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DRC - Ebola outbreak in North Kivu and Ituri: July 30, 2018+
EPIDEMIOLOGICAL SITUATION IN THE PROVINCES OF NORTH KIVU AND ITURI
Tuesday, October 9, 2018
The epidemiological situation of the Ebola Virus Disease dated 8 October 2018 :
A total of 188 cases of haemorrhagic fever were reported in the region, 153 confirmed and 35 probable.
Of the 153 confirmed, 83 died and 51 are cured . The others are hospitalized in the different Ebola Treatment Centers installed.
20 suspected cases are under investigation.
7 new confirmed cases, including 6 in Beni and 1 in Masereka.
Among the 6 new cases of Beni are 3 community deaths in the Butanuka district. These are 3 children who have been in consultation at the same clinic.
1 new person healed in Beni.
Remarks:
To avoid that the total number of cases varies (up or down) daily, the suspect cases have been placed in a separate category. Thus, suspect cases with positive laboratory tests will be added to the confirmed category, while negative ones (non-cases) will be removed from the table.
The category of probable cases includes all reported deaths for which it was not possible to obtain biological samples for laboratory confirmation. The investigations will determine whether these deaths are related to the epidemic or not.
News of the response
Administrative measures in the city of Beni
Following the numerous attacks on the response teams and the non-respect of infection prevention and control measures in several traditional health centers in the city of Beni, the urban authorities have adopted a new urban decree introducing measures to Ebola response.
These measures include:
Authorization for the response teams to call on the security forces during safe and dignified collections and burials;
The obligation for the family of a deceased person to present a death certificate signed by the medical authority before obtaining a burial permit;
The obligation for all health professionals, healers and traditional healers to refer any suspicious case to the Ebola Treatment Center (ETC) at the risk of having their center closed and being prohibited from practicing any form of medicine;
The prohibition to deliberately keep a suspicious case and prevent him from going to the ETC under penalty of being penalized.
Vaccination
Since the start of vaccination on August 8, 2018, 15,279 people have been vaccinated , including 5,385 in Beni, 4,289 in Mabalako, 1,663 in Mandima, 1,392 in Katwa, 1,100 in Butembo, 434 in Bunia, 355 in Tchomia, 300 in Masereka, 240 to Komanda, 121 to Oicha.
"Safety and security don't just happen, they are the result of collective consensus and public investment. We owe our children, the most vulnerable citizens in our society, a life free of violence and fear." -Nelson Mandela
EPIDEMIOLOGICAL SITUATION IN THE PROVINCES OF NORTH KIVU AND ITURI
Wednesday, October 10, 2018
The epidemiological situation of the Ebola Virus Disease dated 9 October 2018 :
A total of 194 cases of haemorrhagic fever were reported in the region, of which 159 confirmed and 35 probable.
Of the 159 confirmed, 87 died and 53 are cured . The others are hospitalized in the different Ebola Treatment Centers installed.
25 suspected cases are under investigation.
6 new confirmed cases in Beni, including 3 community deaths in the Butanuka district.
4 new deaths of confirmed cases in Beni, including the 3 community deaths mentioned above.
2 new people healed in Beni.
Remarks:
To avoid that the total number of cases varies (up or down) daily, the suspect cases have been placed in a separate category. Thus, suspect cases with positive laboratory tests will be added to the confirmed category, while negative ones (non-cases) will be removed from the table.
The category of probable cases includes all reported deaths for which it was not possible to obtain biological samples for laboratory confirmation. The investigations will determine whether these deaths are related to the epidemic or not.
News of the response
Vaccination
Since the start of vaccination on August 8, 2018, 15,525 people have been vaccinated , including 5,616 in Beni, 4,289 in Mabalako, 1,663 in Mandima, 1,392 in Katwa, 1,085 in Butembo, 434 in Bunia, 355 in Tchomia, 330 in Masereka, 240 to Komanda, 121 to Oicha.
"Safety and security don't just happen, they are the result of collective consensus and public investment. We owe our children, the most vulnerable citizens in our society, a life free of violence and fear." -Nelson Mandela
Ebola cases spike in DRC, daily case rate more than doubles since September
...
