Minggu, 04 Oktober 2020

Trump's case of COVID-19 may be severe, experts say - CNA

NEW YORK: Doctors not involved in treating President Donald Trump for COVID-19 said the fact that he has been started on dexamethasone - a generic steroid widely used in other diseases to reduce inflammation - is the strongest evidence yet that his case may be severe.

Trump's medical team on Sunday (Oct 4) said the president was started on the steroid after experiencing low oxygen levels, but his condition was improving and he could be discharged from the hospital on Monday.

READ: Doctors monitoring Trump's lungs, giving steroid to fight COVID-19

READ: Trump criticised for leaving hospital to greet supporters in motorcade

"What I heard in the news conference description suggested the president has more severe illness than the generally upbeat picture painted," said Dr Daniel McQuillen, an infectious disease specialist at Lahey Hospital & Medical Center in Burlington, Massachusetts.

The Infectious Disease Society of America says dexamethasone is beneficial in people with critical or severe COVID-19 who require extra oxygen. But studies show that the drug is not helpful – and may even be harmful – in people with a milder case of the illness.

Given the patient is 74 years old, overweight and possibly at high risk of complications, "they were aggressive at the beginning", said Dr Stuart Cohen, chief of infectious disease at California's UC Davis Health.

He and other doctors who have been treating COVID-19 patients for months said Trump, who surprised cheering supporters outside the hospital by riding past in a motorcade Sunday evening, could still be discharged from the hospital. Trump returned to Walter Reed National Military Medical Center after the short trip.

"He's not going to go to a home where there's no medical care. There's basically a hospital in the White House," said Dr Walid Gellad, professor of medicine at University of Pittsburgh.

Trump was flown to the hospital on Friday hours after announcing that he had tested positive for coronavirus infection. While at the White House, the president was given an infusion of an experimental antibody treatment from Regeneron Pharmaceuticals that is being studied for early infections. On Saturday, the president was started on a five-day course of intravenous antiviral drug remdesivir, which is sold by Gilead Sciences.

Doctors have said that both of these drugs makes sense early in the course of illness to prevent it from getting worse, but dexamethasone is generally reserved for people whose condition has deteriorated.

"We give dexamethasone to patients who require supplemental oxygen," said Dr Amesh Adalja, an infectious disease specialist at Johns Hopkins University.

If Trump no longer requires supplemental oxygen and is able to return to his normal activities, his doctors could discharge him from the hospital, he said.

"The biggest question would be is there a risk of deterioration, or is he on a good trajectory?" Dr Adalja said.

READ: What is the treatment plan for President Trump's COVID-19?

READ: Steroids cut death rates among critically ill COVID-19 patients, major study finds

COVID-19 is often characterised as having two phases – the viral infection itself and in some cases an overreaction of the body's immune system that can cause organ damage. "People sort of putter along for up to a week ... then everything goes downhill very quickly," Dr Cohen said. "It is always hard to predict who that is going to happen in."

Doctors said COVID-19 patients who have had a good response to treatment can leave the hospital relatively quickly, but they will still need to be closely monitored.

"Some people with COVID-19 develop worsening symptoms, shortness of breath and other complications about a week after they first develop symptoms," said Dr Rajesh Gandhi, an infectious disease physician at Massachusetts General Hospital in Boston.

Dr David Battinelli, chief medical officer at New York's Northwell Health said "it's entirely plausible" that Trump could get discharged on Monday, but cautioned that a full recovery would take time.

"It would be very unlikely for him to be out and about, and on the campaign trail in less than 14 days," he said. 

BOOKMARK THIS: Our comprehensive coverage of the coronavirus outbreak and its developments

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2020-10-05 02:03:45Z
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After Trump tests positive, Biden campaign seeks to keep focus on COVID-19 response - CNA

WASHINGTON: Democratic presidential nominee Joe Biden's campaign strove on Sunday (Oct 4) to keep its focus on the nation's response to the coronavirus pandemic, as President Donald Trump received treatment for COVID-19 at a military hospital.

