Accidents - Sleds - 0-5 years old - Years 1997-2010 - Mouth

Number Of Accidents (Estimate): 2,422
See also: Other age groups, Other products, Other body parts.

Accidents - Years:

Year 1997:	283
Year 1998:	160
Year 1999:	110
Year 2000:	259
Year 2001:	68
Year 2002:	20
Year 2003:	200
Year 2004:	295
Year 2005:	82
Year 2006:	86
Year 2007:	260
Year 2008:	228
Year 2009:	187
Year 2010:	177

Accidents - Sex

Accidents - Race

National Electronic Injury Surveillance System Accidents Records

Date: 12/06/2010	Age: 4 years	Sex: Female	Race: White
Location: Not recorded		Fire: No fire involvement or fire involvement not recorded
Body part: Mouth		Diagnosis: Laceration
Product: Sleds, Fences or fence posts
4YOF-TONGUE LAC-ON SLED-HIT BARBED WIRE FENCE-CUT TONGUE
Disposition: Treated and released or examined and released without treatment

Date: 02/21/2010	Age: 22 months	Sex: Female	Race: Not stated in ER record
Location: Not recorded		Fire: No fire involvement or fire involvement not recorded
Body part: Mouth		Diagnosis: Dental Injury
Product: Sleds
22MOF WAS ON A SLED, WITH SIS, & THEY CRASHED, FALLING FACE FIRST INTO THE SNOW- BLOOD IN MOUTH, LOOSE TOOTH. DX; DENTAL TRAUMA, AVULSION
Disposition: Treated and released or examined and released without treatment

Date: 02/13/2010	Age: 3 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: Mouth		Diagnosis: Laceration
Product: Sleds
3YOM WAS SLEDDING ON A HILL, BIT TONGUE CAUSING A LACERATION TO TONGUE
Disposition: Treated and released or examined and released without treatment

Date: 02/09/2010	Age: 5 years	Sex: Male	Race: White
Location: Not recorded		Fire: No fire involvement or fire involvement not recorded
Body part: Mouth		Diagnosis: Laceration
Product: Sleds
5YOM SLEDDING DOWN HILL, HIT FROM BEHIND BY ADULT MALE SLEDDING DOWN HI LL AND HIT IN LIP; LIP LACERATION
Disposition: Treated and released or examined and released without treatment

Date: 01/10/2010	Age: 5 years	Sex: Male	Race: Not stated in ER record
Location: Home		Fire: No fire involvement or fire involvement not recorded
Body part: Mouth		Diagnosis: Laceration
Product: Sleds
5YOM SLEDDING AT HOME. FELL OFF SLED AND HIT MOUTH ON GROUND. LAC INSID E OF MOUTH. DX MOUTH LAC
Disposition: Treated and released or examined and released without treatment

Date: 01/01/2010	Age: 4 years	Sex: Female	Race: White
Location: Place of recreation or sports		Fire: No fire involvement or fire involvement not recorded
Body part: Mouth		Diagnosis: Laceration
Product: Sleds, Benches
4YOF SLEDING AND WENT INTO A METAL PARKBENCH - LACERATION TO LOWER LIP, CHIN AND GUMS
Disposition: Treated and released or examined and released without treatment

Date: 12/30/2009	Age: 5 years	Sex: Male	Race: Other
Location: Home		Fire: No fire involvement or fire involvement not recorded
Body part: Mouth		Diagnosis: Laceration
Product: Sleds, Gutters, drainpipes, downspouts or run-off pipes
5YOM WAS SLEDDING IN THE BACKYARD, SLIPPED & HIT MOUTH & NOSE ON METAL GUTTER. DX; LIP LACERATION, NASAL INJURY
Disposition: Treated and released or examined and released without treatment

Date: 12/22/2009	Age: 5 years	Sex: Male	Race: Not stated in ER record
Location: Home		Fire: No fire involvement or fire involvement not recorded
Body part: Mouth		Diagnosis: Laceration
Product: Sleds, All-terrain vehicles
PT WAS RIDING ON A SLED BEING PULLED BY A 4 WHEELER, FELL OFF CAUSING A LACERATION TO LWR LIP.
Disposition: Treated and released or examined and released without treatment

