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Africa: Data Modelling Reveals the Heavy Toll of USAID Cuts On Africa

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Given the US’ major contribution to aid, Trump’s cuts could push 5.7 million more Africans into extreme poverty next year.
Since returning to office in January, US President Donald Trump has signed more than 73 executive orders, many of which can be considered an assault on the rule of law and separation of powers in the United States, an attack on the country’s former Western allies, and on the liberal international order more generally. Most important for Africa, is his move to gut US development assistance and walk back efforts to fight corruption.
Following the 20 January executive order on Reevaluating and Realigning United States Foreign Aid, USAID started distributing Notices of Suspension, instructing recipients to stop working on awards and not incur any new costs.
Subsequently, emergency food assistance and administrative expenses necessary to administer it were exempted by a 90-day waiver, as was life-saving humanitarian support to several countries, including the Central African Republic (CAR), Chad, South Sudan, Democratic Republic of the Congo (DRC), Uganda and Rwanda.
In line with the Republican Party’s war on diversity, equity and inclusion (DEI), all activities related to abortions, family planning, gender or ‘DEI ideology programs,’ transgender surgeries and other non-life saving assistance are specifically excluded from the waiver.
The effect on Africa is considerable since spending on health is the largest component of US aid to Africa. HIV/AIDS prevention and treatment projects are readily categorised as part of support for family planning, which has been under attack by successive Republican administrations for several decades. On 26 February, US President’s Emergency Plan for AIDS Relief (PEPFAR)-funded HIV organisations were notified by the US government that their financial support had been terminated permanently, with immediate effect. Other USAID-backed health programmes were also closed for good, such as the United Nations Programme on HIV/Aids.
Other funding from the US supports agricultural productivity and economic growth, bolsters security, promotes democracy, human rights and governance, and improves access to quality education and social services. All of this is now under threat.
For all its detractors, aid remains important for many poor African countries. In 2023, total overseas development assistance (ODA) from OECD countries to Africa amounted to US$59.7 billion, more than a quarter of which is provided by the US.
Modelling using the University of Denver’s International Futures forecasting platform finds that 5.7 million more Africans would fall below the US$2.15 extreme poverty income level in the next year if Trump’s administration succeeds in its aid-reduction ambition.
And by 2030, a cumulative total of almost 19 million more Africans would be considered extremely poor when compared with a business-as-usual scenario. The numbers differ by country, of course, with the DRC, Ethiopia, Somalia, Niger, Uganda and Tanzania being most affected given their large populations. By 2030, the economy of sub-Saharan Africa will also be US$4.6 billion smaller.
Given its outsized role in the provision of humanitarian assistance (the US is the largest provider globally), mortality amongst internally displaced and refugee populations will increase dramatically.
The reason for these alarming numbers is the huge role played by US aid. When support from regional and international financial institutions and multilateral bodies such as the United Nations agencies is included, the US provides up to 26% of all aid to Africa. That would include multi-country initiatives such as PEPFAR, the President’s Malaria Initiative, Feed the Future, Prosper Africa and Power Africa.
In the scenario that was modelled, aid to Africa was reduced by 20% (from the 26% provided by the US) on the assumption that some aid will survive the cuts. But even then, the impact is still massive given the enormous spread of US assistance.
All African countries except Eritrea received aid from the US in 2023. Ethiopia was the largest recipient of USAID funds, receiving more than US$1.7 bn. Other large recipients of economic development support from USAID were Somalia, DRC, Nigeria, Kenya, South Sudan, Uganda, Mozambique, Tanzania, South Africa, Zambia and Malawi – each of which received more than US$400 million in 2023.
Exasperated by the apparent limited effects of aid, and concerns about corruption and dependency, most donors argue for trade, not aid, and push for private-sector engagement as an alternative. The problem is that foreign direct investment (FDI) does not come to low-income countries that generally also trade little.
We tested this again by modelling the extent to which increased FDI of the same volume can offset the impact of the US aid reduction, but found no evidence. In fact, for most poor countries, more FDI tends to increase inequality and poverty in the short and medium term given the benefits that accrue to skilled rather than low-skilled labour. Eventually, things change, but it takes a long time and requires a suite of policies.
