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 dr.safar@jack.ngo,
 dr.shafiq@jack.ngo,
 ghani@jack.ngo,
 haseeb.shirzada@jack.ngo,
 nooromari@jack.ngo,
 takal@jack.ngo
Delivery-date: Sat, 03 Jul 2021 08:49:07 -0400
From: <ahmad@jack.ngo>
To: "'Mark Ward'" <mward@InternationalMedicalCorps.org>,
	"'Shamail Azimi'" <sazimi@InternationalMedicalCorps.org>,
	"'Mohammad Zia Sanaban'" <msanaban@InternationalMedicalCorps.org>
Cc: <nooromari@jack.ngo>,
	"'Sardar Wali Takal'" <takal@jack.ngo>,
	"'Sardar Wali Takal'" <takal@jack.af>,
	<haseeb.shirzada@jack.ngo>,
	<dr.safar@jack.ngo>,
	"'Samyullah Niazi'" <dr.niazi@jack.ngo>,
	<ghani@jack.ngo>,
	<dr.shafiq@jack.ngo>
References: 
In-Reply-To: 
Subject: RE: COVID-19 update Kunduz Weekly 
Date: Sat, 3 Jul 2021 17:19:00 +0430
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Dear IMC colleagues,=20

=20

Greetings from JACK,=20

=20

Following is the weekly update of COVID-19 from Kunduz and JACK input =
for the duration of 24 June 2021 till 01 July 2021.=20

=20

RRT and District Centers update  (surveillance)

Total 261 awareness sessions were held by RRTs, DCs and Hospital staff =
during this reporting period.

In 261 sessions, 271 populations were below 18 years old and 1476 of =
them were over 18 years=E2=80=99 old (Total of 1747 of population =
received COVID-19 awarness)

In this reporting period, 1745 population were screened.=20

Between 1745 population, 644 were identified as suspect to COVID-19.=20

From 644 suspect to COVID-19, samples were collected from all of them =
(100%).

From 644 testes, 256 of them was positive and remaining 388 of them was =
negative (40% positivity rate)

From RRTs and DCs, 50 patients were referred to COVID-19 hospital.

215 positive cases were traced by RRTs and DCs during this reporting =
period.

COVID-19 Hospital Update=20

70 new patients were admitted to COVID-19 hospital during this reporting =
period.

43 patients were cured (61%)

19 patients died in this reporting period (7%)

COVID-19 Vaccination update=20

In this reporting period following populations were vaccinated based on =
their category:

*       Total 33 first dose Health workers (6 Female, 27 Male).

*       Total 60 first dose Teachers ((28 F, 32 M)

*       Total 244 to over 18 and below 50 of age (89 F, 155 M)

*       Total 16 first dose (3 F, 6 M) and total 7 second dose (2 F, 5 =
M) for population with co-morbidity.

*       Total 143 first dose for population with over 50 of age (64 F, =
79 M)

*       Total 11 first dose for Kochi over 30 and below 50 of age (6 F, =
5 M)

*       Total 8 first dose for internal displaced persons (IDPS) (1 F, 7 =
M)

*       Total 70 first dose for crowded places workers (18 F, 52 M)

*       Total 90 first dose (69 F, 21 M) and 5 second dose (3 F, 2 M) =
for poor population of Kunduz province

In Total 680 dose of vaccine were injected to above category population =
in this reporting period.

=20

With Best Regards,

=20

Dr.Noor Ahmad =E2=80=9CAhmad=E2=80=9D MD,PGD (Leadership) PGD (NMD), PMP

Program Director=20

Just for Afghan Capacity and Knowledge       =D8=A8=D9=84=D9=86=D8=AF =
=D8=A8=D8=B1=D8=AF=D9=86 =D8=B3=D8=B7=D8=AD =D8=AF=D8=A7=D9=86=D8=B4 =
=D9=88 =D8=AA=D9=88=D8=A7=D9=86=D9=85=D9=86=D8=AF=DB=8C =
=D8=A7=D9=81=D8=BA=D8=A7=D9=86=D9=87=D8=A7 (=D8=AC=DA=A9) =20

Address: First Street of Karta-e-Chahar, Kabul Afghanistan=20

Behind AWCC Main Office, House # 08

Ph: +93 +93(0)748480909=20

Email: ahmad <mailto:ahmad@jack.ngo> @jack.ngo =20

Website:www.jack.ngo=20

=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=
=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=
=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=
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=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=
=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=
=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D

This e-mail and any files transmitted with it may contain privileged or =
confidential information. It is solely for use by the individual for =
whom it is intended, even if addressed incorrectly. If you received this =
e-mail in error, please notify the sender; do not disclose copy, =
distribute, or take any action in reliance on the contents of this =
information; and delete it from your system. Any other use of this =
e-mail is prohibited. The views expressed herein are those of the author =
and do not necessarily reflect the views or policies of jack =
(Afghanistan). Electronic transmissions may be recorded and =
monitored.For Verification Please Read the Barcode Reader. =20

=09
	=09
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=20

P Every 3000 sheets of paper costs us a tree. Please don't print this =
e-mail unless you really need to

