How do babies get meningitis - Meningitis is an inflammation of the protective layers surrounding your brain and spinal cord (meninges). Bacteria, viruses, fungi, parasites and non-infectious conditions can cause meningitis. Symptoms include fever, severe headache, neck stiffness, nausea, vomiting and light sensitivity. If you think you have meningitis, go to the ER immediately.

 
Almost half of neonatal sepsis survivors return to the hospital at least once after recovery. Some babies develop an infection of the membranes surrounding their brain called meningitis. Newborns who have this condition may develop serious symptoms and side effects, including: Extreme sluggishness (lethargy).. Atandt currently login

Apr 28, 2021 · Side effects linked to the vaccines are usually mild and tend to go away within a few days. Herd immunity is unlikely to prevent meningitis, so it is essential that people get vaccinated and have ... Here we offer helpful, doctor-approved info about fever, coughs, colds, flu, rashes, allergies, and many other health concerns. Explore our guides to doctor visits, vaccines, and medication, get advice on teething and dental care, and learn how to keep your child safe at home and beyond. Photo credit: iStock.com / FatCamera.Stiff neck. Other symptoms that can occur with this disease: Agitation. Bulging fontanelles in babies. Decreased alertness. Poor feeding or irritability in children. Rapid breathing. Unusual posture, with the head and neck arched backward (opisthotonos) You cannot tell if you have bacterial or viral meningitis by how you feel.May 1, 2003 · Neonatal meningitis is an uncommon but serious disease, with an incidence of 0.1–0.4 per 1000 live births. 1, 2 It can have severe long term sequelae in 12–29% of survivors, 2– 8 and milder impairment of neurological function occurs in another 15–38%. 3– 5, 8 Cognitive impairment has been shown in some follow up studies of neonatal ... Pneumococcal disease can cause infections of the ears, lungs, blood, and brain. Pneumococcal disease is an illness caused by bacteria called pneumococcus. It is often mild, but can cause serious symptoms, lifelong disability, or death. Children younger than 2 years old are among those most at risk for the disease.Disease can be localized to skin, eye and mouth (SEM disease), involve the central nervous system (CNS) or manifest as disseminated infection involving multiple organs. Most surviving infants in the latter two categories have neurological sequelae, and the mortality rate in the absence of therapy is very high (80%) for babies in the latter ...Specific Immunization Reactions. Pain or swelling at the shot site for 1 to 2 days. (20% of children) Mild fever lasting 1 to 3 days begins 14 to 28 days after the shot (10%). Give acetaminophen or ibuprofen for fever over 102° F (39°C). Never give aspirin for fever, pain or within 6 weeks of getting the shot.Early symptoms will be similar to the flu, and they can develop over a matter of hours or even days. Symptoms include: sudden high fever. stiff neck. severe headache. nausea or vomiting. confusion ...The ways a person can get meningitis depend on what has caused it. Causes include bacteria, viruses, fungi, parasites, amebas, trauma, and medications. Infants can also get bacterial meningitis ...Bacterial meningitis, which took the life of famed guitar player Jeff Beck, is a potentially deadly infection that can strike quickly. Learn about the causes, what puts you at risk, and how to ...Apr 18, 2020 · The baby was born with Apgar scores of 6 and 8 at 1 and 5 minutes, respectively. Her birth weight was 2.8 kg with a head circumference of 43.5 cm (>99th percentile). Her exam was notable for macrocephaly with bulging fontanelles, large bilateral cleft lip/palate, nasal encephalocele, and bilateral microphthalmia. Viral meningitis (when meningitis is caused by a virus) is the most common type of meningitis. Most people get better on their own without treatment. However, anyone with symptoms of meningitis should see a doctor right away because any type of meningitis can be serious. Only a doctor can determine if someone has meningitis, what is causing it ...Summary. Herpes meningitis is a type of viral meningitis resulting from infection with a herpes virus. Three types of herpes virus can cause HM: herpes simplex virus 1, herpes simplex virus 2, and ...Press the bottom or side of a clear drinking glass firmly against the rash. Check if the rash fades under the pressure of the glass. If the rash does not fade, your child may have septicaemia caused by the meningitis germ. Get medical help at once. Meningitis tumbler test - The rash doesn't fade if you press the side of a clear glass firmly ...Viral meningitis (when meningitis is caused by a virus) is the most common type of meningitis. Most people get better on their