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<body class="body" align="center" style="width: 100%; min-width: 100%; -webkit-text-size-adjust: 100%; -ms-text-size-adjust: 100%; background-color: #BFBFBF; margin: 0px; padding: 0px;" bgcolor="#BFBFBF">
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<span data-entity-ref="preheader">Your weekly briefing on Asia in Transition</span>
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<div></div>
<div class="text-container galileo-ap-content-editor"><div><div style="text-align: center;" align="center"><span style="font-size: 16px; color: rgb(0, 0, 0); font-family: Calibri, Helvetica, Arial, sans-serif; font-style: italic;">Conversations with Asia’s leading movers, shakers, thinkers, and provocateurs</span></div></div></div>
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<div style="text-align: center;" align="center"><span style="font-size: 16px; font-weight: normal; font-family: Calibri, Helvetica, Arial, sans-serif;">In conversation with</span></div>
<div style="text-align: center;" align="center"><span style="font-size: 20px; font-family: Calibri, Helvetica, Arial, sans-serif;">Edward Booty</span></div>
<div style="text-align: center;" align="center"><span style="font-weight: normal; font-family: Calibri, Helvetica, Arial, sans-serif;">Covid-19 and the Rural Health Gap</span></div>
<div style="text-align: center;" align="center"><br></div>
<div style="text-align: center;" align="center">
<span style="font-size: 16px; font-weight: normal; font-family: Calibri, Helvetica, Arial, sans-serif;">Click </span><a href="http://www.insideasiapodcast.com/rural-health-gap/" target="_blank" style="font-size: 16px; font-family: Calibri, Helvetica, Arial, sans-serif; color: rgb(207, 143, 18); font-weight: normal; font-style: normal; text-decoration: underline;">here</a><span style="font-size: 16px; font-family: Calibri, Helvetica, Arial, sans-serif; font-weight: normal;"> to listen to the full </span><span style="font-size: 16px; font-family: Calibri, Helvetica, Arial, sans-serif; font-style: italic;">Inside Asia</span><span style="font-size: 16px; font-family: Calibri, Helvetica, Arial, sans-serif; font-weight: normal;"> episode</span>
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<div><span style="font-size: 16px; color: rgb(0, 0, 0); font-family: Calibri, Helvetica, Arial, sans-serif;">While relatively wealthy nations reel from the sudden onset of Covid-19 and all attempts to contain the outbreak, billions of others – 52% of the world population in fact – reside in rural enclaves awaiting a pandemic that could kill in droves. </span></div>
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<span style="font-size: 16px; color: rgb(0, 0, 0); font-family: Calibri, Helvetica, Arial, sans-serif;">To understand what’s at stake, we need to take a look at the numbers. From Southeast Asia, to Africa, and many parts of South America, healthcare infrastructure, including the most basic primary care services are woefully in short supply. According to the World Bank, average per capita healthcare spend for the poorest 30 countries is just $33. There </span><span style="font-size: 16px; color: rgb(0, 0, 0); font-family: Calibri, Helvetica, Arial, sans-serif; font-style: italic;">is</span><span style="font-size: 16px; color: rgb(0, 0, 0); font-family: Calibri, Helvetica, Arial, sans-serif;"> no quality care in these countries. Hospitals are a luxury. Ventilators and respirators – essential in treating the most severe cases of Covid-19 – are virtually non-existent.</span>
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<div><span style="font-size: 16px; color: rgb(0, 0, 0); font-family: Calibri, Helvetica, Arial, sans-serif; font-weight: bold;">The Urban-Rural Health Gap</span></div>
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<div><span style="font-size: 16px; color: rgb(0, 0, 0); font-family: Calibri, Helvetica, Arial, sans-serif;">The United States, by contrast, spends nearly $10,000 per annum for every man, woman and child. Other high-income countries including Singapore, South Korea, Italy and Japan earmark between $2500 to $5000 per capita. These are places where Covid-19 now runs rampant. And still, healthcare resources are taxed to the point of breaking.</span></div>
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<div><span style="font-size: 16px; color: rgb(0, 0, 0); font-family: Calibri, Helvetica, Arial, sans-serif;">So it is that while urban dwellers take cover, scramble to self-isolate, and practice the art of social distancing, the world’s rural poor look on, wondering if and how they’ll survive when Covid-19 comes calling.</span></div>
