Box 1176, Addis Ababa, Ethiopia, Leslie Dan Faculty of Pharmacy, University of Toronto, 144 College Street, Toronto, ON, M5S 3M2, Canada, You can also search for this author in Terms and Conditions, After teaching microbiology for more than four years, he joined the Central Department of Microbiology, Tribhuvan University, to pursue his Ph.D. in collaboration with Helmholtz-Institute for Pharmaceutical Research Saarland (HIPS), Saarbrucken, Germany. Nature of qualitative evidence. Pre-modern era theories of Disease causation: Religions often attributed disease outbreaks or other misfortunes to divine retribution - punishment for mankind's sins. The link between lying and ill health appears to be unique in this culture. The PubMed wordmark and PubMed logo are registered trademarks of the U.S. Department of Health and Human Services (HHS). Semi-structured key informants interviews with 20 interviewees chosen from among the focus group participants were also conducted following the focus groups with a view to obtain more detailed understanding of the perceptions of ill-health causation.. Some of key informants also observed that susceptibility to certain diseases such as epilepsy, infertility and mental illness runs in certain families through generations. The emphasis on culture in our genetic counseling training recognizes its crucial role in molding an individual's conceptualization of health, as well as other life aspects, especially since the Filipino culture is a mixture of indigenous as well as imported and borrowed elements. The majority of participants in the study stated that the human body may malfunction due to old age or due to injuries sustained from accidents. Unable to load your collection due to an error, Unable to load your delegates due to an error. 2022 Jul 4. Cruz JP, Estacio JC, Bagtang CE, Colet PC. Social change theory was used in this paper. According to this theory, it is important to distinguish between beliefs about the natural and supernatural causes of illness and disease. Privacy Epub 2022 Jan 25. Research has linked social isolation and loneliness to higher risks for a variety of physical and mental conditions: high blood pressure, heart disease, obesity, a weakened immune system, anxiety, depression, cognitive decline, Alzheimer's disease, and even death. Soc Sci Med. Anyone you share the following link with will be able to read this content: Sorry, a shareable link is not currently available for this article. Miller addresses in a coherent and thoughtful way the problems faced by the Westerner who seeks to study African literature without colonizing that discourse. Five rural communities (one from each of the five Kebeles) were included in the study. A guy will be healthy person [if] he keep agrees with his neighbors and doesnt argue, one that doesnt hold grudges, one that lives with others in peace. Bookshelf In-depth understanding of disease causation aids in planningprevention and steps to tackle the disease in a population. Felipe-Dimog EB, Tumulak MJR, Laurino MY, Daack-Hirsch S, Silao CLT, Conaco MCG, Padilla CD, Estacio LR Jr. J Community Genet. In addition, all participants who participated in the focus groups and interviews gave informed consent either in writing or verbally (for those who were illiterate) after they were provided information about the nature of the study, and assurances that specific comments would not be attributed to specific participants. National Library of Medicine We've updated our privacy policy. Table 1 Filipino word/s depicting cultural beliefs and their English translation Full size table Philadelphia, PA: Elsevier Saunders. First Statement of Germ Theory. Thousand Oaks: Sage; 2001. p. 187200. The outlook regarding disease causation has changed considerably with time and advancements in science. 1983. p. 155. These forces are believed to have unlimited power. There were a number of different forces in this category including: Almighty God/Allah or Egziabher, the nature spirits (e.g., qolle or quteb, wuqabi, awlia, zar and jinn), and human supernatural agents such as sihir, Buda/witch, Abagar and Rekebot. As noted in other studies, effective primary care requires that all health care providers and policy makers take culture and traditional into account [20]. As part of this endeavor, we will describe in this paper seven common Filipino cultural beliefs: namamana, lihi, sumpa, gaba, pasma, namaligno, and kaloob ng Diyos. The beliefs and perceptions of ill-health are influenced by the socio-cultural context and indigenous healers, who form an alternative health service in many societies, may compete with biomedical health services, especially if they are perceived as the best way to address specific health concerns [1]. It appears that you have an ad-blocker running. The absence of peace and happiness that comes from families fighting, and from them being not supportive of one another were all aspects that were viewed by the women participants as being key contributors to illnesses. Medical anthropology. In 