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To: =?utf-8?Q?Abdul=20Malik=20wardak?= <dr.malik@jack.ngo>
Date: Thu,  8 Apr 2021 13:32:59 +0000
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AFGHANISTAN
COVID-19
Strategic Situation Report No. 94 | 8 April 2021
https://www.humanitarianresponse.info/sites/www.humanitarianresponse.info/=
files/documents/files/strategic_sitrep_covid-19_8_april_2021_final.pdf
The next Strategic Situation Report will be released on 8 April 2021
Download the full update =C2=BB (https://www.humanitarianresponse.info/sit=
es/www.humanitarianresponse.info/files/documents/files/strategic_sitrep_co=
vid-19_8_april_2021_final.pdf)

** Situation Overview: UPDATED
------------------------------------------------------------
Global Update: According to John Hopkins University (https://gisanddata.ma=
ps.arcgis.com/apps/opsdashboard/index.html#/bda7594740fd40299423467b48e9ec=
f6) =2C almost 2.9 million people have now died with COVID-19 across the w=
orld. The pandemic is affecting 192 countries with some 133 million confir=
med cases globally=2C as of 8 April. WHO report (https://reliefweb.int/rep=
ort/world/who-urges-greater-surveillance-new-covid-19-variants-emerge) s t=
hat while the emergence of new virus variants is common=2C those with high=
er speed of transmission or potentially increased pathogenicity (i.e. the=
 capacity of a microbe to cause damage in a host) are very concerning. Cru=
cial investigations are underway to comprehensively understand the behavio=
ur of the new virus mutation (B117) and steer the response accordingly.

On 7 April 2021=2C World Health Day (https://www.emro.who.int/media/news/w=
orld-health-day-2021-together-we-can-reach-a-fairer-and-healthier-world.ht=
ml) was commemorated globally=2C under the theme =E2=80=9CTogether for a f=
airer=2C healthier world=E2=80=9D. On this occasion=2C WHO is calling for=
 urgent action to eliminate health inequities and attain better health for=
 all=2C leaving no one behind. The COVID-19 pandemic has had grave consequ=
ences for people already experiencing inequities. The pandemic has disprop=
ortionately impacted those people who are already socially=2C economically=
=2C or geographically disadvantaged=2C and evidence shows a worsening tren=
d of disparities and inequity across the Eastern Mediterranean Region. On=
 World Health Day 2021=2C WHO is calling on leaders to monitor health ineq=
ualities and address their root causes to ensure that everyone has access=
 to the living and working conditions that are conducive to good health an=
d to quality health services where and when they need them. WHO is also ca=
lling
for increased  investment in primary health care to achieve health for all=
=2C by all.

https://moph-dw.gov.af/dhis-web-commons/security/login.action#/

MOPH Figures: As of 8 April=2C MoPH data (https://moph-dw.gov.af/dhis-web-=
commons/security/login.action#/) shows that 56=2C945 people across all 34=
 provinces in Afghanistan are confirmed to have had COVID-19. Some 51=2C94=
0 people have recovered=2C and 2=2C516 people have died =E2=80=93 at least=
 91 of whom are healthcare workers. Only 361=2C751 people out of a populat=
ion of 40.4 million have been tested. Afghanistan now has a test-positivit=
y-rate =E2=80=93 positive tests as a percentage of total tests =E2=80=93 o=
f close to 16 per cent=2C suggesting overall under-testing of potential ca=
ses. The majority of recorded deaths were men between the ages of 50 and 7=
9. Men account for almost 67 per cent of the total COVID-19 confirmed case=
s in the MoPH data=2C although this may be the result of over-representati=
on of men in testing. Due to limited public health resources=2C lack of pe=
ople coming forward for testing=2C as well as the absence of a national de=
ath register=2C confirmed cases of and deaths from COVID-19 are likely to=
 be
under-reported overall in Afghanistan. Stigma is considered a major factor=
 in people choosing not to get tests and risk communications work is criti=
cal to turning this around. WHO warns that widespread complacency and fail=
ure to follow public health advice in Afghanistan is creating grave risks=
 in the community with people generally not observing physical distancing=
 or mask wearing protocols. WHO Afghanistan remains concerned about mutati=
ons of the virus=2C cases of which have been confirmed in Afghanistan. The=
re is a significant increase in cases in Pakistan and Iran with the new va=
riant which is potentially more infectious and can affect younger people.=
 The Ministry of Public Health is preparing contingencies for a potential=
 third wave which includes scaling up surveillance at borders and improvin=
g testing.