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<span style="font-size: 16px; color: rgb(0, 0, 0); font-family: Calibri, Helvetica, Arial, sans-serif;">Against this backdrop, I met with </span><a href="https://www.linkedin.com/in/edwardbooty/" target="_blank" style="font-size: 16px; color: rgb(54, 97, 189); font-family: Calibri, Helvetica, Arial, sans-serif; font-weight: normal; font-style: normal; text-decoration: underline;">Edward Booty</a><span style="font-size: 16px; color: rgb(0, 0, 0); font-family: Calibri, Helvetica, Arial, sans-serif;">, Founder and CEO of Asia-based </span><a href="https://reach52.com/" target="_blank" style="font-size: 16px; color: rgb(54, 97, 189); font-family: Calibri, Helvetica, Arial, sans-serif; font-weight: normal; font-style: normal; text-decoration: underline;">reach52</a><span style="font-size: 16px; color: rgb(0, 0, 0); font-family: Calibri, Helvetica, Arial, sans-serif;">, a company established three years ago to provide health screening and distribution services for remote communities using digital apps and mobile communications. He and his team have worked to create healthcare extension programs in some of the most underserved parts of the Philippines. </span>
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<span style="font-size: 16px; color: rgb(0, 0, 0); font-family: Calibri, Helvetica, Arial, sans-serif;">In this most recent </span><a href="http://www.insideasiapodcast.com/rural-health-gap/" target="_blank" style="font-size: 16px; color: rgb(54, 97, 189); font-family: Calibri, Helvetica, Arial, sans-serif; font-style: italic; font-weight: normal; text-decoration: underline;">I</a><a href="http://www.insideasiapodcast.com/rural-health-gap/" target="_blank" style="font-size: 16px; color: rgb(54, 97, 189); font-family: Calibri, Helvetica, Arial, sans-serif; font-style: italic; font-weight: normal; text-decoration: underline;">n</a><a href="http://www.insideasiapodcast.com/rural-health-gap/" target="_blank" style="font-size: 16px; color: rgb(54, 97, 189); font-family: Calibri, Helvetica, Arial, sans-serif; font-style: italic; font-weight: normal; text-decoration: underline;">side Asia episode</a><span style="font-size: 16px; color: rgb(0, 0, 0); font-family: Calibri, Helvetica, Arial, sans-serif;">, we speak about the many day-to-day challenges of procuring even the most basic services and treatments. A Covid-19 outbreak in these communities - and in millions of like communities around the world – could prove disastrous. </span>
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<div><span style="font-size: 16px; color: rgb(0, 0, 0); font-weight: bold; font-family: Calibri, Helvetica, Arial, sans-serif;">Hope in Digital and Mobile Apps</span></div>
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<div><span style="font-size: 16px; color: rgb(0, 0, 0); font-family: Calibri, Helvetica, Arial, sans-serif;">Still, there’s hope. Digital and mobile technology combined with well-orchestrated health campaigns could unleash a renaissance in healthcare management. I asked Edward to outline the possibilities. </span></div>
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<div><span style="font-size: 16px; color: rgb(0, 0, 0); font-family: Calibri, Helvetica, Arial, sans-serif;">Sometimes it takes a major crises to shift the foundations of traditional thinking and rattle complacency. Rising healthcare costs remain a leading concern for virtually every country in the world. In the poorest, its an effort just to provide the very basics. In wealthier industrialized nations, it’s a matter of meeting the expectations of populations demanding high-cost and high-tech care. It’s an allusive affair to find the right balance.</span></div>
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<div><span style="font-size: 16px; color: rgb(0, 0, 0); font-family: Calibri, Helvetica, Arial, sans-serif;">Time, therefore, to contemplate the possibility that post-crises, healthcare policy-makers will re-think the premise of our modern healthcare systems. The new normal calls for preparedness and broad-based access to primary care. That exists to a large degree in places like China, Denmark, Cuba, and the U.K., but not in the US, where the price of care is too high and healthcare insurance still limited.</span></div>
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<div><span style="font-size: 16px; color: rgb(0, 0, 0); font-family: Calibri, Helvetica, Arial, sans-serif; font-weight: bold;">Re-thinking Curative Care</span></div>
