Avian flu info in Bethel languages

preparedness, H5N1, public involvement Comments Off

The Fluwickie (see sidebar) has a listing of info in various languages, many of which are from the NZ/Aotearoa public health site.

Brochures, Getting ready for a flu pandemic
Posters, Stop the spread of flu germs

10% of our elders in Bethel speak Korean. Other Bethel languages include

Getting ready for a flu pandemic - Korean (PDF, 704 kB)
Getting ready for a flu pandemic - Hindi (PDF, 716 kB)
Getting ready for a flu pandemic - Samoan (PDF, 611 kB)
Getting ready for a flu pandemic - Arabic (PDF, 843 kB)

Of course, not everyone is literate in their spoken languages. International symbols, especially for mass diasters, would be essential.

As I mentioned in April 2006 to the editor, Delta Discovery–

Sometimes it is easy to overlook the great cultural wealth we have at hand in Bethel. For a city so small, we benefit so much from so many of us born overseas. They feed our spirits, feed our minds, feed our stomachs, feed our souls. I would like to thank the nurses, cab drivers, tellers, doctors, counsellors, teachers, preachers, restaurateurs, entrepreneurs, wives, elders, et al. who make our lives in Bethel richer.This is an incomplete list that would be interesting if others can add to it — Thank you, those born in

Albania
Argentina
Cameroon
Canada
China
Cyprus
former Czechoslovakia
El Salvador
France
India
Iran
Israel
Japan
Korea
Lebanon
Macedonia
Mexico
Montenegro
Nepal
perhaps New Zealand?
Nigeria
Peru
Philippines
Poland
Puerto Rico
Russia
Samoa/American Samoa
Saudi Arabia
former Yugoslavia

The major spoken languages in Bethel include Yup’ik, Cup’ik, and Inupiaq Eskimo; Athabascan, Russian, Spanish, French, Korean, Greek, Serbian, Farsi, English (also known as gussack, which itself is Russian in origin for non-Yup’ik speakers), …

Please add to the list.

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Kuskokwim “tabletop” exercise

The pandemic planning tabletop exercises are finally coming to Bethel and the surrounding Villages.

Spanish? “flu” info

Some documents for poultry breeders and farmers about bird flu are available from the USDA site. Spanish is one of the languages available. At least, it is said to be Spanish.

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Where is… Kipnuk

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RE: Villagers living in bird flu’s flight path

Where is... Kipnuk and H5N1

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Villagers living in bird flu’s flight path

birds, news sources, PPE Personal Protection, H5N1 1 Comment »

The story is not timely. However, it is good to be reminded that the possibility of pandemic influenza (highly pathogenic avian influenza) still exists. For us, it is still good to be reminded to take the usual precautions with wild game that have been shared at this blog.

This story will be published tomorrow. It is located at the LA Times website

and at the KTLA TV website

2006-11-09 New link

This TinyURL redirects to:
http://www.latimes.com/news/printedition/la-s
ci-kipnuk22oct22,1,6204427,full.story?ctrack=
1&cset=true

Currently the video is flaky (unstable).

A few things to point out. Although the Feds had know about the sampling plan for over a year (sampling started in 2005) the news was not known until after the 2006 sampling and news coverage began. See early March, RE: Google news proxy
and Google news proxy measure — H5N1 public involvement

The flyers came out in mid-March, A Few Facts about Avian Influenza in Alaska, just after the news announcements of the 2006 sampling.

The strong effort to advertise there is no bird flu and that birds can be hunted, continued even after bird flu, including H5N1, was confirmed in the tested birds. This information has not been as widely disseminated. There has been little follow-up on local preparedness.

Alaska villagers living in bird flu’s flight path
What has brought the Eskimos sustenance for generations now may carry the deadly virus into North America

By JIA-RUI CHONG, Times Staff Writer, October 22, 2006

Soon, latex gloves appeared on store shelves and Wild West-style posters started popping up around town: “Wanted: Birds of the Delta.” Researchers camped out in the town’s tribal council offices, preparing for trips to nearby Kwigluk Island with vials, swabs, nets and needles.

