a
r
d
fu
n
ctio
n
a
l f
o
o
d
s
d
u
r
in
g
th
e
C
OV
I
D
-
19
p
a
n
d
emic
(
S
ik
S
u
ma
ed
i
)
125
T
h
e
th
ir
d
f
i
n
d
in
g
s
h
o
w
ed
th
at
i
n
j
u
n
cti
v
e
n
o
r
m
s
ig
n
i
f
ic
an
tl
y
an
d
p
o
s
iti
v
el
y
in
f
l
u
e
n
ce
d
m
a
les
’
f
u
n
ctio
n
al
f
o
o
d
lo
y
al
t
y
.
T
h
e
f
i
n
d
in
g
in
d
icate
d
th
at
w
h
en
s
o
m
eo
n
e
f
elt
th
at
i
m
p
o
r
tan
t
p
eo
p
le
a
r
o
u
n
d
h
i
m
r
ec
o
m
m
e
n
d
ed
th
e
co
n
s
u
m
p
ti
o
n
o
f
f
u
n
ctio
n
al
f
o
o
d
,
h
e
w
o
u
ld
b
e
v
er
y
li
k
el
y
to
b
e
m
o
r
e
lo
y
al
to
f
u
n
ct
io
n
al
f
o
o
d
.
T
h
is
f
i
n
d
i
n
g
s
u
p
p
o
r
ted
T
P
B
.
T
h
is
f
in
d
i
n
g
al
s
o
s
u
p
p
o
r
ted
th
e
f
i
n
d
in
g
s
o
f
p
r
ev
io
u
s
s
t
u
d
ies
[
5
5
]
,
[
5
6
]
.
T
h
e
f
o
u
r
th
f
in
d
i
n
g
r
e
v
ea
led
th
at
f
u
n
ctio
n
al
f
o
o
d
ac
ce
s
s
ib
ilit
y
p
o
s
it
iv
el
y
an
d
s
i
g
n
i
f
ican
tl
y
in
f
lu
e
n
ce
d
m
ales
’
lo
y
alt
y
f
u
n
ctio
n
a
l
f
o
o
d
.
I
t
w
as
h
i
g
h
l
y
p
la
u
s
ib
le
t
h
at
ea
s
ier
ac
ce
s
s
to
f
u
n
c
tio
n
al
f
o
o
d
w
o
u
ld
m
a
k
e
s
o
m
eo
n
e
m
o
r
e
lo
y
al
to
it.
T
h
is
f
in
d
i
n
g
h
o
ld
s
s
i
m
i
lar
n
o
tio
n
s
w
it
h
p
r
ev
io
u
s
s
t
u
d
y
[
5
7
]
.
T
h
e
f
if
t
h
f
in
d
i
n
g
o
f
th
is
r
ese
ar
ch
f
o
u
n
d
th
at
p
er
ce
i
v
ed
th
r
ea
t
o
f
C
OVI
D
-
19
d
id
n
o
t
s
ig
n
i
f
ican
tl
y
in
f
lu
e
n
ce
m
ales
’
lo
y
a
lt
y
to
w
ar
d
m
ale
s
’
f
u
n
ct
io
n
al
f
o
o
d
lo
y
al
t
y
d
u
r
in
g
t
h
e
C
OVI
D
-
19
p
an
d
e
m
ic.
T
h
is
f
i
n
d
in
g
w
a
s
a
d
e
v
iatio
n
f
r
o
m
t
h
e
HB
M,
w
h
ic
h
p
r
o
p
o
s
ed
th
at
th
e
p
er
ce
iv
ed
th
r
ea
t
o
f
d
is
ea
s
e
p
o
s
itiv
el
y
in
f
l
u
en
ce
d
h
ea
lt
h
b
eh
av
io
u
r
[
2
9
]
.
T
h
is
f
i
n
d
in
g
w
a
s
also
in
co
n
tr
ast
w
it
h
f
i
n
d
in
g
o
f
t
h
e
p
r
ev
io
u
s
s
t
u
d
ies
[
5
8
]
,
[
5
9
]
.
T
h
e
s
ix
th
f
in
d
i
n
g
s
h
o
w
ed
th
a
t
p
er
ce
iv
ed
b
en
ef
it
o
f
f
u
n
ctio
n
al
f
o
o
d
r
elate
d
to
C
OVI
D
-
19
d
id
n
o
t
s
ig
n
i
f
ica
n
tl
y
i
n
f
lu
e
n
ce
m
ale
s
’
f
u
n
c
tio
n
al
f
o
o
d
lo
y
alt
y
.