own without treatment. However, anyone with symptoms of meningitis should see a doctor right away because any type of meningitis can be serious. Only a doctor can determine if someone has meningitis, what is causing it ...GBS meningitis typically affects newborns but can affect adults too. We provide a complete overview, including causes, symptoms, and treatment. ... Some 4% to 6% of babies with GBS disease ...Sep 2, 2022 · Meningitis is a serious illness that causes inflammation of the membranes around the spinal cord and neck. It can be fatal without prompt treatment. The meningitis vaccine is one of the best ways ... Aug 17, 2021 · Abstract. Group B streptococcus (GBS) infection remains a leading cause of sepsis, pneumonia, and meningitis in infants. Rates of GBS early onset disease have declined following the widcespread use of intrapartum antibiotic prophylaxis; hence, late-onset infections (LOGBS) are currently a common presentation of neonatal GBS dicsease. Symptoms and Signs of Neonatal HSV Infection. Manifestations generally occur between the 1st and 3rd weeks of life but rarely may not appear until as late as the 4th week. Neonates may present with local or disseminated disease. Skin vesicles are common with either type, occurring in about 70% overall. Neonates with no skin vesicles usually ...Disease can be localized to skin, eye and mouth (SEM disease), involve the central nervous system (CNS) or manifest as disseminated infection involving multiple organs. Most surviving infants in the latter two categories have neurological sequelae, and the mortality rate in the absence of therapy is very high (80%) for babies in the latter ...Meningitis is when the membranes that surround and protect the brain and spinal cord become inflamed and swollen. This usually happens because the membranes, called the meninges, have become infected from bacteria or a virus. The inflammation can then cause damage to the brain or nerves.Neonatal meningitis is an uncommon but serious disease, with an incidence of 0.1–0.4 per 1000 live births. 1, 2 It can have severe long term sequelae in 12–29% of survivors, 2– 8 and milder impairment of neurological function occurs in another 15–38%. 3– 5, 8 Cognitive impairment has been shown in some follow up studies of neonatal ...Protecting newborns Seeing a doctor Meningitis is a condition that causes inflammation in the meninges, which protect the brain and spinal cord. Meningitis is most often caused by a virus or...Feb 27, 2018 · Viral meningitis is the most common type, but it’s not usually life-threatening. The enteroviruses that cause meningitis can spread through direct contact with saliva, nasal mucus, or feces ... The most common symptoms of meningitis in older children and adults are: fever. sensitivity to light. very bad headache and stiff or sore neck. nausea or vomiting and loss of appetite. tiredness and drowsiness. irritability. confusion. purple-red skin rash or bruising.Extreme fatigue. Irritability. Blue color to the skin. Babies with group B strep bacteria could get serious complications like these: Pneumonia -- a lung infection. Meningitis -- inflammation in ... Spread to others. People spread meningococcal bacteria to other people by sharing respiratory and throat secretions (saliva or spit). Generally, it takes close (for example, coughing or kissing) or lengthy contact to spread these bacteria. Fortunately, they are not as contagious as germs that cause the common cold or the flu. Meningitis during the neonatal period is a potentially devastating condition with dire long-term consequences. Despite advances in preventive and critical care medicine, bacterial meningitis continues to have an adverse outcome rate of 20 to 60% among its survivors.[1] Although the incidence and mortality have declined over the past few decades, it remains challenging to diagnose due to ...The MMR vaccine is very safe. Most side effects are mild and do not last long, such as: the area where the needle goes in looking red, swollen and feeling sore for 2 to 3 days; around 7 to 11 days after the injection, babies or young children may feel a bit unwell or develop a high temperature for about 2 or 3 daysAmong adults 60 years of age and older, the more common signs and symptoms of hydrocephalus are: Loss of bladder control or a frequent urge to urinate. Memory loss. Progressive loss of other thinking or reasoning skills. Difficulty walking, often described as a shuffling gait or the feeling of the feet being stuck. May 11, 2009 · Meningitis is characterized by inflammation of the membranes (meninges) around the brain or spinal cord. Inflammation can begin suddenly (acute) or develop gradually (subacute). Major symptoms may include fever, headache, and a stiff neck, sometimes with aching muscles. Nausea, vomiting and other symptoms may occur. View Full