They came bearing a warning: The wild birds that the Yup’ik have hunted for millenniums may be carrying the first traces of the deadly bird flu virus from Asia into North America….

The nervousness has waned through the summer, said the 58-year-old ex-Army sergeant, but still, “We don’t joke about what we eat here.”

…The coastal location is one reason health officials chose Kipnuk as one of 10 villages for testing. The other main reason is the vigor of its hunters.

Kipnuk villagers hunt intensely through the summer, stocking up on birds, which they usually roast into a crispy meal or boil into a soup made with onions, rice and macaroni. Peter keeps two freezers stuffed with various birds — some plucked, some not….

…The health corporation began preparing residents in the spring with a newsletter outlining some of the dangers of bird flu.

The newsletter’s advice was simple: Don’t eat, drink or smoke when cleaning birds, and cook the meat thoroughly.

This has caused some problems.

One of the delicacies of tundra life is half-cooked eider. ..

As a chill set in, he disemboweled his birds in the traditional style: hooking one finger into the cloaca and tearing out the intestines with one motion.

He wiped his hand on the damp grass.

Peter said he was worried, but not that worried, yet. “Nobody’s gotten sick,” he said….

http://tinyurl.com/y6vyqv Video– “Drawing a line in the Tundra” [sic]

cleaning geese

I found the newstory had a mixed voice; an element of sympathy but also exoticism. Untouched by the reporter and by us is the neccessary larger discussion of “tradition” vs “modernism”. [If tradition weren’t evolving it wouldn’t be tradition and we would be extinct as a community. If Cabela’s and shotguns and freezers are indigenous hunting tools (and they are) so too are hand sanitizers and safe food handling. We know from our own history that once people get sick, in 1918, in 1950s, in 2005, it is too late for prevention. Part of tradition is getting ready; we need our institutions to catch up.]

It’s interesting, too, that The Birds are again the harbingers of human disasters (see Google news proxy measure — H5N1 public involvement). We forget to our peril that, to paraphrase Pogo, we have seen the environment and it is us.


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Science project — community-based mitigation strategies during an influenza pandemic

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from the http://www.fluwikie2.com/ Your ideas are needed so they can be passed along to improve our preparedness. Suggestions should be submitted at the link below (if we don’t include ourselves in planning, we don’t get included in plans or in mitigating the effects of no planning.)

The Institute of Medicine (IOM) is conducting an expedited review of the role of community-based mitigation strategies during an influenza pandemic. A workshop on this topic will be held on [deadline]
Wednesday, October 25 & Thursday, October 26, 2006 and will be open to the public. The meeting will be held at the PAHO Building, Room A, 525 23rd Street, NW, Washington, DC 20037. This workshop is part of the information gathering process of the IOM committee reviewing this issue.

The committee will prepare a report based primarily on information from the workshop that will include conclusions and recommendations, based upon available evidence, regarding:

* Strengths and weaknesses of the models presented, and strategies to improve predictive ability and usefulness
* Conclusions that can be drawn from the historical record and available science, gaps in current knowledge, and approaches that would narrow these gaps
* Whether community-wide interventions have a role in reducing infection transmission and the community impact of implementing community containment strategies

Read their statement of task


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School-in-a-Box

schoolchildren, preparedness, H5N1 Comments Off

I don’t know if the regional school districts have any preparedness plans for regional or local disasters. Judging by the Hooper Bay fire, they don’t. The schools as an institution should be on the front-line of planning with the community. Schooling is an important tool for post-trauma resiliency. The school-in-a-box idea is important to consider if we do get shut off from the everyday routines due to a pandemic or flooding or storm surges. Or, school fire.

[In addition, the schools are often a very large beast in a small community when they operate independent to the community. For example, schools often require their own water supplies, diverting from the community’s sanitation facilities. Schools contribute relatively enormous amounts of solid waste, but don’t participate in community solid waste management. Schools contribute hazardous waste and air pollution to local communities, but are not participating in eliminating or reducing their impact.]