MEDIA CONTACTS
Jess Wanless
International Rescue Committee
+44 7384 258293 Jessica.Wanless@rescue-uk.org
IRC Global Communications
+1 646 761 0307 communications@rescue.org
New York, NY, October 11, 2018 — The International Rescue Committee is alarmed by a significant increase in the number of new Ebola cases in North Kivu, Democratic Republic of Congo (DRC).
As of October 9, there have been 194 confirmed and probable cases and 120 deaths from this Ebola outbreak. In just nine days, there have been 33 new cases and 15 deaths. This is in contrast to 41 new cases and 27 deaths in the entire month of September. We are seeing 2.5 times the number of new cases each day compared to the previous month.
The vast majority of these new cases and deaths are occurring in Beni, the new epicenter of the outbreak. Violence and insecurity led to a suspension of Ebola response programming between September 25 and 29, and yesterday, once again, programs were temporarily suspended due to violence. IRC teams are still waiting for the green light to resume their activities.
Michelle Gayer, Senior Director of Emergency Health at the International Rescue Committee, said:
“The current spike in Ebola cases and deaths is extremely worrying. The number of new cases each day has more than doubled since the start of October. It’s likely that the forced suspension in programming due to insecurity and community resistance in and around Beni are major factors in this.
This is a sign not only that the outbreak is not under control, but that without full engagement from the community, things could get a lot worse. We have recently seen the transmission of Ebola within a school, opening up a new front in the fight against the disease.
We are operating within a highly volatile environment where the security situation continues to deteriorate, threatening the lives and livelihoods of the community and disrupting the response. Programs are again suspended today due to unrest and violence. Each time the Ebola response is interrupted lives are at risk. Teams are not able to trace the contacts of patients, vaccinate those in need and ensure safe burial practices.
We are at a critical moment in the response and our teams are highly concerned that the number of new cases could continue to escalate. It’s vital that over the coming days organizations continue to work alongside the local community to strengthen the relationship and work to increase access to people in need.”
The IRC is operating in and around Beni, as well as in other areas affected by this Ebola outbreak, to limit and control the spread of the disease. In Beni Hospital and surrounding clinics, the IRC is leading on infection prevention and control, which is vital to halt the spread of the disease. The IRC has been operating in North Kivu since 1996, providing emergency health services to the community.
"Safety and security don't just happen, they are the result of collective consensus and public investment. We owe our children, the most vulnerable citizens in our society, a life free of violence and fear." -Nelson Mandela
EPIDEMIOLOGICAL SITUATION IN THE PROVINCES OF NORTH KIVU AND ITURI
Thursday 11 October 2018
The epidemiological situation of the Ebola Virus Disease dated October 10, 2018 :
A total of 200 cases of haemorrhagic fever were reported in the region, including 165 confirmed and 35 probable.
Of the 165 confirmed, 90 died and 53 are cured . The others are hospitalized in the different Ebola Treatment Centers installed.
26 suspected cases are under investigation.
6 new confirmed cases, including 5 in Beni and 1 Masereka.
3 new confirmed cases in Beni.
Remarks:
To avoid that the total number of cases varies (up or down) daily, the suspect cases have been placed in a separate category. Thus, suspect cases with positive laboratory tests will be added to the confirmed category, while negative ones (non-cases) will be removed from the table.
The category of probable cases includes all reported deaths for which it was not possible to obtain biological samples for laboratory confirmation. The investigations will determine whether these deaths are related to the epidemic or not.
News of the response
Epidemiological surveillance
Since the beginning of October, a significant increase in the number of new cases has been observed mainly in Beni.
Between 1 th and 11 October 2018, 39 new ones were reported, including 32 only in Beni, representing 82% of all cases reported this period.
More specifically, 35 of all new cases were reported between October 4 and 11, 2018 (the last 7 days). Of these 35 cases, 29 were in Beni, or 82%.
Fun and dignified burial
On Wednesday, October 10, 2018, members of the community stole the body of a woman who died at the Beni Ebola Treatment Center on her way to the cemetery. When the woman died, the family asked the response team to make some concessions regarding the burial ceremony of the deceased. In particular, they requested that the hearse be driven by one of their acquaintances and that 5 family members wear personal protective equipment in order to carry the casket. This request was accepted by the response team provided that the procession was followed by a police vehicle.
