FEBRUARY

ISABELA PROVINCIAL HEALTH OFFICE Month

Accomplishment Report 2024

Year

FOCUS AREA

PROGRAM/PROJECT PROJECT STATUS/REMARKS/

/ACTIVITY DESCRIPTION ACCOMPLISHMENT
S

COVID – 19 Prevention,
Detection, Isolation, The One Isabela COVID-19 Total number of
Treatment, and Reintegration Command Center aims to calls/referrals received
(PDITR) harmonize the admission by the OICCC from
and management of February 1-29, 2024.
One Isabela COVID-19 COVID-19 patients at the
Command Center appropriate level of health • Total referrals
(OICCC) facilities. In addition, catered : No
ensuring the prioritization of referrals received
decking and admission
among COVID-19 • Total number of
confirmed, suspect, and patients catered per
probable cases. Also, COVID-19
provide a proper and prompt classification: No
referral to the Provincial referrals received
Department of Health Office
(PDOHO) for severe and • Total number of
critical cases require patients catered per
admission to identified COVID-19 severity:
COVID-19 referral No referrals
hospitals, namely SIMC and received
CVMC.
• Total number of
patients referred per
facility preference:
No referrals
received

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 COVID-19 ADMISSIONS IN PROVINCIALLY-MAINTAINED HOSPITALS

CLASSIFICA GFNDSM MAD EDH MARD CDH SMCH PSH TOTAL

TION H H H

Suspect 299 0 6 5 605 0 0 915

Probable 2 7 0 9 0 0 0 18
Confirmed 21 0 0 0 0 0 0 21
Table 1. Daily COVID 19-related admissions in the seven (7) PGI hospitals from
February 1 to 29, 2024 disaggregated into category (suspect, probable, confirmed)
and place of admission.

COVID-19 VACCINATION

Update on COVID-19 Vaccination Coverage of the Province of Isabela as of February

29, 2024

Number of Coverage
Coverage (Fully
Individuals (At least 1 Fully
Vaccinated) 2023
with at least Dose) 2023 Vaccinated
Population
ONE DOSE Population
ISABELA 1,195,973 86.2% 1,131,497 81.6%
Table 1. The Table above shows the COVID-19 vaccine coverage on the administration
of COVID-19 Primary Doses in the province.

Coverage
Coverage
2nd (1st Booster
1st Booster (Total Pop as
Coverage Booster as
Dose Denominator
Dose Denominato
)
r)
ISABELA 378,915 33.5% 51,773 13.7% 3.0%
Table 2. The Table above shows the COVID-19 vaccine coverage on the
administration of COVID-19 Booster Doses in the province.

3RD BOOSTER
MUNI/CITY DOSE (biValent
Vaccine)

ISABELA 1,997
Table 3. The Table above shows the COVID-19
vaccine coverage on the administration of COVID-19
3rd Booster Dose in the province.

Source: Vaccine Operation and Reporting System (VORS)

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Family Health Cluster

Nutrition Program

Tutok Kainan Dietary The general objective of the The Province of Isabela
Supplementation Program program was to contribute to being one of the
(TK-DSP) Orientation the prevention of stunting identified priority
(February 8, 2024) among children 0-23 months provinces for the
old by improving the quality provision of additional
and quantity of food and support in the
nutrient intakes and implementation of
utilization of related ECCD- nutrition programs from
F1KD services among the national government,
nutritionally at-risk pregnant especially considering
women and children 6-23 the magnitude of stunting
months old in the target and poverty incidence in
Tutok Kainan program areas. its three (3) identified
municipalities –
Echague, Tumauini, and
San Mariano.

