{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T01:25:20Z","timestamp":1792027520526,"version":"4.4.0"},"reference-count":60,"publisher":"Public Library of Science (PLoS)","issue":"4","license":[{"start":{"date-parts":[[2023,4,13]],"date-time":"2023-04-13T00:00:00Z","timestamp":1681344000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["www.plosone.org"],"crossmark-restriction":false},"short-container-title":["PLoS ONE"],"abstract":"<jats:sec id=\"sec001\"><jats:title>Background<\/jats:title><jats:p>Toxoplasmosis, having the significant consequences affecting mortality and quality of life, is still prevalent in various places throughout the world. The major gap in surveillance for<jats:italic>Toxoplasma gondii<\/jats:italic>infection among high-risk population, slaughterhouse workers, is an obstacle for the effective policies formulation to reduce the burden of toxoplasmosis in Myanmar. Therefore, this study aimed to assess the seroprevalence of toxoplasmosis and associated factors of seropositivity among slaughterhouse workers in Yangon Region, Myanmar.<\/jats:p><\/jats:sec><jats:sec id=\"sec002\"><jats:title>Methods<\/jats:title><jats:p>A cross-sectional study that was conducted from June to November 2020 included 139 slaughterhouse workers involving at five main slaughterhouses under Yangon City Development Committee, Myanmar. The presence of IgG and IgM anti-<jats:italic>T<\/jats:italic>.<jats:italic>gondii<\/jats:italic>antibodies in serum was detected using the<jats:italic>OnSite<\/jats:italic>Toxo IgG\/IgM Combo Rapid Test. A face-to-face interview was also performed using pretested structured questionnaires to obtain the detail histories: sociodemographic characteristics, level of knowledge, occupational factors, and environmental factors related to<jats:italic>T<\/jats:italic>.<jats:italic>gondii<\/jats:italic>infection. Bivariate logistic regression was used to determine the factors associated with<jats:italic>T<\/jats:italic>.<jats:italic>gondii<\/jats:italic>infection.<\/jats:p><\/jats:sec><jats:sec id=\"sec003\"><jats:title>Results<\/jats:title><jats:p>Of all participants, the overall seroprevalence of anti-<jats:italic>T<\/jats:italic>.<jats:italic>gondii<\/jats:italic>was 43.9% (95% CI: 35.5\u201352.5%), of whom 98.4% (95% CI: 91.2\u2013100.0%) were reactive only for IgG antibody and 1.6% (95% CI: 0.0\u20138.8%) were reactive for IgG and IgM antibodies. The significant factors associated with the seropositivity of<jats:italic>T<\/jats:italic>.<jats:italic>gondii<\/jats:italic>antibodies were blood transfusion history (OR: 5.74, 95% CI: 1.17\u201328.09), low level of knowledge (OR: 2.91, 95% CI: 1.46\u20135.83), contact with animal organs, muscles or blood (OR: 14.29, 95% CI: 1.83\u2013111.51), and animals most frequently slaughtered (cattle) (OR: 3.22, 95% CI: 1.16\u20138.93).<\/jats:p><\/jats:sec><jats:sec id=\"sec004\"><jats:title>Conclusions<\/jats:title><jats:p>A high seroprevalence of toxoplasmosis was detected among slaughterhouse workers in Yangon Region and it raises a significant public health concern. Therefore, providing health education regarding toxoplasmosis, enforcement of personal hygiene practices in workplaces, the establishment of training for occupational hygiene, and commencement of the risk assessment and serological screening for toxoplasmosis are crucial to curtail the prevalence of<jats:italic>T<\/jats:italic>.<jats:italic>gondii<\/jats:italic>infection among slaughterhouse workers.<\/jats:p><\/jats:sec>","DOI":"10.1371\/journal.pone.0284352","type":"journal-article","created":{"date-parts":[[2023,4,13]],"date-time":"2023-04-13T17:55:44Z","timestamp":1681408544000},"page":"e0284352","update-policy":"https:\/\/doi.org\/10.1371\/journal.pone.corrections_policy","source":"Crossref","is-referenced-by-count":10,"title":["Seroprevalence and associated risk factors of Toxoplasma gondii infection among slaughterhouse workers in Yangon Region, Myanmar: A cross-sectional study"],"prefix":"10.1371","volume":"18","author":[{"given":"Nay Hein","family":"Sint","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9706-9834","authenticated-orcid":true,"given":"Ye Minn","family":"Htun","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tun Tun","family":"Win","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aye