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<article article-type="research-article" dtd-version="1.3" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xml:lang="ru"><front><journal-meta><journal-id journal-id-type="publisher-id">epidemiology</journal-id><journal-title-group><journal-title xml:lang="ru">Эпидемиология и Вакцинопрофилактика</journal-title><trans-title-group xml:lang="en"><trans-title>Epidemiology and Vaccinal Prevention</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">2073-3046</issn><issn pub-type="epub">2619-0494</issn><publisher><publisher-name>«Numicom» LLC</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.31631/2073-3046-2023-22-1-89-103</article-id><article-id custom-type="elpub" pub-id-type="custom">epidemiology-1747</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="ru"><subject>ПРАКТИЧЕСКИЕ АСПЕКТЫ ЭПИДЕМИОЛОГИИ И ВАКЦИНОПРОФИЛАКТИКИ</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>PRACTICAL ASPECTS OF EPIDEMIOLOGY AND VACCINE PREVENTION</subject></subj-group></article-categories><title-group><article-title>Анализ серологического исследования коклюша среди детей и подростков в Республике Казахстан</article-title><trans-title-group xml:lang="en"><trans-title>Analysis of a Serological Study of Pertussis among Children and Adolescents in the Republic of Kazakhstan</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-0905-8121</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Смагул</surname><given-names>М. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Smagul</surname><given-names>M. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Заместитель директора.</p><p>050000, Алматы. ул. Ауэзова, 84</p></bio><bio xml:lang="en"><p>Manar A. Smagul – Deputy Director of the Branch Scientific and Practical Center for Sanitary and Epidemiological Expertise and Monitoring «National Center for Public Health» of the Ministry of Health of the Republic of Kazakhstan.</p><p>84, Auezov street, Almaty, 050000</p><p>Tel.: +7 (701) 744-46-81</p></bio><email xlink:type="simple">manarka@mail.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-0892-166X</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Ералиева</surname><given-names>Л. Т.</given-names></name><name name-style="western" xml:lang="en"><surname>Yeraliyeva</surname><given-names>L. T.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Доктор медицинских наук, профессор, заместитель директора по клинической и научной работе.</p><p>050010, Алматы, ул. Бекхожина, 5</p><p>Тел: +7 (727) 241-11-28</p></bio><bio xml:lang="en"><p>Lyazzat T. Yeraliyeva – Dr. Sci. (Med.), Professor, Deputy Director for Clinical and Scientific Work of the RSE on REM «National Scientific Center for Phthisiopulmonology of the Republic of Kazakhstan» of the Ministry of Health of the Republic of Kazakhstan.</p><p>5, Bekkhozhina street, Almaty, 050010</p><p>Tel.: +7 (727) 241-11-28</p></bio><email xlink:type="simple">l.eralieva@mail.ru</email><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-1391-4253</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Куатбаева</surname><given-names>А. М.</given-names></name><name name-style="western" xml:lang="en"><surname>Kuatbayeva</surname><given-names>A. M.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Директор Филиала НПЦ санитарно-эпидемиологической экспертизы и мониторинга НЦОЗ МЗ РК.</p><p>050000, Алматы, ул. Ауэзова, 84</p><p>Тел: +7 (708) 972-35-27</p></bio><bio xml:lang="en"><p>Ainagul M. Kuatbayeva – Director of the Branch Scientific and Practical Center for Sanitary and Epidemiological Expertise and Monitoring «National Center for Public Health» of the Ministry of Health of the Republic of Kazakhstan.</p><p>84, Auezov street, Almaty, 050000</p><p>Tel.: +7 (708) 972-35-27</p></bio><email xlink:type="simple">a.kuatbaeva@hls.kz</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-4304-6386</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Нусупбаева</surname><given-names>Г. Е.</given-names></name><name name-style="western" xml:lang="en"><surname>Nusupbayeva</surname><given-names>G. E.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Заведующая лабораторией.