Health

Cyclosporiasis cases in Michigan surpass 3,000 as health officials say lettuce or salad greens could be source

Cyclospora cayetanensis is a unicellular parasite that causes an intestinal infection called cyclosporiasis. (CDC)

(NEW YORK) — Reported cases of cyclosporiasis, an intestinal illness caused by a parasite, have surpassed 3,000 in Michigan, the state’s health department said on Tuesday.

Cases jumped more than 600 since Monday. There have been a total of 3,309 cases since June 22, according to the Michigan Department of Health and Human Services (MDHHS). At least 44 people have been hospitalized. Michigan typically sees about 50 cases per year.

Most cases have been reported in southeastern Michigan, including Wayne County, where Detroit is located, according to MDHHS.

On Monday, Michigan health officials said lettuce or salad greens could be the source of illnesses in the state.

MDHHS data shows that most cases have been among adults, with 30 to 39 year olds making up the highest share.

The outbreak was first identified on June 29, when the Monroe County Health Department announced it was investigating a cluster of cases.

Michigan health officials previously told ABC News the outbreak could be linked to food contamination. So far no produce, grower or supplier have been identified.

Earlier this month, MDHHS sent out recommendations to restaurants and other commercial kitchens in southeast Michigan to reduce risks of exposure.

The parasite usually spreads through food or water contaminated with feces, according to the Centers for Disease Control and Prevention. It does not typically spread person-to-person. 

Foodborne outbreaks of cyclosporiasis in the past have been linked to various types of imported fresh produce, such as raspberries, basil, snow peas, mesclun lettuce and cilantro, according to the CDC.

At least 31 other states have reported cases of cyclosporiasis, according to an ABC News tally, analyzing CDC data and state health department data.

As of Friday, New York has reported the second-highest number of cases at 470 cases since May 1, followed by Ohio at 364, state health officials told ABC News. Meanwhile, Illinois and Florida are each reporting more than 100 cases as of Friday, according to their respective health departments.

The CDC said it has confirmed 843 domestic cases from May 1 to July 9. The agency wrote on its website that it is “aware that states are likely to report higher case counts of cyclosporiasis than reflected in CDC data and is working closely with states to update numbers as additional cases are confirmed.”

The agency said it expects a six-week reporting lag between illness onset and case reporting to the CDC as it receives and reviews the data. 

Cyclosporiasis is treated with the oral antibiotic trimethoprim-sulfamethoxazole (TMP-SMX), commonly sold as Bactrim, Septra and Cotrim, and taken for 10 days, according to the CDC.

The agency says people can prevent infection by thoroughly washing produce, cutting away bruised or damaged parts of fruits and vegetables and refrigerating pre-prepared or pre-cut produce.

Additionally, the CDC recommends washing hands thoroughly with soap and water before handling or preparing raw fruits and vegetables.

ABC News’ Youri Benadjaoud contributed to this report.

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Health

‘Pretty dire’: Aid workers reveal health needs in Venezuela amid recovery from earthquakes

Adi, 38, has been struggling to access health services for her daughter Camila, 10, who was injured a few months ago, due to the high cost and limited services. (Mauro Jose Medina Garcia/The International Rescue Committee)

(NEW YORK) — As Venezuela continues to recover from powerful twin earthquakes that rocked the north-central part of the country in late June, humanitarian organizations are warning of a “dire” situation on the ground.

The earthquakes, which officials say killed more than 4,400 people and injured more than 16,000, have displaced thousands of Venezuelans.

Aid workers told ABC News that countless people are in need of psychosocial support, in addition to those recovering from earthquake injuries.

Many Venezuelans are also suffering from chronic conditions — such as diabetes and hypertension — and are struggling to get care in the aftermath of the natural disaster.

Additionally, there has been a rise in reports of skin conditions and gastrointestinal diseases due to a lack of clean water and poor sanitation conditions, the workers said.

“The situation on the ground is pretty dire in terms of humanitarian needs,” Aisha Majid, a media manager at the international NGO Save the Children who is currently based in Caracas, told ABC News. “I’ve been here for a week, and there are thousands of families who are displaced on the streets.”