Biden, who shared a debate stage with Trump last Tuesday, tested negative for the coronavirus again on Sunday, following two negative tests on Friday, the day Trump disclosed his COVID-19 infection.,

Biden and his wife, Jill, are due to resume in-person campaigning on Monday in Florida, where opinion polls show a tight race for the state's crucial 29 electoral college votes less than a month before the Nov 3 election.

READ: Doctors monitoring Trump's lungs, giving steroid to fight COVID-19

READ: Trump criticised for leaving hospital to greet supporters in motorcade

Biden has repeatedly wished the president a speedy recovery. But the former vice president and his aides have used his Republican rival's positive test to underline a consistent campaign message: Biden would handle the pandemic better than Trump.

In a video posted on Twitter, Trump said he had "learned a lot about COVID" during his stay at Walter Reed National Military Medical Center outside Washington.

"I learned it by really going to school –this is the real school, this isn't the let's read the book school – and I get it. And I understand it."

Tony Blinken, the Biden campaign's foreign policy adviser, shot back on Twitter that Trump's realisations about COVID-19 were "devastating" at this late stage.

"The time to do that was 200K deaths ago, not when it affected you. We all wish you well but also wish you had done your job. Please do it now," Blinken said.

READ: Trump's case of COVID-19 likely to be severe, experts say

Trump's campaign has begun describing the 74-year-old president as a "warrior" in messages to supporters that call for donations. On Sunday, Trump briefly rode in a motorcade outside his hospital to wave to supporters, igniting criticism he was putting others at risk.

Trump aides have continued to criticise Biden's cautious approach to the virus.

Jason Miller, a Trump campaign senior adviser, mocked Biden on Sunday for consistently wearing a face mask, telling ABC's This Week that the 77-year-old Democratic presidential nominee was using masks "as a prop".

Biden deputy campaign manager Kate Bedingfield told ABC that the Democratic nominee "has led by example", citing the campaign's use of masks, social distancing and limits on the number of people at campaign events.

Commentary - Trump's positive coronavirus test will worsen divides in America

The United States has recorded 7.4 million coronavirus infections and more than 209,000 deaths in the pandemic, more than any other country.

Voters could judge harshly an approach that continues to downplay the seriousness of the virus, said Kelly Dietrich, a Democratic strategist and founder of the National Democratic Training Committee, a group that trains party candidates.

"This has touched every American's life," he said.

CAMPAIGN GOES ON

In Florida on Monday, Biden will talk to Hispanic voters about his plan to rebuild the U.S. economy after the coronavirus, his campaign said.

More than 3.3 million ballots had already been cast nationwide by Sunday, according to the Elections Project at the University of Florida – as more Americans vote early or by mail to avoid being exposed to the virus at crowded polling places on Election Day.

A Reuters/Ipsos poll taken Friday and Saturday after the president tested positive for the coronavirus, found Biden leading Trump by 10 percentage points nationally and that nearly two-thirds of Americans thought that Trump probably would not have been infected if he had taken the virus more seriously.

READ: What happens if a US presidential candidate exits the race?

As Trump's doctors and aides gave sometimes unclear messages about the president's health situation over the weekend, Biden's campaign said it would publish the results of every COVID-19 test the candidate takes.

Biden would not need to do much to benefit from Trump's diagnosis, since many Americans already viewed Trump's approach to the virus as cavalier, said David Greenberg, a historian at Rutgers University.

"They're going to think that even more now, so I don't think Biden needs to hammer that home too hard," he said.

It remains uncertain when Trump will return to the campaign trail, if at all, and whether he will be able to participate in the second presidential debate on Oct 15.

Trump's campaign said on Saturday that high-profile allies including Vice President Mike Pence and Trump’s elder sons, Donald Jr and Eric, would take over in-person campaigning this week.

Pence, who tested negative on Friday, is scheduled to debate Democratic vice presidential nominee Kamala Harris on Wednesday.

BOOKMARK THIS: Our comprehensive coverage of the coronavirus outbreak and its developments

Download our app or subscribe to our Telegram channel for the latest updates on the coronavirus outbreak: https://cna.asia/telegram

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2020-10-05 01:52:30Z
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Doctors say Trump case of COVID-19 likely severe - CNA

NEW YORK: Doctors not involved in treating President Donald Trump for COVID-19 said the fact that he has been started on dexamethasone - a generic steroid widely used in other diseases to reduce inflammation - is evidence his case is severe.

