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Risk factors and fogging effectiveness of dengue hemorrhagic fever incidence in the Pontap Public Health Center area in Palopo City, Indonesia
Hasanuddin Ishaka,
Corresponding author
hasanuddin.ishak@gmail.com

Corresponding author.
, Andi Syarifah Aisyahb, Anwar Mallongia, Ratna Dwi Puji Astutia
a Department of Public Health, Hasanuddin University, Makassar, Sulawesi Selatan, Indonesia
b School of Public Health, Hasanuddin University, Makassar, Sulawesi Selatan, Indonesia
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    "textoCompleto" => "<span class="elsevierStyleSections"><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0035">Introduction</span><p id="par0005" class="elsevierStylePara elsevierViewall">Based on Pontap Health Center Profile data&#44; the cases of dengue hemorrhagic fever &#40;DHF&#41; in the last five years also fluctuated&#44; in 2014 there were 21 people with dengue fever&#44; 22 people with DHF in 2015&#44; in 2016 there were 39 people with DHF&#44; in 2017 there were 16 people with DHF and in 2018 there were 15 people with DHF&#44; while for the rate of free larvae in the working area of Pontap Health Center in 2016 was 81&#37;&#44; in 2017 the number was free larvae namely 82&#37; and in 2018 the rate of free larvae reached 87&#37;&#46;<a class="elsevierStyleCrossRef" href="#bib0060"><span class="elsevierStyleSup">1</span></a></p><p id="par0010" class="elsevierStylePara elsevierViewall">The increase in DHF cases can be influenced by the density of <span class="elsevierStyleItalic">Aedes</span> sp&#46; mosquitoes in the region&#46; Increased vector density can be influenced by the presence of containers or containers that can hold water&#44; where more containers will breed or breed <span class="elsevierStyleItalic">Aedes</span> mosquitoes&#44; causing a high risk of infection dengue virus&#46; Other factors that influence the incidence of dengue&#44; namely population density&#44; screen ventilation&#44; larvae&#44; 3M behavior&#44; hanging clothes and wearing mosquito repellent&#46;<a class="elsevierStyleCrossRef" href="#bib0065"><span class="elsevierStyleSup">2</span></a></p><p id="par0015" class="elsevierStylePara elsevierViewall">The study aimed to observe risk factors affects the incidence of dengue hemorrhagic fever by using screen on home ventilation&#44; mosquito repellent&#44; habitual behavior of hanging clothes and efforts to find out the effectiveness of DHF vector control by thermal fogging&#46;</p></span><span id="sec0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0040">Method</span><p id="par0020" class="elsevierStylePara elsevierViewall">The type of research for risk factors was using a case&#8211;control study design&#44; while for fogging effectiveness&#46; Quasi-experimental using the non-randomized one group pretest&#8211;posttest with control design&#46; The study was carried out in the Pontap City Palopo Health Center Working Area&#44; which consisted of six villages &#40;namely Pontap&#44; Ponjalae&#44; Salotellue&#44; Amassangan&#44; Batupasi and Penggoli villages&#41;&#46; The study was conducted during two months &#40;from February to March 2019&#41;&#46;</p><p id="par0025" class="elsevierStylePara elsevierViewall">The instruments used in this study were thermal fogging tools&#44; light trap&#44;<a class="elsevierStyleCrossRef" href="#bib0070"><span class="elsevierStyleSup">3</span></a> sanitarian kit&#44; questionnaire sheets and observations that will be used to determine the risk factors for dengue hemorrhagic fever and the effectiveness of fogging in the endemic work area of Pontap City of Palopo&#46; Data analyses&#44; which consists of bivariate &#40;Chi-square&#41; and multivariate analysis&#44; and for the effectiveness of fogging using descriptive analysis&#46;</p></span><span id="sec0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0045">Result</span><p id="par0030" class="elsevierStylePara elsevierViewall">The analysis showed that respondents who did not use mosquito repellent had a risk of 7222 times greater suffering dengue hemorrhagic fever in the work area of Pontap Health Center compared to subjects that used mosquito repellent &#40;<a class="elsevierStyleCrossRef" href="#tbl0005">Table 1</a>&#41;&#46; Also shows the habit of hanging clothes is 10&#44;545 times more likely to suffer from dengue hemorrhagic fever in the Pontap Health Center work area compared to the habit of not hanging clothes&#46;</p><elsevierMultimedia ident="tbl0005"></elsevierMultimedia><p id="par0035" class="elsevierStylePara elsevierViewall">Based on <a class="elsevierStyleCrossRef" href="#tbl0010">Table 2</a>&#44; mosquito density after fogging intervention showed that the DHF vector density in the case group &#40;Intervention&#41; was 0 &#40;0&#37;&#41; and the non-DHF vector after fogging was 22 &#40;100&#37;&#41;&#44; while the density of <span class="elsevierStyleItalic">Aedes</span> sp&#46; mosquitoes after fogging in the control group &#40;non-intervention&#41; showed that DHF vectors were found as many as 12 &#40;11&#37;&#41;&#44; non-DHF vectors in controls after fogging were 95 &#40;89&#37;&#41;&#46;</p><elsevierMultimedia ident="tbl0010"></elsevierMultimedia><p id="par0040" class="elsevierStylePara elsevierViewall">Based on multivariate analyses &#40;<a class="elsevierStyleCrossRef" href="#tbl0015">Table 3</a>&#41; that model 2 shows that habit of hanging clothes had highest OR value of 8&#46;58 &#40;CI 95&#37;&#58; 2&#46;54&#8211;28&#46;94&#41;&#46; This shows that respondents who have the habit of hanging clothes&#44; and do not use anti-mosquito repellent have a probability of suffering from dengue hemorrhagic fever by 84&#37;&#46;</p><elsevierMultimedia ident="tbl0015"></elsevierMultimedia></span><span id="sec0020" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0050">Discussion</span><span