Islamic Republic of Afghanistan Ministry of Public Health General Directorate of Preventive Medicine and Primary Health Care, National Malaria and Leishmaniasis Control Programme Draft National Malaria Strategic Plan

ANNEX 3: Malaria Risk Strata, by District

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DistrictID Rural/urban 2002 population
Note: Stratification needs to be up-dated

ANNEX 3: Malaria Risk Strata, by District.

Province	District	ProvinceID	DistrictID	Rural/urban	2002 population	Malaria strata
BADAKHSHAN	JURM	11	1103	R	76,072	1
BADAKHSHAN	KISHIM	11	1102	R	84,920	1
BADAKHSHAN	SHAHRI BUZURG	11	1113	R	41,651	1
BADGHIS	AB KAMARI	19	1902	R	39,169	1
BADGHIS	GHORMACH	19	1905	R	38,953	1
BADGHIS	MURGHAB	19	1906	R	50,283	1
BADGHIS	QADIS	19	1903	R	62,908	1
BADGHIS	QALAY-I- NAW	19	1901	U	37,982	1
BAGHLAN	ANDARAB	13	1307	R	46,938	1
BAGHLAN	BAGHLAN	13	1301	U	33,234	1
BAGHLAN	BAGHLANI JADID	13	1312	R	159,914	1
BAGHLAN	BURKA	13	1310	R	49,204	1
BAGHLAN	DAHANA-I- GHORI	13	1303	R	54,707	1
BAGHLAN	DUSHI	13	1304	R	54,060	1
BAGHLAN	KAHMARD	13	1311	R	46,507	1
BAGHLAN	KHINJAN	13	1306	R	24,171	1
BAGHLAN	KHOST WA FIRING	13	1308	R	48,017	1
BAGHLAN	NAHRIN	13	1309	R	56,542	1
BAGHLAN	PULI KHUMRI	13	1302	U	164,338	1
BAGHLAN	TALA WA BARFAK	13	1305	R	20,610	1
BALKH	BALKH	16	1606	R	100,998	1
BALKH	CHAHAR KINT	16	1611	R	42,406	1
BALKH	CHIMTAL	16	1608	R	71,864	1
BALKH	DIHDADI	16	1612	R	46,722	1
BALKH	KISHINDIH	16	1610	R	61,397	1
BALKH	SHOLGARA	16	1609	U	105,638	1
BALKH	SHORTEPA	16	1604	R	35,932	1
FARYAB	ALMAR	18	1803	R	21,905	1
FARYAB	BILCHIRAGH	18	1806	R	37,659	1
FARYAB	KHWAJA SABZ POSH	18	1813	R	84,813	1
FARYAB	MAYMANA	18	1801	U	56,973	1
FARYAB	PASHTUN KOT	18	1802	R	157,324	1
FARYAB	QAYSAR	18	1804	R	120,853	1
FARYAB	SHIRIN TAGAB	18	1808	R	64,958	1
HILMAND	NAWAY_I_ BARAKZAYI	23	2309	R	77,043	1
HIRAT	GUZARA	20	2003	R	109,738	1
HIRAT	INJIL	20	2002	R	197,680	1
HIRAT	KARUKH	20	2005	R	46,507	1
HIRAT	KUSHK	20	2006	R	70,461	1
HIRAT	KUSHKI KUHNA	20	2016	R	34,529	1
HIRAT	OBE	20	2012	R	50,391	1
HIRAT	PASHTUN ZARGHUN	20	2004	R	76,504	1
JAWZJAN	DARZAB	17	1703	R	59,024	1
JAWZJAN	SHIBIRGHAN	17	1701	U	145,994	1
KABUL	CHAHAR ASYAB	1	109	R	35,393	1
KABUL	KABUL	1	101	U	2,306,125	1
KABUL	MIR BACHA KOT	1	103	R	55,139	1
KABUL	MUSAYI	1	114	R	20,825	1
KABUL	SHAKARDARA	1	107	R	80,281	1
KANDAHAR	KANDAHAR	24	2401	U	445,104	1
KAPISA	ALASAY	2	206	R	27,731	1
KAPISA	KOH BAND	2	203	R	19,423	1
KAPISA	MAHMUD RAQI	2	201	U	58,376	1
