Accidents - Bowling - 16-25 years old - Year 1999

Number Of Accidents (Estimate): 3,734
See also: Other years, Other age groups, Other products.

Accidents - Sex

Accidents - Race

Accidents - Body Parts:

Finger:	621	Wrist:	605
Knee:	494	Lower Trunk:	440
Foot:	390	Toe:	255
Ankle:	164	Elbow:	151
Face:	144	Hand:	111
Upper Leg:	82	Lower Leg:	80
Lower Arm:	71	Upper Trunk:	66
Shoulder:	35	Neck:	18

National Electronic Injury Surveillance System Accidents Records

Date: 12/30/1999	Age: 17 years	Sex: Male	Race: White
Location: Place of recreation or sports		Fire: No fire involvement or fire involvement not recorded
Body part: Lower Trunk		Diagnosis: Strain, Sprain
Product: Bowling
Disposition: Treated and released or examined and released without treatment

Date: 12/26/1999	Age: 25 years	Sex: Female	Race: Not stated in ER record
Location: Place of recreation or sports		Fire: No fire involvement or fire involvement not recorded
Body part: Ankle		Diagnosis: Strain, Sprain
Product: Bowling
Disposition: Treated and released or examined and released without treatment

Date: 12/19/1999	Age: 24 years	Sex: Female	Race: Black/African American
Location: Place of recreation or sports		Fire: No fire involvement or fire involvement not recorded
Body part: Lower Leg		Diagnosis: Strain, Sprain
Product: Bowling
Disposition: Treated and released or examined and released without treatment

Date: 12/19/1999	Age: 16 years	Sex: Female	Race: Not stated in ER record
Location: Not recorded		Fire: No fire involvement or fire involvement not recorded
Body part: Finger		Diagnosis: Strain, Sprain
Product: Bowling
Disposition: Treated and released or examined and released without treatment

Date: 12/16/1999	Age: 18 years	Sex: Male	Race: Not stated in ER record
Location: Not recorded		Fire: No fire involvement or fire involvement not recorded
Body part: Knee		Diagnosis: Strain, Sprain
Product: Bowling
Disposition: Treated and released or examined and released without treatment

Date: 12/14/1999	Age: 19 years	Sex: Female	Race: Black/African American
Location: Place of recreation or sports		Fire: No fire involvement or fire involvement not recorded
Body part: Hand		Diagnosis: Strain, Sprain
Product: Bowling
Disposition: Treated and released or examined and released without treatment

Date: 11/30/1999	Age: 22 years	Sex: Female	Race: White
Location: Place of recreation or sports		Fire: No fire involvement or fire involvement not recorded
Body part: Lower Trunk		Diagnosis: Contusion Or Abrasion
Product: Bowling, Floors or flooring materials
Disposition: Treated and released or examined and released without treatment

Date: 11/28/1999	Age: 16 years	Sex: Male	Race: Not stated in ER record
Location: Place of recreation or sports		Fire: No fire involvement or fire involvement not recorded
Body part: Finger		Diagnosis: Fracture
Product: Bowling
Disposition: Treated and released or examined and released without treatment

Date: 11/21/1999	Age: 16 years	Sex: Male	Race: Not stated in ER record
Location: Not recorded		Fire: No fire involvement or fire involvement not recorded
Body part: Wrist		Diagnosis: Strain, Sprain
Product: Bowling
Disposition: Treated and released or examined and released without treatment

Date: 11/20/1999	Age: 24 years	Sex: Female	Race: White
Location: Place of recreation or sports		Fire: No fire involvement or fire involvement not recorded
Body part: Finger		Diagnosis: Contusion Or Abrasion
Product: Bowling
Disposition: Treated and released or examined and released without treatment

Date: 11/12/1999	Age: 20 years	Sex: Male	Race: Not stated in ER record
Location: Place of recreation or sports		Fire: No fire involvement or fire involvement not recorded
Body part: Wrist		Diagnosis: Other
Product: Bowling
Disposition: Treated and released or examined and released without treatment

Date: 10/25/1999	Age: 18 years	Sex: Female	Race: White
Location: Place of recreation or sports		Fire: No fire involvement or fire involvement not recorded
Body part: Finger		Diagnosis: Contusion Or Abrasion
Product: Bowling
Disposition: Treated and released or examined and released without treatment

