{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,12]],"date-time":"2026-10-12T03:44:24Z","timestamp":1791776664859,"version":"4.3.4"},"reference-count":37,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2025,11,11]],"date-time":"2025-11-11T00:00:00Z","timestamp":1762819200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"},{"start":{"date-parts":[[2025,11,11]],"date-time":"2025-11-11T00:00:00Z","timestamp":1762819200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"funder":[{"name":"Shenzhen Science and Technology Program","award":["RKX20200327095612234"],"award-info":[{"award-number":["RKX20200327095612234"]}]},{"name":"Shenzhen Science and Technology Program","award":["RKX20200327095612234"],"award-info":[{"award-number":["RKX20200327095612234"]}]},{"name":"Shenzhen Medical Research Fund","award":["B2404002"],"award-info":[{"award-number":["B2404002"]}]},{"name":"Shenzhen Medical Research Fund","award":["B2404002"],"award-info":[{"award-number":["B2404002"]}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["BMC Infect Dis"],"DOI":"10.1186\/s12879-025-11981-5","type":"journal-article","created":{"date-parts":[[2025,11,11]],"date-time":"2025-11-11T15:24:12Z","timestamp":1762874652000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Analysis and comparison of chickenpox outbreaks in two schools at different educational stages: a mixed retrospective observational study"],"prefix":"10.1186","volume":"25","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9634-2616","authenticated-orcid":false,"given":"Hongxin","family":"Lyu","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Minhua","family":"Chen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Haozheng","family":"Zhou","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zhen","family":"Zhang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yu","family":"Zeng","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-9982-3225","authenticated-orcid":false,"given":"Huawei","family":"Xiong","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2025,11,11]]},"reference":[{"issue":"Suppl 1Suppl 1","key":"11981_CR1","doi-asserted-by":"publisher","first-page":"S27","DOI":"10.1016\/S0163-4453(17)30188-3","volume":"74","author":"AA Gershon","year":"2017","unstructured":"Gershon AA. Is chickenpox so bad, what do we know about immunity to varicella Zoster virus, and what does it tell Us about the future? J Infect. 2017;74(Suppl 1Suppl 1):S27\u201333.","journal-title":"J Infect"},{"issue":"1","key":"11981_CR2","doi-asserted-by":"publisher","first-page":"356","DOI":"10.1186\/s12879-017-2461-2","volume":"17","author":"M Wiese-Posselt","year":"2017","unstructured":"Wiese-Posselt M, Siedler A, Mankertz A, Sauerbrei A, Hengel H, Wichmann O, et al. Varicella-zoster virus Seroprevalence in children and adolescents in the pre-varicella vaccine era, Germany. BMC Infect Dis. 2017;17(1):356.","journal-title":"BMC Infect Dis"},{"issue":"52","key":"11981_CR3","doi-asserted-by":"publisher","first-page":"1161","DOI":"10.46234\/ccdcw2023.218","volume":"5","author":"M Wang","year":"2023","unstructured":"Wang M, Li X, You M, Wang Y, Liu X, Li Z, et al. Epidemiological characteristics of varicella Outbreaks-China, 2006\u20132022. China CDC Wkly. 2023;5(52):1161\u20136. https:\/\/doi.org\/10.46234\/ccdcw2023.218.","journal-title":"China CDC Wkly"},{"issue":"3","key":"11981_CR4","doi-asserted-by":"publisher","first-page":"S0036","DOI":"10.1590\/S0036-46652013000300016","volume":"55","author":"T Li","year":"2013","unstructured":"Li T. Varicella emergency vaccination seemed instrumental in declining chickenpox incident in Guangzhou,Southern China. Rev Inst Med Trop Sao Paulo. 2013;55(3):S0036\u201346652013000300217. https:\/\/doi.org\/10.1590\/S0036-46652013000300016.","journal-title":"Rev Inst Med Trop Sao Paulo"},{"issue":"03","key":"11981_CR5","first-page":"274","volume":"29","author":"M Wang","year":"2023","unstructured":"Wang M, Zeng X, Zhang YP, et al. Epidemiological characteristics of varicella public health emergency events in China. Chin J Vaccines Immun. 