KAPISA	NIJRAB	2	204	R	94,632	1
KAPISA	TAGAB	2	205	R	60,966	1
KHOST	BAK	32	3210	R	9,819	1
KHOST	GURBUZ	32	3211	R	13,488	1
KHOST	JAJI MAYDAN	32	3202	R	17,912	1
KHOST	KHOST(MATUN)	32	3201	U	70,246	1
KHOST	MANDO ZAYI	32	3206	R	33,234	1
KHOST	MUSA KHEL	32	3205	R	27,192	1
KHOST	NADIR SHAH KOT	32	3208	R	16,617	1
KHOST	QALANDAR	32	3212	R	5,935	1
KHOST	SABARI	32	3209	R	30,105	1
KHOST	SPERA	32	3204	R	15,214	1
KHOST	TANI	32	3203	R	33,234	1
KHOST	TERE ZAYI	32	3207	R	27,623	1
KUNAR	ASAD ABAD	10	1001	U	57,189	1
KUNAR	BAR KUNAR	10	1003	R	21,473	1
KUNAR	CHAPA DARA	10	1010	R	23,199	1
KUNAR	CHAWKAY	10	1013	R	30,968	1
KUNAR	DANGAM	10	1004	R	12,733	1
KUNAR	KHAS KUNAR	10	1015	R	26,760	1
KUNAR	MARAWARA	10	1002	R	16,941	1
KUNAR	NARANG	10	1012	R	22,552	1
KUNAR	NARI	10	1005	R	13,596	1
KUNAR	NURGAL	10	1014	R	27,839	1
KUNAR	PECH	10	1011	R	46,615	1
KUNAR	SIRKANAY	10	1016	R	21,797	1
KUNDUZ	ALI ABAD	14	1405	U	40,140	1
KUNDUZ	ARCHI	14	1407	R	84,381	1
KUNDUZ	CHAHAR DARA	14	1404	U	60,534	1
KUNDUZ	IMAM SAHIB	14	1402	U	182,466	1
KUNDUZ	KHAN ABAD	14	1406	R	148,584	1
KUNDUZ	KUNDUZ	14	1401	U	240,734	1
LAGHMAN	ALINGAR	9	903	R	7,208	1
LAGHMAN	ALISHING	9	907	R	60,858	1
LAGHMAN	DAWLAT SHAH	9	906	R	31,184	1
LAGHMAN	MIHTARLAM	9	901	U	115,565	1
LAGHMAN	QARGHAYI	9	902	R	93,445	1
LOGAR	BARAKI BARAK	5	503	R	63,555	1
LOGAR	CHARKH	5	502	R	49,744	1
NANGARHAR	ACHIN	8	810	R	72,296	1
NANGARHAR	BATI KOT	8	817	R	55,894	1
NANGARHAR	DARA-I-NUR	8	820	R	39,709	1
NANGARHAR	DIH BALA	8	808	R	34,098	1
NANGARHAR	DUR BABA	8	812	R	25,573	1
NANGARHAR	GOSHTA	8	816	R	14,351	1
NANGARHAR	JALAL ABAD	8	801	U	177,502	1
NANGARHAR	KAMA	8	818	R	76,396	1
NANGARHAR	KHOGYANI	8	805	R	106,609	1
NANGARHAR	KUZ KUNAR	8	819	R	49,528	1
NANGARHAR	LAL PUR	8	815	R	14,999	1
NANGARHAR	MUHMAND DARA	8	814	R	32,911	1
NANGARHAR	PACHIR WA AGAM	8	807	R	31,292	1
NANGARHAR	RODAT	8	809	R	87,402	1
NANGARHAR	SHERZAD	8	804	R	47,801	1
NANGARHAR	SHINWAR	8	813	R	35,069	1
NANGARHAR	SURKH ROD	8	802	R	110,278	1
NURISTAN	KAMDESH	30	3002	R	13,272	1
NURISTAN	NURISTAN	30	3001	U	50,823	1
NURISTAN	WAYGAL	30	3003	R	8,417	1
PAKTIKA	BARMAL	29	2909	R	28,810	1
PAKTIKA	GAYAN	29	2910	R	28,810	1
PAKTIKA	NIKA	29	2913	R	10,359	1
PAKTIKA	SAR HAWZA	29	2914	R	19,207	1
PAKTIKA	SAROBI	29	2908	R	10,359	1
PAKTIKA	URGUN	29	2911	R	45,751	1
PAKTIKA	ZIRUK	29	2912	R	16,078	1
PAKTYA	AZRA	7	724	R	19,315	1
PAKTYA	CHAMKANI	7	718	R	24,926	1
PAKTYA	DAND WA PATAN	7	717	R	14,459	1
PAKTYA	GARDEZ	7	701	U	64,203	1