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<div><span style="font-size: 16px; color: rgb(0, 0, 0); font-family: Calibri, Helvetica, Arial, sans-serif;">Throughout Asia, some markets have thrown in with the Western model and a move toward hospital-based curative care. In other markets that remain too poor or unconvinced that Western-style medicine is the be all to end all, the Covid-19 crises could rekindle the call for greater investment in primary care, and perhaps even a return to traditional medicine.   </span></div>
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<div><span style="font-size: 16px; color: rgb(0, 0, 0); font-family: Calibri, Helvetica, Arial, sans-serif;">Edward and other entrepreneurs like him see greater hope (and lower per capita spend requirements) if governments focus on primary care, but use low-cost digital solutions to track disease, service remote communities, and distribute care in a way that doesn’t punish citizens based on their income or location. </span></div>
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<div><span style="font-size: 16px; color: rgb(0, 0, 0); font-family: Calibri, Helvetica, Arial, sans-serif;">It’s not socialized medicine, but rather an increase in reliance on data to identify and adjust for a population’s overall healthcare needs. </span></div>
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<div><span style="font-size: 16px; color: rgb(0, 0, 0); font-family: Calibri, Helvetica, Arial, sans-serif;">Of course, re-aligning incentives and guarding against big business interests that see more money and higher profits in hospital-based care is the thing that enlightened governments will need to guard against. Awareness campaigns and insistence that each citizen take ownership of his or her own health to the greatest degree possible, is a key ingredient. It has much to do with the public will. Until then, renewed attention to personal hygene and social distancing will remain practices to live by.</span></div>
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<span style="font-size: 16px; color: rgb(0, 0, 0); font-family: Calibri, Helvetica, Arial, sans-serif;">Check out this recent episode by visiting us at </span><a href="http://www.insideasiapodcast.com/" target="_blank" style="font-size: 16px; color: rgb(54, 97, 189); font-family: Calibri, Helvetica, Arial, sans-serif; font-weight: normal; font-style: normal; text-decoration: underline;">www.insideasiapodcast.com</a><span style="font-size: 16px; color: rgb(0, 0, 0); font-family: Calibri, Helvetica, Arial, sans-serif;"> and browse other recent episodes that speak to the longer-term and not so apparent ramifications brought about by our current crises.</span>
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<div><span style="font-size: 16px; color: rgb(0, 0, 0); font-family: Calibri, Helvetica, Arial, sans-serif;">As always, we thank you for listening!</span></div>
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<span style="color: rgb(0, 0, 0); font-weight: bold; font-family: Calibri, Helvetica, Arial, sans-serif; font-size: 16px;">Article</span><span style="color: rgb(0, 0, 0); font-family: Calibri, Helvetica, Arial, sans-serif; font-size: 16px;">: "World's most vulnerable in 'third wave' for Covid-19 support, experts warn,” by Kaamil Ahmed, </span><span style="color: rgb(0, 0, 0); font-style: italic; font-family: Calibri, Helvetica, Arial, sans-serif; font-size: 16px;">The Guardian</span><span style="color: rgb(0, 0, 0); font-family: Calibri, Helvetica, Arial, sans-serif; font-size: 16px;">, March 20, 2020</span>
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<div><a href="https://www.theguardian.com/global-development/2020/mar/20/worlds-most-vulnerable-in-third-wave-for-covid-19-support-warn-experts" target="_blank" style="color: rgb(54, 97, 189); font-family: Calibri, Helvetica, Arial, sans-serif; font-size: 16px; font-weight: normal; font-style: normal; text-decoration: underline;">https://www.theguardian.com/global-development/2020/mar/20/worlds-most-vulnerable-in-third-wave-for-covid-19-support-warn-experts</a></div>
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<span style="color: rgb(0, 0, 0); font-weight: bold; font-family: Calibri, Helvetica, Arial, sans-serif; font-size: 16px;">Article</span><span style="color: rgb(0, 0, 0); font-family: Calibri, Helvetica, Arial, sans-serif; font-size: 16px;">: "COVID-19 Is an African Political Crisis as Much as a Health and Economic Emergency,” by Judd Devermont, Director African Program, </span><span style="color: rgb(0, 0, 0); font-style: italic; font-family: Calibri, Helvetica, Arial, sans-serif; font-size: 16px;">Center for Strategic and International Studies (CSIS)</span><span style="color: rgb(0, 0, 0); font-family: Calibri, Helvetica, Arial, sans-serif; font-size: 16px;">, March 18, 2020</span>
