(2) The Department of Human Resources has required each child two months of age . 2022- 2023School Requirements | En Espaol, Vaccine Schedules, City of St. Louis Department of Health. endstream
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2000e; 5 U.S.C. The EEOC published a sample form that employers can use for religious accommodation requests from workers, which have risen as Covid-19 vaccine mandates proliferate in the workplace. What is an Exemption and What Does it Mean? @>L"%J@QI Parents and guardians should indicate which required vaccines are being exempted from on the Parent/Guardian Immunization Exemption form. The Department of Health Form Imm.P.12 shall be on file with the school immunization health record for each child with a medical exemption. 284 0 obj
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You will be subject to the destination website's privacy policy when you follow the link. EMC Commissioners,
At the same time, a study of the experience in early fall 2020 found an association between colleges and universities with in-person instruction and increased infection incidence in the counties within which the schools were located. All 50 states and the District of Columbia allow medical exemptions. endstream
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<. exemptions under Section144.054, RSMo, are exempt from state sales and use tax and local use tax, but not local sales tax. have As Google's translation is an automated service it may display interpretations that are an approximation of the website's original content. HepB Birth Dose. FEMA and the City of St. Louis recommend going to vaccines.gov and entering your ZIP code for the nearest convenient location to receive a vaccine. I understand the risks of non-immunization.
816-881-3000 Some State of Missouri websites can be translated into many different languages using Google Translate, a third party service (the "Service") that provides automated computer
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I=D3k|Lz9Eia1+~@3=KZ7EY-2$&8f}@$05NhL`=#lIs?O)y9`[5$8j/53]fLxTa1E;:iCr%R Examples of acceptable forms of proof of vaccination include: CDC COVID-19 vaccination record card (or a legible photo of the card), . ]KG=xeXv9m+-_skW~#] 'zq^OzAKzx{#[9ryykOy}BoG{|zaKV [ngMtUwEyOYJV.Rx:N/Dur
$41CP,)Ag] Step 3: Open the form and fill it out. }>s7m;~c[^|t. m? this is to certify that . Rutschman said there are legal exemptions for these mandates. note that mmr and meningitis vaccination is required under missouri state immunization laws (section 167.181 rsmo) for school attendance. City residents may call 314-657-1428 to make an appointment. [R3Nqn )S
Visit theInfluenza (flu) Vaccine Information website. The assigned expiration is at the sole determination of Columbia University. By selecting a language from the Google Translate menu, the user accepts the legal implications of any misinterpretations or differences in the translation. y\"1117MCGr Copies of immunization records and any Certificate of Exemption must be on file with the School, Child Care Facility or Head Start and available for review. Neither the State of Missouri nor its employees accept liability for any inaccuracies or errors in the translation or liability for any loss, damage, or other problem,
Parents and guardians should indicate which required vaccines are being exempted from on the Religious Immunization Exemption form. Parents use the same site to request medical exemptions from vaccination for their children. You should not rely on Google
NN3lW^6>LUQwe^UVh2[ qh>PAk,)|} & ,6:2>Sp+5,Tu`:C`86vUVI;TF"zG3@z mZ \Jo These vaccination requirements are important tools for maintaining high vaccination coverage and low rates of vaccine-preventable diseases (VPDs). No child shall be permitted to enroll in or attend any public, private or parochial day care center, preschool or nursery school caring for ten or more children unless such child has been adequately immunized . Current Revision Date: 02/2022 Authority or Regulation: 5 U.S.C. Xe^FsLkP^Ab Real-life accounts of people who have suffered or died from vaccine-preventable diseases: compelling personal testimonies, case reports, and articles. %PDF-1.7
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chapters 33 and 63 and Executive Order 12196, Occupational Safety and Health Program for Federal Employees (Feb. 26, 1980). hb```f``: Abl,