Trump's medical team on Sunday said the president was started on the steroid after experiencing low oxygen levels, but his condition was improving and he could be discharged from the hospital on Monday.

"What I heard in the news conference description suggested the President has more severe illness than the generally upbeat picture painted," said Dr Daniel McQuillen, an infectious disease specialist at Lahey Hospital & Medical Center in Burlington, Massachusetts.

The Infectious Disease Society of America says dexamethasone is beneficial in people with critical or severe COVID-19 who require extra oxygen. But studies show that the drug is not helpful - and may even be harmful - in people with a milder case of the illness.

Doctors who have been treating COVID-19 patients for months said Trump, who surprised cheering supporters outside the hospital by riding past in a motorcade on Sunday evening, could still be discharged from the hospital. Trump returned to Walter Reed National Military Medical Center after the short trip.

"He's not going to go to a home where there's no medical care. There's basically a hospital in the White House," said Dr Walid Gellad, professor of medicine at University of Pittsburgh.

READ: What is the treatment plan for President Trump's COVID-19?

Trump, 74, was flown to the hospital on Friday hours after announcing that he had tested positive for coronavirus infection. 

While at the White House, the president was given an infusion of an experimental antibody treatment from Regeneron Pharmaceuticals that is being studied for early infections. On Saturday, the president was started on a five-day course of intravenous antiviral drug remdesivir, which is sold by Gilead Sciences.

If Trump no longer requires supplemental oxygen and is able to return to his normal activities, his doctors could discharge him from the hospital, said Dr Amesh Adalja, an infectious disease specialist at Johns Hopkins University.

"The biggest question would be is there a risk of deterioration, or is he on a good trajectory?" he said.

COVID-19 is often characterised as having two phases - the viral infection itself and in some cases an overreaction of the body's immune system that can cause organ damage. 

"People sort of putter along for up to a week ... then everything goes downhill very quickly," said Dr Stuart Cohen, chief of infectious disease at California's UC Davis Health. "It is always hard to predict who that is going to happen in."

Doctors said COVID-19 patients who have had a good response to treatment can leave the hospital relatively quickly, but they will still need to be closely monitored.

"Some people with COVID-19 develop worsening symptoms, shortness of breath and other complications about a week after they first develop symptoms," said Dr Rajesh Gandhi, an infectious disease physician at Massachusetts General Hospital in Boston.

Dr David Battinelli, chief medical officer at New York's Northwell Health said "it's entirely plausible" that Trump could get discharged on Monday, but cautioned that a full recovery would take time.

"It would be very unlikely for him to be out and about, and on the campaign trail in less than 14 days," he said.

BOOKMARK THIS: Our comprehensive coverage of the coronavirus outbreak and its developments

Download our app or subscribe to our Telegram channel for the latest updates on the COVID-19 outbreak: https://cna.asia/telegram

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2020-10-05 00:02:55Z
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Trump back in hospital after saluting supporters - CNA

WASHINGTON: US President Donald Trump drove past supporters on Sunday (Oct 4) outside the hospital where he was being treated for COVID-19, after announcing on Twitter a "surprise visit" to his backers.

Seen in a dark face mask, waving to crowds, the president's motorcade rolled past before returning to the Walter Reed military hospital near Washington.

"We're going to pay a little surprise to some of the great patriots that we have out on the street," Trump said in a video posted to Twitter shortly before his appearance.

"I'm about to make a little surprise visit."

Trump also said he "learned a lot about COVID" by "really going to school," as he has battled the virus in hospital.

"This is the real school. This isn't the 'let's read the books school,' and I get it, and I understand it, and it's a very interesting thing," he added.

Trump's doctors said on Sunday that he has "continued to improve," adding that he could be discharged as early as Monday.

While ordinary members of the public would only be sent home after recovering, Trump can take full advantage of the extensive White House medical facilities, which can match those in a hospital in many areas of treatment.