Report. Meningococcal bacteria. Meningococcal disease is caused by the bacterium Neisseria meningitidis. There are several different groups of meningococcal bacteria including groups A, B, C, Y and W (previously called W135). These groups of bacteria can be further divided into specific strains. Most cases in New Zealand are caused by group B. Meningitis In Babies. Meningitis is an inflammation of the meninges, which is the tissue that surrounds and protects the brain and spinal cord. It’s most commonly caused by viral or bacterial infections. Meningitis is a serious condition that, left untreated, can be fatal in a short period of time and can cause life-altering complications in ... The most common symptoms of meningitis in older children and adults are: fever. sensitivity to light. very bad headache and stiff or sore neck. nausea or vomiting and loss of appetite. tiredness and drowsiness. irritability. confusion. purple-red skin rash or bruising.The pneumococcal vaccine offers protection against serious infections caused by pneumococcal bacteria, including meningitis. Babies are offered the pneumococcal vaccine as 2 separate injections at 12 weeks with a booster given at 1 year of age. A single dose is offered to adults aged 65 or over. Find out more about the pneumococcal vaccine.Among adults 60 years of age and older, the more common signs and symptoms of hydrocephalus are: Loss of bladder control or a frequent urge to urinate. Memory loss. Progressive loss of other thinking or reasoning skills. Difficulty walking, often described as a shuffling gait or the feeling of the feet being stuck.How meningitis is spread. The viruses and bacteria that cause meningitis can be spread through: sneezing. coughing. kissing. The infection is usually spread by people who carry these viruses or bacteria in their nose or throat, but are not ill themselves. The infection can also be spread by someone with meningitis, although this is less common.Spread to others. People spread meningococcal bacteria to other people by sharing respiratory and throat secretions (saliva or spit). Generally, it takes close (for example, coughing or kissing) or lengthy contact to spread these bacteria. Fortunately, they are not as contagious as germs that cause the common cold or the flu. Disease can be localized to skin, eye and mouth (SEM disease), involve the central nervous system (CNS) or manifest as disseminated infection involving multiple organs. Most surviving infants in the latter two categories have neurological sequelae, and the mortality rate in the absence of therapy is very high (80%) for babies in the latter ... Signs and symptoms of meningitis include: fever. a severe headache. nausea. stiff neck. sensitivity to light. Meningitis often occurs due to pathogens such as viruses, bacteria, and fungi, and so ...In infants, meningitis symptoms may include: High fever. Crying that’s constant and gets louder when you hold the baby. Baby seems overly sleepy, sluggish, or inactive. Stiff neck or body. Bulge ... Jun 15, 2023 · Meningitis is an infection of the protective membranes that surround the brain and spinal cord (meninges). It can affect anyone, but is most common in babies, young children, teenagers and young adults. Meningitis can be very serious if not treated quickly. It can cause life-threatening blood poisoning (septicaemia) and result in permanent ... Pneumococcal disease can cause infections of the ears, lungs, blood, and brain. Pneumococcal disease is an illness caused by bacteria called pneumococcus. It is often mild, but can cause serious symptoms, lifelong disability, or death. Children younger than 2 years old are among those most at risk for the disease.Very rarely, more-serious symptoms can happen. Some strains of this virus can cause: Severe hand-foot-and-mouth disease. Chest pain, called pleurodynia. Inflammation of the heart muscle, called myocarditis. The tissue around the brain to swell, a disease called meningitis. Infection in the brain, also called encephalitis.Viral meningitis is the most common type, but it’s not usually life-threatening. The enteroviruses that cause meningitis can spread through direct contact with saliva, nasal mucus, or feces ...The meningococcal conjugate vaccine (MenACWY) protects against four types of meningococcal bacteria (types A, C, W, and Y). It is recommended for all kids and teens age 11 and older. Some types of MenACWY are given to younger children (as early as 8 weeks of age) if they have a higher risk of getting meningococcal disease.Neonatal meningitis is a serious medical condition in infants that is rapidly fatal if untreated. Meningitis is an inflammation of the meninges , the protective membranes of the central nervous system , is more common in the neonatal period (infants less than 44 days old) than any other time in life, and