2023;29(03):274\u20139. 10.19914. https:\/\/kns.cnki.net\/kcms2\/article\/abstract?v=4wkQyjAcIEc2mk8EpysI1rLCY6b0miCMZo6bCU4PSia8S02nuxkTqbnJv4uGvfam7JrXvPEdxDAEOu1JQ_XQRueUHowvaMfovZPdg05f2mkvm7nnzNktF7pI3-_9epTajPVwinmDB3zlH8VP46mc2D6hsU4B8NZwBUBzH2SuNxI=%26uniplatform=NZKPT.\/j.CJVI.2023046. .","journal-title":"Chin J Vaccines Immun"},{"issue":"8","key":"11981_CR6","doi-asserted-by":"publisher","first-page":"915","DOI":"10.1016\/S1473-3099(16)00133-X","volume":"16","author":"CR Beals","year":"2016","unstructured":"Beals CR, Railkar RA, Schaeffer AK, Levin Y, Kochba E, Meyer BK, et al. Immune response and reactogenicity of intradermal administration versus subcutaneous administration of varicella-zoster virus vaccine: an exploratory, randomised, partly blinded trial. Lancet Infect Dis. 2016;16(8):915\u201322.","journal-title":"Lancet Infect Dis"},{"issue":"2","key":"11981_CR7","doi-asserted-by":"publisher","first-page":"198","DOI":"10.1016\/j.vaccine.2014.07.068","volume":"34","author":"WHO","year":"2016","unstructured":"WHO. Varicella and herpes Zoster vaccines: WHO position paper, June 2014\u2013Recommendations. Vaccine. 2016;34(2):198\u20139. https:\/\/doi.org\/10.1016\/j.vaccine.2014.07.068.","journal-title":"Vaccine"},{"issue":"9","key":"11981_CR8","doi-asserted-by":"publisher","first-page":"e29119","DOI":"10.1002\/jmv.29119","volume":"95","author":"X Sun","year":"2023","unstructured":"Sun X, Wang Y, Zhang L, Liu Y, Xu LX, Chen Q, et al. Explore the optimal timing for administering the second dose of the varicella vaccine in China. J Med Virol. 2023;95(9):e29119.","journal-title":"J Med Virol"},{"key":"11981_CR9","doi-asserted-by":"publisher","first-page":"51","DOI":"10.1016\/j.ijid.2017.10.016","volume":"66","author":"QS Wu","year":"2018","unstructured":"Wu QS, Liu JY, Wang X, Chen YF, Zhou Q, Wu AQ, et al. Effectiveness of varicella vaccine as post-exposure prophylaxis during a varicella outbreak in Shanghai, China. Int J Infect Dis. 2018;66:51\u20135.","journal-title":"Int J Infect Dis"},{"issue":"6","key":"11981_CR10","doi-asserted-by":"publisher","first-page":"e0270630","DOI":"10.1371\/journal.pone.0270630","volume":"17","author":"J Wang","year":"2022","unstructured":"Wang J, Xu Z, Gao Q. Varicella outbreaks in schools and kindergartens in Shanghai, China from 2011 to 2020. PLoS ONE. 2022;17(6):e0270630. https:\/\/doi.org\/10.1371\/journal.pone.0270630.","journal-title":"PLoS ONE"},{"issue":"3","key":"11981_CR11","doi-asserted-by":"publisher","first-page":"203","DOI":"10.7499\/j.issn.1008-8830.2019.03.003","volume":"21","author":"XK Li","year":"2019","unstructured":"Li XK, Gao XL, Li Y, Xu H, Fan CL. Seroepidemiology of varicella among the healthy population aged 1\u201319 years in Harbin, China. Zhongguo Dang Dai Er Ke Za Zhi. 2019;21(3):203\u20137. https:\/\/doi.org\/10.7499\/j.issn.1008-8830.2019.03.003. Chinese.","journal-title":"Zhongguo Dang Dai Er Ke Za Zhi"},{"issue":"3","key":"11981_CR12","doi-asserted-by":"publisher","first-page":"494","DOI":"10.3390\/vaccines11030494","volume":"11","author":"H Chen","year":"2023","unstructured":"Chen H, Liang C, Huang X, Ruan Q, Li Z, Hu X, et al. Vaccination against varicella Zoster virus infection in less developed regions of Guangdong, china: A Cross-Sectional serosurveillance study. Vaccines (Basel). 2023;11(3):494.","journal-title":"Vaccines (Basel)"},{"issue":"3","key":"11981_CR13","doi-asserted-by":"publisher","first-page":"424","DOI":"10.3390\/ijerph22030424","volume":"22","author":"MM Pieters","year":"2025","unstructured":"Pieters MM, Fahsen N, Craig C, McDavid K, Ishida K, Hug C, et al. Changes in hand hygiene Knowledge, Attitudes, and practices among primary school students: insights from a promotion program in Guatemala. Int J Environ Res Public Health. 