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    Post The Fire Service and H1N1!Are we ready!

    What is your department doing to get ready for the H1N1 out break that (APPEARS TO BE PENDING!)We have reviewed are infection control plans.We have stocked up on N-95 masks,procedure masks and other PPE.We are offering the seasonal flu shots to those firefighters and paramedic's that wish to take it.It appears from the information that I have seen that responders are on the list (3rd )for the H1N1 Vaccine after some other at risk groups.I have talked to some fire department that are not stocking up on anything.Good Luck. The CDC web site www.flu.gov is a good resource for information.
    Last edited by coldfront; 08-31-2009 at 03:30 PM.
    Always a day late and a dollar short!

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    Post Hand Sanitizer Sales Up!

    KSDK -- Sales of hand sanitizer are increasing over concerns about swine flu. One local company is seeing a huge business boom because of it.

    Vi-Jon is one of the largest manufacturers of hand sanitizers, and they're based right here in St Louis. Ever since swine flu first surfaced in April, its plants have been working 24/7 making hand sanitizer.

    They're having a tough time keeping up with demand.

    As soon as they make a batch of sanitizer, they have to ship it out almost immediately.

    Right now, they're producing more than 26,000 gallons of sanitizer each day. Vi-Jon is partnering with numerous schools, government organizations and even Metro to pass out hand sanitizer. They're getting calls from all over the globe. And managers say they've never seen this kind of demand. They expect that to continue as the school season gets under way.

    "As soon as they start to have additional reports of the H1N1 or the sick rate or the kids out of school starts increasing, we get calls immediately from local schools, from schools across the country," said Vi-Jon marketing Vice President Krista Ebert. "We're currently working with Metro and the Red Cross. We're doing whatever we can. There are constantly more requests for more hand sanitizer."

    Vi-Jon expects to see increased production throughout the rest of the fall, until the cold and flu season is over. Right now, they're projecting to make more than 9 million gallons of hand sanitizer this year.


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    Default The sky is falling!

    Prestige Ameritech Stock Up on Swine Flu Mask Sales

    By Steven Tarlow, your Prestige Ameritech news sourceBuzz up!Swine flu mask maker benefits from panic drive
    During this swine flu outbreak, it’s very important to exercise common sense. That includes limiting your exposure to the sick, washing your hands and using a mask if you expect to be around the infected (or if you’re infected yourself). However, it’s important to use the mask correctly or the benefits will be almost nil.

    You don’t want to be infected, do you? Well… DO YOU!? Then you’ll need no fax cash advance and online payday loans to pay for the extra ER visits. Who wants to have to do that, eh?

    OK, let’s not panic.
    JoNel Aleccia reports on MSNBC that companies like Prestige Ameritech are thriving, even though there are questions about whether face masks are effective in shielding from the illness. She states that protection is possible, but there are three key factors in determining how effective this protection can be:

    What mask you choose,
    What environment you’re in
    Whether you use in consistently
    “The CDC does not have a firm message on this,” said Dr. William Schaffner of Vanderbilt Medical Center.

    Types of masks
    There are two kinds of face masks: those made of soft, thin cloth that sell for pennies apiece, and form-fitting masks like the N-95 respirator, which is made of spun plastic fibers that filter out about 95 percent of small particles, including influenza viruses. They sell for a few dollars each.

    But no mask is 100 percent effective in all situations. “You could get a false sense of security,” Schaffner said.

    Yet studies have shown that the N-95 can be invaluable. The Lancet journal recently stated that use of the masks during the Hong Kong SARS outbreak gave hospital patients 13 times more protection than going without.

    The level of protection a mask affords depends greatly upon whether they’re worn properly. Over mouth and nose is essential, and the masks must be worn consistently. But even though the N-95 masks filter microscopic particles, they also impede breathing. Thus, they are uncomfortable to wear for extended periods of time, said Schaffner.

    “Those of us who are a little claustrophobic don’t like to wear them for very long,” he said.

    Stock up, the sky is falling!
    People want masks during this swine flu outbreak, and companies like Prestige Ameritech are happy to provide. But the demand has created shortages. Aleccia reports that Valerie Paxton of AllegroMedical.com said the company sold more than 20,000 N-95 respirator masks in a single day recently. Mask manufacturers, including 3M, Prestige Ameritech and the Kimberly-Clark Corp. have said they are increasing production to keep up with demand.
    Always a day late and a dollar short!