Mobile clinics treating wide range of conditions

Aid workers told ABC News that hospitals in Venezuela are currently overwhelmed treating people injured by the earthquakes, adding that some of the backlog predates the earthquakes.

“There are thousands of patients seeking help, and there aren’t enough doctors or hospitals or primary healthcare facilities,” Claudia Manresa, a regional compliance legal manager for the humanitarian organization Project HOPE in Latin America who is based in Venezuela, told ABC News. “There also aren’t enough medications, so this crisis joins a system that was already overwhelmed.”

Mobile clinics have been helping to fill some of the gaps. Manresa said Project HOPE has two mobile medical units running every day and, as of July 9, they have treated about 2,000 patients.

Save the Children is running a mobile clinic treating both patients with earthquake-related injuries, as well as other health needs including infections and chronic conditions. Majid said the organization is hoping to set up several mobile clinics across the capital of Caracas and the city of La Guaira, which was hit hard by the earthquakes.

Majid recalled that she visited a mobile clinic earlier in the month that Save the Children ran on the northeastern outskirts of Caracas through a local partner, which treated about 150 patients in around four hours.

“The second the clinic opened, there was a queue of people waiting to receive services, which just tells you how much in need people are, and the doctors in the clinic were working nonstop all day, just seeing patient after patient,” she said.

Everardo Esquivel, associate director for communications for the International Rescue Committee (IRC), told ABC News that many healthcare facilities were damaged in the earthquakes. As a result, he said people lost access to primary care and follow-up care.

Thirty-eight hospitals were damaged by the earthquakes, with the main referral hospital in La Guaira exceeding capacity within one day, according to the IRC.

The IRC’s mobile medical unit has been trying to help manage the increase in patient care, providing medicine for those with chronic conditions, including hypertension and diabetes, as well as antibiotics for certain conditions, he said.

Esquivel explained that there’s been a rise in skin conditions and diarrheal diseases due to the lack of clean water in the aftermath of the earthquake. Many shelters have virtually no access to toilets or showers, he said.

“People don’t have access to clean water and to properly clean wounds every day, so they get infections,” he said. “So, it’s two cases [at the mobile clinics]: it’s people with chronic diseases or in need of regular treatment and people who got new diseases related to the situation after the earthquakes.”

Need for psychosocial support

Humanitarian workers told ABC News there are also mental health issues that may arise after the earthquakes.

The World Health Organization said almost all people affected by emergencies experience psychological distress, which generally improves over time, but a fraction of people will go on to develop mental health conditions.

Manresa said Project HOPE is providing what aid workers refer to as psychological first aid, with a psychologist team deployed in La Guaira, offering different activities for kids and for adults.

She said the organization also has several phone lines that people can contact if they need help.

Children are particularly vulnerable. After a disaster, they may develop mental health symptoms including anxiety, depression and post-traumatic stress disorder (PTSD), according to the Centers for Disease Control and Prevention (CDC).

A 2017 review of eight studies of children following natural disasters found that 4% to 23% experienced chronic symptoms, with persistently elevated PTSD over time.

Majid, with Save the Children, said she’s met several children who are experiencing trauma after the earthquake.

Majid recalled meeting an 11-year-old boy who told her he’s scared when he sees cracks in the ground because he thinks it means the Earth will open again. She noted that another boy told her he’s scared to use the bathroom nearby because there is a crack in it.

“What we’re seeing is that there is a huge need for psychological support for children, and this is something that we provide through safe spaces that we run in affected areas,” Majid said. “And this is a place where children can come, they can play for a while.”

She noted that the organization has psychologists and specialists in mental health working with the young people there.

“It’s so important that children not only have a place where they can play but a place where they can also safely express their emotions and find a way to connect with the trauma and the grief that so many of them have been through,” she said.

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Health

Cyclosporiasis cases in Michigan surpass 2,600 as health officials say lettuce or salad greens could be source

Cyclospora cayetanensis is a unicellular parasite that causes an intestinal infection called cyclosporiasis. (CDC)

(NEW YORK) — Reported cases of cyclosporiasis, an intestinal illness caused by a parasite, have surpassed 2,600 in Michigan, the state’s health department said on Monday.

