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in the latter&#44; since the onset of the pandemic up to 4 May&#44; 2020<a class="elsevierStyleCrossRef" href="#bib0015"><span class="elsevierStyleSup">3</span></a>&#46;</p><p id="par0010" class="elsevierStylePara elsevierViewall">The risk of infection increases with close contact and even more so with prolonged contact and in closed spaces and&#44; as occurs in these assisted living facilities&#44; in the presence of employees from different cohabitation environments&#46; Added to these circumstances are specific conditions that hinder the control of transmission given that care for the elderly is based on direct contact and interpersonal interaction<a class="elsevierStyleCrossRefs" href="#bib0020"><span class="elsevierStyleSup">4&#8211;6</span></a>&#46; In addition&#44; outbreaks have been described following social&#44; familial&#44; or workplace events among workers<a class="elsevierStyleCrossRef" href="#bib0035"><span class="elsevierStyleSup">7</span></a>&#46;</p><p id="par0015" class="elsevierStylePara elsevierViewall">In the city of Seville&#44; 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lack of healthcare staff&#44; or lack of infrastructure&#44; to ensure adequate isolation<a class="elsevierStyleCrossRef" href="#bib0055"><span class="elsevierStyleSup">11</span></a>&#46;</p><p id="par0020" class="elsevierStylePara elsevierViewall">The Health District&#8217;s Public Health Unit implemented a specific program to control and trace infections among healthcare workers in these types of care facilities&#46; The very first outbreaks brought to light the potential role of workers in the mechanisms of transmission&#44; with screening for and active observation of symptoms representing an essential component&#46; This program included early case identification&#44; thorough information collection&#44; advising on surveillance and control measures&#44; support for processing temporary disability leave&#44; as well as a specific consultation phone line&#46; Similarly&#44; written recommendations were sent to the directors of long-term care centres regarding the importance of active symptom detection&#44; including taking and recording temperature and responsible declaration of a lack of symptoms prior to starting shifts&#46;</p><p id="par0025" class="elsevierStylePara elsevierViewall">To date&#44; there are few studies on the characteristics and roles of healthcare workers in COVID-19 epidemiology&#46; The data generated by the epidemiological surveillance program and by the outbreak control mechanism made it possible to obtain valuable information about the context of the pandemic&#46; This study aims to describe the epidemiological characteristics of COVID-19 among health professionals from the Seville Health District&#44; assessing their role in the temporary evolution of infection in the facilities that experienced outbreaks&#46;</p></span><span id="sec0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0080">Methodology</span><p id="par0030" class="elsevierStylePara elsevierViewall">An observational&#44; analytical study was conducted on the epidemiological characteristics of infection by SARS-CoV-2 among healthcare workers &#40;PSS according to the Spanish acronym&#41; during the period between 1 March and 12 May 2020&#46; The label of PSS was given to any individual dedicated to health&#44; social&#44; and educational assistance for groups of older individuals or individuals with disabilities&#44; including staff from external companies &#40;cleaning&#44; maintenance&#8230;&#41; who came into contact with residents&#46;</p><p id="par0035" class="elsevierStylePara elsevierViewall">Information sources included the daily tracking logs from the facilities regarding case detection &#40;Andalusian care strategy&#41; and the RedAlerta epidemiological surveillance program&#46; RedAlerta includes variables from the Andalusian Epidemiological Surveillance System &#40;SVEA according to the Spanish acronym&#41; regarding the characteristics of the cases&#44; data from epidemiological surveys&#44; and actions related to controlling outbreaks&#46;</p><p id="par0040" class="elsevierStylePara elsevierViewall">Following definition of the study variables&#44; a file was created with anonymised personal data&#44; ensuring safety