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Viruses most often Epstein-Barr virus (EBV) and certain infections cause the illness

It spreads through the cabin, settles into fabrics and moves through vents

Procedures Screening and consent Interested participants who contact the research team by telephone or email will have the option to complete a brief pre-screening survey by phone or online

This calls for an expansion of field monitoring, especially in underrepresented regions, to validate modeled trends and address critical knowledge gaps, highlighting that a more in-depth exploration of localized field data is particularly important for confirming and contextualizing the observed patterns

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