Date: 02/01/2009	Age: 5 years	Sex: Male	Race: Not stated in ER record
Location: Not recorded		Fire: No fire involvement or fire involvement not recorded
Body part: Mouth		Diagnosis: Laceration
Product: Sleds
PT WAS SLED RIDING 2 DAYS AGO AND STRUCK A TREE. HIT HIS CHIN. SUSTAINE D A LAC INSIDE MOUTH. NOW WONT TAKE PO. LARGE MOUTH LAC. DX MOUTH LAC
Disposition: Treated and admitted for hospitalization (within same facility)

Date: 01/31/2009	Age: 4 years	Sex: Female	Race: White
Location: Place of recreation or sports		Fire: No fire involvement or fire involvement not recorded
Body part: Mouth		Diagnosis: Laceration
Product: Sleds
LIP LAC-FELL FACE FIRST OFF A SLED ON HILL-@ A PARK
Disposition: Treated and released or examined and released without treatment

Date: 01/31/2009	Age: 5 years	Sex: Male	Race: White
Location: Home		Fire: No fire involvement or fire involvement not recorded
Body part: Mouth		Diagnosis: Laceration
Product: Sleds
PT JUMPED OFF SLED AT HOME AND HIT LIP DX// LIP LAC
Disposition: Treated and released or examined and released without treatment

Date: 01/14/2009	Age: 4 years	Sex: Male	Race: White
Location: Not recorded		Fire: No fire involvement or fire involvement not recorded
Body part: Mouth		Diagnosis: Dental Injury
Product: Sleds
PATIENT SLEDDING AND RAN INTO ANOTHER SLED HITTING MOUTH, TEETH LUXATED , SUBLUXATED; DENTAL INJURIES
Disposition: Treated and released or examined and released without treatment

Date: 01/13/2009	Age: 4 years	Sex: Male	Race: Not stated in ER record
Location: Not recorded		Fire: No fire involvement or fire involvement not recorded
Body part: Mouth		Diagnosis: Dental Injury
Product: Sleds
PT WAS SLED RIDING 2 DAYS AGO AND SLID INTO THE BUMPER OF A PARKED CAR. STRUCK MOUTH ON BUMPER. BRUISED GUMS W/ LARGE LAC. DX DENTAL TRAUMA
Disposition: Treated and released or examined and released without treatment

Date: 01/11/2009	Age: 5 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: Mouth		Diagnosis: Laceration
Product: Sleds
WAS SLEDDING AND WENT INTO TREE DEEPLY LACERATING TONGUE WITH CLOSED HE AD INJ
Disposition: Treated and released or examined and released without treatment

Date: 12/25/2008	Age: 3 years	Sex: Female	Race: White
Location: Place of recreation or sports		Fire: No fire involvement or fire involvement not recorded
Body part: Mouth		Diagnosis: Laceration
Product: Sleds, Motor vehicles or parts
PT WAS SLEDDING AND AND SLID UNDER A TRUCK AND STRUCK AN ICICLE AND CUT LIP. DX: LACERATION TO LIP
Disposition: Treated and released or examined and released without treatment

Date: 12/22/2008	Age: 5 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: Mouth		Diagnosis: Dental Injury
Product: Sleds
PT WAS RIDING A SLED ON A HILL, HIT A ROCK CAUSING DENTAL INJURY.
Disposition: Treated and released or examined and released without treatment

Date: 02/23/2008	Age: 5 years	Sex: Male	Race: White
Location: Place of recreation or sports		Fire: No fire involvement or fire involvement not recorded
Body part: Mouth		Diagnosis: Laceration
Product: Sleds, Snowmobiles
PT WAS BEING PULLED IN A SLED BEHIND A SNOW MOBILE AND STRUCK HIS LIP O N THE BACK OF SNOW MOBILE. DX: LIP LACERATION
Disposition: Treated and released or examined and released without treatment