IPHO’s Nutrition Office

in collaboration with the
National Nutrition
Council Regional Office
oriented the Municipal
Nutrition Action Officers
from the three identified
municipalities on the
features of the
supplementation
program. Timelines were
set as follows:
• Provision of an
advanced copy of
MOU c/o NNC R02
on February 14,
2024;
• Master listing of
pregnant women and
children per barangay
is on February 28,
2024;
• Social preparation
activities and LGU
mobilization on
March 2024;
• Signing of MOU –
March 2024

National Safe Motherhood

Program
An in-depth systematic review The case was presented
Maternal Death of maternal deaths to delineate to the panel of experts
Surveillance and Response their underlying health, social, composed of medical

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at CHO I City of Ilagan and other contributory factors, doctors from the IPHO –
(February 16, 2024) and the lessons learned from Dr. Almira L. Reyes, Dr.
such an audit are used in Jeram Caezar R.
making recommendations to Angobung, and guest
prevent similar future Obstetrician in the person
deaths. The review further of Dr. Lilian Q. Bringas.
aimed to: After a thorough
• Assess circumstances presentation and
surrounding the maternal discussion, the cause of
death cases maternal death boiled
• Identify major medical down as directly related
and non-medical causes to pregnancy.
• Strategize measures
adapting to the new Plan of Action:
normal in • The result of the
delivering quality health review shall be
care services among disseminated to
pregnant and their unborn all health
• Institutionalize workers of the
improvement in the facility;
Health Delivery System, • To conduct
specifically the two-way re/orientation of
referral system BHWs and BNSs
• Prompt submission of on the danger
maternal death report signs of
pregnancy;
• PGI hospitals to
conduct health
education on the
danger signs of
high-risk
pregnancy in
OPD
• To create City
Maternal Death
Surveillance and
Response
Committee
through issuance
of EO

National Immunization
Program

Supportive Supervision, This is a collaborative Using the approved

Mentoring, and Monitoring approach of the IPHO, monitoring tool of the
of NIP Implementation in CVCHD, and Relief National Immunization
the LGUs of Cauayan City, International that helps Program, challenges
Jones, Ramon, Alicia, and maintain the program’s were identified and
Echague, Isabela. efficiency and compliance recommendations are
(February 12, 14, 19-22, with national guidelines as relayed to their
2024) well as the implementation of respective
the proposed plans to Municipal/City Health
improve immunization Officers
coverage.
CHO Cauayan City I &
III

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• Good Cold Chain
storage and
management;
• Updated temperature
monitoring chart;
• Well-accomplished
immunization
monitoring chart;
• Target Client List is
not updated;
• Out-dated Spot Map

Jones RHU
• With local policy
adapting the RA
10152 since 2019;
• Implementation of
the Ronda Tah-anan;
• NIP Microplan
timelines are on
track;
• Proposal for
Interpersonal
Communication
Training for BHWs
submitted to Relief
Intl.;
• Incomplete data in
Target Client List

Alicia RHU
• Temperature
monitoring posted
and
updated but temp is
written in boxes, not
plotted in graph;
• Domestic ref freezer
not closing properly,
needs defrosting;
• HPV vaccines
removed from box.
244vials
on hand vs 584 total
allocation. 155
variance not reported.
• No spot map, no
2023 immunization
monitoring chart,
IECs and schedule;
• Insufficient
manpower to
population ratio - 4
midwives only.

Echague RHU

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• Expired vaccines
mixed with good
vaccines.
• Vaccines not
properly arranged
according to
sensitivity, expiry
and VVM status.
• No calibrated
thermometer inside
vaccine ref.
• Syringes and vials
mixed inside safety
box.
• TCL not propoerly
filled out.
• Frozen ice packs used
in vaccine carriers
during session in
Brgy. Narra
• No local policy on
NIP yet.
• Contingency plan has
no contact person.
• Updated temp
monitoring chart and
stock
record/inventory.
• Immunization
monitoring chart not
updated

Ramon RHU
• Solar power
source available
for use during
power failure.
• No enough space
inside the ref for
air circulation. Do
not closely stack
boxes.
• LGU procured
tetanus toxoid.
• FIC certificates
given to children
who completed
recommended
vaccines.
• With posted
contingency plan
and temp.
monitoring chart.
• Motnhly DQC
done by FHSIS
Coordinator.

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 • Local policy
ongoing.
• Syringes and
vials mixed inside
safety boxes at
Brgy. San
Miguel.

Basic Immunization with A 5-day training facilitated Ms. Chamille Jayne F.

