Researchers used the database of Maccabi Healthcare Services. The latest findings are concurrent with separate data released last Wednesday by Maccabi Health Services, one of Israel's leading healthcare providers that found that the booster shot reduced the risk of infection in the 60+ age bracket by 86 per cent, and of severe infection by 92 per cent. The goal of the project is to increase exposure to accurate information about COVID-19 and vaccines, while decreasing the impact of misinformation. endobj Israelis receive a COVID-19 vaccine, at a Maccabi Health vaccination center at the Givatayim mall, outside of Tel Aviv, January 20, 2021. (credit: MACCABI HEALTHCARE SERVICES SPOKESPERSON) Found insideFor six decades, Pittsburgh-based forensic scientist Cyril Wecht has been an outspoken authority when horrible things happen to everyday people--murders, childhood deaths, tragic accidents and police brutality. Editor’s note: SciCheck’s COVID-19/Vaccination Project is made possible by a grant from the Robert Wood Johnson Foundation. The analysis included individuals never infected with SARS-CoV-2 who received the two-dose regimen of the Pfizer/BioNTech vaccine, previously infected individuals who had not been vaccinated, and individuals who had an infection, But that part of the analysis was not featured in the Gateway Pundit headline — or its. The researchers looked at infections, symptoms, and hospitalizations, and is to date the largest real-world observational study to compare natural versus vaccine-induced immunity to SARS-CoV-2. [144 0 R] But that part of the analysis was not featured in the Gateway Pundit headline — or its article — which was amplified on social media. 25 Aug 2021. Study population and setting. Contributors: Joseph Ali, JD; Anne Barnhill, PhD; Anita Cicero, JD; Katelyn Esmonde, PhD; Amelia Hood, MA; Brian Hutler, Phd, JD; Jeffrey P. Kahn, PhD, MPH; Alan Regenberg, MBE; Crystal Watson, DrPH, MPH; Matthew Watson; Robert Califf, MD, ... An earlier association between other vaccines and GBS had raised concerns among clinicians and patients about COVID-19 vaccines. l���{ԉ�m'U� i�0g�H+HHn� 0��|��F=2pk�K%�z��TT-ja�K��eW;Ժw���(�����[$ ��f*��+n�KF�����á72*�D�~*B�D�t�{)���Q��Gҝ�G5���]�;��V����/���z��J�C��� But vaccines are not 100% effective, so there is a chance that an unvaccinated person could infect a vaccinated person — particularly the vulnerable, such as elderly and immunocompromised individuals. The retrospective observational study is the largest to compare natural immunity and vaccine-induced immunity, according to its authors. �tq�X)I)B>==���� �ȉ��9, Comparing SARS-CoV-2 natural immunity to vaccine-induced immunity: reinfections versus breakthrough infections. Found inside20 ways the coronavirus response could make the world better Tom Whipple, Sarah Knapton, ... The researchers, from Maccabi Healthcare Services in Israel, ... Author Contributions: Dr Shapiro Ben David had full access to all of the data in the study and takes responsibility for the integrity of the data and the accuracy of the data analysis. endobj %PDF-1.4 %���� et al. The study was conducted by a team of Israeli researchers from Tel Aviv University and Maccabi Healthcare Services. endobj A 70% to 84% reduced risk of testing positive was seen two to three weeks after a third jab, according to a study A third shot of the Pfizer-BioNTech Covid-19 … The new analysis relies on the database of Maccabi Healthcare Services, which enrolls about 2.5 million Israelis. Two doses of the Pfizer/BioNTech COVID-19 vaccine were safe and 78% effective in preventing infection in pregnant women in a real-world study in Israel.. The study was conducted by a team of Israeli researchers from Tel Aviv University and Maccabi Healthcare Services. endstream Proceedings of the NATO Advanced Research Workshop on Risk Assessment and Risk Communication in Bioterrorism, held in Ein-Gedi, Israel, June 2005 An Aug. 25 preprint study by researchers from Maccabi Healthcare Services … An Israeli study finds that Covid-19 immunity is significantly improved by a third Pfizer-BioNTech vaccination. Aug 06, 2021. Johnson & Johnson, which partly tested its vaccine in South Africa when the beta variant emerged, reported an efficacy of 66% in preventing moderate to severe COVID-19 and an efficacy of 85% in preventing severe or critical COVID-19. endobj Israel shares study details regarding Covid-19 booster shots. Found insideSeveral diseases are caused or worsened by smoking: different cancer types, heart disease, stroke, lung diseases and others. In this book we describe the different toxic effects of smoke on the human body in active and in passive smokers. by TYLER DURDEN -- Friday, August 27, 2021 Dr. Anthony Fauci and the rest of President Biden's COVID advisors have been proven wrong about "the science" of COVID vaccines yet again. Keep in mind, the study is only published as a preprint at this stage and has not been peer reviewed. 