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    Before you get your seasonal flu shot, have the nurse wipe the needle with a slice of ham... that way, you will be protected from swine flu.*

    * yes, I'm joking...
    ‎"The education of a firefighter and the continued education of a firefighter is what makes "real" firefighters. Continuous skill development is the core of progressive firefighting. We learn by doing and doing it again and again, both on the training ground and the fireground."
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    Do you mean are we ready for a relatively minor strain of the flu, or can we deal with the panic drummed up by the overreaction to it?
    Logic and proportion have fallen sloppy dead.

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    Quote Originally Posted by johnny46 View Post
    Do you mean are we ready for a relatively minor strain of the flu, or can we deal with the panic drummed up by the overreaction to it?
    EXACTLY!!!



    You know, I work with some people who are germ-o-phobes! They wipe everything down at their work station before they start, and even once or twice a shift. They are so germ freakish their immune system doesn't get a chance to build up. These are the people that are sick most of the time! They use more sick time than anyone else!!

    My grandpa used to say you gotta eat a bushel of dirt before you die.
    Jason Knecht
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    EAT CHEESE OR DIE!!

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    Default

    I am going to start trying to stock up on sleep because I know we will be running first responders all night.

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    I'm sitting in a vat of warm sanitizer right now!

    Jason Knecht
    Assistant Chief
    Altoona Fire Dept.
    Altoona, WI

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    EAT CHEESE OR DIE!!

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    Default I'm ready

    gots me a quart jar of tonic,bring it on. (or I at least won't care!!)

    Alan

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    I agree that it seems like a non-issue, but this is the exact same pattern as the pandemic flu of 1918. It was weak and no big deal the first year, and then became horrible the second year.

    I think we have a lot going for us this time around, but it could be bad.

    I just saw a news story about a 27 year old, healthy NYPD officer who died from it.

    I'm not raising the alarm, just saying... keep an eye on this.
    I am now a past chief and the views, opinions, and comments are mine and mine alone. I do not speak for any department or in any official capacity. Although, they would be smart to listen to me.

    "The last thing I want to do is hurt you. But it's still on the list."

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    Quote Originally Posted by ChiefKN View Post
    I agree that it seems like a non-issue, but this is the exact same pattern as the pandemic flu of 1918. It was weak and no big deal the first year, and then became horrible the second year.

    I think we have a lot going for us this time around, but it could be bad.

    I just saw a news story about a 27 year old, healthy NYPD officer who died from it.

    I'm not raising the alarm, just saying... keep an eye on this.
    Can you link the story? I can't find anything on it, like if there where any other pre-existing condition he had.

    I'm not worried bout it, but just being safe talked to the doc during a physical yesterday he said really not to worry about it the major affects will be felt by children under 5 and seniors. Even if it comes to getting daily exposure running medicals that as long as we take the necessary precautions we will be fine.

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    Quote Originally Posted by Dickey View Post
    I'm sitting in a vat of warm sanitizer right now!
    I've loaded a FIT-5 with Purel and put them on our first-out engine.
    So you call this your free country
    Tell me why it costs so much to live
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    Post cnn Dr.Sanjay Gupta

    CNN) -- Over this past week, I had some interesting conversations with colleagues who are also health care professionals. These conversations usually start with, "You know what I hate about the media ... ?"


    Dr. Sanjay Gupta talks to Dr. Jim Fortenberry, pediatrician in chief at Children's Healthcare of Atlanta.

    1 of 2 Now, over the past eight years, I have grown accustomed to being engaged in these sort of discussions where I am asked about everything the "media" have reported over the past few months, and asked to defend things point by point. It can be a challenging task.

    This time, however, the topic was H1N1, or swine flu.

    I spent the weekend thinking about what I was being told, and realized there was a larger point here.

    People were scared, more than I had seen in a long time. And, health care professionals were blaming the media -- accusing them of being alarmist.

    So, I decided to get away from the studio, away from the talking heads discussing mortality rates, and away from the hypothetical discussions about what might or might not happen. I wanted to see for myself what was happening in emergency rooms right now.

    I was most curious about pediatric ERs, because young people seem to be most affected by this, and selfishly, I was curious about my own three girls and how I should react if they become ill this fall. Watch Dr. Gupta give more tips to parents »

    In short, I wanted to create a parents' guide to dealing with the swine flu that is based on the best science and my interviews with experts all over the country. In Depth: H1N1 flu

    H1N1 on campus: College students put in isolation
    Report: Swine flu could cause up to 90,000 U.S. deaths
    Kids roll up sleeves for H1N1 clinical trial
    First off, there is no question that pediatric emergency rooms are much busier than this time last year -- about two to three times busier at the ER I visited.

    Many of the patients sitting in the waiting room were there with flu-like symptoms, worried about H1N1.

