The equipment was developed by a Rutgers College laboratory, referred to as RUCDR Infinite Biologics, in partnership with Spectrum Options and Correct Diagnostic Labs. They have to be ordered by a doctor.

The company has come beneath fireplace in latest weeks for permitting myriad firms to supply diagnostic and antibody assessments with out submitting well timed information for evaluate, beneath its emergency use authorization coverage due to the pandemic. Checks have different broadly when it comes to their accuracy, and entry to diagnostic testing has been scattered, with shortages of assessments and the supplies required to course of them straining capability from one state to a different.

To this point, 8.1 million individuals in the USA have been examined. However public well being consultants mentioned testing wanted to double by the top of Might.

Simply final week, the F.D.A. ordered dozens of firms it had allowed to market antibody assessments, which some states and public well being consultants hope will assist point out the depth of an infection in communities and quantify who has recovered and maybe developed some immunity, to submit information proving accuracy inside 10 days.

The F.D.A. said that Rutgers had submitted information exhibiting that testing saliva samples collected by sufferers themselves, beneath the statement of a well being care supplier, was as correct as testing deep nasal swabs that the well being skilled had collected from them. The company additionally mentioned the spit assortment kits ought to be restricted to people who find themselves exhibiting signs.

The F.D.A. mentioned it nonetheless most well-liked assessments primarily based on deep nasal samples, even these have had issues. Rutgers has 75,000 of the saliva take a look at kits able to ship and may course of 20,000 assessments every day, with a 48-hour turnaround. Dr. Brooks mentioned he anticipated different labs across the nation to undertake it for their very own use and that the Facilities for Medicare and Medicaid had authorized a $100 charge per take a look at, however costs will range.

At a time when some states say they’re nonetheless dealing with a scarcity of assessments, at-home kits have the potential to widen the viewers for virus screening. By holding symptomatic individuals dwelling as a substitute moving into to be examined, the spit kits might scale back the chance of infecting well being care employees.

Some public well being consultants, nevertheless, have cautioned that at-home kits may also include downsides. One is that it will possibly take longer for individuals to get outcomes once they must be despatched to labs. As a result of the an infection can take a number of days to develop, they mentioned, the time lag might lead to some false adverse outcomes.

In its emergency authorization for the Rutgers test, the F.D.A. famous that adverse take a look at outcomes wouldn’t preclude an an infection and “shouldn’t be used as the only foundation for affected person administration choices.”

The company additionally famous that the Rutgers lab was the one entity it had approved to market at-home self-sampling kits for saliva. In March, the F.D.A. cracked down on a number of well being start-ups that had rushed to market unauthorized at-home kits that concerned shoppers accumulating their very own spit or throat swabs for testing.

The U.S. misplaced 20.5 million jobs in April as unemployment rises to 14.7 p.c.

The American financial system plunged deeper into disaster final month, shedding 20.5 million jobs because the unemployment price jumped to 14.7 p.c, the worst devastation because the Nice Despair.

The Labor Division’s month-to-month report on Friday supplied the clearest image but of the breadth and depth of the financial harm — and the way swiftly it unfold — because the coronavirus pandemic swept the nation.

Job losses have encompassed your complete financial system, affecting each main business. Areas like leisure and hospitality had the most important losses in April, however even well being care shed greater than one million jobs. Low-wage employees, together with many ladies and members of racial and ethnic minorities, have been hit particularly arduous.

“It’s actually off the charts,” mentioned Michelle Meyer, head of U.S. economics at Financial institution of America. “What would sometimes take months or quarters to play out in a recession occurred in a matter of weeks this time.”

From nearly any vantage level, it was a bleak report. The share of the inhabitants with a job, at 51.three p.c, was the bottom on file. Practically 11 million individuals reported working half time as a result of they couldn’t discover full-time work, up from about 4 million earlier than the pandemic.

If something, the numbers in all probability understate the financial misery.

Hundreds of thousands extra Individuals have filed unemployment claims because the information was collected in mid-April. What’s extra, due to points with the way in which employees are labeled, the Labor Division mentioned the precise unemployment price final month may need been nearer to 20 p.c.

The one vibrant spot in Friday’s report was that almost 80 p.c of the unemployed mentioned that that they had been quickly laid off and anticipated to return to their jobs within the coming months.

