{"id":"https://openalex.org/W2127239452","doi":"https://doi.org/10.1080/02681219780001361","title":"Coccidioidomycosis in Tulare County, California, 1991: reemergence of an endemic disease","display_name":"Coccidioidomycosis in Tulare County, California, 1991: reemergence of an endemic disease","publication_year":1997,"publication_date":"1997-01-01","ids":{"openalex":"https://openalex.org/W2127239452","doi":"https://doi.org/10.1080/02681219780001361","mag":"2127239452","pmid":"https://pubmed.ncbi.nlm.nih.gov/9402524"},"language":"en","primary_location":{"id":"doi:10.1080/02681219780001361","doi":"https://doi.org/10.1080/02681219780001361","is_oa":false,"landing_page_url":"https://doi.org/10.1080/02681219780001361","pdf_url":null,"source":{"id":"https://openalex.org/S93288122","display_name":"Medical Mycology","issn_l":"0268-1218","issn":["0268-1218","1365-280X","1369-3786","1460-2709"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-c","doyens","jufo-1","ki-jl-1","medline","norway-1","poland-70","russia-white-list-1"],"host_organization":"https://openalex.org/P4310311648","host_organization_name":"Oxford University Press","host_organization_lineage":["https://openalex.org/P4310311648","https://openalex.org/P4310311647"],"host_organization_lineage_names":["Oxford University Press","University of Oxford"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Medical Mycology","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","pubmed"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5044358742","display_name":"Elias Durry","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I1289490764","display_name":"Centers for Disease Control and Prevention","ror":"https://ror.org/042twtr12","country_code":"US","type":"government","lineage":["https://openalex.org/I1289490764","https://openalex.org/I1299022934"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"E. Durry","raw_affiliation_strings":["Division of Bacterial and Mycotic Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia 30333, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Division of Bacterial and Mycotic Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia 30333, USA","institution_ids":["https://openalex.org/I1289490764"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5109838020","display_name":"D. Pappagianis","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"D. Pappagianis","raw_affiliation_strings":["\u00a7Tulare County Health Department , Tulare , CA 93274 , USA","Medical Microbiology and Immunology"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"\u00a7Tulare County Health Department , Tulare , CA 93274 , USA","institution_ids":[]},{"raw_affiliation_string":"Medical Microbiology and Immunology","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5112162711","display_name":"S. Benson Werner","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I2801224436","display_name":"California Department of Health Care Services","ror":"https://ror.org/02q70n095","country_code":"US","type":"government","lineage":["https://openalex.org/I1291847170","https://openalex.org/I2801224436","https://openalex.org/I4389425283"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"S.B. Werner","raw_affiliation_strings":["State Department of Health Services , Sacramento , CA 95814 ; and","California Department of Health Care Services"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"State Department of Health Services , Sacramento , CA 95814 ; and","institution_ids":["https://openalex.org/I2801224436"]},{"raw_affiliation_string":"California Department of Health Care Services","institution_ids":["https://openalex.org/I2801224436"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5108092913","display_name":"Lori Hutwagner","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I1289490764","display_name":"Centers for Disease Control and Prevention","ror":"https://ror.org/042twtr12","country_code":"US","type":"government","lineage":["https://openalex.org/I1289490764","https://openalex.org/I1299022934"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"L. Hutwagner","raw_affiliation_strings":["Centers for Disease Control & Prevention"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Centers for Disease Control & Prevention","institution_ids":["https://openalex.org/I1289490764"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5031725702","display_name":"Ruixuan Sun","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I2801224436","display_name":"California Department of Health Care Services","ror":"https://ror.org/02q70n095","country_code":"US","type":"government","lineage":["https://openalex.org/I1291847170","https://openalex.org/I2801224436","https://openalex.org/I4389425283"]},{"id":"https://openalex.org/I84218800","display_name":"University of California, Davis","ror":"https://ror.org/05rrcem69","country_code":"US","type":"education","lineage":["https://openalex.org/I84218800"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"R.K. Sun","raw_affiliation_strings":["tDepartment of Medical Microbiology and Immunology , University of California , Davis , CA 95616 ; ~","California Department of Health Care Services"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"tDepartment of Medical Microbiology and Immunology , University of California , Davis , CA 95616 ; ~","institution_ids":["https://openalex.org/I84218800"]},{"raw_affiliation_string":"California Department of Health Care Services","institution_ids":["https://openalex.org/I2801224436"]}]},{"author_position":"middle","author":{"id":null,"display_name":"M. Maurer","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"M. Maurer","raw_affiliation_strings":["Tulare County Health Department"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Tulare County Health Department","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5053815857","display_name":"Michael M. McNeil","orcid":"https://orcid.org/0000-0003-0713-8312","observed_orcids":["https://orcid.org/0000-0003-0713-8312"]},"institutions":[{"id":"https://openalex.org/I1289490764","display_name":"Centers for Disease Control and Prevention","ror":"https://ror.org/042twtr12","country_code":"US","type":"government","lineage":["https://openalex.org/I1289490764","https://openalex.org/I1299022934"]},{"id":"https://openalex.org/I4210160401","display_name":"National Center for Infectious Diseases","ror":"https://ror.org/04vmke174","country_code":"US","type":"facility","lineage":["https://openalex.org/I1289490764","https://openalex.org/I1299022934","https://openalex.org/I4210109567","https://openalex.org/I4210121439","https://openalex.org/I4210160401"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"M.M. McNeil","raw_affiliation_strings":["Division of Bacterial and Mycotic Diseases , National Center for Infectious Diseases , Centers for Disease Control and Prevention , Atlanta , Georgia 30333 ;","Centers for Disease Control & Prevention"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Division of Bacterial and Mycotic Diseases , National Center for Infectious Diseases , Centers for Disease Control and Prevention , Atlanta , Georgia 30333 ;","institution_ids":["https://openalex.org/I1289490764","https://openalex.org/I4210160401"]},{"raw_affiliation_string":"Centers for Disease Control & Prevention","institution_ids":["https://openalex.org/I1289490764"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5076346678","display_name":"Robert W. Pinner","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I1289490764","display_name":"Centers for Disease Control and Prevention","ror":"https://ror.org/042twtr12","country_code":"US","type":"government","lineage":["https://openalex.org/I1289490764","https://openalex.org/I1299022934"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"R.W. Pinner","raw_affiliation_strings":["Centers for Disease Control & Prevention"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Centers for Disease Control & Prevention","institution_ids":["https://openalex.org/I1289490764"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":4,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":{"value":4889,"currency":"USD","value_usd":4889},"apc_paid":null,"fwci":0.8498,"has_fulltext":true,"cited_by_count":32,"citation_normalized_percentile":{"value":0.76270057,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":88,"max":97},"biblio":{"volume":"35","issue":"5","first_page":"321","last_page":"326"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11037","display_name":"Fungal