</p><p>050000, Алматы, ул. Ауэзова, 84</p><p>Тел: +7 (701) 494-56-64</p></bio><bio xml:lang="en"><p>Gaukhar E. Nusupbayeva – Head of the Laboratory of the Branch Scientific and Practical Center for Sanitary and Epidemiological Expertise and Monitoring «National Center for Public Health» of the Ministry of Health of the Republic of Kazakhstan.</p><p>84, Auezov street, Almaty, 050000</p><p>Tel.: +7 (701) 494-56-64</p></bio><email xlink:type="simple">gnusupbaeva@mail.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-9768-0289</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Касабекова</surname><given-names>Л. К.</given-names></name><name name-style="western" xml:lang="en"><surname>Kasabekova</surname><given-names>L. K.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Руководитель отдела.</p><p>050000, Алматы, ул. Ауэзова, 84</p><p>Тел: +7 (701) 300-35-03</p></bio><bio xml:lang="en"><p>Lena K. Kasabekova – Head of the Department of the Branch Scientific and Practical Center for Sanitary and Epidemiological Expertise and Monitoring «National Center for Public Health» of the Ministry of Health of the Republic of Kazakhstan.</p><p>84, Auezov street, Almaty, 050000</p><p>Tel.: +7 (701) 300-35-03</p></bio><email xlink:type="simple">kasabekova_74@mail.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-6661-0392</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Нукенова</surname><given-names>Г. Т.</given-names></name><name name-style="western" xml:lang="en"><surname>Nukenova</surname><given-names>G. T.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Врач-эпидемиолог.</p><p>050000, Алматы, ул. Ауэзова, 84</p><p>Тел: +7 (771) 400-77-84</p></bio><bio xml:lang="en"><p>Gaukhar T. Nukenova – Epidemiologist of the Branch Scientific and Practical Center for Sanitary and Epidemiological Expertise and Monitoring «National Center for Public Health» of the Ministry of Health of the Republic of Kazakhstan.</p><p>84, Auezov street, Almaty, 050000</p><p>Tel.: +7 (771) 400-77-84</p></bio><email xlink:type="simple">gnukenova@mail.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-1279-5301</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Сатаева</surname><given-names>А. М.</given-names></name><name name-style="western" xml:lang="en"><surname>Satayeva</surname><given-names>A. M.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Врач-эпидемиолог.</p><p>050000, Алматы, ул. Ауэзова, 84</p><p>Тел.: +7 (708) 556-67-33</p></bio><bio xml:lang="en"><p>Aigul M. Satayeva – Epidemiologist of the Branch Scientific and Practical Center for Sanitary and Epidemiological Expertise and Monitoring «National Center for Public Health» of the Ministry of Health of the Republic of Kazakhstan.</p><p>84, Auezov street, Almaty, 050000</p><p>Tel.: +7 (708) 556-67-33</p></bio><email xlink:type="simple">aigulya_dtcs@bk.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-1450-4587</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Смагулова</surname><given-names>М. К.</given-names></name><name name-style="western" xml:lang="en"><surname>Smagulova</surname><given-names>M. K.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Главный специалист.</p><p>050000, Алматы, ул. Ауэзова, 84</p><p>Тел.: +7 (777) 221-98-42</p></bio><bio xml:lang="en"><p>Meiramgul K. Smagulova – Chief Specialist of the Branch Scientific and Practical Center for Sanitary and Epidemiological Expertise and Monitoring «National Center for Public Health» of the Ministry of Health of the Republic of Kazakhstan.</p><p>84, Auezov street, Almaty, 050000</p><p>Tel.: +7 (777) 221-98-42</p></bio><email xlink:type="simple">mirasmaga@mail.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-9608-4138</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Муталиева</surname><given-names>А. С.</given-names></name><name name-style="western" xml:lang="en"><surname>Mutaliyeva</surname><given-names>A. S.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Врач-лаборант.</p><p>050000, Алматы, ул. Ауэзова, 84.</p><p>Тел.: +7 (707) 241-07-88</p></bio><bio xml:lang="en"><p>Aknur S. Mutaliyeva – doctor laboratory assistant of the Branch Scientific and Practical Center for Sanitary and Epidemiological Expertise and Monitoring «National Center for Public Health» of the Ministry of Health of the Republic of Kazakhstan.