<div class="gmail_quote">From: <b class="gmail_sendername">Ruggiero, Mrs. Ana Lucia (WDC)</b> <span dir="ltr"><<a href="mailto:ruglucia@paho.org">ruglucia@paho.org</a>></span><br>crossposted from: <a href="mailto:EQUIDAD@listserv.paho.org">EQUIDAD@listserv.paho.org</a><br>
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<p style="BACKGROUND: white; MARGIN-LEFT: 0.5in"><strong><b><font face="Arial" color="maroon" size="2"><span lang="EN" style="FONT-SIZE: 11pt; COLOR: maroon; FONT-FAMILY: Arial">Global Action for Health System Strengthening: Policy Recommendations to the G8 </span></font></b></strong><font face="Arial" color="maroon" size="2"><span lang="EN" style="FONT-SIZE: 11pt; COLOR: maroon; FONT-FAMILY: Arial"></span></font></p>
<p style="BACKGROUND: white; MARGIN-LEFT: 0.5in"><font face="Arial" color="navy" size="2"><span lang="EN" style="FONT-SIZE: 10pt; COLOR: navy; FONT-FAMILY: Arial"> </span></font></p>
<p style="BACKGROUND: white; MARGIN-LEFT: 0.5in"><b><font face="Arial" color="navy" size="1"><span lang="EN" style="FONT-WEIGHT: bold; FONT-SIZE: 9pt; COLOR: navy; FONT-FAMILY: Arial">Task Force on Global Action for Health System Strengthening, January 16, 2009<br>
</span></font></b><font face="Arial" color="navy" size="1"><span lang="EN" style="FONT-SIZE: 9pt; COLOR: navy; FONT-FAMILY: Arial">Japan</span></font><font face="Arial" color="navy" size="1"><span lang="EN" style="FONT-SIZE: 9pt; COLOR: navy; FONT-FAMILY: Arial"> Center</span></font><font face="Arial" color="navy" size="1"><span lang="EN" style="FONT-SIZE: 9pt; COLOR: navy; FONT-FAMILY: Arial"> for International Exchange</span></font></p>
<p style="BACKGROUND: white; MARGIN-LEFT: 0.5in"><b><font face="Arial" color="navy" size="1"><span lang="EN" style="FONT-WEIGHT: bold; FONT-SIZE: 9pt; COLOR: navy; FONT-FAMILY: Arial"> </span></font></b></p>
<p style="BACKGROUND: white; MARGIN-LEFT: 0.5in"><font face="Arial" color="navy" size="2"><span lang="EN" style="FONT-SIZE: 10pt; COLOR: navy; FONT-FAMILY: Arial">The final report of the Working Group on Challenges in Global Health and Japan's Contributions was submitted to the Japanese and Italian governments in January 2009 for consideration for the 2009 G8 Summit agenda. </span></font></p>
<p style="BACKGROUND: white; MARGIN-LEFT: 0.5in"><font face="Arial" color="navy" size="2"><span lang="EN" style="FONT-SIZE: 10pt; COLOR: navy; FONT-FAMILY: Arial"> </span></font></p>
<p style="BACKGROUND: white; MARGIN-LEFT: 0.5in"><font face="Arial" color="navy" size="2"><span lang="EN" style="FONT-SIZE: 10pt; COLOR: navy; FONT-FAMILY: Arial">English: PDF file Full report [131p] at: <a href="http://www.jcie.org/researchpdfs/takemi/full.pdf" target="_blank"><font color="navy"><span style="COLOR: navy">http://www.jcie.org/researchpdfs/takemi/full.pdf</span></font></a> </span></font></p>
<p style="BACKGROUND: white; MARGIN-LEFT: 1in; TEXT-INDENT: -0.25in"><font face="Symbol" color="navy" size="2"><span lang="EN" style="FONT-SIZE: 10pt; COLOR: navy; FONT-FAMILY: Symbol"><span>·<font face="Times New Roman" size="1"><span style="FONT: 7pt 'Times New Roman'"> </span></font></span></span></font><font face="Arial" color="navy" size="2"><span lang="EN" style="FONT-SIZE: 10pt; COLOR: navy; FONT-FAMILY: Arial"><a href="http://www.jcie.org/researchpdfs/takemi/full.pdf" target="_blank"><font color="navy"><span style="COLOR: navy; TEXT-DECORATION: none">Download full report</span></font></a> (<u> <a href="http://www.jcie.org/japan/j/pdf/gt/cgh-jc/20090116teigen_j.pdf" target="_blank"><font color="navy"><span style="COLOR: navy">Japanese</span></font></a> | Italian) </u><span>[2.4 MB PDF]</span> </span></font></p>