Infections and Studies","score":1.0,"subfield":{"id":"https://openalex.org/subfields/2725","display_name":"Infectious Diseases"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T11037","display_name":"Fungal Infections and Studies","score":1.0,"subfield":{"id":"https://openalex.org/subfields/2725","display_name":"Infectious Diseases"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12317","display_name":"Actinomycetales infections and treatment","score":0.0,"subfield":{"id":"https://openalex.org/subfields/2726","display_name":"Microbiology (medical)"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11571","display_name":"Sarcoidosis and Beryllium Toxicity Research","score":0.0,"subfield":{"id":"https://openalex.org/subfields/2740","display_name":"Pulmonary and Respiratory Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/coccidioidomycosis","display_name":"coccidioidomycosis","score":1.0},{"id":"https://openalex.org/keywords/disease-resurgence","display_name":"disease resurgence","score":0.7940000295639038},{"id":"https://openalex.org/keywords/endemic-fungal-disease","display_name":"endemic fungal disease","score":0.6589999794960022},{"id":"https://openalex.org/keywords/risk-factors-for-severe-disease","display_name":"risk factors for severe disease","score":0.7329999804496765},{"id":"https://openalex.org/keywords/hospitalization","display_name":"hospitalization","score":0.921999990940094},{"id":"https://openalex.org/keywords/attack-rate","display_name":"attack rate","score":0.6800000071525574},{"id":"https://openalex.org/keywords/seasonal-rainfall","display_name":"seasonal rainfall","score":0.5590000152587891},{"id":"https://openalex.org/keywords/tulare-county-california","display_name":"Tulare County","score":0.5740000009536743}],"concepts":[{"id":"https://openalex.org/C116675565","wikidata":"https://www.wikidata.org/wiki/Q3241045","display_name":"Outbreak","level":2,"score":0.8164995908737183},{"id":"https://openalex.org/C107130276","wikidata":"https://www.wikidata.org/wiki/Q133805","display_name":"Epidemiology","level":2,"score":0.6333203315734863},{"id":"https://openalex.org/C149923435","wikidata":"https://www.wikidata.org/wiki/Q37732","display_name":"Demography","level":1,"score":0.6326436996459961},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.5884413719177246},{"id":"https://openalex.org/C45189115","wikidata":"https://www.wikidata.org/wiki/Q502159","display_name":"Serology","level":3,"score":0.5152628421783447},{"id":"https://openalex.org/C61511704","wikidata":"https://www.wikidata.org/wiki/Q1671857","display_name":"Incidence (geometry)","level":2,"score":0.5112252235412598},{"id":"https://openalex.org/C44249647","wikidata":"https://www.wikidata.org/wiki/Q208498","display_name":"Confidence interval","level":2,"score":0.506138026714325},{"id":"https://openalex.org/C82789193","wikidata":"https://www.wikidata.org/wiki/Q2142611","display_name":"Relative risk","level":3,"score":0.48792120814323425},{"id":"https://openalex.org/C2987315675","wikidata":"https://www.wikidata.org/wiki/Q1773974","display_name":"Disease control","level":2,"score":0.4678645133972168},{"id":"https://openalex.org/C2779134260","wikidata":"https://www.wikidata.org/wiki/Q12136","display_name":"Disease","level":2,"score":0.46549662947654724},{"id":"https://openalex.org/C37701844","wikidata":"https://www.wikidata.org/wiki/Q3955915","display_name":"Attack rate","level":3,"score":0.4507083296775818},{"id":"https://openalex.org/C99454951","wikidata":"https://www.wikidata.org/wiki/Q932068","display_name":"Environmental