a`FG^Ocaf H& Q@ZU"KXbX J>Eaa+9tyh:0Pp^ k9Ij% t -d0$C 3. In Conway, Ark., Matt Troup, CEO of Conway Regional Health System, has granted 45 religious exemptions to employees who refused to get a COVID-19 vaccine. And 15 . A sign at Grace United Methodist Church in St. Louis encourages passersby to get vaccinated against the COVID-19 virus on Friday, Sept. 17, 2021 . Please check with your state, local, and territorial health departments for more information. %%EOF
Call 636-797-3737 for more information. ,/6lL:}emh{d(p An exemption can be filed for selected vaccines or for all vaccines. Exemption: An individual enrolled in a postsecondary educational institution who will be residing in on-campus housing shall provide documentation of vaccinations against meningococcal meningitis and hepatitis B unless the individual, if the individual is 18 years of age or older, or the individual's parent, if the individual is a minor, declines You must complete Part 1 of this form. Acting Director
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Paula F. Nickelson, PLEASE READ THIS DISCLAIMER CAREFULLY BEFORE USING THE SERVICE. City of St. Louis ordinance #68597 states every holder of a PERMIT for a FOOD ESTABLISHMENT, operating for more than ten days, shall verify a certificate of immunization from a health care provider for the Hepatitis A virus from every EMPLOYEE assigned to the preparation, display or service of FOOD for such FOOD ESTABLISHMENT within thirty (30) days after the commencement of such EMPLOYEE'S employment. More information, including how to submit proof of vaccination or an exemption, will be provided in the coming months. YQ!#=7+>Di![ih@- 1+^^zq`ch@- Vaccine Exemption Template. 343 0 obj
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With vaccine authorization in the U.S. and the promise of potential availability for student populations in late spring and summer 2021 (in most states . Saving Lives, Protecting People, Immunization Action Coalition State Information, Public Health Law Program Vaccination Laws, National Center for Immunization and Respiratory Diseases, U.S. Department of Health & Human Services. It is recommended individuals use the Microsoft Edge web browser when submitting a vaccine exemption request online. Their objections were largely based on. JlU|oMuv9[A.N7*Ctw(vemt.%93S2J)Xn8`N\y16osG%rnwV[U]xI?+GK'b6!pM%sbQN5E5[s5O#g' s
Instructions 04/06: Administration: Yes : 04/06: CD-142: Case File Documentation Checklist : . Recognizing outstanding vaccination efforts in healthcare settings. Revised Statutes of Missouri, Missouri law . Katie Kull , Annika Merrilees. What is Evusheld? Legal Decisions and Orders Issued December 2, 2022. By selecting a language from the Google Translate menu, the user accepts the legal implications of any misinterpretations or differences in the translation. 2105 DOWNLOAD THIS FORM: Choose a link below to begin downloading. %PDF-1.6
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Although exemptions vary from state to state, all school immunization laws grant exemptions to children for medical reasons. like you You are eligible to use this form if you're a: general practitioner, as defined in the Health Insurance Act 1973; practice registrar on an approved 3GA training placement; paediatrician Services available from 8:30 a.m.-5:00 p.m. Monday-Friday. Cookies used to enable you to share pages and content that you find interesting on CDC.gov through third party social networking and other websites. Any employees and volunteers who receive exemptions may be subject to COVID19 testing and/or other COVID19 public health measures. Also, in Missouri and Illinois, a religious reason . Exemptions from vaccination requirements may apply for some children. Tables 1-4: Summary of conditions and/or adverse events following immunization (AEFI) that may qualify for a medical exemption to COVID-19 vaccination An exemption form can be obtained for printing by clicking the button below. endstream
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MMWR. Provides records for Hepatitis, immunizations, lead, and closed City hospitals, $10 Fee per Record (cash only, please have exact change). endstream
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Author: Andrew Torba. The Centers for Disease Control and Prevention (CDC) cannot attest to the accuracy of a non-federal website. ?P0Mey{Y`:&de,Kwq,Ak'|^\Z,u.$ $O|_hF|g (0@qds|U q]< `pP_teZRGA%Eg
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You can tailor it to any state by looking up your state statutes for religious exemptions and typing it into the form. Immunization Section, Mail Code 1946. name of student (print) should be exempted from the following immunization(s) Individual states allow for various exemptions open_in_new to vaccination requirements.