Almost 8 per cent of the total confirmed COVID-19 cases are among healthca=
re staff and they are currently the highest priority for vaccination. Ther=
e is an urgent need to ensure continued distribution of medical and protec=
tive equipment to all corners of the country. While 23 laboratories are no=
w operating in Afghanistan =E2=80=93 with plans to scale up to at least on=
e laboratory per province by June 2021 =E2=80=93 the capacity of these fac=
ilities remains limited and stocks of supplies have periodically run out.=
 National capacity for COVID-19 testing is 7=2C200 samples a day however t=
hese laboratories are not being fully utilised. WHO reports that while the=
 national testing capacity stands at 8=2C500 samples a day=2C it is only u=
tilised up to 7=2C200 samples a day as laboratory technicians are working=
 less hours due to lower demand for testing.

Vaccination:  The first batch (https://reliefweb.int/report/afghanistan/co=
vid-19-vaccines-shipped-covax-arrive-afghanistan) of COVID-19 vaccinations=
 through the COVAX facility =E2=80=93 consisting of 468=2C000 doses =E2=80=
=93 arrived in Afghanistan on 8 March. Afghanistan is the first country in=
 central Asia to receive the vaccine via COVAX =E2=80=93 a facility that i=
s set to deliver at least 2 billion doses of COVID-19 vaccines globally by=
 the end of 2021. In total=2C Afghanistan has received 968=2C000 doses of=
 the vaccine =E2=80=93 468=2C000 from the COVAX facility and 500=2C000 dir=
ectly from the government of India-- enabling the vaccination of some 484=
=2C000 people. More than 100=2C000 people have been vaccinated in Afghanis=
tan to date=2C including some 68=2C000 health workers and 18=2C000 teacher=
s. WHO reports that a delivery from the COVAX facility will be delayed due=
 to global shortages. However=2C additional vaccines may come from other c=
ountries through bilateral channels. There remains some concern=2C however=
=2C around low demand among
healthcare workers and the equitable access to vaccines among all Afghans.=
 Vaccine uptake remains slow and further risk communication and community=
 engagement efforts are needed to ensure prioritised=2C high-risk populati=
ons and frontline staff understand the benefits of the vaccine and can eff=
ectively dispel misinformation. As a potential third wave approaches=2C hu=
manitarian partners continue to urge the Government to ensure laboratories=
 and frontline staff are appropriately equipped and that procured supplies=
 =E2=80=93 including vaccines =E2=80=93 go to under-resourced health centr=
es across the entire country in a transparent manner=2C so that life-savin=
g support can be delivered to those most in need.

Socio-economic impacts: The socio-economic impacts of COVID-19 have transl=
ated into a dramatic deterioration in food insecurity with levels now simi=
lar to those seen during the 2018 drought. An estimated 16.9 million peopl=
e are now in crisis or emergency levels of food insecurity. The current cl=
imate outlook is also worrying with reduced precipitation and higher tempe=
ratures potentially affecting farmers and pastoralists=2C as well as water=
 availability over the next few months. Food prices are already at elevate=
d levels due to COVID-19 and are likely to increase further if the current=
 weather patterns persist. These factors=2C combined with COVID-19 related=
 interruptions to informal employment and decreased remittances=2C are dri=
ving people into crippling debt. Data from the 2020 Whole of Afghanistan A=
ssessment showed that the primary reason for taking on this debt last year=
 was to pay for food (53 per cent).