Meanwhile, USAID has paused much of its funding, started laying off most of its employees and moved the remainder into the State Department. USAID staff posted overseas have been given 30 days to return to the US, after which they have to cover their own expenses.
Trump and Elon Musk want to reduce the number of USAID staff to 300, enabling only a very small number of projects and disbursements – even if former employees were brought back as consultants to manage the subsequent administrative nightmare.
A number of Trump’s executive orders are being challenged in court. Several are unlikely to withstand judicial scrutiny, including that on USAID since the agency was established by an act of Congress and is now being dismantled by Presidential decree. Last week a US district court judge issued a temporary restraining order challenging the USAID staff cuts, only for that to be overturned by a federal judge.
The US is not the only country cutting back on aid, but the speed and size are unprecedented. Domestic budgetary pressures have led other key donors, like Germany, the second-largest provider of ODA in absolute terms, to cut more than €4.8 billion (US$5.3 billion) in development and humanitarian assistance between 2022 and 2025 with additional reductions likely.
Similarly, France reduced its 2024-2025 ODA budget by more than US$1 billion, while the United Kingdom cut more than US$900 million after almost £1 billion (US$1.28 billion) was diverted to housing asylum-seekers in the country.
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Compared to these more gradual reductions – which are themselves hugely problematic – the deep and hurried cuts in US aid to Africa will seriously damage attitudes toward the US, increase poverty and reduce economic growth. China may cheer at the damage the US is doing to its standing in Africa, but African people won’t.
Instead of dismantling USAID, the Trump administration would have been better served by aggressively implementing the localisation strategy started by outgoing USAID administrator Samantha Power. This strategy envisioned 25% of monies spent going to local organisations instead of US consultants and intermediaries. Only 9.6% was thus spent in 2023, pointing to the extent to which aid is indeed in need of reform.
While Washington rethinks its approach, African governments and institutions must also recalibrate. Strengthening domestic revenue collection, simplifying and harmonising tax regimes, deepening ties with emerging donors, facilitating investment and reducing dependency on volatile commodity exports could help buffer against such geopolitical swings in the future.
Reforming aid should not mean abandoning it. If US policymakers truly seek to pursue their national interests and counter China in Africa, they must rethink their approach – before the damage becomes irreversible.
This article was first published in Africa Tomorrow, the blog of the ISS’s African Futures programme.
Jakkie Cilliers, Head, African Futures and Innovation, ISS Pretoria
Read the original article on ISS.
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Africa: New Leadership Appointed to the Africa Platform On Children Affected By Armed Conflicts (AP-Caac)

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Addis Ababa — The Africa Platform on Children Affected by Armed Conflicts (AP-CAAC) is pleased to announce that H.E. Ambassador Rebecca Amuge Otengo, Ambassador of the Republic of Uganda to Ethiopia and Permanent Representative to the African Union (AU), has accepted to serve as Co-Chair of the Platform. She will serve alongside the African Union Commissioner for Political Affairs, Peace and Security, H.E. Ambassador Bankole Adeoye, as Co-Chairs of AP-CAAC.
Joining the leadership of the Platform, H.E. Ambassador Nts’iuoa Sekete, Ambassador of the Kingdom of Lesotho to Ethiopia and Permanent Representative to the AU, has also accepted to serve as Vice Chair.
The AP-CAAC, inaugurated on 23 September 2021, is a continental initiative dedicated to advocating for and protecting the rights and welfare of children affected by armed conflicts across Africa. With their extensive diplomatic experience and steadfast commitment to peace, security, and human rights, Ambassadors Otengo and Sekete bring renewed vision and leadership to the Platform at a critical time.
As Co-Chairs, H.E. Ambassador Otengo and H.E. Commissioner Adeoye will guide the strategic direction of the Platform, championing initiatives that place children at the heart of Africa’s governance, peace and security agenda. H.E. Ambassador Sekete, as Vice Chair, will support coordination and collaboration among Member States and institutions to drive forward AP-CAAC’s mission.
