Please ensure you are logged into Office.com with your DCA account (first.last@dca.nj.gov). endstream endobj 153 0 obj <. The public can be assured that once sewage enters the sewer collection pipe, it is not encountered by the general public. coronavirus-type symptoms? National Advisory Environmental Health Sciences Council - Day 1. If you continue to have no symptoms, stay home for 24 hours and then complete another COVID-19 rapid test.. NIEHS has a goal to ensure job opportunities and career enhancements programs for both our work force and our community. The .gov means its official. Take steps to protect yourself and others. NIEHS provides many opportunities for funding to individual researchers, organizations, and businesses. An official website of the United States government. Client Name: _____ Date: _____ COVID-19 Information. The Great Lakes Water Authority (GLWA) is the provider-of-choice for drinking water services to nearly 40 percent and efficient and effective wastewater services to nearly 30 percent of Michigans population. If you answer "yes" to any question, it does not necessarily mean the vaccine cannot be given. 178 0 obj <> endobj ACTION: You are recommended to stay home and away from other people. An initial psychometric evaluation of SBQ-LC has been completed using Rasch analysis (BMJ 2022). Download or play NIEHS Health Chat's with a wide range of experts and topics. Health Information-COVID-19 Information & Liability Waiver. Before sharing sensitive information, make sure youre on a federal government site. 404.894.2000, Georgia Institute of This questionnaire can be administered to individuals with no prior COVID assessments as well as those with prior COVID assessments. Technology NIEHS is working to make all files fully accessible and conformant. These targeted zip codes were selected in consultation with the Detroit Health Department and the three county health departments. Starting in November 2017, the National Science Foundation funded the Phase One, and the team proved the hypothesis that untreated sewage coming from homes and businesses could help provide advance notice of virus outbreaks using the molecular analysis of the samples. However, recent guidelines from the Centers for Disease Control and Prevention (CDC) state you should get tested 5 days after your exposure, even if you dont have symptoms. To accept a claim for COVID-19, WorkSafeBC must have evidence that it was contracted as a direct result of your employment. It is a wastewater-based-epidemiology method directly applicable to urban metropolitan areas with centralized wastewater collection. H0 This tool was developed by the Centers for Disease Control and Prevention (CDC) for use by CDC. the sbq-lc comprises 16 independent scales measuring symptom severity (breathing; pain; circulation; fatigue; memory, thinking and communication; movement; sleep; ear, nose, and throat; stomach and digestion; muscles and joints; mental health and wellbeing; skin and hair; eyes; reproductive health (male/female); other symptoms) and a global By collaborating with the City and County public health officials, along with the regional wastewater services, we should make significant progress in determining the best approach for providing advance notice of emerging public health conditions. WA DOC COVID-19 ACTIVE/PASSIVE SCREENING QUESTIONNAIRE - PHASE 3 . The Detroit Water and Sewerage Department (DWSD) serves more than 230,000 accounts that includes a residential population of nearly 700,000. We performed a special questionnaire to inquire about the presence of persistent symptoms beyond 12 weeks from the first diagnosis. The MSU studys findings show that RNA markers can be detected in untreated sewage, including coronaviruses. HnFsI-=hM$@\rPe*V=ZaR?wvof}v|>-?{!}=n1#!@%Roo79U>IPn|W.OJca+weZ@ H`':-B#/&J. The SBQ-LC comprises 16 independent scales measuring symptom severity (breathing; pain; circulation; fatigue; memory, thinking and communication; movement; sleep; ear, nose, and throat; stomach and digestion; muscles and joints; mental health and wellbeing; skin and hair; eyes; reproductive health (male/female); other symptoms) and a global interference scale. just looking for general information about environmental health research or the institute, this page will help. DETROIT The City of Detroit and the Great Lakes Water Authority (GLWA) have expanded their partnership with Michigan State Universitys (MSU) College of Engineering to use samples of untreated sewage as one of several methods to detect virus outbreaks, including COVID-19. Yes No . This partnership continues to support our vision of DWSD being an anchor institution that solves problems in the community., "This new Phase of the research adds considerable value to the project, said John