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Rachel Bonnifield

@rachelbonnifield.bsky.social
539 followers 522 following 105 posts

Director of Global Health Policy & Senior Fellow @Cgdev. Global health, lead poisoning, R&D, AMR, pandemic prep, pharma, econ, and development, with a side of foster kittens. Views are my own.

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Reposted by Rachel Bonnifield
Lee Crawfurd @leecrawfurd.bsky.social · 25/02/2026
Up to half of used lead-acid batteries in Africa could be coming from off-grid solar systems. Important new paper by @rachelbonnifield.bsky.social & Caroline Mallory www.cgdev.org/publication/...
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Rachel Bonnifield @rachelbonnifield.bsky.social · 19/11/2025
Millions of kids need a life-changing drug that could prevent permanent brain damange from lead poisoning. The medicine is off-patent, on the WHO Essential Medicine List, and cheap to make. So why is it still unaffordable & out of reach? w/Theo Mitchell www.cgdev.org/blog/million...
cgdev.org
Millions of Children Need Life-Changing Lead Poisoning Medicine. Why Isn’t It Affordable?
Children with extreme exposure to lead are at risk of lifelong physical and mental disability. The most practical treatment for this kind of exposure is oral chelation therapy—and we estimate there ar...
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Rachel Bonnifield @rachelbonnifield.bsky.social · 19/11/2025
Millions of kids need a life-changing drug that could prevent permanent brain damange from lead poisoning. The medicine is off-patent, on the WHO Essential Medicine List, and cheap to make. So why is it still unaffordable & out of reach? w/Theo Mitchell www.cgdev.org/blog/million...
cgdev.org
Millions of Children Need Life-Changing Lead Poisoning Medicine. Why Isn’t It Affordable?
Children with extreme exposure to lead are at risk of lifelong physical and mental disability. The most practical treatment for this kind of exposure is oral chelation therapy—and we estimate there ar...
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Rachel Bonnifield @rachelbonnifield.bsky.social · 18/11/2025
Global lead poisoning makes the cover of the NYT -- documenting how dirty battery recycling in Africa powers the US automobile industry. Important read 👇 www.nytimes.com/interactive/...
nytimes.com
The Auto Industry’s Lead Recycling Program is Poisoning People
We documented the toxic fallout of a green technology.
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Rachel Bonnifield @rachelbonnifield.bsky.social · 14/11/2025
PEPFAR is at a great American success story at a crossroads. The Trump Administration's Global Health Strategy offers a broadly reasonable blueprint for PEPFAR's next chapter: more country ownership, deliverty by national governments, and spending cuts. 1/x
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Orin Levine @orinlevine.bsky.social · 18/07/2025
How do you find $2.5 B in savings when every decision has consequences for access to life-saving vaccines? With Center for Global Development colleagues, here are 2 core principles and 5 suggestions. Give it a read and let us know what you think. #gavi
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Janeen Madan Keller @jmadankeller.bsky.social · 18/07/2025
Amid a broader global health financing crisis, @gavi.org faces a $2.5B budget shortfall Read our new @cgdev.org brief on how Gavi 6.0 can take a bigger leap w @rachelbonnifield.bsky.social @peterbaker17.bsky.social @tomldrake.bsky.social & @orinlevine.bsky.social www.cgdev.org/publication/...
cgdev.org
How Gavi 6.0 Can Take a Bigger Leap
Gavi’s board and leadership must stretch scarce resources to fulfill a challenging double mandate: (1) stabilizing immunization outcomes and fiscal solvency in Gavi-eligible countries facing severe he...
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Center for Global Development @cgdev.org · 11/07/2025
WHO faces immediate fiscal crisis, w/ a 35% budget gap of $1.5bn. @peterbaker17.bsky.social, @rachelbonnifield.bsky.social, & @jmadankeller.bsky.social argue that WHO’s leadership must chart a path of retrenchment to global leadership, health security, & public goods: www.cgdev.org/publication/...
cgdev.org
A Lean World Health Organization for the Global Good
In this brief—the first in the Tough Times, Tough Choices series that will target the major global health and development institutions and their funders—we propose a different approach: radically stre...
