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The most vulnerable adults were those who were far from the epicenter and did not go to their workplace in the week before the survey. Identifying the predictors of distress enables mental health services to better target finding and helping the more mentally vulnerable adults during the ongoing COVID-19 crisis. Identifying the predictors of distress enables mental health services to better target finding and helping the more mentally vulnerable adults during the ongoing COVID-19 crisis.The increase in the annual flux of the end-of-life