Seroprevalence and Spatial Epidemiology of Lymphatic Filariasis in American Samoa after Successful Mass Drug Administration
Publication Date
November 13, 2014
Journal
PLOS Neglected Tropical Diseases
Authors
Colleen L. Lau, Kimberly Y. Won, Luke Becker, Ricardo J. Soares Magalhaes, et al
Volume
8
Issue
11
Pages
e3297
DOI
https://dx.plos.org/10.1371/journal.pntd.0003297
Publisher URL
http://journals.plos.org/plosntds/article?id=10.1371%2Fjournal.pntd.0003297
PubMed
http://www.ncbi.nlm.nih.gov/pubmed/25393716
PubMed Central
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4230933
Europe PMC
http://europepmc.org/abstract/MED/25393716
Web of Science
000345514000028
Scopus
84920491290
Mendeley
http://www.mendeley.com/research/seroprevalence-spatial-epidemiology-lymphatic-filariasis-american-samoa-after-successful-mass-drug-a
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Mendeley | Further Information

{"title"=>"Seroprevalence and Spatial Epidemiology of Lymphatic Filariasis in American Samoa after Successful Mass Drug Administration", "type"=>"journal", "authors"=>[{"first_name"=>"Colleen L.", "last_name"=>"Lau", "scopus_author_id"=>"57002151900"}, {"first_name"=>"Kimberly Y.", "last_name"=>"Won", "scopus_author_id"=>"7005951447"}, {"first_name"=>"Luke", "last_name"=>"Becker", "scopus_author_id"=>"56072762200"}, {"first_name"=>"Ricardo J.", "last_name"=>"Soares Magalhaes", "scopus_author_id"=>"8863883300"}, {"first_name"=>"Saipale", "last_name"=>"Fuimaono", "scopus_author_id"=>"54987248100"}, {"first_name"=>"Wayne", "last_name"=>"Melrose", "scopus_author_id"=>"6603918212"}, {"first_name"=>"Patrick J.", "last_name"=>"Lammie", "scopus_author_id"=>"7005743394"}, {"first_name"=>"Patricia M.", "last_name"=>"Graves", "scopus_author_id"=>"7103177508"}], "year"=>2014, "source"=>"PLoS Neglected Tropical Diseases", "identifiers"=>{"scopus"=>"2-s2.0-84920491290", "sgr"=>"84920491290", "issn"=>"19352735", "doi"=>"10.1371/journal.pntd.0003297", "pmid"=>"25393716", "isbn"=>"1935-2727", "pui"=>"601112734"}, "id"=>"09f9e138-be82-3c8c-bc32-86e81dfeb83a", "abstract"=>"BACKGROUND: As part of the Global Programme to Eliminate Lymphatic Filariasis (LF), American Samoa conducted mass drug administration (MDA) from 2000-2006, and passed transmission assessment surveys in 2011-2012. We examined the seroprevalence and spatial epidemiology of LF post-MDA to inform strategies for ongoing surveillance and to reduce resurgence risk.\\n\\nMETHODS: ELISA for LF antigen (Og4C3) and antibodies (Wb123, Bm14) were performed on a geo-referenced serum bank of 807 adults collected in 2010. Risk factors assessed for association with sero-positivity included age, sex, years lived in American Samoa, and occupation. Geographic clustering of serological indicators was investigated to identify spatial dependence and household-level clustering.\\n\\nRESULTS: Og4C3 antigen of >128 units (positive) were found in 0.75% (95% CI 0.3-1.6%) of participants, and >32 units (equivocal plus positive) in 3.2% (95% CI 0.6-4.7%). Seroprevalence of Wb123 and Bm14 antibodies were 8.1% (95% CI 6.3-10.2%) and 17.9% (95% CI 15.3-20.7%) respectively. Antigen-positive individuals were identified in all ages, and antibody prevalence higher in older ages. Prevalence was higher in males, and inversely associated with years lived in American Samoa. Spatial distribution of individuals varied significantly with positive and equivocal levels of Og4C3 antigen, but not with antibodies. Using Og4C3 cutoff points of >128 units and >32 units, average cluster sizes were 1,242 m and 1,498 m, and geographical proximity of households explained 85% and 62% of the spatial variation respectively.