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        <title>Discovery and quantification of plastic particle pollution in human blood</title>
        <author>H.A. Leslie</author>
        <author>Martin J. M. van Velzen</author>
        <author>Sicco H. Brandsma</author>
        <author>D. Vethaak</author>
        <author>Juan J. García‐Vallejo</author>
        <author>M.H. Lamoree</author>
      </titleStmt>
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        <bibl>
          <title>Discovery and quantification of plastic particle pollution in human blood</title>
          <date>2022</date>
          <publisher>Environment International</publisher>
          <idno type="DOI">10.1016/j.envint.2022.107199</idno>
          
          <idno type="record">leslie2022-discovery-and-quantification-of-pl</idno>
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  <standOff>
    <spanGrp type="tags">
      <span xml:id="t0" type="object_of_study" ana="#object_of_study" resp="#paper">
        <label>PLASTIC PARTICLES IN HUMAN BLOOD - a quantity nobody had measured, in a literature where the two available names for the particles do not have settled definitions</label>
        <note type="quotation-withheld">Quotation withheld because this record is not cleared for redistribution.</note>
      </span>
      <span xml:id="t1" type="research_question" ana="#research_question" resp="#paper">
        <label>whether plastic particles cross into the human bloodstream at all, and whether a method sensitive enough to say so can be built</label>
        <note type="quotation-withheld">Quotation withheld because this record is not cleared for redistribution.</note>
      </span>
      <span xml:id="t2" type="contribution" ana="#contribution" resp="#paper">
        <label>the first mass-concentration measurement of polymers in human blood - 1.6 ug/ml across 22 donors - and the double-shot Py-GC/MS method that produced it</label>
        <note type="quotation-withheld">Quotation withheld because this record is not cleared for redistribution.</note>
      </span>
      <span xml:id="t3" type="claim_type" ana="#claim_type" resp="#paper">
        <label>existence</label>
        <note type="quotation-withheld">Quotation withheld because this record is not cleared for redistribution.</note>
      </span>
      <span xml:id="t4" type="phenomenon" ana="#phenomenon" resp="#paper">
        <label>plastic particles absorbed across membranes and present in circulating blood, at a rate exceeding whatever removes them</label>
        <note type="quotation-withheld">Quotation withheld because this record is not cleared for redistribution.</note>
      </span>
      <span xml:id="t5" type="method" ana="#method" resp="#paper">
        <label>observation</label>
        <term>observation</term>
        <note type="quotation-withheld">Quotation withheld because this record is not cleared for redistribution.</note>
      </span>
      <span xml:id="t6" type="mechanisms" ana="#mechanisms[0]" resp="#tagger" cert="0.95">
        <label>THE INFERENCE THE NUMBER LICENSES IS A RATE COMPARISON, NOT A QUANTITY: finding particles in blood `indicates that ... the rate of elimination via e.g. the biliary tract, kidney or transfer to and deposition in organs is slower than the rate of absorption into the blood`. A standing concentration is evidence about two rates and about neither one alone</label>
        <note type="quotation-withheld">Quotation withheld because this record is not cleared for redistribution.</note>
      </span>
      <span xml:id="t7" type="mechanisms" ana="#mechanisms[1]" resp="#tagger" cert="0.95">
        <label>and the paper is careful about what the blood compartment is: it `remains to be determined whether plastic particles are present in the plasma or are carried by specific cell types`. `In blood` is a location, and the mechanism of carriage is not in evidence</label>
        <note type="quotation-withheld">Quotation withheld because this record is not cleared for redistribution.</note>
      </span>
      <span xml:id="t8" type="mechanisms" ana="#mechanisms[2]" resp="#tagger" cert="0.95">
        <label>blood is the transport route: it irrigates the organs, so a particle that enters it can reach tissues, and its fate is renal or biliary elimination or deposition in liver, spleen or other organs</label>
        <note type="quotation-withheld">Quotation withheld because this record is not cleared for redistribution.</note>
      </span>
      <span xml:id="t9" type="mechanisms" ana="#mechanisms[3]" resp="#tagger" cert="0.95">