However, as the procession made its way to the cemetery, the driver of the hearse suddenly changed course to get back to the family plot in the Butsili district of Beni. Arrived in the plot, several young people from a neighboring neighborhood then violently chased the police and kept the body with them. Panicking and realizing their mistake, they finally went to the cemetery before the end of the day and let the 5 family members wearing the personal protective equipment proceed to the burial of the house. deceased.
This Thursday, October 11, 2018, several members of the family volunteered to Beni's General Referral Hospital to get vaccinated. They guaranteed that no one had manipulated the body of the deceased between the CTE and the cemetery. Neither the coffin nor the body bag were opened.
In addition, residents of the Butsili neighborhood held an extraordinary meeting on Thursday at the local office and made a statement to apologize to the response teams. Young people in the neighborhood promised that they would not let such a situation happen again in their neighborhood.
Vaccination
Since the start of vaccination on 8 August 2018, 15,807 people have been vaccinated , including 5,838 in Beni, 4,289 in Mabalako, 1,663 in Mandima, 1,392 in Katwa, 1,085 in Butembo, 434 in Bunia, 390 in Masereka, 355 in Tchomia, 240 to Komanda, 121 to Oicha.
Many local figures continue to be vaccinated in the presence of the press in order to convince the population to trust the teams of the response and to accept vaccination. On Wednesday, October 10, 2018, the Honorable Jean Chrysostome Vahamwiti and his colleagues Kola Kiove and D?sir? Mutayombe were vaccinated. And this Thursday, October 11, 2018, it was the turn of the Honorable Boris Maelezo to participate in this major awareness campaign. All had only one message for the people of Beni: Mobilize to end this Ebola outbreak.
"Safety and security don't just happen, they are the result of collective consensus and public investment. We owe our children, the most vulnerable citizens in our society, a life free of violence and fear." -Nelson Mandela
EPIDEMIOLOGICAL SITUATION IN THE PROVINCES OF NORTH KIVU AND ITURI
Friday, October 12, 2018
The epidemiological situation of the Ebola Virus Disease dated 11 October 2018 :
A total of 205 cases of haemorrhagic fever were reported in the region, including 170 confirmed and 35 probable.
Of the 170 confirmed, 95 died and 54 are cured . The others are hospitalized in the different Ebola Treatment Centers (ETCs) installed.
32 suspected cases are under investigation.
5 new confirmed cases, including 3 in Beni, 1 in Kalunguta (1 community death) and 1 Mabalako.
5 new confirmed cases, including 4 in Beni and 1 in Kalunguta.
1 new person healed in Mabalako.
Remarks:
To avoid that the total number of cases varies (up or down) daily, the suspect cases have been placed in a separate category. Thus, suspect cases with positive laboratory tests will be added to the confirmed category, while negative ones (non-cases) will be removed from the table.
The category of probable cases includes all reported deaths for which it was not possible to obtain biological samples for laboratory confirmation. The investigations will determine whether these deaths are related to the epidemic or not.
News of the response
Beni Emergency Operations Center
A MONUSCO plumber working at the coordination headquarters in Beni tested positive for Ebola and is currently hospitalized at the CTE in Beni.
The plumber would have been contaminated after having spent a stay in the center of a traditional health practitioner while a confirmed case had been taken care of before being transferred to the CTE. The surveillance team has already started the investigation to identify all contacts and prevent transmission of the virus.
The response teams, most of whom had already been vaccinated before deployment, had to leave headquarters earlier this Friday so that a team of hygienists could begin the disinfection work of the entire site. In addition, the plumber's colleagues have voluntarily registered to be vaccinated as of this Saturday, October 13th. As a precaution, they were all put on paid leave for a period of 21 days.
Vaccination
Since the start of vaccination on August 8, 2018, 16,202 people have been vaccinated , including 6,163 in Beni, 4,289 in Mabalako, 1,663 in Mandima, 1,392 in Katwa, 1,085 in Butembo, 460 in Masereka, 434 in Bunia, 355 in Tchomia, 240 to Komanda, 121 to Oicha.
"Safety and security don't just happen, they are the result of collective consensus and public investment. We owe our children, the most vulnerable citizens in our society, a life free of violence and fear." -Nelson Mandela
EPIDEMIOLOGICAL SITUATION IN THE PROVINCES OF NORTH KIVU AND ITURI
Saturday 13 October 2018
The Epidemiological Status of Ebola Virus Disease, October 12, 2018 :
A total of 207 cases of haemorrhagic fever were reported in the region, of which 172 confirmed and 35 probable.