Date: 10/24/1999	Age: 17 years	Sex: Male	Race: Not stated in ER record
Location: Place of recreation or sports		Fire: No fire involvement or fire involvement not recorded
Body part: Face		Diagnosis: Laceration
Product: Bowling
Disposition: Treated and released or examined and released without treatment

Date: 10/17/1999	Age: 24 years	Sex: Male	Race: Not stated in ER record
Location: Place of recreation or sports		Fire: No fire involvement or fire involvement not recorded
Body part: Knee		Diagnosis: Strain, Sprain
Product: Bowling
Disposition: Treated and released or examined and released without treatment

Date: 10/16/1999	Age: 19 years	Sex: Male	Race: White
Location: Place of recreation or sports		Fire: No fire involvement or fire involvement not recorded
Body part: Foot		Diagnosis: Contusion Or Abrasion
Product: Bowling
Disposition: Treated and released or examined and released without treatment

Date: 10/10/1999	Age: 17 years	Sex: Male	Race: Black/African American
Location: Place of recreation or sports		Fire: No fire involvement or fire involvement not recorded
Body part: Wrist		Diagnosis: Strain, Sprain
Product: Bowling
Disposition: Treated and released or examined and released without treatment

Date: 10/10/1999	Age: 24 years	Sex: Female	Race: Not stated in ER record
Location: Place of recreation or sports		Fire: No fire involvement or fire involvement not recorded
Body part: Elbow		Diagnosis: Fracture
Product: Bowling
Disposition: Treated and released or examined and released without treatment

Date: 10/06/1999	Age: 16 years	Sex: Female	Race: Not stated in ER record
Location: Place of recreation or sports		Fire: No fire involvement or fire involvement not recorded
Body part: Face		Diagnosis: Contusion Or Abrasion
Product: Bowling
Disposition: Treated and released or examined and released without treatment

Date: 10/06/1999	Age: 21 years	Sex: Female	Race: White
Location: Place of recreation or sports		Fire: No fire involvement or fire involvement not recorded
Body part: Toe		Diagnosis: Fracture
Product: Bowling
Disposition: Treated and released or examined and released without treatment

Date: 10/04/1999	Age: 19 years	Sex: Male	Race: White
Location: Place of recreation or sports		Fire: No fire involvement or fire involvement not recorded
Body part: Ankle		Diagnosis: Contusion Or Abrasion
Product: Bowling
Disposition: Treated and released or examined and released without treatment

Date: 10/03/1999	Age: 18 years	Sex: Male	Race: Black/African American
Location: Not recorded		Fire: No fire involvement or fire involvement not recorded
Body part: Toe		Diagnosis: Contusion Or Abrasion
Product: Bowling
Disposition: Treated and released or examined and released without treatment

Date: 10/02/1999	Age: 23 years	Sex: Female	Race: Not stated in ER record
Location: Place of recreation or sports		Fire: No fire involvement or fire involvement not recorded
Body part: Wrist		Diagnosis: Contusion Or Abrasion
Product: Bowling
Disposition: Treated and released or examined and released without treatment

Date: 10/02/1999	Age: 19 years	Sex: Male	Race: Not stated in ER record
Location: Place of recreation or sports		Fire: No fire involvement or fire involvement not recorded
Body part: Upper Leg		Diagnosis: Strain, Sprain
Product: Bowling, Floors or flooring materials
Disposition: Treated and released or examined and released without treatment

Date: 09/30/1999	Age: 21 years	Sex: Female	Race: White
Location: Place of recreation or sports		Fire: No fire involvement or fire involvement not recorded
Body part: Lower Trunk		Diagnosis: Other
Product: Bowling
Disposition: Treated and released or examined and released without treatment

Date: 09/19/1999	Age: 19 years	Sex: Female	Race: Not stated in ER record
Location: Not recorded		Fire: No fire involvement or fire involvement not recorded
Body part: Lower Arm		Diagnosis: Strain, Sprain
Product: Bowling
Disposition: Treated and released or examined and released without treatment

Date: 09/18/1999	Age: 21 years	Sex: Male	Race: White
Location: Place of recreation or sports		Fire: No fire involvement or fire involvement not recorded
Body part: Finger		Diagnosis: Strain, Sprain
Product: Bowling
Disposition: Treated and released or examined and released without treatment