President Trump endorsed this view in an interview Friday morning on Fox Information. “These jobs will all be again, and so they’ll be again very quickly,” Mr. Trump mentioned, “and subsequent yr we’re going to have an outstanding yr.”

However Diane Swonk, chief economist at Grant Thornton, mentioned lots of the jobs couldn’t be recovered.

“That is going to be a tough actuality,” Ms. Swonk mentioned. “These furloughs are everlasting, not momentary.”

Vice President Mike Pence’s press secretary examined optimistic for the virus on Friday, forcing a delay within the departure of Air Pressure Two whereas a half-dozen different members of his workers had been taken off the airplane for additional testing.

The most recent optimistic take a look at further rattled a White House already on edge after the president’s navy valet got here down with the virus. Katie Miller, the vp’s press secretary and a prime spokeswoman for the White Home coronavirus efforts, had examined adverse on Thursday however then examined optimistic on Friday morning.

The end result pressured Mr. Pence’s scheduled flight to Des Moines to be delayed for greater than an hour, although she was not touring with him, in order that six different aides who had been in touch together with her could possibly be escorted from the airplane at Joint Base Andrews earlier than its departure.

All six later examined adverse however had been despatched dwelling out of warning, officers mentioned. Ms. Miller is married to Stephen Miller, the president’s senior adviser, and he too was examined once more on Friday and the outcomes got here again adverse.

White Home officers initially requested reporters to not determine Ms. Miller because the aide who examined optimistic, however Mr. Trump blew the key when he recognized her publicly throughout his assembly with the congressional Republicans as “Katie” and “the press particular person” for Mr. Pence.

“She examined superb for a protracted time period. After which unexpectedly at this time, she examined optimistic,” Mr. Trump mentioned. “She hasn’t come into contact with me. Spent a while with the vp.”

However Ms. Miller has been within the neighborhood of the president in latest days, together with throughout his Fox News appearance on Sunday at the Lincoln Memorial and once more on Thursday within the Rose Backyard. Her husband is in conferences with the president much more often because the architect of his crackdown on immigration, though he and different aides have sat farther away than they’ve prior to now.

A number of presidential aides are actually examined day by day, as are about 10 members of Mr. Pence’s workers, an official mentioned. However assessments are carried out much less often on different White Home officers who work subsequent door within the Eisenhower Govt Workplace Constructing and have common contact with West Wing aides even when not the president himself.

A authorities official mentioned Friday that the Secret Service has 11 active cases of the coronavirus, however it was unclear whether or not any had been brokers or served within the White Home. Whereas examined recurrently, brokers within the president’s element haven’t been sporting masks, and new faces have proven up in latest days.

Each Mr. Trump and Mr. Pence are actually examined day by day, and each examined adverse after the most recent infections had been found.

Mark Meadows, the White Home chief of workers, advised reporters that “we’ve put in some extra protocols during the last 48 hours” to scale back the chance. “That is in all probability the most secure place you’ll be able to come to,” he mentioned.

However neither Mr. Trump nor Mr. Pence recurrently wears a masks, nor do most of their aides. The president hosted a wreath-laying ceremony on the World Struggle II Memorial in Washington on Friday to mark the 75th anniversary of the victory over Nazi Germany by inviting a number of veterans aged 95 and over, although they had been in essentially the most susceptible age group.

Gov. Gavin Newsom of California on Friday ordered ballots to be despatched to the state’s 20.6 million voters for the November election, turning into the primary state to change their voting plans for the overall election in response to the general public well being issues wrought by the coronavirus pandemic.

Whereas California has vastly expanded its vote-by-mail operation in previous elections — roughly 65 percent of the state voted by mail within the 2018 midterm elections — the choice by the biggest state within the nation to vastly scale back in-person voting is a recognition by state officers that the coronavirus outbreak is unlikely to subside by the autumn.

Mr. Newsom mentioned officers can be working within the subsequent “days and weeks” to find out how in-person voting can be carried out in November. That duty will largely fall to county officers, who should discover bigger polling locations and should get rid of senior facilities and retirement properties which have lengthy served as websites.

In shifting to a broader vote-by-mail system, California is attempting to keep away from the general public well being debacle wrought by the April 7 elections in Wisconsin, the place voters and ballot employees weighed the well being dangers of congregating en masse during a pandemic with their proper to vote.

