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  • Training and other certification requirements may vary from State to State for personal assistants and home health care aides.24, 25, 26, 27It is important to note that HHCWs have an increased incidence of injury compared to other health care and human services workers.19, 28 A review by Galinsky, et al., provided exhaustive documentation of overexertion injuries in HHCWs.29 They found that forcef
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