is an important cause of morbidity and ... Older children and adolescents have a stiff neck with a fever, headache, and confusion, and newborns and young infants are usually irritable, stop eating, vomit, or have other symptoms. The diagnosis is based on the results of a spinal tap and blood and urine tests. Some children die of meningitis even after receiving appropriate treatment. Apr 27, 2023 · Child and Adolescent Immunization Schedule by Age. Recommendations for Ages 18 Years or Younger, United States, 2023. Print. Please see the most up-to-date COVID-19 vaccine recommendations and new or updated recommendations for RSV , Influenza, pneumococcal, polio, and Mpox vaccines. These have been adopted by the CDC Director and are official. Babies who get group B strep a week or so after birth may have signs such as: Decreased movement of an arm or leg. Pain with movement of an arm or leg. Breathing problems. Fever. Red area on the face or other part of the body. Pregnant women may have group B strep without symptoms. When they have symptoms, these may include: Having to urinate ... Bacterial meningitis, which took the life of famed guitar player Jeff Beck, is a potentially deadly infection that can strike quickly. Learn about the causes, what puts you at risk, and how to ...Meningitis is an infection that causes inflammation of the membranes (the meninges) covering the brain and spinal cord. Bacterial meningitis is a true medical emergency that may result in death or brain injury even if treated. Bacterial strains that cause meningitis include Streptococcus pneumoniae, Haemophilus influenza, Neisseria meningitides ... Bacterial meningitis is a devastating infection associated with high mortality and morbidity in the neonatal population. Prompt diagnosis and treatment are essential to achieving good outcomes in affected infants. While overall incidence and mortality have declined over the last several decades, morbidity associated with neonatal meningitis ... Meningitis in newborns can be either early or late onset. Early onset occurs within the first week after birth for babies born at term, and in the first 72 hours of life for those born preterm ...GBS disease can be very serious, especially for babies. In the United States, GBS bacteria are a leading cause of meningitis and bloodstream infections in a newborn’s first three months of life. Newborns are at increased risk for GBS disease if their mother tests positive for the bacteria late in pregnancy. 2 to 3 in every 50 babies (4–6% ...Mar 16, 2022 · Serogroup B meningococcal vaccines, such as Bexero or Trumenba. All children should be vaccinated at 11 or 12 with one of the conjugate vaccines, with a booster dose at age 16. As for the serogroup B vaccine, teens should definitely get it if. they have a complement deficiency (this is something that is generally diagnosed by the teenage years). GBS disease can be very serious, especially for babies. In the United States, GBS bacteria are a leading cause of meningitis and bloodstream infections in a newborn’s first three months of life. Newborns are at increased risk for GBS disease if their mother tests positive for the bacteria late in pregnancy. 2 to 3 in every 50 babies (4–6% ...Neonatal meningitis is an uncommon but serious disease, with an incidence of 0.1–0.4 per 1000 live births. 1, 2 It can have severe long term sequelae in 12–29% of survivors, 2– 8 and milder impairment of neurological function occurs in another 15–38%. 3– 5, 8 Cognitive impairment has been shown in some follow up studies of neonatal ...Feb 8, 2011 · Newborn babies are immune to some diseases because they have antibodies they get from their mothers, usually before they are born. However, this immunity lasts a few months. Most babies do not get protective antibodies against diphtheria, whooping cough, polio, tetanus, hepatitis B, or Hib from their mothers. Jun 15, 2022 · Meningitis can occur in people of all ages, but babies, children, and those with a weakened immune system are at the highest risk. Babies between birth and 1 month of age are more likely to ... Causes Several types of bacteria can cause meningitis. Leading causes in the United States include Streptococcus pneumoniae Group B Streptococcus Neisseria meningitidis Haemophilus influenzae Listeria monocytogenes Escherichia coliSummary. Herpes meningitis is a type of viral meningitis resulting from infection with a herpes virus. Three types of herpes virus can cause HM: herpes simplex virus 1, herpes simplex virus 2, and ...Two serious bacterial infections in a two-year period (meningitis, blood infection, or pneumonia) Swelling of the parotid gland (salivary glands located in front of the ear) Oral thrush that lasts for more than two months. A yeast infection that occurs in the digestive track or lungs. Constant or recurring sinus