Cold Chain and Logistics by the DOH-CVCHD Claravall, Provincial NIP
Management, Interpersonal supported by the UNICEF Coordinator, was one of
Communication on and Relief International the Resource Persons
Immunization, and through the 3rd tranche of the during the 5-day training
Reaching Every Purok 2024 COVID Vaccine along with other
(REP) Strategy Training at Delivery Support. The Basic presenters from CVCHD
Sta. Ana, Cagayan Immunization with Cold and Relief International
(February 26-March 1, Chain and Logistics Region 02.
2024) Management, Interpersonal Besides the series of
Communication on lectures and workshops,
Immunization, and Reaching an actual facility visit
Every Purok Strategy was conducted at RHU
Training was conducted Gonzaga, and Brgy Baua
benefiting the participants Health Station to observe
from the ten (10) identified the implementation of
priority LGUs with the vaccination services in
highest number of zero-dose these identified facilities
children in the Province of using the REP
Isabela. Monitoring Tool

19 participants
(composing of Nurses,
and Midwives)
successfully completed
the training where
Special Awards are given
to participants who
emereged among others
in their Post-test.
Nevertheless, they all
received Certificates of
Completion and will be
added in the roster of
trained healthcare
workers on Basic
Immunization.

Communicable Disease Cluster

National HIV/AIDS and

STI Prevention and
Control Program

HIV/AIDS Awareness An advocacy campaign on for In accordance to the

School-based Information the prevention of HIV/AIDS, DepEd Memorandum
Education Campaign in Pre-marital Sex, Teenage Order No. 001 S. 2024 or
Roxas and Mallig, Isabela Pregnancy, and promotion of known as “Catch-up

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 Mental Health awareness to Fridays”, IPHO
address the increase number personnel were invited as
of pregnant teenagers, suicidal Resource Speakers who
tendencies, and spread of tackled Mental Health
sexually transmitted infections Awareness, Teenage
among high school students. Pregnancy and
HIV/AIDS Awareness
among the Junior and
Senior High School
students of Roxas
National High School
with 125 (41 Males, 84
Females) participants,
San Jose National High
School with 165 (76
Males, 89 Females)
participants , and Mallig
Plains National High
School with 137 (62
Males, 75 Females)
participants.

A lively engagement was

displayed by the students
by sharing their
experiences, opinions
and points of view of the
topics discussed.

National Tuberculosis
Program

Training of Trainers for A 3-day training conducted by Attended by IPHO’s

Community Engagement, the Philippine Business for Provincial TB
Human Rights and Gender Social Progress (PBSP) with Coordinator, Ms. Grace
(CRG) Learning Session support from Global Fund to R. Crisologo along with
and Gender Analysis, Fight AIDS, TB and Malaria other NTP Coordinators
Gender Data Utilization, (GFTAM) which aimed to nationwide. Participants
and Gender-based Planning prepare the NTP Coordinators were familiarized on
Module (February 27-29, from CHDs and PHOs in salient concepts such as
2024) conducting the CRG Fit for the CRG Training
Work for target populations— Package, Gender
Community/Barangay Health Analysis Training
Workers, Jail Officers, Media Package and were able to
practitioners and NTP develop supportive
Coordinators. It is a venue to supervision plan as a
transfer technology using the form of their training
run-through approach as main roll-out in their
methodology to achieve full respective regions.
familiarization and
appreciation of the training
packages.

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Dengue Prevention and Control Program

Number of Dengue Suspect Cases Reported for the Month of February 2024
(119 Cases)

City/Municipality Number of Cases

Alicia 1
Angadanan 0
Aurora 5
Benito Soliven 4
Burgos 1
Cabagan 4
Cabatuan 3
Cauayan City 3
Cordon 2
Delfin Albano 3
Dinapigue 1
Divilacan 0
Echague 12
Gamu 4
Ilagan City 35
Jones 6
Luna 0
Maconacon 0
Mallig 1
Naguilian 0
Palanan 1
Quezon 4
Quirino 2
Ramon 1
Reina Mercedes 0
Roxas 9
San Agustin 1
San Guillermo 0
San Isidro 3
San Manuel 1
San Mariano 5
San Mateo 3
San Pablo 3
Sta. Maria 0
Sto. Tomas 0
Tumauini 1
The table above shows the reported dengue suspect cases for the month of February
2024 where the top 3 highest number of suspect cases came the City of Ilagan, Echague,
and Roxas.