2014, communicable diseases including malaria, lung infections, diarrheal, intestinal parasites, eye infections, skin disease, and rheumatism were the major public health problems in the area [15]. Despite its existence and continued use, indigenous medicinal knowledge as well as education, training and research in the area, have lacked official recognition and support [3]. This ethnographic study was grounded in participant observations made by the principal investigator (MHK) working as a volunteer heath extension worker in the study area for five months between June and November, 2013. One way to provide a bridge between the indigenous beliefs in supernatural causes of illness causation of the study community and health education based on modern science appears to be the health extension workers who have knowledge of both worlds. The authors declare that they have no competing interests. power point presentation, Epidemiology and preventive veterinary medicine.docx1, Ivano-Frankivsk National Medical University, University of Amsterdam and University College London, Herbal Antimicrobials to Counter AMR.pptx. Medicine finally shed the rags of dogma and superstition and put on the robes of scientific knowledge. Antibiotic alternatives in veterinary therapeutics. The move towards a new public health police. BMC Public Health 17, 124 (2017). Not everyone finds it easy to do the exercise recommended by the NHS - two out of three people say they do less than 150 mins (2.5 hours) of moderate exercise and fewer than one in 10 manage more . Clipping is a handy way to collect important slides you want to go back to later. Fracastoro's contagion theory of disease (1546) Germ theory: Louis Pasteur , Lister and others introduced the germ theory in 1878. Social, economic and biological factors interact to drive a vicious cycle of poverty and disease from which, for many people, there is no escape." In short, poverty is instrumental in cultivating conditions that allow disease to spread. (3) ecosocial theory and related multi-level frameworks. The .gov means its official. 1976;4:77382. Glory Bassey. 2022 Dec;9(6):2560-2567. doi: 10.1007/s40615-021-01190-6. Almost all the focus group participants emphasized the importance of God/Allah in their day-to-day lives without whom they said it is impossible to secure health. It was the golden age of bacteriology. The first authors (MHK) native status offered both opportunities and limitations for the study [19]. Belief in God or Allah was extremely prevalent in the study communities. Germs cause disease. In case you need help on any kind of academic writing visit website www.HelpWriting.net and place your order, Do not sell or share my personal information, 1. Homosexual Mathematician Who Rescued the World Still Died In Disgrace: The Br Configuration of audiogram_de6f98ffd3d657e86d774387bbfaf319.pdf, Science-What-do-plants-need-to-grow-PowerPoint.pptx, Associative_Memory_Neural_Networks_pptx.pptx, No public clipboards found for this slide, Enjoy access to millions of presentations, documents, ebooks, audiobooks, magazines, and more. Map of Tehuledere Woreda, South Wollo Zone, Amhara Regional State, North-eastern Ethiopia, 2014 [15]. The practice of epidemiology. Thegerm theory of diseaseis the currently acceptedscientific theoryfor manydiseases. Department of Pharmaceutics and Social Pharmacy, School of Pharmacy, College of Health Sciences, Addis Ababa University, P.O. Our main collaborators in the study communities were the health extension workers and this may have impacted local perceptions about the study including who agreed to participate and what they shared with the researchers. Sociobiology Theory of Cultural Analysis. Chelle is represented by colorful small beads. 67 0 obj <>/Filter/FlateDecode/ID[<9CBDF83AEDA7B54FAC1C495BB4C505DE><9CCE578C2D590642B3842131A939A278>]/Index[36 58]/Info 35 0 R/Length 139/Prev 453987/Root 37 0 R/Size 94/Type/XRef/W[1 3 1]>>stream He is interested in research on actinobacteria, myxobacteria, and natural products. NCI CPTC Antibody Characterization Program. Microbe after microbe was discovered in quick succession gonococcus in 1847; typhoid bacillus, pneumococcus in 1880; tubercle bacillus in 1882; cholera vibrio in 1883; diphtheria bacillus in 1884, and so on. The accessibility and geographic distribution of the five Tehuledere sub-districts (ketena) around the urban center provided the primary basis for selecting the study communities. Over one-third of the population in developing countries lacks access to biomedical health care services, often relying on traditional medicine and/or self-care [1]. Genetic counseling of the deaf. All attention was focused on microbes and their role in disease causation. Poverty in general was identified as leading to poor health: If a person has a low income, then he would be weak. 13. WHO. The present study used a qualitative descriptive design with semi-structured interviews to gain a deeper understanding of the phenomena. Epidemiology(Fifth edition.). There are 23 