Date: 09/18/1999	Age: 23 years	Sex: Male	Race: White
Location: Place of recreation or sports		Fire: No fire involvement or fire involvement not recorded
Body part: Wrist		Diagnosis: Strain, Sprain
Product: Bowling
Disposition: Treated and released or examined and released without treatment

Date: 09/15/1999	Age: 22 years	Sex: Male	Race: White
Location: Place of recreation or sports		Fire: No fire involvement or fire involvement not recorded
Body part: Knee		Diagnosis: Strain, Sprain
Product: Bowling
Disposition: Treated and released or examined and released without treatment

Date: 09/05/1999	Age: 24 years	Sex: Male	Race: Not stated in ER record
Location: Not recorded		Fire: No fire involvement or fire involvement not recorded
Body part: Wrist		Diagnosis: Strain, Sprain
Product: Bowling
Disposition: Treated and released or examined and released without treatment

Date: 09/05/1999	Age: 25 years	Sex: Female	Race: Not stated in ER record
Location: Place of recreation or sports		Fire: No fire involvement or fire involvement not recorded
Body part: Toe		Diagnosis: Contusion Or Abrasion
Product: Bowling
Disposition: Treated and released or examined and released without treatment

Date: 09/04/1999	Age: 16 years	Sex: Male	Race: White
Location: Place of recreation or sports		Fire: No fire involvement or fire involvement not recorded
Body part: Knee		Diagnosis: Dislocation
Product: Bowling
Disposition: Treated and released or examined and released without treatment

Date: 09/03/1999	Age: 21 years	Sex: Male	Race: Not stated in ER record
Location: Place of recreation or sports		Fire: No fire involvement or fire involvement not recorded
Body part: Knee		Diagnosis: Strain, Sprain
Product: Bowling
Disposition: Treated and released or examined and released without treatment

Date: 09/02/1999	Age: 23 years	Sex: Female	Race: White
Location: Place of recreation or sports		Fire: No fire involvement or fire involvement not recorded
Body part: Wrist		Diagnosis: Strain, Sprain
Product: Bowling
Disposition: Treated and released or examined and released without treatment

Date: 09/02/1999	Age: 16 years	Sex: Female	Race: White
Location: Not recorded		Fire: No fire involvement or fire involvement not recorded
Body part: Lower Trunk		Diagnosis: Strain, Sprain
Product: Bowling, Other toys
Disposition: Treated and released or examined and released without treatment

Date: 08/29/1999	Age: 18 years	Sex: Female	Race: White
Location: Place of recreation or sports		Fire: No fire involvement or fire involvement not recorded
Body part: Foot		Diagnosis: Strain, Sprain
Product: Bowling
Disposition: Treated and released or examined and released without treatment

Date: 08/27/1999	Age: 21 years	Sex: Female	Race: Not stated in ER record
Location: Place of recreation or sports		Fire: No fire involvement or fire involvement not recorded
Body part: Face		Diagnosis: Laceration
Product: Bowling, Floors or flooring materials
Disposition: Treated and released or examined and released without treatment

Date: 08/22/1999	Age: 25 years	Sex: Male	Race: White
Location: Place of recreation or sports		Fire: No fire involvement or fire involvement not recorded
Body part: Wrist		Diagnosis: Other
Product: Bowling
Disposition: Not recorded

Date: 08/20/1999	Age: 25 years	Sex: Male	Race: Not stated in ER record
Location: Place of recreation or sports		Fire: No fire involvement or fire involvement not recorded
Body part: Finger		Diagnosis: Strain, Sprain
Product: Bowling
Disposition: Treated and released or examined and released without treatment

Date: 08/02/1999	Age: 24 years	Sex: Female	Race: Other
Location: Place of recreation or sports		Fire: No fire involvement or fire involvement not recorded
Body part: Lower Trunk		Diagnosis: Other
Product: Bowling
Disposition: Treated and released or examined and released without treatment

Date: 08/01/1999	Age: 19 years	Sex: Male	Race: White
Location: Place of recreation or sports		Fire: No fire involvement or fire involvement not recorded
Body part: Knee		Diagnosis: Fracture
Product: Bowling
Disposition: Treated and released or examined and released without treatment