<p style="BACKGROUND: white; MARGIN-LEFT: 1in; TEXT-INDENT: -0.25in"><font face="Symbol" color="navy" size="2"><span lang="EN" style="FONT-SIZE: 10pt; COLOR: navy; FONT-FAMILY: Symbol"><span>·<font face="Times New Roman" size="1"><span style="FONT: 7pt 'Times New Roman'"> </span></font></span></span></font><font face="Arial" color="navy" size="2"><span lang="EN" style="FONT-SIZE: 10pt; COLOR: navy; FONT-FAMILY: Arial">Download by chapter: </span></font></p>
<p style="BACKGROUND: white; MARGIN-LEFT: 1.5in; TEXT-INDENT: -0.25in"><font face="Symbol" color="navy" size="2"><span lang="EN" style="FONT-SIZE: 10pt; COLOR: navy; FONT-FAMILY: Symbol"><span>·<font face="Times New Roman" size="1"><span style="FONT: 7pt 'Times New Roman'"> </span></font></span></span></font><font face="Arial" color="navy" size="1"><span lang="EN" style="FONT-SIZE: 9pt; COLOR: navy; FONT-FAMILY: Arial"><a href="http://www.jcie.org/researchpdfs/takemi/contents.pdf" target="_blank"><font color="navy"><span style="COLOR: navy; TEXT-DECORATION: none">Table of Contents</span></font></a><span> [56 KB PDF]</span> </span></font></p>
<p style="BACKGROUND: white; MARGIN-LEFT: 1.5in; TEXT-INDENT: -0.25in"><font face="Symbol" color="navy" size="2"><span lang="EN" style="FONT-SIZE: 10pt; COLOR: navy; FONT-FAMILY: Symbol"><span>·<font face="Times New Roman" size="1"><span style="FONT: 7pt 'Times New Roman'"> </span></font></span></span></font><font face="Arial" color="navy" size="1"><span lang="EN" style="FONT-SIZE: 9pt; COLOR: navy; FONT-FAMILY: Arial"><a href="http://www.jcie.org/researchpdfs/takemi/ch1.pdf" target="_blank"><font color="navy"><span style="COLOR: navy; TEXT-DECORATION: none">The G8 and Global Health: Emerging Architecture from the Toyako Summit</span></font></a> (overview), Keizo Takemi and Michael R. Reich <span>[376 KB PDF] </span></span></font></p>
<p style="BACKGROUND: white; MARGIN-LEFT: 1.5in; TEXT-INDENT: -0.25in"><font face="Symbol" color="navy" size="2"><span lang="EN" style="FONT-SIZE: 10pt; COLOR: navy; FONT-FAMILY: Symbol"><span>·<font face="Times New Roman" size="1"><span style="FONT: 7pt 'Times New Roman'"> </span></font></span></span></font><font face="Arial" color="navy" size="1"><span lang="EN" style="FONT-SIZE: 9pt; COLOR: navy; FONT-FAMILY: Arial"><a href="http://www.jcie.org/researchpdfs/takemi/ch2.pdf" target="_blank"><font color="navy"><span style="COLOR: navy; TEXT-DECORATION: none">Opportunities for Overcoming the Health Workforce Crisis</span></font></a>, Masamine Jimba <span>644 KB PDF] </span></span></font></p>
<p style="BACKGROUND: white; MARGIN-LEFT: 1.5in; TEXT-INDENT: -0.25in"><font face="Symbol" color="navy" size="2"><span lang="EN" style="FONT-SIZE: 10pt; COLOR: navy; FONT-FAMILY: Symbol"><span>·<font face="Times New Roman" size="1"><span style="FONT: 7pt 'Times New Roman'"> </span></font></span></span></font><font face="Arial" color="navy" size="1"><span lang="EN" style="FONT-SIZE: 9pt; COLOR: navy; FONT-FAMILY: Arial"><a href="http://www.jcie.org/researchpdfs/takemi/ch3.pdf" target="_blank"><font color="navy"><span style="COLOR: navy; TEXT-DECORATION: none">Strengthening Health Financing in Partner Developing Countries</span></font></a>, Ravindra P. Rannan-Eliya <span>[996 KB PDF]</span> </span></font></p>