Source: Philippine Infectious Disease and Surveillance Reporting (PIDSR) System

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Population-Based Programs

Population and
Development Program

Conducted Orientation on To present and discuss the IPHO’s Population and

Responsible Parenthood provisions of Republic Act Family Planning Program
and Reproductive Health No. 10354 of 2012 RPRH Coordinators discussed the
(RPRH) in the Municipality Law which aims to salient features of the law as
of San Manuel, Isabela empower the Filipino well as the RPRH LGMED
(February 23, 2024) people, especially women data base for the required
and youth, through reports.
informed choice and age
and development- Issues and concerns:
appropriate education. • From DepEd
Representative: Teenage
pregnancy is still a
pressing issue among
students due to lack of
information. The
Comprehensive Sexual
Education is only
limited to Reproductive
System integrated in
their MAPEH subject;

• From MSWDO
Representative: Criteria
for the cash grant due
for 4Ps families are
monitored as these can
be factors that contribute
in its Anti-Poverty
Reduction activities;
• Per Dr. Agcaoili,
Municipal Health
Officer, ante-natal care
was given to pregnant
teenagers 12 and 13 y/o
and to their mother who
is also pregnant for the
9th time.

Next Steps
1. Establishment of RPRH
Municipal
Implementation Team as
well as in the barangays
2. Sustainability of Family
Planning commodities
by ensuring its
availability and conduct
of activities for service
provision
3. Involvement of men in

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 Responsible Parenthood
and Reproductive Health
(RPRH) programs
4. Inclusion of mental
health aspect in RPRH
and capacitate
implementers
5. Intensify campaign on
RPRH implementation
6. Compliance to the
timelines of report
submission
7. Conduct of Breaking the
Barrier (BTB) among
in-school adolescents
and their parents on
April 3-5 and the
participation of the
population officers as
resource speakers were
sought by the Municipal
Population Officer.

Health Promotion Programs

and Campaigns

Attendance to Philippine In line with the celebration IPHO’s Health Education

Heart Month Celebrations of the Philippine Heart and Promotion Officers
Month conducted by the were invited as Resource
City Health Office of City Speakers and discussed
of Ilagan and Rural Health topics related to the heart
Unit of Mallig in month celebration.
partnership with the Prevention of Non-
Integrated Provincial Communicable Diseases
Health Office-Field Health such as Cardiovascular
Services. Diseases and Hypertension
as well as Key Elements
leading to a healthy life
were emphasized.

Epidemiology and
Surveillance

Rabies Death Investigation As one of the initial An on-site interview with

at City of Ilagan and response of the office on the key informants was
Quirino, Isabela rabies related death conducted by IPHO’s
reported by the Epidemiology and
Municipal/City Surveillance Officer and
Epidemiology and Rabies Program
Surveillance Units of the Coordinator.
CHO II City of Ilagan and
RHU Quirino. This A simple Information
intervention is aimed to Education and

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 review the diagnostic Communication activity was
history, clinical aspect, conducted in order to
status of the biting animal caution and reiterate to the
to be able to recommend public the danger of rabies
actions on to achieve zero once left untreated. It was
incidence of rabies. also deeply highlighted not
to intentionally kill the
biting animal and
discouraged the
consumption of such. The
close contacts of the victims
were then tracked and
recommended to undergo
Post-Exposure Prophylaxis
available at the Animal Bite
Treatment Centers of their
LGUs.

Consolidated Philippine A process of streamlining There were 360 reported

Integrated Disease of multiple disease notifiable diseases from all
Surveillance and Response surveillance systems into a the Disease Reporting Units
(PIDSR) Reports unified national disease of the province from
surveillance system February 1-29, 2024.
providing timely, accurate,
and relevant information
for appropriate and
immediate action.