Development outlook: Afghanistan faces a sluggish economic recovery from t=
he pandemic amid continued political uncertainties and possible decline in=
 international aid=2C says the World Bank in its latest country update (ht=
tps://www.worldbank.org/en/news/press-release/2021/04/05/world-bank-politi=
cal-and-security-uncertainty-slow-down-afghanistan-s-economic-recovery) .=
 Released on 5 April=2C the World Bank report shows that robust agricultur=
al growth has partially buoyed Afghanistan's economy=2C which shrank by ar=
ound two per cent in 2020 =E2=80=93 a smaller contraction than previous es=
timates. However=2C lockdowns=2C weak investment=2C and trade disruptions=
 have hit hard services and industries=2C increasing hardship and unemploy=
ment in cities.  Growth is expected to reach one per cent in 2021 and top=
 around three percent in 2022 as the COVID-19 crisis fades. Per capita inc=
omes are unlikely to recover to pre-COVID levels until 2025 due to fast po=
pulation growth. The report emphasises that a strong and sustainable
partnership between the Afghan Government and its international partners a=
re key to driving recovery and restoring private sector confidence.

Humanitarian Needs and Response Planning: The Afghanistan Humanitarian Res=
ponse Plan (HRP) for 2018-2021 2020 Year End Monitoring Report (https://re=
liefweb.int/report/afghanistan/afghanistan-humanitarian-response-plan-2018=
-2021-2020-year-end-monitoring-report) was published on 17 March with part=
ners reaching 11.7 million people in 2020=2C exceeding planned reach. Over=
all=2C partners reached 4.68m people with COVID-19 specific support in 202=
0. Humanitarian needs driven and exacerbated by conflict=2C natural disast=
ers and the multi-dimensional impact of the COVID-19 pandemic continue to=
 affect millions of people in Afghanistan in 2021. While the immediate res=
ponse to COVID-19 focused largely on the health and hygiene impacts of the=
 pandemic=2C humanitarian partners quickly adjusted approaches to respond=
 to the pandemic's secondary impacts on protection=2C food security and li=
velihoods=2C nutrition=2C and education. In response=2C partners have scal=
ed-up their capacity to respond via new approaches that are
more suited to operations within this demanding environment.

The 2021 edition of the multi-year revised Afghanistan HRP (https://www.hu=
manitarianresponse.info/sites/www.humanitarianresponse.info/files/document=
s/files/afg_humanitarian_response_plan_2018_2021_jan_2021.pdf) identifies=
 18.4 million people in humanitarian need in 2021=2C as a result of COVID-=
19=2C ongoing conflict and natural disasters. Approximately six times the=
 number of people are in need of humanitarian assistance in 2021 compared=
 to four years ago when the multi-year HRP was first developed.

Against this backdrop=2C the La Nin=CC=83a event is causing below average=
 precipitation=2C thin snowpack and above average temperatures in most par=
ts of the country and it is expected that farmers and pastoralists will be=
 negatively affected=2C as well as water availability. Recognising the mul=
tiple=2C overlapping challenges facing the people of Afghanistan as spring=
 approaches =E2=80=93 including low rainfall =2C intensifying conflict=2C=
 and ongoing COVID-19 challenges =E2=80=93 the ICCT conducted a multi-sect=
oral analysis (https://reliefweb.int/report/afghanistan/afghanistan-spring=
-disaster-contingency-plan-mar-jun-2021) of likely needs across highly-imp=
acted provinces and has published a Spring Disaster Contingency Plan ident=
ifying the most urgent needs from March-June=2C with $390 million required=
 for response.

Contributions: On 18 March (https://reliefweb.int/report/afghanistan/repub=
lic-korea-donates-300000-kf94-face-masks-protect-vulnerable-afghans-covid1=
9) =2C UNHCR in Afghanistan received a consignment of 300=2C000 KF94 face=
 masks donated by the Government of the Republic of Korea to fight the spr=
ead of the COVID19 pandemic in Afghanistan. UNHCR and MoPH will distribute=
 this donation of masks to frontline staff in isolation wards=2C ICUs and=
 laboratories in isolation centres (hospitals) across the country. Some 15=
0=2C000 of these masks will be distributed to vulnerable refugees=2C displ=
aced people=2C returnees=2C and host communities across the country.