<p style="BACKGROUND: white; MARGIN-LEFT: 1.5in; TEXT-INDENT: -0.25in"><font face="Symbol" color="navy" size="2"><span lang="EN" style="FONT-SIZE: 10pt; COLOR: navy; FONT-FAMILY: Symbol"><span>·<font face="Times New Roman" size="1"><span style="FONT: 7pt 'Times New Roman'"> </span></font></span></span></font><font face="Arial" color="navy" size="1"><span lang="EN" style="FONT-SIZE: 9pt; COLOR: navy; FONT-FAMILY: Arial"><a href="http://www.jcie.org/researchpdfs/takemi/ch4.pdf" target="_blank"><font color="navy"><span style="COLOR: navy; TEXT-DECORATION: none">Toward Collective Action in Health Information</span></font></a>, Kenji Shibuya <span>[652 KB PDF]</span> </span></font></p>
<p style="BACKGROUND: white; MARGIN-LEFT: 1.5in; TEXT-INDENT: -0.25in"><font face="Symbol" color="navy" size="2"><span lang="EN" style="FONT-SIZE: 10pt; COLOR: navy; FONT-FAMILY: Symbol"><span>·<font face="Times New Roman" size="1"><span style="FONT: 7pt 'Times New Roman'"> </span></font></span></span></font><font face="Arial" color="navy" size="1"><span lang="EN" style="FONT-SIZE: 9pt; COLOR: navy; FONT-FAMILY: Arial"><a href="http://www.jcie.org/researchpdfs/takemi/appendices.pdf" target="_blank"><font color="navy"><span style="COLOR: navy; TEXT-DECORATION: none">Appendices</span></font></a> (report background, team members, & acknowledgements) <span>[176 KB PDF]</span> </span></font></p>
<p style="BACKGROUND: white; MARGIN-LEFT: 1.25in"><font face="Arial" color="navy" size="1"><span lang="EN" style="FONT-SIZE: 9pt; COLOR: navy; FONT-FAMILY: Arial"> </span></font></p>
<p style="BACKGROUND: white; MARGIN-LEFT: 0.5in"><em><b><i><font face="Arial" color="navy" size="2"><span lang="EN" style="FONT-WEIGHT: bold; FONT-SIZE: 10pt; COLOR: navy; FONT-FAMILY: Arial">The Lancet</span></font></i></b></em><strong><b><font face="Arial" color="navy" size="2"><span lang="EN" style="FONT-SIZE: 10pt; COLOR: navy; FONT-FAMILY: Arial"> Features the Takemi Working Group Report (January 15, 2009</span></font></b></strong><font face="Arial" color="navy" size="2"><span lang="EN" style="FONT-SIZE: 10pt; COLOR: navy; FONT-FAMILY: Arial">) <br>
<a href="http://www.thelancet.com/journals/lancet/article/PIIS0140-6736(08)61899-1/fulltext" target="_blank"><font color="navy"><span style="COLOR: navy; TEXT-DECORATION: none">"G8 and strengthening of health systems: follow-up to the Toyako summit,"</span></font></a> by Michael R. Reich and Keizo Takemi (free registration required) </span></font></p>
<p style="BACKGROUND: white; MARGIN-BOTTOM: 12pt; MARGIN-LEFT: 1in; TEXT-INDENT: -0.25in"><font face="Symbol" color="navy" size="2"><span lang="EN" style="FONT-SIZE: 10pt; COLOR: navy; FONT-FAMILY: Symbol"><span>·<font face="Times New Roman" size="1"><span style="FONT: 7pt 'Times New Roman'"> </span></font></span></span></font><font face="Arial" color="navy" size="2"><span lang="EN" style="FONT-SIZE: 10pt; COLOR: navy; FONT-FAMILY: Arial">Also online at the <em><i><font face="Arial"><span style="FONT-FAMILY: Arial">The Lancet</span></font></i></em>—excerpts from keynote speeches at November 3–4, 2008, International Conference on Global Action for Health System Strengthening: </span></font></p>
<p style="BACKGROUND: white; MARGIN-BOTTOM: 12pt; MARGIN-LEFT: 1.5in; TEXT-INDENT: -0.25in"><font face="Symbol" color="navy" size="2"><span lang="EN" style="FONT-SIZE: 10pt; COLOR: navy; FONT-FAMILY: Symbol"><span>·<font face="Times New Roman" size="1"><span style="FONT: 7pt 'Times New Roman'"> </span></font></span></span></font><font face="Arial" color="navy" size="2"><span lang="EN" style="FONT-SIZE: 10pt; COLOR: navy; FONT-FAMILY: Arial">"<b><i><u><span style="FONT-WEIGHT: bold; FONT-STYLE: italic"><a href="http://www.thelancet.com/journals/lancet/article/PIIS0140-6736(09)60003-9/fulltext" target="_blank"><font color="navy"><span style="COLOR: navy">Primary Health Care as a route to health security</span></font></a></span></u></i>,"</b> by Margaret Chan, <em><i><font face="Arial"><span style="FONT-FAMILY: Arial">Director General</span></font></i></em>, <em><i><font face="Arial"><span style="FONT-FAMILY: Arial">World Health Organization </span></font></i></em></span></font></p>