Of the 172 confirmed, 95 died and 54 are cured . The others are hospitalized in the different Ebola Treatment Centers (ETCs) installed.
Number of suspect cases not available today.
2 new cases confirmed in Beni.
No new deaths.
Remarks:
To avoid that the total number of cases varies (up or down) daily, the suspect cases have been placed in a separate category. Thus, suspect cases with positive laboratory tests will be added to the confirmed category, while negative ones (non-cases) will be removed from the table.
The category of probable cases includes all reported deaths for which it was not possible to obtain biological samples for laboratory confirmation. The investigations will determine whether these deaths are related to the epidemic or not.
News of the response
Press Conference of the Minister of Health in Kinshasa
The Minister of Health, Dr. Oly Ilunga Kalenga, held a press conference at his Cabinet this Saturday, October 13, 2018 to present the evolution of the Ebola Virus Disease epidemic in the provinces of North Kivu and Ituri.
Dr. Oly Ilunga Kalenga reviewed the latest developments in the Beni epidemic, which is now the main focus. He highlighted the factors that have slowed down the progress of the response in the city, namely community resistance, insecurity, dead city days, and the lack of involvement of traditional healers. This situation has created a gray area for the response teams. Due to difficulties in identifying and following up contacts, the majority of new confirmed cases reported this month are not part of the list of known contacts and epidemiological links are identified only after a thorough investigation. Thus, only the continuation of the investigations will allow us to determine the real extent of this second wave of confirmed cases in Beni.
However, there are positive developments including a significant increase in the number of alerts received and investigated per day. This indicates a strengthening of surveillance.
Faced with these challenges, coordination has begun to develop a new response plan that takes into account these additional dimensions related to realities on the ground. This new approach is based on co-targeting, which aims to ensure that concerted actions are carried out by multidisciplinary teams around cases and alerts. In addition, the city of Beni has been divided into 18 operational zones that correspond to the 18 health areas of the city with specific response teams.
Vaccination
Since the start of vaccination on August 8, 2018, 16,518 people have been vaccinated , including 6,453 in Beni, 4,315 in Mabalako, 1,663 in Mandima, 1,392 in Katwa, 1,085 in Butembo, 460 in Masereka, 434 in Bunia, 355 in Tchomia, 240 to Komanda, 121 to Oicha.
"Safety and security don't just happen, they are the result of collective consensus and public investment. We owe our children, the most vulnerable citizens in our society, a life free of violence and fear." -Nelson Mandela
EPIDEMIOLOGICAL SITUATION IN THE PROVINCES OF NORTH KIVU AND ITURI
Sunday, October 14, 2018
The epidemiological situation of the Ebola Virus Disease dated October 13, 2018 :
A total of 211 cases of haemorrhagic fever were reported in the region, including 176 confirmed and 35 probable.
Of the 176 confirmed, 100 have died and 55 are cured . The others are hospitalized in the different Ebola Treatment Centers (ETCs) installed.
24 suspected cases under investigation.
4 new confirmed cases, including 2 in Beni, 1 in Masereka and 1 in Butembo.
Of these new confirmed cases, 3 are community deaths (dignified and secure burials made)
The number of confirmed cases in Beni has exceeded the number of confirmed cases in Mabalako, the epicenter of the epidemic.
5 new confirmed cases, including 2 in Beni, 2 in Mabalako and 1 in Butembo.
1 new person healed in Beni.
Remarks:
To avoid that the total number of cases varies (up or down) daily, the suspect cases have been placed in a separate category. Thus, suspect cases with positive laboratory tests will be added to the confirmed category, while negative ones (non-cases) will be removed from the table.
The category of probable cases includes all reported deaths for which it was not possible to obtain biological samples for laboratory confirmation. The investigations will determine whether these deaths are related to the epidemic or not.
A community death is a death in the community, outside of a licensed health center.
News of the response
Vaccination
Since the beginning of vaccination on August 8, 2018, 16,973 people have been vaccinated , including 6,832 in Beni, 4,351 in Mabalako, 1,663 in Mandima, 1,392 in Katwa, 1,085 in Butembo, 500 in Masereka, 434 in Bunia, 355 in Tchomia, 240 to Komanda, 121 to Oicha.