Sandar","family":"Mon","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thant Zaw","family":"Lwin","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lwin Oo","family":"Maung","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pyae Sone","family":"Win","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kaung Myat","family":"Naing","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thet Paing","family":"Zaw","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pyae Hpone","family":"Naing","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2520-511X","authenticated-orcid":true,"given":"Sai Nyan Lin","family":"Tun","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aung Aye","family":"Kyaw","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kyaw","family":"Wunna","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Khine Khine","family":"Su","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kyaw Myo","family":"Tun","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"340","published-online":{"date-parts":[[2023,4,13]]},"reference":[{"issue":"3","key":"pone.0284352.ref001","doi-asserted-by":"crossref","first-page":"981","DOI":"10.20506\/rst.36.3.2730","article-title":"Seroprevalence of Toxoplasma gondii in South Asian countries","volume":"36","author":"MU Khan","year":"2017","journal-title":"Rev Sci Techn"},{"key":"pone.0284352.ref002","doi-asserted-by":"crossref","first-page":"696","DOI":"10.1186\/1756-0500-7-696","article-title":"Seroprevalence and risk factors of Toxoplasma gondii infection in sheep and goats slaughtered for human consumption in Central Ethiopia","volume":"7","author":"EZ Gebremedhin","year":"2014","journal-title":"BMC Res Notes"},{"issue":"7","key":"pone.0284352.ref003","doi-asserted-by":"crossref","first-page":"501","DOI":"10.2471\/BLT.12.111732","article-title":"The global burden of congenital toxoplasmosis: a systematic review","volume":"91","author":"PR Torgerson","year":"2013","journal-title":"Bull World Health Organ"},{"issue":"3","key":"pone.0284352.ref004","doi-asserted-by":"crossref","first-page":"e90203","DOI":"10.1371\/journal.pone.0090203","article-title":"Toxoplasmosis\u2013A Global Threat. 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Parasites\u2014Toxoplasmosis (Toxoplasma infection), Epidemiology & Risk Factors: Centers for Disease Control and Prevention, 2018. [Internet]. [cited November 18, 2021]. https:\/\/www.cdc.gov\/parasites\/toxoplasmosis\/epi.html."},{"issue":"5","key":"pone.0284352.ref008","doi-asserted-by":"crossref","first-page":"174","DOI":"10.1016\/j.pt.2015.01.002","article-title":"Wildlife parasites in a One Health world","volume":"31","author":"EJ Jenkins","year":"2015","journal-title":"Trends Parasitol"},{"issue":"4","key":"pone.0284352.ref009","doi-asserted-by":"crossref","first-page":"156","DOI":"10.1016\/j.pt.2013.01.007","article-title":"How and why Toxoplasma makes us crazy","volume":"29","author":"J Flegr","year":"2013","journal-title":"Trends Parasitol"},{"issue":"2","key":"pone.0284352.ref010","first-page":"55","article-title":"Seroprevalence and risk factors for Toxoplasma gondii in pigs, sheep and goats at slaughter in Jos Municipal Abbatoir, Nigeria","volume":"4","author":"B Ishaku","year":"2018","journal-title":"Vet Sci Res 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Almeria","year":"2021","journal-title":"Microorganisms"},{"issue":"3","key":"pone.0284352.ref014","doi-asserted-by":"crossref","first-page":"311","DOI":"10.1017\/S0031182013001509","article-title":"Epidemiological review of toxoplasmosis in humans and animals in Romania","volume":"141","author":"JP Dubey","year":"2014","journal-title":"Parasitology"},{"issue":"1","key":"pone.0284352.ref015","doi-asserted-by":"crossref","first-page":"82","DOI":"10.1186\/s13071-020-3954-1","article-title":"The global serological prevalence of Toxoplasma gondii in felids during the last five decades (1967\u20132017): a systematic review and meta-analysis","volume":"13","author":"M Montazeri","year":"2020","journal-title":"Parasit Vectors"},{"issue":"13","key":"pone.0284352.ref016","doi-asserted-by":"crossref","first-page":"1699","DOI":"10.1017\/S0031182014001413","article-title":"Epidemiological review of Toxoplasma gondii