<p style="BACKGROUND: white; MARGIN-LEFT: 1.5in; TEXT-INDENT: -0.25in"><font face="Symbol" color="navy" size="2"><span lang="EN" style="FONT-SIZE: 10pt; COLOR: navy; FONT-FAMILY: Symbol"><span>·<font face="Times New Roman" size="1"><span style="FONT: 7pt 'Times New Roman'"> </span></font></span></span></font><font face="Arial" color="navy" size="2"><span lang="EN" style="FONT-SIZE: 10pt; COLOR: navy; FONT-FAMILY: Arial">"<b><i><u><span style="FONT-WEIGHT: bold; FONT-STYLE: italic"><a href="http://www.thelancet.com/journals/lancet/article/PIIS0140-6736(09)60002-7/fulltext" target="_blank"><font color="navy"><span style="COLOR: navy">Strengthening health systems to promote security</span></font></a></span></u></i>,"</b> by Julio Frenk,<em><i><font face="Arial"><span style="FONT-FAMILY: Arial"> Dean, Harvard School of Public Health </span></font></i></em></span></font></p>
<p style="MARGIN-TOP: 12pt; MARGIN-LEFT: 0.5in"><a name="11efeffec85c6dd6_overview"></a><font face="Arial" color="navy" size="2"><span style="FONT-SIZE: 10pt; COLOR: navy; FONT-FAMILY: Arial">On January 16, 2009, a high-level working group on global health convened by the Japan Center for International Exchange (JCIE) released a report to the Japanese government outlining measures that the G8 countries should take to set them on a path toward fulfilling their existing commitments to contributing to an overall improvement in the health of individuals and communities around the world. </span></font></p>
<p style="MARGIN-TOP: 12pt; MARGIN-LEFT: 0.5in"><font face="Arial" color="navy" size="2"><span style="FONT-SIZE: 10pt; COLOR: navy; FONT-FAMILY: Arial">The Working Group on Challenges in Global Health and Japan's Contributions (the "Takemi Working Group") is chaired by Japan's former Senior Vice Minister for Health, Labour and Welfare Keizo Takemi and directed by JCIE President Tadashi Yamamoto. The Japanese government will pass the report to the Italian government, encouraging them to put these recommendations on the agenda of the 2009 G8 Summit in Italy.</span></font></p>
<p style="MARGIN-TOP: 12pt; MARGIN-LEFT: 0.5in"><font face="Arial" color="navy" size="2"><span style="FONT-SIZE: 10pt; COLOR: navy; FONT-FAMILY: Arial">The report includes chapters by an international team of researchers and advisors on three specific building blocks of health systems—health financing, health information, and the health workforce—that are generally acknowledged to be critical components of any strong health system. While each paper offers specific recommendations for improvements that can be made in each individual building block, they also come to several common conclusions:</span></font></p>
<p style="MARGIN-BOTTOM: 0pt; MARGIN-LEFT: 1.25in; TEXT-INDENT: -0.5in; MARGIN-RIGHT: 0in"><font face="Arial" color="navy" size="2"><span style="FONT-SIZE: 10pt; COLOR: navy; FONT-FAMILY: Arial">1. While there is still a dire need for more resources—financial, human, and knowledge resources—in the global health field, there is also a critical need to use existing resources more efficiently and more effectively. Recognizing that the current global financial environment will make it even more difficult to secure the resources needed to make health systems work better for everyone, the paper writers recommend complementing the quest for more resources with creative thinking on ways to achieve better health outcomes with the resources we already have.<br>