health","level":1,"score":0.34176355600357056},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.16408538818359375},{"id":"https://openalex.org/C159047783","wikidata":"https://www.wikidata.org/wiki/Q7215","display_name":"Virology","level":1,"score":0.12612906098365784},{"id":"https://openalex.org/C203014093","wikidata":"https://www.wikidata.org/wiki/Q101929","display_name":"Immunology","level":1,"score":0.12086641788482666},{"id":"https://openalex.org/C159654299","wikidata":"https://www.wikidata.org/wiki/Q79460","display_name":"Antibody","level":2,"score":0.0},{"id":"https://openalex.org/C144024400","wikidata":"https://www.wikidata.org/wiki/Q21201","display_name":"Sociology","level":0,"score":0.0},{"id":"https://openalex.org/C121332964","wikidata":"https://www.wikidata.org/wiki/Q413","display_name":"Physics","level":0,"score":0.0},{"id":"https://openalex.org/C120665830","wikidata":"https://www.wikidata.org/wiki/Q14620","display_name":"Optics","level":1,"score":0.0}],"mesh":[{"descriptor_ui":"D000328","descriptor_name":"Adult","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000367","descriptor_name":"Age Factors","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000704","descriptor_name":"Analysis of Variance","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D002140","descriptor_name":"California","qualifier_ui":"Q000453","qualifier_name":"epidemiology","is_major_topic":false},{"descriptor_ui":"D002980","descriptor_name":"Climate","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D003047","descriptor_name":"Coccidioidomycosis","qualifier_ui":"Q000453","qualifier_name":"epidemiology","is_major_topic":true},{"descriptor_ui":"D003047","descriptor_name":"Coccidioidomycosis","qualifier_ui":"Q000503","qualifier_name":"physiopathology","is_major_topic":false},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D005843","descriptor_name":"Geography","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008297","descriptor_name":"Male","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D012307","descriptor_name":"Risk Factors","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D012621","descriptor_name":"Seasons","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D012737","descriptor_name":"Sex Factors","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D015994","descriptor_name":"Incidence","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D015999","descriptor_name":"Multivariate Analysis","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D016001","descriptor_name":"Confidence Intervals","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D044469","descriptor_name":"Racial Groups","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false}],"locations_count":2,"locations":[{"id":"doi:10.1080/02681219780001361","doi":"https://doi.org/10.1080/02681219780001361","is_oa":false,"landing_page_url":"https://doi.org/10.1080/02681219780001361","pdf_url":null,"source":{"id":"https://openalex.org/S93288122","display_name":"Medical Mycology","issn_l":"0268-1218","issn":["0268-1218","1365-280X","1369-3786","1460-2709"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-c","doyens","jufo-1","ki-jl-1","medline","norway-1","poland-70","russia-white-list-1"],"host_organization":"https://openalex.org/P4310311648","host_organization_name":"Oxford University Press","host_organization_lineage":["https://openalex.org/P4310311648","https://openalex.org/P4310311647"],"host_organization_lineage_names":["Oxford University Press","University of Oxford"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Medical Mycology","raw_type":"journal-article"},{"id":"pmid:9402524","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/9402524","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of medical and veterinary mycology : bi-monthly publication of the International Society for Human and Animal Mycology","raw_type":"Journal Article"}],"best_oa_location":null,"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being","score":0.9940000176429749}],"study_designs":[{"id":"https://openalex.org/study-designs/observational-study","display_name":"Observational Study"}],"awards":[],"funders":[{"id":"https://openalex.org/F4320306085","display_name":"U.S. Department of Health and Human Services","ror":"https://ror.org/033jnv181"},{"id":"https://openalex.org/F4320308027","display_name":"Department of Water Resources","ror":"https://ror.org/0115n5160"},{"id":"https://openalex.org/F4320332564","display_name":"University of