There are circumstances where the service does not translate correctly and/or where translations may not be possible, such
Jul 31 2021 August 11, 2021. HVmo6. [an error occurred while processing this directive], SEPH/Bureau of Environmental Health Services, Bureau of Immunization Assessment and Assurance, SDP/ Communicable Disease Control and Prevention, Div. 71rP;aB;~g-yAI $WB/d =
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e(+ "8cUc]7 B:pDyV=S[e46g+8>]N>]VPW &(2R$u^-C^My(Rsy~6Pho A:1u%wun&Q;qiBwRRZv^?|=V]N +m`NlQe2jv*fi]>ob42%hwlL%R7Q4YTU6>BF`!/KI$P]) Religious freedom is a core value in the United States. Governor Parson released the following statement regarding the Order: The University will provide medical and religious exemptions to this vaccination mandate, as provided for under Title VII of the Civil Rights Act of 1964 and the Americans with Disabilities Act. Vaccines are now available to everyone ages 6 months and over. Is it everyone in these settings or just workers who interact with patients? However, some states allow other health care workers to certify. A hospital system in Arkansas is making it a bit more difficult for staff to receive a religious exemption from its COVID-19 vaccine mandate. Michael E. Mullen v. Jake Zimmerman, Assessor, St. Louis County, Missouri. The exemption must be completed and filed with This need not be renewed annual-ly. /P@m B
*6#v ;SR[strYNA{)G0-n. 3%Rw_ Report of Students in Noncompliance Tool A tool created to help track students in noncompliance with the Missouri School Immunization Law. Exemptions. If you have questions or comments regarding these forms or web page, please e-mail
[email protected]. As of January 1, 2023, There are circumstances where the service does not translate correctly and/or where translations may not be possible, such
Iowa Code, Chapter 139a.8 (6) and Iowa Administrative Code, 641-7.7 (139) outline the immunization requirement for students attending licensed child care centers and elementary or secondary schools. A medical exemption is allowed when a child has a medical condition that prevents them from receiving a vaccine. :>k-KmmpgwBi 7G_S4v2>^wq`..I44|2nK`/0;3OF_70yF,r@E[ -Zkx2& puilV66(2|%o~o U~XQj^l:)[kO76wWNiQg]fV]E,+\8EoGjc>\zfs3]RZf WK)LJM%KeQFtYG %#X.eRk)UI:6. FORM REQUIRED: Children enrolled in School, Child Care or Head Start. Exemptions from state or local requirements may apply to some children. The Missouri Department of Health and Senior Services (DHSS) strongly encourages you to immunize your child, but ultimately the decision is yours . In addition, some applications and/or services may not work as expected when translated. Additional information on this ordinance is available online. You can use the Missouri COVID-19 Vaccine Navigator to register and schedule appointments for vaccinations. v'mbS`j*\s}ltg}Q E(J{q7{^(0g*W(*b A-1$1K%D=+ N/ medical immunization exemption form . As Google's translation is an automated service it may display interpretations that are an approximation of the website's original content. endstream
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OCTOBER 28, 2021 Jefferson City Today, Governor Mike Parson announced that he has issued Executive Order 21-10 to protect the individual rights of Missourians against overreaching federal COVID-19 vaccine mandates. 1982; Amendment June 11, 1993; Amended: Filed 1/17/97, Effective 2/21/97 .