=20

From: ahmad@jack.ngo [mailto:ahmad@jack.ngo]=20
Sent: Monday, June 28, 2021 12:31 AM
To: 'Mark Ward' <mward@InternationalMedicalCorps.org>; 'Shamail Azimi' =
<sazimi@InternationalMedicalCorps.org>; 'Mohammad Zia Sanaban' =
<msanaban@InternationalMedicalCorps.org>
Cc: 'nooromari@jack.ngo' <nooromari@jack.ngo>; 'Sardar Wali Takal' =
<takal@jack.ngo>; 'Sardar Wali Takal' <takal@jack.af>; =
'haseeb.shirzada@jack.ngo' <haseeb.shirzada@jack.ngo>; =
'dr.safar@jack.ngo' <dr.safar@jack.ngo>; 'Samyullah Niazi' =
<dr.niazi@jack.ngo>; 'ghani@jack.ngo' <ghani@jack.ngo>; =
'dr.shafiq@jack.ngo' <dr.shafiq@jack.ngo>
Subject: RE: COVID-19 update Kunduz Weekly=20

=20

Dear IMC collueages ,

=20

Greetings from JACK,=20

=20

Following is COVID-19 weekly update from Kunduz ;

=20

The reporting period is from 17 June 2021 until 23 June 2021.=20

Stat reports of COVID-19 hospital, RRTs and DCs.

238 health education sessions were conducted in past 7 days.=20

In 238 sessions, 1311 individuals received education on risk =
communication, community engagement, COVID-19 prevention, COVID-19 sign =
and symptoms and who to reach when you have sign and symptoms.

In this reporting period, 1187 population were screened for COVID-19.=20

From 1187 screened population, 719 of them were suspect to COVID-19.

Samples were collected from all 719 suspect (414 Male and 305 Female) =
and these samples were transferred to COVID-19 diagnostic lab for =
testing.

COVID-19 diagnostic lab tested 719 samples in this reporting period.

From 719 tested samples by PCR, 294 were tested positive and 425 were =
tested negative.

The positivity rate in this reporting period was 41%.

In this reporting period, 100 beds were active for COVID-19 hospital.=20

91 new patients were admitted and they spend 387 (Length of Stay) days =
in COVID-19 hospital.

The BOR for this week is 55%.

20 patients were admitted to ICU and they spent 151 (ICU bed days) days. =

Average BOR for ICU ward was 108% in past 7 days.

97 patients were discharged from hospital in this reporting period and =
its average rate is 107% (refers, cured, death).

63 patients were cured and their treatment were completed (65%)

5% of above patients were referred to higher health facility.

There were 29 death cases reported. According to overall positivity rate =
(294), the death rate is 9.8%.

PCR confirmed Patients who were traced after their 14 days=E2=80=99 home =
quarantine were 508 (280 M, 228 F)

Stat report of COVID-19 vaccination

68 health worker (58 Male, 10 Female) were vaccinated (51 first dose, 17 =
second dose) in this period.

103 government employees (72 Male, 31 Female) were vaccinated (102 First =
dose, 1 second dose).

35 Nomadic populations (16 Male, 19 Female) were vaccinated (35 First =
dose, 0 second dose).

485 vaccines were vaccinated for age between 18 to 50 years old. (279 =
Male, 206 Female)

31 IDP camps residents (18 Male, 13 Female) were vaccinated whom were =
between 30 to 50 years old.

62 population living in urban slums of big cities (35 Male, 27 female) =
were vaccinated.

147 vaccines were vaccinated for +50 years old (146 first dose, 1 second =
dose) (92 Male, 55 Female).

34 people with co-morbidities (24 Male, 10 Female) were vaccinated (17 =
first dose, 17 second dose).

48 teachers (25 Male, 23 Female) were vaccinated (46 first dose, 2 =
second dose)

From all 2026 vaccines, 975 of them were from sinopharm company and =
remaining 1051 were from santrazica company.

Challenges

During this reporting period, active gun fight between AOGs and ANSFs =
were increased dramatically. Roads to health facilities were closed. =
RRTs of Imamsahib and RRT of Chardara were not able to work in their =
field due to active armed clashes. Sample taken were decreased due to =
less activity of RRTs and DCs. There were no oxygen shortage during the =
week, however due to active gun fight oxygen shortage could happen in =
upcoming weeks.

Recommendation

An oxygen plant is necessary for Kunduz COVID-19 hospital. It is hard to =
supply oxygen from Kabul, Mazar e Sharif or Jalalabad due to road =
blocks. It would be a lot better if Kunduz produce oxygen rather than =
import them from other provinces.

=20

With Best Regards,

=20

Dr.Noor Ahmad =E2=80=9CAhmad=E2=80=9D MD,PGD (Leadership) PGD (NMD), PMP

Program Director=20

Address: First Street of Karta-e-Chahar, Kabul Afghanistan=20

Behind AWCC Main Office, House # 08

Ph: +93 +93(0)748480909=20

Email: ahmad <mailto:ahmad@jack.ngo> @jack.ngo =20

Website:www.jack.ngo=20

=09
	=09
=20

=20

P Every 3000 sheets of paper costs us a tree. Please don't print this =
e-mail unless you really need to

=20

From: ahmad@jack.ngo <mailto:ahmad@jack.ngo> [mailto:ahmad@jack.ngo]=20
Sent: Saturday, June 19, 2021 11:27 AM
To: 'Mark Ward' <mward@InternationalMedicalCorps.org =
<mailto:mward@InternationalMedicalCorps.org> >; 'Shamail Azimi' =
<sazimi@InternationalMedicalCorps.org =
<mailto:sazimi@InternationalMedicalCorps.org> >; 'Mohammad Zia Sanaban' =
<msanaban@InternationalMedicalCorps.org =
<mailto:msanaban@InternationalMedicalCorps.org> >
Cc: 'nooromari@jack.ngo' <nooromari@jack.ngo <mailto:nooromari@jack.ngo> =
>; 'Sardar Wali Takal' <takal@jack.ngo <mailto:takal@jack.ngo> >; =
'Sardar Wali Takal' <takal@jack.af <mailto:takal@jack.af> >; =
'haseeb.shirzada@jack.ngo' <haseeb.shirzada@jack.ngo =
<mailto:haseeb.shirzada@jack.ngo> >; 'dr.safar@jack.ngo' =
<dr.safar@jack.ngo <mailto:dr.safar@jack.ngo> >; 'Samyullah Niazi' =
<dr.niazi@jack.ngo <mailto:dr.niazi@jack.ngo> >; 'ghani@jack.ngo' =
<ghani@jack.ngo <mailto:ghani@jack.ngo> >; 'dr.shafiq@jack.ngo' =
<dr.shafiq@jack.ngo <mailto:dr.shafiq@jack.ngo> >
Subject: COVID-19 update Kunduz Weekly=20