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2020-10-04 22:29:21Z
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Trump's COVID-19 condition improving, could return to White House on Monday: Doctors - CNA

WASHINGTON: President Donald Trump's condition is improving as he is being treated for COVID-19 at a military hospital, and he could return to the White House as early as Monday (Oct 5), where his treatment would continue, the doctors leading his treatment said on Sunday.

Doctors provided Trump supplemental oxygen twice during his battle with the lung disease, on Thursday and Friday, and have also given him dexamethasone, they told reporters the day after a series of contradictory messages from the White House caused widespread confusion about Trump's condition.

Dexamethasone is shown in studies to improve survival for patients hospitalised with critical COVID-19 who need extra oxygen. But it should not be given in mild cases since it can limit the body's own ability to combat the virus, according to guidelines from the Infectious Disease Society of America.

"The fact of the matter is that he's doing really well," Dr Sean P Conley told reporters at Walter Reed National Military Medical Center, where Trump has been receiving treatment since Friday.

U.S. President Trump arrives at Walter Reed National Military Medical Center
US President Donald Trump disembarks from the Marine One helicopter followed by White House Chief of Staff Mark Meadows as he arrives at Walter Reed National Military Medical Center in Bethesda, Maryland, on Oct 2, 2020. (Photo: REUTERS/Joshua Roberts)

Doctors said Trump has not run a fever since Friday and that his liver and kidney function remained normal after the second dose in a five-day course of Remdesivir, an intravenous antiviral drug sold by Gilead Sciences Inc that has been shown to shorten hospital stays.

Dr Brian Garibaldi said Trump was given dexamethasone in response to "transient low oxygen levels".

"He received his first dose of that yesterday and our plan is to continue that for the time being," Garibaldi said.

READ: What is the treatment plan for President Trump's COVID-19?

Trump is also being given an experimental treatment, Regeneron's REGN-COV2, as well as zinc, Vitamin D, famotidine, melatonin and aspirin, his doctors have said.

Trump released a four-minute video on Saturday in which he said the "real test" of his condition will come over the next few days.

"Over the next period of a few days, I guess that's the real test, so we'll be seeing what happens over those next couple of days," Trump said into the camera, looking tired and wearing a jacket and open-necked shirt.

US President Donald Trump
US President Donald Trump, who is being treated for the coronavirus disease (COVID-19) in a military hospital outside Washington, speaks from his hospital room, in this still image taken from a video supplied by the White House, Oct 3, 2020. (Photo: The White House/Handout via REUTERS)

Trump's illness has upended the campaign ahead of the November presidential election and cast a spotlight on the president's handling of the pandemic. The Republican president is trailing Democratic rival Joe Biden in opinion polls.

A Reuters/Ipsos poll published on Sunday found that Biden had opened a 10 point lead over Trump nationally, slightly wider than it has been for the past two months. 

Some 65 per cent of Americans said Trump likely would not have been infected had he taken the virus more seriously - a view that half of registered Republicans polled supported. Some 55 per cent said they did not believe Trump had been telling the truth about the virus.

Supporters of US President Donald Trump
Supporters of US President Donald Trump take part in a car parade in Columbus, Ohio, on Oct 3, 2020. (Photo: REUTERS/Megan Jelinger)

Trump has repeatedly played down the threat of the pandemic, even as it has killed more than 208,000 Americans and hammered the US economy.

'UPBEAT ATTITUDE OF THE TEAM'

Differing assessments of Trump's health from administration officials on Saturday left it unclear how ill the president had become since he tested positive for the coronavirus on Thursday night.

A White House team of doctors said on Saturday morning Trump's condition was improving and that he was already talking about returning to the White House.

Within minutes, White House chief of staff Mark Meadows gave reporters a less rosy assessment, saying, "The president's vitals over the last 24 hours were very concerning and the next 48 hours will be critical in terms of his care. We're still not on a clear path to a full recovery."