Mr. Newsom additionally mentioned on Friday that state and county officers had shut down a number of bars and greater than 30 hair salons that had been violating California’s coronavirus restrictions.

“We’ll see extra of that if individuals get forward of themselves,” he mentioned.

The state started lifting restrictions on Friday for some retailers, together with these promoting clothes, books and flowers. However shops are open just for pickup, and clients usually are not allowed inside.

Mr. Newsom held his information briefing from a flower store in Sacramento. “I do know there’s deep anxiousness individuals are feeling — a need to reopen,” he mentioned, framed by bamboo canes and pink roses.

A federal investigative workplace has discovered “affordable grounds to imagine” that the Trump administration was retaliating in opposition to a whistle-blower, Dr. Rick Shiny, when he was ousted from a authorities analysis company combating the coronavirus, and mentioned he ought to be reinstated for 45 days whereas it investigates, his attorneys mentioned Friday.

Sheryl Homosexual Stolberg reviews that the attorneys, Debra S. Katz and Lisa J. Banks, mentioned in a press release that they had been notified late Thursday afternoon that the Office of Special Counsel, which protects whistle-blowers, had “made a threshold dedication” that the Division of Well being and Human Companies “violated the Whistleblower Safety Act by eradicating Dr. Shiny from his place as a result of he made protected disclosures in one of the best curiosity of the American public.”

The discovering comes simply days after the attorneys filed a whistle-blower complaint saying that Dr. Shiny’s removing final month as head of the Biomedical Superior Analysis and Improvement Authority was meant as payback. They mentioned Dr. Shiny, who was reassigned to a narrower job on the Nationwide Institutes for Well being, had tried to reveal “cronyism” and corruption on the Division of Well being and Human Companies whereas urgent for a extra strong virus response and opposing the stockpiling of medication championed by President Trump.

It’s going to now be as much as the secretary of well being and human providers, Alex M. Azar II, to determine whether or not to convey Dr. Shiny again to BARDA through the inquiry.

If Mr. Azar refuses, Dr. Shiny’s grievance would ordinarily be despatched to the Merit Systems Protection Board, an unbiased quasi-federal company charged with deciding claims of whistle-blower reprisal. However the Senate has not confirmed Mr. Trump’s nominees to the board, leaving it with no members. A “often requested questions” doc concerning the lack of members has been faraway from the board’s web site.

A spokeswoman for the Well being and Human Companies Division, Caitlin Oakley, declined to say what Mr. Azar would do.

The distribution of remdesivir has develop into mired in controversy.

When the Meals and Drug Administration granted an emergency approval to an antiviral drug, remdesivir, for therapy of hospitalized virus sufferers, docs had been overjoyed. The drug is the primary proven to be even mildly efficient in opposition to the virus.

However bafflement quickly adopted as docs and hospitals tried to acquire the drug. Small neighborhood hospitals with few beds acquired it, whereas medical facilities besieged with instances had been denied.

Solely 4 hospitals in Massachusetts, for instance, are recognized to have acquired remdesivir: three small neighborhood hospitals and Massachusetts Common, a Harvard College instructing hospital, the place officers mentioned that they had not even requested for it. But different main hospitals had been overlooked, together with Boston Medical Middle, which has many susceptible African-American sufferers.

Remdesivir’s approval ought to have been a transparent victory, however its distribution has been tripped up by seemingly capricious decision-making and finger-pointing.

Like different medicine utilized in hospitals, remdesivir is equipped not by the producer, Gilead Sciences, however by a wholesale distributor, on this case an organization referred to as AmerisourceBergen.

After the F.D.A. granted the emergency approval, Gilead Sciences mentioned it could donate its present provide of the drug: 1.5 million vials, sufficient to deal with roughly 140,000 hospitalized sufferers.

Hospitals needing the drug had been advised to name AmerisourceBergen to seek out out in the event that they had been on an inventory of services that certified. In that case, the distributor shipped the drug. If not, the hospital was denied the drug.

That listing apparently was not drawn up by AmerisourceBergen, which says on its web site that hospitals “the U.S. authorities deems most in want will obtain precedence within the distribution of donated remdesivir,” including that “neither Gilead nor AmerisourceBergen are deciding which hospitals will obtain remdesivir.”