\\n\\nCONCLUSIONS: High-risk populations for LF in American Samoa include adult males and recent migrants. We identified locations and estimated the size of possible residual foci of antigen-positive adults, demonstrating the value of spatial analysis in post-MDA surveillance. Strategies to monitor cluster residents and high-risk groups are needed to reduce resurgence risk. Further research is required to quantify factors contributing to LF transmission at the last stages of elimination to ensure that programme achievements are sustained.", "link"=>"http://www.mendeley.com/research/seroprevalence-spatial-epidemiology-lymphatic-filariasis-american-samoa-after-successful-mass-drug-a", "reader_count"=>32, "reader_count_by_academic_status"=>{"Unspecified"=>2, "Professor > Associate Professor"=>1, "Student > Doctoral Student"=>2, "Researcher"=>13, "Student > Ph. D. Student"=>2, "Student > Postgraduate"=>1, "Student > Master"=>4, "Other"=>1, "Student > Bachelor"=>3, "Lecturer"=>1, "Professor"=>2}, "reader_count_by_user_role"=>{"Unspecified"=>2, "Professor > Associate Professor"=>1, "Student > Doctoral Student"=>2, "Researcher"=>13, "Student > Ph. D. Student"=>2, "Student > Postgraduate"=>1, "Student > Master"=>4, "Other"=>1, "Student > Bachelor"=>3, "Lecturer"=>1, "Professor"=>2}, "reader_count_by_subject_area"=>{"Unspecified"=>5, "Environmental Science"=>1, "Biochemistry, Genetics and Molecular Biology"=>3, "Medicine and Dentistry"=>6, "Agricultural and Biological Sciences"=>9, "Veterinary Science and Veterinary Medicine"=>2, "Social Sciences"=>1, "Computer Science"=>1, "Immunology and Microbiology"=>2, "Earth and Planetary Sciences"=>1, "Economics, Econometrics and Finance"=>1}, "reader_count_by_subdiscipline"=>{"Medicine and Dentistry"=>{"Medicine and Dentistry"=>6}, "Social Sciences"=>{"Social Sciences"=>1}, "Immunology and Microbiology"=>{"Immunology and Microbiology"=>2}, "Earth and Planetary Sciences"=>{"Earth and Planetary Sciences"=>1}, "Economics, Econometrics and Finance"=>{"Economics, Econometrics and Finance"=>1}, "Agricultural and Biological Sciences"=>{"Agricultural and Biological Sciences"=>9}, "Computer Science"=>{"Computer Science"=>1}, "Biochemistry, Genetics and Molecular Biology"=>{"Biochemistry, Genetics and Molecular Biology"=>3}, "Unspecified"=>{"Unspecified"=>5}, "Environmental Science"=>{"Environmental Science"=>1}, "Veterinary Science and Veterinary Medicine"=>{"Veterinary Science and Veterinary Medicine"=>2}}, "reader_count_by_country"=>{"United States"=>2, "United Kingdom"=>1, "Australia"=>1}, "group_count"=>4}

Scopus | Further Information

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Figshare

  • {"files"=>["https://ndownloader.figshare.com/files/1791984"], "description"=>"<p>Population distribution on the islands of American Samoa 2010 (Reproduced from Lau et al. (23).</p>", "links"=>[], "tags"=>["gt", "wb", "American Samoa", "Og 4C cutoff points", "2010. Risk factors", "individual", "resurgence", "Bm 14 antibodies", "antibody", "transmission assessment surveys", "seroprevalence", "mda", "Lymphatic filariasis", "ci", "Mass Drug Administration", "spatial", "cluster", "lf", "surveillance", "Successful Mass Drug Administration BackgroundAs part", "Og 4C antigen"], "article_id"=>1239582, "categories"=>["Uncategorised"], "users"=>["Colleen L. Lau", "Kimberly Y. Won", "Luke Becker", "Ricardo J. Soares Magalhães", "Saipale Fuimaono", "Wayne Melrose", "Patrick J. Lammie", "Patricia M. Graves"], "doi"=>"https://dx.doi.org/10.1371/journal.pntd.0003297.g003", "stats"=>{"downloads"=>0, "page_views"=>7, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Population_distribution_on_the_islands_of_American_Samoa_2010_Reproduced_from_Lau_et_al_23_/1239582", "title"=>"Population distribution on the islands of American Samoa 2010 (Reproduced from Lau et al. (23).", "pos_in_sequence"=>0, "defined_type"=>1, "published_date"=>"2014-11-13 03:06:19"}
