Found insideThe seventh edition of the Canadian Immunization Guide was developed by the National Advisory Committee on Immunization (NACI), with the support ofthe Immunization and Respiratory Infections Division, Public Health Agency of Canada, to ... 5 : Remarks: Note 1: If vaccinating persons with a history of an anaphylactic reaction to gelatine or gelatine- In addition, Vaccinophobia and Vaccine Controversies of the 21st Century should be read by trainees and researchers in child development and maternal and child health as the book's issues will have an impact on future generations of ... Found insideUniversity teachers, medical practitioners, graduate and postgraduate students, researchers in microbiology, and those in the pharmaceutical and laboratory diagnostic industries will find the book very important. (See 'Recent receipt of blood or immune globulin' below.) The measles-mumps-rubella (MMR) vaccine is a live-attenuated combined vaccine used in the prevention and, in specific patient populations, post-exposure prophylaxis to measles mumps and rubella. Yellow fever (live vaccine) - 1 every 10 years. Worldwide, the measles-mumps-rubella (MMR) vaccination has proven to be a very safe and effective health intervention. MMR vaccine and neomycin allergy Am J Dis Child. Contraindications : The poliovirus vaccine should be used with caution in patients with a history of neomycin hypersensitivity or streptomycin hypersensitivity because these agents may be used in the preparation of OPV. Gelatin is a protein formed by boiling skin or connective tissue. 4–6 Although several studies have shown that most egg-sensitive persons can receive the MMR vaccine safely, their vaccination is still … Screen all patients for contraindications and precautions to MMRvaccine:Contraindications: • A history of a serious reaction (e.g., anaphylaxis) after a previous dose of MMR vaccine or to a vaccine component (to include gelatin and neomycin) • For information on vaccinecomponents, refer to themanufacturer’s package insertor Potential Allergens in Vaccines per 0.5 mL dose Table updated January 15 2021. The only contraindication to the MMR immunization is a previous severe allergic reaction to the vaccine or vaccine component (neomycin, gelatin). It has also used in the past as a preservative in some vaccines and may still be present in trace amounts. Found insideRecounting her nearly four decades in science, including her collaboration of more than thirty-five years with Dr. Frank Ruscetti, one of the founders of the field of human retrovirology, this is a behind the scenes look at the issues and ... 4 CONTRAINDICATIONS 34 . Contraindications: sensitive to neomycin or streptomycin. Contraindications for MMR vaccination include history of a severe (anaphylactic) reaction to a previous dose or to any component of the vaccine (such as gelatin or neomycin), pregnancy and immunosuppression. 1. Contraindications: previous reactions to vaccine. Each disease section includes: disease name, description of the clinical features of the disease, infectious agent, occurrence, disease reservoir, mode of transmission, incubation period, period of communicability, susceptibility and ... We have listed vaccine ingredients (substances that appear in the final vaccine product), process ingredients (substances used to create the vaccine that may or may not appear in the final vaccine product), and growth mediums (the substances vaccines are grown in) for vaccines approved by the Food & Drug Administration (FDA) and commonly recommended by the Centers for Disease … 2. MMR vaccination: The standard vaccination for preventing measles, mumps and rubella. Found inside – Page 194Contraindications and precautions to vaccinations - cont ' d True contraindications and precautions Not contraindications ( vaccines may be administered ) MEASLES , MUMPS , RUBELLA ( MMR ) Contraindications Anaphylactic reactions to egg ingestion and to neomycino Pregnancy ... to eggs or neomycin Precautions Recent immune globulin administration Immune globulin products and MMR should ... Most often, however, neomycin allergy manifests as a contact dermatitis, which is a delayed-type (cell-mediated) immune response rather than anaphylaxis. An MMR vaccine may not be administered to a person. A history of delayed-type allergic reactions is not an absolute contraindication to OPV administration. These are the same strains as those in the 2013-14 vaccines. The new 27th edition has been thoroughly revised and updated to help you stay in step with the latest developments and recommendations. h is guide summarizes CDC’s recommendations regarding common symptoms and conditions that do and do not contraindicate vaccines licensed in the United States: Anthrax Human Papillomavirus (HPV) Rotavirus BCG Infl uenza (TIV & LAIV) Td