However it isn’t clear how federal officers got here up with an inventory of hospitals “most in want,” and even what hospitals are on it. Criticism of the listing and the rollout has been gathering steam in Washington.

The White Home press secretary, Kayleigh McEnany, mentioned throughout a information briefing that Dr. Deborah L. Birx, the White Home’s process drive coordinator, was taking a lead position in federal oversight of how remdesivir is allotted.

The Infectious Ailments Society of America and the H.I.V. Drugs Affiliation additionally have written to Vice President Mike Pence, who oversees the coronavirus process drive, pleading for a proof of the standards used to allocate remdesivir. There was no reply.

The Small Enterprise Administration’s inspector basic mentioned on Friday that flaws within the company’s enactment of the $660 billion Paycheck Safety Program have in all probability left some rural, minority and women-owned companies unable to get loans and will go away hundreds of debtors saddled with debt.

The report is the primary formal evaluate of the embattled Paycheck Protection Program, which is the centerpiece of the federal government’s financial reduction effort. This system, created as a part of the $2 trillion stimulus bundle, has funneled billions of {dollars} to corporations struggling to deal with the pandemic, however has been criticized for favoring larger companies and for advanced necessities which might be out of step with financial realities.

In response to the inspector basic’s report, the S.B.A. didn’t perform the requirement of the legislation to difficulty steering that will be certain that lenders prioritize underserved communities.

“As a result of S.B.A. didn’t present steering to lenders about prioritizing debtors in underserved and rural markets, these debtors, together with rural, minority and women-owned companies could not have acquired the loans as meant,” the report mentioned.

The inspector basic, Hannibal Ware, mentioned that the S.B.A. neglected the necessity to ask for demographic data on mortgage functions, making it tough to inform if loans are literally going the prioritized markets.

The report additionally highlights one other concern that has gripped debtors, elevating questions concerning the S.B.A.’s rule that 75 p.c of mortgage proceeds be used to cowl payroll prices and 25 p.c go overhead prices resembling lease.

Individually, a particular Home subcommittee created to supervise the Trump administration’s virus response took its first official motion on Friday, urging 5 publicly traded firms to return loans that they had acquired via the Paycheck Safety Program.

The Democrats in control of the committee mentioned the businesses — which every have market capitalizations of greater than $25 million and greater than 600 workers — had taken benefit of a program that Congress meant to assist a lot smaller companies. The businesses, which embrace transportation and pharmaceutical corporations, every acquired loans of not less than $10 million beneath this system, referred to as the Paycheck Safety Program.

“Since your organization is a public entity with a considerable investor base and entry to the capital markets, we ask that you just return these funds instantly,” Consultant James E. Clyburn of South Carolina, the subcommittee’s chairman, and the opposite Democrats wrote in letters to the businesses.

Republicans, who’ve preemptively dismissed the subcommittee as an try and politically assault Mr. Trump, urged Democrats to let the Treasury Division police the small enterprise program itself.

On Friday, Ahmaud Arbery would have turned 26.

As a substitute, greater than two months after he was shot to demise close to Brunswick, Ga., on Feb. 23, individuals are discovering methods to protest in particular person and from a distance to honor his reminiscence and mourn his demise.

To commemorate his birthday — and to honor the date of his demise — supporters are going for two.23-mile runs. And at a time when many individuals are reluctant to assemble in particular person to rally, they’re connecting as a substitute beneath the hashtag #IRunWithMaud on social media.

In Brunswick, there was a protest in particular person. Demonstrators, nearly all of them sporting masks, packed in entrance of the Glynn County Courthouse to demand justice.

It was one more instance of the way in which the virus has modified life — on this case the way in which it has helped form the protests that adopted the demise of Mr. Arbery, a younger black man.

Mr. Arbery, a former highschool athlete and avid jogger, was working via a residential neighborhood when he was confronted by two white males, a former police officer and his son, and fatally shot. The boys had been arrested on Thursday night time after a global outcry.

By Friday morning, the hashtag #IRunWithMaud had been used tens of hundreds of instances on Twitter, and folks shared pictures of themselves exterior in working gear, usually alongside pictures of Mr. Arbery.

In Atlanta on Friday, people ran with #IRunWithMaud and #BlackLivesMatter indicators pinned to their backs. However the individuals who ran in Mr. Arbery’s honor got here from all throughout the USA, and so they included docs, lecturers {and professional} athletes.