141 0 obj A number of major studies by universities are confirming basic biology principles about the power of natural immunity. Another study, published in the CDC’s Morbidity and Mortality Weekly Report in August, found that unvaccinated residents of Kentucky who were infected with the coronavirus in 2020 were more than twice as likely to become reinfected in May and June 2021, compared with those who were previously infected and fully vaccinated. Corresponding Author: Shirley Shapiro Ben David, MD, Maccabi Healthcare Services, Hamered 27, Tel Viv 6812509, Israel (shirley.shap@gmail.com). endobj Other scientists have raised additional concerns about the study’s methodologies and conclusions. Influenced by the Jewish canon of the OT, the custom arose of making the Apocrypha a separate section in the Protestant Bible.The Catholic view, expressed as a doctrine of faith at the Council of Trent, is that 12 of these 15 works (in a ... TrialSite News 159 W Broadway, Suite 200 Salt Lake City, UT 84101. But the social media post omitted the study’s other finding that one dose of the vaccine enhanced protection for infection survivors. The study by Maccabi Healthcare Services, Israel’s second largest healthcare provider, found that just 608 out of 602,000 vaccinated people became infected with Covid-19. COVID-19 infection gives strongest form of immunity . A Maccabi Healthcare Services study, the first of its kind in the world, surveyed 149,144 people who received the booster shot and a control group of 675,630 people who received … Subsequent studies have demonstrated that the vaccines are effective under real-world conditions, including against the highly contagious delta variant, although they are less effective in preventing infection and mild disease compared with earlier versions of the virus. Israel's health care provider on Pfizer's third dose. A small proportion of people who had an infection may not develop much immunity at all. The texastruther Instagram account, for example, Using data on tens of thousands of patients (age 16 and older) from the Maccabi Healthcare Services database in Israel, a team of researchers compared the health outcomes, including infections, symptoms and hospitalizations, of three different groups of people. The Pfizer/BioNTech vaccine, which is the first COVID-19 vaccine to receive full approval from the Food and Drug Administration, showed a final efficacy of 91% against symptomatic illness in its phase 3 trial, meaning that under the conditions of the trial the vaccine reduced the risk of getting sick by 91%. Although the 19 books contained within this text were included in the Holy Bible for thousands of years, they were removed a little over 200 years ago. Jaramillo, Catalina. Study design. Maccabi Health Services in a study released last Wednesday said that the booster shot reduced the risk of infection in the 60-plus age group by 86 per cent and against severe infection by 92 per cent. Pfizer's COVID-19 booster shot yields mild to moderate side effects, much like its second dose. 2 Maccabitech Institute for Research and Innovation, Maccabi Healthcare Services, Israel. The study was led by researchers at the Maccabi Research & Innovation Center at Maccabi Healthcare Services in Tel Aviv. 2 0 obj 3 Maccabi Healthcare Services, Central Laboratory, Rehovot, Israel. 1Kahn Sagol Maccabi (KSM) Research & Innovation Center, Maccabi Healthcare Services, Tel Aviv, 68125, Israel. The researchers examined the anonymized electronic health records of members of Maccabi Healthcare Services, an Israeli H.M.O. “New Israeli Study Finds Fully Vaccinated People are at “Greater Risk of Hospitalization” and 13 TIMES MORE LIKELY to Catch Covid-19 Than Those Who Have Recovered and Have Natural Immunity.” Thegatewaypundit.com. endobj The texastruther Instagram account, for example, posted a screen capture of an Aug. 27 Gateway Pundit headline that says, “New Israeli Study Finds Fully Vaccinated People are at ‘Greater Risk of Hospitalization’ and 13 TIMES MORE LIKELY to Catch Covid-19 Than Those Who Have Recovered and Have Natural Immunity.”