"Safety and security don't just happen, they are the result of collective consensus and public investment. We owe our children, the most vulnerable citizens in our society, a life free of violence and fear." -Nelson Mandela
EPIDEMIOLOGICAL SITUATION IN THE PROVINCES OF NORTH KIVU AND ITURI
Monday, October 15, 2018
The epidemiological situation of the Ebola Virus Disease dated 14 October 2018 :
A total of 214 cases of haemorrhagic fever were reported in the region, of which 179 were confirmed and 35 were probable.
Of the 179 confirmed, 104 died and 55 are cured . The others are hospitalized in the different Ebola Treatment Centers (ETCs) installed.
25 suspected cases under investigation.
3 new confirmed cases in Beni, all community deaths (dignified and secure burials made).
4 new deaths of confirmed cases in Beni, including the 3 community deaths mentioned above
<snip>
this chart shows the increase in the number of alerts notified in the city of Beni indicating an improvement of the surveillance system as well as a better collaboration of the community which makes more and more use of the emergency teams.
UN: Ebola outbreak is worrying but not a global emergency
GENEVA (AP) ? The World Health Organization says it is "deeply concerned" by the ongoing Ebola outbreak in Congo but the situation does not yet warrant being declared a global emergency.
After convening an expert group to assess the epidemic on Wednesday, the U.N. health agency said "response activities need to be intensified and ongoing vigilance is critical."
Aid organizations have expressed alarm as the rate of new Ebola cases more than doubled this month and resistance to efforts to stop the virus has turned violent. WHO has warned the risk of Ebola spreading in the region is "very high" as confirmed cases were reported close to the Ugandan border. It says the risk of international spread is low.
EPIDEMIOLOGICAL SITUATION IN THE PROVINCES OF NORTH KIVU AND ITURI
Wednesday, October 17, 2018 The epidemiological situation of Ebola Virus Disease dated October 16, 2018 :
A total of 220 cases of haemorrhagic fever were reported in the region, 185 confirmed and 35 probable.
Of the 185 confirmed, 107 died and 57 are cured . The others are hospitalized in the different Ebola Treatment Centers (ETCs) installed.
34 suspected cases under investigation.
4 new confirmed cases, including 3 in Beni and 1 in Butembo.
3 new confirmed cases in Beni.
4,798 contacts to follow to date.
Remarks:
To avoid that the total number of cases varies (up or down) daily, the suspect cases have been placed in a separate category.Thus, suspect cases with positive laboratory tests will be added to the confirmed category, while negative ones (non-cases) will be removed from the table.
The category of probable cases includes all reported deaths for which it was not possible to obtain biological samples for laboratory confirmation.The investigations will determine whether these deaths are related to the epidemic or not.
A community death is a death in the community, outside of a licensed health center.
Meeting of the Emergency Committee for the International Health Regulations (IHR)
The Emergency Committee for International Health Regulations, convened by the Director General of the World Health Organization (WHO), Dr. Tedros Adhanom, met this Wednesday, October 17, 2018 to determine whether the epidemic of Current Ebola in the Democratic Republic of the Congo is a public health emergency of international concern. At the end of the deliberations, the Committee unanimously concluded that the epidemic is not at this stage a public health emergency of international concern. The level of risk of spread at the international level is kept low but very high at national and regional level.
The Committee recognizes that the Ebola epidemic is taking place in a complex context with significant challenges:
The epidemic is in an area of active conflict with protracted humanitarian crises;
Community mistrust due to a variety of reasons, including the security situation, and people who avoid follow-up or go to the health center late;
The identification of new cases without known epidemiological link is a major concern that requires more detailed epidemiological mapping;
In-band vaccination efforts have achieved high coverage rates among eligible populations (almost 90%) but this method relies entirely on effective contact monitoring.
However, the Committee noted several positive developments:
The Committee commended the Government of the DRC, WHO and all partners in the response for the progress made under difficult circumstances;
All pillars of the response operate on a large scale and are adjusted in real time;
Surveillance activities are laudable but need to be intensified;
MONUSCO provides logistical and security support to the response;
Vaccines and experimental therapeutics are being widely used for the first time;
Traveler control at points of entry is carried out on a very large scale;
Preparatory activities in neighboring countries are ongoing, although these require significant additional financial support.