If you are a resident of the City of St. Louis and are seeking a medical or religious immunization exemption for your child, you must go to the City of St. Louis Department of Health (DOH) The City of St. Louis Department of Health and the Centers for Disease Control and Prevention recommend a yearlyflu vaccinefor everyone 6 months of age and older as the first and most important step in protecting against this serious disease. Form # Form Name Instructions Category Employee Access . 288 0 obj
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MMWR. The MPOX virus continues to spread in the St Louis region and the regional local public health departments are working diligently with local clinic partners to provide MPOX vaccinations. Contact Us. The State of Missouri has no control over the nature, content, and availability of the service, and accordingly, cannot guarantee the accuracy, reliability, or timeliness of the
P.O. We take your privacy seriously. m&^kErDd6V{tkqm(jblc -)OD_lQ$Y|C8?QwD99azN)1u\I)K_Jxun^&;27 ,f 4a
ie;qX04LO5K|Cfd%KL|,s>32c={Nq4sN\pp;UR9L~, (H`Nok;>y:5\T*+,{\l4%f'}F&qj. 42 U.S.C. teachings or personal beliefs can also apply for an exemption. accurate. vaccine is possible under the management of an appropriate physician or nurse practitioner. 2021:70 (03);75-82 Missouri Department of Health & Senior Services, Contagious Diseases Excluded from School 167.191, Immunization Requirements for School Children 19 CSR 20-28.010, Missouri School Immunization Requirements Vaccines Received 0-18 Years of Age, Medical Immunization Exemption (Imm.P.12), Religious Immunization Exemption (Imm.P11A), Exclusion from School and Readmission 19 CSR 20-20.03, Human Papillomavirus (HPV): What You Need to Know, Meningococcal Disease: What You Need to Know, Epidemiology and Prevention of Vaccine-Preventable Diseases, 13th Edition (Pink Book), Exemptions: What Medical Providers Need to Know - FAQ, Vaccines for Children Information for Parents, Vaccines for Children Information for Parents, Spanish, Vaccines for Children - Information for Providers, Vaccines for Children - Information for Parents, Nondiscrimination Notice (Translations Available). "Swearing" the document simply means that you are swearing or declaring that the statements in the document are true. 0. as with certain file types, video content, and images. St. Charles, MO 63301, Saint Louis County Department of Public Health, Vaccination appointments can be scheduled at, Vaccines will be given at the North Central Community Health Center at 4000 Jennings Station Rd, St. Louis, MO 63121, Call 314-955-9600 to schedule vaccination, Vaccines are available at SSM Health locations in Rock Hill, Florissant, Arnold, and OFallon, Southampton Healthcare is located at 2340 Hampton Ave, Saint Louis, MO 63139. If you need to go back and make any changes, you can always do so by going to our Privacy Policy page. translations of web pages. Workers who wish to be exempted from the vaccine requirement are invited to visit the university's Human Resources page, where an application can be completed. fyuiF+qu$bPnP!X:qRU 3|i B-]wUqg@4)`w? Paula F. Nickelson, PLEASE READ THIS DISCLAIMER CAREFULLY BEFORE USING THE SERVICE. All students are required to provide documentation that includes the month, day and year the vaccine was administered. Google Translate will not translate all applications. When both are completed, you can go to "My Tickets" on ACMS and upload the completed form to your RA ticket. The City of St. Louis Department of Health recommends that all residents keep up with their vaccines, especially COVID-19, influenza, and the vaccines that are required for children to attend school. Standardized form used to report immunization status of Missouri Public, Private, Parochial and Parish school children. hb``g``uAb@qa^_C8x0(u4 EDGT3p42@, e`tSXi+L:LLL{6}lO9j27JyuH3HHk3p,t(X2d8%Uf` )-k