DTaP Japanese Encephalitis (JE) Tdap DT MMR Typhoid MMRV as 1st dose is not recommended #. The AAP's authoritative guide on preventing, recognizing, and treating more than 200 childhood infectious diseases. nder 1 year /\ H Low immunoglobulins Convulsions \ I\e Live vaccines include BCG,poliomyelitis, measles, rubella, andsmallpox vaccines, andthey have Found inside – Page 538534 ) Previous sensitivity Not Contraindications Concurrent administration with DTaP , MMR , Var , IPV , Hib , HbOC , hepatitis B , hepatitis A ... Contact dermatitis to neomycin is not considered to be a contraindication to immunization . The general contraindications that apply to all immunisations are relevant to MMR. For more news and specials on immunization and vaccines visit the Pink Book's Facebook fan page Recommended: at risk areas. MMRV vaccine is not recommended as the 1st dose of measles-containing vaccine in children <4 years of age. While not afraid to be vaccination-critical, sometimes strongly so, the book presents data both positive and negative about vaccinations, sourced from official bodies and peer-reviewed journal articles. CDC advises in the Vaccine Information Statement for MMR vaccine that the following groups of persons not get vaccinated: People who have ever had a life-threatening allergic reaction to gelatin, the antibiotic neomycin, or to a previous dose of MMR vaccine. Gelatin is contained in some vaccines to protect vaccine viruses from adverse conditions such as freeze-drying or heat, particularly during transport and delivery (see table below). Recommended: at risk areas. The MMR vaccine normally is given twice in childhood: once at 15 months, and again in a booster shot at ages four to six. Safety and effectiveness of measles vaccine in infants below the age of 6 months have not been established [see Clinical Studies (14)]. Found insideMeasles immunization is accomplished with a vaccine given as part of the MMR vaccine. ... to eggs or neomycin are contraindications to the measles vaccine. Contraindications for varicella vaccination include a history of anaphylactic reactions to any component of the vaccine (including neomycin), pregnancy (due to theoretical risk to the fetus; pregnancy should be avoided for 4 weeks following vaccination), ongoing severe illness, and advanced immune disorders of … 4.3 Precautions and contraindications relating to scheduled vaccines Children with minor illness may be vaccinated safely. But, if they are suffering from a major illness or high Registered for use in people aged ≥12 months. Medical information for MMR on Pediatric Oncall including Mechanism, Indication, Contraindications, Dosing, Adverse Effect, Interaction, Hepatic Dose. subjects with known hypersensitivity to neomycin or to any other component of the vaccine (for egg allergy, see WARNINGS AND PRECAUTIONS). This activity outlines indications, action, and contraindications for the MMR vaccine. A history of delayed-type reactions to neomycin is not a contraindication for these vaccines. Appeal of M.P., on behalf of her son, A.P., from action of the New York City Department of Education regarding immunization. Recommended: at risk areas. The following conditions are contraindicated with this drug. A history of contact dermatitis to neomycin is not a contraindication. Find out what health conditions may be a health risk when taken with neomycin oral Recommended: at risk areas. o Serious allergic reactions (anaphylactic) to Gelatin, Neomycin, or other vaccines. Other contraindications include pregnancy, immunosuppression, and family history of altered immunocompetence. pregnant for three months after receiving the MMR. Contraindications : The poliovirus vaccine should be used with caution in patients with a history of neomycin hypersensitivity or streptomycin hypersensitivity because these agents may be used in the preparation of OPV. 3. This book is an attempt to fill this void by providing contributions from experts who have a vast information and knowledge on the subject of Vaccines and Immunization. Found insideTHE ESSENTIAL WORK IN TRAVEL MEDICINE -- NOW COMPLETELY UPDATED FOR 2018 As unprecedented numbers of travelers cross international borders each day, the need for up-to-date, practical information about the health challenges posed by travel ... pregnant for three months after receiving the MMR. • Second shot at age 4–6 or 11–12. 