With this new leadership, enhanced advocacy and tangible progress in protecting children in situations of conflict across Africa will remain a key priority.
Read the original article on African Union.
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Africa: Six Public Health Champions Celebrated At the Seventy-Eighth World Health Assembly

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At an award ceremony taking place during a Plenary of the Seventy-eighth World Health Assembly in Geneva on Friday, 23 May 2025, public health prizes and awards were presented to persons and institutions from around the world for their outstanding contributions to public health.
The six 2025 laureates received their awards from the Seventy-eighth World Health Assembly President Teodoro J. Herbosa, together with high-level representatives of the foundations that established these public health awards and prizes, and WHO Director-General, Dr Tedros Adhanom Ghebreyesus.
In February 2025, the Executive Board of the World Health Organization decided to distinguish six laureates to celebrate their unique role for public health in their countries, their regions and globally.
They come from four WHO Regions: Africa, Eastern Mediterranean, Europe and Western Pacific.
Sasakawa Health Prize
Dr Merete Nordentoft from Denmark is the 2025 winner of the Sasakawa Health Prize
The Sasakawa Health Prize is awarded for outstanding innovative work in health development to a person or persons, an institution or institutions, or a nongovernmental organization or organizations. Such work includes the promotion of given health programmes or notable advances in primary health care.
The Executive Board awarded the Sasakawa Health Prize for 2025 to Dr Merete Nordentoft from Denmark for her outstanding innovative work in health development.
Dr Merete Nordentoft has made important contributions to mental health care by providing concrete, primary health-care-based solutions to address gaps in the chain of care. In 1998, she created the OPUS outreach treatment programme that has resulted in significantly improved outcomes for young people with first-episode psychosis, demonstrating substantial achievements in advancing mental health programmes and improving the quality of care. One of OPUS’s key success factors is the direct involvement of communities and family members. The concept has since served as inspiration for many countries throughout the world. Her intervention research on suicide prevention has directly informed Denmark’s national action plan for suicide prevention, which includes regional suicide preventive clinics and collaboration between helplines run by nongovernmental organizations and professional helplines.
The focus on early intervention and increasing the accessibility of mental health services at the community level benefits vulnerable groups.
“With the right support, early enough, recovery is not only possible – it is likely,” said Dr Merete Nordentoft.
United Arab Emirates Health Foundation Prize
Dr Jožica Maučec Zakotnik from Slovenia won the 2025 United Arab Emirates Health Foundation Prize
The United Arab Emirates Health Foundation Prize is awarded for an outstanding contribution to health development to a person or persons, an institution or institutions, or a nongovernmental organization or organizations.
The Executive Board awarded the 2025 Prize to Dr Jožica Maučec Zakotnik from Slovenia for her outstanding contribution to health development.
Dr Jožica Maučec Zakotnik has made exceptional contributions to the promotion of healthy lifestyles and to ensuring equal access to preventive services in health care for all. She co-developed an innovative model of multidisciplinary, free-of-charge health promotion centres that include access to mental health services, breaking access barriers for the most vulnerable through collaboration with social services and schools.
She also led the establishment in 2005 of the MURA Health and Development Centre, meant to address social determinants of health in an impoverished region, that became a WHO collaborating centre in 2009 for cross-sectoral approaches to health and development. At the National Public Health Institute, Dr Zakotnik collaborated with firefighting associations to increase awareness of colorectal cancer screening amongst men. As a State Secretary (2001–2004 and 2017–2018), she helped to scale up successful pilot programmes at the national level, including for the first national programme on nutrition, the strategy for promotion of health-enhancing physical activity and the MURA mental health programme.
“Together we can make a lasting difference in the lives of countless individuals – at home and beyond,” said Dr JoΕΎica Maučec Zakotnik.