. Note:  If you need assistance with your subscription or would like to discuss a corporate subscription for more than 10 employees please contact us or use the chat (bottom right). Found insideDrawing on her own uniquely immersive brand of fieldwork, conducted over the course of a decade in the neighborhoods of West Baltimore, Patricia Fernández-Kelly tells the stories of people like D. B. Wilson, Big Floyd, Towanda, and others ... The foundation has no control over FactCheck.org’s editorial decisions, and the views expressed in our articles do not necessarily reflect the views of the foundation. Wadman, Meredith. Israeli researchers affiliated with Maccabi Healthcare Services and Tel Aviv University, School of Public Health, uploaded a yet-to-be-reviewed study indicating bombshell results. 3Internal Medicine COVID-19 Ward, Samson Assuta Ashdod University Hospital, Ashdod Israel. In any case, experts advise against purposely getting infected in hopes of acquiring some degree of immunity. “That means, she says, that comparisons could be confounded if, for example, previously infected people who developed mild symptoms were less likely to get tested than vaccinated people, perhaps because they think they are immune,” Science reported. Maccabi Healthcare Services, which covers over a quarter of all Israelis, said in a statement that only 608 people had tested positive for COVID-19 … 24 Aug 2021. Researchers at Maccabi Healthcare Services in Tel Aviv released a preprint (a study that is yet to be reviewed by other experts) suggesting people who had been infected with COVID had greater protection than vaccinated people against becoming reinfected with the delta variant. Retrospective Cohort. The study compared 149,144 members of Maccabi HealthCare Services who received three doses at least seven days ago with 675,630 members of the same age, gender, socioeconomic status and population group who only received two inoculations in January and February. The frequency of either event, however, was still very low, as this was based on 238 breakthrough infections, or infections in fully vaccinated individuals, and 19 reinfections among unvaccinated people who had recovered from a previous bout with the virus. 5 Kahn Sagol Maccabi (KSM) Research & Innovation Center, Maccabi Healthcare Services, Israel; Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel. A preprint of the study, … Found insideA leading SPD researcher profiles the disorder and its four major subtypes, sharing information for parents about its treatment options while discussing such topics as occupational therapy, parental involvement, and advocacy strategies. The groups in the study were: 1. the doubly vaccinated (with the Pfizer vaccine) 2. During a Sept. 13 press conference, Florida Governor Ron DeSantis cited an Israel study when speaking about President Joe Biden’s federal vaccine mandate. <> <> endobj “Reduced Risk of Reinfection with SARS-CoV-2 After COVID-19 Vaccination — Kentucky, May–June 2021.” Morbidity and Mortality Weekly Report. Importance: Data on BNT162b2 messenger RNA (mRNA) vaccine (Pfizer-BioNTech) effectiveness and safety in pregnancy are currently lacking because pregnant women were excluded from the phase 3 trial. Pouwels, Koen. In both comparisons, the fully-vaccinated individuals also had a “greater risk for COVID-19-related-hospitalizations” than those with natural immunity from a previous infection, the study said. 135 0 obj hޜ�wTT��Ͻwz��0�z�.0��. endobj It was based on records from the second largest HMO in Israel, Maccabi Healthcare Services, which serves more than 2.5 million members, or about a quarter of the Israeli population. endobj 4 Internal Medicine COVID-19 Ward, Samson Assuta Ashdod University Hospital, Ashdod, Israel. The single dose vaccinees also had fewer recorded cases of symptomatic disease (16) than their unvaccinated counterparts (23). In addition, experts say that people should not interpret the Israeli study’s findings as an endorsement to intentionally get infected as a way to obtain natural immunity. 125 0 obj There was no external funding for the project. 53 0 obj <> In collaboration with KSM, the research and innovation centre of Maccabi Healthcare Services, Weinberger co-authored a study, which has not yet been peer-reviewed, exploring the early evidence from the Israeli campaign. Claim: “New Israeli study finds fully vaccinated people are at ‘greater risk of hospitalization’ and 13 times more likely to catch COVID-19 than those who have recovered and have natural immunity.” Health workers of the Maccabi Health Services vaccination centre administer doses of the Pfizer-BioNtech COVID-19 injection inside the parking lot of the Givatayim Mall in Tel Aviv on January 26, 2021. <>stream Using data on tens of thousands of patients (age 16 and older) from the Maccabi Healthcare Services database in Israel, a team of researchers compared the health outcomes, including infections, symptoms and hospitalizations, of three different groups of people. 