PAKTYA	JADRAN	7	704	R	21,581	1
PAKTYA	JAJI	7	723	R	44,241	1
PAKTYA	JANI KHEL	7	716	R	18,020	1
PAKTYA	LIJA MANGAL	7	719	R	23,523	1
PAKTYA	SAYID KARAM	7	722	R	75,425	1
PAKTYA	SHAMAL	7	705	R	8,417	1
PAKTYA	SHWAK	7	703	R	7,230	1
PARWAN	BAGRAM	3	308	R	97,761	1
PARWAN	CHAHARIKAR	3	301	U	156,461	1
PARWAN	JABALUSSARAJ	3	302	R	101,861	1
SAMANGAN	DARA-I- SUF	15	1504	R	118,694	1
SAMANGAN	KHURAM WA SARBAGH	15	1506	R	35,824	1
SAMANGAN	RUYI DU AB	15	1505	R	35,069	1
SARI PUL	BALKHAB	31	3104	R	40,140	1
SARI PUL	SANGCHARAK	31	3102	R	135,204	1
SARI PUL	SARI PUL	31	3101	U	140,383	1
SARI PUL	SAYYAD	31	3106	R	43,593	1
SARI PUL	SOZMA QALA	31	3105	R	47,046	1
TAKHAR	BANGI	12	1202	R	30,645	1
TAKHAR	CHAH AB	12	1209	R	30,645	1
TAKHAR	CHAL	12	1204	R	22,228	1
TAKHAR	DARQAD	12	1211	R	18,775	1
TAKHAR	FARKHAR	12	1206	R	37,659	1
TAKHAR	ISHKAMISH	12	1203	R	46,938	1
TAKHAR	KALAFGAN	12	1207	R	30,753	1
TAKHAR	KHWAJA GHAR	12	1212	R	66,253	1
TAKHAR	RUSTAQ	12	1208	R	139,628	1
TAKHAR	TALUQAN	12	1201	U	172,107	1
TAKHAR	WARSAJ	12	1205	R	29,566	1
TAKHAR	YANGI QALA	12	1210	R	72,404	1
URUZGAN	CHORA	26	2602	R	34,637	1
URUZGAN	TIRIN KOT	26	2601	U	62,692	1
BADAKHSHAN	BAHARAK	11	1108	R	61,937	2
BADAKHSHAN	FAYZ ABAD	11	1101	U	194,335	2
BADAKHSHAN	KHWAHAN	11	1111	R	13,488	2
BADAKHSHAN	RAGH	11	1112	R	37,443	2
BADGHIS	JAWAND	19	1904	R	53,089	2
BADGHIS	MUQUR	19	1907	R	19,099	2
BALKH	CHAHAR BOLAK	16	1607	U	65,498	2
BALKH	DAWLAT ABAD	16	1605	R	94,308	2
BALKH	MARMUL	16	1615	R	9,711	2
BAMYAN	BAMYAN	28	2801	U	67,548	2
BAMYAN	SHIBAR	28	2802	R	26,544	2
FARAH	PUR CHAMAN	21	2104	R	38,414	2
FARYAB	DAWLAT ABAD	18	1809	R	38,630	2
FARYAB	KOHISTAN	18	1805	R	37,659	2
GHAZNI	MUQUR	6	608	R	36,472	2
HILMAND	BAGHRAN	23	2305	R	67,548	2
HILMAND	KAJAKI	23	2303	R	59,131	2
HILMAND	NAHRI SARRAJ	23	2302	R	96,466	2
HILMAND	SANGIN	23	2313	R	49,636	2
HIRAT	FARSI	20	2013	R	22,876	2
HIRAT	GULRAN	20	2007	R	48,557	2
HIRAT	HIRAT	20	2001	U	238,144	2
HIRAT	ZINDA JAN	20	2010	R	40,140	2
JAWZJAN	AQCHA	17	1706	R	89,992	2
JAWZJAN	FAYZ ABAD	17	1708	R	35,608	2
JAWZJAN	MINGAJIK	17	1704	R	40,356	2
JAWZJAN	QARQIN	17	1705	R	62,476	2
KABUL	BAGRAMI	1	110	R	24,710	2
KABUL	DIH SABZ	1	102	R	43,270	2
KABUL	GULDARA	1	113	R	24,171	2
KABUL	ISTALIF	1	106	R	39,709	2
KABUL	KALAKAN	1	104	R	32,695	2
KABUL	KHAKI JABBAR	1	111	R	16,725	2
KABUL	PAGHMAN	1	108	R	117,615	2
KABUL	SUROBI	1	112	R	68,843	2
KAPISA	KOHISTAN	2	202	R	99,164	2
KUNDUZ	QALAY-I- ZAL	14	1403	R	58,268	2