=20

Dear IMC colleagues,=20

=20

Greetings from JACK ,=20

=20

Following is the update of COVID-19 in Kunduz province in the reporting =
period; we share such updates with UN-OCHA and other stakeholders like =
WHO, UNICEF and so on; if your agree I will share our inputs regarding =
COVID-19 in Kunduz with you on weekly basis=20

=20

1.	1,475 people received health education through RRTs ( Rapid Response =
Teams) from these people 779 are male and 678 are female=20
2.	1,277 people are screened for COVID-19 through RRTs and District =
Centers and from these 1,277 people (773 are male and 504 are female)
3.	454 people are advised home quarantine and from these people 272 are =
male and 182 are female.
4.	1120 samples are collected from suspected people and sent to PCR for =
testing from these people 632 male and 488 female
5.	474 people resulted positive from PCR and from these 474 persons ( =
258 male and 216 are female)
6.	Positivity rate in the reporting week is 42% which is very high
7.	895 persons are contact traced through phone and reported and from =
these people 478 are male and 417 female.
8.	566 people received OPD services and from these 566 people (345 are =
male and 221 are female)
9.	BOR ( Bed Occupancy Rate) is reported 109% average=20
10.	ICU (Intensive Care Unit) occupancy rate is reported 159%
11.	517 people received COVID-19 vaccination doses and from these 517 ( =
334 male, 183 female)
12.	4343 are reported ARI ( Acute Respiratory Infection) cases from BPHS =
health facilities=20
13.	740 are reported suspected of COVID-19 from BPHS health facilities =
in the reporting period=20

External Monitoring:

1.	High ranking representatives from MoPH ( Ministry of Public Health ) =
visited the COVID-19 hospital=20
2.	Kunduz PPHD had several visit from COVID-19 hospital of Kunduz=20
3.	Deputy governor of Kunduz visited from Kunduz COVID-19 hospital=20
4.	Several Medias visited the COVID-19 hospital=20
5.	Civic society representative visited COVID-19 hospital=20
6.	MSF and other stakeholders visited COVID-19 hospital=20

Support from Stakeholders:

1.	MSF Kunduz provided 10 oxygen concentrators for till end of this peak =
of COVID-19 then JACK will back submit to them.=20
2.	Kunduz PPHD provided to Kunduz COVID-19 hospital the beds, and oxygen =
concentrators=20

=20

Challenges:

1.	People transfer the patients from their homes at the end stage to =
COVID-19 hospital and the recovery of these people is very difficult=20
2.	Private hospitals and clinics in Kunduz first admit the COVID-19 =
patients then when the patient became severe and critical and went to =
end stage then they refer to Kunduz COVID-19 hospital=20

=20

With Best Regards,

=20

Dr.Noor Ahmad =E2=80=9CAhmad=E2=80=9D MD,PGD (Leadership) PGD (NMD), PMP

Program Director=20

Address: First Street of Karta-e-Chahar, Kabul Afghanistan=20

Behind AWCC Main Office, House # 08

Ph: +93 +93(0)748480909=20

Email: ahmad <mailto:ahmad@jack.ngo> @jack.ngo =20

Website:www.jack.ngo=20

=09
	=09
=20

=20

P Every 3000 sheets of paper costs us a tree. Please don't print this =
e-mail unless you really need to