T
h
is
f
i
n
d
in
g
w
as
p
o
les
ap
ar
t
w
i
th
th
e
p
r
o
p
o
s
itio
n
o
f
th
e
HB
M
[
2
9
]
.
T
h
is
f
in
d
i
n
g
was a
ls
o
d
if
f
er
en
t
f
r
o
m
t
h
e
f
i
n
d
i
n
g
s
o
f
t
h
e
p
r
ev
io
u
s
s
t
u
d
ies
[
5
8
]
,
[
5
9
]
.
T
h
e
n
o
n
-
s
i
g
n
i
f
ica
n
t
i
m
p
ac
t
o
f
p
er
ce
iv
ed
th
r
ea
t
o
f
C
OVI
D
-
19
an
d
p
er
ce
iv
ed
b
en
ef
it
o
f
f
u
n
ctio
n
al
f
o
o
d
r
elate
d
to
C
OVI
D
-
19
on
m
ale
s
’
lo
y
alt
y
to
w
ar
d
f
u
n
ctio
n
al
f
o
o
d
m
i
g
h
t
co
r
r
elate
w
it
h
t
h
e
ti
m
e
la
g
b
et
w
ee
n
t
h
e
co
n
s
u
m
p
tio
n
an
d
th
e
e
f
f
ec
ts
o
f
co
n
s
u
m
in
g
f
u
n
ctio
n
al
f
o
o
d
an
d
th
e
ex
i
s
te
n
ce
o
f
o
th
er
a
v
ailab
le
alter
n
ati
v
es.
T
h
e
b
en
e
f
it
o
f
f
u
n
ct
io
n
al
f
o
o
d
co
n
s
u
m
p
tio
n
w
a
s
n
o
t
in
s
tan
t
[
1
]
.
So
m
eo
n
e
n
ee
d
ed
to
co
n
s
u
m
e
f
u
n
ctio
n
al
f
o
o
d
co
n
s
i
s
te
n
tl
y
to
g
ain
s
ig
n
i
f
ica
n
t
b
en
e
f
its
[
3
]
.
I
n
o
th
er
w
o
r
d
s
,
to
o
b
tain
t
h
e
b
en
ef
its
o
f
f
u
n
ctio
n
al
f
o
o
d
,
s
o
m
eo
n
e
m
u
s
t
in
cl
u
d
e
it
i
n
h
i
s
h
ea
l
th
y
d
i
et.
On
th
e
o
t
h
er
h
a
n
d
,
s
o
m
eo
n
e
w
h
o
p
er
ce
iv
ed
C
OVI
D
-
19
as
a
s
er
io
u
s
th
r
ea
t
w
o
u
ld
p
r
ef
er
alter
n
ativ
e
s
with
m
o
r
e
i
m
m
ed
iate
e
f
f
ec
ts
a
g
ain
s
t
C
OVI
D
-
19
.
Oth
er
al
ter
n
ati
v
es
m
ig
h
t
i
n
cl
u
d
e
s
u
p
p
le
m
e
n
ts
o
r
m
ed
icin
es.
T
h
er
ef
o
r
e,
ev
e
n
t
h
o
u
g
h
s
o
m
eo
n
e
p
er
ce
i
v
ed
C
OVI
D
-
19
as
a
s
i
g
n
i
f
ica
n
t
t
h
r
ea
t
a
n
d
u
n
d
er
s
to
o
d
th
e
b
e
n
ef
its
o
f
f
u
n
ctio
n
al
f
o
o
d
s
,
h
e
m
i
g
h
t
n
o
t
in
ten
d
to
co
n
s
u
m
e
a
n
d
r
ec
o
m
m
e
n
d
th
e
m
.
T
h
e
s
ev
en
t
h
f
i
n
d
in
g
r
ev
ea
le
d
th
at
DH
C
M
u
s
ag
e
p
o
s
it
iv
el
y
an
d
s
ig
n
i
f
ica
n
tl
y
in
f
l
u
e
n
ce
d
m
a
les
’
f
u
n
ctio
n
al
f
o
o
d
lo
y
alt
y
.