6. Immunization Safety Review: Measles-Mumps-Rubella Vaccine and Autism, the first of a series from the Institute of Medicine (IOM) Immunization Safety Review Committee, presents an assessment of the evidence regarding a hypothesized causal ... Antibiotics containing neomycin The measles rash doesn't usually appear until approximately 14 days after exposure, 2 to 4 days after the fever begins. BRITISH MEDICAL JOURNAL 3 MAY 1980 1139 Live vaccines BCG P6liomyelitis Measles Steroids Rubella Smallpox I mmunosupressive drugs ne*1, M . Neomycin tablets taken orally may be used to suppress gastrointestinal bacteria before surgery to avoid infection. MMR vaccine and neomycin allergy. The 2003 Red Book, 26th Edition advances the Red Book's mission for the 21st century, with the most current information on clinical manifestations, etiology, epidemiology, diagnosis, and treatment of more than 200 childhood infectious ... See section 12.6.1 for specific MMR contraindications. With some exceptions (such as PCV13 and PPSV23, PCV13 and MenACWY-D [Menactra], and Menactra and DTaP), all commonly used See Chapter 21 (Measles) for more details. M-M-R II. ⊕ See package insert for complete contraindication/component listing; may vary by brand * Professional judgment is appropriate when selecting needle length for use in all children, especially small infants or larger children. In the case of measles, mumps, and rubella (MMR) vaccine that contains neomycin, the package insert lists hypersensitivity to neomycin as a contraindication to the use of this preparation. Safe MMR vaccination despite neomycin allergy. For the second dose of measles, mumps, rubella, and varicella vaccines (7–12 years) and for the 1st dose at age ≥7 years, use of MMRV generally is preferred over separate injections of its equivalent component vaccines. The varicella vaccine does not contain any egg protein, so the combined shot is also safe for children with egg allergies. A few specific contraindications exist, including a genuine hypersensitivity to eggs, and to the aminoglycoside antibiotics kanamycin and neomycin. Decision No. In such persons, an adverse reaction to neomycin in the vaccine would be an erythematous, pruritic nodule or papule, 48 to 96 hours after vaccination. 17,968. However, certain people should either not … Lancet. Yellow fever (live vaccine) - 1 every 10 years. inserts for vaccines provide information on contraindications and precautions related to vaccines. 1993 Feb;147(2):128-9. doi: 10.1001/archpedi.1993.02160260018005. Thimerosal (a preservative) allergy or egg allergy may prevent you from receiving the Influenza vaccine (Flu shot) and some other vaccines. (March 17, 2021) James E. Johnson, Corporation Counsel, attorneys for respondent, Chlarens Orsland, Esq., of counsel. Includes access to a companion web site offering the complete contents of the book - fully searchable - for rapid consultation from anyplace with an Internet connection. People who have had allergic reactions to gelatin, neomycin, or a previous dose of MMR. I have no … Dosing : Found inside – Page iiiThis book provides clinicians and their staff with essential information on the vaccines that are recommended and not recommended for their patients, the diseases these vaccines prevent, and a broad range of potential vaccine safety issues ... Nonimmune individuals with measles exposure who received immune globulin should subsequently receive MMR vaccine (no earlier than six months after intramuscular immune globulin [IGIM] or eight months after IVIG), provided MMR vaccine is not otherwise contraindicated. Safety and effectiveness of mumps and rubella vaccine in infants less than 12 months of age hav… neomycin should not receive measles vaccine. Adolescent Medicine: State of the Art Reviews helps you stay up-to-date in key areas of current clinical practice of adolescent medicine. Screening For Contraindications and Precautions to Vaccination o Immuno-suppression such as occurs with cancers (leukemia, lymphoma) or medications for such Includes an enhanced drug appendix in the back of the book. Contraindications for MMR vaccination include history of a severe (anaphylactic) reaction to a previous dose or to any component of the vaccine (such as gelatin or neomycin), pregnancy and immunosuppression. A Quick Look at Using Measles, Mumps, Rubella (MMR) Vaccine ... a component of MMR vaccine (including gelatin and neomycin), or to single-antigen measles, mumps, or rubella vaccine ... • All persons born before 1957 may receive 1-2 doses of MMR if no contraindications to vaccination Healthcare practitioner: This tool can be used to aid identification of patients who may be contra-indicated for shingles vaccine, which is a live vaccine. Health care providers born during or after 1957 should have documentation of two doses of MMR or other evidence of immunity. who has had a verified anaphylactic reaction to neomycin or other excipient. Found inside – Page 143Prevention of subsequent measles infection occurs in almost all cases . CONTRAINDICATIONS AND PRECAUTIONS Pregnancy , compromised immunity , and a history of anaphylactic reactions to egg or neomycin are contraindications to the ... Most often, neomycin allergy is a contact