The written story and the audio story about UNICEF’s project is available from here

NPR has also provided links to further information.

All Things Considered, October 20, 2006 ·
A year after a powerful earthquake devastated South Asia’s Kashmir region, UNICEF is providing a unique kind of emergency relief: its School-in-a-Box program.

Each aluminum box contains classroom supplies for up to 80 students, and 10,000 kits were distributed in Pakistan over the past year. The 110-pound boxes are often carried by donkeys or small boats.

The culturally neutral materials include writing utensils, notebooks, rulers, counting blocks and posters, says Ellen van Kamthout, UNICEF’s senior project officer for education in emergencies….

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SolarChill Vaccine Cooler

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If this chiller is approved it might be an excellent disaster preparation for remote areas like us. It runs on solar energy and can store the cold for several dark days. Cold is needed for blood samples (to identify an emerging illness), for some medicines, for environmental testing reagents, in addition to vaccines. Currently, if any of our Villages runs out of fuel oil, there are no other electrical sources. While others make jokes about selling freezers to Eskimos (freezers are vital in subsistence economies, even with traditional food storage techniques such as drying and fermenting) our region is too hot or too cold for delicate medicines.

From the excellent SciDevNet,

Agency: United Nations Environment Programme

An innovative new solar-powered refrigeration technology developed by an alliance of seven international organisations, nongovernmental organisations and the private sector has won the prestigious 2006 Cooling Industry Awards in the environmental pioneer category for refrigeration. The SolarChill Vaccine Cooler and Refrigerator Project will enable vaccines to be stored in locations that lack an adequate electricity supply and thereby directly help improve the health of children in developing countries. “

Read more here

The SolarChill Vaccine Cooler and Refrigerator Project was the winner of the prestigious 2006 UK Cooling Industry Award in the Environmental Pioneer Refrigeration category at the October 4, 2006 Cooling Industry Award Ceremonies in London, England.

…SolarChill prototypes have been successfully field tested over an 18 month period, in Senegal, Indonesia and Cuba. At an ambient temperature of 32° Centigrade, the optimized prototypes maintained the required temperatures of 2° to 8° Centigrade under normal use, as well as a hold over temperature of 10° - 15° Centigrade for more than six days without any solar energy….

Since recommended equipment for storage of vaccines has to comply with a set of performance standards defined by WHO and UNICEF, the SolarChill technology has been submitted for WHO approval.

Once the SolarChill technology receives WHO approval, it will be made freely available to the world and will be publicly owned.


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Mass dispensing exercise (free flu shots) Oct. 28

preparedness, Updates, H5N1 Comments Off

I mentioned this earlier

but it needs to be emphasized. The public is needed to train the health professionals in handling community-wide emergencies.

Wear comfortable clothes and shoes and bring the family (even if all won’t be receiving a seasonal flu shot.

Where: National Guard Armory across from Dmitri’s Restaurant and ID Variety in Bethel

When: Saturday, October 28, 2006
10:00 AM to 6:00 PM

This should be the first in a series. A Village mass dispensing exercise is also planned, but when and where weren’t specifically mentioned on KYUK AM today (Hooper Bay?). Other Villages were invited by Public Health to request similar exercises.

Please participate, even if you don’t want a flu shot. We all need to practice for emergencies, as a community, and not wait for trial and errors when those matter most.

    Katrina was no Girl Scout.

more on the Eskimo Guard

demography, preparedness 1 Comment »

Read the entire story

During the cold war, the battle line was drawn right here on the North Slope, with the Soviets skulking just across the Bering Strait. Most Alaska Guard members stayed in the state, protecting the home front.

But the world has changed. For this war, 670 Guard members have been called up from rural Alaska, its largest foreign deployment ever. The Alaska Guard estimates that one-third of its members are Eskimo, so most likely a third of those deployed are indigenous men, officials say, though the military does not keep official racial records of this type.