Norton, PhD, director of Energy, Research, and Innovation at GLWA. If youre a worker who is submitting a claim for a COVID-19 infection contracted through a work-related exposure, you must first report your injury or disease to us to start a claim. %%EOF This search feature obtains best-matches with the terms you choose, and shows an overall score based on the scientific rankings. These interceptors collect untreated wastewater from the city of Detroit, and large portions of Wayne, Oakland and Macomb counties. DWSD, GLWA and health experts always advise precautions when encountering raw fecal matter and sewage. Safety is our shared responsibility. It was developed with criteria from the CDC. DWSDs water system consists of more than 2,700 miles of water main and 30,000-plus fire hydrants, and the combined sewer collection system has nearly 3,000 miles of sewer piping, more than 90,000 catch basins and 16 green stormwater infrastructure projects within the city of Detroit. GLWA also has the capacity to extend its service beyond its 88 member partner communities. endstream endobj startxref If you are giving a presentation about an environmental health topic or A resource for kids, parents, and teachers to find fun and educational materials related to health, science, and the environment You can collect COVID related data across multiple domains using the same validated questions used or adopted by other cohorts. It just means additional questions may be asked. Have you been in contact with anyone in the last 14 days who has been diagnosed with COVID-19 or has Files within the Disaster Research Response (DR2) Resources Portal may not be 508-compliant. Covid-19 Questionnaire . CDM Smith is also a significant partner in this phase of the research study. Beginning in June 2019, DWSD embarked on a five-year, $500 million program to begin to address the aging infrastructure, including replacing lead service lines. National Advisory Environmental Health Sciences Council - Day 1. The Viral Prediction Model (Viral-PD) that provides early detection of fluctuations of specific viral disease, such as hepatitis, COVID-19 and others, in certain geographical areas over time. Once you begin your workday, continue to observe yourself for any changes. Do you have a fever(temperature over 100.4 F or 38 C) without having taken any fever-reducing medications? Health InformationCOVID-19 Information & Liability Waiver, Client Name: ______________________________________ Date: ____________________________________________, 1. hb```g``z 2 EY8gA]b(10pt400Ht4p;b H( ##F^KLWXSYYYX/0D7(NUuWe`pL.c3(Nf~ t-{24y.81 = Find out about the exciting discoveries being made by NIEHS and NIEHS-supported researchers that are helping to improve health and save lives. View our page to search various areas of interest and methodology. The method led by the MSU Engineering research team goes above and beyond simple surveillance of SARs-CoV-2 in wastewater outlined in this published paper. We will review all COVID-19 claims on a case-by-case basis, considering the individual facts and circumstances. Use Fill to complete blank online OTHERS pdf forms for free. Description: The purpose of this questionnaire is to ascertain data on COVID-19 testing, self-reported COVID-19 diagnoses and hospitalizations, symptoms, recovery, re-infection, and vaccination. Download or play NIEHS Health Chat's with a wide range of experts and topics. The Sample COVID-19 Health Screening Questionnaire form is 1 page long and contains: GLWAs board includes one representative each from Oakland, Macomb and Wayne counties, two representatives from the city of Detroit and one appointed by the Michigan governor to represent customer communities outside of the tri-county area. If this is a medical emergency, call 911. Tuesday 23 June 2020. Since April 2020, GLWA has been funding Phase Two of the project, helping the MSU team refine the process to focus on COVID-19. If the second result is positive, continue staying home and away from other people. For more information, including instructions on how to add your electronic signature, see Complete & submit fillable PDF forms online. You will get a recommendation on what to do next. COVID questionnaire Safety & Health Claims Patient Care Insurance Workers' Rights Licensing & Permits L&I employees - help keep us all safe and healthy Welcome to the L&I health self-assessment. To learn more about DWSD or to request water services, make payments, enroll in assistance programs, or report water or sewer emergencies, call DWSD Customer Care at 313-267-8000, use the Improve Detroit mobile app, or visit www.detroitmi.gov/dwsd. & PbO`!DRc $]xt^4$30} 0 +i 1. 0 The University Archives of the University of Iowa Libraries invites you to contribute your recollections of how you are experiencing the ongoing situation around COVID-19. 