  • {"files"=>["https://ndownloader.figshare.com/files/1791998"], "description"=>"<p>High resolution village maps of A. Fagali'I and B. Ili'ili, showing household locations of individuals with Og4C3 antigen of >128 units and >32 units, and school where two ICT-positive children identified in 2011 TAS.</p>", "links"=>[], "tags"=>["gt", "wb", "American Samoa", "Og 4C cutoff points", "2010. Risk factors", "individual", "resurgence", "Bm 14 antibodies", "antibody", "transmission assessment surveys", "seroprevalence", "mda", "Lymphatic filariasis", "ci", "Mass Drug Administration", "spatial", "cluster", "lf", "surveillance", "Successful Mass Drug Administration BackgroundAs part", "Og 4C antigen"], "article_id"=>1239591, "categories"=>["Uncategorised"], "users"=>["Colleen L. Lau", "Kimberly Y. Won", "Luke Becker", "Ricardo J. Soares Magalhães", "Saipale Fuimaono", "Wayne Melrose", "Patrick J. Lammie", "Patricia M. Graves"], "doi"=>"https://dx.doi.org/10.1371/journal.pntd.0003297.g006", "stats"=>{"downloads"=>0, "page_views"=>21, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_High_resolution_village_maps_of_A_Fagali_I_and_B_Ili_ili_showing_household_locations_of_individuals_with_Og4C3_antigen_of_gt_128_units_and_gt_32_units_and_school_where_two_ICT_positive_children_identified_in_2011_TAS_/1239591", "title"=>"High resolution village maps of A. Fagali'I and B. Ili'ili, showing household locations of individuals with Og4C3 antigen of >128 units and >32 units, and school where two ICT-positive children identified in 2011 TAS.", "pos_in_sequence"=>0, "defined_type"=>1, "published_date"=>"2014-11-13 03:06:19"}
  • {"files"=>["https://ndownloader.figshare.com/files/1791989"], "description"=>"<p>A. Og4C3>128 units, B. Og4C3>32 units.</p>", "links"=>[], "tags"=>["gt", "wb", "American Samoa", "Og 4C cutoff points", "2010. Risk factors", "individual", "resurgence", "Bm 14 antibodies", "antibody", "transmission assessment surveys", "seroprevalence", "mda", "Lymphatic filariasis", "ci", "Mass Drug Administration", "spatial", "cluster", "lf", "surveillance", "Successful Mass Drug Administration BackgroundAs part", "Og 4C antigen"], "article_id"=>1239587, "categories"=>["Uncategorised"], "users"=>["Colleen L. Lau", "Kimberly Y. Won", "Luke Becker", "Ricardo J. Soares Magalhães", "Saipale Fuimaono", "Wayne Melrose", "Patrick J. Lammie", "Patricia M. Graves"], "doi"=>"https://dx.doi.org/10.1371/journal.pntd.0003297.g005", "stats"=>{"downloads"=>0, "page_views"=>6, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Household_locations_of_individuals_with_positive_and_negative_antigen_on_Tutuila_/1239587", "title"=>"Household locations of individuals with positive and negative antigen on Tutuila.", "pos_in_sequence"=>0, "defined_type"=>1, "published_date"=>"2014-11-13 03:06:19"}
  • {"files"=>["https://ndownloader.figshare.com/files/1792011"], "description"=>"<div><p>Background</p><p>As part of the Global Programme to Eliminate Lymphatic Filariasis (LF), American Samoa conducted mass drug administration (MDA) from 2000–2006, and passed transmission assessment surveys in 2011–2012. We examined the seroprevalence and spatial epidemiology of LF post-MDA to inform strategies for ongoing surveillance and to reduce resurgence risk.</p><p>Methods</p><p>ELISA for LF antigen (Og4C3) and antibodies (Wb123, Bm14) were performed on a geo-referenced serum bank of 807 adults collected in 2010. Risk factors assessed for association with sero-positivity included age, sex, years lived in American Samoa, and occupation. Geographic clustering of serological indicators was investigated to identify spatial dependence and household-level clustering.