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Shrinking ponds 2

environmental change, demography, birds, Updates, maps 1 Comment »

I mentioned this earlier

but here is a release of information from a different source. I can’t yet find the photos.

In the meantime, here are illustrations from the Kuskokwim Delta (click on the images to go to where you can see larger sizes.)

    2005

    2006

    2002

    2006

Public release date: 12-Oct-2006

Shrinking ponds signal warmer, dryer Alaska
50 years of remotely sensed images show dramatic change

FAIRBANKS, Alaska–A first-of-its kind analysis of fifty years of remotely sensed imagery from the 1950s to 2002 shows a dramatic reduction in the size and number of more than 10,000 ponds in Alaska. The analysis, by University of Alaska Fairbanks scientists and published this week in the Journal of Geophysical Research, indicates that these landscape-level changes in arctic ponds are associated with recent climate warming in Alaska and may have profound effects on climate and wildlife.

Over the past 50 years, Alaska has experienced a warming climate with longer growing seasons, increased permafrost thawing, an increase in water loss due to evaporation from open water and transpiration from vegetation, and yet no substantial change in precipitation.

The shrinking of these closed-basin ponds may be indicative of widespread lowering of the water table throughout low-lying landscapes in Interior Alaska, write the authors. A lowered water table negatively affects the ability of wetlands to regulate climate because it enhances the release of carbon dioxide by exposing soil carbon to aerobic decomposition.

“Alaska is important in terms of waterfowl production and if you have a lowering of the water table that could have a potentially huge impact on waterfowl production,” …

“No one has done a state water-body inventory of this magnitude,”said Brian Riordan, lead author and data manager for the Bonanza CreekLong-Term Ecological Research program at UAF. “It will allow landmanagers to stop speculating about possible water body loss and begin to address the implications of this loss.”

Using black and white aerial photographs from the 1950s, color infrared aerial photographs from 1978-1982, and digital images from the Landsat satellite from 1999-2002, Riordan outlined each pond by hand. …

The main study area was the subarctic boreal region of Interior Alaska, which spans more than 5 million square kilometers bounded on the north by the Brooks Range and on the south by the Alaska Range. To contrast the semi-arid, subarctic sites of discontinuous permafrost in Interior Alaska, the authors also selected a study area in the Arctic Coastal Plain where the temperatures are much colder, the growing season much shorter, and the permafrost is continuous, and a more maritime site south of the Alaska Range.

All ponds in the study regions in subarctic Alaska showed a reduction in area of between 4 and 31 percent, with most of the change occurring since the 1970s. The ponds in the Arctic Coastal Plain showed negligible change….


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655,000 or 48,000 Iraqi deaths

differing views (Thimk), measures (scientific), Updates, sciencing Comments Off

Here is the original article.

Here is how one newspaper headlined it—
Survey says 600,000 have died in Iraq war
By Clive Cookson, Science Editor, and Steve Negus, Iraq Correspondent

Financial Times
Published: October 11 2006 17:37 | Last updated: October 11 2006 17:37

or

Disputed study claims 655,000 Iraqi deaths
POSTED: 2:57 a.m. EDT, October 11, 2006 CNN

or

Enormous death toll of Iraq invasion revealed
11 October 2006, NewScientist.com news service, Debora MacKenzie

or

One in 40 Iraqis ‘killed since invasion’
US and Britain reject journal’s finding that death toll has topped 650,000

Sarah Boseley, health editor, Thursday October 12, 2006, The Guardian

or

Iraq casualty figures open up new battleground
By Dan Murphy | Staff writer of The Christian Science Monitor

“The possibility of introducing bias in any kind of survey is real, and you spend more time designing the survey to eliminate the sources of bias then actually carrying it out,” he says. “One of the real risks in this is that people report deaths that don’t occur, so we did ask for death certificates. And in 92 percent of cases, they were provided.”

To be sure, the researchers of the Lancet study says possible errors leave a range between a low of 392,979 additional deaths and a high of 942,636. The 601,000 figure is the median.