Highness Sheikh Sabah Al-Ahmad Al-Jaber Al-Sabah Prize for Research in Health Care for the Elderly and in Health Promotion
Professor Huali Wang (China) and the Geriatric Healthcare Directorate of the Ministry of Health (State of Kuwait) are the 2025 winners of the Highness Sheikh Sabah Al-Ahmad Al-Jaber Al-Sabah Prize for Research in Health Care for the Elderly and in Health Promotion
His Highness Sheikh Sabah Al-Ahmad Al-Jaber Al-Sabah Prize for the Promotion of Healthy Ageing is awarded to a person or persons, an institution or institutions, or a nongovernmental organization or organizations who have made an outstanding contribution to research, health promotion, policy and/or programmes on healthy ageing.
The Executive Board awarded the 2025 Prize jointly to Professor Huali Wang (China) and the Geriatric Healthcare Directorate of the Ministry of Health (State of Kuwait) for their outstanding contributions to healthy ageing.
Professor Huali Wang has made significant contributions to healthy ageing at the national and global levels. She helped shape China’s national healthy ageing strategic plan and national dementia action plan, developing a comprehensive approach for mental care. The approach, now active across 27 regions, has resulted in dementia screenings for over 100 000 older adults, as well as health education campaigns and interdisciplinary, community-based service models that integrate professional and family support. Professor Wang also pioneered the development of dementia caregiver support groups, establishing in 2000 China’s first Memory Café, which promotes community involvement and has since become a national model. Professor Wang has championed cognitive stimulation therapy training and implementation in over 20 provinces. Professor Wang has collaborated with WHO on global dementia guidelines and on the iSupport online course, helping to extend caregiver support worldwide. The social prescribing pilot programme that Professor Wang initiated in Shangrao has received global recognition.
“This award is not just a recognition of our past work but a call to action for future endeavours – together, we can make a difference in the lives of many,” said Professor Huali Wang.
The Geriatric Healthcare Directorate at the Ministry of Health, Kuwait, has designed a multifaceted and comprehensive approach to healthy ageing. It developed a National Health Strategy for Older Adults (2024–2030) that provides a clear framework for the provision of accessible, high-quality integrated care and the promotion of active and healthy ageing. The implementation of the Kuwait Older Adults Health Survey has helped to inform policies and improve service delivery. Innovative mobile vaccination campaigns have benefited an additional 1000 older adults and caregivers. Comprehensive training programmes on healthy ageing, benefiting over 1000 caregivers, physicians, pharmacists and nurses are reported to have improved health-care delivery and coverage for older adults by 40%. The Directorate carries out community engagement initiatives to create inclusive and accessible environments that are responsive to the needs of older people and it also collaborates with nongovernmental organizations to foster community support.
“This recognition is not only a reflection of our efforts, but a renewed responsibility to continue striving for excellence in elderly care, preserving dignity and honouring their lifelong contributions,” said Dr Fatemah Bendhafari from the UAE Geriatric Healthcare Services Directorate of Kuwait’s Ministry of Health.
Dr LEE Jong-wook Memorial Prize for Public Health
Professor Helen Rees from South Africa is the 2025 winner of the Dr LEE Jong-wook Memorial Prize for Public Health
The Dr LEE Jong-wook Memorial Prize for Public Health is awarded to a person or persons, an institution or institutions, a governmental or nongovernmental organization or organizations, who have made an outstanding contribution to public health.
The WHO Executive Board awarded the 2025 Prize to Professor Helen Rees (South Africa) for her outstanding contribution to public health at the local, national, regional and global levels.
Professor Helen Rees founded the Wits Reproductive Health and HIV Institute (Wits RHI) in 1994, which has treated over 650 000 people living with HIV and which operates in 52 sites across South Africa with regional partnerships in 23 countries. In 2004, she created the Hillbrow Health Precinct, an innovative model that integrates urban regeneration, medical research and community-based health services, such as care for adolescents living with HIV and vaccination services, and that provides essential health services to some of Johannesburg’s most marginalized residents. Professor Rees has also made major research contributions covering HIV prevention, vaccines against human papillomavirus and COVID-19 and her research on HIV prevention, including pre-exposure prophylaxis and long-acting injectable treatments, has transformed HIV-prevention strategies for vulnerable populations.
“Public health and human rights are intertwined, driven by the social determinants of health and the access people have to care – let us continue the struggle for health for all,” said Professor Helen Rees.