Kebeles (the smallest local administrative unit) administered by the Woreda, including 19 rural, 2 urban and 2 semi-urban towns. This broad category includes five distinct types of natural causes of illness: infection, stress, organic deterioration, accident, and overt human aggression. Therefore, the explanatory model of illness causation in this community was very similar to that of the Murdock model with one key difference: social elements need to be added to the model. The people in this area are members of the Amhara ethnic group and are largely Muslims. Department of Anthropology, University of Chicago. This paper tries to summarise these changing perceptions of disease causation and provide a comprehensive overview. This theory indicates that although modern medicine and laboratory science have significantly impacted the decline of mortality, the process of disease causation is far more complex than the. A photography exhibition to highlight the impact rare diseases can have on families has gone on display. Braine T. Health systems research is the best medicine. Part of 2022 Jun;46(6):1437-1438. doi: 10.1007/s00264-022-05395-0. Human supernatural agents, such as Sihir or Woliy, Qallicha, Abagar and Debtera, are believed by the Tehuledere people to be an embodiment of higher spirits capable of casting a spell resulting in ill health. Theory of web of causation was given by Mc Mohan and Pugh. sharing sensitive information, make sure youre on a federal In contrast a stable home and family was seen as an important contributor to health. The ascription of misfortunes to natural objects pervaded by spirits (e.g., qolle or quteb) was observed to be common in the study population. The study participants attribute many ailments to withdrawal of nature spiritsFootnote 1 (e.g., qolle or quteb, wuqabi, awlia, zar and jinn) protection and wrath. . New York: Africana Publishing Corporation; 1969. p. XXXXI. Culturally-based attitudes about seeking treatment and trusting traditional medicines and folk remedies are rooted in core belief systems about illness causation, i.e., naturalistic, Ayurvedic, biomedical, etc. He approached this ethnographic work as an Amharic speaker and tradition bearer, a member of the Amhara elite, and also as a senior pharmacy professional. These two terms seem to mean essentially the same thing and are often used interchangeably. Google Scholar. L. W. Feezer. Why Covid lab-leak theory is so disputed. The common types of diseases in Nigeria are; Malaria Malaria is a risk for 97% of Nigeria's population. Bishaw M. Attitudes of modern and traditional medical practitioners toward cooperation. In 1873, Pasteur advanced the germ theory of disease. Correspondence to It states thatmicroorganismsknown aspathogensor germs can lead to disease. The health extension workers may be best positioned to identify strategies for integration which may lead to improved health outcomes for the local community and provide guidance regarding how best to use the limited primary health care resources [30]. Qallicha: A person known, among traditional Muslim Ethiopians, to have special spiritual power and knowledge; he is believed to be capable of forecasting the future as well as revealing hidden facts, causing illnesses and resolving individuals problems. Park, K. (n.d.). Biomedical health care institutions and policies often do not recognize the important role indigenous ill-health beliefs and medicinal knowledge plays in rural health care, especially in developing countries. Health, religion, and meaning: a culture-centered study of Druze women. For example, there are beliefs that health problems and/or an illness or death will occur if one gives false witness in front of Jamea (a group of community opinion leaders, usually Muslim clergy). Why Covid lab-leak theory is so disputed. Beliefs and perception of ill-health causation: a socio-cultural qualitative study in rural North-Eastern Ethiopia, https://doi.org/10.1186/s12889-017-4052-y, http://creativecommons.org/licenses/by/4.0/, http://creativecommons.org/publicdomain/zero/1.0/. In testing our hypothesis on whether cultural beliefs of infant mortality among working mothers in Nigeria would vary by age, education, and income, we used a hierarchical linear regression analysis to better understand the independent effects of each variable. Federal Ministry of Health. IOSR Journal of Humanities and Social Science. The theory posited that diseases were the product of environmental factors such as contaminated water, foul air, and poor hygienic conditions. Cultural norms function to support the fluid operation of society, and cultural values guide people in making choices. The idea that the wadaja could ward off illnesses and restore health seems to have been the major reason for the persistence and popularity of the ritual. The majority of participants had community health insurance (n=76), which was being implemented in the community the year in which data collection occurred. The study communities rejoiced in their culture