Date: 07/19/1999	Age: 16 years	Sex: Male	Race: White
Location: Home		Fire: No fire involvement or fire involvement not recorded
Body part: Toe		Diagnosis: Fracture
Product: Bowling
Disposition: Treated and released or examined and released without treatment

Date: 07/19/1999	Age: 24 years	Sex: Male	Race: Black/African American
Location: Not recorded		Fire: No fire involvement or fire involvement not recorded
Body part: Hand		Diagnosis: Other
Product: Bowling
Disposition: Treated and released or examined and released without treatment

Date: 07/18/1999	Age: 24 years	Sex: Male	Race: White
Location: Place of recreation or sports		Fire: No fire involvement or fire involvement not recorded
Body part: Lower Trunk		Diagnosis: Strain, Sprain
Product: Bowling
Disposition: Treated and released or examined and released without treatment

Date: 07/18/1999	Age: 22 years	Sex: Female	Race: White
Location: Place of recreation or sports		Fire: No fire involvement or fire involvement not recorded
Body part: Knee		Diagnosis: Contusion Or Abrasion
Product: Bowling
Disposition: Treated and released or examined and released without treatment

Date: 07/13/1999	Age: 16 years	Sex: Female	Race: White
Location: Place of recreation or sports		Fire: No fire involvement or fire involvement not recorded
Body part: Wrist		Diagnosis: Strain, Sprain
Product: Bowling
Disposition: Treated and released or examined and released without treatment

Date: 07/05/1999	Age: 19 years	Sex: Male	Race: Other
Location: Not recorded		Fire: No fire involvement or fire involvement not recorded
Body part: Shoulder		Diagnosis: Strain, Sprain
Product: Bowling
Disposition: Treated and released or examined and released without treatment

Date: 06/26/1999	Age: 24 years	Sex: Male	Race: White
Location: Place of recreation or sports		Fire: No fire involvement or fire involvement not recorded
Body part: Upper Trunk		Diagnosis: Other
Product: Bowling
Disposition: Treated and released or examined and released without treatment

Date: 06/20/1999	Age: 18 years	Sex: Female	Race: Not stated in ER record
Location: Place of recreation or sports		Fire: No fire involvement or fire involvement not recorded
Body part: Finger		Diagnosis: Fracture
Product: Bowling
Disposition: Treated and released or examined and released without treatment

Date: 06/18/1999	Age: 22 years	Sex: Female	Race: Black/African American
Location: Not recorded		Fire: No fire involvement or fire involvement not recorded
Body part: Wrist		Diagnosis: Strain, Sprain
Product: Bowling
Disposition: Treated and released or examined and released without treatment

Date: 06/12/1999	Age: 21 years	Sex: Male	Race: Not stated in ER record
Location: Place of recreation or sports		Fire: No fire involvement or fire involvement not recorded
Body part: Lower Trunk		Diagnosis: Strain, Sprain
Product: Bowling
Disposition: Treated and released or examined and released without treatment

Date: 06/06/1999	Age: 17 years	Sex: Male	Race: White
Location: Not recorded		Fire: No fire involvement or fire involvement not recorded
Body part: Hand		Diagnosis: Contusion Or Abrasion
Product: Bowling
Disposition: Treated and released or examined and released without treatment

Date: 06/02/1999	Age: 24 years	Sex: Female	Race: Other
Location: Other public property		Fire: No fire involvement or fire involvement not recorded
Body part: Foot		Diagnosis: Fracture
Product: Bowling
Disposition: Treated and released or examined and released without treatment

Date: 05/27/1999	Age: 19 years	Sex: Male	Race: White
Location: Place of recreation or sports		Fire: No fire involvement or fire involvement not recorded
Body part: Toe		Diagnosis: Contusion Or Abrasion
Product: Bowling
Disposition: Treated and released or examined and released without treatment

Date: 05/26/1999	Age: 22 years	Sex: Male	Race: Not stated in ER record
Location: Place of recreation or sports		Fire: No fire involvement or fire involvement not recorded
Body part: Knee		Diagnosis: Strain, Sprain
Product: Bowling
Disposition: Treated and released or examined and released without treatment

Date: 05/23/1999	Age: 25 years	Sex: Male	Race: White
Location: Place of recreation or sports		Fire: No fire involvement or fire involvement not recorded
Body part: Finger		Diagnosis: Strain, Sprain
Product: Bowling
Disposition: Treated and released or examined and released without treatment