Date: 01/08/2008	Age: 3 years	Sex: Male	Race: White
Location: School		Fire: No fire involvement or fire involvement not recorded
Body part: Mouth		Diagnosis: Laceration
Product: Sleds
PT WAS IN DAYCARE SLEDDING, SLED RAN ONTO A LAMP POLE SUBSTAINED LACERATION TO LIP AREA. DX SLED INJURY.
Disposition: Treated and released or examined and released without treatment

Date: 12/30/2007	Age: 2 years	Sex: Male	Race: White
Location: Home		Fire: No fire involvement or fire involvement not recorded
Body part: Mouth		Diagnosis: Laceration
Product: Sleds
FELL OFF SLED AT HOME INJURING LIP. DX; LACERATION LIP.
Disposition: Treated and released or examined and released without treatment

Date: 12/23/2007	Age: 5 years	Sex: Male	Race: White
Location: Not recorded		Fire: No fire involvement or fire involvement not recorded
Body part: Mouth		Diagnosis: Laceration
Product: Sleds
SLEDDING &RAN INTO BACK BUMPER OF PARKED CAR-LACERATION LIP FRENULUM-SE VERED FROM GUM LINE UPPER JAW-ROOT OF TOOTH EXPOSED THRU GUM LACERATION
Disposition: Treated and released or examined and released without treatment

Date: 12/11/2007	Age: 5 years	Sex: Female	Race: Other
Location: Not recorded		Fire: No fire involvement or fire involvement not recorded
Body part: Mouth		Diagnosis: Laceration
Product: Sleds
5 YOF - MOM & PT WERE SLEDDING, SLED FLIPPED & PT CAUGHT A TREE BRANCH TO THE FACE, LAC. TO LOWER LIP- DEEP. DX: THROUGH & THROUGH LIP LACERA
Disposition: Treated and admitted for hospitalization (within same facility)

Date: 12/07/2007	Age: 3 years	Sex: Female	Race: Not stated in ER record
Location: Not recorded		Fire: No fire involvement or fire involvement not recorded
Body part: Mouth		Diagnosis: Laceration
Product: Sleds
FELL OFF A SLED HITTING MOUTH >> LIP LAC
Disposition: Treated and released or examined and released without treatment

Date: 03/17/2007	Age: 5 years	Sex: Female	Race: Not stated in ER record
Location: Not recorded		Fire: No fire involvement or fire involvement not recorded
Body part: Mouth		Diagnosis: Laceration
Product: Sleds
STRUCK ON THE LIPS C SLED " LIP/TONGUE LACS"
Disposition: Treated and released or examined and released without treatment

Date: 03/07/2007	Age: 4 years	Sex: Male	Race: White
Location: Home		Fire: No fire involvement or fire involvement not recorded
Body part: Mouth		Diagnosis: Laceration
Product: Sleds
LACERATES LIP WHILE SLEDDING AND RAN INTO A BUSH.
Disposition: Treated and released or examined and released without treatment

Date: 02/15/2007	Age: 5 years	Sex: Female	Race: Not stated in ER record
Location: Home		Fire: No fire involvement or fire involvement not recorded
Body part: Mouth		Diagnosis: Laceration
Product: Sleds
PT SUS INJURY AFTER FALLING ON ICE WHILE SLED RIDING. DX PHILTRUM LAC.
Disposition: Treated and released or examined and released without treatment

Date: 02/02/2007	Age: 5 years	Sex: Male	Race: Not stated in ER record
Location: Not recorded		Fire: No fire involvement or fire involvement not recorded
Body part: Mouth		Diagnosis: Dental Injury
Product: Sleds
PT FRACTURED A TOOTH WHILE SLEDDING.
Disposition: Treated and released or examined and released without treatment

Date: 02/24/2006	Age: 3 years	Sex: Male	Race: White
Location: Not recorded		Fire: No fire involvement or fire involvement not recorded
Body part: Mouth		Diagnosis: Contusion Or Abrasion
Product: Sleds
FELL CLIMBING A HILL - STRUCK IN FACE BY SLED CONTUSION TEETH
Disposition: Treated and released or examined and released without treatment

Date: 02/12/2006	Age: 4 years	Sex: Female	Race: White
Location: Home		Fire: No fire involvement or fire involvement not recorded
Body part: Mouth		Diagnosis: Laceration
Product: Sleds
LIP COMPLEX LAC-SLEDDING-HIT SIDE OF HOUSE-@ HOME
Disposition: Treated and released or examined and released without treatment