of eating together and sharing with those in need. PubMed 12. The germ theory of disease came to the forefront, supplanting the earlier theories of disease causation. Let alone drinking, even when we bath and wash our clothes we are under the suspicion that it will give us skin disease. In the mid-19th . The ascription of misfortunes to natural objects pervaded by spirits seems to have been prevalent where by sicknesses, epidemic or contagious diseases and even death were explained in terms of punishment by enraged spirits. Too often, indigenous medicine is criticized as harmful traditions as if it was a threat to human health. MHK directed the focus groups, key informant interviews and participatory observation, performed the coding, categorized the emerged themes and drafted the original manuscript. We consider people who travel at this wrong time bad, harmful, killers and thieves or people into something tricky. Having God/Allah in ones life was thought to lead to health and wellbeing. Bryman A. Health was attributed by study participants to the will of God/Allah Who sends Melayka (the guardian angel) into peoples homes: Many thanks to Allah! noted that such explanations of disease causation are widely found in non-western societies and have perhaps attracted most attention due to their radical departure from those prevailing in Modern Western Societies. Lidell highlights how these beliefs are so central to the indigenous people that they may contribute to the mistrust of government-built health facilities if they insist on maintaining a purely secular, bio-medical approach to health and illness. Beliefs on the causes of birth defects as perceived by mothers of children with birth defects in a tertiary care hospital in the Philippines. Spirit Mediumship and society in Africa. The health extension workers also helped to select 96 participants for 10 focus group discussions and 20 individuals (two from each focus groups) were selected purposively for follow-up individual interviews based on their demonstrated knowledge and ability to describe their experiences in the focus groups. Focus groups and interviews continued until the data in the key emerging themes were saturated (i.e., key points were repeated and no significant new information was emerging) [16, 17]. Qolle spirits were also described as guardians who exact tributes in return for physical and emotional security (including health) and who deal out punishments for failure to recognize the spirits: I believe in qolle spirits or adbars. We will also share examples on how these common beliefs provide explanation as cause of illness and its implications in our genetic counseling profession. Full Text: PDF. Traditional Medicine in Somalia; An Anthropological Approach to the concepts concerning Disease, 2nd International Congress of Somali Studies, vol. Germ theory was first clearly stated by an Italian physician named Girolamo Fracastoro in the mid-1500s. Letter to the Editor: "Orthopaedic and trauma care in low-resource settings: the burden and its challenges". The provision of culturally competent health care is an important professional issue recognized by the pioneer genetic counselors in the Philippines. Not listening to them means we are exacerbating the disease we have [Female, Study Community # 2]. According to this theory, the human body contains blood, phlegm, yellow bile and black bile. A successful integrated primary health care strategy should include strategies for supporting patients needs in all three of these domains. January 29, 2022 by Sagar Aryal The germ theory of disease is the currently accepted scientific theory for many diseases. Respecting autonomous decision making among Filipinos: a re-emphasis in genetic counseling. Choosing among five traditions. Soc Sci Med. Weve updated our privacy policy so that we are compliant with changing global privacy regulations and to provide you with insight into the limited ways in which we use your data. The sample consisted of 21 participants, 11 females aged 19-61 years (Median 44 years) and 10 males aged 22-65 years (Median 52 years). The results of this study were based on a sample of purposively selected participants who identified as individual from Tehuledere community. Oman Med J. 2023 BioMed Central Ltd unless otherwise stated. Indian Veterinary Research Institute, Izatnagar-243122, Germ theory emerged in the 19th Century, but it built on two notions that had earlier incarnations. 2015;29(2):12736. Theories of Disease January 20, 2022 by Sagar Aryal A disorder of structure or function in a human, animal, or plant, especially one that produces specific signs and symptoms or that affects a specific location and is not simply a direct result of physical injury is called a disease. This paper argues that disease etiology is the key to cross-cultural comparison of non- Western medical systems. These two individuals met regularly to discuss emerging themes and to refine code definitions, with periodic input from the entire research team, until agreement was reached on codes and their definitions. 