3. NIEHS research uses state-of-the-art science and technology to investigate the interplay between environmental exposures, human biology, genetics, and common diseases to help prevent disease and improve human health. You can also take it on behalf of someone else. The purpose of this questionnaire is to ascertain data on COVID-19 testing, self-reported COVID-19 diagnoses and hospitalizations, symptoms, recovery, re-infection, and vaccination. If you need help accessing a specific file please contact dr2@niehs.nih.gov. Many Git commands accept both tag and branch names, so creating this branch may cause unexpected behavior. Data were collected . Objective of the research: The aim of this study was to examine the physical activity of Physiotherapy students at the Faculty of Dental Medicine and Health Osijek during the COVID- 19 pandemic compared to before the pandemic. just looking for general information about environmental health research or the institute, this page will help. The Viral Identification Model (Viral-ID) that determines diversity and genetic makeup of viral infections in a certain population; and. Thank you for taking part in this national study. Y BD|]Vpnf:fll~2{qS)= FL N1c8p1}*>p!b;gNEA$_8QH310x\AT1 .23L Questionnaire. The National Institute of Environmental Health Sciences (NIEHS) is expanding and accelerating its contributions to scientific knowledge of human health and the environment, and to the health and well-being of people everywhere. Governor Sheila Oliver, New Jersey Department of Community Affairs (DCA). 347 0 obj <>stream Participants and methods: The study was conducted on a total of 118 undergraduate and graduate students of Physiotherapy (31 men and 87 women). This fall, a grant from the Michigan Department of Environment, Great Lakes, and Energy (EGLE) is funding the expansion to monitoring of sewage in nine zip codes throughout southeast Michigan. A tag already exists with the provided branch name. We will review all COVID-19 claims on a case-by-case basis, considering the individual facts and circumstances. %PDF-1.6 % When that data is combined with healthcare data, the research scientists can determine how the sewer signal provides advance notice of outbreaks. Student COVID-19 self-observation questionnaire The purpose of the questionnaire is for you to self-observe your daily health prior to coming to campus. Our approach goes above and beyond simple surveillance of wastewater., 1. hbbd```b``fW@$SdI`u8#XuXdd&! Technology, Sexually Transmitted Infection Testing & Treatment, Emergency Each person participating in Gaelic Games must also re-confirm that their Health Status . The CDC name and logo may not be utilized if the tool is recreated for use by an external entity. The approach that Dr. Xagoraraki and the team are using is focused on community composite sampling and analysis. The lead author of the study and questionnaire is Dr. Sarah Hughes, a research fellow at the University of Birmingham.She shared her team's motivation with MNT: "We know that long COVID covers . Demographic data, comorbid diseases, characteristics of acute COVID-19, presence of persistent symptoms by systems, and knowledge about outpatient clinic visits after recovery were assessed. Fill Online, Printable, Fillable, Blank Sample COVID-19 Health Screening Questionnaire Form. I understand that, because massage therapy work involves maintained touch and close physical proximity over an extended period of time, there may be an elevated risk of disease transmission, including COVID-19. 195 0 obj <>stream COVID-19 Self-Assessment Questionnaire: The purpose of this questionnaire is for you to self-observe your daily health prior to coming to work. VSCode + Volar (and disable Vetur) + TypeScript Vue Plugin (Volar). "9`f`5 R,n"9E`o`qKN RDU z`vXRE4`R@GV! )!]IV The study is being led by Dr. Xagoraraki, associate professor of environmental engineering at MSU. The site is secure. CONNECTS Component Information hb``pb``b```| NIEHS research uses state-of-the-art science and technology to investigate the interplay between environmental exposures, human biology, genetics, and common diseases to help prevent disease and improve human health. Driver's license, state ID, passport, or passport card. Yes No 2. DWSD, GLWA, and MSU have been at the forefront of U.S. wastewater utilities using the sewer system to help identify virus outbreaks. The outcomes of Phase One have been published in two scientific journals, by Science Direct and the Journal of Applied Microbiology. Sejak Awal 2020 Penyebaran Coronavirus (Covid-19) begitu cepat bahkan telah menjadi pandemi secara global yang mempengaruhi negara-negara berkembang dengan sumber daya terbatas (Mishal et al., 2020). Find out about the exciting discoveries being made by NIEHS and NIEHS-supported researchers that are helping to improve health and save lives. f /IeF9$v~8@+}!,ltBW4@wuUt5LpI~Pw%Rp0S\8UP.,Vp-'P]8UXm7y>l!iQ&0jMe8\MIffC,D`@o?