dermatitis -- a manifestation of a delayed-type (cell-mediated) immune response -- rather than anaphylaxis. a. Found inside – Page 203Live virus , contraindicated in immunocompromised patients . Avoid if allergic to neomycin or gelatin ; caution in egg allergy . MEASLES VACCINE ( Attenuvax ) ... An increasing number of countries are now adopting a 2-stage MMR policy in an attempt to prevent epidemics among those who remain unprotected, and to move towards eventual disease eradication. But, if they are suffering from a major illness or high This is due to a small but increased risk of fever and febrile seizures when MMRV vaccine is given as the 1st … b. 1991 Feb 9;337(8737):365. A contraindication is a condition in a recipient that increases the risk for a serious adverse reaction to vaccination and is a condition under which vaccines should not be administered. Recommended: at risk areas. This guide is intended to help Canadian doctors and nurses stay abreast of current developments in the field of immunization. Print Version of Table (pdf) | download Adobe Acrobat Reader (free) Components Page; Excipients Table; Click the headers to sort the table; once for A-Z; again for Z-A. Contraindications for the MMR vaccine include a history of anaphylactic reactions to neomycin, a history of a severe allergic reaction to any component of the vaccine, pregnancy, receipt of antibody-containing blood products, and immunosuppression. Decision No. Dosing : MMR Vaccine and Egg Allergies. This text provides a practical guide providing step-by-step protocol to design and develop vaccines. Chapters detail protocols for developing novel vaccines against infectious bacteria, viruses, fungi, and parasites for humans and animals. [ ] I will inform the provider of any allergies prior to receiving the immunization, and note them here: [ ] I understand that a history of allergic reaction to eggs or the antibiotic neomycin is a contraindication to immunization with many vaccines. 1. Table 22. The Childhood Immunization Schedule and Safety identifies research approaches, methodologies, and study designs that could address questions about the safety of the current schedule. 3 HIV positive individuals and contraindications to the individual vaccines are given in the leaflets supplied with the vaccines; it is necessary to take note of them. Features a new chapter on maternal immunization. Expert ConsultT eBook version included with purchase. This enhanced eBook experience allows you to search all of the text, figures, and references from the book on a variety of devices. Antibiotic content in vaccines licensed for use in the United States. Lyophilised pellet in a monodose vial with separate diluent. Neomycin tablets taken orally may be used to suppress gastrointestinal bacteria before surgery to avoid infection. The Centers for Disease Control and Prevention (CDC) recommends a range of vaccines for most people to help prevent dangerous diseases. MMR is contraindicated for anaphylaxis to neomycin, immunocompromise and in pregnancy. Considerations should include provider assessment, patient preference, and the potential for adverse events. 2. Course • First shot at 12–15 months. 4.1 Hypersensitivity 35 Severe allergic reaction (e.g., anaphylaxis) after a previous dose of any diphtheria toxoid-, 36 tetanus toxoid-, pertussis- or poliovirus-containing vaccine, or to any component of KINRIX, 37 including neomycin and polymyxin B, is a contraindication to administration of KINRIX [see Found insideThis book proposes immunogenomics, or immunopharmacogenomics, as the next-generation big science to uncover the role that the immune system plays in the pathogenesis of many diseases, by summarizing the importance of the deep sequencing of ... who has had an immediate severe allergic reaction, or anaphylaxis, following a previous vaccine dose. [ ] I will inform the provider of any allergies prior to receiving the immunization, and note them here: [ ] I understand that a history of allergic reaction to eggs or the antibiotic neomycin is a contraindication to immunization with many vaccines. Found insideThis report indicates that, by the progress already made, these objectives are possible. It identifies key strategies and actions for countries to adopt, and indicators to use to measure progress, if they want to meet the targets by 2010. Anaphylaxis to a previous dose of MMR or any of the vaccine components (including neomycin) is a contraindication to a further dose of MMR. 6. Contraindications: * pregnancy * Allergic reaction to neomycin, eggs * Any febrile, respiratory illness * Active tuberculosis * Immunosuppressive therapy or individuals with lymphoproliferative disorders, leukemia or immunodeficiency syndromes. It has also used in the past as a preservative in some vaccines and may still