The commonly accepted numbers until now have been much lower than Lancet surveys. The Iraq Body Count, a website that tracks civilian deaths in the war by compiling data from news reports, estimates 48,000 deaths have been reported in the media, while the Iraq Index sponsored by the Brookings Institution in Washington has counted 61,000 civilian deaths. President Bush estimated 30,000 civilian deaths late last year.

Fortunately,

presents some the background to the current study.

The purpose in presenting this here is to examine the science, the evidence.

What about the science? It doesn’t take much reflection to see that estimating mortality from an invasion with a disastrous and chaotic aftermath is no simple matter.

The Reveres are pretty good at asking the questions you should be asking of medical or health studies. What else could account for the results? If the alternatives are not feasible, then the study has greater validity, whether or not we “like” the results.

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Whooping cough cases on the rise in Southwest Alaska

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It is important to send historical diseases back to the historical record. Adults and children need their immunizations.

Each Village has a health professional who can give shots. Vaccinations are also available in Bethel at Public Health, Family Clinic, or Yukon-Kuskokwim Health Corp.

APRN Alaska News

Whooping cough cases on the rise in Southcentral [sic] Alaska
By Shane Iverson, KYUK

BETHEL, AK (2006-10-11) Confirmed cases of whooping cough are on the rise in southwestern parts of the state. Children under 12 months old are particularly at risk. But health officials say the key to preventing the spread of the disease is adult vaccinations.

listen to the story here–

Second Pandemic Flu Awareness Week

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FluWiki EffectMeasure

The Flu Wiki (previously mentioned) has links to resources. I find the feed very difficult to read for updates but otherwise I search for items of interest.

is another discussion board. The color design is impossible to read in a browser, but the feed is legible.


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Bird Flu Virus Infects Pigs in Bali

Updates, H5N1 Comments Off

Pigs are a major factor in pandemic seasonal flu.

Fortunately, the virus found was the low pathogenic variety. The finding needs confirmation.

This is an illustration of students’ role on keeping us healthy.

Date: Fri 6 Oct 2006 Source: TempoInteractive [edited]

Bird Flu Virus Infects Pigs in Bali
- —————————————
The Team of Veterinary Faculty at Udayana University has found evidence that the avian influenza (AI) virus has infected pigs in Bali. Wider scale research is now in process. The AI finding on pigs was due to college students’ research, which diagnosed several ill pigs from May to June 2006. Out of 20 pigs, 2 were positively infected by H5N1 virus. “The pigs are in Gianyar and Tabanan,” said I Gusti Ngurah Mahardika, a professor at the faculty, on Fri 6 Oct 2006.

The virus grows in ill pigs, and the pigs cannot be cured by medical treatment. [At necropsy], there are red blotches on the spleen. By [immunohistochemistry], the red blotches were viruses on the pigs’ tissue.

However, the H5N1 virus was not found in the animals’ tissue. “Probably the virus only passed by, or is called an opportunistic virus,” said Mahardika.

The finding has not yet been publicized as a scientific study, but it has been conveyed to the Bali Breeding Service as a warning.

Virus contagion, according to Mahardika, is likely because with the pattern of chicken and duck breeding, the animals are free to enter pig stalls. In Bali, 900 000 pigs live side by side with other cattle.

[Byline: Rofiqi Hasan]

ProMED-mail

is a program of the International Society for Infectious Diseases

Please support ProMED-mail by donating to the Internet-a-thon at


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Alaska history books

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A project to identify the 67 books that best capture Alaska history has been published. Several of the books have been recommended here

or at

WHAT IF YOU GOT A BUNCH OF HISTORIANS, LIBRARIANS AND OTHER hardboiled bibliophiles together in one room and asked them to list the most important books on Alaska history. How many of them would be on the same page? Precious few, it turns out.

That’s why “The Alaska 67,” a book about important books, has been so much longer in the making than anticipated. Now that it has finally reached local bookstores, project directors Frank Norris and Bruce Merrell would be justified sending birth announcements.