Supporters rally at a vigil for US President Donald Trump
Supporters rally at a vigil for US President Donald Trump outside of Walter Reed National Military Medical Center, where he is being treated for coronavirus disease (COVID-19) in Bethesda, Maryland, on Oct 3, 2020. (Photo: REUTERS/Jonathan Ernst)

Meadows, whose initial comments were delivered on condition that he not be identified, altered his tone hours later, telling Reuters that Trump was doing "very well" and that "doctors are very pleased with his vital signs." 

In an interview with Fox News broadcast Saturday night, Meadows revealed that Trump's condition on Friday was far worse than officials had made public, saying doctors recommended the president go to the hospital after seeing he had a fever and his blood oxygen level dropped rapidly.

Conley commented on the contradictory assessments on Sunday.

"I was trying to reflect an upbeat attitude of the team and the president about the course his illness has had," Conley told reporters on Sunday. "I didn't want to give any information that might steer the course of illness in another direction and in doing so, it came off that we were trying to hide something, which isn't necessarily true."

'AGGRESSIVE' CAMPAIGN CONTINUES

Trump's campaign vowed that Vice President Mike Pence, who would assume the presidency if Trump were unable to carry out his duties, would have an "aggressive" campaign schedule this week, as would Trump's three oldest children.

"We can't stay in our basement or shut down the economy indefinitely. We have to take it head-on," Trump campaign senior adviser Jason Miller said on ABC's "This Week" on Sunday.

With Trump off the campaign trail indefinitely, his campaign announced "Operation MAGA," based on his slogan "Make America Great Again," which will see high-profile allies including Pence and Trump's elder sons, Donald Jr and Eric, take over in-person campaigning this week.

READ: What happens if a US presidential candidate exits the race?

Pence, who tested negative on Friday, is scheduled to debate Democratic vice presidential nominee Kamala Harris on Wednesday.

Biden, who largely avoided direct criticism of Trump during a campaign trip to Michigan on Friday, took a more aggressive tone on Saturday while speaking to a transit workers' union, even as he wished the president well.

"I'm in a little bit of a spot here, because I don't want to be attacking the president and the first lady now," Biden said, adding he hoped Trump and his wife Melania, who also has the illness, make a full recovery.

But he quickly turned to Trump's response to the pandemic, calling it "unconscionable" and blasting Trump's comment in an interview this summer that "it is what it is" when asked about the death toll.

Supporters stand for a vigil for US President Donald Trump
Supporters stand for a vigil for US President Donald Trump outside of Walter Reed National Military Medical Center, where Trump is being treated for coronavirus disease (COVID-19) in Bethesda, Maryland, on Oct 3, 2020. (Photo: REUTERS/Jonathan Ernst)

Biden, who tested negative on Friday, told reporters he would next be tested on Sunday. His campaign will begin releasing the results of each test, a spokesman said.

A number of other prominent Republicans have also tested positive for coronavirus since Trump's announcement, including Republican senators Mike Lee, Thom Tillis and Ron Johnson, former White House senior adviser Kellyanne Conway and former New Jersey Governor Chris Christie.

BOOKMARK THIS: Our comprehensive coverage of the coronavirus outbreak and its developments

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2020-10-04 16:49:40Z
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Biden leads by 10 points as majority of Americans say Trump could have avoided coronavirus - The Straits Times

NEW YORK (REUTERS) - Democrat Joe Biden opened his widest lead in a month in the United States presidential race after President Donald Trump tested positive for the coronavirus, and a majority of Americans think Trump could have avoided infection if he had taken the virus more seriously, according to a Reuters/Ipsos poll released on Sunday (Oct 4).

The Oct 2-3 national opinion poll gave little indication of an outpouring of support for the President beyond Mr Trump's core group of followers, some of whom have gathered outside Walter Reed National Military Medical Centre, where he has been hospitalised.

Mr Trump has repeatedly dismissed the severity of the pandemic, painting it as something that would disappear on its own, and chiding Biden as recently as last week for wearing a protective mask, even as the coronavirus has killed more than 200,000 people in the United States, infected millions of people and forced businesses and schools to close.