id="sec0025" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0055">Risk of the use of screen on home ventilation against the incidence of dengue fever</span><p id="par0045" class="elsevierStylePara elsevierViewall">This study result shows that respondents who did not use screen were 3&#46;16 times more likely to suffer from dengue hemorrhagic fever in the Pontap Health Center work area compared to houses using screen&#44; but statistically insignificant so that the use of gauze on house ventilation was said to have no relationship with the incidence of dengue hemorrhagic fever in the Pontap Health Center work area&#46; The results of this study are in line with the research conducted by Kasim showed that the presence of screen in the ventilation house did not show a positive relationship to the density of <span class="elsevierStyleItalic">Aedes aegypti</span> and albopictus mosquitoes&#46;<a class="elsevierStyleCrossRef" href="#bib0070"><span class="elsevierStyleSup">3</span></a></p><p id="par0050" class="elsevierStylePara elsevierViewall">Whereas the study of Hikmawan was different which shows that there is a relationship between the use of screen on ventilation and the incidence of DHF&#46;<a class="elsevierStyleCrossRef" href="#bib0075"><span class="elsevierStyleSup">4</span></a> other than that other research results from Ashlihah&#44; there is a relationship between ventilation that occurs during the dengue hemorrhagic fever in Palopo City in 2013&#8211;2014&#46; This can also be seen from the results of the Luluk&#39;s study&#44; which shows that the variable presence of wire mesh is significantly associated with the incidence of Dengue Fever&#46;<a class="elsevierStyleCrossRef" href="#bib0080"><span class="elsevierStyleSup">5</span></a></p></span><span id="sec0030" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0060">Large risk of using anti-mosquitoes against the incidence of dengue fever</span><p id="par0055" class="elsevierStylePara elsevierViewall">There was a relationship between the use of mosquito repellent at home and the incidence of dengue fever in the Pontap Health Center work area where respondents who did not use mosquito repellent had a risk of 7222 times greater DHF in the Pontap Health Center work area compared to respondents who used mosquito repellent&#46; The results of the study in the Pontap Health Center work area were in line with the results of the Luluk<a class="elsevierStyleCrossRef" href="#bib0080"><span class="elsevierStyleSup">5</span></a> study which showed a significant relationship between the habit of using mosquito repellent and the incidence of DHF which is 4200 times more likely to suffer from DHF than samples who have the habit of using mosquito repellent lotion&#46;</p><p id="par0060" class="elsevierStylePara elsevierViewall">The use of anti-mosquitoes by the community is usually mostly only used at night&#44; while to prevent mosquito bites&#44; especially the <span class="elsevierStyleItalic">Aedes</span> sp&#46; mosquitoes must be used during the day&#46; The other studies in line with the study were carried out in the Pontap Health Center work area&#44; namely the study by Ashlihah<a class="elsevierStyleCrossRef" href="#bib0065"><span class="elsevierStyleSup">2</span></a> which showed that there was a relationship between using anti-mosquitoes repellent and the incidence of Dengue Fever in Palopo in 2013&#8211;2014&#46;</p></span><span id="sec0035" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0065">The risk of hanging clothes against the incidence of dengue fever</span><p id="par0065" class="elsevierStylePara elsevierViewall">This study shows that the habit of hanging clothes is 10&#44;545 times more likely to suffer from dengue hemorrhagic fever in the Pontap Health Center work area compared to the habit of not hanging clothes&#46; The hanging clothes variable in multivariate analysis was statistically significant or there is a relationship between the habit of hanging clothes and the incidence of dengue hemorrhagic fever in the working area of Pontap Health Center&#46;</p><p id="par0070" class="elsevierStylePara elsevierViewall">The results of this study are in line with the study conducted by Fajri<a class="elsevierStyleCrossRef" href="#bib0085"><span class="elsevierStyleSup">6</span></a> which shows that there is a significant effect of clothing hanging behavior on the incidence of DHF&#46; The similar results conducted by Luluk<a class="elsevierStyleCrossRef" href="#bib0080"><span class="elsevierStyleSup">5</span></a> showed that the habit of hanging clothes had a statistically significant association with the incidence of DHF &#40;<span class="elsevierStyleItalic">p</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#46;002&#44; OR<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>7&#46;933&#41;&#46; However&#44; the results of studies that are not in line conducted by Istiqomah<a class="elsevierStyleCrossRef" href="#bib0090"><span class="elsevierStyleSup">7</span></a> indicate that the habit of hanging used clothes in a child&#39;s room is not a risk factor for dengue in children aged &#60;15 years&#46;</p></span><span id="sec0040" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0070">Effectiveness of fogging on mosquito density &#40;vector&#41; of DHF</span><p id="par0075" class="elsevierStylePara elsevierViewall">The results of the fogging intervention are still quite effective in the presence of <span class="elsevierStyleItalic">A&#46; aegypti</span> mosquitoes&#46; The results of the study which are in line with this study about fogging using 4&#37; malathion insecticide mixed with diesel fuel&#44; can only kill mosquitoes in a radius of 100&#8211;200<span class="elsevierStyleHsp" style=""></span>m around it and Effective for 1&#8211;2 days&#46;<a class="elsevierStyleCrossRef" href="#bib0095"><span