Date: 05/23/1999	Age: 16 years	Sex: Male	Race: White
Location: Place of recreation or sports		Fire: No fire involvement or fire involvement not recorded
Body part: Lower Trunk		Diagnosis: Strain, Sprain
Product: Bowling
Disposition: Treated and released or examined and released without treatment

Date: 05/13/1999	Age: 23 years	Sex: Female	Race: White
Location: Place of recreation or sports		Fire: No fire involvement or fire involvement not recorded
Body part: Lower Trunk		Diagnosis: Strain, Sprain
Product: Bowling
Disposition: Treated and released or examined and released without treatment

Date: 05/10/1999	Age: 22 years	Sex: Female	Race: Not stated in ER record
Location: Other public property		Fire: No fire involvement or fire involvement not recorded
Body part: Knee		Diagnosis: Strain, Sprain
Product: Bowling
Disposition: Treated and released or examined and released without treatment

Date: 05/06/1999	Age: 25 years	Sex: Female	Race: White
Location: Place of recreation or sports		Fire: No fire involvement or fire involvement not recorded
Body part: Lower Trunk		Diagnosis: Strain, Sprain
Product: Bowling
Disposition: Treated and released or examined and released without treatment

Date: 04/30/1999	Age: 16 years	Sex: Male	Race: White
Location: Place of recreation or sports		Fire: No fire involvement or fire involvement not recorded
Body part: Finger		Diagnosis: Fracture
Product: Bowling
Disposition: Treated and released or examined and released without treatment

Date: 04/20/1999	Age: 22 years	Sex: Male	Race: Other
Location: Other public property		Fire: No fire involvement or fire involvement not recorded
Body part: Finger		Diagnosis: Contusion Or Abrasion
Product: Bowling
Disposition: Treated and released or examined and released without treatment

Date: 04/19/1999	Age: 19 years	Sex: Female	Race: White
Location: Place of recreation or sports		Fire: No fire involvement or fire involvement not recorded
Body part: Foot		Diagnosis: Strain, Sprain
Product: Bowling
Disposition: Treated and released or examined and released without treatment

Date: 04/10/1999	Age: 19 years	Sex: Male	Race: Not stated in ER record
Location: Place of recreation or sports		Fire: No fire involvement or fire involvement not recorded
Body part: Knee		Diagnosis: Strain, Sprain
Product: Bowling
Disposition: Treated and released or examined and released without treatment

Date: 04/09/1999	Age: 17 years	Sex: Male	Race: Not stated in ER record
Location: Other public property		Fire: No fire involvement or fire involvement not recorded
Body part: Wrist		Diagnosis: Strain, Sprain
Product: Bowling
Disposition: Treated and released or examined and released without treatment

Date: 04/04/1999	Age: 25 years	Sex: Male	Race: Black/African American
Location: Place of recreation or sports		Fire: No fire involvement or fire involvement not recorded
Body part: Shoulder		Diagnosis: Strain, Sprain
Product: Bowling
Disposition: Treated and released or examined and released without treatment

Date: 03/28/1999	Age: 21 years	Sex: Female	Race: Not stated in ER record
Location: Place of recreation or sports		Fire: No fire involvement or fire involvement not recorded
Body part: Finger		Diagnosis: Avulsion
Product: Bowling
Disposition: Treated and released or examined and released without treatment

Date: 03/22/1999	Age: 18 years	Sex: Male	Race: Black/African American
Location: Place of recreation or sports		Fire: No fire involvement or fire involvement not recorded
Body part: Wrist		Diagnosis: Strain, Sprain
Product: Bowling
Disposition: Treated and released or examined and released without treatment

Date: 03/16/1999	Age: 18 years	Sex: Male	Race: Not stated in ER record
Location: Place of recreation or sports		Fire: No fire involvement or fire involvement not recorded
Body part: Elbow		Diagnosis: Contusion Or Abrasion
Product: Bowling
Disposition: Treated and released or examined and released without treatment

Date: 03/13/1999	Age: 19 years	Sex: Female	Race: Not stated in ER record
Location: Not recorded		Fire: No fire involvement or fire involvement not recorded
Body part: Knee		Diagnosis: Strain, Sprain
Product: Bowling
Disposition: Treated and released or examined and released without treatment