        <label>capillary diameter sets a physical ceiling on what can circulate, and anything at that size would itself affect microvascular flow</label>
        <note type="quotation-withheld">Quotation withheld because this record is not cleared for redistribution.</note>
      </span>
      <span xml:id="t10" type="mechanisms" ana="#mechanisms[4]" resp="#tagger" cert="0.9">
        <label>particles may be localised in immune cells, stuck to proteins, lipids, each other or the vessel wall - so a mass concentration can be real while duplicates disagree</label>
        <note type="quotation-withheld">Quotation withheld because this record is not cleared for redistribution.</note>
      </span>
      <span xml:id="t11" type="limitations" ana="#limitations[0]" resp="#tagger" cert="0.95">
        <label>THE CONSTRUCT&#x27;S BOUNDS ARE TWO PHYSICAL OBJECTS AND THE PAPER SAYS SO BEFORE REPORTING A NUMBER: `Our operationally defined method targeted particles that could be retained on a filter with pore size of 700 nm ... The inner diameter of the needle used for venipuncture (0.514 mm) can be considered the upper size limit`. Everything below a filter pore and above a needle bore is outside the finding by construction</label>
        <note type="quotation-withheld">Quotation withheld because this record is not cleared for redistribution.</note>
      </span>
      <span xml:id="t12" type="limitations" ana="#limitations[1]" resp="#tagger" cert="0.95">
        <label>AND THE INSTRUMENT DECIDES WHAT EXISTS: `Polypropylene was analysed but values were under the limits of quantification`. Absent from the blood and absent from the instrument are the same sentence here, and the study cannot separate them</label>
        <note type="quotation-withheld">Quotation withheld because this record is not cleared for redistribution.</note>
      </span>
      <span xml:id="t13" type="limitations" ana="#limitations[2]" resp="#tagger" cert="0.95">
        <label>the two available names for the object DO NOT HAVE SETTLED DEFINITIONS: `microplastic` has `no universally established definition` and is `often defined as ... up to 5 mm with no defined lower size limit`, while `nanoplastic` means &lt;1 um in this literature and `&lt;100 nm` IN THE NANOTECHNOLOGY FIELD. ONE WORD, TWO FIELDS, TWO THRESHOLDS</label>
        <note type="quotation-withheld">Quotation withheld because this record is not cleared for redistribution.</note>
      </span>
      <span xml:id="t14" type="limitations" ana="#limitations[3]" resp="#tagger" cert="0.95">
        <label>the sample is 22 donors and the paper calls it what it is - `a small set of donors` - in the same sentence as the headline concentration</label>
        <note type="quotation-withheld">Quotation withheld because this record is not cleared for redistribution.</note>
      </span>
      <span xml:id="t15" type="limitations" ana="#limitations[4]" resp="#tagger" cert="0.95">
        <label>and the result is explicitly NOT a risk statement: `no absorption models can be validated and no statements about risk or no risk can be made` without measured internal exposure data. The measurement is a precondition for the question, not an answer to it</label>
        <note type="quotation-withheld">Quotation withheld because this record is not cleared for redistribution.</note>
      </span>
      <span xml:id="t16" type="transfers" ana="#transfers[0]" resp="#tagger" cert="0.95">
        <label>the PM2.5/PM10 convention of reporting an operationally defined mass concentration per unit volume is adopted wholesale as the way to quantify plastic in blood</label>
        <note type="quotation-withheld">Quotation withheld because this record is not cleared for redistribution.</note>
      </span>
      <span xml:id="t17" type="controls" ana="#controls[0]" resp="#tagger" cert="0.95">
        <label>the size window is fixed and declared before any measurement - a 700 nm filter pore below, a 0.514 mm needle bore above</label>
        <note>eliminates: any reading of the number as a total; it is the mass of what falls inside two physical limits, and the paper states both · outcome: held</note>
        <note type="quotation-withheld">Quotation withheld because this record is not cleared for redistribution.</note>
      </span>
      <span xml:id="t18" type="controls" ana="#controls[1]" resp="#tagger" cert="0.95">
        <label>whether polypropylene is absent from blood or below the assay&#x27;s threshold</label>
        <note>eliminates: nothing, and the sentence cannot be made to: &#x27;Polypropylene was analysed but values were under the limits of quantification&#x27; · outcome: failed</note>