Cases jumped by more than 1,000 since Friday for a total of 2,642 reported since June 22, according to the Michigan Department of Health and Human Services (MDHHS). At least 44 people have been hospitalized. Michigan typically sees about 50 cases per year.

Most cases have been reported in southeastern Michigan, including Wayne County, where Detroit is located, according to MDHHS.

On Monday, Michigan health officials said that while their investigation into the  outbreak continues, current results point to lettuce or salad greens as a potential source of the illnesses in the state.

MDHHS data shows that most cases have been among adults, with the 30-39-year-old group making up the highest share, followed by the 40-49-year-old group and then the 60-69-year-old group.

The outbreak was first identified on June 29, when the Monroe County Health Department announced it was investigating a cluster of cases.

Michigan health officials previously told ABC News that the working hypothesis is that the outbreak is linked to food contamination, but so far, no produce, grower or supplier has been identified.

Earlier this month, MDHHS sent out recommendations to restaurants and other commercial kitchens in southeast Michigan to reduce risks of exposure.
The parasite usually spreads through food or water contaminated with feces, according to the Centers for Disease Control and Prevention. It does not typically spread person-to-person.

Foodborne outbreaks of cyclosporiasis in the past have been linked to various types of imported fresh produce, such as raspberries, basil, snow peas, mesclun lettuce and cilantro, according to the CDC.
At least 31 other states have reported cases of cyclosporiasis, according to an ABC News tally, analyzing CDC data and state health department data.

As of Friday, New York has reported the second-highest number of cases at 470 cases since May 1, followed by Ohio at 364, state health officials told ABC News. Meanwhile, Illinois and Florida are each reporting more than 100 cases as of Friday, according to their respective health departments.

The CDC said it has confirmed 843 domestic cases from May 1 to July 9. The agency wrote on its website that it is “aware that states are likely to report higher case counts of cyclosporiasis than reflected in CDC data and is working closely with states to update numbers as additional cases are confirmed.”

The agency said it expects a six-week reporting lag between illness onset and case reporting to the CDC as it receives and reviews the data.

Cyclosporiasis is treated with the oral antibiotic trimethoprim-sulfamethoxazole (TMP-SMX), commonly sold as Bactrim, Septra and Cotrim, and taken for 10 days, according to the CDC.

The agency says people can prevent infection by thoroughly washing produce, cutting away bruised or damaged parts of fruits and vegetables and refrigerating pre-prepared or pre-cut produce.

Additionally, the CDC recommends washing hands thoroughly with soap and water before handling or preparing raw fruits and vegetables.

ABC News’ Youri Benadjaoud contributed to this report.

Copyright © 2026, ABC Audio. All rights reserved.

Health

2nd American infected with Ebola in DRC evacuated to Germany, WHO chief says

Medical workers disinfect a facility used to treat an Ebola patient at the Heal Africa Hospital on June 4, 2026 in Goma, Democratic Republic of Congo. (Daniel Buuma/Getty Images)

(NEW YORK) — A second American citizen infected with Ebola in the Democratic Republic of the Congo (DRC) has been transferred to Germany for care, the head of the World Health Organization said on Monday.

The Centers for Disease Control and Prevention (CDC) announced over the weekend that the unnamed patient works for a humanitarian aid organization and tested positive for the Bundibugyo virus, the strain of Ebola that is behind the DRC’s outbreak.

In a post on X on Monday, Dr. Tedros Adhanom Ghebreyesus, director-general of the WHO, said the organization “has provided clinical care and close monitoring” for the patient in the Ituri province, where most of the DRC’s cases have been confirmed.

Samaritan’s Purse, which has been responding to the outbreak, confirmed on Monday that one of their staff members is the infected patient.

“We can confirm that one of our Samaritan’s Purse staff members working in Bunia, Democratic Republic of the Congo (DRC), has tested positive for the Ebola virus,” Franklin Graham, president and CEO of Samaritan’s Purse, said in a statement. “This respected and faithful staff member has been a part of our Disaster Assistance Response Team for 15 years and has been serving in a logistics capacity in the DRC over the past month. He was not involved in direct patient care at our two Ebola Treatment Centers.”

Samaritan’s Purse said it immediately contacted the CDC, the State Department and the DRC’s government upon learning of the positive test and that the organization has begun contact tracing.