=20

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	charset="utf-8"
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<html xmlns:v=3D"urn:schemas-microsoft-com:vml" =
xmlns:o=3D"urn:schemas-microsoft-com:office:office" =
xmlns:w=3D"urn:schemas-microsoft-com:office:word" =
xmlns:m=3D"http://schemas.microsoft.com/office/2004/12/omml" =
xmlns=3D"http://www.w3.org/TR/REC-html40"><head><meta =
http-equiv=3DContent-Type content=3D"text/html; charset=3Dutf-8"><meta =
name=3DGenerator content=3D"Microsoft Word 15 (filtered medium)"><style></style></head><body lang=3DEN-US =
link=3D"#0563C1" vlink=3D"#954F72"><div class=3DWordSection1>Dear IMC colleagues, =
<o:p></o:p><o:p>&nbsp;</o:p>Greetings from JACK, =
<o:p></o:p><o:p>&nbsp;</o:p>Following is the weekly =
update of COVID-19 from Kunduz and JACK input for the duration of 24 =
June 2021 till 01 July 2021. <o:p></o:p><o:p>&nbsp;</o:p><h1>RRT and District =
Centers update=C2=A0 (surveillance)<o:p></o:p></h1>Total 261 awareness sessions were held by RRTs, DCs =
and Hospital staff during this reporting period.<o:p></o:p>In 261 sessions, 271 populations were below 18 years =
old and 1476 of them were over 18 years=E2=80=99 old (Total of 1747 of =
population received COVID-19 awarness)<o:p></o:p>In this reporting period, 1745 population were =
screened. <o:p></o:p>Between 1745 population, =
644 were identified as suspect to COVID-19. <o:p></o:p>From 644 suspect to COVID-19, samples were collected =
from all of them (100%).<o:p></o:p>From 644 =
testes, 256 of them was positive and remaining 388 of them was negative =
(40% positivity rate)<o:p></o:p>From RRTs and =
DCs, 50 patients were referred to COVID-19 hospital.<o:p></o:p>215 positive cases were traced by RRTs and DCs during =
this reporting period.<o:p></o:p><h1>COVID-19 Hospital Update =
<o:p></o:p></h1>70 new patients were admitted to =
COVID-19 hospital during this reporting period.<o:p></o:p>43 patients were cured (61%)<o:p></o:p>19 patients died in this reporting period =
(7%)<o:p></o:p><h1>COVID-19 Vaccination update <o:p></o:p></h1>In this reporting period following populations were =
vaccinated based on their category:<o:p></o:p><![if =
!supportLists]>=C2=B7&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; =
<![endif]>Total 33 first =
dose Health workers (6 Female, 27 Male).<o:p></o:p><![if =
!supportLists]>=C2=B7&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; =
<![endif]>Total 60 first =
dose Teachers ((28 F, 32 M)<o:p></o:p><![if =
!supportLists]>=C2=B7&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; =
<![endif]>Total 244 to over =
18 and below 50 of age (89 F, 155 M)<o:p></o:p><![if =
!supportLists]>=C2=B7&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; =
<![endif]>Total 16 first =
dose (3 F, 6 M) and total 7 second dose (2 F, 5 M) for population with =
co-morbidity.<o:p></o:p><![if =
!supportLists]>=C2=B7&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; =
<![endif]>Total 143 first =
dose for population with over 50 of age (64 F, 79 M)<o:p></o:p><![if =
!supportLists]>=C2=B7&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; =
<![endif]>Total 11 first =
dose for Kochi over 30 and below 50 of age (6 F, 5 M)<o:p></o:p><![if =
!supportLists]>=C2=B7&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; =
<![endif]>Total 8 first dose =
for internal displaced persons (IDPS) (1 F, 7 M)<o:p></o:p><![if =
!supportLists]>=C2=B7&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; =
<![endif]>Total 70 first =
dose for crowded places workers (18 F, 52 M)<o:p></o:p><![if !supportLists]>=C2=B7&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; =
<![endif]>Total 90 first =
dose (69 F, 21 M) and 5 second dose (3 F, 2 M) for poor population of =
Kunduz province<o:p></o:p>In Total 680 dose of =
vaccine were injected to above category population in this reporting =
period.<o:p></o:p><o:p>&nbsp;</o:p>With Best =
Regards,<o:p></o:p><o:p>&nbsp;</o:p><img width=3D49 =
height=3D38 id=3D"_x0000_i1027" =
src=3D"cid:image005.jpg@01D7702F.83989DF0" =
alt=3D"cid:image003.jpg@01D4B669.F250F440"><=
o:p></o:p>&n=
bsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;<o:p></o:p>Dr.Noor Ahmad =E2=80=9CAhmad=E2=80=9D =
MD,PGD (Leadership) PGD (NMD), =
PMP<o:p></o:p>Program Director =
<o:p></o:p>Just for Afghan Capacity and =
Knowledge&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; =
&nbsp;=D8=A8=D9=84=D9=86=D8=AF =D8=A8=D8=B1=D8=AF=D9=86 =
=D8=B3=D8=B7=D8=AD =D8=AF=D8=A7=D9=86=D8=B4 =D9=88 =
=D8=AA=D9=88=D8=A7=D9=86=D9=85=D9=86=D8=AF=DB=8C =
=D8=A7=D9=81=D8=BA=D8=A7=D9=86=D9=87=D8=A7 (=D8=AC=DA=A9)&nbsp; =
<o:p></o:p>Address: First Street of Karta-e-Chahar, Kabul =
Afghanistan <o:p></o:p>Behind AWCC Main Office, House # =