“Blissful birthday to Ahmaud Arbery,” the New Orleans Saints security Malcolm Jenkins mentioned in a video he recorded throughout his run on Friday. “Despite the fact that they arrested these two males, we’ve received to verify they don’t neglect his face and that he will get his justice in courtroom.”

Information from medical experts recount lonely deaths from individuals “discovered unresponsive at dwelling.”

A 71-year-old girl with nausea who was despatched dwelling from the emergency room, although a physician needed to confess her. A 63-year-old nurse who was self-isolating whereas she waited for outcomes from her virus take a look at. A 77-year-old man who was prescribed antibiotics by a physician out of state for his fever and dry cough.

All had been discovered unresponsive at dwelling, their lives claimed by Covid-19 earlier than they ever had an opportunity to verify into the hospital.

The agony of how the virus has killed not less than 1,600 Floridians, many of them older, is transient and matter of truth within the unadorned language of medical experts, who summarize demise in generally lower than 200 phrases.

However a trove of brief narratives from almost all the state’s deaths to date present {that a} substantial variety of individuals have died all of the sudden after returning dwelling from the hospital or visiting a physician or a clinic. Many worsened, returned to the hospital and died there.

A 5-year-old little one died in a Manhattan hospital on Thursday from what gave the impression to be a uncommon syndrome that causes life-threatening irritation in youngsters and which may be linked to the virus, officers mentioned.

The Mount Sinai Kravis Youngsters’s Hospital, the place the kid was being handled, didn’t launch any additional details about the sufferer.

“Whereas it’s regarding that youngsters are affected, we should emphasize that primarily based on what we all know to this point, it seems to be a really uncommon situation,” mentioned Lucia Lee, a spokeswoman for the Mount Sinai Well being System.

On Friday, Gov. Andrew M. Cuomo mentioned that the kid was 5 years previous and the demise — probably from the syndrome — was beneath investigation.

The governor additionally mentioned there had been 73 reported instances of youngsters in New York space who had been troubled with the sickness, which docs have labeled “pediatric multisystem inflammatory syndrome.”

In an advisory to well being care suppliers, state well being officers mentioned many of the youngsters who had been thought to have the syndrome had additionally examined optimistic for the coronavirus or for antibodies to it. The governor mentioned the state’s Well being Division was investigating different deaths as potential instances.

“This is able to be actually painful information and would open up a wholly completely different chapter,” Mr. Cuomo mentioned, “as a result of I can’t inform you how many individuals I spoke to who took peace and solace in the truth that youngsters weren’t getting contaminated.”

In response to the most recent breakdown from the state, three youngsters youthful than 10 had died of the virus, out of greater than 21,000 fatalities. All advised, one other 216 individuals within the state died of the virus over the previous day, the governor mentioned Friday.

In New York Metropolis, Mayor Invoice de Blasio pledged to deal with the obvious racial disparity within the enforcement of social-distancing guidelines. Of the 374 individuals who had acquired social-distancing summonses, the police mentioned Friday, greater than 80 p.c had been black or Hispanic. That meant that black and Hispanic individuals, who make up about half the town’s inhabitants, had been greater than 4 instances as seemingly as white and Asian individuals to have acquired a summons.

As the town appears to quell the outbreak, its contact tracing efforts will not be led by the city’s renowned Health Department, which for many years has carried out contact tracing for different ailments, the mayor mentioned Friday, a call that puzzled present and former well being officers, who questioned altering a confirmed technique.

As a substitute, in a pointy departure from present and previous observe, the town goes to place the huge new public well being equipment within the arms of its public hospital system, Well being and Hospitals.

Once they had been little, residing with their mom and sleeping on the ground of their grandfather’s house in Harlem, Mr. Coker would excuse his extended absence by saying that he had taken day off from working for a limousine service to journey to the Midwest to coach Renaldo Snipes, the heavyweight boxer who had been his someday sparring companion.

Lastly, Mr. Coker owned up to having made a mistake, a giant one, in his early 40s — one which upended his life and ravaged these of others. Pushed by greed and straightforward cash, he had develop into a heroin supplier, reaping as a lot as $25,000 a month as an offshoot of a a lot bigger organized crime drug distribution community.

Mr. Coker had packaged and bought a lot heroin that federal tips on the time of his sentencing in 1994 required him to spend the remainder of his life in jail.