Date: 01/29/2005	Age: 4 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: Mouth		Diagnosis: Contusion Or Abrasion
Product: Sleds, Fences or fence posts
PT WAS AT SLEDDING ON A HILL WHEN SHE RAN INTO A FENCE CAUSING A CONTUS ION AND SUPERFICIAL LACERATION TO HER UPPER LIP.
Disposition: Treated and released or examined and released without treatment

Date: 01/20/2005	Age: 4 years	Sex: Female	Race: White
Location: Home		Fire: No fire involvement or fire involvement not recorded
Body part: Mouth		Diagnosis: Laceration
Product: Sleds
LACERATION LIP - 4 YOF WAS SLEDDING AND RAN INTO A TREE SUSTAINING A LA CERATION TO HER UPPER LIP
Disposition: Treated and released or examined and released without treatment

Date: 12/20/2004	Age: 4 years	Sex: Male	Race: Not stated in ER record
Location: Not recorded		Fire: No fire involvement or fire involvement not recorded
Body part: Mouth		Diagnosis: Laceration
Product: Sleds
1.2 CM LACERATION TO R UPPER LIP SUTURED, SLED RIDING, FELL, HITTING FACE ON CEMENT, UPPER LIP
Disposition: Treated and released or examined and released without treatment

Date: 03/14/2004	Age: 5 years	Sex: Male	Race: White
Location: Place of recreation or sports		Fire: No fire involvement or fire involvement not recorded
Body part: Mouth		Diagnosis: Laceration
Product: Sleds, Snow boarding
RAN INTO SOMEONE ON A SNOWBOARD WHILE SLEDDING/ LIP LAC
Disposition: Treated and released or examined and released without treatment

Date: 03/01/2004	Age: 3 years	Sex: Female	Race: White
Location: Place of recreation or sports		Fire: No fire involvement or fire involvement not recorded
Body part: Mouth		Diagnosis: Laceration
Product: Sleds
PT. WAS SLEDDING & HIT MOUTH ON SLED DX: LACERATION TO SOFT PALATE
Disposition: Treated and released or examined and released without treatment

Date: 02/17/2004	Age: 2 years	Sex: Female	Race: White
Location: Place of recreation or sports		Fire: No fire involvement or fire involvement not recorded
Body part: Mouth		Diagnosis: Laceration
Product: Sleds, Fences or fence posts
PT WAS SLIDING DOWN HILL WITH BROTHER HIT A BUNP AND BOTH KIDS FELL OFF PT HIT A FENCE STRIKING MOUTH LACERATION IN MOUTH
Disposition: Treated and released or examined and released without treatment

Date: 02/14/2004	Age: 5 years	Sex: Female	Race: White
Location: Home		Fire: No fire involvement or fire involvement not recorded
Body part: Mouth		Diagnosis: Dental Injury
Product: Sleds
DENTAL INJURY WHEN FELL SLEDDING
Disposition: Treated and released or examined and released without treatment

Date: 02/07/2004	Age: 2 years	Sex: Female	Race: Not stated in ER record
Location: Home		Fire: No fire involvement or fire involvement not recorded
Body part: Mouth		Diagnosis: Laceration
Product: Sleds
2 YOF FELL OFF SLED LAC MOUTH
Disposition: Treated and released or examined and released without treatment

Date: 02/01/2004	Age: 4 years	Sex: Female	Race: White
Location: Not recorded		Fire: No fire involvement or fire involvement not recorded
Body part: Mouth		Diagnosis: Laceration
Product: Sleds
PT BIT TONGUE WHL SLEDDING, 1/2 CM LACERATION, TONGUE WON'T STOP BLEEDI NG
Disposition: Treated and admitted for hospitalization (within same facility)

Date: 01/26/2004	Age: 4 years	Sex: Male	Race: White
Location: Home		Fire: No fire involvement or fire involvement not recorded
Body part: Mouth		Diagnosis: Dental Injury
Product: Sleds
PATIENT SLEDDING DOWN HILL AT HOME, FELL OFF AND STRUCK ON FACE BY META L SLED BLADE, PRIMARY TOOTH FX., LIP LAC.
Disposition: Treated and released or examined and released without treatment