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Janeen Madan Keller @jmadankeller.bsky.social · 10/07/2025
1st edition of our @cgdev.org series "Tough Times, Tough Choices" is hot off the press Facing budget cuts, we argue WHO's leadership must chart a path of retrenchment to a lean @who.int for the global good w/ @peterbaker17.bsky.social & @rachelbonnifield.bsky.social www.cgdev.org/publication/...
cgdev.org
A Lean World Health Organization for the Global Good
In this brief—the first in the Tough Times, Tough Choices series that will target the major global health and development institutions and their funders—we propose a different approach: radically stre...
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Janeen Madan Keller @jmadankeller.bsky.social · 25/06/2025
Cutting US funding for @gavi.org which leads on global vaccination efforts is incredibly shortsighted and misguided @charlesjkenny.bsky.social & I argued why in this @cgdev.org blog 👇 www.cgdev.org/blog/why-tru...
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Lee Crawfurd @leecrawfurd.bsky.social · 12/06/2025
Fantastic news that Switzerland have now submitted the paperwork triggering the start of the process that could eventually lead to better regulation on lead paint exports ipen.org/news/lead-ch...
ipen.org
Lead Chromates, Pigments in Lead Paint, on the Agenda for Global Regulation | IPEN
Goteborg, Sweden-Today, IPEN welcomed the notification from the Swiss government calling on the Rotterdam Convention to address the toxic trade in lead chromates, chemicals used as the main pigments u...
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Lee Crawfurd @leecrawfurd.bsky.social · 03/06/2025
Starting now! Tune in on CGD YouTube
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I Scare You Like Sound Dog @chadstanton.blacksky.app · 14/05/2025
"In Cleveland, where 20% of children have elevated lead levels, Dave Margolius, director of the Cleveland Department of Public Health say they’ve also lost CDC assistance for lead prevention. “The percentage of children poisoned by lead in Cleveland is higher than Flint, Michigan was at its peak”"
wordinblack.com
White House to Cities: Good Luck Fighting Lead Poisoning
Centers for Disease Control staff cuts leave cities to fight lead poisoning that endangers children without federal help.
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Charles Kenny @charlesjkenny.bsky.social · 13/05/2025
The Market for Prescription Drugs Is Broken. Here’s Why Trump’s Executive Order Would Make It Worse www.cgdev.org/blog/market-...
cgdev.org
The Market for Prescription Drugs Is Broken. Here’s Why Trump’s Executive Order Would Make It Worse
The US pays—by far—the highest prices for on-patent prescription drugs of any country on earth. The White House just issued an executive order purporting to fix this problem. But the proposed solution...
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Reposted by Rachel Bonnifield
Janeen Madan Keller @jmadankeller.bsky.social · 13/05/2025
📣New @cgdev.org blog on the latest Trump EO to curb high drug prices We breakdown why the proposed policy prescription of "reference pricing" is misguided... with a healthy dose of econ101 🤓 w/ @charlesjkenny.bsky.social & @rachelbonnifield.bsky.social www.cgdev.org/blog/market-...
cgdev.org
The Market for Prescription Drugs Is Broken. Here’s Why Trump’s Executive Order Would Make It Worse
The US pays—by far—the highest prices for on-patent prescription drugs of any country on earth. The White House just issued an executive order purporting to fix this problem. But the proposed solution...
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Rachel Bonnifield @rachelbonnifield.bsky.social · 13/05/2025
US drug prices are way too high—but the Trump EO to “fix” them would make things worse for everyone. We break down the economics of reference pricing here — and explain why it’s a bad approach for the US 👇 With @charlesjkenny.bsky.social and @jmadankeller.bsky.social www.cgdev.org/blog/market-...
cgdev.org
The Market for Prescription Drugs Is Broken. Here’s Why Trump’s Executive Order Would Make It Worse
The US pays—by far—the highest prices for on-patent prescription drugs of any country on earth. The White House just issued an executive order purporting to fix this problem. But the proposed solution...