</p><p>Results</p><p>Og4C3 antigen of >128 units (positive) were found in 0.75% (95% CI 0.3–1.6%) of participants, and >32 units (equivocal plus positive) in 3.2% (95% CI 0.6–4.7%). Seroprevalence of Wb123 and Bm14 antibodies were 8.1% (95% CI 6.3–10.2%) and 17.9% (95% CI 15.3–20.7%) respectively. Antigen-positive individuals were identified in all ages, and antibody prevalence higher in older ages. Prevalence was higher in males, and inversely associated with years lived in American Samoa. Spatial distribution of individuals varied significantly with positive and equivocal levels of Og4C3 antigen, but not with antibodies. Using Og4C3 cutoff points of >128 units and >32 units, average cluster sizes were 1,242 m and 1,498 m, and geographical proximity of households explained 85% and 62% of the spatial variation respectively.</p><p>Conclusions</p><p>High-risk populations for LF in American Samoa include adult males and recent migrants. We identified locations and estimated the size of possible residual foci of antigen-positive adults, demonstrating the value of spatial analysis in post-MDA surveillance. Strategies to monitor cluster residents and high-risk groups are needed to reduce resurgence risk. Further research is required to quantify factors contributing to LF transmission at the last stages of elimination to ensure that programme achievements are sustained.</p></div>", "links"=>[], "tags"=>["gt", "wb", "American Samoa", "Og 4C cutoff points", "2010. Risk factors", "individual", "resurgence", "Bm 14 antibodies", "antibody", "transmission assessment surveys", "seroprevalence", "mda", "Lymphatic filariasis", "ci", "Mass Drug Administration", "spatial", "cluster", "lf", "surveillance", "Successful Mass Drug Administration BackgroundAs part", "Og 4C antigen"], "article_id"=>1239604, "categories"=>["Uncategorised"], "users"=>["Colleen L. Lau", "Kimberly Y. Won", "Luke Becker", "Ricardo J. Soares Magalhães", "Saipale Fuimaono", "Wayne Melrose", "Patrick J. Lammie", "Patricia M. Graves"], "doi"=>"https://dx.doi.org/10.1371/journal.pntd.0003297", "stats"=>{"downloads"=>0, "page_views"=>8, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Seroprevalence_and_Spatial_Epidemiology_of_Lymphatic_Filariasis_in_American_Samoa_after_Successful_Mass_Drug_Administration_/1239604", "title"=>"Seroprevalence and Spatial Epidemiology of Lymphatic Filariasis in American Samoa after Successful Mass Drug Administration", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2014-11-13 03:06:19"}
  • {"files"=>["https://ndownloader.figshare.com/files/1792008"], "description"=>"<p>Spatial parameters of geographical clustering of Og4C3 antigen, and Wb123 and Bm14 antibodies.</p>", "links"=>[], "tags"=>["gt", "wb", "American Samoa", "Og 4C cutoff points", "2010. Risk factors", "individual", "resurgence", "Bm 14 antibodies", "antibody", "transmission assessment surveys", "seroprevalence", "mda", "Lymphatic filariasis", "ci", "Mass Drug Administration", "spatial", "cluster", "lf", "surveillance", "Successful Mass Drug Administration BackgroundAs part", "Og 4C antigen"], "article_id"=>1239601, "categories"=>["Uncategorised"], "users"=>["Colleen L. Lau", "Kimberly Y. Won", "Luke Becker", "Ricardo J. Soares Magalhães", "Saipale Fuimaono", "Wayne Melrose", "Patrick J. Lammie", "Patricia M. Graves"], "doi"=>"https://dx.doi.org/10.1371/journal.pntd.0003297.t002", "stats"=>{"downloads"=>0, "page_views"=>8, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Spatial_parameters_of_geographical_clustering_of_Og4C3_antigen_and_Wb123_and_Bm14_antibodies_/1239601", "title"=>"Spatial parameters of geographical clustering of Og4C3 antigen, and Wb123 and Bm14 antibodies.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2014-11-13 03:06:19"}