At a hearing before the Military Personnel Subcommittee of the House Armed Services Committee, Gaetz asked Erik Raven, undersecretary and Chief Operating Officer and Chief Management Officer of the Navy, "Did the Navy send out form letters in response to people's requests for religious exemptions" from the DOD vaccine mandate. On December 9, 2020, the Office of Federal Contract Compliance Programs (OFCCP) published the final rule "Implementing Legal Requirements Regarding the Equal Opportunity Clause's Religious Exemption" in the Federal Register. from The Department of Health offers immunization exemptions for minor children. Note: A parent/guardian immunization exemption is usually secured for daycare aged children and must be renewed annually. All fifty states allow immunization exemptions for medical conditions. d8!f3a0rq^o uam{O xW!wo)4"9g_ki*;V,1L&)NyaB OY3cf^9r@fmVu!(Fe"o)PlKOC(&i$id\zJbK>^8i=g/\;#
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Public Health/Directors Office, DEATH CERTIFICATES - CUT FORM - FEE RECEIPTS, BIRTH CERTIFICATES - CUT FORM - FEE RECEIPTS, SANITATION INSPECTION REPORT, FAMILY CHILD CARE HOME, SANITATION INSPECTION REPORT (PG.2) (REV. All other encounters will be by appointment only. 210.003. Q,&/`=|"II96', Immunizations of children required, when, exceptions duties of administrator, report notification of parents, when. 4(*c`-P+r=-Iy^(r';U;ISp8wrRe65D=/@Lrb%BxV4mEm~G5#c+d,HS Missouri Department of Social Services is an equal . hW[o+|l)R
( including without limitation, indirect or consequential loss or damage arising from or in connection with use of the Google Translate Service. All states, the District of Columbia, and territories have vaccination requirements for children attending childcare facilities and schools. endstream
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THIS IS TO CERTIFY THAT NAME OF STUDENT (PRINT) SHOULD BE EXEMPTED FROM THE FOLLOWING IMMUNIZATION(S) Diptheria Tetanus Pertussis Td Varicella Hepatitis B Acting Director
Check the appropriate box for the type of exemption to be claimed according to . People who have had any of the following in the past 6 months: Sex in association with a large public event in a geographic area where MPOX transmission is occurring (this currently includes the St Louis metro region), Sexual partners of people with the above risks, People who anticipate experiencing the above risks, People who know one of their sexual partners in the past 2 weeks has been diagnosed with MPOX, Call 314-814-8700 to set up an appointment, Vaccines will be given at their Midtown location at 2900 Washington Ave, St. Louis, MO 63103, Walk-in Vaccinations are also available at the Midtown location on Thursdays 9am-11:45am and Fridays from 9am-2pm, Jefferson County Department of Public Health, Vaccine appointments available by appointment. If approved, the exemption will remain in effect for the duration of the current academic year. The Supreme Court on Thursday, Jan. 13, upheld a federal COVID-19 vaccination requirement for staff at all U.S. nursing homes and other federally funded healthcare facilities.The rule, announced . 436 0 obj
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\|=:m:Mi`=1'N+l `+{mXz HV]O0}p$n!$Z ! A federal judge has rejected a Kansas City charter school student's claim that Missouri's official religious exemption form for vaccines is an unconstitutional infringement of religious freedom. There are some notable exemptions to the vaccine mandate including individuals with certain allergies, recognized medical conditions, or religious . The following information is for those seeking vaccinations in the City of St. Louis. Influenza Vaccination for HCP. All states, the District of Columbia, and territories have vaccination requirements for children attending childcare facilities and schools.
