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Article History

Received: 15 March 2019

Accepted: 31 August 2020

First Online: 10 September 2020

Ethics approval and consent to participate

: The French national public health agency (Santé publique France) is legally missioned to watch the health of French population by implementing information systems collecting health data (L. 1413–1 code de la santé Publique). This investigation was implemented in compliance with the authorization delivered to Santé publique France by the French data protection authority (CNIL) to process personal health data in order to prevent, alert or monitor an epidemiological crisis (authorization 341194 V42).According to French law, only research involving a human being (research defined by article L. 1121–1 and article R. 1121–1 of the code de la santé publique) are compelled to receive the approval of ethics committee. The research involving a human being aims to improve biological or medical knowledge. This epidemiological study was based on data collected from patient charts and directly from the patient. It was not qualified as a research involving a human being research defined by article L. 1121–1 and article R. 1121–1 of the code de la santé publique and as a consequence did not require the approval of an ethic committee.All participants were informed in writing of the processing of their data and were able to object it. For minors under 18 years old, all parents or guardians have been informed in writing of the processing of the data and were able to object it.

: Not applicable.

: The authors declare that they have no competing interests.