Date: 01/10/2004	Age: 4 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: Mouth		Diagnosis: Contusion Or Abrasion
Product: Sleds
PT WAS SLEDDING DOWN A HILL WHEN SHE FELL CAUSING A CONTUSION TO HER LW R LIP.
Disposition: Treated and released or examined and released without treatment

Date: 12/30/2003	Age: 4 years	Sex: Female	Race: White
Location: Home		Fire: No fire involvement or fire involvement not recorded
Body part: Mouth		Diagnosis: Laceration
Product: Sleds
FELL OFF SLED WHILE SLEDDING AT HOME SUSTAINING LAC TO LOWER LIP DX LOWER LIP LAC
Disposition: Treated and released or examined and released without treatment

Date: 03/19/2003	Age: 4 years	Sex: Male	Race: White
Location: Not recorded		Fire: No fire involvement or fire involvement not recorded
Body part: Mouth		Diagnosis: Dental Injury
Product: Sleds
HIT IN MOUTH BY SLED DENTAL INJURY - GUM & LIP CONTUSION
Disposition: Treated and released or examined and released without treatment

Date: 03/02/2003	Age: 2 years	Sex: Female	Race: White
Location: Other public property		Fire: No fire involvement or fire involvement not recorded
Body part: Mouth		Diagnosis: Laceration
Product: Sleds
PT. WAS SLED RIDING AND SUSTAINED A MOUTH LAC.
Disposition: Treated and released or examined and released without treatment

Date: 02/17/2003	Age: 4 years	Sex: Male	Race: White
Location: Home		Fire: No fire involvement or fire involvement not recorded
Body part: Mouth		Diagnosis: Laceration
Product: Sleds
SLEDDING THIS AM, HIT CEMENT BLOCK W/MOUTH. DX. LAC TO MOUTH.
Disposition: Treated and released or examined and released without treatment

Date: 02/17/2003	Age: 3 years	Sex: Female	Race: Black/African American
Location: Other public property		Fire: No fire involvement or fire involvement not recorded
Body part: Mouth		Diagnosis: Dental Injury
Product: Sleds
PT SUS A MOUTH INJURY SLEDRIDING
Disposition: Treated and released or examined and released without treatment

Date: 02/15/2003	Age: 2 years	Sex: Male	Race: White
Location: Street or highway		Fire: No fire involvement or fire involvement not recorded
Body part: Mouth		Diagnosis: Laceration
Product: Sleds
PT FELL BITING TONGUE WHILE SLEDDING, LACERATION
Disposition: Treated and released or examined and released without treatment

Date: 02/02/2002	Age: 5 years	Sex: Female	Race: White
Location: Not recorded		Fire: No fire involvement or fire involvement not recorded
Body part: Mouth		Diagnosis: Dental Injury
Product: Sleds
DENTAL INJURY- PT. WAS ON A SLED WHEN SHE FELL FORWARD STRIKING HE R HEAD ON THE GROUND.
Disposition: Treated and released or examined and released without treatment

Date: 01/07/2002	Age: 5 years	Sex: Male	Race: Black/African American
Location: Other public property		Fire: No fire involvement or fire involvement not recorded
Body part: Mouth		Diagnosis: Dental Injury
Product: Sleds
PT. FELL WHILE SLEDRIDING.
Disposition: Treated and released or examined and released without treatment

Date: 12/21/2001	Age: 5 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: Mouth		Diagnosis: Laceration
Product: Sleds
Disposition: Treated and released or examined and released without treatment

Date: 12/30/2000	Age: 4 years	Sex: Female	Race: Not stated in ER record
Location: Not recorded		Fire: No fire involvement or fire involvement not recorded
Body part: Mouth		Diagnosis: Laceration
Product: Sleds
Disposition: Treated and transferred to another hospital

Date: 01/24/2000	Age: 2 years	Sex: Male	Race: White
Location: Not recorded		Fire: No fire involvement or fire involvement not recorded
Body part: Mouth		Diagnosis: Laceration
Product: Sleds
Disposition: Treated and released or examined and released without treatment