LOGAR	KHUSHI	5	504	R	25,142	2
LOGAR	MUHAMMAD AGHA	5	505	R	67,116	2
LOGAR	PULI ALAM	5	501	U	86,323	2
NANGARHAR	CHAPARHAR	8	806	R	43,701	2
NANGARHAR	HISARAK	8	803	R	23,199	2
NANGARHAR	NAZYAN	8	811	R	7,985	2
NIMROZ	KANG	22	2202	R	23,955	2
NIMROZ	ZARANJ	22	2201	U	42,298	2
NURISTAN	BARGI MATAL	30	3005	R	8,417	2
NURISTAN	MANDOL	30	3004	R	22,984	2
NURISTAN	WAMA	30	3006	R	7,985	2
PAKTIKA	OMNA	29	2907	R	10,035	2
PAKTYA	ZURMAT	7	702	R	93,769	2
PARWAN	GHORBAND	3	305	R	87,294	2
PARWAN	HISA-I-DUWUMI PANJSHER	3	312	R	44,456	2
PARWAN	KOHI SAFI	3	309	R	16,833	2
PARWAN	SURKHI PARSA	3	307	R	45,751	2
SAMANGAN	AYBAK	15	1501	U	80,496	2
SAMANGAN	HAZRATI SULTAN	15	1502	R	33,990	2
SARI PUL	KOHISTANAT	31	3103	R	61,397	2
URUZGAN	DIHRAWUD	26	2609	R	51,578	2
URUZGAN	GIZAB	26	2604	R	54,168	2
URUZGAN	KHAS URUZGAN	26	2603	R	56,758	2
URUZGAN	KIJRAN	26	2607	R	56,650	2
URUZGAN	NESH	26	2610	R	11,114	2
URUZGAN	SHAHIDI HASSAS	26	2608	R	50,283	2
WARDAK	CHAKI WARDAK	4	406	R	56,758	2
WARDAK	MAYDAN SHAHR	4	401	U	32,047	2
WARDAK	NIRKH	4	408	R	38,306	2
WARDAK	SAYD ABAD	4	407	R	78,123	2
BADAKHSHAN	DARWAZ	11	1110	R	21,365	3
BADAKHSHAN	ISHKASHIM	11	1107	R	10,467	3
BADAKHSHAN	KURAN WA MUNJAN	11	1104	R	8,093	3
BADAKHSHAN	SHIGHNAN	11	1109	R	23,631	3
BADAKHSHAN	WAKHAN	11	1106	R	13,164	3
BADAKHSHAN	ZEBAK	11	1105	R	6,582	3
BALKH	KALDAR	16	1613	R	15,646	3
BALKH	KHULM	16	1614	R	73,914	3
BALKH	MAZARI SHARIF	16	1601	U	175,344	3
BALKH	NAHRI SHAHI	16	1602	R	36,364	3
BAMYAN	PANJAB	28	2805	R	65,821	3
BAMYAN	WARAS	28	2806	R	100,135	3
BAMYAN	YAKAWLANG	28	2804	R	79,957	3
FARAH	ANAR DARA	21	2107	R	22,012	3
FARAH	BAKWA	21	2102	R	19,854	3
FARAH	BALA BULUK	21	2105	R	47,801	3
FARAH	FARAH	21	2101	U	73,914	3
FARAH	GULISTAN	21	2103	R	23,091	3
FARAH	KHAKI SAFED	21	2106	R	16,725	3
FARAH	LASH WA JUWAYN	21	2109	R	26,436	3
FARAH	PUSHT ROD	21	2111	R	32,263	3
FARAH	QALAY-I-KAH	21	2108	R	21,365	3
FARAH	SHIB KOH	21	2110	R	16,401	3
FARYAB	ANDKHOY	18	1812	R	39,385	3
FARYAB	KHANI CHAHAR BAGH	18	1811	R	21,905	3
FARYAB	QARAMQOL	18	1810	R	16,833	3
GHAZNI	AB BAND	6	611	R	19,746	3
GHAZNI	AJRISTAN	6	605	R	23,199	3
GHAZNI	ANDAR	6	614	R	89,237	3
GHAZNI	BAHRAMI SHAHID(JAGHATU)	6	602	R	43,270	3
GHAZNI	DIH YAK	6	615	R	37,011	3
GHAZNI	GELAN	6	609	R	44,241	3
GHAZNI	GHAZNI	6	601	U	1,090,478	3
GHAZNI	GIRO	6	612	R	22,444	3
GHAZNI	JAGHATU	6	603	R	63,124	3
GHAZNI	JAGHURI	6	607	R	142,541	3
GHAZNI	MALISTAN	6	606	R	65,282	3
GHAZNI	NAWA	6	610	R	24,710	3
GHAZNI	NAWUR	6	604	R	76,072	3