The Minister of Health, Dr. Oly Ilunga Kalenga, shares this assessment of the response. This tenth Ebola outbreak presents many risks and challenges identified from the start. Despite a complex social and security context, the teams that have been on the ground since the day after the outbreak was announced are doing an admirable job. The response plan is constantly evaluated and adjusted to respond effectively and quickly to the challenges of instability in the region. The Ministry of Health takes note of the Committee's recommendations and will incorporate them into the new response plan.
Vaccination
Since the start of vaccination on August 8, 2018, 18,465people have been vaccinated , including 7,999 in Beni, 4,391 in Mabalako, 1,663 in Mandima, 1,392 in Katwa, 1,085 in Butembo, 570 in Masereka, 434 in Bunia, 355 in Tchomia, 240 to Komanda, 121 to Oicha, 110 to Musienene and 105 to Kalunguta.
THE EMERGENCY COMMITTEE ON INTERNATIONAL SANITARY REGULATIONS
The IHR Emergency Committee's statement of Wednesday, October 17, 2018 is available by following this link (in English). Click here to learn more about the IHR Emergency Committee, its role, composition and mission.
An Ebola outbreak presents a new mystery involving children
By HELEN BRANSWELL @HelenBranswell OCTOBER 19, 2018
...
The disproportionate number of recent infections among children in the Democratic Republic of Congo ? specifically in Beni, the outbreak?s current hot spot ? has come as a surprise; typically young children don?t make up a big proportion of cases during an Ebola outbreak.
But in the first two weeks of October, nearly 60 percent of the newly reported cases in and around Beni were children under the age of 16, Dr. Peter Salama, of the World Health Organization, told STAT.
...
At this point, they have a theory ? though Salama stressed that it is only that at this stage.
It is currently peak malaria season in Beni. Children in particular can become severely ill when they contract malaria. And it appears that a lot of the children who contracted Ebola in Beni had recently seen medical practitioners or traditional healers.
If a clinic or traditional healer is treating an undiagnosed Ebola patient, other people also present could become infected. That is believed to have happened recently to a plumber who worked on the U.N. peacekeepers? compound at Beni.
It?s also possible that children who were brought for care for malaria might have received a therapy ? something injectable ? that could explain the exposures, Salama said.
...
Epidemiologists working on the world’s latest Ebola outbreak are racing to try to solve a mystery. Why have so many children — some still infants — been infected with the virus?
"Safety and security don't just happen, they are the result of collective consensus and public investment. We owe our children, the most vulnerable citizens in our society, a life free of violence and fear." -Nelson Mandela
HEALTH NEWSOCTOBER 19, 2018 / 11:50 AM / UPDATED AN HOUR AGO
U.S. official optimistic Congo Ebola outbreak can be controlled
Giulia Paravicini
KINSHASA (Reuters) - The leading Ebola expert at the U.S. Centers for Disease Control and Prevention (CDC) said on Friday he believed an outbreak in Congo can be brought under control quickly and that the high rate of new cases is due largely to improved detection.
...
?We compared the evolution of this epidemic to other epidemics to see if the increase had been more rapid, and there was no difference,? Rollins said in an interview.
?What happened in the last week is that the health ministry has decided ... to research the cases more actively because they would see cases arrive that had no link to patients already treated or registered as known contacts.?
He added that the introduction 10 days ago of a new World Bank-supported program to pay people by mobile phone to report cases has encouraged quicker reporting.
...
"Safety and security don't just happen, they are the result of collective consensus and public investment. We owe our children, the most vulnerable citizens in our society, a life free of violence and fear." -Nelson Mandela
?Dark day?: Congo rebels kill 2 health agents fighting Ebola
...rebels shot and killed two medical agents ... The health ministry statement late Saturday said Mai Mai rebels surged from the forest and opened fire on the unarmed agents with the army?s rapid intervention medical unit ... The daytime attack appeared premeditated ... Health workers in this outbreak have described hearing gunshots daily, carrying out Ebola containment work under armed escort and having to end their work by sundown to lower the risk of attack.
Congo's health minister calls it a "dark day" for everyone fighting the deadly Ebola outbreak after rebels shot and killed two medical agents with the Congolese army.
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