        <note type="quotation-withheld">Quotation withheld because this record is not cleared for redistribution.</note>
      </span>
      <span xml:id="t19" type="controls" ana="#controls[2]" resp="#tagger" cert="0.95">
        <label>whether the measurement supports a risk claim</label>
        <note>eliminates: the risk reading, explicitly and in both directions: &#x27;no statements about risk or no risk can be made&#x27; without measured internal exposure data - which this study provides for the first time and which is still only the precondition · outcome: held</note>
        <note type="quotation-withheld">Quotation withheld because this record is not cleared for redistribution.</note>
      </span>
      <span xml:id="t20" type="controls" ana="#controls[3]" resp="#tagger" cert="0.95">
        <label>drawing blood through a closed all-glass vacutainer system with a steel needle and no plastic tubing or reservoir</label>
        <note>eliminates: plastic contamination introduced by the sampling equipment itself, which would manufacture the very finding being sought · outcome: held</note>
        <note type="quotation-withheld">Quotation withheld because this record is not cleared for redistribution.</note>
      </span>
      <span xml:id="t21" type="controls" ana="#controls[4]" resp="#tagger" cert="0.95">
        <label>identifying the rubber vacutainer seal by ATR-FTIR to establish which polymer it is</label>
        <note>eliminates: the possibility that the one unavoidable non-glass component contributes to the targeted polymers · outcome: held</note>
        <note type="quotation-withheld">Quotation withheld because this record is not cleared for redistribution.</note>
      </span>
      <span xml:id="t22" type="controls" ana="#controls[5]" resp="#tagger" cert="0.9">
        <label>running the entire sampling system as a field blank before any sample</label>
        <note>eliminates: background contamination attributable to the collection apparatus rather than the donor · outcome: held</note>
        <note type="quotation-withheld">Quotation withheld because this record is not cleared for redistribution.</note>
      </span>
      <span xml:id="t23" type="controls" ana="#controls[6]" resp="#tagger" cert="0.95">
        <label>duplicate extraction and measurement of each sample where volume allowed, with multiple procedural blanks per series</label>
        <note>eliminates: single-measurement artefacts and uncorrected background drift between series · outcome: held</note>
        <note type="quotation-withheld">Quotation withheld because this record is not cleared for redistribution.</note>
      </span>
      <span xml:id="t24" type="concepts" ana="#concepts[0]" resp="#paper" cert="0.95">
        <label>plastic particles</label>
        <term>plastic particles</term>
        <note type="quotation-withheld">Quotation withheld because this record is not cleared for redistribution.</note>
      </span>
      <span xml:id="t25" type="concepts" ana="#concepts[1]" resp="#paper" cert="0.95">
        <label>microplastic</label>
        <term>microplastic</term>
        <note type="quotation-withheld">Quotation withheld because this record is not cleared for redistribution.</note>
      </span>
      <span xml:id="t26" type="concepts" ana="#concepts[2]" resp="#paper" cert="0.95">
        <label>nanoplastic</label>
        <term>nanoplastic</term>
        <note type="quotation-withheld">Quotation withheld because this record is not cleared for redistribution.</note>
      </span>
      <span xml:id="t27" type="concepts" ana="#concepts[3]" resp="#paper" cert="0.95">
        <label>pore size of 700 nm</label>
        <term>pore size of 700 nm</term>
        <note type="quotation-withheld">Quotation withheld because this record is not cleared for redistribution.</note>
      </span>
      <span xml:id="t28" type="concepts" ana="#concepts[4]" resp="#paper" cert="0.95">
        <label>limits of quantification</label>
        <term>limits of quantification</term>
        <note type="quotation-withheld">Quotation withheld because this record is not cleared for redistribution.</note>
      </span>
      <span xml:id="t29" type="concepts" ana="#concepts[5]" resp="#paper" cert="0.95">
        <label>human health risk assessment</label>
        <term>human health risk assessment</term>
        <note type="quotation-withheld">Quotation withheld because this record is not cleared for redistribution.</note>
      </span>
      <span xml:id="t30" type="concepts" ana="#concepts[6]" resp="#paper" cert="0.95">
        <label>protein corona</label>
        <term>protein corona</term>