Nelson Mandela Award for Health Promotion
Dr Majed Zemni from Tunisia is the winner of the 2025 Nelson Mandela Award for Health Promotion
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The Nelson Mandela Award for Health Promotion is awarded to a person or persons, an institution or institutions, a governmental or nongovernmental organization or organizations, who or which has/have made a significant contribution to health promotion.
The Executive Board awarded the 2025 Award to Dr Majed Zemni (Tunisia) for his outstanding contribution to health promotion.
Dr Majed Zemni has made extensive and impactful contributions to health promotion, particularly in his roles as President of the Tunisian Association of Forensic Medicine and Criminal Sciences and as President of the National Office of Family and Population (ONFP) of Tunisia. He helped issue key legal instruments, such as guidelines for forensic medicine and legislation relating to patients’ rights and medical liability. As part of the National Committee of Medical Ethics, he contributed to the development of protocols for managing the deceased that ensured human dignity during the COVID-19 pandemic. He worked at the Psychological Assistance Centre for Women and Children Victims of Violence. He also maintained the ONFP’s International Training and Research Centre as a WHO collaborating centre. His efforts have helped reorient health services with a patient-centred approach, with particular attention to people living with HIV and persons deprived of their liberty, and through multisectoral engagement involving other ministries and stakeholders in the development and implementation of programmes.
“Health is a common denominator for all humanity, regardless of borders, races or policies,” said Dr Majed Zemni. “We must all strive to establish health security and a healthier future for all.”
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The call for nominations of candidates for each prize is sent out each year after closure of the World Health Assembly. Nominations can be made by national health administrations of a WHO Member State and by any former recipient of the prizes. At its 156th session in February 2025, the Executive Board designated the 2025 winners of the prizes, based on proposals made by a selection panels composed of Executive Board Members, and working independently for each prize.
See more on public health prizes and awards web page.
Read detailed information about the public health prizes and awards process.
Full information can be found in this 78th World Health Assembly document (A78/INF./1).
Six African Nations Commit to Eliminate Deadly Neglected Disease Visceral Leishmaniasis
Global Leaders Reaffirm Commitment to WHO With At Least U.S.$ 170 Million Raised At World Health Assembly 2025 Pledging Event
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Africa: All of Africa Today – May 23, 2025

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 More Flee Escalating Violence At South Sudan-Ethiopia Border
The aid group Medecins Sans Frontieres (MSF) calls on the warring parties in South Sudan to create a safe humanitarian space to protect civilians and aid workers, as fighting escalates on the country’s border with Ethiopia. Thousands of South Sudanese refugees in the area have been forced to flee further into Ethiopia.This comes as military officials from Ethiopia and South Sudan agreed to enhance joint operations targeting what they described as “illegal elements” active along their shared border. Ethiopia’s Gambella region is experiencing a “dual emergency”, as more people are becoming infected and affected by an expanding cholera outbreak, the MSF statement said.
Endorsement Of New Sudan PM By AU Chairperson Sparks Uproar
A statement endorsing the appointment of Prime Minister Kamil Idris by the AU Commission Chairperson, Mahamoud Ali Youssouf, has triggered a firestorm of criticism, with some Sudanese stakeholders accusing Youssouf of bias. The head of Sudanese Armed Forces – and the country’s interim leader – General Abdel Fattah al-Burhan earlier named Idris, a former UN official, as the country’s new Prime Minister. He is a seasoned diplomat, having served the UNs’ World Intellectual Property Organization. Idris is no stranger to Sudanese politics. In 2010, he stood against the country’s former long-time ruler Omar al-Bashir in the presidential election. His appointment comes as the country continues to reel from a civil war that erupted in April 2023 between Burhan’s armed forces and the paramilitary Rapid Support Forces, led by his former deputy, Mohamed Hamdan Daglo.