infections. Constant or ... Serogroup B meningococcal vaccines, such as Bexero or Trumenba. All children should be vaccinated at 11 or 12 with one of the conjugate vaccines, with a booster dose at age 16. As for the serogroup B vaccine, teens should definitely get it if. they have a complement deficiency (this is something that is generally diagnosed by the teenage years).What causes meningitis in a child? Meningitis is most often caused by a bacterial or viral infection that moves into the cerebral spinal fluid (CSF). CSF is the fluid that protects and cushions the brain and spinal cord. A fungus or parasite may also cause meningitis. This is more common only in children with a weak immune system.Meningitis is characterized by inflammation of the membranes (meninges) around the brain or spinal cord. Inflammation can begin suddenly (acute) or develop gradually (subacute). Major symptoms may include fever, headache, and a stiff neck, sometimes with aching muscles. Nausea, vomiting and other symptoms may occur. View Full Report.Enteroviruses can be spread when an infected person sneezes or coughs droplets into the air or on surfaces. A child may then breathe in droplets or touch a contaminated surface and touch their eyes, mouth, or nose. The viruses are treated with supportive care, such as fever or pain medicine, rest, and fluids.Oct 13, 2021 · Herpes meningitis is a type of viral meningitis resulting from infection with a herpes virus. Three types of herpes virus can cause HM: herpes simplex virus 1, herpes simplex virus 2, and ... Jul 6, 2023 · Meningitis during the neonatal period is a potentially devastating condition with dire long-term consequences. Despite advances in preventive and critical care medicine, bacterial meningitis continues to have an adverse outcome rate of 20 to 60% among its survivors.[1] Although the incidence and mortality have declined over the past few decades, it remains challenging to diagnose due to ... The most common causes of bacterial meningitis among babies younger than 2 months of age are group B Streptococcus, Streptococcus pneumoniae, Listeria monocytogenes, and Escherichia coli .Neonatal meningitis is an uncommon but serious disease, with an incidence of 0.1–0.4 per 1000 live births. 1, 2 It can have severe long term sequelae in 12–29% of survivors, 2– 8 and milder impairment of neurological function occurs in another 15–38%. 3– 5, 8 Cognitive impairment has been shown in some follow up studies of neonatal ...Meningococcal bacteria. Meningococcal disease is caused by the bacterium Neisseria meningitidis. There are several different groups of meningococcal bacteria including groups A, B, C, Y and W (previously called W135). These groups of bacteria can be further divided into specific strains. Most cases in New Zealand are caused by group B. The pneumococcal vaccine offers protection against serious infections caused by pneumococcal bacteria, including meningitis. Babies are offered the pneumococcal vaccine as 2 separate injections at 12 weeks with a booster given at 1 year of age. A single dose is offered to adults aged 65 or over. Find out more about the pneumococcal vaccine.Meningitis In Babies. Meningitis is an inflammation of the meninges, which is the tissue that surrounds and protects the brain and spinal cord. It’s most commonly caused by viral or bacterial infections. Meningitis is a serious condition that, left untreated, can be fatal in a short period of time and can cause life-altering complications in ...The MenB vaccine will protect your baby against infection by meningococcal group B bacteria. These bacteria are responsible for about 9 in every 10 meningococcal infections in young children. Meningococcal infections can be very serious, causing meningitis and sepsis. This can lead to severe brain damage, amputations and, sometimes, death. Encephalitis also may cause changes in sight or hearing. Most people with infectious encephalitis have flu-like symptoms, such as: Headache. Fever. Aches in muscles or joints. Fatigue or weakness. Typically, these are followed by more-severe symptoms over a period of hours to days, such as: Stiff neck.Meningitis is when the membranes that surround and protect the brain and spinal cord become inflamed and swollen. This usually happens because the membranes, called the meninges, have become infected from bacteria or a virus. The inflammation can then cause damage to the brain or nerves.Jul 6, 2023 · Meningitis during the neonatal period is a potentially devastating condition with dire long-term consequences. Despite advances in preventive and critical care medicine, bacterial meningitis continues to have an adverse outcome rate of 20 to 60% among its survivors.[1] Although the incidence and mortality have declined over the past few decades, it remains challenging to diagnose due to ...