The first American infected with Ebola was a doctor who contracted the disease while treating patients in the DRC. Dr. Peter Stafford was evacuated to Germany at the time to receive specialty care and was hospitalized at Charité University Hospital in Berlin, according to Serge, the international Christian missionary group that employs him.

His wife, Dr. Rebekah Stafford, and their four children were also evacuated to Germany and moved into a separate space at the hospital as high-risk contacts. Peter Stafford was discharged from the hospital in June, and the family has since returned to the United States.

The outbreak in the DRC has led to more than 1,900 cases and more than 700 deaths, according to the latest figures from the DRC’s Ministry of Health.

“As infections among response personnel are not unexpected in an outbreak of this scale, protecting frontline responders must remain a top priority,” the WHO’s Tedros wrote on X. “We are deeply grateful for the courage and commitment of all health workers working to end this outbreak.”

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Health

Cyclosporiasis cases in Michigan surpass 2,600, health officials say

Cyclospora cayetanensis is a unicellular parasite that causes an intestinal infection called cyclosporiasis. (CDC)

(NEW YORK) — Reported cases of cyclosporiasis, an intestinal illness caused by a parasite, have surpassed 2,600 in Michigan, the state’s health department said on Monday.

This is a developing story. Please check back for updates.

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Health

Here’s where cyclosporiasis is spreading as cases are confirmed in 32 states

Cyclosporiasis cases in the U.S. in 2026 as of July 10, 2026 (CDC, state health departments)

(NEW YORK) — Cases of cyclosporiasis, an intestinal infection caused by a parasite, are currently being reported in nearly three dozen states, according to an ABC News tally.

As of Friday, at least 2,844 cases have been reported in 32 states, data from the Centers for Disease Control and Prevention (CDC) and state health departments show.

The CDC said the true number of people sick with cyclosporiasis is likely higher than the reported figure because some people recover without medical care and are not tested for the parasite.

Most cases are currently being reported in Michigan with 1,562 as of Friday, according to the Michigan Department of Health and Human Services (MDHHS). At least 44 people have been hospitalized in the state.

This is 31 times higher than the approximately 50 cases that Michigan sees every year, according to the health department.

Michigan health officials previously told ABC News that the working hypothesis is the outbreak is linked to food contamination but, so far, no produce, grower or supplier has been identified.

The parasite usually spreads through food or water contaminated with feces, according to the CDC.

Foodborne outbreaks of cyclosporiasis have been linked to various types of imported fresh produce, such as raspberries, basil, snow peas, mesclun lettuce and cilantro, the CDC says.

New York is reporting the second highest number of cases at 394, followed by Ohio at 364, according to data from both state health departments. Meanwhile, Illinois and Florida are each reporting more than 100 cases, according to their respective health departments.

The most common symptom of cyclosporiasis is watery diarrhea “with frequent and sometimes explosive bowel movements,” according to the CDC. Other symptoms nay include nausea, vomiting, abdominal pain or bloating.

The time between becoming infected and showing symptoms is typically about one week but can range from two days to two weeks, the CDC says. The lag can make it difficult to trace back what may have infected someone, doctors previously told ABC News.

Cyclosporiasis is treated with the oral antibiotic trimethoprim-sulfamethoxazole (TMP-SMX), commonly sold as Bactrim, Septra and Cotrim, and taken for 10 days, according to the CDC.

The agency says people can prevent infection by thoroughly washing produce, cutting away bruised or damaged parts of fruits and vegetables and refrigerating pre-prepared or pre-cut produce.

Additionally, the CDC recommends washing hands thoroughly with soap and water before handling or preparing raw fruits and vegetables.

Copyright © 2026, ABC Audio. All rights reserved.

Health

What you need to know about cyclosporiasis: How it spreads, how it’s treated

Cyclospora cayetanensis is a unicellular parasite that causes an intestinal infection called cyclosporiasis. (CDC)

(NEW YORK) — Multiple states are reporting an increase in cyclosporiasis cases, an intestinal infection caused by a parasite.

Health officials in Michigan have reported more than 1,200 cases and, in neighboring Ohio, cases have topped 170.