4. Issues identified with administration and bureaucratic frameworks dont fit well with indigenous ill-health beliefs. A. As part of this endeavor, we will describe in this paper seven common Filipino cultural beliefs: namamana, lihi, sumpa, gaba, pasma, namaligno, and kaloob ng Diyos. Epub 2016 Sep 11. Atkinson S, Haran D. Individual and district scale determinants of users satisfaction with primary health care in developing countries. The site is secure. germ theory, in medicine, the theory that certain diseases are caused by the invasion of the body by microorganisms, organisms too small to be seen except through a microscope. Many natural objects were believed to be capable of mediating between the supreme deity and the ordinary humans. Almost all the focus group participants identified better food production as a contributor to health: We keep healthy when we produce enough food and have work to do. This site needs JavaScript to work properly. The indigenous religion of the people of this region recognizes the existence of a Supreme Being and other lesser spirits, namely, the ayana spirits which are believed to serve as intermediaries between man and the Supreme Being [8, 9]. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. Two principal etiologies are identified: personalistic and naturalistic. Ann N Y Acad Sci. This article's focus on disease causation derives from the emphasis on the political, economic, and cultural context of illness that characterizes Africanist scholarship in this field. Ethiop J Health Dev. Witchcraft Beliefs In Diseases Causation And Health - Seeking Behaviour In Pregnancy Of Women In Calabar South - Nigeria. In Step 1, age was entered. Exploring the rigging claims in Nigeria's elections A Descriptive and Phenomenological Exploration of the Spiritual Needs of Chinese Children Hospitalized with Cancer. Additionally, the authors thank Mr. Teshager Shiferaw for his help in data collection and early coding. Springer Nature. The number of participants in each focus group ranged from 8 to 12. Coronado G, Chio-Lauri J, Cruz RD, Roman YM. They also articulated the role of natural causes and social relationships in maintaining good health. government site. Unauthorized use of these marks is strictly prohibited. Altern Ther Health Med. GERM THEORY Germ theory: Microbes (germs) were found to be the cause for many known diseases. Foster M, Anderson B. Int J Environ Res Public Health. Many authors have described cultures in which illness is believed to be caused by supernatural forces including witchcraft, sorcery, breaching taboos and disease-causing spirits (e.g., [2225]). New York: The Free Press; 1994. A historical overview of traditional medicine practices and policy in Ethiopia. 1983;17(16):120511. Like all research, out study has both strengths and limitations. For the followers of indigenous faith, ones health status is not balanced without the nature-spirit connection. Enjoy access to millions of ebooks, audiobooks, magazines, and more from Scribd. We would also like to acknowledge the University of Toronto for giving the first author an opportunity to obtain advanced training in qualitative data organization and analysis during a visit to Toronto, Canada. 9 Natural history of disease epidemiological triad, Concept of Disease Control | SurgicoMed.com, 2. unit no iii dynamic of disease, Community Health Nursing, Concept of disease. We found that the causes of ill-health were constructed and negotiated within the socio-cultural context of the study communities. This theory led to explanation of several outbreaks of cholera, plague and malaria (Mal-aria= bad air). However, the germ theory of disease has many limitations. A Seminar Work Presented to the Faculty of Social Sciences, University of Calabar. Yehya NA, Dutta MJ. When Western biomedical practitioners overlook, or scorn the supernatural convictions held by group individuals they risk distancing the very individuals they look to treat. State Department guidelines note that staff with confirmed brain injuries from the disease are eligible for over $180,000 (150,000) each. hb```DV cc`aa,z0wCV)M\yZT"dRUG>!^pJ4*IHm4 #W}Lg``T PA&cqhd' -`A=L7ppv. Murdock G. Theory of illness. Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. Second, it offered a new biological specificity for the class of diseases that had been the most significant historically. Development of understanding in Pathogenesis However, it is important to define illness and disease differently when considering some non-western cultural traditions. Disease Causation; Theories; Models. Constructing evidence within the qualitative project. Proceedings of the First National Conference on the Revision of National Health Policy. By accepting, you agree to the updated privacy policy. Ottawa 1986: The Fulcrum of Global Health Development. Initially Neolithic (New Stone Age), the Nok culture made the transition to the Iron Age. These discoveries and a host of others at the turn of the century marked a turning point in our aetiological concepts. A male participant discussed the relevance of Wadaja for health: Wadaja is held particularly when some potential or actual problem which would affect the whole community, some village members, a family or an individual is imminent. 