</p><p>84, Auezov street, Almaty, 050000</p><p>Tel.: +7 (707) 241-07-88</p></bio><email xlink:type="simple">aknyr.kz@mail.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-2323-5043</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Сагымбай</surname><given-names>А. Б.</given-names></name><name name-style="western" xml:lang="en"><surname>Sagymbai</surname><given-names>A. B.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Врач-лаборант.</p><p>050000, Алматы, ул. Ауэзова, 84</p><p>Тел.: +7 (701) 793-99-44</p></bio><bio xml:lang="en"><p>Altynay B. Sagymbay – doctor laboratory assistant of the Branch Scientific and Practical Center for Sanitary and Epidemiological Expertise and Monitoring «National Center for Public Health» of the Ministry of Health of the Republic of Kazakhstan.</p><p>84, Auezov street, Almaty, 050000</p><p>Tel.: +7 (701) 793-99-44</p></bio><email xlink:type="simple">altinai_s@mail.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-3016-3586</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Имангалиева</surname><given-names>О. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Imangaliyeva</surname><given-names>O. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Медицинский консультант.</p><p>Алматы, пр-т имени Н. Назарбаева,187 Б, бизнес-центр «Star»</p><p>Тел.: +7 (775) 320-40-14</p></bio><bio xml:lang="en"><p>Oxana V. Imangaliyeva – medical advisor of Sanofi-avensis Kazakhstan LLP. business center «Star».</p><p>187 B, avenue named after N. Nazarbayev, Almaty</p><p>Tel.: +7 (775) 320-40-14</p></bio><email xlink:type="simple">o.imangaliyeva@mail.ru</email><xref ref-type="aff" rid="aff-3"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru">Филиал Научно-практический центр санитарно-эпидемиологической экспертизы и мониторинга «Национальный центр общественного здравоохранения» МЗ РК<country>Казахстан</country></aff><aff xml:lang="en">Branch Scientific and Practical Center for Sanitary and Epidemiological Expertise and Monitoring «National Center for Public Health» of the Ministry of Health of the Republic of Kazakhstan<country>Kazakhstan</country></aff></aff-alternatives><aff-alternatives id="aff-2"><aff xml:lang="ru">РГП на ПХВ «Национальный научный центр фтизиопульмонологии РК» МЗ РК<country>Казахстан</country></aff><aff xml:lang="en">National Scientific Center of Phthisiopulmonology of the Republic of Kazakhstan of the Ministry of health<country>Kazakhstan</country></aff></aff-alternatives><aff-alternatives id="aff-3"><aff xml:lang="ru">Представительство «Санофи Авентис групп»<country>Казахстан</country></aff><aff xml:lang="en">Representative office of «Sanofi Aventis Group»<country>Kazakhstan</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2023</year></pub-date><pub-date pub-type="epub"><day>05</day><month>03</month><year>2023</year></pub-date><volume>22</volume><issue>1</issue><fpage>89</fpage><lpage>103</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Смагул М.А., Ералиева Л.Т., Куатбаева А.М., Нусупбаева Г.Е., Касабекова Л.К., Нукенова Г.Т., Сатаева А.М., Смагулова М.К., Муталиева А.С., Сагымбай А.Б., Имангалиева О.В., 2023</copyright-statement><copyright-year>2023</copyright-year><copyright-holder xml:lang="ru">Смагул М.А., Ералиева Л.Т., Куатбаева А.М., Нусупбаева Г.Е., Касабекова Л.К., Нукенова Г.Т., Сатаева А.М., Смагулова М.К., Муталиева А.С., Сагымбай А.Б., Имангалиева О.В.</copyright-holder><copyright-holder xml:lang="en">Smagul M.A., Yeraliyeva L.T., Kuatbayeva A.M., Nusupbayeva G.E., Kasabekova L.K., Nukenova G.T., Satayeva A.M., Smagulova M.K., Mutaliyeva A.S., Sagymbai A.B., Imangaliyeva O.V.</copyright-holder><license license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>This work is licensed under a Creative Commons Attribution 4.0 License.