Here’s what you need to know about the infection, including how it spreads, how it’s diagnosed and how to treat it.

What is Cyclosporiasis?

Cyclosporiasis is an intestinal infection caused by the microscopic parasite Cyclospora cayetanensis, also known as Cyclospora, according to the Centers for Disease Control and Prevention (CDC).

The infection affects the small intestine and can cause watery diarrhea with sometimes “explosive” bowel movements, according to the federal health agency.

Other symptoms can include cramping, bloating, low-grade fever, nausea and vomiting.

The agency further said it takes about one week from the time of infection to become symptomatic, but that time can range from two days to two weeks.

How it spreads

The parasite usually spreads through food or water contaminated with feces, according to the CDC.

Foodborne outbreaks of cyclosporiasis have been linked to various types of imported fresh produce, such as raspberries, basil, snow peas, mesclun lettuce and cilantro, according to the CDC.

How the infection is diagnosed

A healthcare provider will diagnose cyclosporiasis by testing stool samples, according to the CDC.

Patients may have to submit several stool samples on different days to detect the parasite because laboratory tests may have a hard time detecting Cyclospora.

The CDC says a patient’s healthcare provider will need to specifically request testing for the parasite.

How cyclosporiasis is treated

Cyclosporiasis is treated with the oral antibiotic trimethoprim-sulfamethoxazole (TMP-SMX), commonly sold as Bactrim, Septra and Cotrim, and taken for 10 days, according to the CDC.

The CDC says most people with healthy immune systems will eventually recover without treatment, but if left untreated, patients may be sick for a few days to a month or longer.

How to prevent infection

It’s unclear exactly how Cyclospora contaminates food and water, according to the CDC.

The agency says people can prevent infection by thoroughly washing produce, cutting away bruised or damaged parts of fruits and vegetables, and refrigerating pre-prepared or pre-cut produce.

Additionally, the CDC recommends washing hands thoroughly with soap and water before handling or preparing raw fruits and vegetables.

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Health

Legionnaires’ disease cluster in New York City grows to 36 cases

Illustration of Legionella pneumophila bacteria, the cause of Legionnaires’ disease. ( ROGER HARRIS/SCIENCE PHOTO LIBRARY/Getty Images)

(NEW YORK) — A Legionnaires’ disease cluster in New York City is growing, with 36 cases now confirmed, according to health officials.

As of Wednesday, there have been at least 22 hospitalizations and no deaths, according to the New York City Department of Health (NYC Health).

The cluster has affected the Upper East Side neighborhoods of Carnegie Hill and Yorkville, the department said.

In an earlier notice to the two neighborhoods, NYC Health said it believes the likely source of the bacteria is a cooling tower in the area, which sprays a mist that contains the bacteria. All area cooling towers were being tested for the bacteria, NYC Health said then.

There is no issue with any building’s plumbing system and residents in the affected areas can continue to drink tap water, bathe, shower, cook and use their air conditioners, NYC Health further said in the notice.

On Tuesday, New York Mayor Zohran Mamdani said his administration was implementing measures to publicly identify the specific buildings suspected as being sources of Legionella bacteria and require owners to clean cooling towers quickly.

Legionnaires’ disease is a severe form of pneumonia caused by inhaling the Legionella bacteria in small droplets of water mixed in the air or by contaminated water otherwise entering the lungs.

The bacteria are found naturally in fresh water but in amounts that generally don’t lead to disease. The bacteria typically grow best in warm water and in warm to hot temperatures, according to the Centers for Disease Control and Prevention (CDC).

The disease does not generally spread from person to person but infections can occur if the bacteria get into a building’s water supply, including in shower heads, sink faucets, hot water tanks, heaters, cooling towers and other plumbing systems.

Legionnaires’ disease has increased in prevalence over the last decade, reaching a peak in the U.S. of 2.71 cases per 100,000 in 2018, the CDC said. Cases declined during the first year of the COVID-19 pandemic and then rebounded in 2021.

Although most people recover from Legionnaires’ disease with antibiotics, certain patients – including those who are immunocompromised or who suffer from chronic lung diseases – can develop complications that can be fatal.

About one out of every 10 people who develop Legionnaires’ disease will die due to complications, according to the CDC. Among those who develop Legionnaires’ disease at a healthcare facility, about one of every four people will die, the CDC says.