be present in trace amounts. For the second dose of measles, mumps, rubella, and varicella vaccines (7–12 years) and for the 1st dose at age ≥7 years, use of MMRV generally is preferred over separate injections of its equivalent component vaccines. Guide to Vaccine Contraindications and Precautions . You can upload this form to the MMR immunization section of the Patient Portal using the “Upload” tab. Elliman and Dhanraj suggested that contact sensitivity to neomycin was not a contraindication to MMR vaccine.30 They reported the case of a 3 year old girl who had developed swelling and erythema to ear drops containing neomycin and had subsequently been given the MMR vaccine as a Named a top 10 medical title in 2009 by the Wall Street Journal The 2009-2010 edition of the CDC Health Information for International Travel (The Yellow Book) presents dependable advice on any travel health issue, including vaccinations, ... Healthcare practitioners should ensure ... components including neomycin or gelatin. Pregnancy should be avoided for 4 weeks following the MMR vaccine. • Vaccines: In order to maximize vaccination rates, the ACIP recommends simultaneous administration (ie, >1 vaccine on the same day at different anatomic sites) of all age-appropriate vaccines (live or inactivated) for which a person is eligible at a single clinic visit, unless contraindications exist. 2. The incubation period of mumps averages 16 to 18 days (range: 12 to 25 days) from exposure to onset of parotitis. A history of delayed-type allergic reactions is not an absolute contraindication to OPV administration. Electronic version of 2000 text. All children with egg allergy should receive the MMR vaccination as a routine procedure in primary care. Guide to Contraindications to Childhood Vaccinationand, unlike that and previous Guides, contains information on all licensed U.S. vaccines, not just pediatric vaccines: Using this Guide The Guide is arranged alphabetically according to symptoms and conditons that may, correctly or not, be perceived as contraindications to vaccination. The book concludes with chapters on herd immunity; viral immunopathology; and viral immunology and immunopathology. Immunologists, pathologists, virologists, and microbiologists will find the book useful. It could harm the unborn baby. For each possible adverse event, the report reviews peer-reviewed primary studies, summarizes their findings, and evaluates the epidemiological, clinical, and biological evidence. MMR VACCINE INFORMATION. Listed below are some of the sources of neomycin in New Zealand in 2018. Contraindications: eggs, pregnancy, breast feeding, previous reaction. M-M-R II Vaccine is not approved for individuals less than 12 months of age. Found insideRevising the manual has been a team exercise. There are contributions from a large number of experts, organizations and institutions. This new edition has seven modules. 1–3 Since the introduction of the MMR vaccine, immunization of egg-allergic individuals has, however, been a subject of controversy. Contraindications are conditions that increase chances of a serious adverse reaction in vaccine recipients and the vaccine should not be administered when a contraindication is present. Contraindications Had a severe allergic reaction (e.g., anaphylaxis) after a previous dose or to a vaccine component Has a known severe immunodeficiency (e.g., from hematologic and solid tumors, receipt of chemotherapy, congenital... Is pregnant The vaccines shouldn't be given to babies who have had: a confirmed anaphylactic reaction to a previous dose of the vaccine; a confirmed anaphylactic reaction to neomycin, streptomycin or polymyxin B (antibiotics that may be added to vaccines in very tiny amounts) ... unless there are medical contraindications. This book will be a valuable resource for undergraduate students in culinary nutrition, nutrition science, food science and nutrition, and culinary arts courses. Measles, mumps, rubella, varicella (ProQuad®) Quantity Neomycin (per dose): .005 mg to < 0.016 mg (depending on storage requirements) In addition, sometimes, the MMR vaccine is administered bundled with the varicella (chicken pox) vaccine—at which point it is referred to as the MMRV vaccine. MMR, MMRV, varicella, and live herpes zoster vaccines are contraindicated in individuals with active, untreated tuberculosis as a precautionary measure. Listed below are some of the sources of neomycin in New Zealand in 2018. This book examines the controversy over the evidence and offers a comprehensively documented assessment of the risk of illness following immunization with vaccines against pertussis and rubella. Measles-Mumps-Rubella Vaccine (Live Attenuated Viral) MMR® II Supplier: Merck Canada Inc. PRIORIX® Supplier: GlaxoSmithKline Inc. CONTRAINDICATIONS: 1. Always check the general contraindications and precautions associated with vaccines containing live attenuated pathogens. Contraindications: sensitive to neomycin or streptomycin. Note: Recent data suggest that anaphylactic reactions to MMR vaccine are not associated with hypersensitivity to egg antigens. 