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<div><a href="https://www.csis.org/analysis/covid-19-african-political-crisis-much-health-and-economic-emergency" target="_blank" style="color: rgb(54, 97, 189); font-family: Calibri, Helvetica, Arial, sans-serif; font-size: 16px; font-weight: normal; font-style: normal; text-decoration: underline;">https://www.csis.org/analysis/covid-19-african-political-crisis-much-health-and-economic-emergency</a></div>
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<span style="color: rgb(0, 0, 0); font-weight: bold; font-family: Calibri, Helvetica, Arial, sans-serif; font-size: 16px;">Charts</span><span style="color: rgb(0, 0, 0); font-family: Calibri, Helvetica, Arial, sans-serif; font-size: 16px;">: “The Countries Best and Worst Prepared for An Epidemic,” by Niall McCarthy, Statista, Feb 28, 2020</span>
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<div><a href="https://www.statista.com/chart/20629/ability-to-respond-to-an-epidemic-or-pandemic/" target="_blank" style="color: rgb(54, 97, 189); font-family: Calibri, Helvetica, Arial, sans-serif; font-size: 16px; font-weight: normal; font-style: normal; text-decoration: underline;">https://www.statista.com/chart/20629/ability-to-respond-to-an-epidemic-or-pandemic/</a></div>
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<span style="color: rgb(0, 0, 0); font-weight: bold; font-family: Calibri, Helvetica, Arial, sans-serif; font-size: 16px;">Report</span><span style="color: rgb(0, 0, 0); font-family: Calibri, Helvetica, Arial, sans-serif; font-size: 16px;">: "Preparedness and vulnerability of African countries against importations of COVID-19: a modelling study,” </span><span style="color: rgb(0, 0, 0); font-style: italic; font-family: Calibri, Helvetica, Arial, sans-serif; font-size: 16px;">The Lancet</span><span style="color: rgb(0, 0, 0); font-family: Calibri, Helvetica, Arial, sans-serif; font-size: 16px;">, March 14, 2020</span>
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<div><a href="https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(20)30411-6/fulltext#seccestitle10" target="_blank" style="color: rgb(54, 97, 189); font-family: Calibri, Helvetica, Arial, sans-serif; font-size: 16px; font-weight: normal; font-style: normal; text-decoration: underline;">https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(20)30411-6/fulltext#seccestitle10</a></div>
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<span style="color: rgb(0, 0, 0); font-weight: bold; font-family: Calibri, Helvetica, Arial, sans-serif; font-size: 16px;">Article</span><span style="color: rgb(0, 0, 0); font-family: Calibri, Helvetica, Arial, sans-serif; font-size: 16px;">: “Coronavirus Will Change the World Permanently. Here’s How,” </span><span style="color: rgb(0, 0, 0); font-style: italic; font-family: Calibri, Helvetica, Arial, sans-serif; font-size: 16px;">Politico</span><span style="color: rgb(0, 0, 0); font-family: Calibri, Helvetica, Arial, sans-serif; font-size: 16px;">, March 19, 2020. </span>
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<div><a href="https://www.politico.com/news/magazine/2020/03/19/coronavirus-effect-economy-life-society-analysis-covid-135579#tech" target="_blank" style="color: rgb(54, 97, 189); font-family: Calibri, Helvetica, Arial, sans-serif; font-size: 16px; font-weight: normal; font-style: normal; text-decoration: underline;">https://www.politico.com/news/magazine/2020/03/19/coronavirus-effect-economy-life-society-analysis-covid-135579#tech</a></div>
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<span style="color: rgb(0, 0, 0); font-weight: bold; font-family: Calibri, Helvetica, Arial, sans-serif; font-size: 16px;">Data</span><span style="color: rgb(0, 0, 0); font-family: Calibri, Helvetica, Arial, sans-serif; font-size: 16px;">: “Current Health Spend Per Capita (US$),” World Bank, 2020</span>
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<div><a href="https://data.worldbank.org/indicator/SH.XPD.CHEX.PC.CD?most_recent_value_desc=false" target="_blank" style="color: rgb(54, 97, 189); font-family: Calibri, Helvetica, Arial, sans-serif; font-size: 16px; font-weight: normal; font-style: normal; text-decoration: underline;">https://data.worldbank.org/indicator/SH.XPD.CHEX.PC.CD?most_recent_value_desc=false</a></div>
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<span style="color: rgb(0, 0, 0); font-weight: bold;">Julien de Salaberry</span><span style="color: rgb(0, 0, 0); font-weight: bold; font-size: 16px; font-family: Calibri, Helvetica, Arial, sans-serif;">:</span>