2025;22(3):424.","journal-title":"Int J Environ Res Public Health"},{"issue":"1","key":"11981_CR14","first-page":"39","volume":"55","author":"H Ma","year":"2006","unstructured":"Ma H, Fontaine R, Centers for Disease Control and Prevention (CDC). Varicella outbreak among primary school students\u2013Beijing, China, 2004. MMWR Suppl. 2006;55(1):39\u201343.","journal-title":"MMWR Suppl"},{"key":"11981_CR15","doi-asserted-by":"publisher","first-page":"e127","DOI":"10.1017\/S0950268820000448","volume":"148","author":"YF Chen","year":"2020","unstructured":"Chen YF, Zhou Q, Liu JY, Gong RJ, Mao SQ, Ye ZJ, et al. Characteristics of within-household varicella transmission events associated with school outbreaks in Shanghai, China, 2009\u20132018. Epidemiol Infect. 2020;148:e127.","journal-title":"Epidemiol Infect"},{"key":"11981_CR16","doi-asserted-by":"publisher","first-page":"e56","DOI":"10.1017\/S0950268819002188","volume":"148","author":"WT Zha","year":"2020","unstructured":"Zha WT, Pang FR, Zhou N, Wu B, Liu Y, Du YB, et al. Research about the optimal strategies for prevention and control of varicella outbreak in a school in a central City of china: based on an SEIR dynamic model. Epidemiol Infect. 2020;148:e56.","journal-title":"Epidemiol Infect"},{"issue":"34","key":"11981_CR17","doi-asserted-by":"publisher","first-page":"4368","DOI":"10.1016\/j.vaccine.2017.06.065","volume":"35","author":"L Suo","year":"2017","unstructured":"Suo L, Lu L, Wang Q, Yang F, Wang X, Pang X, et al. Varicella outbreak in a highly-vaccinated school population in Beijing, China during the voluntary two-dose era. Vaccine. 2017;35(34):4368\u201373.","journal-title":"Vaccine"},{"issue":"4","key":"11981_CR18","doi-asserted-by":"publisher","first-page":"e2021156","DOI":"10.1590\/s1679-49742021000400011","volume":"30","author":"SMC Andrade","year":"2021","unstructured":"Andrade SMC, Haslett MIC, Malta JMAS, Renoiner EIM, Lucena ARF, Fantinato FFS, et al. Chickenpox outbreak among Venezuelan immigrants housed in shelters and occupancies in the state of Roraima, Brazil, 2019: a descriptive study. Surto de varicela entre imigrantes Venezuelanos Alojados Em abrigos e ocupa\u00e7\u00f5es no Estado de Roraima, 2019: Um Estudo descritivo. Epidemiol Serv Saude. 2021;30(4):e2021156.","journal-title":"Epidemiol Serv Saude"},{"issue":"3","key":"11981_CR19","doi-asserted-by":"publisher","first-page":"506","DOI":"10.1080\/21645515.2019.1665959","volume":"16","author":"Y Wang","year":"2020","unstructured":"Wang Y, Zhang L, Sun X, Cao Y, Wang Z, Liu L, et al. Effectiveness and failure rate of the varicella vaccine in an outbreak in Jiangsu, china: a 1:2 matched case-control study. Hum Vaccin Immunother. 2020;16(3):506\u201312.","journal-title":"Hum Vaccin Immunother"},{"key":"11981_CR20","first-page":"44","volume-title":"Varicella-Zoster-Virus-Infektionen: Aktuelle prophylaxe und therapie","author":"A Sauerbrei","year":"2004","unstructured":"Sauerbrei A, Wutzler P. Varicella-Zoster-Virus-Infektionen: Aktuelle prophylaxe und therapie. 1st ed. Bremen: Uni-Med; 2004. pp. 44\u201353.","edition":"1"},{"issue":"Suppl 4","key":"11981_CR21","doi-asserted-by":"publisher","first-page":"S380","DOI":"10.1093\/infdis\/jiac390","volume":"226","author":"K Dooling","year":"2022","unstructured":"Dooling K, Marin M, Gershon AA. Clinical manifestations of varicella: disease is largely Forgotten, but it\u2019s not gone. J Infect Dis. 2022;226(Suppl 4):S380\u20134.","journal-title":"J Infect Dis"},{"issue":"4 Suppl 1","key":"11981_CR22","first-page":"119","volume":"39","author":"L Pieri","year":"2015","unstructured":"Pieri L, Porchia BR, Pieralli F, Varone O, Niccolai G, Roselli A, et al. Assessment of the effectiveness of the universal varicella vaccination program in Toscana (Italy), in the period 2010\u20132013. Epidemiol Prev. 2015;39(4 Suppl 1):119\u201323.","journal-title":"Epidemiol Prev"},{"issue":"8","key":"11981_CR23","doi-asserted-by":"publisher","first-page":"1851","DOI":"10.1080\/21645515.2019.1704574","volume":"16","author":"W Qin","year":"2020","unstructured":"Qin W, Xu XK, Wang Y, Meng XM, Yang CW, Xia F, et al. Clinical characteristics and risk factors associated with breakthrough varicella during varicella outbreaks. Hum Vaccin Immunother. 