infection in humans and animals in Portugal","volume":"141","author":"AP Lopes","year":"2014","journal-title":"Parasitology"},{"issue":"6","key":"pone.0284352.ref017","doi-asserted-by":"crossref","first-page":"e0217989","DOI":"10.1371\/journal.pone.0217989","article-title":"Endemicity of Toxoplasma infection and its associated risk factors in Cebu, Philippines","volume":"14","author":"RHD Yba\u00f1ez","year":"2019","journal-title":"PLoS One"},{"issue":"2","key":"pone.0284352.ref018","doi-asserted-by":"crossref","first-page":"135","DOI":"10.1017\/S0031182019001367","article-title":"A review on toxoplasmosis in humans and animals from Egypt","volume":"147","author":"IE Abbas","year":"2020","journal-title":"Parasitology"},{"issue":"1","key":"pone.0284352.ref019","first-page":"273","article-title":"Serological and histopathological studies on Toxoplasma gondii among the workers and the slaughtered animals in Tanta Abattoir, Gharbia Governorate","volume":"27","author":"BB Ibrahim","year":"1997","journal-title":"J Egypt Soc 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Hyg"},{"issue":"4","key":"pone.0284352.ref026","first-page":"236","article-title":"Toxoplasmosis: a silent threat in Southeast Asia","volume":"5","author":"V. Nissapatorn","year":"2007","journal-title":"Res J Parasitol"},{"key":"pone.0284352.ref027","unstructured":"Centers for Disease Control and Prevention. DPDx\u2014Laboratory Identification of Parasites of Public Health Concern, Toxoplasmosis: Centers for Disease Control and Prevention, 2020. [Internet]. [cited November 18, 2021]. https:\/\/www.cdc.gov\/dpdx\/toxoplasmosis\/index.html."},{"issue":"4","key":"pone.0284352.ref028","doi-asserted-by":"crossref","first-page":"e177","DOI":"10.1016\/S2352-3018(17)30005-X","article-title":"Prevalence and burden of Toxoplasma gondii infection in HIV-infected people: a systematic review and meta-analysis","volume":"4","author":"ZD Wang","year":"2017","journal-title":"Lancet HIV"},{"key":"pone.0284352.ref029","first-page":"389","article-title":"Toxoplasma gondii Infection in Immunocompromised Patients: A Systematic Review and Meta-Analysis","volume":"8","author":"Z-D Wang","year":"2017","journal-title":"Front Microbiol"},{"issue":"4","key":"pone.0284352.ref030","doi-asserted-by":"crossref","first-page":"185","DOI":"10.1590\/S0036-46652005000400002","article-title":"Toxoplasma gondii in fresh pork sausage and seroprevalence in butchers from factories in Londrina, Paran\u00e1 State, Brazil","volume":"47","author":"RA Dias","year":"2005","journal-title":"Rev Inst Med Trop Sao Paulo"},{"issue":"1","key":"pone.0284352.ref031","first-page":"47","article-title":"The prevalence of anti-Toxoplasma gondii antibodies among abattoir workers in Lublin","volume":"49","author":"J Sroka","year":"2003","journal-title":"Wiad Parazytol"},{"issue":"3","key":"pone.0284352.ref032","doi-asserted-by":"crossref","first-page":"233","DOI":"10.7888\/juoeh.23.233","article-title":"Risk of Toxoplasma gondii infection in slaughterhouse workers in Kitakyushu City","volume":"23","author":"M Horio","year":"2001","journal-title":"J UOEH"},{"issue":"3","key":"pone.0284352.ref033","first-page":"913","article-title":"Anti-toxoplasma antibodies in butchers and slaughtered sheep and goats in Jeddah Municipal abattoir, Saudi Arabia","volume":"27","author":"AM Amin","year":"1997","journal-title":"J Egypt Soc Parasitol"},{"issue":"12","key":"pone.0284352.ref034","doi-asserted-by":"crossref","first-page":"1662","DOI":"10.4103\/njcp.njcp_44_18","article-title":"Seroprevalence of anti-Toxoplasma gondii IgG antibody and risk factors among abattoir workers in Uyo, Southern Nigeria","volume":"21","author":"US Ekanem","year":"2018","journal-title":"Niger J Clin Pract"},{"issue":"7","key":"pone.0284352.ref035","article-title":"Seroprevalence and risk factors of Toxoplasma gondii in ruminant meats from wet markets in Klang Valley and abattoirs in Selangor, Malaysia","volume":"10","author":"N Abdul Hamid","year":"2020","journal-title":"Animals (Basel)"},{"issue":"3","key":"pone.0284352.ref036","doi-asserted-by":"crossref","first-page":"135","DOI":"10.1590\/S0036-46652006000300004","article-title":"Seroepidemiology and occupational and environmental variables for leptospirosis, brucellosis and toxoplasmosis in slaughterhouse