Among those adults who are expected to cast ballots in the Nov 3 election, the poll found that 51 per cent were backing Mr Biden, while 41 per cent said they were voting for Mr Trump. Another 4 per cent were choosing a third-party candidate and another 4 per cent said they were undecided.

Mr Biden's 10-point edge over Mr Trump is one to two points higher than leads Mr Biden posted over the past several weeks, though the increase is still within the poll's precision limits of plus or minus five percentage points.

With about a month to go before the election, Mr Biden has maintained an early advantage in securing the national popular vote. But to win the presidency, a candidate must prevail in enough states to win the Electoral College, and state polls show that Mr Trump is nearly as popular as Mr Biden in battleground states.

Mr Trump, 74, was transferred to Walter Reed on Friday, hours after tweeting that he was diagnosed with Covid-19. The announcement set off a dizzying split-screen experience for many: As media alerts lit up cellphones and television screens about Mr Trump feeling feverish and needing oxygen, several other Republican leaders who had been in close proximity with the President announced that they, too, had tested positive.

Most Americans continue to be deeply worried about the virus, and the poll found that 65 per cent, including nine in 10 registered Democrats and five in 10 registered Republicans, agreed that "if President Trump had taken coronavirus more seriously, he probably would not have been infected".

Only 34 per cent said they thought that Mr Trump has been telling them the truth about the coronavirus, while 55 per cent said that he was not and 11 per cent were unsure.

Of those polled, 57 per cent of Americans said they disapproved of Mr Trump's response to the Covid-19 pandemic overall, up about three points from a poll that ran late last week.

Americans also appear to be largely supportive of curtailing the 2020 presidential race to ensure everyone's safety.

Sixty-seven per cent of Americans want to stop in-person campaign rallies and 59 per cent think the presidential debates should be postponed until Mr Trump recovers from the coronavirus.

It is unclear at this point how Mr Trump's diagnosis will impact the next presidential debate, which is scheduled for Oct 15. The first vice-presidential debate between Democrat Kamala Harris and Republican Mike Pence is scheduled for Thursday.

The Reuters/Ipsos poll was conducted online, in English, throughout the United States. It gathered responses from 1,005 US adults, including 596 likely voters.

Only about 61 per cent of voting-age Americans actually voted in the 2016 election.

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2020-10-04 10:24:59Z
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Interpol issues 'red notice' for Thai Red Bull heir over hit-and-run - CNA

BANGKOK: Interpol has issued a "red notice" to arrest the fugitive Thai heir to the Red Bull billions for his role in a fatal hit-and-run, police said Sunday (Oct 4).

The move by the international police organisation is the latest in the years-long saga surrounding Vorayuth "Boss" Yoovidhya who crashed his Ferrari in 2012, killing a police officer.

The charges against Vorayuth, who is the grandson of Red Bull's co-founder, were dropped in July - sparking public outrage from Thais who saw it as an example of impunity enjoyed by the kingdom's elite.

It spurred probes by various government agencies, including the Attorney General's Office which last month announced fresh charges against Vorayuth of reckless driving causing death and cocaine use.

National Police spokesman Colonel Krissana Pattanacharoen confirmed Sunday a red notice - Interpol's most urgent alert - was issued earlier this week.

"After we received the confirmation, we then passed our request to 194 member countries asking for assistance from them," he told AFP.

"We have to do whatever it takes to ... ultimately bring him back to the country because it is a serious crime."

A red notice for Vorayuth had not been published on the Interpol website as of Sunday afternoon.

The fugitive heir fled the country back in 2017 on a private jet.

After charges against him were dropped in July, a probe conducted by Premier Prayut Chan-O-Cha's office concluded the entire investigation had been "compromised".

The public outcry over Vorayuth came at a particularly tense period for the government, coinciding with near-daily protests across Thailand led by student leaders calling for General Prayut's resignation.

Protesters have carried cardboard cut-outs of Red Bull's logo to symbolise their anger at the military-aligned government, which enjoys close alliances with the kingdom's billionaire families.

The clan of Red Bull co-founder Chaleo Yoovidhya is Thailand's second richest, boasting a fortune estimated at US$20.2 billion according to Forbes.

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2020-10-04 09:43:49Z
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