class="elsevierStyleSup">8</span></a> Other studies that are in line are those conducted by Khadijah&#44;<a class="elsevierStyleCrossRef" href="#bib0100"><span class="elsevierStyleSup">9</span></a> that fogging has a significant value of <span class="elsevierStyleItalic">p</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#46;001 &#40;<span class="elsevierStyleItalic">p</span><span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#46;05&#41;&#44; meaning that intervention with fogging is effective in reducing the density of <span class="elsevierStyleItalic">A&#46; aegypti</span> before and after&#46;</p><p id="par0080" class="elsevierStylePara elsevierViewall">The results of other studies are in line&#44; namely research conducted by Ponlawat<a class="elsevierStyleCrossRef" href="#bib0105"><span class="elsevierStyleSup">10</span></a> about fogging using thermal fog shows that significantly fogging can reduce some Ae populations <span class="elsevierStyleItalic">aegypti</span> for up to 20 days&#46; In addition&#44; the same study conducted by Erniwati showed that fogging effectively increases the larva free rate &#40;ABJ&#41;&#44; which is from 64&#46;0&#37; before fogging and increases to 72&#46;0&#37; after fogging&#44; and decreases the larvae density or larvae density The lower index &#40;House Index&#41; is 8&#46;6&#37; or from 36&#46;0&#37; to 28&#46;0&#37;&#46;<a class="elsevierStyleCrossRef" href="#bib0110"><span class="elsevierStyleSup">11</span></a></p></span></span><span id="sec0045" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0075">Conclusion</span><p id="par0085" class="elsevierStylePara elsevierViewall">Our study affirmed that there are risk DHF between using gauze on house ventilation&#44; anti-mosquitoes&#44; habit of hanging clothes&#46; Fogging is quite effective against mosquito density &#40;vector&#41; dengue hemorrhagic fever&#46;</p></span><span id="sec0050" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0080">Conflict of interest</span><p id="par0090" class="elsevierStylePara elsevierViewall">The authors declare no conflict of interest&#46;</p></span></span>"
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        "resumen" => "<span id="abst0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0010">Objective</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">This study aims to analyze the relationship between the use of screen in ventilation&#44; the use of anti-mosquitoes&#44; the habit of hanging clothes and the effectiveness of fogging on the incidence of DHF in the Pontap Community Health Center&#44; Palopo City&#46;</p></span> <span id="abst0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0015">Method</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">The study design was a case&#8211;control study&#46; The study type was quasi-experimental using the non-randomized one group pretest&#8211;posttest with control design&#46; The statistical test used Chi-square and logistic regression test&#46;</p></span> <span id="abst0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0020">Result</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">There was a relationship between the use of anti-mosquito repellent and the incidence of DHF with a <span class="elsevierStyleItalic">p</span>-value<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#46;000&#59; OR<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>7&#46;222&#59; 95&#37; CI&#58; 2&#46;515&#8211;20&#46;736&#46; Habits of hanging clothes with a <span class="elsevierStyleItalic">p</span>-value<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#46;000&#59; OR<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>10&#46;545&#59; 95&#37; CI&#58; 3&#46;399&#8211;32&#46;719&#46;</p></span> <span id="abst0020" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0025">Conclusion</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">The use of screen in home ventilation did not have a significant correlation with the incidence of DHF&#46; While the fogging is still quite effective decreasing the density of the <span class="elsevierStyleItalic">Aedes aegypti</span>&#46;</p></span>"
        "secciones" => array:4 [
          0 => array:2 [
            "identificador" => "abst0005"
            "titulo" => "Objective"
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          1 => array:2 [
            "identificador" => "abst0010"
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          2 => array:2 [
            "identificador" => "abst0015"
            "titulo" => "Result"
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          3 => array:2 [
            "identificador" => "abst0020"
            "titulo" => "Conclusion"
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    "NotaPie" => array:1 [
      0 => array:2 [
        "etiqueta" => "&#9734;"
        "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Peer-review under responsibility of the scientific committee of the 1st International Conference on Nutrition and Public Health &#40;ICNPH 2019&#41;&#46; Full-text and the content of it is under responsibility of authors of the article&#46;</p>"
      ]
    ]
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            "identificador" => "at1"
            "detalle" => "Table "
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            0 => array:2 [
              "tabla" => array:1 [
                0 => """
                  <table border="0" frame="\n
                  \t\t\t\t\tvoid\n
                  \t\t\t\t" class=""><thead title="thead"><tr title="table-row"><th class="td-with-role" title="\n
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                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
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                  \t\t\t\t" scope="col">Variable&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">DHF incidence</th><th class="td" title="\n