Cross Border: UPDATED
Border Crossings: The Milak (Nimroz) and Islam Qala-Dogharoon (Hirat) cros=
sings with Iran are officially open to commercial traffic and movement of=
 documented Afghanistan nationals. According to the Border Monitoring Team=
 of the Directorate of Refugees and Repatriation (DoRR)=2C a total of 22=
=2C034 Afghanistan nationals returned from Iran through the Milak and Isla=
m Qala border crossing sites between 26 March and 1 April. 11=2C952 people=
 returned voluntarily and 10=2C082 were deported. Since the start of the y=
ear=2C a historically significant influx of 254=2C766 people have returned=
 to Afghanistan=2C sparking new concerns related to the transmission of CO=
VID-19 variants and overall absorption capacity of existing health resourc=
es.  A sharp drop in remittances to Afghanistan has also been observed as=
 well as the negative socio-economic impacts linked to the return.

Afghanistan=E2=80=99s border with Pakistan at Spin Boldak officially opene=
d on 21 August 2020 and at Torkham on 28 September 2020. As of 12 February=
 2021=2C Torkham gate will be open 6 days a week (Monday-Saturday). Sunday=
 is closed for pedestrians but will remain open for transit (24/7). Previo=
usly=2C Torkham border crossing was only open four days a week. Between 26=
 March and 1 April 2021=2C a total of 368 undocumented Afghans returned fr=
om Pakistan through the Torkham and Spin Boldak borders. 352 people return=
ed voluntarily and 16 were deported.

------------------------------------------------------------
Download the full update =C2=BB (https://www.humanitarianresponse.info/sit=
es/www.humanitarianresponse.info/files/documents/files/strategic_sitrep_co=
vid-19_8_april_2021_final.pdf)
Click here to subscribe (http://eepurl.com/ydXVr) to future COVID-19 updat=
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                    <tbody><tr>

</td>
                    </tr>
                </tbody></table>
=09=09=09=09

</td>
                    </tr>
                </tbody></table>
=09=09=09=09

</td>
                    </tr>
                </tbody></table>
=09=09=09=09

=09=09=09=09
            </td>
        </tr>
    </tbody>
</table><table border=3D"0" cellpadding=3D"0" cellspacing=3D"0" width=3D"1=
00%" class=3D"mcnDividerBlock" style=3D"min-width: 100%;border-collapse: c=
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                        </td>
                    </tr>
                </tbody></table>

            </td>
        </tr>
    </tbody>
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00%" class=3D"mcnImageBlock" style=3D"min-width: 100%;border-collapse: col=
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</td>
                        </tr>
                    </tbody></table>
                </td>
            </tr>
    </tbody>
</table><table border=3D"0" cellpadding=3D"0" cellspacing=3D"0" width=3D"1=
00%" class=3D"mcnDividerBlock" style=3D"min-width: 100%;border-collapse: c=
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    <tbody class=3D"mcnDividerBlockOuter">
        <tr>
            <td class=3D"mcnDividerBlockInner" style=3D"min-width: 100%;pa=
dding: 10px 18px;mso-line-height-rule: exactly;-ms-text-size-adjust: 100%;=
-webkit-text-size-adjust: 100%;">
                <table class=3D"mcnDividerContent" border=3D"0" cellpaddin=
g=3D"0" cellspacing=3D"0" width=3D"100%" style=3D"min-width: 100%;border-t=
op: 5px solid #82B5E9;border-collapse: collapse;mso-table-lspace: 0pt;mso-=
table-rspace: 0pt;-ms-text-size-adjust: 100%;-webkit-text-size-adjust: 100=
%;">
                    <tbody><tr>
                        <td style=3D"mso-line-height-rule: exactly;-ms-tex=
t-size-adjust: 100%;-webkit-text-size-adjust: 100%;">
                            <span></span>
                        </td>
                    </tr>
                </tbody></table>