Feb 6, 2023 · Meningitis is an infection of the membranes that cover the brain and spinal cord. While meningitis affects people in all age groups, children 2 and younger are most at risk. Without prompt treatment, infants with meningitis can suffer permanent brain damage or even death. Learn more about the causes, symptoms, and treatment of this dangerous ... . Hborrlvi

how do babies get meningitis

Viral meningitis is an infection of the membranes (linings) that cover the brain and spinal cord. Symptoms and infectious periods vary depending on the virus responsible. Most people recover from viral meningitis. This publication is provided for education and information purposes only. It is not a substitute for professional medical care.Protects your child from Hib disease, which can cause lifelong disability and be deadly. Protects your child from the most common type of Hib disease, meningitis (an infection of the lining of the brain and spinal cord). Keeps your child from missing school or child care, and you from missing work.Jun 15, 2022 · Meningitis can occur in people of all ages, but babies, children, and those with a weakened immune system are at the highest risk. Babies between birth and 1 month of age are more likely to ... Neonatal meningitis is an uncommon but serious disease, with an incidence of 0.1–0.4 per 1000 live births. 1, 2 It can have severe long term sequelae in 12–29% of survivors, 2– 8 and milder impairment of neurological function occurs in another 15–38%. 3– 5, 8 Cognitive impairment has been shown in some follow up studies of neonatal ...Early symptoms will be similar to the flu, and they can develop over a matter of hours or even days. Symptoms include: sudden high fever. stiff neck. severe headache. nausea or vomiting. confusion ...GBS meningitis typically affects newborns but can affect adults too. We provide a complete overview, including causes, symptoms, and treatment. ... Some 4% to 6% of babies with GBS disease ...In babies and toddlers, these additional symptoms may occur: swelling in the fontanelle; ... People of any age can get meningitis B. Over half of all cases occur in teenagers and young adults.Extreme fatigue. Irritability. Blue color to the skin. Babies with group B strep bacteria could get serious complications like these: Pneumonia -- a lung infection. Meningitis -- inflammation in ... The MenB vaccine will protect your baby against infection by meningococcal group B bacteria. These bacteria are responsible for about 9 in every 10 meningococcal infections in young children. Meningococcal infections can be very serious, causing meningitis and sepsis. This can lead to severe brain damage, amputations and, sometimes, death. Spread to others. People spread meningococcal bacteria to other people by sharing respiratory and throat secretions (saliva or spit). Generally, it takes close (for example, coughing or kissing) or lengthy contact to spread these bacteria. Fortunately, they are not as contagious as germs that cause the common cold or the flu. Do not administer meningococcal vaccines to: A person who has ever had a severe allergic reaction (e.g., anaphylaxis) after a previous dose; A person who has a severe allergy to any vaccine component; If otherwise indicated, vaccine providers may administer meningococcal vaccines to pregnant or breastfeeding women.Babies who get group B strep a week or so after birth may have signs such as: Decreased movement of an arm or leg. Pain with movement of an arm or leg. Breathing problems. Fever. Red area on the face or other part of the body. Pregnant women may have group B strep without symptoms. When they have symptoms, these may include: Having to urinate ...Meningitis in newborns can be either early or late onset. Early onset occurs within the first week after birth for babies born at term, and in the first 72 hours of life for those born preterm ...Meningitis is a disease caused by an inflammation of the meninges, the membranes that surround the brain and spinal cord. It's usually caused by a virus, although it can be caused by bacteria, a fungus, or tuberculosis. Treatment for meningitis depends on the specific cause of the disease. Vaccinations can prevent or minimize the incidence of ...Sep 27, 2022 · Protects your child from Hib disease, which can cause lifelong disability and be deadly. Protects your child from the most common type of Hib disease, meningitis (an infection of the lining of the brain and spinal cord). Keeps your child from missing school or child care, and you from missing work. Meningitis is an infection of the membranes that cover the brain and spinal cord. While meningitis affects people in all age groups, children 2 and younger are most at risk. Without prompt treatment, infants with meningitis can suffer permanent brain damage or even death. Learn more about the causes, symptoms, and treatment of this dangerous ...Feb 26, 2018 · Protecting newborns Seeing a doctor Meningitis is a condition that causes inflammation in the meninges, which protect the brain and spinal cord. Meningitis is most often caused by a virus or... The meningococcal conjugate vaccine (MenACWY) protects against four types of meningococcal bacteria (types A, C, W, and Y). It is recommended for all kids and teens age 11 and older. Some types of MenACWY are given to younger children (as early as 8 weeks of age) if they have a higher risk of getting meningococcal disease..

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