GHAZNI	QARABAGH	6	613	R	109,307	3
GHAZNI	ZANA KHAN	6	616	R	10,359	3
GHOR	CHAGHCHARAN	27	2701	U	128,514	3
GHOR	LAL WA SARJANGAL	27	2707	R	94,200	3
GHOR	PASABAND	27	2706	R	65,821	3
GHOR	SAGHAR	27	2704	R	27,084	3
GHOR	SHAHRAK	27	2702	R	59,995	3
GHOR	TAYWARA	27	2705	R	69,706	3
GHOR	TULAK	27	2703	R	40,788	3
HILMAND	DISHU	23	2311	R	16,941	3
HILMAND	GARMSER	23	2312	R	72,835	3
HILMAND	LASHKAR GAH	23	2301	U	82,115	3
HILMAND	MUSA QALA	23	2304	R	49,096	3
HILMAND	NAD ALI	23	2308	R	97,977	3
HILMAND	NAW ZAD	23	2306	R	42,190	3
HILMAND	REG	23	2314	R	21,797	3
HILMAND	WASHER	23	2307	R	12,841	3
HIRAT	ADRASKAN	20	2011	R	32,911	3
HIRAT	CHISHTI SHARIF	20	2015	R	14,028	3
HIRAT	GHORYAN	20	2009	R	52,549	3
HIRAT	KOHSAN	20	2008	R	32,479	3
HIRAT	SHINDAND	20	2014	R	110,602	3
JAWZJAN	KHAMYAB	17	1709	R	10,575	3
JAWZJAN	KHWAJA DU KOH	17	1702	R	26,221	3
JAWZJAN	MARDYAN	17	1707	R	38,414	3
KABUL	QARABAGH	1	105	R	77,583	3
KANDAHAR	ARGHANDAB	24	2404	R	61,829	3
KANDAHAR	ARGHISTAN	24	2412	R	28,595	3
KANDAHAR	DAMAN	24	2402	R	24,494	3
KANDAHAR	GHORAK	24	2406	R	7,877	3
KANDAHAR	KHAKREZ	24	2405	R	18,883	3
KANDAHAR	MARUF	24	2413	R	27,408	3
KANDAHAR	MAYWAND	24	2407	R	55,463	3
KANDAHAR	PANJWAYI	24	2408	R	104,451	3
KANDAHAR	REG	24	2409	R	1,619	3
KANDAHAR	SHAH WALI KOT	24	2403	R	35,932	3
KANDAHAR	SHORABAK	24	2410	R	9,496	3
KANDAHAR	SPIN BOLDAK	24	2411	R	40,464	3
NIMROZ	CHAHAR BURJAK	22	2203	R	35,932	3
NIMROZ	CHAKHANSUR	22	2204	R	28,595	3
NIMROZ	KHASH ROD	22	2205	R	18,559	3
PAKTIKA	DILA	29	2903	R	20,825	3
PAKTIKA	GOMAL	29	2906	R	6,366	3
PAKTIKA	MATA KHAN	29	2915	R	20,718	3
PAKTIKA	SHARAN	29	2901	R	52,549	3
PAKTIKA	WAZA KHWA	29	2904	R	20,825	3
PAKTIKA	WOR MAMAY	29	2905	R	2,913	3
PAKTIKA	ZARGHUN SHAHR	29	2902	R	59,024	3
PARWAN	HISA-I-AWALI PANJSHER	3	311	R	47,046	3
PARWAN	PANJSHER(3)	3	310	R	50,283	3
PARWAN	SALANG	3	303	R	22,228	3
PARWAN	SHEKH ALI	3	306	R	27,731	3
PARWAN	SHINWARI	3	304	R	29,134	3
URUZGAN	DAY KUNDI	26	2606	R	153,655	3
URUZGAN	SHAHRISTAN	26	2605	R	107,580	3
WARDAK	DAY MIRDAD	4	405	R	22,768	3
WARDAK	HISA-I- AWALI BIHSUD	4	403	R	36,903	3
WARDAK	JALREZ	4	402	R	43,485	3
WARDAK	MARKAZI BIHSUD	4	404	R	105,206	3
ZABUL	ARGHANDAB	25	2503	R	27,084	3
ZABUL	ATGHAR	25	2508	R	7,230	3
ZABUL	DAYCHOPAN	25	2504	R	54,276	3
ZABUL	MIZAN	25	2505	R	11,330	3
ZABUL	QALAT	25	2501	U	28,379	3
ZABUL	SHAHJOY	25	2502	R	48,449	3
ZABUL	SHAMULZAYI	25	2509	R	37,011	3
ZABUL	SHINKAY	25	2507	R	19,531	3
ZABUL	TARNAK WA JALDAK	25	2506	R	14,135	3