    The doctor who met me started by saying he was giving the media a C+ in its overall coverage of H1N1, and blamed his busy ER, in part, on the media for stoking fears.

    "Fair enough," I answered back, "but, how do I get to an A?" In order to get there, I wanted to report clear, concise answers about what a parent should do with a sick child. So, here we go.

    Point 1. As things stand now, the vast majority of children who develop flu-like symptoms this fall will have a few miserable days, and nothing more. And those days are best spent at home -- not in the ER or a doctor's office.

    Point 2. If you are worried, you should call your pediatrician's office first. Don't take your child in without calling. Two reasons: Your child may not have H1N1, but could become exposed by being around sick children. And, after several hours of waiting, you are still likely to be told the basics -- plenty of fluids, rest and dose-appropriate acetaminophen for a fever. After all, it is still the flu we are talking about. Dr. Gupta talks preparedness with HHS Secretary Kathleen Sebelius »

    Point 3. One doctor told me a way to think about things that was helpful. He said "remove the term H1N1 from the equation." If your child had regular flu, would you take him to the hospital? If the answer is no, then don't take him/her to the hospital now.

    Point 4. Yes, hearing between 30,000 and 90,000 could die from H1N1 is scary, but keep in mind -- around 40,000 people die from the regular or seasonal flu every year. The numbers may not be that much different, yet there is not panic about the regular flu. As things look now, H1N1 is causing only mild to moderate illness, not the widespread deaths people are worried about.

    Point 4. There are some children who should be seen by their doctor. Call your doctor if:

    • A baby younger than 12 weeks has a fever greater than 100.4 degrees Fahrenheit

    • A child, older than 12 weeks has a fever for three days

    • A child's fever returns after a 12-24 hour time period

    • A child is not passing urine or making tears for more than six hours
    Always a day late and a dollar short!

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    Quote Originally Posted by FF2426 View Post
    Can you link the story? I can't find anything on it, like if there where any other pre-existing condition he had.

    I'm not worried bout it, but just being safe talked to the doc during a physical yesterday he said really not to worry about it the major affects will be felt by children under 5 and seniors. Even if it comes to getting daily exposure running medicals that as long as we take the necessary precautions we will be fine.
    This was the second link when I googled "nypd officer swine flu".

    -------------

    Also, note that he was a volunteer firefighter and EMT. My condolences to his family.

    Quote Originally Posted by Daily News
    Parents helplessly look on as one of Brooklyn's Finest, 27, succumbs to swine flu
    BY Patrice O'Shaughnessy
    DAILY NEWS STAFF WRITER

    Monday, August 31st 2009, 3:53 AM

    At the height of the tumult over swine flu late last spring - when city schools were shut and people donned masks on the streets after a Queens educator died of it - Barbara Johnson's son, Ryan, a Brooklyn cop, fell ill with what seemed like the seasonal flu.

    Through the summer, as the panic over the H1N1 virus subsided, Ryan was quietly battling for his life, on and off a respirator, in and out of comas, until he died on Aug. 7 - of swine flu.

    His lungs were ravaged; he had acute respiratory distress syndrome (ARDS) and suffered cardiopulmonary arrest. He had just turned 27. He is the first NYPD cop to die of swine flu.

    "Anybody can get this, that's the word that has to get out," Barbara Johnson said.

    "He's young," she said, inadvertently using the present tense for her deceased son. "He was healthy. He was going to the gym. He was in good shape."

    "This flu is coming," said Ryan's dad, Robert, 52. "People have to be prepared."

    Barbara Johnson, also 52, had worried about her son getting shot or injured while on the job as a patrol officer in the 83rd Precinct in Bushwick. But not swine flu.

    The home health care nurse watched helplessly as the illness killed him in seven weeks.

    "I'm a nurse, and I couldn't save him," she said in the home where Ryan grew up, in the small, picturesque town of Blue Point, L.I. "If I can save one person from going through what I'm going through ..."

    Her son had been on the NYPD for five years, after serving as an emergency medical technician for the FDNY for eight months. At 16, he had joined the Patchogue Ambulance Co. and became an EMT. He also served as a volunteer firefighter for the Blue Point department.

    "He always wanted to be a cop; he got his associate's degree in criminal justice from the University of Farmingdale," said his mom. "He requested to work in Bushwick, because it was busy. He wanted to make detective."

    In the medical jargon of a nurse, with the emotion of a mother, Johnson spoke of her son's ordeal.

    Breathing at 50%

    In June, he had chest pain and visits to the emergency room. A cardiologist ruled out a heart problem but determined he was breathing only at 50%. Ryan was treated for a bronchial spasm and given a nebulizer.

    Two days later, he was told he had the flu. He had no real fever.