_1uVrzd"ogr-W.RU "7y/,OS2.WWh[4"`_[x@1rSVaw/,v+3/ D1J endstream endobj 263 0 obj <>stream Completion time depends on the number of scales completed. Measures are being taken to keep the facility/office a safe Welcome to the COVID-19 Infection Survey questionnaire. Author: Donald Corr Created Date: 5/20/2020 2:14:55 PM . The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely. An official website of the United States government. Using the data from the sewage samples and the county health data for the same timeframe the researchers discovered that viruses were apparent in the sewer collection system approximately 1-2 weeks prior to seeing increases in reported data at health departments for those same viruses. NIEHS sponsors and co-sponsors scientific meetings, conferences, and events throughout the year. COVID-19 Initial Screening Questionnaire (form 65W122) To accept a claim for COVID-19, WorkSafeBC must have evidence that it was contracted as a direct result of your employment. Use the browser controls to adjust the font size, or print this page. Before sharing sensitive information, make sure youre on a federal government site. With the Great Lakes as source water, GLWA is uniquely positioned to provide those it serves with water of unquestionable quality. Enfermedades Provocadas por el Ambiente de A a Z, NIEHS Campus Tours & Information Sessions, About the Extramural Research and Training Division, Centers, Interagency Collaborations, and Consortia, Time-Sensitive Research Opportunities in Environmental Health, Translational Science, Outreach, and Education, Initiatives in Environmental Health Science, Explore Initiatives in Environmental Health Science, Coronavirus Research and Information From NIEHS, Diversity, Equity, Inclusion and Accessibility (DEIA), Environmental Health Disparities & Environmental Justice (EHD-EJ) Faculty, Environmental Health Language Collaborative, Environmental Influences on Child Health Outcomes (ECHO), Faculty for Advancing Neuroscience (FAN) Cross-divisional Group, Electron Paramagnetic Resonance/Electron Spin Resonance (EPR/ESR), International Myositis Assessment & Clinical Studies Group (IMACS), Data Management and Sharing Plan Development, NIEHS Medical Student Research Fellowships, Postdoctoral Training Opportunities in Translational Toxicology, National Toxicology Program Update Newsletter, Partnerships for Environmental Public Health, Superfund Research Program Science Digest, Environmental Health Disparities and Environmental Justice, Environmental Science Cyberinfrastructure, Scientific Coordination, Planning and Evaluation (SCOPE), Theme One: Advancing Environmental Health Sciences, Theme Two: Promoting Translation Data to Knowledge to Action, Theme Three: Enhancing EHS Through Stewardship and Support, Informatics and Information Technology Strategic Roadmap, Environmental Health Sciences Review Committee, National Advisory Environmental Health Sciences Council, Environmental Management System Frequently Asked Questions, Disaster Research Response (DR2) Resources Portal, Human DNA Polymerase Gamma Mutation Database, Online Resource for Integrative Omics (ORIO), https://www.niehs.nih.gov/research/programs/disaster/database/c4rwave2questionnaire26feb2021_508.pdf, Collaborative Cohort of Cohorts for COVID-19 Research, Medical Professional, Researcher or Professional Interviewer, Self, Trained Non-Expert, Online or Mobile App, Paper, Phone Interview, Community Impacts, Diagnosis or Status or Treatment or Recovery, Symptoms. IX/Sexual Misconduct, Hazing File type: PDF (358 KB), Communicable disease health and safety resources, Create & manage a healthy & safe workplace, Search the OHS Regulation & related materials, Get health & safety resources (videos, posters, publications & more), Complete & submit fillable PDF forms online, Once you have a claim number for your claim, download and complete the fillable PDF in. questionnaire consists of 6 pages: landing page personal information covid-status of the developer are you vaccinated ? we live in today. endstream endobj startxref NIEHS offers a broad range of job opportunities, career enhancement programs, and research training grants and programs in environmental health sciences and administration. Yes No , 3. We are collecting journal and diary entries, emails, photographs, videos, voice memos and audio recordings, digital art, and other digital evidence of how our . Once completed you can sign your fillable form or send for signing. The Covid Health Questionnaire each person participating in Gaelic Games must complete prior to the first occasion that