<br></span></font></p>
<p style="MARGIN-BOTTOM: 0pt; MARGIN-LEFT: 1.25in; TEXT-INDENT: -0.5in; MARGIN-RIGHT: 0in"><font face="Arial" color="navy" size="2"><span style="FONT-SIZE: 10pt; COLOR: navy; FONT-FAMILY: Arial">2. The human security concept, which has become a pillar of Japan's foreign policy, is identified as a promising approach that can be adopted globally for strengthening health systems. Human security's emphasis on the wellbeing of individuals and communities is very much in line with the ultimate goal of health system strengthening: improving people's health and making health services available to all so that they can be healthy, productive members of society. Human security also responds to the complexity of health system strengthening with its focus on integrating community empowerment with protection strategies and its recognition of the dynamic way in which health is interconnected with many other human security challenges.<br>
<br></span></font></p>
<p style="MARGIN-BOTTOM: 0pt; MARGIN-LEFT: 1.25in; TEXT-INDENT: -0.5in; MARGIN-RIGHT: 0in"><font face="Arial" color="navy" size="2"><span style="FONT-SIZE: 10pt; COLOR: navy; FONT-FAMILY: Arial">3. In all areas of health system strengthening, donor countries tend to tell their partners in developing countries how they should behave and make decisions. This can lead to confusion, with contradicting instructions often coming from multiple donors and even from single donors, and loss of motivation for stakeholders in partner countries to take ownership of processes to improve their own health sectors. Contributing to this challenge, capacity for making informed decisions on health is often weak, further discouraging domestic decision making in planning and management of health systems. The paper writers all recommend that donor countries invest in capacity building for health sector decision making at the national and local levels and, at the same time, encourage stakeholders in partner countries to drive their own planning and implementation processes.<br>
<br></span></font></p>
<p style="MARGIN-BOTTOM: 0pt; MARGIN-LEFT: 1.25in; TEXT-INDENT: -0.5in; MARGIN-RIGHT: 0in"><font face="Arial" color="navy" size="2"><span style="FONT-SIZE: 10pt; COLOR: navy; FONT-FAMILY: Arial">4. Finally, the paper writers all recommend that the G8 follow through on its commitment to accountability by establishing an annual review of its activities and accomplishments within each of these three building blocks.</span></font></p>
<p style="MARGIN-TOP: 12pt; MARGIN-LEFT: 0.5in"><font face="Arial" color="navy" size="1"><span style="FONT-SIZE: 9pt; COLOR: navy; FONT-FAMILY: Arial"><br>The Takemi Working Group was launched in September 2007 as Japan was preparing to host the 2008 G8 Summit and the Fourth Tokyo International Conference on African Development. The working group is unique in Japan and is the first major initiative to bring together global health experts from the relevant government ministries (foreign affairs; health, labor, and welfare; and finance) as well as those from Japan's aid agencies, NGOs, research institutes, and academia to discuss strategies for keeping global health high on the G8 agenda. Following the Toyako G8 Summit in July 2008, the working group answered the Japanese government's call for clear recommendations for following up on the G8 commitments to global health and launched a task force to develop the current report. An earlier version of the papers in the report appeared online in the <i><span style="FONT-STYLE: italic">Lancet</span></i> :<br>