T
h
is
f
in
d
i
n
g
m
ea
n
s
t
h
at
h
i
g
h
er
f
r
eq
u
en
c
y
o
f
d
ig
ital
h
ea
lt
h
co
m
m
u
n
icatio
n
m
ed
ia
u
s
a
g
e
w
o
u
ld
lead
to
h
ig
h
er
f
u
n
ct
io
n
al
f
o
o
d
lo
y
alt
y
,
a
n
as
s
o
ciatio
n
also
p
r
o
p
o
s
ed
b
y
th
e
I
Me
HU
[
3
0
]
,
[
3
1
]
.
T
h
is
f
i
n
d
in
g
also
co
r
r
o
b
o
r
ates
th
e
f
in
d
i
n
g
o
f
th
e
p
r
ev
io
u
s
s
tu
d
ies
[
3
2
]
,
[
4
2
]
–
[
4
4
]
.
T
h
e
eig
h
t
h
f
i
n
d
in
g
s
h
o
w
ed
th
at
e
-
h
ea
lt
h
liter
ac
y
d
id
n
o
t
p
la
y
a
s
i
g
n
i
f
ican
t
r
o
le
in
i
m
p
r
o
v
i
n
g
m
ale
s
’
f
u
n
ctio
n
al
f
o
o
d
lo
y
al
t
y
.
T
h
is
f
i
n
d
in
g
d
id
n
o
t
s
u
p
p
o
r
t
p
r
ev
io
u
s
s
t
u
d
ies,
s
u
c
h
a
s
[
3
0
]
an
d
[
3
1
]
.
I
t
m
i
g
h
t
b
e
b
ec
au
s
e
cr
ed
ib
le
e
-
h
ea
lt
h
i
n
f
o
r
m
at
io
n
s
o
u
r
ce
s
co
u
ld
b
e
ea
s
il
y
ac
ce
s
s
ed
b
y
all
p
eo
p
le.
I
n
I
n
d
o
n
esia,
m
a
n
y
d
ig
ital
h
ea
lt
h
co
m
m
u
n
icat
io
n
m
ed
ia
f
ac
ilit
a
ted
h
ea
l
th
k
n
o
wled
g
e
tr
an
s
f
er
s
f
r
o
m
d
o
cto
r
s
t
o
th
e
p
u
b
lic.
T
h
is
co
n
d
itio
n
m
i
g
h
t
ca
u
s
e
b
o
th
l
o
w
-
a
n
d
h
ig
h
-
le
v
el
o
f
e
-
h
ea
lt
h
li
ter
ac
y
m
a
n
co
u
ld
ea
s
i
l
y
o
b
tain
h
ig
h
-
q
u
alit
y
h
ea
lt
h
i
n
f
o
r
m
a
tio
n
,
w
h
ic
h
led
to
th
e
r
ed
u
ce
d
i
m
p
ac
t o
f
e
-
h
ea
lth
liter
ac
y
o
n
h
ea
lt
h
b
eh
a
v
io
u
r
,
in
clu
d
i
n
g
m
ale
s
’
f
u
n
ctio
n
al
f
o
o
d
lo
y
alt
y
d
u
r
i
n
g
th
e
C
O
VI
D
-
19
p
an
d
e
m
ic.
3.
3
.
M
a
na
g
er
ia
l
i
m
p
lica
t
io
ns
T
h
is
r
esear
ch
f
o
u
n
d
th
a
t
m
a
le
s
’
f
u
n
c
tio
n
al
f
o
o
d
lo
y
alt
y
w
as
p
o
s
itiv
el
y
a
n
d
s
i
g
n
if
ica
n
tl
y
i
n
f
lu
e
n
ce
d
b
y
att
itu
d
e
to
w
ar
d
f
u
n
ct
io
n
al
f
o
o
d
.
Ho
w
e
v
er
,
th
e
ir
lo
y
alt
y
w
a
s
n
o
t
s
i
g
n
i
f
ican
tl
y
i
n
f
l
u
en
c
ed
b
y
t
h
e
p
er
ce
iv
ed
th
r
ea
t
o
f
C
OVI
D
-
19
an
d
th
e
p
er
ce
iv
ed
b
en
ef
it
o
f
f
u
n
ct
io
n
al
f
o
o
d
r
elate
d
to
C
OVI
D
-
19
.