UK-Mauritius Chagos Deal Gets Green Light After Court Ruling
The UK-Mauritius deal to transfer sovereignty of the Chagos Islands was revived after a British court lifted a last-minute injunction that had blocked the agreement. The High Court initially blocked the signing following a legal challenge from two British-Chagossian women representing the islands’ displaced residents. But after a rapid follow-up hearing, Judge Martin Chamberlain ruled the injunction should be removed and “no further interim relief” granted, effectively allowing the handover to proceed. The UK is set to transfer sovereignty over the Chagos Archipelago in the Indian Ocean, which was separated from Mauritius in 1965. The landmark deal will see the UK retain control of the strategically important Diego Garcia military base under a 99-year lease agreement with the United States.
DR Congo Senate Strips Kabila of Immunity
The Democratic Republic of Congo’s Senate overwhelmingly voted to strip former president Joseph Kabila of his honorific immunity following accusations that he supported the Rwanda-backed M23 rebel group, which had seized territory in the country’s mineral-rich east. 88 senators voted in favour of lifting Kabila’s immunity, with five opposing and three abstaining. President Felix Tshisekedi accused Kabila, who had been abroad since 2023, of conspiring with M23 to destabilize the country. Kabila, who has been outside the country since 2023, was not present in the chamber at the time of the vote.
‘Sex for Fish’ Exploitation Plagues Malawi’s Women Fishers
Women in fishing communities in Malawi’s lakeshore districts of Nkhotakota and Mangochi are frequently targets of sexual exploitation for fish, a practice commonly known as ‘sex for fish.’ Women are being coerced into transactional sex by male boat owners in order to access fish, according to a report recently released by the Malawi Human Rights Commission (MHRC). A MHRC inquiry into fishing hubs along Lake Malawi found that systemic abuse was deeply entrenched, with minimal intervention from authorities. The report found out that lack of targeted policies and enforcement mechanisms within fishing communities has created an environment where women are vulnerable to sexual exploitation and left without recourse when faced with unwanted pregnancies or abuse.
Uganda’s Parliament Passes Bill Allowing Military Trials for Civilians
Uganda’s parliament passed the 2025 Uganda Peoples’ Defence Forces (Amendment) Bill, allowing military courts to try civilians for crimes allegedly linked to the army. The move came despite a Supreme Court ruling in January 2025 that declared military trials of civilians unconstitutional. The top court ordered the military to halt all ongoing trials of civilians and to transfer them to the civilian court system. President Yoweri Museveni is expected to sign the bill into law. If signed into law, the bill will allow military courts to try nonmilitary personnel who are accused of committing offenses in collaboration with soldiers. The African Commission on Human and Peoples’ Rights has said that military courts “should not, in any circumstances whatsoever, have jurisdiction over civilians.”
Trump Admin Revokes Harvard’s International Student Certification
The Trump administration revoked Harvard University’s Student and Exchange Visitor Program (SEVP) certification, barring it from enrolling international students, citing the school’s refusal to provide behavioral records of visa holders. Homeland Security Secretary Kristi Noem warned other institutions, said that Harvard’s actions violated federal reporting requirements and would prevent the school from admitting foreign students for the 2025–2026 academic year. According to Harvard University’s One World programme, the Ivy League institution has so far enrolled about 6,793 international students. This policy is the latest attempt to pressure the university and other elite universities in the US as part of the Trump administration’s broader effort to change race-conscious admissions policies and challenge what it considers to be liberal bias in academia. The decision followed months of federal scrutiny, including aid freezes and investigations into alleged racial preferences in education. Harvard condemned the move as retaliatory and reaffirmed its support for academic freedom and its diverse international community.
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ECOWAS Faces Existential Crisis Amid Sahel Alliance Rise
The West African geopolitical landscape is undergoing a seismic shift due to the Economic Community of West African States (ECOWAS) inability to effectively address the region’s political and security challenges has eroded faith in its vision. The institution lost its legendary prestige in the eyes of West Africans, and its conduct has caused instability in the region. The rise of the Alliance of Sahel States (ASS), comprising Mali, Niger, and Burkina Faso, led by military juntas, represents not only a daring step but also a fundamental challenge to the existing West African organization. ECOWAS was also criticized for deferring to Western interests, ignoring governance crises, and failing to uphold democratic principles. After fifty years of existence, ECOWAS is at risk of disappearing if many of its current leaders continue to turn a deaf ear to the rightful desires of their people.
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