they return to their club is now available. This commit does not belong to any branch on this repository, and may belong to a fork outside of the repository. Staff and visitors who have experienced any of the following symptoms in the past 48 hours should not access a CDC facility: Fever or chills New or unexplained cough, shortness of breath, or difficulty breathing New or unexplained muscle or body aches Collaborative Cohort of Cohorts for COVID-19 Research. ), 48021 (Eastpointe), 48310 (Sterling Heights), and 48044 (Macomb Township). Our main goal, which is presented in this article, was to re-design the educational process from face-to-face to distance learning in the Mathematics 1 course at the Technical University of Koice. GHSA Workout Questionnaire Athletes should answer the questions below before being allowed to workout. ; If it is negative, you do not need to stay home as long as you do not develop symptoms. Target the monitoring to include nine selected locations in the sewer-shed: 48235 (Detroit), 48210 (Detroit), 48205 (Detroit), 48076 (Southfield), 48237 (Oak Park), 48322 (West Bloomfield Twp. Funding from GLWA will provide the following: Continued monitoring of the three sewer interceptors that feed GLWAs Water Resource Recovery Facility (WRRF) in Detroit. Have you had a fever in the last 24 hours of 100F or above? To assure the safety and well-being of the New Jersey Department of Community Affairs employees and its visitors, please answer the following questions before entering a DCA facility. If you are unable to submit your questionnaire, please call our Claims Call Centre for assistance. It also assesses the impact of the pandemic on access to healthcare, finances, health-related behaviors, social interactions, and mood. 177 0 obj <>/Filter/FlateDecode/ID[<169DC38593FEEC4E965A54A0FCD3C492><6126DF54BC43BC48A209BD67C0EAC8DC>]/Index[152 44]/Info 151 0 R/Length 117/Prev 217853/Root 153 0 R/Size 196/Type/XRef/W[1 3 1]>>stream The Symptom Burden Questionnaire for Long COVID (SBQ-LC) is a patient-reported outcome (PRO) measure and multi-domain item bank measuring symptom burden in adults (18+ years) with post COVID-19 condition or Long COVID. Your health and well-being are of the utmost importance. These meetings are listed in the NIEHS Events Calendar and are open to the general public. &De`8TGQ The public is not vulnerable to untreated sewage. If the answer is yes to any of the questions below, the . Click here for STAFF SCREENING QUESTIONNAIRE, Click here for VISITOR SCREENING QUESTIONNAIRE, Governor Phil Murphy Lt. Objectives: The aim of the present study was to develop and validate the CoronaVirus-Disease-2019 (COVID-19) Questionnaire (COVID-Q), a novel symptom questionnaire specific for COVID-19 patients, to provide a comprehensive evaluation that may be helpful for physicians, and evaluate the questionnaire's performance in identifying subjects at higher risk of testing positive. The Great Lakes Water Authority (GLWA) is the provider-of-choice for drinking water services to nearly 40 percent and efficient and effective wastewater services to nearly 30 percent of Michigan's population. The MSU/GLWA team began sampling for SARs-CoV-2, commonly known as COVID-19, in the three primary regional GLWA sewer interceptors in April and already have published results in a scientific journal, the Journal of Environmental Engineering. You can check that on the office.com home page by clicking on the circle with initials in the upper right of the page and confirming your DCA email is referenced: If not click sign out and sign back in with your DCA email account. NIEHS is committed to conducting the most rigorous research in environmental health sciences, and to communicating the results of this research to the public. You will be timed-out. NIEHS offers a broad range of job opportunities, career enhancement programs, and research training grants and programs in environmental health sciences and administration. Phase One of the partnership was initiated in November 2017 between the MSU engineering research team led by Associate Professor Irene Xagoraraki, Ph.D., and the Detroit Water and Sewerage Department (DWSD) and continued into Phase Two to focus on the COVID-19 outbreak using funding from GLWA in Spring 2020. Buildings, Safety Engineering and Environmental Department, Civil Rights, Inclusion & Opportunity Department, Homeland Security & Emergency Management, Detroit, Apply for or renew permit or certification, City of Detroit, GLWA and MSU Expand Partnership on Virus Detection Project During the Pandemic. Have you had a fever in the last 24 hours of 100F or above? I give my consent to receive treatment from this practitioner. By signing this form, I acknowledge that I am aware of the risks involved from receiving treatment at this time, I voluntarily agree to assume those risks, and I release and hold harmless the practitioner/business from any claims related thereto. This will allow ID.me to share your identity and COVID-19 Status information with the . I directed our DWSD staff to give the researchers complete access. This will be updated as the CDC and WA State Health Department's information on COVID -19 continues to change. You will need your participant ID to enter the questionnaire. Advise them of your symptoms. All questions in the questionnaire were mandatory, except height, weight, smoking, and alcohol . 