and protection regulations throughout the entire process&#46;</p><p id="par0045" class="elsevierStylePara elsevierViewall">As a starting point&#44; we took the 88 centres included in the District program of nursing homes and long-term care centres located in the capital city of Seville &#40;34 nursing homes for the elderly&#59; 31 foster care centres&#59; 18 religious congregations and 5 care centres for the disabled&#41;&#44; with 2&#44;779 active workers&#46; A total of 732 PSS was included&#44; corresponding to 14 centres with at least one case of COVID-19 and which the case management nurses actively traced&#44; identifying the appearance of compatible symptomatology and collecting the positive results of the rapid antibody tests&#46; Afterwards&#44; cases were isolated&#44; and a PCR test was performed&#46; The definition of cases followed the procedures of the Ministry in force at all times&#58; any PSS that presented a positive PCR test or positive rapid antibody test&#46;</p><p id="par0050" class="elsevierStylePara elsevierViewall">In the initial phase&#44; all the workers were screened to discover the prevalence of total antibodies in the city&#8217;s PSS&#46; In the second phase&#44; we collected all the information on the incident cases in the residential centres where a COVID-19 outbreak had been declared&#46;</p><p id="par0055" class="elsevierStylePara elsevierViewall">The following variables were collected&#58; age&#44; sex&#44; professional category&#44; confirmed close contact with COVID-19&#44; hospitalisation&#44; death&#44; presence of risk factors&#44; symptomatology and dates for symptom onset&#44; isolation&#44; case declaration&#44; and test results&#46;</p><p id="par0060" class="elsevierStylePara elsevierViewall">To know the prevalence of SARS-CoV-2 antibodies in this population&#44; two rounds of screening were conducted using rapid antibody tests via immunochromatography&#44; with 7 days difference between the tests to reduce the possible window period effect of the infection&#46; To calculate the incidence of COVID-19 in the outbreak-affected centres&#44; PCR tests were performed on positive cases found in the screening&#44; as well as those PSS who developed symptoms compatible with the disease during the study&#46;</p><p id="par0065" class="elsevierStylePara elsevierViewall">Frequency tables were used to analyse the qualitative variables&#44; and measures of central tendency and dispersion for the quantitative variables&#44; including the interquartile range&#46; The prevalence of antibodies to SARS-CoV-2 was calculated in the entire sample&#46; In the facilities affected by outbreaks&#44; the following were calculated&#58; cumulative incidence of COVID-19 cases in PSS&#44; attack rate&#44; and average number of days that the workers attended work with symptoms&#46; The epidemic curves of the COVID-19 cases were created for both PSS and residents &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Fig&#46; 1</a>&#41;&#46;</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia></span><span id="sec0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0085">Results</span><p id="par0070" class="elsevierStylePara elsevierViewall">Rapid antibody tests were performed on 2&#44;779 PSS from 88 facilities&#44; of which 78&#46;6&#37; were female and 21&#46;4&#37; were male &#40;femininity index of 368&#46;03&#37;&#41;&#46; In this first screening phase 40 workers were detected with a positive result&#44; of which 26 &#40;65&#37;&#41; reported having symptoms compatible with COVID-19 in the epidemiological survey&#46;</p><p id="par0075" class="elsevierStylePara elsevierViewall">During the study period&#44; outbreaks occurred in 14 centres&#44; with 732 PSS&#46; A total of 79&#46;0&#37; were female and the median age was 33&#46;5 years &#40;interquartile range&#58; 27-45&#41;&#46; According to professional category&#44; 39&#46;7&#37; were nursing aides&#59; 17&#37; geriatrics assistants&#59; 8&#46;7&#37; cleaning staff&#59; 5&#46;7&#37; nurses&#59; 1&#46;7&#37; physical therapists&#44; and 1&#46;3&#37; doctors&#46; Cases also occurred in other categories of lesser proportion such as cooks&#44; concierge&#44; maintenance&#44; receptionists&#44; and social workers&#46;</p><p id="par0080" class="elsevierStylePara elsevierViewall">In the study period&#44; a total