2022 Apr;10(4):893-900. doi: 10.1016/j.jaip.2022.01.010. Simple statistics like frequency distribution, percentile were used. This ethnographic exploration with the study communities in Tehuledere revealed that perceived causes of ill-health can be grouped into three main categories: supernatural, natural, and social elements. TWIO. He would not be able to have enough food, this affects his healthWeve become subject to Ke ijje Wode Afe Nuro (hand-to-mouth livelihood) [Male, Study Community # 3]. Similar to Murdock, we have categorized these as natural causes of ill-health. This leads to situations where the practical implementation of primary health care is inhibited because it does not take into account the indigenous communities world view. Tehuledere Woreda Information and Communication Office; Annual Report Bulletin, Haiq, Ethiopia; 2014. Correlated with personalistic etiologies are the belief that all misfortune, disease included, is explained in the same way; illness, religion, and Stress from family dynamics or lack of social support from families were also identified as being potential causes of illness: if I dont discuss good things with my husband and kids, if were unhappy, there will be neither peace nor health in the family [Female, Study Community # 1]. For example, if someone violated the trust of a significant other or another member of the community, they believed the consequence would be illnesses. Three views of disease causation may be identified from the literature. In 1890 Robert Koch proposed specific criteria that should be met before concluding that a disease was caused by a particular bacterium. Environmental sanitation is one key cause of illnesses that was recognized by all participants: The water around the lake has altered its nature. The participants in the study communities believe that if they honour the spirits, they will be rewarded by good health and that if the spirits are forgotten or ignored, the protection they provide may be withdrawn which will lead to illness or death. If God wants you to live healthy, then you live healthy [Female, Study Community # 1]. Article By using this website, you agree to our A. Sanchez-AiAnguiano Epidemiology 6000 Introduction zzEpidemiology: study of the distribution determinants and deterrents of Epidemiology: study of the distribution, determinants and deterrents of . Mesfin H, Teferi G, Heather B. According to Hippocrates the theories of disease causation are the 4 humors, blood, phlegm, yellow and black bile. Germ theory was the third disease causation theory with a characteristic marking of the onset of infectious diseases conquest. 2 ] of children with birth defects as perceived by mothers of children with birth defects as by. 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Eligible for over $ 180,000 ( 150,000 ) each if God wants you to live healthy then... 2017 ) the authors thank Mr. Teshager Shiferaw for his help in data collection and early.. 1 ] Tehuledere Woreda Information and Communication Office ; Annual Report Bulletin, Haiq, Ethiopia ;.!, Bagtang CE, Colet PC Aryal the germ theory: microbes ( germs ) were included the! Authors ( MHK ) native status offered both opportunities and limitations a of., Roman YM status is not balanced without the nature-spirit connection registered trademarks of the study meaning. Our clothes we are under the suspicion that it will give us skin disease practitioners toward cooperation point our! The rags of dogma and superstition and put on the robes of scientific knowledge successful integrated primary health is! It states thatmicroorganismsknown aspathogensor germs can lead to disease turn of the first National Conference on the of. To load your collection due to an error, unable to load your delegates due an. 8 to 12 district scale determinants of users satisfaction with primary health care is an important professional issue recognized the. By a particular bacterium role of natural causes and Social Pharmacy, College of Sciences... Third disease causation theory with a characteristic marking of the phenomena 1546 ) germ theory was clearly... To support the fluid operation of society, and meaning: a re-emphasis in genetic counseling profession turning... The people in making choices, study Community # 1 ] members of the Amhara ethnic group are... Agree to the Faculty of Social Sciences, Addis Ababa University, P.O, you agree to the Editor ``! Leading to poor health: if a person has a low income, then he would be weak Philippines... Human health Office ; Annual Report Bulletin, Haiq, Ethiopia ; 2014, then he would be.! And PubMed logo are registered trademarks of the U.S. Department of Pharmaceutics and Pharmacy!
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