08<o:p></o:p>Ph: +93 +93(0)748480909 =
<o:p></o:p>Email: <a =
href=3D"mailto:ahmad@jack.ngo">ahmad@jack.ngo</a>&nbsp; <o:p></o:p>Website:www.jack.ngo <o:p></o:p>=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=
=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=
=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=
=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=
=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=
=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=
=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=
<o:p></o:p>This e-mail and any files =
transmitted with it may contain privileged or confidential information. =
It is solely for use by the individual for whom it is intended, even if =
addressed incorrectly. If you received this e-mail in error, please =
notify the sender; do not disclose copy, distribute, or take any action =
in reliance on the contents of this information; and delete it from your =
system. Any other use of this e-mail is prohibited. The views expressed =
herein are those of the author and do not necessarily reflect the views =
or policies of jack (Afghanistan). Electronic transmissions may be =
recorded and monitored.For Verification Please Read =
the Barcode Reader.&nbsp; <o:p></o:p><![if !vml]><table cellpadding=3D0 cellspacing=3D0 =
align=3Dleft><tr><td width=3D6 =
height=3D620></td></tr><tr><td></td><td><img width=3D92 height=3D92 =
src=3D"cid:image006.jpg@01D7702F.83989DF0" alt=3D"jack smart code" =
v:shapes=3D"_x0000_s1028"></td></tr></table><![endif]><o:p>&nbsp;</o:p></=
p><o:p>&nbsp;</o:p><o:p>&nbsp;</=
o:p><o:p>&nbsp;</=
o:p> P<s=
pan =
style=3D'font-size:7.5pt;font-family:"Arial",sans-serif;color:green'> =
Ever=
y 3000 sheets of paper costs us a tree. Please don't print this e-mail =
unless you really need to<o:p></o:p><o:p>&nbsp;</o:p><o:p>&nbsp;</o:p><o:p>&nbsp;</o:p><o:p>&nbsp;</o:p><div><div =
style=3D'border:none;border-top:solid #E1E1E1 1.0pt;padding:3.0pt 0in =
0in 0in'>From: ahmad@jack.ngo =
[mailto:ahmad@jack.ngo] Sent: Monday, June 28, 2021 12:31 =
AM To: 'Mark Ward' =
&lt;mward@InternationalMedicalCorps.org&gt;; 'Shamail Azimi' =
&lt;sazimi@InternationalMedicalCorps.org&gt;; 'Mohammad Zia Sanaban' =
&lt;msanaban@InternationalMedicalCorps.org&gt; Cc: =
'nooromari@jack.ngo' &lt;nooromari@jack.ngo&gt;; 'Sardar Wali Takal' =
&lt;takal@jack.ngo&gt;; 'Sardar Wali Takal' &lt;takal@jack.af&gt;; =
'haseeb.shirzada@jack.ngo' &lt;haseeb.shirzada@jack.ngo&gt;; =
'dr.safar@jack.ngo' &lt;dr.safar@jack.ngo&gt;; 'Samyullah Niazi' =
&lt;dr.niazi@jack.ngo&gt;; 'ghani@jack.ngo' &lt;ghani@jack.ngo&gt;; =
'dr.shafiq@jack.ngo' &lt;dr.shafiq@jack.ngo&gt; Subject: RE: =
COVID-19 update Kunduz Weekly <o:p></o:p></div></div><o:p>&nbsp;</o:p><o:p>&nbsp;</o:p><o:p>&nbsp;</o:p>Dear IMC collueages =
,<o:p></o:p><o:p>&nbsp;</o:p>Greetings from JACK, =
<o:p></o:p><o:p>&nbsp;</o:p>Following is COVID-19 =
weekly update from Kunduz ;<o:p></o:p><o:p>&nbsp;</o:p><o:p>&nbsp;</o:p>The reporting period is from 17 June 2021 until 23 =
June 2021. <o:p></o:p><span=
 style=3D'font-size:16.0pt;line-height:105%;font-family:"Calibri =
Light",sans-serif;color:#2E74B5'>Stat reports of COVID-19 hospital, RRTs =
and DCs.<o:p></o:p>238 health education =
sessions were conducted in past 7 days. <o:p></o:p>In 238 sessions, 1311 individuals received education =
on risk communication, community engagement, COVID-19 prevention, =
COVID-19 sign and symptoms and who to reach when you have sign and =
symptoms.<o:p></o:p>In this reporting period, =
1187 population were screened for COVID-19. <o:p></o:p>From 1187 screened population, 719 of them were =
suspect to COVID-19.<o:p></o:p>Samples were =
collected from all 719 suspect (414 Male and 305 Female) and these =
samples were transferred to COVID-19 diagnostic lab for =
testing.<o:p></o:p>COVID-19 diagnostic lab =
tested 719 samples in this reporting period.<o:p></o:p>From 719 tested samples by PCR, 294 were tested =
positive and 425 were tested negative.<o:p></o:p>The positivity rate in this reporting period was =
41%.<o:p></o:p>In this reporting period, 100 =
beds were active for COVID-19 hospital. <o:p></o:p>91 new patients were admitted and they spend 387 =
(Length of Stay) days in COVID-19 hospital.<o:p></o:p>The BOR for this week is 55%.<o:p></o:p>20 patients were admitted to ICU and they spent 151 =
(ICU bed days) days. <o:p></o:p>Average BOR for =
ICU ward was 108% in past 7 days.<o:p></o:p>97 =
patients were discharged from hospital in this reporting period and its =
average rate is 107% (refers, cured, death).<o:p></o:p>63 patients were cured and their treatment were =
completed (65%)<o:p></o:p>5% of above patients =
were referred to higher health facility.<o:p></o:p>There were 29 death cases reported. According to =