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Rachel Bonnifield @rachelbonnifield.bsky.social · 12/05/2025
New Trump EO on drug pricing just dropped and there's...a lot going on there. A breakdown 👇 www.whitehouse.gov/presidential...
whitehouse.gov
Delivering Most-Favored-Nation Prescription Drug Pricing to American Patients
By the authority vested in me as President by the Constitution and the laws of the United States of America, it is hereby ordered: Section 1.  Purpose.
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Rachel Bonnifield @rachelbonnifield.bsky.social · 29/04/2025
Feeling *inspired* to renew my Canadian passport 🍁
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Justin Wolfers @justinwolfers.bsky.social · 29/04/2025
"I'm going to govern in econometrics" is a winning campaign slogan for the ages.
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Philip Gourevitch @pgourevitch.bsky.social · 22/04/2025
"We've been left no choice but to this week suspend treatment for 650,000 malnourished women and children — simply because we've run out of commodities and funding," Zlatan Milisic, WFP Country Director in Ethiopia told a Geneva press briefing by video from Addis Ababa.
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Alexander Berger @albrgr.bsky.social · 17/04/2025
Article here: www.nature.com/articles/d4... Full preprint here: papers.ssrn.com/sol3/papers...
nature.com
25 million deaths: what could happen if the US ends global health funding
Nature - Models estimate the ginormous potential impact of foreign-aid cuts.
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Alexander Berger @albrgr.bsky.social · 17/04/2025
New preprint finding that eliminating US global health funding over the next fifteen years would cause: - 15.2m deaths from AIDS - 2.2m deaths from TB - 7.9 additional child deaths
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Pearl Freier @pearlf.bsky.social · 10/04/2025
CNN story on lead poisoning & HHS/CDC's inability to act: Wisconsin asked the CDC for help with lead poisoning cases in Milwaukee but CDC had to cancel because HHS Secretary laid off all the CDC lead poisoning experts! Screenshot below of Ex CDC Director Tom Frieden's '09-'17 comments today #medsky
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Center for Global Development @cgdev.org · 10/04/2025
Non-toxic options to lead chromate—a toxic paint pigment—have existed for years. But @rorytodd98.bsky.social, @leecrawfurd.bsky.social, & @rachelbonnifield.bsky.social find that rich countries like the US & UK still export it to poorer nations, despite banning/restricting it at home: bit.ly/4jusvlJ
bit.ly
Rich Countries Are Exporting Thousands of Tons of Toxic Paint Pigment to Poor Countries
One in three children globally suffer from lead poisoning, which harms their health and educational development. While there’s a lot we still don’t know about where exposure comes from, most experts w...
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Rachel Bonnifield @rachelbonnifield.bsky.social · 09/04/2025
I step away from my feed and try to do real work for 15 freaking minutes...
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Janeen Madan Keller @jmadankeller.bsky.social · 09/04/2025
In DC for spring meetings? Join me & @clemencelanders.bsky.social on Wed Apr 23 for a @cgdev.org event on how multilateral funds can evolve in the face of shrinking resources and growing needs RSVP ➡️ www.cgdev.org/event/how-do...
cgdev.org
How Do Multilateral Funds Survive the Donor Retreat?
Multilateral concessional funds like Gavi or the World Bank’s IDA are the largest source of development finance for the world’s poorest countries. But with shrinking donor commitments, the system need...
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Lee Crawfurd @leecrawfurd.bsky.social · 09/04/2025
Rich Countries Are Exporting Thousands of Tons of Toxic Paint Pigment to Poor Countries New data from @rorytodd98.bsky.social @rachelbonnifield.bsky.social @cgdev.org and me. Paper: www.cgdev.org/publication/... Blog: www.cgdev.org/blog/rich-co...
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Rachel Bonnifield @rachelbonnifield.bsky.social · 03/04/2025
If you hate the news cycle but love high-impact research to help kids learn and thrive, we've got a great opportunity for you: Register now CGD's First Annual Research Conference on Global Lead Exposure(!), hosted as part of the Partnership for a Lead-Free Future. www.cgdev.org/event/first-...
cgdev.org
First Annual Research Conference on Global Lead Exposure
CGD's first annual research conference on global lead exposure will bring together researchers, policymakers, and implementers working to stamp out global lead poisoning.