California, Davis","ror":"https://ror.org/05rrcem69"}],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":20,"referenced_works":["https://openalex.org/W123743791","https://openalex.org/W598945730","https://openalex.org/W1486246338","https://openalex.org/W1532765045","https://openalex.org/W1561533389","https://openalex.org/W1630223805","https://openalex.org/W1964878264","https://openalex.org/W2020913643","https://openalex.org/W2062615096","https://openalex.org/W2121842229","https://openalex.org/W2163045217","https://openalex.org/W2226158074","https://openalex.org/W2315719816","https://openalex.org/W2322377404","https://openalex.org/W2327408069","https://openalex.org/W2340725201","https://openalex.org/W2406162330","https://openalex.org/W2436250550","https://openalex.org/W2510687603","https://openalex.org/W2613550240"],"related_works":["https://openalex.org/W7100748212","https://openalex.org/W7095813941","https://openalex.org/W2137013569","https://openalex.org/W2030919569","https://openalex.org/W7100355201","https://openalex.org/W3105402737","https://openalex.org/W2409974189","https://openalex.org/W2000585364","https://openalex.org/W2004762719","https://openalex.org/W2113957977"],"abstract_inverted_index":{"In":[0],"1991,":[1],"1208":[2],"cases":[3,102],"of":[4,12,20,35,67,103,181,185,215,228],"coccidioidomycosis":[5,78,105,182,217],"were":[6,85,90,129,164],"reported":[7],"to":[8,31,92],"the":[9,33,36,47,60,65,73,122,226],"California":[10,193],"Department":[11],"Health":[13,76],"Services,":[14],"compared":[15,82],"with":[16,87,171],"an":[17,205],"annual":[18],"average":[19],"450":[21],"during":[22,194,213],"1986-90.":[23],"We":[24,81,99],"conducted":[25],"a":[26,186,229],"study":[27],"in":[28,173,192],"Tulare":[29,74,119,178],"County":[30,75,120,179],"define":[32],"epidemiology":[34],"disease":[37],"and":[38,72,110,144,152,167,196],"identify":[39,54],"risk":[40,94,134],"factors":[41,95],"for":[42,96],"severe":[43,97],"disease,":[44],"focusing":[45],"on":[46],"epidemic":[48],"period":[49],"September":[50,109],"1991-December":[51],"1991.":[52],"To":[53],"cases,":[55],"we":[56],"used":[57],"data":[58],"from":[59],"Coccidioidomycosis":[61],"Serology":[62],"Laboratory":[63],"at":[64],"University":[66],"California,":[68],"Davis,":[69],"other":[70],"laboratories,":[71],"Department's":[77],"reporting":[79],"system.":[80],"patients":[83],"who":[84,89],"hospitalized":[86],"those":[88],"not":[91],"determine":[93],"disease.":[98],"identified":[100],"128":[101],"acute":[104],"diagnosed":[106],"between":[107],"1":[108],"31":[111],"December":[112],"1991":[113,177,195],"(attack":[114],"rate":[115],"41/100,000);":[116],"south":[117],"central":[118],"had":[121],"highest":[123],"attack":[124],"rate.":[125],"Thirty-five":[126],"(27%)":[127],"case-patients":[128],"hospitalized.":[130],"Male":[131],"sex":[132],"(relative":[133],"(RR)":[135],"2.5,":[136],"95%":[137,149,161],"confidence":[138],"interval":[139],"(CI)":[140],"1.2-5.0),":[141],"black":[142],"people":[143],"Asian":[145],"races":[146],"(RR":[147,159],"4.8,":[148],"CI":[150,162],"2.4-9.6),":[151],"age":[153],">":[154],"or":[155],"=":[156],"20":[157],"years":[158],"8.3,":[160],"1.2-57.4)":[163],"univariately":[165],"significant":[166],"remained":[168],"independently":[169],"associated":[170],"hospitalization":[172],"multivariate":[174],"analysis.":[175],"The":[176,200],"outbreak":[180,189,201],"was":[183,202],"part":[184],"much":[187],"larger":[188],"that":[190],"began":[191],"continued":[197],"through":[198],"1993.":[199],"preceded":[203],"by":[204],"unusually":[206],"rainy":[207],"spring.":[208],"Although":[209],"dust":[210],"reduction":[211],"measures":[212],"times":[214],"increased":[216],"incidence":[218],"can":[219],"help":[220],"reduce":[221],"exposure,":[222],"definitive":[223],"control":[224],"awaits":[225],"development":[227],"safe,":[230],"effective":[231],"vaccine.":[232]},"counts_by_year":[{"year":2024,"cited_by_count":1},{"year":2023,"cited_by_count":1},{"year":2022,"cited_by_count":2},{"year":2019,"cited_by_count":3},{"year":2018,"cited_by_count":1},{"year":2017,"cited_by_count":3},{"year":2014,"cited_by_count":2},{"year":2013,"cited_by_count":1},{"year":2012,"cited_by_count":1}],"updated_date":"2026-11-07T11:25:07.637180","created_date":"2016-06-24T00:00:00"}