2020;16(8):1851\u20136.","journal-title":"Hum Vaccin Immunother"},{"issue":"5","key":"11981_CR24","doi-asserted-by":"publisher","first-page":"e0177514","DOI":"10.1371\/journal.pone.0177514","volume":"12","author":"X Tang","year":"2017","unstructured":"Tang X, Zhao S, Chiu APY, Ma H, Xie X, Mei S, et al. Modelling the transmission and control strategies of varicella among school children in Shenzhen, China. PLoS ONE. 2017;12(5):e0177514.","journal-title":"PLoS ONE"},{"issue":"1","key":"11981_CR25","doi-asserted-by":"publisher","first-page":"211","DOI":"10.1080\/21645515.2020.1769395","volume":"17","author":"Y Xu","year":"2021","unstructured":"Xu Y, Liu Y, Zhang X, Zhang X, Du J, Cai Y, Wang J, Che X, Gu W, Jiang W, Chen J. Epidemiology of varicella and effectiveness of varicella vaccine in Hangzhou, China, 2019. Hum Vaccin Immunother. 2021;17(1):211\u20136.","journal-title":"Hum Vaccin Immunother"},{"issue":"2","key":"11981_CR26","doi-asserted-by":"publisher","first-page":"358","DOI":"10.1080\/21645515.2020.1784653","volume":"17","author":"QH Meng","year":"2021","unstructured":"Meng QH, Cheng XP, Liu DD, Chen CH, Yao KH. One single-center cross-sectional investigation on varicella antibody level of all age groups in Chinese people. Hum Vaccin Immunother. 2021;17(2):358\u201362.","journal-title":"Hum Vaccin Immunother"},{"issue":"12","key":"11981_CR27","doi-asserted-by":"publisher","first-page":"5311","DOI":"10.1080\/21645515.2021.1982281","volume":"17","author":"P Hu","year":"2021","unstructured":"Hu P, Yang F, Li X, Wang Y, Xiao T, Li H, Wang W, Guan J, Li S. Effectiveness of one-dose versus two-dose varicella vaccine in children in Qingdao, china: a matched case-control study. Hum Vaccin Immunother. 2021;17(12):5311\u20135.","journal-title":"Hum Vaccin Immunother"},{"issue":"3","key":"11981_CR28","doi-asserted-by":"publisher","first-page":"686","DOI":"10.1016\/j.vaccine.2009.10.086","volume":"28","author":"M Spackova","year":"2010","unstructured":"Spackova M, Wiese-Posselt M, Dehnert M, Matysiak-Klose D, Heininger U, Siedler A. Comparative varicella vaccine effectiveness during outbreaks in day-care centres [published correction appears in Vaccine. 2010;28(21):3754]. Vaccine. 2010;28(3):686\u201391.","journal-title":"Vaccine"},{"issue":"2","key":"11981_CR29","doi-asserted-by":"publisher","first-page":"366","DOI":"10.3201\/eid2402.170659","volume":"24","author":"J Meyers","year":"2018","unstructured":"Meyers J, Logaraj M, Ramraj B, Narasimhan P, MacIntyre CR. Epidemic varicella Zoster virus among university Students, India. Emerg Infect Dis. 2018;24(2):366\u20139.","journal-title":"Emerg Infect Dis"},{"issue":"3","key":"11981_CR30","doi-asserted-by":"publisher","first-page":"220","DOI":"10.1016\/j.mjafi.2014.03.006","volume":"70","author":"VK Bhatti","year":"2014","unstructured":"Bhatti VK, Budhathoki L, Kumar M, Singh G, Nath A, Nair GV. Use of immunization as strategy for outbreak control of varicella Zoster in an institutional setting. Med J Armed Forces India. 2014;70(3):220\u20134.","journal-title":"Med J Armed Forces India"},{"issue":"1","key":"11981_CR31","doi-asserted-by":"publisher","first-page":"563","DOI":"10.1186\/s12879-018-3496-8","volume":"18","author":"L Zhang","year":"2018","unstructured":"Zhang L, Ma W, Liu Y, Wang Y, Sun X, Hu Y, et al. Analysis of sero-epidemiological characteristics of varicella in healthy children in Jiangsu Province, China. BMC Infect Dis. 2018;18(1):563.","journal-title":"BMC Infect Dis"},{"issue":"4","key":"11981_CR32","doi-asserted-by":"publisher","first-page":"476","DOI":"10.1017\/S0950268818000201","volume":"146","author":"SR Vaidya","year":"2018","unstructured":"Vaidya SR, Tilavat SM, Kumbhar NS, Kamble MB. Chickenpox outbreak in a tribal and industrial zone from the union territory of Dadra and Nagar Haveli, India. Epidemiol Infect. 