of 124 cases of COVID-19 were confirmed among the PSS&#44; representing a cumulative incidence of 16&#46;9&#37;&#46; A total of 90 cases were confirmed by PCR and the rest by means of rapid antibody tests&#46; As seen in <a class="elsevierStyleCrossRef" href="#tbl0005">Table 1</a>&#44; only one case occurred among PSS in 7 of the 14 centres&#46; The attack rates ranged from 2&#46;1&#37;-36&#46;1&#37;&#44; and 3 facilities had a percentage of affected staff of more than 25&#37; of the PSS&#46; The attack rate among the residents was 54&#46;3&#37; with a range of 18&#46;4&#37;-79&#46;8&#37;&#46; There is a correlation between the number of PSS and the attack rate &#40;unilateral&#44; <span class="elsevierStyleItalic">p</span>&#160;&#60;&#160;0&#46;05&#44; Spearman&#8217;s rank correlation of 0&#46;484&#41;&#46; This analysis is not confirmed if we divide the facilities between those with more or less than 50 PSS due to the small number of facilities&#46;</p><elsevierMultimedia ident="tbl0005"></elsevierMultimedia><p id="par0085" class="elsevierStylePara elsevierViewall">Of the 90 cases detected by PCR&#44; 7 &#40;7&#46;7&#37;&#41; were identified via a prior positive antibody test &#40;4 of them acknowledged having had symptoms compatible with COVID-19&#41;&#46; <a class="elsevierStyleCrossRef" href="#tbl0010">Table 2</a> presents the data for the 7 outbreaks declared in the Seville district that presented more than one case among the PSS and which represent 94&#46;3&#37; of the total declared cases&#46;</p><elsevierMultimedia ident="tbl0010"></elsevierMultimedia><p id="par0090" class="elsevierStylePara elsevierViewall">Of the confirmed cases&#44; 87&#46;1&#37; presented symptomatology&#46; The most common symptoms included cough &#40;49&#46;2&#37;&#41;&#44; fever &#40;31&#46;5&#37;&#41;&#44; headache &#40;25&#37;&#41;&#44; anosmia &#40;19&#46;4&#37;&#41; and asthenia &#40;18&#46;5&#37;&#41;&#46; The least frequent symptomatology was dyspnoea&#44; present in 8&#46;1&#37; of cases&#46; A total of 17&#46;7&#37; presented a risk factor for COVID-19&#44; with the most common being high blood pressure and chronic lung disease with 8&#46;5&#37; prevalence&#44; followed by age of over 60 with 4&#46;8&#37;&#46; A total of 5&#46;6&#37; required hospitalisation and no deaths occurred&#46; All cases recovered without sequelae&#46;</p><p id="par0095" class="elsevierStylePara elsevierViewall">In terms of the distribution over time&#44; the week from 16 to 22 March had the highest incidence for symptom onset date &#40;5&#46;12&#37;&#41; and the week from 23 to 29 March the highest incidence for date of case declaration &#40;3&#46;91&#37;&#41; &#40;<a class="elsevierStyleCrossRef" href="#fig0010">Fig&#46; 2</a>&#41;&#46;</p><elsevierMultimedia ident="fig0010"></elsevierMultimedia><p id="par0100" class="elsevierStylePara elsevierViewall">Regarding the delay between symptom onset and isolation&#44; this was greater than 10 days for multiple weeks&#46; The delays until case declaration are somewhat longer&#44; though these follow a similar pattern &#40;<a class="elsevierStyleCrossRef" href="#fig0015">Fig&#46; 3</a>&#41;&#46;</p><elsevierMultimedia ident="fig0015"></elsevierMultimedia><p id="par0105" class="elsevierStylePara elsevierViewall">Lastly&#44; the curves for symptomatic PSS cases and those for residents in the affected centres are shown&#44; according to the symptom onset date&#46; The first case in PSS started showing symptoms on 2 March&#44; while the first declared case did not occur until 17 March&#46; The highest peak was on 19 March in PSS and 25 March for residents &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Fig&#46; 1</a>&#41;&#46;</p><p id="par0110" class="elsevierStylePara elsevierViewall">The case rate was one PSS in 3 facilities&#46; In another facility&#44; 2 different waves can be discerned&#44; with the first starting on 17 March with one case among the residents and the second on 21 April with one case among the PSS&#46; From 31 March to 20 April&#44; no residents or PSS started to experience symptoms&#46;</p></span><span id="sec0020" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0090">Discussion</span><p id="par0115" class="elsevierStylePara elsevierViewall">This study shows the high impact of COVID-19 in long-term care centres in Seville during the period