T
h
er
ef
o
r
e,
f
ir
s
t,
m
ales
’
attit
u
d
e
to
w
ar
d
f
u
n
ct
io
n
al
f
o
o
d
s
h
o
u
ld
b
e
m
o
n
it
o
r
ed
,
m
ea
s
u
r
ed
,
an
d
i
m
p
r
o
v
ed
co
n
s
is
te
n
tl
y
to
s
tr
en
g
th
e
n
m
ales
’
f
u
n
ctio
n
a
l
f
o
o
d
lo
y
alt
y
.
T
h
e
p
u
b
lic
h
ea
l
th
ed
u
ca
tio
n
p
r
o
g
r
a
m
s
h
o
u
ld
b
e
d
ev
elo
p
ed
an
d
p
er
f
o
r
m
ed
to
b
u
ild
p
o
s
itiv
e
at
titu
d
e
to
w
ar
d
f
u
n
c
tio
n
al
f
o
o
d
.
Seco
n
d
,
to
b
o
o
s
t
th
e
im
p
ac
t
o
f
p
er
ce
iv
ed
th
r
ea
t
o
f
C
OVI
D
-
19
a
n
d
t
h
e
p
er
ce
iv
ed
b
en
ef
it
o
f
f
u
n
ctio
n
al
f
o
o
d
o
n
m
ales
’
f
u
n
ct
io
n
al
f
o
o
d
lo
y
alt
y
,
it
is
i
m
p
o
r
ta
n
t
to
co
m
m
u
n
icate
t
h
e
q
u
ic
k
l
y
-
o
b
tain
ed
b
en
ef
it
s
o
f
f
u
n
ctio
n
a
l
f
o
o
d
r
elate
d
to
C
OVI
D
-
19
.
I
t
is
also
i
m
p
o
r
tan
t
to
co
m
m
u
n
icate
th
e
ad
v
a
n
ta
g
e
o
f
f
u
n
c
tio
n
al
f
o
o
d
co
n
s
u
m
p
tio
n
co
m
p
ar
e
w
it
h
its
a
lter
n
ati
v
es,
s
u
ch
as
m
u
lti
v
ita
m
i
n
s
o
r
in
d
iv
id
u
al
s
u
p
p
le
m
e
n
ts
.
F
u
r
th
er
m
o
r
e,
it
is
also
i
m
p
o
r
tan
t
to
f
a
m
i
liar
is
e
co
n
s
u
m
er
s
th
e
co
m
p
le
m
e
n
tar
y
f
u
n
ct
io
n
o
f
f
u
n
ctio
n
al
f
o
o
d
w
it
h
t
h
e
f
u
n
ctio
n
o
f
o
th
er
h
ea
lth
y
f
o
o
d
an
d
/o
r
s
u
p
p
le
m
e
n
t.
T
h
is
r
esear
ch
f
o
u
n
d
th
at
in
j
u
n
cti
v
e
n
o
r
m
h
a
s
a
p
o
s
itiv
e
im
p
ac
t
o
n
m
ales
’
f
u
n
ctio
n
a
l
f
o
o
d
l
o
y
alt
y
w
h
ile
d
e
s
cr
ip
tiv
e
n
o
r
m
d
o
es
n
o
t.
T
h
is
f
i
n
d
in
g
i
m
p
lied
t
h
at
p
u
b
lic
h
ea
lt
h
ed
u
ca
tio
n
s
h
o
u
ld
in
v
o
l
v
e
k
e
y
s
o
cial
f
i
g
u
r
es
o
r
o
p
in
io
n
lead
er
s
to
in
cr
ea
s
e
m
ale
s
’
f
u
n
ct
io
n
al
f
o
o
d
lo
y
alt
y
.
Ke
y
s
o
cial
f
i
g
u
r
es
o
r
o
p
in
i
o
n
lead
er
s
s
h
o
u
ld
s
p
r
ea
d
p
o
s
itiv
e
m
e
s
s
a
g
es
o
n
f
u
n
ctio
n
al
f
o
o
d
th
r
o
u
g
h
t
h
eir
p
lat
f
o
r
m
s
.
T
h
e
y
al
s
o
n
ee
d
to
r
ec
o
m
m
e
n
d
th
e
f
u
n
ctio
n
al
f
o
o
d
co
n
s
u
m
p
tio
n
d
u
r
in
g
t
h
e
C
O
VI
D
-
19
p
an
d
e
m
ic.