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Health

Cyclosporiasis cases top 1,200 in Michigan, health officials say

Cyclospora cayetanensis is a unicellular parasite that causes an intestinal infection called cyclosporiasis. (CDC)

(LANSING, Mich.) — Reported cases of cyclosporiasis, an intestinal illness caused by a parasite, have topped 1,200 in Michigan, local health officials said Thursday.

Since June 22, at least 1,251 cases have been confirmed, according to the Michigan Department of Health and Human Services (MDHHS) . At least 36 people have been hospitalized.

Typically, the state sees about 50 cases per year.

Dr. Natasha Bagdasarian, an infectious disease physician, epidemiologist and the chief medical executive for the state of Michigan, told ABC News earlier this week that the department’s working hypothesis is the outbreak is linked to contaminated produce.

The parasite usually spreads through food or water contaminated with feces, according to the Centers for Disease Control and Prevention (CDC).

Foodborne outbreaks of cyclosporiasis have been linked to various types of imported fresh produce, such as raspberries, basil, snow peas, mesclun lettuce and cilantro, according to the CDC.

The MDHHS spokesperson said on Wednesday that no specific produce, grower, supplier or type of produce has been identified as the source.

Michigan is not the only state reporting cases. The CDC said there have been 145 cases detected in 17 states since May 1, excluding Michigan. No deaths have been reported.

The CDC said patients’ ages cases ranged from 5 through 86 and 61% were female.

Some patients do not experience any symptoms but, for those who do, the most common symptom is “explosive watery diarrhea,” doctors previously told ABC News. Other symptoms can include cramping, bloating, low-grade fever, nausea and vomiting, the doctors said.

The CDC says it takes about one week from the time of infection to become symptomatic, but that time can range from two days to two weeks.

Because cyclosporiasis symptoms can resemble other illnesses, it may be hard for a patient to determine the cause.

“Anyone experiencing gastrointestinal illness, such as sudden and ongoing diarrhea, should contact their health care provider and their local health department,” the MDHHS spokesperson told ABC News in an email.

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Health

Cyclosporiasis cases near 1,000 in Michigan, health officials say

Cyclospora cayetanensis is a unicellular parasite that causes an intestinal infection called cyclosporiasis. (CDC)

(LANSING, Mich.) — Reported cases of cyclosporiasis, an intestinal illness caused by a parasite, are nearing 1,000 in Michigan, local health officials said Wednesday.

Since June 22, at least 992 cases have been confirmed, a spokesperson from the Michigan Department of Health and Human Services (MDHHS) told ABC News. At least 36 people have been hospitalized.

Typically, the state sees about 50 cases per year, meaning cases are nearly 20 times higher than on average.

Dr. Natasha Bagdasarian, an infectious disease physician, epidemiologist and the chief medical executive for the state of Michigan, told ABC News earlier this week that the department’s working hypothesis is the outbreak is linked to contaminated produce.

The parasite usually spreads through food or water contaminated with feces, according to the Centers for Disease Control and Prevention (CDC).

Foodborne outbreaks of cyclosporiasis have been linked to various types of imported fresh produce, such as raspberries, basil, snow peas, mesclun lettuce and cilantro, according to the CDC.

The MDHHS spokesperson said on Wednesday that no specific produce, grower, supplier or type of produce has been identified as the source.

The CDC said there have been 145 cases detected in 17 states since May 1, excluding Michigan. No deaths have been reported.

The CDC said patients’ ages cases ranged from 5 through 86 and 61% were female.

Some patients do not experience any symptoms but, for those who do, the most common symptom is “explosive watery diarrhea,” doctors previously told ABC News. Other symptoms can include cramping, bloating, low-grade fever, nausea and vomiting, the doctors said.

The CDC says it takes about one week from the time of infection to become symptomatic, but that time can range from two days to two weeks.

Because cyclosporiasis symptoms can resemble other illnesses, it may be hard for a patient to determine the cause.

“Anyone experiencing gastrointestinal illness, such as sudden and ongoing diarrhea, should contact their health care provider and their local health department,” the MDHHS spokesperson told ABC News in an email.

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