Environmental and This is in pursuit to providing clean and safe drinking

Occupational Health water to all Isabeleños that is within the prescribed
Program standards for drinking water and their bacteriological and
chemical examinations, together with the evaluation of
Water Sample Collection results, shall conform to the criteria set by the National
and Testing in Various Drinking Water Standards per PD 856 or the “Water
Barangays of Cauayan City, Supply” of the Code on Sanitation of the Philippines.
and Gamu, Isabela Six (6) out of twenty-four (24) point source yielded a
negative water analysis result. Out of the remaining
eighteen (18) point sources, four (4) tested positive for
total coliform only and fourteen (14) tested positive for
both total coliform and e.coli.
A Certificate of Water Potability was issued to the six (6)
water point sources that tested negative for both total
coliform and e.coli. And for the remaining point sources,
the Provincial Health Office strongly recommends for
flushing of these water sources, cleaning of pumpwell and
disinfection through chlorination of water.

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Table 1
Number of
Barangay Samples Results
Collected
1 Sample negative for e.coli and total coliform
District I 2 1 sample positive for e.coli and negative for total
coliform
Sample collected was positive for e.coli and negative for
District II 1 total coliform
Samples collected were negative for e.coli and total
District III 2 coliform
1 Sample negative for e.coli and total coliform
Dammao 2 1 sample positive for e.coli and negative for total
coliform
Sample collected was positive for e.coli and negative for
Buenavista 1 total coliform
Sample collected was positive for e.coli and negative for
Lenzon 1 total coliform
1 sample collected was positive for both e.coli and total
Furao 2 coliform
1 sample collected was positive for e.coli and negative
for total coliform.
Table 1 shows the results of water testing collected from different water
sources in seven (7) barangays of Gamu, Isabela.

Table 2
Number of
Barangay Samples Results
Collected
3 Samples were negative of e.coli ang total coliform
Villa Luna 4 1 sample was positive for e.coli and negative for total
coliform.
4 Samples were negative of e.coli and total coliform
Manaoag 5 1 sample was positive for e.coli and negative for total
coliform.
9 Samples were negative of e.coli and total coliform
Villa 10 1 sample was positive for e.coli and negative for total
Concepcion coliform.
All samples collected were negative of e.coli and total
Catalina 3 coliform
6 Samples were negative of e.coli and total coliform
Santa Maria 8 2 samples were positive for e.coli and negative for total
coliform.
Pinoma
Purok 6 4 2 positive for total coliform only
2 positive for both total coliform and e.coli

5 samples were negative for e.coli and total coliform

Purok 7 15 1 positive for total coliform only
9 were positive for both total coliform and e.coli
Nungnungan 1 sample negative for e.coli and total coliform
Purok 6 5 1 positive for total coliform only
3 were positive for both total coliform and e.coli
Table 2 shows the results of water testing collected from different water
sources in various barangays and identified Puroks in Cauayan City, Isabela.

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UNIVERSAL HEALTH CARE UPDATES
.
UHC Work and Financial In compliance to the Facilitated by Ms. Rhodora
Plan 2024 directive of the CVCHD D. Santos and Mr. Erlindo
Program Managers during L. Cauilan.
the 1st Quarter Meeting • Submitted the TOP
of UHC 2024 and
AOP 2024 to
CVCHD;
• Coordination made
with Accounting
Office on the
submission of Fund
Utilization Reports
of trust funds as pre-
requisite for the
downloading of
funds

Conducted Meeting on the A comprehensive output • Inputs were

Finalization of HCPN MOP by the members of the presented and
TWG of the HCPN led by discussed with
Dr. Imelda M. Guillermo, PDOHO Isabela and
Provincial Health Officer Members of the
I. HCPN TWG;
• The finalized HCPN
MOP shall be
presented during the
UHC TWG Meeting
this coming March
2024