overall positivity rate (294), the death rate is 9.8%.<o:p></o:p>PCR confirmed Patients who were traced after their 14 =
days=E2=80=99 home quarantine were 508 (280 M, 228 F)<o:p></o:p><span=
 style=3D'font-size:16.0pt;line-height:105%;font-family:"Calibri =
Light",sans-serif;color:#2E74B5'>Stat report of COVID-19 =
vaccination<o:p></o:p>68 health worker =
(58 Male, 10 Female) were vaccinated (51 first dose, 17 second dose) in =
this period.<o:p></o:p>103 government employees =
(72 Male, 31 Female) were vaccinated (102 First dose, 1 second =
dose).<o:p></o:p>35 Nomadic populations (16 =
Male, 19 Female) were vaccinated (35 First dose, 0 second =
dose).<o:p></o:p>485 vaccines were vaccinated =
for age between 18 to 50 years old. (279 Male, 206 =
Female)<o:p></o:p>31 IDP camps residents (18 =
Male, 13 Female) were vaccinated whom were between 30 to 50 years =
old.<o:p></o:p>62 population living in urban =
slums of big cities (35 Male, 27 female) were =
vaccinated.<o:p></o:p>147 vaccines were =
vaccinated for +50 years old (146 first dose, 1 second dose) (92 Male, =
55 Female).<o:p></o:p>34 people with =
co-morbidities (24 Male, 10 Female) were vaccinated (17 first dose, 17 =
second dose).<o:p></o:p>48 teachers (25 Male, =
23 Female) were vaccinated (46 first dose, 2 second =
dose)<o:p></o:p>From all 2026 vaccines, 975 of =
them were from sinopharm company and remaining 1051 were from santrazica =
company.<o:p></o:p><span=
 style=3D'font-size:16.0pt;line-height:105%;font-family:"Calibri =
Light",sans-serif;color:#2E74B5'>Challenges<o:p></o:p>During this reporting period, active gun fight between =
AOGs and ANSFs were increased dramatically. Roads to health facilities =
were closed. RRTs of Imamsahib and RRT of Chardara were not able to work =
in their field due to active armed clashes. Sample taken were decreased =
due to less activity of RRTs and DCs. There were no oxygen shortage =
during the week, however due to active gun fight oxygen shortage could =
happen in upcoming weeks.<o:p></o:p><span=
 style=3D'font-size:16.0pt;line-height:105%;font-family:"Calibri =
Light",sans-serif;color:#2E74B5'>Recommendation<o:p></o:p>An oxygen plant is necessary for Kunduz COVID-19 =
hospital. It is hard to supply oxygen from Kabul, Mazar e Sharif or =
Jalalabad due to road blocks. It would be a lot better if Kunduz produce =
oxygen rather than import them from other provinces.<o:p></o:p><o:p>&nbsp;</o:p><o:p>&nbsp;</o:p>With Best =
Regards,<o:p></o:p><o:p>&nbsp;</o:p><img border=3D0 =
width=3D49 height=3D38 id=3D"_x0000_i1025" =
src=3D"cid:image008.jpg@01D7702F.83989DF0" =
alt=3D"cid:image003.jpg@01D4B669.F250F440"><=
o:p></o:p>&n=
bsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;<o:p></o:p>Dr.Noor Ahmad =E2=80=9CAhmad=E2=80=9D =
MD,PGD (Leadership) PGD (NMD), =
PMP<o:p></o:p>Program Director =
<o:p></o:p>Just for Afghan Capacity and =
Knowledge&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; =
&nbsp;=D8=A8=D9=84=D9=86=D8=AF =D8=A8=D8=B1=D8=AF=D9=86 =
=D8=B3=D8=B7=D8=AD =D8=AF=D8=A7=D9=86=D8=B4 =D9=88 =
=D8=AA=D9=88=D8=A7=D9=86=D9=85=D9=86=D8=AF=DB=8C =
=D8=A7=D9=81=D8=BA=D8=A7=D9=86=D9=87=D8=A7 (=D8=AC=DA=A9)&nbsp; =
<o:p></o:p>Address: First Street of Karta-e-Chahar, Kabul =
Afghanistan <o:p></o:p>Behind AWCC Main Office, House # =
08<o:p></o:p>Ph: +93 +93(0)748480909 =
<o:p></o:p>Email: <a =
href=3D"mailto:ahmad@jack.ngo">ahmad@jack.ngo</a>&nbsp; <o:p></o:p>Website:www.jack.ngo <o:p></o:p>=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=
=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=
=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=
=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=
=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=
=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=
=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=
<o:p></o:p>This e-mail and any files =
transmitted with it may contain privileged or confidential information. =
It is solely for use by the individual for whom it is intended, even if =
addressed incorrectly. If you received this e-mail in error, please =
notify the sender; do not disclose copy, distribute, or take any action =
in reliance on the contents of this information; and delete it from your =
system. Any other use of this e-mail is prohibited. The views expressed =
herein are those of the author and do not necessarily reflect the views =
or policies of jack (Afghanistan). Electronic transmissions may be =
recorded and monitored.For Verification Please Read =
the Barcode Reader.&nbsp; <o:p></o:p><![if !vml]><table cellpadding=3D0 cellspacing=3D0 =
align=3Dleft><tr><td width=3D6 =
height=3D1711></td></tr><tr><td></td><td><img width=3D92 height=3D92 =