workers in the Paran\u00e1 State, Brazil","volume":"48","author":"DD Gon\u00e7alves","year":"2006","journal-title":"Rev Inst Med Trop Sao Paulo"},{"issue":"3","key":"pone.0284352.ref037","doi-asserted-by":"crossref","first-page":"e002320","DOI":"10.1590\/s1984-29612020058","article-title":"Occurrence of anti-Toxoplasma gondii antibodies and risk factors associated with infection in equids slaughtered for human consumption in Brazil","volume":"29","author":"IF Arruda","year":"2020","journal-title":"Rev Bras Parasitol Vet"},{"issue":"7","key":"pone.0284352.ref038","doi-asserted-by":"crossref","first-page":"751","DOI":"10.1089\/fpd.2010.0795","article-title":"Toxoplasma in animals, food, and humans: an old parasite of new concern","volume":"8","author":"BT Cenci-Goga","year":"2011","journal-title":"Foodborne Pathog Dis"},{"key":"pone.0284352.ref039","doi-asserted-by":"crossref","first-page":"783654","DOI":"10.3389\/fcimb.2021.783654","article-title":"Seroprevalence and risk factors of Toxoplasma gondii infection among high-risk populations in Jiangsu Province, Eastern China","volume":"11","author":"F Mao","year":"2021","journal-title":"Front Cell Infect Microbiol"},{"issue":"1","key":"pone.0284352.ref040","first-page":"26","article-title":"Prevalence and related potential risk factors of Toxoplasma gondii infection among slaughterhouse workers and animals in Makkah","volume":"6","author":"K Mohamed","year":"2020","journal-title":"J Umm Al-Qura Univ Med Sci"},{"issue":"8","key":"pone.0284352.ref041","doi-asserted-by":"crossref","first-page":"800","DOI":"10.3855\/jidc.12648","article-title":"Toxoplasmosis in humans and animals in Saudi Arabia: A systematic review","volume":"14","author":"K. Mohamed","year":"2020","journal-title":"J Infect Dev Ctries"},{"issue":"1","key":"pone.0284352.ref042","doi-asserted-by":"crossref","first-page":"944","DOI":"10.1186\/s12879-021-06658-8","article-title":"Prevalence and risk factors for exposure to Toxoplasma gondii in slaughterhouse workers in western Kenya","volume":"21","author":"EAJ Cook","year":"2021","journal-title":"BMC Infect Dis"},{"issue":"4","key":"pone.0284352.ref043","doi-asserted-by":"crossref","first-page":"265","DOI":"10.1093\/occmed\/kqr032","article-title":"Toxoplasma gondii infection in workers occupationally exposed to raw meat","volume":"61","author":"C Alvarado-Esquivel","year":"2011","journal-title":"Occup Med (Lond)"},{"key":"pone.0284352.ref044","first-page":"4794318","article-title":"Serological survey and factors associated with Toxoplasma gondii infection in domestic goats in Myanmar","volume":"2016","author":"S Bawm","year":"2016","journal-title":"Scientifica (Cairo)"},{"key":"pone.0284352.ref045","doi-asserted-by":"crossref","first-page":"e00094","DOI":"10.1016\/j.fawpar.2020.e00094","article-title":"Seroprevalence of Toxoplasma gondii in household cats in Myanmar and molecular identification of parasites using feline faecal oocysts","volume":"20","author":"S Bawm","year":"2020","journal-title":"Food Waterborne Parasitol"},{"key":"pone.0284352.ref046","doi-asserted-by":"crossref","first-page":"e00216","DOI":"10.1016\/j.parepi.2021.e00216","article-title":"The first seroepidemiological study on Toxoplasma gondii in backyard pigs in Myanmar","volume":"14","author":"YN Thaw","year":"2021","journal-title":"Parasite Epidemiol Control"},{"issue":"4","key":"pone.0284352.ref047","first-page":"552","article-title":"Serological responses to Plasmodium and Toxoplasma in school children from two areas in Burma","volume":"8","author":"F. Tin","year":"1977","journal-title":"Southeast Asian J Trop Med Public Health"},{"issue":"3","key":"pone.0284352.ref048","doi-asserted-by":"crossref","first-page":"303","DOI":"10.3347\/kjp.2019.57.3.303","article-title":"Seroprevalence of Toxoplasma gondii among school children in Pyin Oo Lwin and Naung Cho, Upper Myanmar","volume":"57","author":"TL Th\u00e1i","year":"2019","journal-title":"Korean J Parasitol"},{"issue":"1","key":"pone.0284352.ref049","doi-asserted-by":"crossref","first-page":"906","DOI":"10.1186\/s12879-020-05650-y","article-title":"Seroprevalence of toxoplasmosis among reproductive-aged women in Myanmar and evaluation of luciferase immunoprecipitation system assay","volume":"20","author":"KM Aye","year":"2020","journal-title":"BMC