PROGRAM MONITORING AND MENTORING

On-site Provision of As one of the mandates of • Monitoring and

Technical Assistance to the Field Health Service Provision of
CHOs/RHUs on Health Office to keep an eye for Technical Assistance
Programs and Universal the implementation of on Health Promotion
Health Care in health programs, observe Programs and
Province/Citywide Health strengths and weaknesses, Campaigns in 18
System identify technical and CHOs/RHUs was
logistic needs, consolidate conducted;
reports, and generate and • Data Quality Check
submit recommendations on Epidemiology
to improve service and Surveillance
delivery. Program at RHU
Jones, Isabela
• Mental Health and
Non-Communicable
Disease Program
Monitoring at RHU
Roxas, Isabela;
• Zero-Open
Defecation
Monitoring at CHO

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 3 Cauayan City;
• WASH Program
monitoring at San
Isidro and Echague,
Isabela;
• Integrated Program
Monitoring at Delfin
Albano, and
Tumauini, Isabela.

OTHER PROGRAMS/PROJECTS/ACTIVITIES

Oral Health Month A month-long activity Group of dentists from

Celebration collaboratively conducted RHUs, District Hospitals,
by the Public Health and Provincial Health
Dentists of Isabela in line Office visited various LGUs
with the 20th National Oral to conduct the Oral Health
Health Month Celebration Month Celebration. Besides
with this year’s theme: distribution of dental kits,
“LET’S DO-8! VISION series of lectures, fluoride
70-20OPLAN IWAS application and tooth
BUNGAL”. This advocacy extraction were also
drive is aimed to reiterate performed to our one
the importance of thousand beneficiaries
practicing good oral composing of
hygiene to prevent diseases schoolchildren and their
and promote dental care. parents from the
municipalities of Alicia,
Burgos, Roxas, Angadanan,
Cabatuan, and Benito
Soliven.

Attended the STI-HIV The meeting aimed to align As to the compliance in the
Regional Consultative city, provincial and submission of reports, the
Meeting (February 21, regional plans; discuss Province of Isabela was
2024) indications for Pre- commended with 61.54%
Exposure Prophylaxis (22/39 C/RHUs) followed
(PrEP) for the prevention by Cagayan with 22.58%
of HIV infections; and to (7/31), Batanes and Quirino
agree on a mechanism to with both 16.67% (1/6) and
improve recording and lastly Nueva Vizcaya 6.67%
reporting while (1/15).
transitioning to electronic
reporting. Ms. Jeani-Lyn A. Clotario,
STI-HIV/AIDS Provincial
Coordinator, presented the
accomplishments as well as
the challenges of the
province in terms of the
implementation of the
program.

Bottlenecks identified were:

• Only 18
RHUs/CHOs have
their License to

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 Operate permit;
• Technical
difficulties in using
the OHASIS
reporting system;
• Process flow on the
release of HIV
results from RHUs
and CHOs

Recommendations from the

CVCHD Infectious Disease
Cluster were:
• A communication
letter should be sent
to CVCHD inviting
the RLED to discuss
the specific
requirements needed
for the licensing of
laboratories in
C/RHUs;
• Use the 2nd link for
OHASIS encoding
and reporting, as
well as to submit the
LaBBS and SESS
reporting forms.
• HIV results should
be released from the
laboratory and
signed by the
registered medical
technologist and
pathologist or
C/MHOs.

Capability Building To standardize the capacity Ms. Antoniette U. Sanchez,

Program for Regional Lead building of Barangay Nutrition Officer II of the
Assessors (RLA) Trainer’s Nutrition Scholars and Provincial Nutrition Office,
Methodology I at ISAT- other community nutrition was one of the identified
TESDA, City of Ilagan volunteers in delivering prospective RLAs alongside
(February 21- 23, 2024) quality nutrition and with nutrition officers from
related services to the NNC Regional Office,
barangays through the PLGU Quirino, and PLGU
National Nutrition Council Nueva Vizcaya.
in partnership with
Technical Education and
Skills Development
Authority (TESDA).

1st Quarter Joint Meeting Annual OPT Plus: 2023 Results

of Provincial Nutrition The 5-year trend of the different nutrition indicators was

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