        <note type="quotation-withheld">Quotation withheld because this record is not cleared for redistribution.</note>
      </span>
      <span xml:id="t31" type="concepts" ana="#concepts[7]" resp="#paper" cert="0.95">
        <label>Py-GC/MS</label>
        <term>Py-GC/MS</term>
        <note type="quotation-withheld">Quotation withheld because this record is not cleared for redistribution.</note>
      </span>
      <span xml:id="t32" type="concepts" ana="#concepts[8]" resp="#paper" cert="0.95">
        <label>procedural blank</label>
        <term>procedural blank</term>
        <note type="quotation-withheld">Quotation withheld because this record is not cleared for redistribution.</note>
      </span>
      <span xml:id="t33" type="concepts" ana="#concepts[9]" resp="#paper" cert="0.9">
        <label>particulate matter</label>
        <term>particulate matter</term>
        <note type="quotation-withheld">Quotation withheld because this record is not cleared for redistribution.</note>
      </span>
      <span xml:id="t34" type="concepts" ana="#concepts[10]" resp="#paper" cert="0.9">
        <label>field sampling blank</label>
        <term>field sampling blank</term>
        <note type="quotation-withheld">Quotation withheld because this record is not cleared for redistribution.</note>
      </span>
      <span xml:id="t35" type="senses" ana="#senses[0]" resp="#tagger" cert="0.95">
        <label>`plastic particles` - A TERM THE AUTHORS COIN FOR THEIR OWN USE, because the field&#x27;s two names will not hold still: `To circumvent the ambiguity of the terms microplastic and nanoplastic particles in this article we will refer to plastic particles and where appropriate define the size or size range`. The remedy for an unstable term is to stop using it and carry the number instead</label>
        <note type="quotation-withheld">Quotation withheld because this record is not cleared for redistribution.</note>
      </span>
      <span xml:id="t36" type="senses" ana="#senses[1]" resp="#tagger" cert="0.95">
        <label>`microplastic` - `no universally established definition exists`, and the common one - up to 5 mm - has NO LOWER BOUND AT ALL. A term whose extension is open at one end</label>
        <note type="quotation-withheld">Quotation withheld because this record is not cleared for redistribution.</note>
      </span>
      <span xml:id="t37" type="senses" ana="#senses[2]" resp="#tagger" cert="0.95">
        <label>`nanoplastic` - &lt;1 um in this literature, `&lt;100 nm` IN THE NANOTECHNOLOGY FIELD. ONE NAME, TWO FIELDS, A TENFOLD DIFFERENCE IN THE THRESHOLD, and the paper reports both rather than choosing</label>
        <note type="quotation-withheld">Quotation withheld because this record is not cleared for redistribution.</note>
      </span>
      <span xml:id="t38" type="senses" ana="#senses[3]" resp="#tagger" cert="0.95">
        <label>`a plastic particle in blood`, AS OPERATIONALISED HERE - anything retained on a 700 nm filter and small enough to pass a 0.514 mm needle. THE CONSTRUCT IS BOUNDED BY A FILTER PORE AND A NEEDLE BORE, in the authors&#x27; own words, and the phrase they use is `operationally defined`</label>
        <note type="quotation-withheld">Quotation withheld because this record is not cleared for redistribution.</note>
      </span>
      <span xml:id="t39" type="senses" ana="#senses[4]" resp="#tagger" cert="0.95">
        <label>`under the limits of quantification` - what the paper reports for polypropylene, and the one phrase in the record that cannot be read as a fact about blood. It is a fact about the assay</label>
        <note type="quotation-withheld">Quotation withheld because this record is not cleared for redistribution.</note>
      </span>
      <span xml:id="t40" type="claim_relations" ana="#claim_relations[0]" resp="#tagger" cert="0.95">
        <label>extends → Leslie and Depledge&#x27;s and Vethaak and Legler&#x27;s position that a human health risk assessment for plastic particles is not currently possible for want of exposure data</label>
        <note type="quotation-withheld">Quotation withheld because this record is not cleared for redistribution.</note>
      </span>
      <span xml:id="t41" type="concept_edges" ana="#concept_edges[0]" resp="#tagger" cert="0.95">
        <label>plastic particles —operationalised-as→ pore size of 700 nm</label>
        <term>plastic particles</term>
        <term>pore size of 700 nm</term>
        <note type="quotation-withheld">Quotation withheld because this record is not cleared for redistribution.</note>
      </span>
      <span xml:id="t42" type="content_tags" ana="#content_tags.findings[0]" resp="#tagger" cert="0.95">