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Charles Kenny @charlesjkenny.bsky.social · 02/04/2025
Blog with Erin Collinson: The USAID Fait Accompli. The administration is trying to end-run Congress by sacking everyone at USAID and ramping up State Department capacity prior to asking for legislative authority to put USAID functions under State. It won't end well.
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Rachel Bonnifield @rachelbonnifield.bsky.social · 02/04/2025
"If US lawmakers have their own opinions about the scale, scope, & institutional design of US assistance or want to avoid the chaos..., they’ll have to act fast before the choice is made for them." @ecollinson.bsky.social @charlesjkenny.bsky.social www.cgdev.org/blog/usaid-f...
cgdev.org
The USAID Fait Accompli
On Friday, the administration sent a memo on the future of USAID to the agency’s staff. It makes clear that the strategy continues to be “cut and reorganize first, ask permission later”—putting forwar...
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Justin Sandefur @justsand.bsky.social · 16/03/2025
In our CGD piece, Charles and I estimate that U.S. foreign aid likely saves somewhere on the order of 2.3 to 5.6 million annually. Our preferred number is 3.3 million. www.cgdev.org/blog/how-man...
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Justin Sandefur @justsand.bsky.social · 16/03/2025
@charlesjkenny.bsky.social & I were pleased to work with @nickkristof.bsky.social and the NYT data viz team to show the stakes of what’s happening at USAID. Gift link to their full investigation here: www.nytimes.com/interactive/...
nytimes.com
Opinion | Musk Said No One Has Died Since Aid Was Cut. That Isn’t True. (Gift Article)
A journey through the front lines of global poverty shows that when the world’s richest men slash aid for the world’s poorest children, the result is sickness, starvation and death.
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Justin Sandefur @justsand.bsky.social · 16/03/2025
Each dot represents 10 people whose lives depend on US foreign aid, just for HIV prevention & treatment. Without it, 1.6m people could die *per year*.
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Rachel Bonnifield @rachelbonnifield.bsky.social · 14/03/2025
Huge public service from @charlesjkenny.bsky.social and @justsand.bsky.social here 👇
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Charles Kenny @charlesjkenny.bsky.social · 14/03/2025
we estimate the cancelled awards represent somewhere over 34 percent of USAID programming. And notably, “life-saving” program areas like maternal and child health, HIV/AIDS, malaria, and tuberculosis are not spared from major cuts
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Rachel Bonnifield @rachelbonnifield.bsky.social · 06/03/2025
Thank you @charlesjkenny.bsky.social. I hope this is persuasive. At absolute minimum its good for my personal sanity.
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Charles Kenny @charlesjkenny.bsky.social · 03/03/2025
A short set of thoughts about the collapse of US lifesaving foreign assistance, the role of Secretary of State Marco Rubio, and his current position.
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Greg Sargent @gregsargent.bsky.social · 26/02/2025
Important: A *Republican* Congressman, Austin Scott, just wrote to Marco Rubio urging him to address the problems I reported on below that are putting lifesaving treatment for severely malnourished children abroad at risk. He joins Dem Rep Seth Magaziner. Horrific stuff:
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Rachel Bonnifield @rachelbonnifield.bsky.social · 26/02/2025
From the latest Marocco declaration -- the review, such as it is, is over: 5,800 USAID awards to be terminated (within next 48 hours) 500 awards to be retained, with ceiling value of $57 billion 4,100 State awards to be terminated 2,700 to be retained With legal proceedings still pending.
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Lauren Gilbert @lgilbert.co · 25/02/2025
Renaissance Philanthropy is hiring a fellow to work on "next-generation lead detection technology". I'm so excited about this role - even in wealthy countries like the US, many children do not get needed blood lead level testing because of the expense and inconvenience.
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Rachel Bonnifield @rachelbonnifield.bsky.social · 06/02/2025
Agree. And worry it's trending in an equally dark and dangerous direction.
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Justin Sandefur @justsand.bsky.social · 06/02/2025
Curious how many mothers and children worldwide will die from slashing USAID programs? We'll never know, because we're gonna stop counting.
