Related Guides on this Topic
You may also want to see these guides on related topics:
Long-Term Care, Transportation, Informal
Caregiving
Introduction
Today, older Americans are living longer.
In 2006, nearly 37.3 million people age 65 and over lived in the United States (AoA).
This number represents 12.4% of the U.S. population, or about one in every eight Americans (AoA). It is projected that by the year 2030, there will be about 71.5 million people age 65 and over, more than twice their number in 2000. As of 2007, the elderly make up 7.5 million of the 50 million people living in rural America (2008 Report).
Health in old age is greatly determined by living patterns such as
sensory impairments, oral health, obesity, cigarette smoking, air quality, prescription drugs, access to health insurance, access to health care services, and opportunities for access to disease prevention and health promotion throughout the life cycle.
Elderly who live in rural areas face additional challenges. These include lack of transportation
such as rides for essential trips, medical appointments, business errands, shopping and senior activities; lack of access to medical care; unavailable cultural and social services; and lack of adequate housing.
Sources:
Older Americans Update 2008: Key Indicators of Well-Being
AoA: Statistics on the Aging Population, 2007
2008 Report to the Secretary: Rural Health and Human Service Issues
Frequently Asked Questions
Tools
AdvantAge Initiative
Web site
Helps counties, cities, and towns prepare for the growing number of older adults who are "aging in place" while creating livable communities for people of all ages. Produces surveys, reports, presentations, newsletters, and toolkits.
Aging
Web site
Provides information on topics such as caregivers, data and statistics, diseases and conditions, health insurance, HHS agencies, nursing homes and care facilities, safety and wellness, and other agencies and resources for older people.
Aging and Disability Resource Centers
Web site
Developed to assist states in their efforts to create a single, coordinated system of information and access for all persons seeking long term support to minimize confusion, enhance individual choice, and support informed decision-making.
Aging and Disability Resource-LINK
Database
Provides access to current aging and disability information regarding services available in your area. Includes organizations and services in all U.S. counties, states, and territories. This is a free and confidential service.
Cash & Counseling
Web site
Provides a flexible monthly allowance to recipients of Medicaid personal care services or home and community based services, which allows them to direct and manage their own personal assistance services and address their own specific needs.
Eldercare Locator: Community Assistance for Seniors
Database
Connects older Americans and their caregivers with sources of information on senior services.
Links those who need assistance with state and local area agencies on aging and community-based organizations that serve older adults and their caregivers.
Find Senior Care Resources
Database
Search by state or resource to find organizations and services targeted for seniors regarding end of life care, financial planning and management, health care, home care, housing resources, legal resources, and transportation resources.
Five Wishes
Print publication
Helps people express how they want to be treated if they are seriously ill and unable to speak for themselves. Covers a range of a person's needs: medical, personal, emotional and spiritual. See website for ordering information.
Internet Resources on Aging
Web site
Includes a database providing Internet resources and links to more than 900 of the best sites for people age 50+.
Mobility Equals Independence: Creating Greater Transportation Options for Older Adults
Tutorial
Presents the ideas and strategies of national-level policy makers and planners regarding their work and responsibility in transportation for older adults.
National Family Caregiver Support Program (NFCSP)
Web site
Provides families, caregivers, and health care professionals with information on where support and assistance can be sought and on providing services to caregivers.
National Institute on Aging
Web site
Provides health and research information on aging. Includes publications, statistics and data, grants, and training opportunities.
NIH Senior Health: Helping Older Adults Search for Health Information Online
Web site
Serves as a toolkit for trainers that help older adults find reliable, up-to-date online health information on their own. Designed for beginner or intermediate students. Kit includes an introductory video, lesson plans, and other training tools.
Program of All-Inclusive Care for the Elderly (PACE)
Web site
Developed to address the needs of long-term care clients, providers, and payers. Permits loved ones to continue living at home while receiving services rather than being institutionalized.
Rural Health Research: Aging
Web site
Provides summaries of current and completed rural health research projects and related publications addressing the topic of aging, produced by the Office of Rural Health Policy's funded rural health research centers.
Rural PACE Technical Assistance Program
Web site
Provides technical assistance to organizations interested in developing a PACE (Program of All-Inclusive Care for the Elderly) program to serve a rural area. Includes information on the Community Options for Rural Elders (CORE) Act.
Services for Citizens: Senior Citizens
Web site
Lists organizations and programs on topics related to aging. Included topics are benefits, retirement, housing, health, and more.
Social Security Online
Web site
Identifies programs and online services of the Social Security Office. Visitors can qualify and apply online for disability and survivorship benefits. Also, replacement Medicare cards can be requested from this website.
State Resource Directory on Elder Abuse Prevention
Web site
Provides a state listing of websites for adult protective services.