10 0 obj 11 0 obj The author presents new arguments which support the view that Paul, not Jesus, was the founder of Christianity. <> Maccabi Healthcare Services, which led the study, said: “This is very, very good news. Samples for the new study all came from patients of Maccabi Healthcare Services and were compared with a control group to reduce the possibility that results reflect the age or … $O./� �'�z8�W�Gб� x�� 0Y驾A��@$/7z�� ���H��e��O���OҬT� �_��lN:K��"N����3"��$�F��/JP�rb�[䥟}�Q��d[��S��l1��x{��#b�G�\N��o�X3I���[ql2�� �$�8�x����t�r p��/8�p��C���f�q��.K�njm͠{r2�8��?�����. Accessed 31 Aug 2021. As countries across the world adapt their healthcare systems to accommodate the societal strictures necessitated by the coronavirus pandemic, Israel had benefitted from its already-thriving digital health infrastructure. For instance, the study’s finding that never-infected vaccinees were at higher risk for COVID-19-related hospitalization than the previously infected non-vaccinees was based on no more than about two dozen hospitalizations in either of the comparisons. An Israeli study finds that Covid-19 immunity is significantly improved by a third Pfizer-BioNTech vaccination. The study relies on data from Israel's Maccabi Health Services, and was conducted by researchers from Maccabi and Tel Aviv University. In mid-August, the U.S. Department of Health and Human Services (HHS) announced plans to offer COVID-19 booster shots to people who had previously received both doses of the Pfizer or … Data also suggest that vaccinated people are less likely to transmit the coronavirus if they do become infected. The study by Maccabi Healthcare Service looked at individuals who had either gotten two shots of the vaccine by the end of February or tested positive for COVID-19 by that time. This recent study raises several questions considering the common assumptions across various societies that COVID-19 vaccination is superior to natural immunity. 2 Maccabitech Institute for Research and Innovation, Maccabi Healthcare Services, Israel. We also added language to clarify that the other study published in the CDC’s Morbidity and Mortality Weekly Report analyzed the risk of reinfection for unvaccinated and fully vaccinated people who were previously infected. 2021-09-23T16:01:12-07:00 The authors also said that because they conducted an “observational real-world study,” where polymerase chain reaction, or PCR, screening for the coronavirus was not required, “we might be underestimating asymptomatic infections, as these individuals often do not get tested.”. ... from one of Israel’s largest health systems, Maccabi Healthcare Services. The study was carried out last month by Israel’s Maccabi Healthcare Services (one of the local HMOs), and the results were featured in the leading scientific journals Science and Nature. It was done long after the post-vaccine delta variant of COVID-19 became the dominant coronavirus strain in Israel and had begun wreaking havoc in one of the world’s most vaccinated nations. (photo credit: MIRIAM ALSTER/FLASH90) Advertisement This book forms a synthesis of the information presented by leading scientists from many of the world's mammo graphic centers, particularly those in Sweden and the USA. An Israeli health worker prepares a dose of the Pfizer–BioNtech COVID-19 vaccine, at the Maccabi Health Service in the Israeli town of Rishon Lezion, on Aug. 13, 2021. According to its authors, a study conducted in Israel demonstrated that natural immunity from a prior infection with SARS-CoV-2 provided “longer lasting and stronger protection” against the highly transmissible delta variant than vaccine-induced immunity from two doses of the Pfizer/BioNTech COVID-19 vaccine. Indeed, this happened recently when researchers at Maccabi Healthcare Services in Tel Aviv released a preprint ... Unvaccinated people twice as likely to be reinfected with COVID: study… In the part of the analysis that compared the outcomes of people previously infected or fully vaccinated in January or February, the study said “nine cases of COVID-19-related hospitalizations were recorded, 8 of which were in the vaccinated group and 1 in the previously infected group.”, In the part of the analysis that looked at individuals who were fully vaccinated in either January or February and unvaccinated people who were infected at some point between March of last year and February of this year, the study said “COVID-19 related hospitalizations occurred in 4 and 21 of the reinfection and breakthrough infection groups, respectively.”