    A couple days after that, Ryan felt miserable enough to go to the emergency room again, where he had a chest X-ray and was sent home. At 3 a.m. the next day, June 17, he called an ambulance to take him to Southside Hospital in Bay Shore.

    He was admitted and tested for swine flu.

    "The Health Department was inundated at that time, and they only tested people [for swine flu] who were admitted to hospitals," said Johnson. After two days, Ryan's temperature came down and pulse went up, and he was set to be discharged.

    "Then his fever spiked and within 24 hours he was on 2 liters of oxygen, 3, 4, 5, then high-flow oxygen," Johnson said. "I said we have to intubate him."

    He was on a respirator. He had bilateral pneumonia.

    Ryan was transferred to North Shore University Hospital in Manhasset, where he had complication from a chest tube, she said.

    When he needed less oxygen, he was sent to a regular floor.

    "Then he flat-lined," his mom said. He had a pulmonary embolism, and was on a ventilator.

    "His chest X-ray looked like snow," Johnson said.

    Ryan briefly came out of his induced comas, such as on July 10, his birthday. But he finally succumbed.

    "They did everything for him," said his mom.

    The Suffolk County Health Department had said he had asthma, which exacerbated the virus. Not true, said Johnson: As a child, Ryan had some asthma/bronchitis, but it wasn't serious and he never had a nebulizer.

    Johnson said doctors tested Ryan for "every disease" to see if there was an underlying cause. He had been on sick leave for a month before he got swine flu, due to an accident with a police car that gave him sciatic pain.

    He 'fought valiantly'

    Police Commissioner Raymond Kelly said in a statement that Johnson "fought valiantly over many weeks, often expressing his desire to return to the job." Kelly had visited Ryan frequently, Barbara Johnson said.

    "I'd like to speak to cops and tell them to carry hand sanitizers on their belts, and masks, and wash their hands constantly," she said. "I will talk to Kelly, to ask him if I can do this. They have to take precautions in precincts, in patrol cars."

    Ryan's only sibling, Dawn, 29, was supposed to be married on Sept. 12, with Ryan serving as best man. The wedding has been postponed until next June, his mom said.

    Her son is also survived by his wife of less than a year, Lakiya Reid.

    "My son, my baby, loved life," Johnson said in a shaky voice as she flipped through photos of him as a little boy dressed for Halloween, and a grown man in the uniforms of the NYPD and the FDNY, a broad smile on his face in every snapshot.

    poshaughnessy@nydailynews.com
    I am now a past chief and the views, opinions, and comments are mine and mine alone. I do not speak for any department or in any official capacity. Although, they would be smart to listen to me.

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    Exclamation

    Everyone will be afforded the swine flu shots as well as the regular season flu shots. If you don't want one then you has to sign off saying that you didn’t as to cover the department should it become a bad thing.

    If by chance you get the swine flu and awake to find you self looking like this fellow,

    STAY THE HELL HOME!!!!
    Attached Images Attached Images  

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    Although not necessarily as deadly as the seasonal flu, the swine flu is more dangerous in respect to how contagious it is. There is little to know immunity to swine flu because it is a relatively new virus. Which is why it is important to protect ourselves from the virus.

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    Quote Originally Posted by angelausp View Post
    Although not necessarily as deadly as the seasonal flu, the swine flu is more dangerous in respect to how contagious it is. There is little to know immunity to swine flu because it is a relatively new virus. Which is why it is important to protect ourselves from the virus.
    Swine flu is not new.
    I am now a past chief and the views, opinions, and comments are mine and mine alone. I do not speak for any department or in any official capacity. Although, they would be smart to listen to me.

    "The last thing I want to do is hurt you. But it's still on the list."

    "When tempted to fight fire with fire, remember that the Fire Department usually uses water."

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    Quote Originally Posted by ChiefKN View Post
    Swine flu is not new.
    Thanks Chief. I am so freaking sick of this Swine Flu nonsense.

    It is a virus that has been around forever. Keep yourself hydrated, take some Tylenol or ibuprofen for the fever, and stay the hell home. That is all the morons in the media need to tell people.

    I work in an ED and last Spring was horrible. The media kept saying to get a prescription for an anti-viral like Tamiflu. Well, what the moronic talking heads did not say was that the anti-virals are only effective in reducing symptoms for 1-2 days and maybe in reducing the severity of the symptoms, but only if taken within 48 hours of symptom onset. Thing is there is no way to tell whether you have the swine flu, HIV, or a cold (all caused by viruses, and all with these URI prodromes) and you do exactly what I said, take a medicine for the fever, stay hydrated, and don't go to work/school and infect everyone else.