</license-p></license></permissions><self-uri xlink:href="https://www.epidemvac.ru/jour/article/view/1747">https://www.epidemvac.ru/jour/article/view/1747</self-uri><abstract><p>Актуальность. В 2018 г. во всем мире было зарегистрировано более 151 000 случаев коклюша. В Республике Казахстан заболеваемость коклюшем всегда оставалась актуальной. Заболеваемость регистрируется в основном среди детей до 14 лет, удельный вес которых составляет 96–100% от общей заболеваемости в отдельные годы. Также необходимо отметить, что 82,9–96% заболевших лиц не привиты против коклюша. Цель. Оценка длительности защиты после вакцинации против коклюшной инфекции в Казахстане на основе определения уровня антител против коклюшного токсина (PT), IgA и IgG в качестве специфического маркера коклюшной инфекции или поствакцинального иммунитета у детей и подростков, проживающих в городах Республики Казахстан: Актобе, Караганде, Талдыкорган, Шымкент для определения возраста бустерной вакцинации. Материалы и методы. Период проведения исследования: февраль 2021 г. – октябрь 2021 г. Исследование проводилось на базе медицинских организаций городов: Актобе. Караганда. Талдыкорган. Шымкент (в каждом городе одна детская больница и две поликлиники). В исследовании принимали участие пациенты в возрасте 10–14 лет, госпитализированные в детские больницы, и подростки 15–18 лет, посетившие поликлиники. Всего участвовало 520 человек. Критерии включения в исследование: возраст от 10 лет до 18 лет 11 месяцев 29 дней, информированное согласие, полученное от родителей или опекуна (опекунов) или пациента, посещение поликлиники, наличие документированного подтверждения иммунного статуса. Результаты и обсуждение. Среди 520 участников исследования – 200 (38,5%) человек в возрасте от 10 до 14 лет и 320 (61,5%) человек от 15 до 18 лет, в том числе мальчиков – 284 (54,6%), девочек – 236 (45,4%). Наибольшее число участников исследования были в возрасте 15, 16 и 17 лет. У 10 участников (1,9%) были периоды длительного кашля в течение последних 6 месяцев. Первую, вторую и третью прививки против коклюша получило 100% детей. Для первых двух прививок использовалась вакцина АКДС (Адсорбированная коклюшно-дифтерийно-столбнячная вакцина). Третью прививку этой же вакциной получили 519 детей, один ребенок – АбКДС в связи с переходом на бесклеточную вакцину со второй половины 2013 г. Ревакцинацию, запланированную в возрасте 18 месяцев, получили 519 участников (99,8%), из них 517 детей (99,6%) привиты АКДС и два ребенка (0,4%) – АбКДС. Чуть более половины детей (276 человек, или 53,1%) также были ревакцинированы в возрасте 6 лет. В биологических образцах крови 17 участников (3.3%) были выявлены IgA, 245 (47,1%) – IgG. У 15 из 17 участников с IgA также присутствовали IgG. Всего антитела классов IgA и IgG были обнаружены у 247 участников, что составило 47,5%. Выводы. Выявляемость IgA была статистически значимо выше среди детей старшего возраста и среди детей, имевших респираторные симптомы в течение 6 месяцев перед проведением исследования, IgG обнаруживались статистически значимо выше среди детей, привитых против коклюша в возрасте 6 лет (47,1%) и в возрасте 10–14 лет (56,2%), чем в возрастной группе 15–18 лет (43,8%). Таким образом, можно констатировать снижение защитного вакцинального иммунитета среди более старших возрастных групп.</p></abstract><trans-abstract xml:lang="en"><p>Relevance. In 2018 over 151 000 cases of whooping cough were reported worldwide. In the Republic of Kazakhstan the incidence of whooping cough has always remained relevant. The incidence is recorded mainly among children under 14 years of age, whose share is 96–100% of the total incidence in certain years. It should also be noted that 82,9–96% of sick people are not vaccinated against whooping cough. Aims. Assessment of the duration of protection after vaccination against pertussis infection in Kazakhstan using antibodies against pertussis toxin (PT) and (IgA and IgG) as a specific marker of pertussis infection or vaccination in children and adolescents in the cities of the Republic of Kazakhstan: Aktobe, Karaganda, Taldykorgan, Shymkent for evaluation appropriate age for booster vaccination. Materials and methods. For the study included medical organizations in the cities of Aktobe, Karaganda, Taldykorgan, Shymkent. Participants aged 10–14 years who were hospitalized in children's hospitals and 15–18 years old who visited polyclinics were invited to participate in