Note: Stratification needs to be up-dated

1 Rowland et al. (1996). Pyrethroid impregnated bed nets for personal protection from malaria in Afghan refugees. Transactions of the Royal Society of Tropical Medicine & Hygiene. 90, 357-361.

2 Rowland et al. (2002). Prevention of malaria in Afghanistan through social marketing of insecticide-treated nets: Evaluation of coverage and effectiveness by cross-sectional surveys and passive surveillance. Tropical Medicine and International Health. 7; 813-822.

3 Graham et al. (In Press). Examining the options for malaria treatment in Afghan refugee camps: efficacy and potential for transmission reduction of chloroquine or sulphadoxine-pyrimethamine alone and in combination with primaquine or artesunate.

4 This section is largely adapted from: Kolaczinski et al, 2005. Malaria control in Afghanistan: progress and challenges.Lancet. February 1^st, 2005. http://image.thelancet.com/extras/04art2383web.pdf . Facts stated are from published and unpublished articles and reports cited in this article.

5 Durrani N., Leslie TJ., Rahim S., Graham K., Ahmed F., Rowland M. (2005) A randomised placebo controlled trial of chloroquine, amodiaquine, sulfadoxine & pyrimethamine and amodiaquine & artesunate for treatment of uncomplicated Plasmodium falciparum in Eastern Afghanistan. Trop Med Int Health. 10(6); 521-529.

6 Ezard et al (2004). Sulphadoxine-pyrimethamine remains efficacious against uncomplicated, Plasmodium falciparum in north-eastern Afghanistan. Annal Trop Med Para. 98(1) 85-88.

7 Leslie TJ., Rab MA., Ahmadzai H., Durrani N., Fayaz M., Kolaczinski J., Rowland M. (2004). Compliance with 14 day primaquine therapy for radical cure of vivax malaria – a randomised placebo controlled trial comparing supervised and unsupervised treatment. Transactions of the Royal Society of Tropical Medicine and Hygiene. 98; 168-173

8 HealthNet-TPO, 2006. Malaria Risk Mapping in Afghanistan – project report and results. Unpublished document.

9 Kolaczinski et al (2004). Comparison of OptiMal® rapid antigen test with field microscopy for the detection of Plasmodium vivax and P. falciparum. Considerations for the application of the rapid test in Afghanistan. Ann Trop Med Para 98(1); 15-20.

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