        <label>THE CONSTRUCT IS BOUNDED BY TWO PHYSICAL OBJECTS, IN THE AUTHORS&#x27; OWN WORDS: an `operationally defined` method targeting particles retained on a 700 nm FILTER PORE, with a 0.514 mm NEEDLE BORE as the upper limit</label>
        <term>THE CONSTRUCT IS BOUNDED BY TWO PHYSICAL OBJECTS, IN THE AUTHORS&#x27; OWN WORDS: an `operationally defined` method targeting particles retained on a 700 nm FILTER PORE, with a 0.514 mm NEEDLE BORE as the upper limit</term>
        <note type="quotation-withheld">Quotation withheld because this record is not cleared for redistribution.</note>
      </span>
      <span xml:id="t43" type="content_tags" ana="#content_tags.findings[1]" resp="#tagger" cert="0.95">
        <label>microplastic has no universally established definition and often no lower size limit; nanoplastic means under 1 micrometre here but under 100 nm in nanotechnology</label>
        <term>microplastic has no universally established definition and often no lower size limit; nanoplastic means under 1 micrometre here but under 100 nm in nanotechnology</term>
        <note type="quotation-withheld">Quotation withheld because this record is not cleared for redistribution.</note>
      </span>
      <span xml:id="t44" type="content_tags" ana="#content_tags.findings[2]" resp="#tagger" cert="0.95">
        <label>and the authors&#x27; remedy is to ABANDON BOTH TERMS: `to circumvent the ambiguity ... we will refer to plastic particles and where appropriate define the size or size range`</label>
        <term>and the authors&#x27; remedy is to ABANDON BOTH TERMS: `to circumvent the ambiguity ... we will refer to plastic particles and where appropriate define the size or size range`</term>
        <note type="quotation-withheld">Quotation withheld because this record is not cleared for redistribution.</note>
      </span>
      <span xml:id="t45" type="content_tags" ana="#content_tags.findings[3]" resp="#tagger" cert="0.95">
        <label>1.6 ug/ml mean sum quantifiable concentration across a SMALL SET OF DONORS - the first mass concentration of polymers measured in human blood</label>
        <term>1.6 ug/ml mean sum quantifiable concentration across a SMALL SET OF DONORS - the first mass concentration of polymers measured in human blood</term>
        <note type="quotation-withheld">Quotation withheld because this record is not cleared for redistribution.</note>
      </span>
      <span xml:id="t46" type="content_tags" ana="#content_tags.findings[4]" resp="#tagger" cert="0.95">
        <label>polypropylene was analysed, but its values were under the limits of quantification</label>
        <term>polypropylene was analysed, but its values were under the limits of quantification</term>
        <note type="quotation-withheld">Quotation withheld because this record is not cleared for redistribution.</note>
      </span>
      <span xml:id="t47" type="content_tags" ana="#content_tags.findings[5]" resp="#tagger" cert="0.95">
        <label>at least some plastic particles can be bioavailable, and their elimination is slower than their absorption into the blood</label>
        <term>at least some plastic particles can be bioavailable, and their elimination is slower than their absorption into the blood</term>
        <note type="quotation-withheld">Quotation withheld because this record is not cleared for redistribution.</note>
      </span>
      <span xml:id="t48" type="content_tags" ana="#content_tags.findings[6]" resp="#tagger" cert="0.95">
        <label>and the result is explicitly not a risk statement in EITHER direction: `no statements about risk or no risk can be made` without measured internal exposure</label>
        <term>and the result is explicitly not a risk statement in EITHER direction: `no statements about risk or no risk can be made` without measured internal exposure</term>
        <note type="quotation-withheld">Quotation withheld because this record is not cleared for redistribution.</note>
      </span>
      <span xml:id="t49" type="content_tags" ana="#content_tags.findings[7]" resp="#tagger" cert="0.95">
        <label>it remains to be determined whether the particles are in the plasma or carried by specific cell types</label>
        <term>it remains to be determined whether the particles are in the plasma or carried by specific cell types</term>
        <note type="quotation-withheld">Quotation withheld because this record is not cleared for redistribution.</note>
      </span>
      <span xml:id="t50" type="content_tags" ana="#content_tags.findings[8]" resp="#tagger" cert="0.95">
        <label>most available data covers particles above 10 or 50 micrometres</label>