the study. Each city has 1 children's hospital (4 in total) and 2 polyclinics (8 in total). A total of 520 people of different age groups participated. Study period: February 2021 – October 2021. Inclusion criteria were such aspects as: age from 10 years to 18 years 11 months 29 days, informed consent obtained from parents or guardian(s) and patient consent, enrollment after visiting the clinic, the presence of documented evidence of immune status. An association between two qualitative variables is considered statistically significant if the p-value calculated using     the Chi-squared test is less than 0.05. Results. Among 520 participants aged 10–14 years – 200 (38.5%) and 15–18 years – 320 (61.5%), including boys – 284 (54.6%), girls – 236 (45.4%). The largest number of study participants was aged 15, 16 and 17 years, 10 participants (1.9%) had periods of prolonged coughing in the past 6 months. The first, second and third pertussis vaccines were received by 100% of children. The first and second vaccine for all children was the Adsorbed Diphtheria-Tetanus-Pertussis Vaccine (DPT). The third vaccine for 519 children was also DPT, for one child – AbDPT, due to the transition to a cell-free vaccine from the second half of 2013. The additional vaccine scheduled at 18 months of age was given to 519 participants (99.8%), of which 517 children (99.6%) received DPT and two children (0.4%) DPT. Just over half of the children (276 or 53.1%) also received the whooping cough vaccine at age 6. In biological blood samples of 17 participants (3.3%). antibodies of the IgA class were detected in 245 samples (47.1%) – antibodies of the IgG class. Of the 17 participants with IgA antibodies, 15 also tested positive for IgG. In total antibodies of the IgA and IgG classes were detected in 247 participants which amounted to 47.5%. Conclusions. This study showed the duration of protection after pertussis vaccination in Kazakhstan among different age groups. In total, antibodies of the IgA and IgG classes were detected in 247 participants out of 520 which amounted to 47.5%. IgA antibodies were detected in biological blood samples in 17 participants (3.3%), IgG class antibodies in 245 samples (47.1%). The prevalence of IgA antibodies was statistically significantly higher among older children and among children who had respiratory symptoms in the 6 months prior to the study. The prevalence of IgG antibodies was statistically significantly higher among children vaccinated against whooping cough at the age of 6 years (47.1%) and at the age of 10–14 years (56.2%) than in the age group of 15–18 years (43.8%) and also significantly higher among those, who share a bedroom with other family members compared to children living in separate rooms. Thus an increase in whooping cough and a decrease in protective vaccine immunity among older age groups can be stated which raises concerns about transmission of the infection in the home to vulnerable children and the need to strengthen vaccination strategies.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>коклюш</kwd><kwd>эпидемиология</kwd><kwd>заболеваемость</kwd><kwd>дети</kwd><kwd>подростки</kwd><kwd>антитела</kwd><kwd>вакцинация</kwd><kwd>иммунитет</kwd><kwd>Казахстан</kwd></kwd-group><kwd-group xml:lang="en"><kwd>pertussis</kwd><kwd>epidemiology</kwd><kwd>incidence</kwd><kwd>children</kwd><kwd>adolescents</kwd><kwd>antibodies</kwd><kwd>vaccination</kwd><kwd>immunity</kwd><kwd>Kazakhstan</kwd></kwd-group><funding-group xml:lang="ru"><funding-statement>Исследование проведено при поддержке компании Санофи, Франция.</funding-statement></funding-group><funding-group xml:lang="en"><funding-statement>The study was supported by Sanofi, France.</funding-statement></funding-group></article-meta></front><back><ref-list><title>References</title><ref id="cit1"><label>1</label><citation-alternatives><mixed-citation xml:lang="ru">Macina D. 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[In Russ.].</mixed-citation></citation-alternatives></ref></ref-list><fn-group><fn fn-type="conflict"><p>The authors declare that there are no conflicts of interest present.</p></fn></fn-group></back></article>