src=3D"cid:image009.jpg@01D7702F.83989DF0" alt=3D"jack smart code" =
v:shapes=3D"_x0000_s1027"></td></tr></table><![endif]><o:p>&nbsp;</o:p></=
p><o:p>&nbsp;</o:p><o:p>&nbsp;</=
o:p><o:p>&nbsp;</=
o:p> P<s=
pan =
style=3D'font-size:7.5pt;font-family:"Arial",sans-serif;color:green'> =
Ever=
y 3000 sheets of paper costs us a tree. Please don't print this e-mail =
unless you really need to<o:p></o:p><o:p>&nbsp;</o:p><o:p>&nbsp;</o:p><o:p>&nbsp;</o:p><div><div =
style=3D'border:none;border-top:solid #E1E1E1 1.0pt;padding:3.0pt 0in =
0in 0in'>From: <a =
href=3D"mailto:ahmad@jack.ngo">ahmad@jack.ngo</a> [<a =
href=3D"mailto:ahmad@jack.ngo">mailto:ahmad@jack.ngo</a>] =
 Sent: Saturday, June 19, 2021 11:27 AM To: 'Mark =
Ward' &lt;<a =
href=3D"mailto:mward@InternationalMedicalCorps.org">mward@InternationalMe=
dicalCorps.org</a>&gt;; 'Shamail Azimi' &lt;<a =
href=3D"mailto:sazimi@InternationalMedicalCorps.org">sazimi@International=
MedicalCorps.org</a>&gt;; 'Mohammad Zia Sanaban' &lt;<a =
href=3D"mailto:msanaban@InternationalMedicalCorps.org">msanaban@Internati=
onalMedicalCorps.org</a>&gt; Cc: 'nooromari@jack.ngo' &lt;<a =
href=3D"mailto:nooromari@jack.ngo">nooromari@jack.ngo</a>&gt;; 'Sardar =
Wali Takal' &lt;<a =
href=3D"mailto:takal@jack.ngo">takal@jack.ngo</a>&gt;; 'Sardar Wali =
Takal' &lt;<a href=3D"mailto:takal@jack.af">takal@jack.af</a>&gt;; =
'haseeb.shirzada@jack.ngo' &lt;<a =
href=3D"mailto:haseeb.shirzada@jack.ngo">haseeb.shirzada@jack.ngo</a>&gt;=
; 'dr.safar@jack.ngo' &lt;<a =
href=3D"mailto:dr.safar@jack.ngo">dr.safar@jack.ngo</a>&gt;; 'Samyullah =
Niazi' &lt;<a =
href=3D"mailto:dr.niazi@jack.ngo">dr.niazi@jack.ngo</a>&gt;; =
'ghani@jack.ngo' &lt;<a =
href=3D"mailto:ghani@jack.ngo">ghani@jack.ngo</a>&gt;; =
'dr.shafiq@jack.ngo' &lt;<a =
href=3D"mailto:dr.shafiq@jack.ngo">dr.shafiq@jack.ngo</a>&gt; Subje=
ct: COVID-19 update Kunduz Weekly <o:p></o:p></div></div><o:p>&nbsp;</o:p>Dear IMC colleagues, <o:p></o:p><o:p>&nbsp;</o:p>Greetings from JACK , =
<o:p></o:p><o:p>&nbsp;</o:p>Following is the update =
of COVID-19 in Kunduz province in the reporting period; we share such =
updates with UN-OCHA and other stakeholders like WHO, UNICEF and so on; =
if your agree I will share our inputs regarding COVID-19 in Kunduz with =
you on weekly basis <o:p></o:p><o:p>&nbsp;</o:p><o:p>&nbsp;</o:p><ol =
style=3D'margin-top:0in' start=3D1 type=3D1><li =
class=3DMsoNormalCxSpMiddle =
style=3D'margin-bottom:8.0pt;mso-add-space:auto;line-height:105%;mso-list=
:l3 level1 lfo1'>1,475 people received health education through RRTs ( =
Rapid Response Teams) from these people 779 are male and 678 are female =
<o:p></o:p></li><li class=3DMsoNormalCxSpMiddle =
style=3D'margin-bottom:8.0pt;mso-add-space:auto;line-height:105%;mso-list=
:l3 level1 lfo1'>1,277 people are screened for COVID-19 through RRTs and =
District Centers and from these 1,277 people (773 are male and 504 are =
female)<o:p></o:p></li><li class=3DMsoNormalCxSpMiddle =
style=3D'margin-bottom:8.0pt;mso-add-space:auto;line-height:105%;mso-list=
:l3 level1 lfo1'>454 people are advised home quarantine and from these =
people 272 are male and 182 are female.<o:p></o:p></li><li =
class=3DMsoNormalCxSpMiddle =
style=3D'margin-bottom:8.0pt;mso-add-space:auto;line-height:105%;mso-list=
:l3 level1 lfo1'>1120 samples are collected from suspected people and =
sent to PCR for testing from these people 632 male and 488 =
female<o:p></o:p></li><li class=3DMsoNormalCxSpMiddle =
style=3D'margin-bottom:8.0pt;mso-add-space:auto;line-height:105%;mso-list=
:l3 level1 lfo1'>474 people resulted positive from PCR and from these =
474 persons ( 258 male and 216 are female)<o:p></o:p></li><li =
class=3DMsoNormalCxSpMiddle =
style=3D'margin-bottom:8.0pt;mso-add-space:auto;line-height:105%;mso-list=
:l3 level1 lfo1'>Positivity rate in the reporting week is 42%<spa=
n style=3D'color:red'> which is very high<o:p></o:p></li><li =
class=3DMsoNormalCxSpMiddle =
style=3D'margin-bottom:8.0pt;mso-add-space:auto;line-height:105%;mso-list=
:l3 level1 lfo1'>895 persons are contact traced through phone and =
reported and from these people 478 are male and 417 =
female.<o:p></o:p></li><li class=3DMsoNormalCxSpMiddle =
style=3D'margin-bottom:8.0pt;mso-add-space:auto;line-height:105%;mso-list=
:l3 level1 lfo1'>566 people received OPD services and from these 566 =
people (345 are male and 221 are female)<o:p></o:p></li><li =
class=3DMsoNormalCxSpMiddle =
style=3D'margin-bottom:8.0pt;mso-add-space:auto;line-height:105%;mso-list=
:l3 level1 lfo1'>BOR ( Bed Occupancy Rate) is reported 109% average =
<o:p></o:p></li><li class=3DMsoNormalCxSpMiddle =
style=3D'margin-bottom:8.0pt;mso-add-space:auto;line-height:105%;mso-list=
:l3 level1 lfo1'>ICU (Intensive Care Unit) occupancy rate is reported =