  • {"files"=>["https://ndownloader.figshare.com/files/1792006"], "description"=>"<p>Semivariograms of spatial dependence of antigen and antibodies: A. Og4C3>128 units, B. Og4C3>32 units, C. Wb123 positive, D. Bm14 positive.</p>", "links"=>[], "tags"=>["gt", "wb", "American Samoa", "Og 4C cutoff points", "2010. Risk factors", "individual", "resurgence", "Bm 14 antibodies", "antibody", "transmission assessment surveys", "seroprevalence", "mda", "Lymphatic filariasis", "ci", "Mass Drug Administration", "spatial", "cluster", "lf", "surveillance", "Successful Mass Drug Administration BackgroundAs part", "Og 4C antigen"], "article_id"=>1239599, "categories"=>["Uncategorised"], "users"=>["Colleen L. Lau", "Kimberly Y. Won", "Luke Becker", "Ricardo J. Soares Magalhães", "Saipale Fuimaono", "Wayne Melrose", "Patrick J. Lammie", "Patricia M. Graves"], "doi"=>"https://dx.doi.org/10.1371/journal.pntd.0003297.g007", "stats"=>{"downloads"=>0, "page_views"=>10, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Semivariograms_of_spatial_dependence_of_antigen_and_antibodies_A_Og4C3_gt_128_units_B_Og4C3_gt_32_units_C_Wb123_positive_D_Bm14_positive_/1239599", "title"=>"Semivariograms of spatial dependence of antigen and antibodies: A. Og4C3>128 units, B. Og4C3>32 units, C. Wb123 positive, D. Bm14 positive.", "pos_in_sequence"=>0, "defined_type"=>1, "published_date"=>"2014-11-13 03:06:19"}
  • {"files"=>["https://ndownloader.figshare.com/files/1792007"], "description"=>"<p>Statistically significant results (<i>p</i><0.05) highlighted in bold. OR = odds ratios on univariate logistic regression.</p><p>*Chi-squared or Fisher exact tests were used to compare differences between islands. Logistic regression was not performed because no antigen-positive cases were detected on the smaller islands.</p><p>Association between demographic variables and filarial antigen and antibodies.</p>", "links"=>[], "tags"=>["gt", "wb", "American Samoa", "Og 4C cutoff points", "2010. Risk factors", "individual", "resurgence", "Bm 14 antibodies", "antibody", "transmission assessment surveys", "seroprevalence", "mda", "Lymphatic filariasis", "ci", "Mass Drug Administration", "spatial", "cluster", "lf", "surveillance", "Successful Mass Drug Administration BackgroundAs part", "Og 4C antigen"], "article_id"=>1239600, "categories"=>["Uncategorised"], "users"=>["Colleen L. Lau", "Kimberly Y. Won", "Luke Becker", "Ricardo J. Soares Magalhães", "Saipale Fuimaono", "Wayne Melrose", "Patrick J. Lammie", "Patricia M. Graves"], "doi"=>"https://dx.doi.org/10.1371/journal.pntd.0003297.t001", "stats"=>{"downloads"=>0, "page_views"=>6, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Association_between_demographic_variables_and_filarial_antigen_and_antibodies_/1239600", "title"=>"Association between demographic variables and filarial antigen and antibodies.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2014-11-13 03:06:19"}