            </td>
        </tr>
    </tbody>
</table><table border=3D"0" cellpadding=3D"0" cellspacing=3D"0" width=3D"1=
00%" class=3D"mcnTextBlock" style=3D"min-width: 100%;border-collapse: coll=
apse;mso-table-lspace: 0pt;mso-table-rspace: 0pt;-ms-text-size-adjust: 100=
%;-webkit-text-size-adjust: 100%;">
    <tbody class=3D"mcnTextBlockOuter">
        <tr>
            <td valign=3D"top" class=3D"mcnTextBlockInner" style=3D"paddin=
g-top: 9px;mso-line-height-rule: exactly;-ms-text-size-adjust: 100%;-webki=
t-text-size-adjust: 100%;">
              =09
=09=09=09
=09=09=09=09
                <table align=3D"left" border=3D"0" cellpadding=3D"0" cells=
pacing=3D"0" style=3D"max-width: 100%;min-width: 100%;border-collapse: col=
lapse;mso-table-lspace: 0pt;mso-table-rspace: 0pt;-ms-text-size-adjust: 10=
0%;-webkit-text-size-adjust: 100%;" width=3D"100%" class=3D"mcnTextContent=
Container">
                    <tbody><tr>

</td>
                    </tr>
                </tbody></table>
=09=09=09=09

<a href=3D"https://humanitarianresponse.us4.li=
st-manage.com/track/click?u=3Dfe0746c970b6af5b85b9a5ef4&id=3De26d593805&e=
=3D378d750ef4" target=3D"_blank" style=3D"mso-line-height-rule: exactly;-=
ms-text-size-adjust: 100%;-webkit-text-size-adjust: 100%;color: #418fde;fo=
nt-weight: normal;text-decoration: underline;"><font face=3D"roboto=2C hel=
vetica neue=2C helvetica=2C arial=2C sans-serif"><span style=3D"font-size:=
14px">Download the full update&nbsp;</span></font>=C2=BB</a>
                        </td>
                    </tr>
                </tbody></table>
=09=09=09=09

<h2 style=3D"text-align: justify;display: bloc=
k;margin: 0;padding: 0;color: #222222;font-family: Helvetica;font-size: 34=
px;font-style: normal;font-weight: bold;line-height: 150%;letter-spacing:=
 normal;"><span style=3D"color:#0066cc"><strong style=3D"font-size:13px"><=
u>Situation Overview:</u></strong><span style=3D"font-size:13px"> </span><=
/span><span style=3D"color:#FF0000"><strong style=3D"font-size:13px">UPDAT=
ED</strong></span></h2>

<hr>
<div style=3D"text-align: justify;"><a href=3D"https://humanitarianrespons=
e.us4.list-manage.com/track/click?u=3Dfe0746c970b6af5b85b9a5ef4&id=3D195c4=
e13d8&e=3D378d750ef4" target=3D"_blank" style=3D"mso-line-height-rule: ex=
actly;-ms-text-size-adjust: 100%;-webkit-text-size-adjust: 100%;color: #41=
8fde;font-weight: normal;text-decoration: underline;"><span style=3D"font-=
size:12px">Download the full update&nbsp;=C2=BB</span></a></div>

</td>
                    </tr>
                </tbody></table>
=09=09=09=09

=09=09=09=09
            </td>
        </tr>
    </tbody>
</table><table border=3D"0" cellpadding=3D"0" cellspacing=3D"0" width=3D"1=
00%" class=3D"mcnDividerBlock" style=3D"min-width: 100%;border-collapse: c=
ollapse;mso-table-lspace: 0pt;mso-table-rspace: 0pt;-ms-text-size-adjust:=
 100%;-webkit-text-size-adjust: 100%;table-layout: fixed !important;">
    <tbody class=3D"mcnDividerBlockOuter">
        <tr>
            <td class=3D"mcnDividerBlockInner" style=3D"min-width: 100%;pa=
dding: 30px 18px;mso-line-height-rule: exactly;-ms-text-size-adjust: 100%;=
-webkit-text-size-adjust: 100%;">
                <table class=3D"mcnDividerContent" border=3D"0" cellpaddin=
g=3D"0" cellspacing=3D"0" width=3D"100%" style=3D"min-width: 100%;border-t=
op: 1px solid #82B5E9;border-collapse: collapse;mso-table-lspace: 0pt;mso-=
table-rspace: 0pt;-ms-text-size-adjust: 100%;-webkit-text-size-adjust: 100=
%;">
                    <tbody><tr>
                        <td style=3D"mso-line-height-rule: exactly;-ms-tex=
t-size-adjust: 100%;-webkit-text-size-adjust: 100%;">
                            <span></span>
                        </td>
                    </tr>
                </tbody></table>