from March to May 2020&#44; in which 14 out of 88 centres in the district were affected&#44; with an attack rate of 54&#46;3&#37; among residents in centres with outbreaks&#46; The healthcare workers group was also particularly affected&#44; with an attack rate of 16&#46;9&#37; in centres with outbreaks&#46; While the cumulative incidence is similar between men and women&#44; in absolute terms the impact is higher in female workers as this sector is highly woman dominant&#46; The proportion of cases in women is around 75&#37;&#44; which is very similar to the data published by the Ministry of Health for cases among health professionals<a class="elsevierStyleCrossRef" href="#bib0060"><span class="elsevierStyleSup">12</span></a>&#46;</p><p id="par0120" class="elsevierStylePara elsevierViewall">A significant percentage of the affected staff attended work with symptoms&#44; which could have conditioned the speed and spread of infection&#46; The majority of cases presented at least one of the characteristic symptoms of COVID-19&#44; despite delays in isolating and declaring the cases&#46; The little knowledge of the disease at the time&#44; difficulty to access diagnostic tests&#44; and strain on staff are considered the causes behind this diagnostic delay&#46; All of this was aggravated by the complicated definition of occupational disease in terms of temporary disability leave&#46;</p><p id="par0125" class="elsevierStylePara elsevierViewall">These data coincide with the studies conducted in the hospital environment which show infection rates in workers ranging from 9&#37; to 29&#37;&#44; with delays exceeding 2 days and symptomatology similar to that already described<a class="elsevierStyleCrossRefs" href="#bib0065"><span class="elsevierStyleSup">13&#8211;20</span></a>&#46; The facilities with the highest incidence among PSS and residents were affected during the first fortnight of March 2020&#44; with the incidence subsequently slowly decreasing&#46; This decrease over the course of the study period coincided with the improvements established within the Health Department&#8217;s control program and can be attributed to the learning and adoption of preventive measures&#44; as well as enhanced surveillance and early detection of cases&#46;</p><p id="par0130" class="elsevierStylePara elsevierViewall">Multiple studies have reported the significant role of unrecognised asymptomatic and presymptomatic infections as a contributing factor to transmission in these environments<a class="elsevierStyleCrossRefs" href="#bib0080"><span class="elsevierStyleSup">16&#44;21</span></a>&#46; These studies conducted screening in the context of the outbreaks&#44; finding that over half of the residents or workers with positive tests were asymptomatic<a class="elsevierStyleCrossRefs" href="#bib0080"><span class="elsevierStyleSup">16&#44;17&#44;22&#44;23</span></a>&#46; Consequently&#44; interventions that could improve control would include early identification of potential cases by broadening the criteria for case suspicion and symptom detection&#44; increasing the use of testing with regular screenings&#44; and making it easier to process temporary disability leaves due to illness<a class="elsevierStyleCrossRef" href="#bib0100"><span class="elsevierStyleSup">20</span></a>&#46; Similarly&#44; notifying the health authorities to establish emergency measures and the swift implementation of intervention have been shown to be key in reducing transmission in facilities and in controlling COVID-19 outbreaks<a class="elsevierStyleCrossRef" href="#bib0020"><span class="elsevierStyleSup">4</span></a>&#46;</p><p id="par0135" class="elsevierStylePara elsevierViewall">Study limitations include difficulty in collecting data given the state of emergency due to the pandemic&#44; which could have affected the reliability of some of the variables&#46; Uncertainty in remembering exact dates could have affected the recording of onset of symptoms and their characteristics with mild symptomatology&#46; The high variability in the clinical picture of this disease&#44; as well as a reticence to declare cases&#44; causes patients with mild symptoms to potentially go unnoticed&#46; A number of diagnoses were made using antibody tests that were later confirmed to have low sensitivity and specificity&#44; but given that the