  • {"files"=>["https://ndownloader.figshare.com/files/1791983"], "description"=>"<p>Prevalence of filarial antigen and antibodies by years lived in American Samoa.</p>", "links"=>[], "tags"=>["gt", "wb", "American Samoa", "Og 4C cutoff points", "2010. Risk factors", "individual", "resurgence", "Bm 14 antibodies", "antibody", "transmission assessment surveys", "seroprevalence", "mda", "Lymphatic filariasis", "ci", "Mass Drug Administration", "spatial", "cluster", "lf", "surveillance", "Successful Mass Drug Administration BackgroundAs part", "Og 4C antigen"], "article_id"=>1239581, "categories"=>["Uncategorised"], "users"=>["Colleen L. Lau", "Kimberly Y. Won", "Luke Becker", "Ricardo J. Soares Magalhães", "Saipale Fuimaono", "Wayne Melrose", "Patrick J. Lammie", "Patricia M. Graves"], "doi"=>"https://dx.doi.org/10.1371/journal.pntd.0003297.g002", "stats"=>{"downloads"=>1, "page_views"=>10, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Prevalence_of_filarial_antigen_and_antibodies_by_years_lived_in_American_Samoa_/1239581", "title"=>"Prevalence of filarial antigen and antibodies by years lived in American Samoa.", "pos_in_sequence"=>0, "defined_type"=>1, "published_date"=>"2014-11-13 03:06:19"}
  • {"files"=>["https://ndownloader.figshare.com/files/1791979"], "description"=>"<p>Prevalence of filarial antigen and antibodies by age groups, American Samoa 2010.</p>", "links"=>[], "tags"=>["gt", "wb", "American Samoa", "Og 4C cutoff points", "2010. Risk factors", "individual", "resurgence", "Bm 14 antibodies", "antibody", "transmission assessment surveys", "seroprevalence", "mda", "Lymphatic filariasis", "ci", "Mass Drug Administration", "spatial", "cluster", "lf", "surveillance", "Successful Mass Drug Administration BackgroundAs part", "Og 4C antigen"], "article_id"=>1239577, "categories"=>["Uncategorised"], "users"=>["Colleen L. Lau", "Kimberly Y. Won", "Luke Becker", "Ricardo J. Soares Magalhães", "Saipale Fuimaono", "Wayne Melrose", "Patrick J. Lammie", "Patricia M. Graves"], "doi"=>"https://dx.doi.org/10.1371/journal.pntd.0003297.g001", "stats"=>{"downloads"=>0, "page_views"=>13, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Prevalence_of_filarial_antigen_and_antibodies_by_age_groups_American_Samoa_2010_/1239577", "title"=>"Prevalence of filarial antigen and antibodies by age groups, American Samoa 2010.", "pos_in_sequence"=>0, "defined_type"=>1, "published_date"=>"2014-11-13 03:06:19"}
  • {"files"=>["https://ndownloader.figshare.com/files/1791987"], "description"=>"<p>A. Wb123, B. Bm14.</p>", "links"=>[], "tags"=>["gt", "wb", "American Samoa", "Og 4C cutoff points", "2010. Risk factors", "individual", "resurgence", "Bm 14 antibodies", "antibody", "transmission assessment surveys", "seroprevalence", "mda", "Lymphatic filariasis", "ci", "Mass Drug Administration", "spatial", "cluster", "lf", "surveillance", "Successful Mass Drug Administration BackgroundAs part", "Og 4C antigen"], "article_id"=>1239585, "categories"=>["Uncategorised"], "users"=>["Colleen L. Lau", "Kimberly Y. Won", "Luke Becker", "Ricardo J. Soares Magalhães", "Saipale Fuimaono", "Wayne Melrose", "Patrick J. Lammie", "Patricia M. Graves"], "doi"=>"https://dx.doi.org/10.1371/journal.pntd.0003297.g004", "stats"=>{"downloads"=>0, "page_views"=>9, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Household_locations_of_individuals_with_positive_and_negative_antibodies_on_Tutuila_/1239585", "title"=>"Household locations of individuals with positive and negative antibodies on Tutuila.", "pos_in_sequence"=>0, "defined_type"=>1, "published_date"=>"2014-11-13 03:06:19"}

PMC Usage Stats | Further Information

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  • {"unique-ip"=>"5", "full-text"=>"6", "pdf"=>"3", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2018", "month"=>"1"}
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  • {"unique-ip"=>"5", "full-text"=>"5", "pdf"=>"2", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2018", "month"=>"5"}
  • {"unique-ip"=>"5", "full-text"=>"5", "pdf"=>"2", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2018", "month"=>"6"}
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Relative Metric

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