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aB6dinOW}5Yf:\1NDocj7c3ltVn`O20KC}l)e Legal Decisions and Orders Issued December 30, 2022. comments Google Translate will not translate all applications. 2. The State of Missouri has no control over the nature, content, and availability of the service, and accordingly, cannot guarantee the accuracy, reliability, or timeliness of the
The Google Translate Service is offered as a convenience and is subject to applicable Google Terms of Service. Employees may email MU Health Care AskHR for additional information at
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+x|+QpV>@C`]`&hok(`Hr8kUnrfh All the locations below will provide vaccination if you do not have insurance. Should I contract COVID-19, I will immediately report it to my supervisor and Human Resources at Religious exemption. Those individuals who are granted exemptions will be. Evusheld is a combination of two monoclonal antibodies and is designed to prevent COVID-19 infection in high-risk individuals. t|_*r9%:6lLjKNxdbaJj*$+7CIYl7Em2f`@ zH2MKS&l[e54V,EY6YnfQG%tmnMYJ62iG{zh[LRNtA\]cczf " TUFs'ZZ9lCftt$7%NSP|5;|vv+ta l;@-4SN6 ,VE `Q2ojC
ji)N67i y!uREIJ*'Av)a.Ny=qud.eO+vN'~:u6k7NTo;9Y%,eSaMnIO7qnDbaH`{0l)N+s2z2Y'c sW8=tZi-CqSlzMsk3w$8~Ec{,\(}6IiC?_X 500 character limit. The U.S. Supreme Court last week rejected an emergency appeal from health care workers in Maine that a Christian legal group filed on behalf of 2,000 workers who don't want to get vaccinated. Immunization will be on a form approved by the Alabama Department of Public Health. State immunization information system record. Mail to: Texas Department of State Health Services. Individuals with approved exemptions may request to recertify exemptions each year. 4/07, MANUFACTURED FOOD PROGRAM INSPECTION REPORT, MANUFACTURED FOOD PROGRAM INSPECTION REPORT, PAGE 2, FOOD ESTABLISHMENT INSPECTION REPORT COMMENT SHEET, FOOD SAFETY INSPECTION FOR SUMMER FOOD AND AT RISK SITES PAGE 1&2, LODGING ESTABLISHMENT INSPECTION REPORT (COMMENT PAGE), MISSOURI IMMUNIZATION RECORD (MO580-0242) REVISED 12/13, PARENT/GUARDIAN IMMUNIZATION EXEMPTION FORM, IMMUNIZATIONS IN PROGRESS FORM (REV-6/12), CERTIFICATE OFCOMPLETION FOR TB TREATMENT, MO.VOTER REGISTRATION APPLICATION EXP;2016, AFFIDAVIT FOR CORRECTION OF A BIRTH OR DEATH RECORD, RESCISSION OF AFFIDAVIT OF ACKNOWLEDGING PATERNITY, WIC CERTIFICATION BACKUP FORM FOR INFANTS, PARTICIPANTS RIGHTS AND RESPONSIBILITIES-ENGLISH/SPANISH, PARTICIPANTS RIGHT AND RESPONSIBILITIES, LAMINATED YELLOW CARD, WIC NOTIFICATION OF INELIGIBILITY OR TERMINATION, MEDICAL DOCUMENTATION FORM, REVISED, 6-2020, NUTRUTION ASSESSMENT FOR CHILDREN AGES 1-5,BILINGUAL, NUTRITION ASSESSMENT FORI NFANTS BILINGUAL, WIC APPROVED FOOD LIST, EFFECTIVE OCT.,2018, PRIVACY POLICY POSTER, MISSOURI WIC PROGRAM, AND JUSTICE FOR ALL (USDA CIVIL RIGHTS POSTER), REDUCING THE RISK OF CHOKING IN YOUNG CHILDREN AT MEALTIME, REDUCING RISK OF CHOKING IN YOUNG CHILDREN AT MEALTIME,SPANISH. . CDC twenty four seven. If requesting an Affidavit by Mail, a written request for an affidavit may be sent through the United States Postal Service. These vaccination requirements are important tools for maintaining high vaccination coverage and low rates of vaccine-preventable diseases (VPDs). Vaccination requirements and permitted exemptions vary by area. care/preschool) exemption on file with the day care/preschool director or school administrator as required under the Missouri State Immunization Laws (Section 167.181, RSMo or Section 210.003, RSMo). /Tx BMC I request exemption from immunization requirements due to my medical condition(s). hbbd``b`6 Exempt workers must wear a well-fitting respirator approved by the National Institute of Occupational Safety and Health (NIOSH), such as an N95 filtering facepiece respirator, or surgical mask, at all times while in the facility. Vaccines will be provided at the Hillsboro location located at 405 Main Street, Hillsboro, MO 63050, Call 636-949-7484 or click this link to schedule your appointment, Vaccines will be given at their office at 1650 Boones Lick Rd. hX[S+zslY*H8svXD$Q/,_%qax*V[nKG%01|D#OH?@Ob`fK2NAq&"`F t,["EhO *"` M9H^1)l$3pe1p$fOAh~3[cI>
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