2018;146(4):476\u201380.","journal-title":"Epidemiol Infect"},{"issue":"1","key":"11981_CR33","doi-asserted-by":"publisher","first-page":"3","DOI":"10.1017\/S1049023X23006702","volume":"39","author":"SE Scales","year":"2024","unstructured":"Scales SE, Park JW, Nixon R, Guha-Sapir D, Horney JA. Chickenpox outbreaks in three refugee camps on Mainland Greece, 2016\u20132017: A retrospective study. Prehosp Disaster Med. 2024;39(1):3\u201312.","journal-title":"Prehosp Disaster Med"},{"issue":"10","key":"11981_CR34","doi-asserted-by":"publisher","first-page":"2464","DOI":"10.1080\/21645515.2018.1477909","volume":"14","author":"Y Xu","year":"2018","unstructured":"Xu Y, Liu S, Che X, Liu Y, Zhang X, Du J, Zhang X, Wang J, Xu E. Seroepidemiology of varicella in Hangzhou, China in the vaccine era. Hum Vaccin Immunother. 2018;14(10):2464\u201371.","journal-title":"Hum Vaccin Immunother"},{"issue":"1","key":"11981_CR35","doi-asserted-by":"publisher","first-page":"1161","DOI":"10.1186\/s12889-023-16000-3","volume":"23","author":"X Wang","year":"2023","unstructured":"Wang X, Liu J, Wu Y, Su B, Chen M, Ma Q, et al. Enhancing the effectiveness of infectious disease health education for children and adolescents in china: a National multicenter school-based trial. BMC Public Health. 2023;23(1):1161.","journal-title":"BMC Public Health"},{"issue":"2","key":"11981_CR36","doi-asserted-by":"publisher","first-page":"122","DOI":"10.1093\/jpids\/piy010","volume":"8","author":"AS Lopez","year":"2019","unstructured":"Lopez AS, LaClair B, Buttery V, Zhang Y, Rosen J, Taggert E, et al. Varicella outbreak surveillance in schools in Sentinel Jurisdictions, 2012\u20132015. J Pediatr Infect Dis Soc. 2019;8(2):122\u20137.","journal-title":"J Pediatr Infect Dis Soc"},{"issue":"11","key":"11981_CR37","doi-asserted-by":"publisher","first-page":"1164","DOI":"10.1097\/INF.0000000000000444","volume":"33","author":"CA Thomas","year":"2014","unstructured":"Thomas CA, Shwe T, Bixler D, del Rosario M, Grytdal S, Wang C, et al. Two-dose varicella vaccine effectiveness and rash severity in outbreaks of varicella among public school students. Pediatr Infect Dis J. 2014;33(11):1164\u20138.","journal-title":"Pediatr Infect Dis J"}],"container-title":["BMC Infectious Diseases"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s12879-025-11981-5.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1186\/s12879-025-11981-5\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s12879-025-11981-5.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,11,11]],"date-time":"2025-11-11T15:24:16Z","timestamp":1762874656000},"score":1,"resource":{"primary":{"URL":"https:\/\/bmcinfectdis.biomedcentral.com\/articles\/10.1186\/s12879-025-11981-5"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,11,11]]},"references-count":37,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2025,12]]}},"alternative-id":["11981"],"URL":"https:\/\/doi.org\/10.1186\/s12879-025-11981-5","relation":{},"ISSN":["1471-2334"],"issn-type":[{"value":"1471-2334","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,11,11]]},"assertion":[{"value":"20 August 2024","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"15 October 2025","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"11 November 2025","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"All methods were carried out in accordance with relevant guidelines and regulations. This project was approved by the Ethics Committee of Longhua District Center for Disease Control and Prevention, file number: 20240801, and informed consent has been obtained from the participants.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethical approval and consent to participate"}},{"value":"Acquired through author inquiry.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare no competing interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"1543"}}