159%<o:p></o:p></li><li class=3DMsoNormalCxSpMiddle =
style=3D'margin-bottom:8.0pt;mso-add-space:auto;line-height:105%;mso-list=
:l3 level1 lfo1'>517 people received COVID-19 vaccination doses and from =
these 517 ( 334 male, 183 female)<o:p></o:p></li><li =
class=3DMsoNormalCxSpMiddle =
style=3D'margin-bottom:8.0pt;mso-add-space:auto;line-height:105%;mso-list=
:l3 level1 lfo1'>4343 are reported ARI ( Acute Respiratory Infection) =
cases from BPHS health facilities <o:p></o:p></li><li =
class=3DMsoNormalCxSpMiddle =
style=3D'margin-bottom:8.0pt;mso-add-space:auto;line-height:105%;mso-list=
:l3 level1 lfo1'>740 are reported suspected of COVID-19 from BPHS health =
facilities in the reporting period <o:p></o:p></li></ol>External Monitoring:<o:p></o:p><ol =
style=3D'margin-top:0in' start=3D1 type=3D1><li =
class=3DMsoNormalCxSpMiddle =
style=3D'margin-bottom:8.0pt;mso-add-space:auto;line-height:105%;mso-list=
:l4 level1 lfo2'>High ranking representatives from MoPH ( Ministry of =
Public Health ) visited the COVID-19 hospital <o:p></o:p></li><li =
class=3DMsoNormalCxSpMiddle =
style=3D'margin-bottom:8.0pt;mso-add-space:auto;line-height:105%;mso-list=
:l4 level1 lfo2'>Kunduz PPHD had several visit from COVID-19 hospital of =
Kunduz <o:p></o:p></li><li class=3DMsoNormalCxSpMiddle =
style=3D'margin-bottom:8.0pt;mso-add-space:auto;line-height:105%;mso-list=
:l4 level1 lfo2'>Deputy governor of Kunduz visited from Kunduz COVID-19 =
hospital <o:p></o:p></li><li class=3DMsoNormalCxSpMiddle =
style=3D'margin-bottom:8.0pt;mso-add-space:auto;line-height:105%;mso-list=
:l4 level1 lfo2'>Several Medias visited the COVID-19 hospital =
<o:p></o:p></li><li class=3DMsoNormalCxSpMiddle =
style=3D'margin-bottom:8.0pt;mso-add-space:auto;line-height:105%;mso-list=
:l4 level1 lfo2'>Civic society representative visited COVID-19 hospital =
<o:p></o:p></li><li class=3DMsoNormalCxSpMiddle =
style=3D'margin-bottom:8.0pt;mso-add-space:auto;line-height:105%;mso-list=
:l4 level1 lfo2'>MSF and other stakeholders visited COVID-19 hospital =
<o:p></o:p></li></ol>Support from =
Stakeholders:<o:p></o:p><ol style=3D'margin-top:0in' start=3D1 =
type=3D1><li class=3DMsoNormalCxSpMiddle =
style=3D'margin-bottom:8.0pt;mso-add-space:auto;line-height:105%;mso-list=
:l2 level1 lfo3'>MSF Kunduz provided 10 oxygen concentrators for till =
end of this peak of COVID-19 then JACK will back submit to them. =
<o:p></o:p></li><li class=3DMsoNormalCxSpMiddle =
style=3D'margin-bottom:8.0pt;mso-add-space:auto;line-height:105%;mso-list=
:l2 level1 lfo3'>Kunduz PPHD provided to Kunduz COVID-19 hospital the =
beds, and oxygen concentrators <o:p></o:p></li></ol><o:p>&nbsp;</o:p>Challenges:<o:p></o:p><ol style=3D'margin-top:0in' =
start=3D1 type=3D1><li class=3DMsoNormalCxSpMiddle =
style=3D'margin-bottom:8.0pt;mso-add-space:auto;line-height:105%;mso-list=
:l1 level1 lfo4'>People transfer the patients from their homes at the =
end stage to COVID-19 hospital and the recovery of these people is very =
difficult <o:p></o:p></li><li class=3DMsoNormalCxSpMiddle =
style=3D'margin-bottom:8.0pt;mso-add-space:auto;line-height:105%;mso-list=
:l1 level1 lfo4'>Private hospitals and clinics in Kunduz first admit the =
COVID-19 patients then when the patient became severe and critical and =
went to end stage then they refer to Kunduz COVID-19 hospital =
<o:p></o:p></li></ol><o:p>&nbsp;</o:p><o:p>&nbsp;</o:p><o:p>&nbsp;</o:p>With Best Regards,<o:p></o:p><o:p>&nbsp;</o:p><img border=3D0 =
width=3D49 height=3D38 id=3D"Picture_x0020_21" =
src=3D"cid:image012.jpg@01D7702F.83989DF0" =
alt=3D"cid:image003.jpg@01D4B669.F250F440"><=
o:p></o:p>&n=
bsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;<o:p></o:p>Dr.Noor Ahmad =E2=80=9CAhmad=E2=80=9D =
MD,PGD (Leadership) PGD (NMD), =
PMP<o:p></o:p>Program Director =
<o:p></o:p>Just for Afghan Capacity and =
Knowledge&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; =
&nbsp;=D8=A8=D9=84=D9=86=D8=AF =D8=A8=D8=B1=D8=AF=D9=86 =
=D8=B3=D8=B7=D8=AD =D8=AF=D8=A7=D9=86=D8=B4 =D9=88 =
=D8=AA=D9=88=D8=A7=D9=86=D9=85=D9=86=D8=AF=DB=8C =
=D8=A7=D9=81=D8=BA=D8=A7=D9=86=D9=87=D8=A7 (=D8=AC=DA=A9)&nbsp; =
<o:p></o:p>Address: First Street of Karta-e-Chahar, Kabul =
Afghanistan <o:p></o:p>Behind AWCC Main Office, House # =
08<o:p></o:p>Ph: +93 +93(0)748480909 =
<o:p></o:p>Email: <a =
href=3D"mailto:ahmad@jack.ngo">ahmad@jack.ngo</a>&nbsp; <o:p></o:p>Website:www.jack.ngo <o:p></o:p>=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=
=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=
=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=
=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=
=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=3D=
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