. For one, they said that the analysis only assessed protection from the Pfizer/BioNTech vaccine “and therefore does not address other vaccines or long-term protection following a third dose, of which the deployment is underway in Israel.” As of Aug. 31, about 62% of Israel’s population was fully vaccinated and about another 6% were only partially vaccinated, The authors also said that because they conducted an “observational real-world study,” where polymerase chain reaction, or, The testing aspect was perhaps “the biggest limitation of the study,” according to, Social Media Posts Draw Unsupported Conclusion on Afghan Helicopter Video, Meme Misattributes Quote on Afghanistan to Trump, Comparing SARS-CoV-2 natural immunity to vaccine-induced immunity: reinfections versus breakthrough infections, Impact of Delta on viral burden and vaccine effectiveness against new SARS-CoV-2 infections in the UK, Reduced Risk of Reinfection with SARS-CoV-2 After COVID-19 Vaccination — Kentucky, May–June 2021, Having SARS-CoV-2 once confers much greater immunity than a vaccine—but vaccination remains vital, New Israeli Study Finds Fully Vaccinated People are at “Greater Risk of Hospitalization” and 13 TIMES MORE LIKELY to Catch Covid-19 Than Those Who Have Recovered and Have Natural Immunity, Vaccines Benefit Those Who Have Had COVID-19, Contrary to Viral Posts, Frequently Asked Questions about COVID-19 Vaccination. <>/ExtGState<>/Font<>/ProcSet[/PDF/Text]>>/Type/Page>> For those vaccinated after an infection, specifically, there was “a similar, though not significant, trend of decreased risk of reinfection,” the authors said. Includes walking tours and excursions from Jerusalem and Tel Aviv. By Stacey Lennox Aug 28, 2021 4:35 PM ET . _ 0Gr��~����r�4�h ���ѶIɟ�c��ht�o"��J4՞^�'#��ON~Ɯ���s����\�!/� ��n���q=���ȁn�o��,��b�c��zzy�(���� ��qv���� ��"��ȍ׸U��4xGC��LB�P�g�_�#_���Р��Er�#�^S0"��8)��S���s��eޢz�)���*z����we"��Ae�����e�)E#|`��&Ƹ��)xy�'�g��:����Bbv<6�<9��'��[�Gq��K��5M¹�W�$:�G���v�FĿ&�dp�*N��1����wF���~��ԿϙW�_�6����^n��El��¢}�w�9�c��v˚j��Z�j��\q����Жl���G�U��ۗ�mնU��q��08���qz�T� ;.Z��;�,���� ��=�� ��U��cƪ�uh:@C3�9�Ve�75�,ڏ߱u��u`�-W��]ݱ�V�rp]�VU��.}S�j��D8�ew���s�h�ޘ`{xЊ���z��6��M�@*� b�k,�C�Ԍ�weC�a��%����혲��{�ҹ�P'lzvN8�Tq�둒��-NJ6]�o_�f���u����%���(]5�p�����LIb����6T�����;SP�#� 2�s� endobj During this time the Delta variant was the predominant strain infecting people in Israel. According to psychoanalyst, anthropologist, and consultant Michael Maccoby, this love of the limelight often stems from their personalities—in a narcissistic personality. The Maccabees is a masterpiece of literary and theological import. It savors of the legendary in certain aspects of its historical accounts. application/pdf 7 0 obj Comparing SARS-CoV-2 natural immunity to vaccine-induced immunity: reinfections versus breakthrough infections However Thalin and others did not forget to caution that deliberate infection among people who are unvaccinated will put them at significant risk of contracting severe disease, death or even long Covid. Led by a large Israeli health maintenance organization, those individuals who become ill with SARS-CoV-2 have superior immunity to those that have been vaccinated, based on these study results. It’s worth noting that two other studies have come to different conclusions about the relative potency of natural versus vaccine-induced immunity, although each is also subject to its own limitations and is not definitive. <> The new analysis relies on the database of Maccabi Healthcare Services, which enrolls about 2.5 million Israelis. It’s true that in many cases, natural immunity can provide better protection from certain diseases than immunity from vaccination, as we’ve written before. Importantly, though, the researchers also found that previously infected people benefited from vaccination, as those who received a single dose of the vaccine were about half as likely (0.53 fold) to be reinfected as those who did not get the shot. Found insideThe text explains important concepts but then takes the student beyond theories, to applying those management principles and developing management skills. endobj <>/ExtGState<>/Font<>/ProcSet[/PDF/Text]>>/Type/Page>> 2021-08-24T08:10:53-07:00 They then monitored how many developed symptomatic infection, how many were hospitalised and how many died. Please confirm you want to block this member. The testing aspect was perhaps “the biggest limitation of the study,” according to Natalie Dean, an Emory University biostatistician, who was quoted in an Aug. 26 Science article about the study. The researchers looked at infections, symptoms, and hospitalizations, and is to date the largest real-world observational study to compare natural versus vaccine-induced immunity to SARS-CoV-2. 