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<span style="font-size: 12px; color: rgb(102, 102, 102); font-family: Calibri, Helvetica, Arial, sans-serif;">|</span><a href="http://www.insideasiapodcast.com/richard-vevers-chasing-coral/" target="_blank" style="font-size: 12px; color: rgb(54, 54, 54); font-family: Calibri, Helvetica, Arial, sans-serif; font-weight: normal; font-style: normal; text-decoration: underline;"> </a><span style="font-size: 12px; font-family: Calibri, Helvetica, Arial, sans-serif;">November 8, 2018</span><span style="font-size: 12px; font-family: Calibri, Helvetica, Arial, sans-serif; color: rgb(102, 102, 102);"> | </span>
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<div><span style="font-size: 14px; color: rgb(102, 102, 102);">Returning to the program this episode is Julien de Salaberry, Founder and CEO of Galen Growth Asia. He and his partners at Galen Growth identify and catalyze connections between investors and healthtech entrepreneurs. </span></div>
<div><span style="font-size: 14px; color: rgb(102, 102, 102);">We last spoke some six months ago when he gave us the rundown on the general state of healthcare in Asia and some of the groundbreaking projects under way that will one day change the face of healthcare services as we know it. Julien and his partners at Galen Growth are doing some stunning work to spur healthcare innovation by identifying burgeoning healthcare startups across Asia and then awarding innovators. They kicked things off last year and now are coming up on the announcement of the 2018 winner. I asked him to take us into the process for deciding which startups advanced. </span></div>
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<span style="font-size: 14px; color: rgb(102, 102, 102);">A key takeaway from our conversation: People matter. Technology is sometimes given the credit – or the blame – for whether a startup succeeds or not. Yet, it’s people that drive the business, who </span><span style="font-size: 14px; color: rgb(102, 102, 102); font-style: italic;">unleash</span><span style="font-size: 14px; color: rgb(102, 102, 102);"> technology need to be part of the equation as well. Sit investors down and have a deep-dive conversation about why they favor one start-up over another and you witness a subtle shift into a discussion on the entrepreneurs themselves.</span>
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<div><span style="font-size: 12px; color: rgb(102, 102, 102); font-family: Calibri, Helvetica, Arial, sans-serif;">| November 3, 2017 |</span></div>
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<div><span style="font-size: 14px; color: rgb(102, 102, 102);">A vast transformation is taking place. Those of us who live in Asia are watching in happen. Here are some numbers. From 2000 to 2010, 200 million people moved into urban areas throughout Asia. This is expected to continue at a rate of 3-5% annually for the foreseeable future. East Asia one now has more than 800 urban areas, including eight megacities with populations of over 10 million people. </span></div>
<div><span style="font-size: 14px; color: rgb(102, 102, 102);">It is one of the greatest—if not the greatest—migration in human history. According to the World Health Organization a staggering 10% of adults in China, or 100 million people, live with diabetes. Another 230 million suffer from at least one type of cardiovascular condition, with another 120 million heart patients entering the system between now and 2030. </span></div>
<div><span style="font-size: 14px; color: rgb(102, 102, 102);">The health care industry needs to find ways to adapt—but how. To get perspective on the issue, we brought to the table healthcare executive Mack Banner. Among other things, Mack and I discuss how certain Asian heath care markets have a distinct advantage over providers in places like the United States because of the way they are able to leap frog over more conventional and expensive delivery mechanisms that have been in place for years and are slow to change</span></div>
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<div class="text-container galileo-ap-content-editor"><div><div>If podcasting isn't your thing, or you're just too busy to take 30 minutes to listen, check out my articles <a href="https://www.linkedin.com/in/steve-stine-6124084/detail/recent-activity/posts/" target="_blank" data-segment-action="add" data-segment-id="7527c640-69b8-11e8-ad61-d4ae529a8575" style="color: #597274; font-weight: normal; font-style: normal; text-decoration: underline;">here</a> on Linked-in where I set out to summarize each week’s conversation. We touch on a wide range of topics from healthcare to finance, politics to cleantech. I hope you’ll join us.</div></div></div>
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