    You know that it is a slow news cycle when all the smacktards in the media talk about is one relatively minor story - be it a series of shark attacks or the freaking swine flu.

    And coldfront - since your department is stocking up on N-95s, I have to ask you if you are prepared to use those masks on everyone since the infective period can be for up to a week prior to symptom onset and you are still infectious for about 11-15 days after symptom onset in many cases of viruses.

    In general, the media is the worst place to get information on health or financial advice.
    "Too many people spend money they haven't earned, to buy things they don't want, to impress people they don't like." Will Rogers

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    The parish OEP just gave us two cases of N-95 masks! We're ready!
    Chief Dwayne LeBlanc
    Paincourtville Volunteer Fire Department
    Paincourtville, LA

    "I have a dream. It's not a big dream, it's just a little dream. My dream — and I hope you don't find this too crazy — is that I would like the people of this community to feel that if, God forbid, there were a fire, calling the fire department would actually be a wise thing to do. You can't have people, if their houses are burning down, saying, 'Whatever you do, don't call the fire department!' That would be bad."
    — C.D. Bales, "Roxanne"

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    THis H1N1 virus is new. It is not the same as any other H1N1 that has been circulating. Check out the World Health Organization http://www.who.int/csr/disease/swine.../en/index.html

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    Quote Originally Posted by sangti View Post
    THis H1N1 virus is new. It is not the same as any other H1N1 that has been circulating. Check out the World Health Organization http://www.who.int/csr/disease/swine.../en/index.html
    The comment was that the swine flu was a new virus.

    It is not. This variant of the virus is new.

    I guess it's splitting hairs, but the context of the comment in an earlier post made it important to point this out.
    Last edited by ChiefKN; 10-09-2009 at 04:49 PM.
    I am now a past chief and the views, opinions, and comments are mine and mine alone. I do not speak for any department or in any official capacity. Although, they would be smart to listen to me.

    "The last thing I want to do is hurt you. But it's still on the list."

    "When tempted to fight fire with fire, remember that the Fire Department usually uses water."

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    We've ordered a case of N-95 masks and... Well, that's about it. Actually, the seasonal flu shot is being offered to all employees but the announcement about it mentioned something about our health insurance -- so it doesn't seem like the department is exactly giving the vaccine away. I haven't heard anything about a swine flu vaccine.

    I think with few exceptions, the fire service is vulnerable to the swine flu because we're not the type of people who wear N95s on every ache and pain EMS run we make... And the patient that gives us the swine flu (or some other communicable disease) is usually the one we don't expect. (It's easy to forget that people don't wear shirts that say, "I have *Insert Disease Here*")

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    It's all a little over-rated. I now have to develop a H1N1 vaccination policy, draft up a refusal form and schedule vaccination clinics once the free shots arrive to our state. All in all, the best practice is to WASH YOUR HANDS on a regular basis and practice good housekeeping. I am a little concerned about the shots though. They were rushed through testing over the summer and somehow, the manufacturer's found a way to mass produce the doses needed for the target groups. Bottom line...one more task to add to our annual mandatory training regiment when other things could be accomplished with the members.

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    Quote Originally Posted by Frosty42 View Post
    It's all a little over-rated. I now have to develop a H1N1 vaccination policy, draft up a refusal form and schedule vaccination clinics once the free shots arrive to our state. All in all, the best practice is to WASH YOUR HANDS on a regular basis and practice good housekeeping. I am a little concerned about the shots though. They were rushed through testing over the summer and somehow, the manufacturer's found a way to mass produce the doses needed for the target groups. Bottom line...one more task to add to our annual mandatory training regiment when other things could be accomplished with the members.
    Your state dept of health doesn't already have these available?

    As for the shots:
    I spoke to one of our ID docs... his response. "I won't be first in line".

    He did say that he would get it shortly thereafter.
    I am now a past chief and the views, opinions, and comments are mine and mine alone. I do not speak for any department or in any official capacity. Although, they would be smart to listen to me.

    "The last thing I want to do is hurt you. But it's still on the list."

    "When tempted to fight fire with fire, remember that the Fire Department usually uses water."

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    Quote Originally Posted by ChiefKN View Post
    Your state dept of health doesn't already have these available?

    As for the shots:
    I spoke to one of our ID docs... his response. "I won't be first in line".

    He did say that he would get it shortly thereafter.
    No. Wisconsin just received it's first doses of H1N1 vaccinations this week and they are limited. More is on the way from what I have been told. The regular flu shots are very limited (at least in my area) and target groups are the priority (as they should be). I am looking at the end of the month before our clinics are up and running.

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