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 h English (en)PEM is fairly common worldwide in both children and adults and accounts for 6 million deaths annually. In the industrialized world, PEM is predominantly seen in hospitals, is associated with disease, or is often found in the elderly.
 h Japanese (ja)PEMは小児、成人ともに世界的にかなり多くみられ、年間600万人が死亡している。先進工業国では、PEMは主に病院でみられ、疾患と関連しているか、高齢者に多くみられる。