Maps & Map Collections
Elderly Population
Geographic coverage: United States Printable map that shows the percent of population who are 65 years or older. Data source: U.S. Census Bureau, Census of Population and Housing, 2000. Date: 2000
Regulations, Forms & Other Useful Documents
Aging Services Network: Accomplishments and Challenges in Serving a Growing Elderly Population
Author(s): Carol V. O’Shaughnessy Sponsoring organization: National Health Policy Forum Describes the functions and governance of the aging services network for both rural and urban entities and its role in managing long-term care and health-support services funded by Titles III and VII of the Older Americans Act. Date: 04 / 2008
Aging, Migration, and Local Communities: The Views of 60+ Residents and Community Leaders
Sponsoring organization: AARP Reports on the migration of senior citizens age 60+, both from the perspective of the seniors themselves as well as of government, business and other leaders in their communities. Based on 1200 interviews in 40 communities across the nation. Date: 09 / 2006
An Aging U.S. Population and the Health Care Workforce: Factors Affecting the Need for Geriatric Care Workers
Sponsoring organization: U.S. Department of Health and Human Services Identifies and critiques major long-term care projection models related to the demand for care of the elderly in three major settings: nursing homes, residential care, and home care. Date: 02 / 2006
Around the Country: Program Helps Frail Rural Elderly Live at Home
Author(s): Candi Helseth Sponsoring organization: Rural Assistance Center Highlights the Rural PACE grant program and how it is helping providers meet the needs of seniors who want to live at home. Journal citation: Rural Monitor Issue Fall Date: 08 / 2008
Assisted Living In Unlicensed Housing: The Regulatory Experience Of Four States
Author(s): Bernadette Wright, Sponsoring organization: AARP Public Policy Institute Examines the issues that assisted living in unlicensed housing might have for consumers, in terms of quality of care, quality of life, and access to affordable assisted living services. Describes four states’ experiences with this model and discusses the implications for state policy. Date: 04 / 2007
Beyond 50.05: A Report to the Nation on Livable Communities Creating Environments for Successful Aging
Author(s): Andrew Kochera, Audrey Straight, Thomas Guterbock Sponsoring organization: AARP Explores the connections between a livable community and community engagement among its residents and shows how both affect the "successful aging" of its residents. The report warns that communities are not well prepared to meet the needs of the growing number of older Americans. Date: 2005
Complementary and Alternative Medicine: What People 50 and Older Are Using and Discussing with Their Physicians
Sponsoring organization: AARP Reports on the findings of an AARP/NCCAM survey to measure Complementary and Alternative Medicine (CAM) use among people age 50 and older and understand the communication practices between patients and their physicians regarding CAM. Date: 2007
Data Sources on Older Americans 2006
Sponsoring organization: Federal Interagency Forum on Aging-Related Statistics Highlights the contents of government-sponsored surveys and products containing statistical information about the older population. Date: 2006
Elderly Housing: Federal Housing Programs and Supportive Services
Author(s): David G. Wood Sponsoring organization: Government Accountability Office Overview of federal programs that provide housing for the elderly and which require the provision of supportive services. Includes information on rural housing programs for the elderly. Date: 06 / 2005
Elderly Housing: Federal Housing Programs That Offer Assistance for the Elderly
Sponsoring organization: Government Accountability Office Overview of the federal housing programs that provide housing assistance, including rent subsidies, mortgage insurance, and loans and grants for the purchase or repair of homes, to the elderly. Includes programs that support rural housing for the elderly. Date: 02 / 2005
Forgotten Population
Author(s): Zak Stambor Sponsoring organization: American Psychological Association Describes the use of telehealth and home-based health-care interventions to address a mental health crisis among elderly Americans in rural areas. Journal citation: APA Monitor on Psychology Volume 37 Issue 10 Pages: 52-53 Date: 11 / 2006
Forming Community Partnerships to Respond to Senior Employment Transportation Needs
Author(s): Pamela Friedman Sponsoring organization: Community Transportation Association of America Presents information about partnering opportunities and funding sources that can be used to facilitate coordination of transportation services to older adult workers. Date: 01 / 2008
Health Insurance Coverage for Older Adults: Implications of a Medicare Buy-In
Author(s): Gretchen Jacobson, Karyn Schwartz, Tricia Neuman Sponsoring organization: Kaiser Commission on Medicaid and the Uninsured Examines the barriers to securing affordable coverage in the current marketplace for uninsured people ages 55 to 65, as well as the potential for a Medicare buy-in to improve the group’s health insurance coverage rate. Date: 05 / 2009
How Do the Residents in Assisted Living and Nursing Homes Compare?