Date: 02/24/1999	Age: 25 years	Sex: Female	Race: Not stated in ER record
Location: Place of recreation or sports		Fire: No fire involvement or fire involvement not recorded
Body part: Finger		Diagnosis: Strain, Sprain
Product: Bowling
Disposition: Treated and released or examined and released without treatment

Date: 02/16/1999	Age: 20 years	Sex: Female	Race: Not stated in ER record
Location: Place of recreation or sports		Fire: No fire involvement or fire involvement not recorded
Body part: Neck		Diagnosis: Strain, Sprain
Product: Bowling
Disposition: Treated and released or examined and released without treatment

Date: 02/11/1999	Age: 23 years	Sex: Male	Race: Not stated in ER record
Location: Place of recreation or sports		Fire: No fire involvement or fire involvement not recorded
Body part: Finger		Diagnosis: Strain, Sprain
Product: Bowling
Disposition: Treated and released or examined and released without treatment

Date: 02/08/1999	Age: 22 years	Sex: Male	Race: Not stated in ER record
Location: Not recorded		Fire: No fire involvement or fire involvement not recorded
Body part: Foot		Diagnosis: Contusion Or Abrasion
Product: Bowling
Disposition: Treated and released or examined and released without treatment

Date: 02/06/1999	Age: 20 years	Sex: Female	Race: Not stated in ER record
Location: Place of recreation or sports		Fire: No fire involvement or fire involvement not recorded
Body part: Ankle		Diagnosis: Strain, Sprain
Product: Bowling
Disposition: Treated and released or examined and released without treatment

Date: 02/04/1999	Age: 19 years	Sex: Female	Race: Not stated in ER record
Location: Place of recreation or sports		Fire: No fire involvement or fire involvement not recorded
Body part: Knee		Diagnosis: Other
Product: Bowling
Disposition: Treated and released or examined and released without treatment

Date: 01/24/1999	Age: 17 years	Sex: Female	Race: Not stated in ER record
Location: Place of recreation or sports		Fire: No fire involvement or fire involvement not recorded
Body part: Wrist		Diagnosis: Strain, Sprain
Product: Bowling
Disposition: Treated and released or examined and released without treatment

Date: 01/19/1999	Age: 18 years	Sex: Female	Race: Not stated in ER record
Location: Place of recreation or sports		Fire: No fire involvement or fire involvement not recorded
Body part: Lower Trunk		Diagnosis: Strain, Sprain
Product: Bowling
Disposition: Treated and released or examined and released without treatment

Date: 01/16/1999	Age: 20 years	Sex: Female	Race: Not stated in ER record
Location: Place of recreation or sports		Fire: No fire involvement or fire involvement not recorded
Body part: Lower Trunk		Diagnosis: Fracture
Product: Bowling
Disposition: Treated and released or examined and released without treatment

Date: 01/15/1999	Age: 23 years	Sex: Male	Race: Not stated in ER record
Location: Place of recreation or sports		Fire: No fire involvement or fire involvement not recorded
Body part: Foot		Diagnosis: Contusion Or Abrasion
Product: Bowling
Disposition: Treated and released or examined and released without treatment

Date: 01/12/1999	Age: 19 years	Sex: Male	Race: Not stated in ER record
Location: School		Fire: No fire involvement or fire involvement not recorded
Body part: Knee		Diagnosis: Other
Product: Bowling
Disposition: Treated and released or examined and released without treatment

Date: 01/12/1999	Age: 18 years	Sex: Male	Race: Not stated in ER record
Location: Place of recreation or sports		Fire: No fire involvement or fire involvement not recorded
Body part: Finger		Diagnosis: Contusion Or Abrasion
Product: Bowling
Disposition: Treated and released or examined and released without treatment

Date: 01/05/1999	Age: 24 years	Sex: Male	Race: Not stated in ER record
Location: Not recorded		Fire: No fire involvement or fire involvement not recorded
Body part: Lower Trunk		Diagnosis: Strain, Sprain
Product: Bowling
Disposition: Treated and released or examined and released without treatment

Date: 01/01/1999	Age: 21 years	Sex: Male	Race: Not stated in ER record
Location: Place of recreation or sports		Fire: No fire involvement or fire involvement not recorded
Body part: Face		Diagnosis: Laceration
Product: Bowling
Disposition: Treated and released or examined and released without treatment

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