Nevertheless it turned out that the federal government, too, had made a mistake of types. Three weeks after Mr. Coker was sentenced, the federal tips had been relaxed. A yr later, the principles had been modified once more in order that the lowered sentences could possibly be utilized retroactively.

Besides no person advised Mr. Coker.

Mr. Coker was lastly launched early, after almost 23 years, in 2013. The decide invoked what she described as Mr. Coker’s “extraordinary” capacity, even whereas imprisoned, to be “a real father determine to his fantastic sons” and “the really astounding” proof of his rehabilitation provided by his guards.

He went to work for a good friend’s pest management firm in Queens. He died of the novel coronavirus on April 9 in a Manhattan hospital. He was 69.

Current polling suggests Individuals are heeding the recommendation of well being officers and don’t want a fast return to normalcy, regardless of skyrocketing unemployment due to the virus and Mr. Trump’s cheerleading to reopen the financial system.

Mr. Trump mentioned this week that he was eager “to get our nation open once more,” including, “Individuals wish to return, and also you’re going to have an issue should you don’t do it.”

However greater than two-thirds of respondents mentioned in a Pew Research Center poll launched Thursday that they had been extra involved that state governments would reopen their economies too rapidly than that they may take too lengthy — roughly on par with previous responses to the identical query.

And in a survey released late last month by The Related Press and NORC, 68 p.c of Individuals mentioned that they had an excessive amount of belief within the Facilities for Illness Management and Prevention to offer them with dependable details about the pandemic. That’s thrice as a lot because the dismal 23 p.c who mentioned they positively trusted Mr. Trump’s statements on the virus.

The virus’s results are being felt most acutely in states with a excessive focus of individuals in cities, and the six most-infected states per capita all development Democratic politically. Black individuals and Latinos are exhibiting a few of the highest charges of an infection: Greater than 1 / 4 of all confirmed instances have been amongst Latinos, according to C.D.C. statistics, and much more have been amongst African-American individuals.

In response to a Quinnipiac University poll of residents within the New York, New Jersey and Connecticut space — the middle of the virus in the USA — 71 p.c of respondents mentioned they needed their state authorities to give attention to controlling the virus, not on reopening.

Eating places are receiving patrons into eating rooms partially cordoned off for social distancing, associates are searching for secure dialog within the sunshine and a few individuals are attempting to proceed a productive path ahead in isolation.

The patchwork of guidelines meant to sluggish the pandemic throughout the USA has continued to evolve, as many state and native governments lifted, shifted and let expire laws that ruled what companies could possibly be open, in addition to how public areas could possibly be used.

Occasions photographers explored how individuals are searching for a little bit of normalcy as states wrestle with the shutdowns.

Learn a protection of cry, and different choices for ‘shedding it.’

Lie within the fetal place, eat a sundae, name a good friend: In these powerful instances, there’s an argument to be made for shedding management (inside motive). Right here’s how all of those releases could assist:

Sustain with the most recent from our correspondents all over the world.

The Australian authorities on Friday outlined a cautious, three-step plan to reopen the nation by July, with states and territories answerable for the timeline.

“We can not enable our worry of going backwards from stopping us from going ahead,” mentioned Prime Minister Scott Morrison.

Reporting was contributed by Peter Baker, Alan Blinder, Nicholas Bogel-Burroughs, Julie Bosman, Ben Casselman, Patricia Cohen, Michael Cooper, Nick Corasaniti, Jill Cowan, Michael Crowley, Lola Fadulu, Nicholas Fandos, Michael Gold, Dana Goldstein, J. David Goodman, James Gorman, Rebecca Halleck, Barbara Harvey, Jack Healy, Tiffany Hsu, Shawn Hubler, Neil Irwin, Sheila Kaplan, Michael Levenson, Jeffery C. Mays, Patricia Mazzei, Jennifer Medina, Sarah Mervosh, Andy Newman, Sarah Maslin Nir, Richard A. Oppel Jr., Alan Rappeport, William Okay. Rashbaum, Sam Roberts, Rick Rojas, Giovanni Russonello, Marc Santora, Nelson D. Schwartz, Michael D. Shear, Natasha Singer, Ashley Southall, Sheryl Homosexual Stolberg and Eileen Sullivan.





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