Date: 01/22/2000	Age: 3 years	Sex: Male	Race: White
Location: Place of recreation or sports		Fire: No fire involvement or fire involvement not recorded
Body part: Mouth		Diagnosis: Contusion Or Abrasion
Product: Sleds
Disposition: Treated and released or examined and released without treatment

Date: 01/01/2000	Age: 5 years	Sex: Female	Race: White
Location: Place of recreation or sports		Fire: No fire involvement or fire involvement not recorded
Body part: Mouth		Diagnosis: Laceration
Product: Sleds
Disposition: Treated and released or examined and released without treatment

Date: 02/13/1999	Age: 4 years	Sex: Male	Race: Not stated in ER record
Location: Not recorded		Fire: No fire involvement or fire involvement not recorded
Body part: Mouth		Diagnosis: Contusion Or Abrasion
Product: Sleds
Disposition: Treated and released or examined and released without treatment

Date: 01/17/1999	Age: 4 years	Sex: Male	Race: Not stated in ER record
Location: Not recorded		Fire:
Body part: Mouth		Diagnosis: Contusion Or Abrasion
Product: Sleds
Disposition: Treated and released or examined and released without treatment

Date: 01/16/1999	Age: 4 years	Sex: Female	Race: Not stated in ER record
Location: Not recorded		Fire: No fire involvement or fire involvement not recorded
Body part: Mouth		Diagnosis: Dental Injury
Product: Sleds
Disposition: Treated and released or examined and released without treatment

Date: 12/24/1998	Age: 5 years	Sex: Male	Race: Not stated in ER record
Location: Other public property		Fire: No fire involvement or fire involvement not recorded
Body part: Mouth		Diagnosis: Contusion Or Abrasion
Product: Sleds, Fences or fence posts
Disposition: Treated and released or examined and released without treatment

Date: 01/18/1998	Age: 5 years	Sex: Female	Race: Not stated in ER record
Location: Not recorded		Fire: No fire involvement or fire involvement not recorded
Body part: Mouth		Diagnosis: Laceration
Product: Sleds
Disposition: Treated and released or examined and released without treatment

Date: 01/18/1998	Age: 2 years	Sex: Male	Race: Not stated in ER record
Location: Not recorded		Fire: No fire involvement or fire involvement not recorded
Body part: Mouth		Diagnosis: Contusion Or Abrasion
Product: Sleds
Disposition: Treated and released or examined and released without treatment

Date: 12/31/1997	Age: 4 years	Sex: Male	Race: Not stated in ER record
Location: Not recorded		Fire:
Body part: Mouth		Diagnosis: Other
Product: Sleds
Disposition: Treated and released or examined and released without treatment

Date: 03/09/1997	Age: 3 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: Mouth		Diagnosis: Laceration
Product: Sleds
Disposition: Treated and released or examined and released without treatment

Date: 03/02/1997	Age: 5 years	Sex: Male	Race: Not stated in ER record
Location: Not recorded		Fire: No fire involvement or fire involvement not recorded
Body part: Mouth		Diagnosis: Laceration
Product: Sleds
Disposition: Treated and released or examined and released without treatment

Date: 01/26/1997	Age: 2 years	Sex: Female	Race: Not stated in ER record
Location: Not recorded		Fire: No fire involvement or fire involvement not recorded
Body part: Mouth		Diagnosis: Laceration
Product: Sleds
Disposition: Treated and released or examined and released without treatment

Date: 01/12/1997	Age: 2 years	Sex: Female	Race: Not stated in ER record
Location: Home		Fire: No fire involvement or fire involvement not recorded
Body part: Mouth		Diagnosis: Contusion Or Abrasion
Product: Sleds
Disposition: Treated and released or examined and released without treatment

Date: 01/11/1997	Age: 4 years	Sex: Male	Race: Not stated in ER record
Location: Not recorded		Fire: No fire involvement or fire involvement not recorded
Body part: Mouth		Diagnosis: Laceration
Product: Sleds
Disposition: Treated and released or examined and released without treatment

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