Infect Dis"},{"issue":"1","key":"pone.0284352.ref050","doi-asserted-by":"crossref","first-page":"564","DOI":"10.1186\/s13071-014-0564-9","article-title":"Comparative study on Toxoplasma infection between Malaysian and Myanmar pregnant women","volume":"7","author":"H Andiappan","year":"2014","journal-title":"Parasit Vectors"},{"issue":"1","key":"pone.0284352.ref051","doi-asserted-by":"crossref","first-page":"232","DOI":"10.4269\/ajtmh.16-0999","article-title":"Seroprevalence of Toxoplasma gondii Infection in Refugee and Migrant Pregnant Women along the Thailand\u2013Myanmar Border","volume":"97","author":"BJD van Enter","year":"2017","journal-title":"Am J Trop Med Hyg"},{"key":"pone.0284352.ref052","unstructured":"Department of Population. Yangon Region Report, the 2014 Myanmar Population and Housing Census: Department of Population, Ministry of Immigration and Population, the Republic of the Union of Myanmar, 2021. [Internet]. [cited December 16, 2021]. https:\/\/www.dop.gov.mm\/sites\/dop.gov.mm\/files\/publication_docs\/yangon_region_census_report_-_english.pdf."},{"key":"pone.0284352.ref053","first-page":"22","volume-title":"Sample size determination in health studies: a practical manual","author":"SK Lwanga","year":"1991"},{"issue":"9","key":"pone.0284352.ref054","doi-asserted-by":"crossref","first-page":"e0222094","DOI":"10.1371\/journal.pone.0222094","article-title":"Knowledge and practices regarding toxoplasmosis in housewives: A cross sectional study in a northern Mexican city","volume":"14","author":"N Vel\u00e1zquez-Hern\u00e1ndez","year":"2019","journal-title":"PLoS One"},{"issue":"2","key":"pone.0284352.ref055","doi-asserted-by":"crossref","first-page":"378","DOI":"10.1007\/s10393-019-01405-7","article-title":"The one health approach to Toxoplasmosis: Epidemiology, control, and prevention strategies","volume":"16","author":"AA Aguirre","year":"2019","journal-title":"Ecohealth"},{"issue":"2","key":"pone.0284352.ref056","first-page":"339","article-title":"Sero-epidemiological studies on Toxoplasma gondii infection in man and animals in Bangladesh","volume":"28","author":"MA Samad","year":"1997","journal-title":"Southeast Asian J Trop Med Public Health"},{"issue":"2","key":"pone.0284352.ref057","doi-asserted-by":"crossref","first-page":"80","DOI":"10.4103\/1118-8561.145184","article-title":"Sero-prevalence of Toxoplasma gondii infection among abattoir workers in Sokoto, Nigeria","volume":"15","author":"M Alayande","year":"2012","journal-title":"Sahel Med J"},{"issue":"5","key":"pone.0284352.ref058","doi-asserted-by":"crossref","first-page":"386","DOI":"10.1093\/oxfordjournals.aje.a112177","article-title":"Toxoplasma gondii and Coxiella burneti antibodies among Brazilian slaughterhouse employees","volume":"102","author":"HP Riemann","year":"1975","journal-title":"Am J Epidemiol"},{"issue":"4","key":"pone.0284352.ref059","doi-asserted-by":"crossref","first-page":"1626","DOI":"10.1177\/0300060518757928","article-title":"Association between Toxoplasma gondii infection and history of blood transfusion: a case-control seroprevalence study","volume":"46","author":"C Alvarado-Esquivel","year":"2018","journal-title":"J Int Med Res"},{"issue":"12","key":"pone.0284352.ref060","doi-asserted-by":"crossref","first-page":"959","DOI":"10.1016\/j.pt.2020.08.005","article-title":"Toxoplasma gondii: An Underestimated Threat?","volume":"36","author":"G Milne","year":"2020","journal-title":"Trends Parasitol"}],"container-title":["PLOS ONE"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/dx.plos.org\/10.1371\/journal.pone.0284352","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,10,18]],"date-time":"2024-10-18T07:27:42Z","timestamp":1729236462000},"score":1,"resource":{"primary":{"URL":"https:\/\/dx.plos.org\/10.1371\/journal.pone.0284352"}},"subtitle":[],"editor":[{"given":"Atef","family":"Oreiby","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"editor"}]}],"short-title":[],"issued":{"date-parts":[[2023,4,13]]},"references-count":60,"journal-issue":{"issue":"4","published-online":{"date-parts":[[2023,4,13]]}},"URL":"https:\/\/doi.org\/10.1371\/journal.pone.0284352","relation":{},"ISSN":["1932-6203"],"issn-type":[{"value":"1932-6203","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,4,13]]}}}