            </td>
        </tr>
    </tbody>
</table><table border=3D"0" cellpadding=3D"0" cellspacing=3D"0" width=3D"1=
00%" class=3D"mcnTextBlock" style=3D"min-width: 100%;border-collapse: coll=
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        <tr>
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g-top: 9px;mso-line-height-rule: exactly;-ms-text-size-adjust: 100%;-webki=
t-text-size-adjust: 100%;">
              =09
=09=09=09
=09=09=09=09
                <table align=3D"left" border=3D"0" cellpadding=3D"0" cells=
pacing=3D"0" style=3D"max-width: 100%;min-width: 100%;border-collapse: col=
lapse;mso-table-lspace: 0pt;mso-table-rspace: 0pt;-ms-text-size-adjust: 10=
0%;-webkit-text-size-adjust: 100%;" width=3D"100%" class=3D"mcnTextContent=
Container">
                    <tbody><tr>

</td>
                    </tr>
                </tbody></table>
=09=09=09=09

=09=09=09=09
            </td>
        </tr>
    </tbody>
</table><table class=3D"mcnTextBlock" style=3D"min-width: 100%;border-coll=
apse: collapse;mso-table-lspace: 0pt;mso-table-rspace: 0pt;-ms-text-size-a=
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              =09
=09=09=09
=09=09=09=09
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iner" width=3D"100%" cellspacing=3D"0" cellpadding=3D"0" border=3D"0" alig=
n=3D"left">
                    <tbody><tr>

</td>
                    </tr>
                </tbody></table>
=09=09=09=09

=09=09=09=09
            </td>
        </tr>
    </tbody>
</table><table class=3D"mcnFollowBlock" style=3D"min-width: 100%;border-co=
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    <tbody><tr>
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                                                                         =
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rget=3D"_blank" style=3D"mso-line-height-rule: exactly;-ms-text-size-adjus=
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                                                                         =
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                                                                    </tbod=
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                                                                </td>
                                                            </tr>
                                                        </tbody></table>
                                                    </td>
                                                </tr>
                                            </tbody></table>

=
       <td class=3D"mcnFollowIconContent" width=3D"24" valign=3D"middle" a=
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rget=3D"_blank" style=3D"mso-line-height-rule: exactly;-ms-text-size-adjus=
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: none;-ms-interpolation-mode: bicubic;" class=3D"" width=3D"24" height=3D=
"24"></a>
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ck/click?u=3Dfe0746c970b6af5b85b9a5ef4&id=3D907f037e3d&e=3D378d750ef4" ta=
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                                                                         =
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xt-size-adjust: 100%;"><img src=3D"https://cdn-images.mailchimp.com/icons/=
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                                                                         =
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                            </tr>
                        </tbody></table>
                    </td>
                </tr>
            </tbody></table>
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</tbody></table>

</td>
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</table></td>
                                        </tr>
                                    </table>
                                    
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                            </tr>
                            <tr>
                                <td align=3D"center" valign=3D"top" id=3D"=
templateFooter" data-template-container=3D"" style=3D"background:#418fde n=
one no-repeat center/cover;mso-line-height-rule: exactly;-ms-text-size-adj=
ust: 100%;-webkit-text-size-adjust: 100%;background-color: #418fde;backgro=
und-image: none;background-repeat: no-repeat;background-position: center;b=
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