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Sensitivity analyses The incidence of COPD did not meaningfully differ when we included individuals who contributed data to two or more waves (n = 9470) (Additional file 1: Table S3), excluded participants with baseline asthma, and included all adults 18 years and older (data not shown)

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Compared to 2019, the 2021 drop was 25 percent

Verified screened documents were the regional OSH policies associated with risk management practices in the respective regions official publicly available webpages, and thus, selected only regional OSH policy documents for this comparative analysis