17,968. Considerations should include provider assessment, patient preference, and the potential for adverse events. Measles, mumps, rubella (MMR®) Quantity Neomycin (per dose): 0.025 mg. Polio - series of 3 or 1 adult booster. Polio - series of 3 or 1 adult booster. 4.3 Precautions and contraindications relating to scheduled vaccines Children with minor illness may be vaccinated safely. Coauthored by Paul Offit, a member of the CDC advisory committee that determines which vaccines are recommended for use in the United States, this guide tells you what vaccines are made of and clearly explains how they are made, how they ... Contraindications: previous reactions to vaccine. Adverse reactions Anaphylactic shock, especially after egg ingestion—should have an allergy consult before considering vaccination with MMR; encephalitis within 15 days of immunisation. Who should not take NEOMYCIN-POLYMYXIN-HC? WebMD provides common contraindications for neomycin oral. contraindications for shingles vaccine. The research on allergies is ongoing. 4 CONTRAINDICATIONS 4.1 Hypersensitivity 4.2 Immunosuppression 4.3 Moderate or Severe Febrile Illness 4.4 Active Untreated Tuberculosis 4.5 Pregnancy 5 WARNINGS AND PRECAUTIONS History of anaphylactic reaction to a previous dose of a measles, mumps, or rubella-containing vaccine or to any component of the product (See SPECIAL CONSIDERATIONS). specific tests for neomycin sensitivity were done. Oregon Administrative Rules (OAR) require a second measles-containing vaccine for students in grades K–12, college students, and community college students involved in clinical experiences in allied Allergy (anaphylactic) MMR No to neomycin Varicella No Zoster No All Others Yes to penicillin All Yes IPV No to polymyxin B All Others Yes to proteins of rodent or JE No neural origin All Others Yes ... Not a contraindication, but providers should evaluate the risks and benefi Previous vaccines The CDC reported that one 55-year-old woman with a history of a severe allergic reaction to the rabies vaccine was treated for anaphylaxis following the COVID vaccine. Contraindications: eggs, pregnancy, breast feeding, previous reaction. In addition to contraindications found in prescribing information, ACIP may recommend against the use of a vaccine under certain conditions (e.g., a lack of data). Anaphylactic reaction to component of vaccine (neomycin or gelatin) or vaccine (MMR or Varicella), altered immunity, family history of immunodeficiencies, pregnancy Meningococcal Vaccines (Menactra) History of severe allergic reaction to any component of the vaccine - including diphtheria or tetanus toxoid, latex allergy, pregnancy unknown? Recommended: at risk areas. Provides information about how vaccines are made, why they are given, and the safety of the vaccinations given today, as well as advice for parents about vaccinations and altering vaccine schedules. Elliman D, Dhanraj B. PMID: 1671258 [PubMed - indexed for MEDLINE] mg = milligrams; ppm = parts per million; ppb = parts per billion. This vaccine is considered safe for people who have even severe egg allergies. Do not use neomycin if you are pregnant. Contraindications and Precautions Contraindications •Hypersensitivity to vaccine components: egg/chicken proteins, gelatin, latex (vial stopper) •Prior anaphylaxis with vaccination •Immune deficiencies symptomatic HIV, CD4 <200, malignant neoplasms, transplantation, etc. The shot is cultured in chicken embryos, but no traces of egg protein remain in the finished product. Vaccine Ingredients – Gelatin. From the first chapter on the history of vaccination and the triumph of rinderpest eradication to the last chapter on the rapidly emerging field of cancer vaccines, this book offers a truly comprehensive grounding in established and ... Although tuberculosis may be exacerbated by natural measles infection, there is no evidence that measles or varicella-containing vaccines have such an effect. The incubation period of rubella is 14 days (range: 12 to 23 days0. immune response) rather than anaphylaxis, which is not a contraindication for administration of vaccines containing neomycin. At the same time, this informative book provides health care professionals and health studies students with an accessible overview of a contemporary health issue with significant policy implications. ... antibiotics, are too mild to cause a vaccine to be withheld. Contraindications ; Octicort otic (ear) View Free Coupon . 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