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Sarah Posner @sarahposner.bsky.social · 05/02/2025
This Christianity Today article about Musk's illegal decimation of USAID, and its catastrophic impacts, is very, very good. Republicans need to hear from evangelicals and Catholics who aren't NAR or theobros www.christianitytoday.com/2025/02/usai...
christianitytoday.com
Is This the End of USAID? - Christianity Today
Christian partners around the world—suddenly fired, defunded, and without answers—worry that the new administration is done with the development agency.
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Joey Politano🏳️‍🌈 @josephpolitano.bsky.social · 05/02/2025
USAID’s website has been deleted, all that is left is a note saying all personnel are now on administrative leave and personnel outside the US are to be brought home. Completely illegal, no act of congress or even executive order was signed to dismantle the agency
“On Friday, February 7, 2025, at 11:59 pm (EST) all USAID direct hire personnel will be placed on administrative leave globally, with the exception of designated personnel responsible for mission-critical functions, core leadership and specially designated programs. Essential personnel expected to continue working will be informed by Agency leadership by Thursday, February 6, at 3:00pm (EST).

For USAID personnel currently posted outside the United States, the Agency, in coordination with missions and the Department of State, is currently preparing a plan, in accordance with all applicable requirements and laws, under which the Agency would arrange and pay for return travel to the United States within 30 days and provide for the termination of PSC and ISC contracts that are not determined to be essential. The Agency will consider case-by-case exceptions and return travel extensions based on personal or family hardship, mobility or safety concerns, or other reasons. For example, the Agency will consider exceptions based on the timing of dependents’ school term, personal or familial medical needs, pregnancy, and other reasons. Further guidance on how to request an exception will be forthcoming.

Thank you for your service”
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Matthew Kavanagh @matthewkavanagh.bsky.social · 05/02/2025
I am credibly told that all the officials working on #HIV at #USAID has been put on administrative leave. Meanwhile the waivers Sec Rubio is claiming have not actually been communicated to implementers and they are withdrawing in-country staff, so nobody is actually available to stop the stop-work.
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Rachel Bonnifield @rachelbonnifield.bsky.social · 04/02/2025
Timely and authoritative brief from the Congressional Research Service on USAID's status. The Trump Administration "does not have the authority to abolish, move, or consolidate" the agency. Clear and unambiguous. crsreports.congress.gov/product/pdf/...
crsreports.congress.gov
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Atul Gawande @agawande.bsky.social · 04/02/2025
Musk's claim that just 10% of US aid reaches recipients is absurd. @cgdev lays out the facts: - US gov costs are just 10% - Rest reaches recipients mostly thru US corps/nonprofits + multilateral agencies - ~10% goes thru foreign organizations www.cgdev.org/blog/no-90-p...
cgdev.org
No, 90 Percent of Aid Is Not Skimmed Off Before Reaching Target Communities
A viral claim, spread and amplified by Elon Musk, suggests that only 10 percent of USAID money reaches its intended beneficiaries. This is a wildly incorrect and misleading interpretation of a differe...
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Charles Kenny @charlesjkenny.bsky.social · 04/02/2025
Secretary Rubio: waivers are meaningless if there is no one to implement them. This will cost unnecessary deaths, more children born with HIV, more getting malaria. Please act.
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dell cameron @dell.bsky.social · 04/02/2025
NEW: Trump says he's letting "lifesaving" foreign aid continue, but sources tell WIRED that DOGE is still blocking HIV/AIDS relief. Musk brags he's "feeding USAID into the wood chipper." A USAID worker tell us: “At a minimum, 300 babies that wouldn’t have had HIV now do." By @knibbs.bsky.social
wired.com
Elon Musk's DOGE Is Still Blocking HIV/AIDS Relief Exempted From Foreign Aid Cuts
The Trump Administration claims it is allowing "lifesaving" foreign aid to continue, but in reality, DOGE is preventing vital work on HIV and AIDS from saving lives.
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Rachel Bonnifield @rachelbonnifield.bsky.social · 04/02/2025
"Biased" estimates. "Excluded" outliers. Controlled for "race and ethnicity" and "socioeconomic" "status". "Inclusion" criteria for systematic reviews. This is all basic, apolitical, technical science language. It would be standard in basically any empirical paper, on any topic.
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