4. Review and confirm your information then select Continue. As part of its commitment to water affordability, the Authority offers a Water Residential Assistance Program to assist low-income households in participating member communities throughout the system. Do you now, or have you recently had, any respiratory or flu symptoms, sore throat, or shortness of The treatment process uses chlorine to kill viruses in sewage at the WRRF. Forms can be accessed by visiting the URL https://returntoplay.gaa.ie. Enfermedades Provocadas por el Ambiente de A a Z, NIEHS Campus Tours & Information Sessions, About the Extramural Research and Training Division, Centers, Interagency Collaborations, and Consortia, Time-Sensitive Research Opportunities in Environmental Health, Translational Science, Outreach, and Education, Initiatives in Environmental Health Science, Explore Initiatives in Environmental Health Science, Coronavirus Research and Information From NIEHS, Diversity, Equity, Inclusion and Accessibility (DEIA), Environmental Health Disparities & Environmental Justice (EHD-EJ) Faculty, Environmental Health Language Collaborative, Environmental Influences on Child Health Outcomes (ECHO), Faculty for Advancing Neuroscience (FAN) Cross-divisional Group, Electron Paramagnetic Resonance/Electron Spin Resonance (EPR/ESR), International Myositis Assessment & Clinical Studies Group (IMACS), Data Management and Sharing Plan Development, NIEHS Medical Student Research Fellowships, Postdoctoral Training Opportunities in Translational Toxicology, National Toxicology Program Update Newsletter, Partnerships for Environmental Public Health, Superfund Research Program Science Digest, Environmental Health Disparities and Environmental Justice, Environmental Science Cyberinfrastructure, Scientific Coordination, Planning and Evaluation (SCOPE), Theme One: Advancing Environmental Health Sciences, Theme Two: Promoting Translation Data to Knowledge to Action, Theme Three: Enhancing EHS Through Stewardship and Support, Informatics and Information Technology Strategic Roadmap, Environmental Health Sciences Review Committee, National Advisory Environmental Health Sciences Council, Environmental Management System Frequently Asked Questions, Disaster Research Response (DR2) Resources Portal, Human DNA Polymerase Gamma Mutation Database, Online Resource for Integrative Omics (ORIO), https://www.niehs.nih.gov/research/programs/disaster/database/symptom_burden_questionnaire_for_long_covid_sbqlc_508.pdf, Centre for Patient Reported Outcome Research, University of Birmingham, Medical Professional, Researcher or Professional Interviewer, Self, Untrained Non-Expert, In-Person Interview, Online or Mobile App, Paper, Phone Interview, Circulatory, Cardiovascular, Dermatological or Exocrine, Digestive or Excretory, Immune or Lymphatic, Mental Health or Well-Being, Neurological or Nervous System, Renal or Urinary, Reproductive, Respiratory, Skeletal. 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Were selected in consultation with the terms you choose, and MSU have been published two... The scientific rankings download or play NIEHS Health Chat 's with a wide range experts! Looking for general information about environmental Health Sciences Council - Day 1 persistent symptoms 12! The sewer collection pipe, it is not vulnerable to untreated sewage, instructions... Y BD| ] Vpnf: fll~2 { qS ) = FL N1c8p1 } >. Covid-19 claims on a federal government site questionnaire the purpose of the questions below, the sure! On behalf of someone else take it on behalf of someone else hnfsi-=hm $ @ \rPe V=ZaR! Also take it on behalf of someone else to any branch on this repository, and portions! This PHASE of the pandemic on access to healthcare, finances, health-related behaviors, interactions. Inquire about the presence of persistent symptoms beyond 12 weeks from the diagnosis... > endobj ACTION: you are recommended to stay home and away from other.. Forefront of U.S. wastewater utilities using the sewer system to help identify virus outbreaks is negative, you not!, make sure youre on a case-by-case basis, considering the individual and!
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