        <note type="quotation-withheld">Quotation withheld because this record is not cleared for redistribution.</note>
      </span>
      <span xml:id="t51" type="content_tags" ana="#content_tags.findings[9]" resp="#tagger" cert="0.9">
        <label>earlier FTIR analysis of human faeces showed that micro-sized plastic particles can be excreted via the gut</label>
        <note type="quotation-withheld">Quotation withheld because this record is not cleared for redistribution.</note>
      </span>
      <span xml:id="t52" type="content_tags" ana="#content_tags.findings[10]" resp="#tagger" cert="0.95">
        <label>no one method fits all, so a combination of methods is required</label>
        <note type="quotation-withheld">Quotation withheld because this record is not cleared for redistribution.</note>
      </span>
      <span xml:id="t53" type="content_tags" ana="#content_tags.definitions[0]" resp="#tagger" cert="0.95">
        <label>coined to circumvent the ambiguity of `microplastic` and `nanoplastic`, and always carried with an explicit size or size range</label>
        <term>plastic particles</term>
        <note type="quotation-withheld">Quotation withheld because this record is not cleared for redistribution.</note>
      </span>
      <span xml:id="t54" type="content_tags" ana="#content_tags.definitions[1]" resp="#tagger" cert="0.95">
        <label>no universally established definition; often given as plastic particles up to 5 mm WITH NO DEFINED LOWER SIZE LIMIT</label>
        <term>microplastic</term>
        <note type="quotation-withheld">Quotation withheld because this record is not cleared for redistribution.</note>
      </span>
      <span xml:id="t55" type="content_tags" ana="#content_tags.quantities[0]" resp="#tagger" cert="0.95">
        <label>nanometres - the filter pore that is the lower bound of the construct</label>
        <term>700</term>
        <note type="quotation-withheld">Quotation withheld because this record is not cleared for redistribution.</note>
      </span>
      <span xml:id="t56" type="content_tags" ana="#content_tags.quantities[1]" resp="#tagger" cert="0.95">
        <label>millimetres - the venipuncture needle&#x27;s inner diameter, and the upper bound</label>
        <term>0.514</term>
        <note type="quotation-withheld">Quotation withheld because this record is not cleared for redistribution.</note>
      </span>
      <span xml:id="t57" type="content_tags" ana="#content_tags.quantities[2]" resp="#tagger" cert="0.95">
        <label>micrograms per millilitre, mean sum quantifiable concentration in 22 donors</label>
        <term>1.6</term>
        <note>value source note: THE DESCRIPTION DRAWS ON THE PAPER BEYOND THIS QUOTE: the 22 donors are stated in the abstract (&#x27;in human whole blood from 22 healthy volunteers&#x27;).</note>
        <note type="quotation-withheld">Quotation withheld because this record is not cleared for redistribution.</note>
      </span>
      <span xml:id="t58" type="content_tags" ana="#content_tags.quantities[3]" resp="#tagger" cert="0.95">
        <label>the proportion of body weight made up by blood</label>
        <note type="quotation-withheld">Quotation withheld because this record is not cleared for redistribution.</note>
      </span>
      <span xml:id="t59" type="content_tags" ana="#content_tags.quantities[4]" resp="#tagger" cert="0.95">
        <label>capillary diameter, which bounds the particle size that can circulate</label>
        <note type="quotation-withheld">Quotation withheld because this record is not cleared for redistribution.</note>
      </span>
      <span xml:id="t60" type="content_tags" ana="#content_tags.quantities[5]" resp="#tagger" cert="0.95">
        <label>the number of volunteers and the collection protocol</label>
        <note type="quotation-withheld">Quotation withheld because this record is not cleared for redistribution.</note>
      </span>
      <span xml:id="t61" type="content_tags" ana="#content_tags.statistics[0]" resp="#tagger" cert="0.95">
        <label>limits of quantification</label>
        <term>limits of quantification</term>
        <note type="quotation-withheld">Quotation withheld because this record is not cleared for redistribution.</note>
      </span>
    </spanGrp>
  </standOff>
  <text>
    <body>
      <p><note type="rights">The full text of this article is not redistributable, so it is
      not included here. The evidence sentences are withheld with it; the tag layer and its
      grounding status remain. The article itself is at https://doi.org/10.1016/j.envint.2022.107199.</note></p>
    </body>
  </text>
</TEI>