F
u
r
th
er
m
o
r
e,
s
i
n
ce
th
er
e
w
a
s
n
o
s
ig
n
i
f
ica
n
t
i
m
p
ac
t
o
f
d
escr
ip
tiv
e
n
o
r
m
o
n
m
ale
s
’
f
u
n
c
tio
n
a
l
f
o
o
d
lo
y
alt
y
d
u
r
i
n
g
C
OVI
D
-
19
p
an
d
e
m
ic,
k
e
y
s
o
cial
f
ig
u
r
es
o
r
o
p
in
io
n
lead
e
r
s
s
h
o
u
ld
clea
r
l
y
q
u
o
te
cr
ed
ib
le
h
ea
lt
h
i
n
f
o
r
m
atio
n
s
o
u
r
ce
s
,
s
u
c
h
a
s
m
ed
ical
o
r
h
ea
lt
h
s
cie
n
ti
f
ic
j
o
u
r
n
als,
w
h
e
n
th
e
y
s
p
r
ea
d
an
d
r
ec
o
m
m
e
n
d
f
u
n
ctio
n
al
f
o
o
d
.
T
h
i
s
r
e
s
e
a
r
ch
f
o
u
n
d
th
at
m
a
l
es’
l
o
y
a
lty
m
a
l
es’
f
u
n
ct
i
o
n
a
l
f
o
o
d
l
o
y
a
lty
w
as
p
o
s
i
tiv
e
ly
an
d
s
ig
n
if
i
ca
n
t
ly
i
n
f
lu
en
ce
d
b
y
d
ig
i
ta
l
h
ea
l
th
c
o
m
m
u
n
i
c
at
i
o
n
m
e
d
i
a
u
s
ag
e
.
B
as
e
d
o
n
th
i
s
f
in
d
in
g
,
t
o
im
p
r
o
v
e
m
a
l
es’
f
u
n
c
t
i
o
n
al
f
o
o
d
l
o
y
a
lty
,
p
u
b
l
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c
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lth
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d
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ti
o
n
s
h
o
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l
d
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t
il
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z
e
d
ig
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ta
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h
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a
lth
c
o
m
m
u
n
i
c
at
i
o
n
m
e
d
i
a
.
I
n
I
n
d
o
n
e
s
i
a
,
m
an
y
d
i
g
it
a
l
h
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al
th
c
o
m
m
u
n
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c
a
ti
o
n
m
e
d
ia
a
r
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av
a
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a
b
l
e
.
T
h
e
g
o
v
e
r
n
m
en
t
an
d
N
o
n
-
G
o
v
e
r
n
m
en
t
al
O
r
g
an
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s
Evaluation Warning : The document was created with Spire.PDF for Python.
I
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2
2
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8806
I
n
t J
P
u
b
lic
Hea
lth
Sci
,
Vo
l.
11
,
No
.
1
,
M
ar
ch
20
22
:
1
21
-
1
2
8
126
(
N
G
Os
)
c
o
u
l
d
s
et
u
p
p
a
r
tn
e
r
s
h
i
p
s
w
i
th
th
e
m
e
d
i
a
t
o
im
p
r
o
v
e
m
a
l
es’
l
o
y
a
l
ty
t
o
w
a
r
d
f
u
n
ct
i
o
n
a
l
f
o
o
d
d
u
r
in
g
t
h
e
C
O
V
I
D
-
19
p
an
d
em
i
c
.
Fu
r
th
e
r
m
o
r
e
,
th
e
g
o
v
e
r
n
m
en
t
an
d
N
GO
s
c
o
u
l
d
a
ls
o
ch
o
o
s
e
t
o
d
e
v
e
lo
p
t
h
ei
r
o
w
n
d
ig
i
t
al
h
e
a
lth
c
o
m
m
u
n
i
c
at
i
o
n
m
e
d
i
a
.
T
h
e
i
r
p
u
b
l
i
c
h
e
al
th
e
d
u
c
at
i
o
n
e
x
t
en
s
i
o
n
p
r
o
g
r
am
s
h
o
u
l
d
b
e
ex
e
cu
t
e
d
th
r
o
u
g
h
th
e
m
e
d
i
a
.
T
h
i
s
e
d
u
c
at
i
o
n
ex
t
en
s
i
o
n
a
p
p
r
o
a
ch
w
a
s
k
n
o
w
n
a
s
cy
b
er
e
x
t
en
s
i
o
n
a
p
p
r
o
a
ch
[
6
0
]
.