proportion of these cases is low&#44; it is assumed that it should not alter the overall results&#46;</p><p id="par0140" class="elsevierStylePara elsevierViewall">In short&#44; the high incidence of infection by SARS-CoV-2 among healthcare workers was a deciding factor in the appearance of outbreaks in long-term care facilities&#44; as well as in the intensity and duration of transmission&#46; This situation mainly occurred during the initial weeks of the pandemic when there was little knowledge of the disease and little access to tests&#46; Currently&#44; the high vaccination coverage accomplished in these centres has achieved indirect protection for even those residents who have not been vaccinated&#46; Even with this strategy&#44; it is necessary to expand upon measures that improve labour and working conditions&#44; providing training in the prevention of infection transmission and management of temporary disability associated with COVID-19<a class="elsevierStyleCrossRefs" href="#bib0115"><span class="elsevierStyleSup">23&#8211;25</span></a>&#46;</p><p id="par0145" class="elsevierStylePara elsevierViewall">Promoting prevention programs for the new coronavirus will result in better global control of infections with regards to long-term care centres&#46;</p></span><span id="sec0025" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0095">Funding</span><p id="par0150" class="elsevierStylePara elsevierViewall">This study was conducted without any specific funding&#46; All the resources used were those made available in the daily work of the Seville Health District epidemiology service&#46;</p></span><span id="sec0030" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0100">Conflicts of interest</span><p id="par0155" class="elsevierStylePara elsevierViewall">The authors declare that they do not have any conflicts of interest&#46;</p></span></span>"
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            1 => "Nursing homes"
            2 => "Nursing staff"
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            1 => "Centros sociosanitarios"
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        "resumen" => "<span id="abst0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0010">Background</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">Coronavirus disease 2019 &#40;COVID-19&#41;&#44; caused by SARS-CoV-2 infection&#44; spreads swiftly in nursing homes and assisted living facilities&#44; leading to a high degree of lethality&#46; The data generated by an epidemiological surveillance program allow for obtaining valid information on the diseases&#8217; epidemiology and possible prevention methods&#46;</p></span> <span id="abst0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0015">Objective</span><p id="spar0045" class="elsevierStyleSimplePara elsevierViewall">This work aims to analyze COVID-19 epidemiology among healthcare staff based in the Seville healthcare district &#40;Spain&#41; and evaluate its role in outbreaks in nursing homes&#46;</p></span> <span id="abst0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0020">Methods</span><p id="spar0050" class="elsevierStyleSimplePara elsevierViewall">This is an observational&#44; descriptive study of 88 assisted living facilities located in the city of Seville from March 1 to May 23&#44; 2020&#46; Data were obtained via epidemiological surveys on staff at centers where there were outbreaks &#40;n &#61; 732 in 14 nursing homes&#41;&#46; The cumulative incidence&#44; epidemic curves&#44; sociodemographic and clinical characteristics&#44; and delays in isolation and notification of cases were calculated&#46; For the statistical analysis&#44; measures of central tendency and dispersion were used as well as confidence intervals and statistical hypothesis tests&#46;</p></span> <span id="abst0020" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0025">Results</span><p id="spar0055" class="elsevierStyleSimplePara elsevierViewall">There were 124 cases in staff members &#40;cumulative incidence 16&#46;9&#37;&#41;&#44; 79&#46;0&#37; of which were in women&#46; The majority presented with mild symptoms &#40;87&#46;1&#37;&#41;&#46; The most common symptoms were fever &#40;31&#46;5&#37;&#41; and cough &#40;49&#46;2&#37;&#41;&#46; The median number of days from onset of symptoms to isolation was three&#46;</p></span> <span id="abst0025" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0030">Conclusions</span><p id="spar0060" class="elsevierStyleSimplePara elsevierViewall">A high incidence in nursing home staff along with delays in isolation were observed&#44; which could affect the dynamics of transmission in outbreaks&#46; It is necessary to review disease identification and isolation practices among staff as well as emphasize rapid implementation of prevention measures&#46;</p></span>"