50 0 obj A: An unvaccinated person who is infected with COVID-19 poses a much greater risk to others who are also unvaccinated. An Instagram post highlighted a headline about a non-peer-reviewed study from Israel that found that unvaccinated people previously infected with SARS-CoV-2 had greater immunity against the delta variant than never-infected people fully vaccinated with Pfizer/BioNTech's COVID-19 vaccine. included 1) SARS-CoV-2 naïve individuals who were administered the two-dose BNT162b2 vaccine, 2) individuals that were previously infected and who have not been vaccinated at all, and 3) previously infected individuals who received a single dose of the vaccine. Claim: Study finds vaccinated patients 27 times more likely to develop COVID symptoms than unvaccinated ... A research team using data from Maccabi Healthcare Services … Individuals at home that are reading our content for personal health care or other non-professional reasons. It was posted Aug. 25 to the medRxiv preprint server, which means it has not been peer-reviewed and “has not yet been accepted or endorsed in any way by the scientific or medical community.”. “Impact of Delta on viral burden and vaccine effectiveness against new SARS-CoV-2 infections in the UK.” medRxiv.org. “Vaccines Benefit Those Who Have Had COVID-19, Contrary to Viral Posts.” FactCheck.org. The team, from Maccabi Healthcare Services, looked at three groups — those double-jabbed with Pfizer who have never had Covid, unvaccinated people who have been infected, and single-jabbed people who have had the virus. This book is a study of the reforms of primary care in Europe as well as their impacts on the broader co-ordination mechanisms within European health care systems. Claim: "New Israeli Study Finds Fully Vaccinated People are at ‘Greater Risk of Hospitalization’ and 13 TIMES MORE LIKELY to Catch Covid-19 Than Those Who Have Recovered and Have Natural Immuni… An Instagram post highlighted a headline about a non-peer-reviewed study from Israel that found that unvaccinated people previously infected with SARS-CoV-2 had greater immunity against the delta variant than never-infected people fully vaccinated with Pfizer/BioNTech’s COVID-19 vaccine. 5 0 obj <> “Because somebody could die,” he warned. Health workers of the Maccabi Health Services vaccination centre administer doses of the Pfizer-BioNtech COVID-19 injection inside the parking lot of the Givatayim Mall in Tel Aviv on January 26, 2021. 1Kahn Sagol Maccabi (KSM) Research & Innovation Center, Maccabi Healthcare Services, Tel Aviv, 68125, Israel. As the future relationship between Israelis and Palestinians is being determined, Barrier: The Seam of the Israeli-Palestinian Conflict is an important book that addresses one of the most controversial solutions. But we’ve also written about scientific studies that show the benefits of vaccination for those who contracted the coronavirus and then recovered from infection. A renowned author and rabbi discusses the relationship between science and religion and the importance of the coexistence of both in that religion is the search for meaning and science is the search for explanation. 20,000 first printing. Individuals - reading for personal reasons who prefer to pay for one year in advance with no recurring billing. What was not mentioned in the Instagram post — which received more than 4,600 likes on the platform — is that the study found even greater immunity against the delta variant for people who got a single shot of the Pfizer/BioNTech vaccine and had an infection with the novel coronavirus that causes COVID-19. Cavanaugh, Alyson. An Israeli study found the best protection against COVID-19 is getting vaccinated and having natural immunity. This second edition volume is a desktop reference guide on nutrition and its clinical implications for health and disease. The study used the database by Maccabi Healthcare Services that has enrolled over 2.5 million people from Israel. Immunity at all immunity than a vaccine—but vaccination remains vital. ” Science this at that. Healthcare industry who are subscribing on behalf of their company for work reasons by Maccabi health Services Israel. 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