T
h
er
e
w
as a
p
o
s
iti
v
e
a
n
d
s
i
g
n
i
f
ica
n
t i
m
p
ac
t o
f
f
u
n
ctio
n
a
l
f
o
o
d
ac
ce
s
s
ib
ilit
y
o
n
m
ales
’
lo
y
al
t
y
to
w
ar
d
f
u
n
ctio
n
al
f
o
o
d
.
B
ased
o
n
th
i
s
f
i
n
d
in
g
,
it
is
i
m
p
o
r
tan
t
to
e
n
s
u
r
e
th
at
f
u
n
ct
io
n
al
f
o
o
d
ca
n
b
e
ea
s
il
y
ac
ce
s
s
ed
.
A
cc
e
s
s
ib
ilit
y
m
ea
n
t
f
o
o
d
a
v
ailab
ilit
y
,
af
f
o
r
d
ab
ilit
y
,
a
n
d
l
o
ca
tio
n
ac
ce
s
s
ib
ilit
y
[
3
5
]
–
[
3
7
]
.
T
h
er
ef
o
r
e,
it
is
i
m
p
o
r
tan
t
to
en
s
u
r
e
ad
eq
u
ate
s
u
p
p
lies
o
f
f
u
n
c
tio
n
al
f
o
o
d
d
u
r
in
g
t
h
e
C
OVI
D
-
19
p
an
d
e
m
ic
.
Fu
r
th
er
m
o
r
e,
it
is
i
m
p
o
r
tan
t
to
m
a
k
e
s
u
r
e
t
h
at
t
h
e
s
to
r
e
lo
ca
tio
n
s
ar
e
ea
s
il
y
ac
ce
s
s
ib
le.
I
t
i
s
also
i
m
p
o
r
tan
t
to
ass
u
r
e
t
h
at
t
h
e
p
r
ices a
r
e
af
f
o
r
d
ab
le
an
d
s
tab
le
d
u
r
in
g
t
h
e
C
OVI
D
-
19
p
an
d
em
ic.
4.
CO
NCLU
SI
O
N
M
ales’
f
u
n
ctio
n
a
l
f
o
o
d
lo
y
a
lt
y
d
u
r
i
n
g
t
h
e
C
OVI
D
-
19
p
an
d
em
ic
w
a
s
s
i
g
n
i
f
ican
tl
y
an
d
p
o
s
itiv
el
y
af
f
ec
ted
b
y
atti
tu
d
e
to
w
ar
d
f
u
n
ct
io
n
al
f
o
o
d
,
in
j
u
n
ct
iv
e
n
o
r
m
,
f
o
o
d
ac
ce
s
s
ib
ilit
y
an
d
d
ig
ital
h
ea
l
t
h
co
m
m
u
n
icatio
n
u
s
a
g
e.
Ho
w
e
v
er
,
m
a
les
’
f
u
n
ctio
n
al
f
o
o
d
lo
y
alt
y
w
a
s
n
o
t
s
ig
n
i
f
ica
n
t
l
y
a
f
f
ec
ted
b
y
th
e
p
er
ce
iv
ed
th
r
ea
t
o
f
C
OVI
D
-
19
,
p
er
ce
iv
ed
b
en
ef
i
t
o
f
f
u
n
cti
o
n
al
f
o
o
d
r
elate
d
to
C
OVI
D
-
19
,
d
escr
ip
tiv
e
n
o
r
m
an
d
e
-
h
ea
lt
h
liter
ac
y
.
I
n
o
r
d
e
r
t
o
i
m
p
r
o
v
e
m
a
l
e
s
’
f
u
n
c
t
i
o
n
a
l
f
o
o
d
l
o
y
a
l
t
y
,
i
t
i
s
e
s
s
e
n
t
i
a
l
t
o
i
m
p
r
o
v
e
m
a
l
e
s
’
a
t
t
i
t
u
d
e
t
o
w
a
r
d
f
u
n
c
t
i
o
n
a
l
f
o
o
d
.
I
t
i
s
a
l
s
o
im
p
o
r
t
a
n
t
t
o
i
n
c
r
e
a
s
e
i
n
j
u
n
c
t
i
v
e
n
o
r
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1
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4
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0
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[
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4
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