Read the background here–

A short list is here


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Flu-Season Wealth of Vaccine

preparedness, local sources, Updates, H5N1 3 Comments »

Because of the pandemic awareness, this was supposed to be the year of pushing seasonal flu immunization. Our flu vaccine only arrived towards the end of last week; last year we could get shots in September. (We seem to be among the earliest regions in the state or country to catch seasonal influenza.)

This year, flu shots have more than doubled in price through Alaska state Public Health, from $12 to $25 each. Fortunately, they do offer a sliding fee.

Public health will be practicing mass vaccination on Saturday, October 28, in Bethel (at the Armory). This is essential practice for an actual pandemic—how quickly can people be vaccinated? Flu shots will be free then.

For more info contact Public Health at 543-2110 or to make an appointment for a flu shot prior to the end of October.

[Read up on flu vaccine here,

]

In a Flu-Season Turnabout, Officials See Wealth of Vaccine

from the New York Times (Registration Required)

WASHINGTON, Oct. 5 - After approving a fifth flu vaccine for sale, public health officials are predicting that for the first time in four years there will be abundant supplies of vaccine this season.

In all, four manufacturers are expected to make as much as 115 million doses this year, a record supply. That is up from just two manufacturers making about 61 million doses two years ago.

The turnaround is the culmination of a long effort by public health officials and vaccine manufacturers to recover from chronic flu-shot shortages that led to long lines at vaccine clinics across the United
States. For the last two years, health officials had instructed providers to give shots in the early weeks of the season only to those deemed at highest risk. Not so this year.

To read more: http://www.nytimes.com/2006/10/06/us/06flu.html Or: http://tinyurl.com/rsxqe

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comments for ykalaska.uniblogs.org

Blogging, H5N1 Comments Off

I do allow and encourage people to leave their questions or information to share in the comments. There is a temporary glitch which has locked them here. However, questions, suggestions may be left at the other site, to be transferred back later. Sorry for the extra trouble.

click here to comment for ykalaska.uniblogs.org

Where is… Bethel water?

demography, preparedness, sanitation, maps 2 Comments »

Science 25 August 2006: Vol. 313. no. 5790, pp. 1088 - 1090
DOI: 10.1126/science.313.5790.1088

Desalination Freshens Up, by Robert F. Service
Efforts to provide clean, fresh water for the world’s inhabitants seem to be moving in the wrong direction. According to the World Health Organization, 1 billion people do not have access to clean, piped water. A World Resources Institute analysis adds that 2.3 billion people–41% of Earth’s population–live in water-stressed areas, a number expected to climb to 3.5 billion by 2025. To make matters worse, global population is rising by 80 million a year, and with it the demand for new sources of fresh water.

    missing freshwater

The Yukon-Kuskowkim Rivers Delta, in the Bethel area, is a semi-arid region with generally 15 inches or less of precipitation per year. When last I checked, Bethel has about as much precipitation as Los Alamos, New Mexico in the high “desert”, including snow (54 inches).

The Kuskokwim Delta is aggrading (sinking or eroding away) instead of accreting (gaining sediment and area) as is the Yukon Delta. Unfortunately, I cannot find on-line the specific data and reports for the accretion or degrading status, nor analyses of possible causes. (If a reader knows this, please let the rest of us know.)

For at least a decade, the tundra ponds on the Kuskowkim delta have been disappearing—

  • they may be sinking (the permafrost holding them up may be disappearing. Last year nearby ponds look like a bathtub with the plug pulled)
  • the land may be rising (but we haven’t had the weight of glaciers above us in the past)
  • the pattern of precipitation may have changed (more occurs in warmer months which may result in more evaporation)
  • the amount of precipitation may have decreased
  • people use much more water (especially on piped systems)
  • there are many more people using water
  • sea level may be changing (fresh water floats on top of salt water)

No matter the cause, we do not seem to have now, and will likely not have for the next generation, sufficient water clean enough for essential uses.


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