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        "titulo" => "Resumen"
        "resumen" => "<span id="abst0030" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0040">Antecedentes</span><p id="spar0065" class="elsevierStyleSimplePara elsevierViewall">La infecci&#243;n por coronavirus SARS-CoV-2 se transmite r&#225;pidamente en residencias de mayores y centros sociosanitarios&#44; provocando una elevada letalidad&#46; Los datos generados por el programa de vigilancia epidemiol&#243;gica permiten informaci&#243;n v&#225;lida sobre la epidemiolog&#237;a del problema y las posibilidades de prevenci&#243;n&#46;</p></span> <span id="abst0035" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0045">Objetivo</span><p id="spar0070" class="elsevierStyleSimplePara elsevierViewall">Analizar la epidemiolog&#237;a de la infecci&#243;n por COVID-19 entre los profesionales sociosanitarios del Distrito Sanitario Sevilla y su papel en la evoluci&#243;n de los brotes en las residencias de mayores&#46;</p></span> <span id="abst0040" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0050">Metodolog&#237;a</span><p id="spar0075" class="elsevierStyleSimplePara elsevierViewall">Estudio sobre 88 centros sociosanitarios de la ciudad de Sevilla en el per&#237;odo del 1 marzo al 23 mayo de 2020&#44; partiendo de las encuestas epidemiol&#243;gicas en casos del personal donde hubo brotes &#40;n &#61; 732 en 14 residencias&#41;&#46; Se calcularon incidencias acumuladas&#44; curvas epid&#233;micas&#44; caracter&#237;sticas sociodemogr&#225;ficas y cl&#237;nicas&#44; y demoras en el aislamiento y notificaci&#243;n de los casos&#46; Para el an&#225;lisis estad&#237;stico se emplearon medidas de tendencia central y de dispersi&#243;n&#44; as&#237; como intervalos de confianza y pruebas de contraste de hip&#243;tesis&#46;</p></span> <span id="abst0045" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0055">Resultados</span><p id="spar0080" class="elsevierStyleSimplePara elsevierViewall">Se produjeron 124 casos en trabajadores &#40;tasa de ataque 16&#44;9&#37;&#41;&#44; 79&#44;0&#37; en mujeres&#46; La gran mayor&#237;a presentaron s&#237;ntomas leves &#40;87&#44;1&#37;&#41;&#46; Los comunes fueron fiebre &#40;31&#44;5&#37;&#41; y tos &#40;49&#44;2&#37;&#41;&#46; La mediana de d&#237;as desde el inicio de los s&#237;ntomas hasta el aislamiento fue 3 d&#237;as&#46;</p></span> <span id="abst0050" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0060">Conclusiones</span><p id="spar0085" class="elsevierStyleSimplePara elsevierViewall">Se objetiva una elevada incidencia en el personal sociosanitario con demoras en el aislamiento que pudieron condicionar la din&#225;mica de transmisi&#243;n en los brotes&#46; Es necesario revisar las pr&#225;cticas de identificaci&#243;n de la enfermedad y el aislamiento entre el personal&#44; &#233;nfasis en la implementaci&#243;n r&#225;pida de medidas de prevenci&#243;n&#46;</p></span>"
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        "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Please cite this article as&#58; Morales Viera A&#44; Rivas Rodr&#237;guez R&#44; Otero Aguilar P&#44; Briones P&#233;rez de Blanca E&#46; Epidemiolog&#237;a de la COVID-19 entre el personal de centros sociosanitarios de Sevilla&#46; Rev Clin Esp&#46; 2022&#59;222&#58;205&#8211;211&#46;</p>"
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Long-term care centre&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">No&#46; of cases&nbsp;\t\t\t\t\t\t\n
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                  """
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">A &#40;N&#160;&#61;&#160;44&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Anosmia&#47;ageusia&#44; n &#40;&#37;&#41;&nbsp;\t\t\t\t\t\t\n
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