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                  \t\t\t\t" scope="col">OR&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t" scope="col">95&#37; CI&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Case</th><th class="td" title="\n
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                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black"><span class="elsevierStyleItalic">N</span>&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">&#37;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">&#37;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th></tr></thead><tbody title="tbody"><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " colspan="8" align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleItalic">Use screen ventilation</span></td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>None&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="char" valign="\n
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                  \t\t\t\t">32&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t  " align="char" valign="\n
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                  \t\t\t\t">91&#46;4&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t  " align="char" valign="\n
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                  \t\t\t\t">27&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t  " align="char" valign="\n
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                  \t\t\t\t">77&#46;1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t  " rowspan="2" align="char" valign="\n
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                  \t\t\t\t">3&#46;160</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " rowspan="2" align="char" valign="\n
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                  \t\t\t\t">0&#46;762&#8211;13&#46;016</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " rowspan="2" align="char" valign="\n
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                  \t\t\t\t">0&#46;189</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Present&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">3&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">8&#46;6&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t  " align="char" valign="\n
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                  \t\t\t\t">8&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
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                  \t\t\t\t">23&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " colspan="8" align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleVsp" style="height:0.5px"></span></td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " colspan="8" align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleItalic">Use anti-mosquito</span></td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>No&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="char" valign="\n
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                  \t\t\t\t">26&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">74&#46;3&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">10&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">28&#46;6&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " rowspan="2" align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">7&#46;222</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " rowspan="2" align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">2&#46;515&#8211;20&#46;736</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " rowspan="2" align="char" valign="\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Yes&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">9&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">25&#46;7&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">25&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">71&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " colspan="8" align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleVsp" style="height:0.5px"></span></td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " colspan="8" align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleItalic">Hanging clothes</span></td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Yes&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
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                  \t\t\t\t">29&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t">82&#46;9&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">11&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">31&#46;4&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " rowspan="2" align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">10&#46;545</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " rowspan="2" align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">3&#46;399&#8211;32&#46;719</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " rowspan="2" align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#46;000</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>No&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">6&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">17&#46;1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">24&nbsp;\t\t\t\t\t\t\n
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      1 => array:8 [
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                  \t\t\t\t">8&#46;496&nbsp;\t\t\t\t\t\t\n
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es en pt

¿Es usted profesional sanitario apto para prescribir o dispensar medicamentos?

Are you a health professional able to prescribe or dispense drugs?

Você é um profissional de saúde habilitado a prescrever ou dispensar medicamentos