<br></span></font><b><font face="Arial" color="navy" size="2"><span style="FONT-WEIGHT: bold; FONT-SIZE: 10pt; COLOR: navy; FONT-FAMILY: Arial">Reich MR, Takemi K. G8 and strengthening of health systems: follow-up to the Toyako summit.<br>
<i><span style="FONT-STYLE: italic">Lancet</span></i> 2008; published online January 15. </span></font></b><font face="Arial" color="navy" size="2"><span style="FONT-SIZE: 10pt; COLOR: navy; FONT-FAMILY: Arial">DOI:10.1016/S0140-6736(08)61899- <a title="http://www.jcie.org/japan/j/pdf/gt/cgh-jc/lancetarticle090115.pdf" href="http://www.jcie.org/japan/j/pdf/gt/cgh-jc/lancetarticle090115.pdf" target="_blank"><font color="navy"><span style="COLOR: navy">http://www.jcie.org/japan/j/pdf/gt/cgh-jc/lancetarticle090115.pdf</span></font></a></span></font></p>
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<p style="MARGIN-LEFT: 0.5in"><b><font face="Arial" color="navy" size="1"><span style="FONT-WEIGHT: bold; FONT-SIZE: 8pt; COLOR: navy; FONT-FAMILY: Arial">Hard Copies & Information</span></font></b><font face="Arial" color="navy" size="1"><span style="FONT-SIZE: 8pt; COLOR: navy; FONT-FAMILY: Arial"></span></font></p>
<p style="MARGIN-LEFT: 0.5in"><font face="Arial" color="navy" size="1"><span style="FONT-SIZE: 8pt; COLOR: navy; FONT-FAMILY: Arial">To request a hard copy of the report or for more information on the working group's activities, please contact the secretariat:</span></font></p>
<p style="MARGIN-LEFT: 0.5in"><font face="Arial" color="navy" size="1"><span style="FONT-SIZE: 8pt; COLOR: navy; FONT-FAMILY: Arial">Website: <a title="http://www.jcie.or.jp/thinknet/takemi_project/" href="http://www.jcie.or.jp/thinknet/takemi_project/" target="_blank"><font color="navy"><span style="COLOR: navy">http://www.jcie.or.jp/thinknet/takemi_project/</span></font></a></span></font></p>
<p style="MARGIN-LEFT: 0.5in"><i><font face="Arial" color="navy" size="1"><span style="FONT-SIZE: 8pt; COLOR: navy; FONT-STYLE: italic; FONT-FAMILY: Arial">In Asia: </span></font></i><font face="Arial" color="navy" size="1"><span style="FONT-SIZE: 8pt; COLOR: navy; FONT-FAMILY: Arial">JCIE Attn: Tomoko Suzuki Program Officer</span></font></p>
<p style="MARGIN-LEFT: 0.5in"><font face="Arial" color="navy" size="1"><span lang="ES-TRAD" style="FONT-SIZE: 8pt; COLOR: navy; FONT-FAMILY: Arial">4-9-17 Minami Azabu Minato-ku, Tokyo 106-0047 Japan</span></font></p>
<p style="MARGIN-LEFT: 0.5in"><font face="Arial" color="navy" size="1"><span lang="ES-TRAD" style="FONT-SIZE: 8pt; COLOR: navy; FONT-FAMILY: Arial">Tel: +81-3-8403-7781 Fax: +81-3-3443-7580</span></font></p>
<p style="MARGIN-LEFT: 0.5in"><font face="Arial" color="navy" size="1"><span lang="ES-TRAD" style="FONT-SIZE: 8pt; COLOR: navy; FONT-FAMILY: Arial"> </span></font></p>
<p style="MARGIN-LEFT: 0.5in"><i><font face="Arial" color="navy" size="1"><span style="FONT-SIZE: 8pt; COLOR: navy; FONT-STYLE: italic; FONT-FAMILY: Arial">Outside of Asia: </span></font></i><font face="Arial" color="navy" size="1"><span style="FONT-SIZE: 8pt; COLOR: navy; FONT-FAMILY: Arial">JCIE/USA Attn: Susan Hubbard Senior Associate</span></font></p>
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<p style="MARGIN-LEFT: 0.5in"><font face="Arial" color="navy" size="1"><span style="FONT-SIZE: 8pt; COLOR: navy; FONT-FAMILY: Arial">Tel: +1-212-679-4130 Fax: +1-212-679-8410 <a title="mailto:shubbard@jcie.org" href="mailto:shubbard@jcie.org" target="_blank"><font color="navy"><span style="COLOR: navy">shubbard@jcie.org</span></font></a></span></font></p>
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