Sponsoring organization: Center for Excellence in Assisted Living Presents data from the 2004 National Nursing Home Survey and from an industry-sponsored survey that show important ways in which these two types of services are converging and ways in which they are still quite different. Date: 11 / 2007
International Rural Aging Project 1997-2004: Conclusions and Recommendations for Policies on Rural Aging in the First Decades of the 21st Century
Sponsoring organization: West Virginia University Center on Aging Outlines the main strategic themes for healthy and active aging in rural areas in the first decades in the 21st century. Addresses the key issues in rural aging. Date: 2004
Maturing of America: Getting Communities on Track for an Aging Population
Sponsoring organization: MetLife Foundation Five national organizations joined forces to identify ways to prepare for the aging population in order to help cities and counties better meet the needs of their aging citizens, and to harness the experience and talent of their older adults. Date: 2006
Medical Transportation: Challenges of the Future
Author(s): Jon E. Burkhardt Sponsoring organization: Community Transportation Association of America Discusses how trends in aging and access to healthcare interact with funding programs such as Medicare and Medicaid, and the challenges they present. Date: 2006
Mentally Healthy Aging: A Report on Overcoming Stigma for Older Americans
Sponsoring organization: Substance Abuse and Mental Health Services Administration Results of roundtable discussions on research findings on older adults and mental illness, manifestations of stigma and discrimination, and strategies to overcome these barriers. Date: 2005
National Meals On Wheels Rolls Out Into Rural Areas
Author(s): Hilary Gibson Sponsoring organization: Caregiver.com Inc. Discusses the history of Meals on Wheels and their expansion into rural parts of the country due to the ability to offer individually packaged, frozen meals with foods that are simple to reheat as needed and can be ordered a month at a time. Journal citation: Rural Caregiver Pages: 1 Date: 2005
New Models of Senior Housing: Continuum of Care Aims to Provide “Under One Roof” Services
Author(s): Candi Helseth Sponsoring organization: Rural Assistance Center Discusses continuum of care and how it can ease residents through life transitions and benefit facilities financially. Journal citation: Rural Monitor Date: 08 / 2008
New Models of Senior Housing: Modern Nursing Homes Offer More Home-Like Setting
Author(s): Candi Helseth Sponsoring organization: Rural Assistance Center Many nursing homes are putting as much emphasis on quality of life as quality of care. Journal citation: Rural Monitor Date: 08 / 2008
Nursing Home Selection: How Do Consumers Choose?
Sponsoring organization: U.S. Department of Health and Human Services Reports on a study to: review the existence and accessibility of Internet-based resources intended to support the decision to enter a nursing facility and select the appropriate facility; examine how consumers select a nursing home; explore if and how existing information resources are used in the decision-making process; and identify gaps in needed information resources. Date: 12 / 2006
Older Americans Update 2008: Key Indicators of Well-Being
Sponsoring organization: Federal Interagency Forum on Aging-Related Statistics Provides data on the overall status of the U.S. Population 65 and over. Data areas include population, economics, health status, health risks and behaviors, and health care. Date: 05 / 2008
PACE Fact Sheet
Sponsoring organization: Centers for Medicare and Medicaid Services Describes PACE (Program of the All-inclusive Care for the Elderly) and explains how to start a program in terms of application, eligibility, services, enrollment, payment, and restraints. Date: 2008
Physician-Patient Communication About Prescription Medication Nonadherence: A 50-State Study of America's Seniors: Executive Summary
Author(s): I. B. Wilson, C. Schoen, P. Neuman Sponsoring organization: Commonwealth Fund Reports on a study that found a high number of America's elderly are not talking to their physicians about problems they are having with prescription medications. Date: 01 / 2007
Place to Call Home: What the Future of Elder Care Should Be
Sponsoring organization: Robert Wood Johnson Foundation Discusses the Green House, which is a place where elders can receive assistance and support with daily living and clinical care without the assistance and care becoming the focus of their existence. Also discusses the Green House model, developing a business plan, and how it could be replicated. Date: 12 / 2007
Plan of Action on Rural Aging: Findings from Six Demonstration Projects for Rural Older Adults
Author(s): R. Turner Goins Sponsoring organization: West Virginia University Center on Aging Results of a study which developed and evaluated rural-based demonstration projects in cooperation with rural senior centers in six counties in West Virginia and Ohio. Date: 01 / 2004
Population Aging, Entitlement Growth, and the Economy
Author(s): John R. Gist Sponsoring organization: AARP Public Policy Institute Identifies how the aging of the baby boom generation and increased longevity are transforming the demographic composition of the U.S. population. Also discusses how this change in demographics will increase federal spending and effect the national economy. Date: 01 / 2007
Profile of Older Americans: 2008
Sponsoring organization: AARP Provides demographic and health statistics about Americans age 65 and older. Also includes a special section regarding their access to computers. Date: 2008
Residential Care and Assisted Living Compendium: 2007
Author(s): Robert Mollica, Kristin Sims-Kastelein Sponsoring organization: U.S. Department of Health and Human Services Describes regulatory provisions and Medicaid policy for residential care settings in all 50 states and the District of Columbia. Date: 11 / 2007
Retooling for an Aging America: Building the Health Care Workforce
Sponsoring organization: Institute of Medicine Results of a study to determine the health care needs of Americans over 65 years of age and to assess those needs through an analysis of the forces that shape the health care workforce, including education and training, models of care, and public and private programs. Executive summary is available as a PDF.
Date: 04 / 2008
Rural America: Older Rural People
Sponsoring organization: USDA Economic Research Service This entire issue of Rural America is devoted to rural aging and examines the aging of the rural population; describing the elderly population in rural America, recent trends in older population change in nonmetro areas, characteristics of older farmers, and federal funding in nonmetro elderly counties. Journal citation: Rural America Volume 17 Issue 3 Date: 12 / 2002
Rural Life Not Always Idyllic for Retirees
Author(s): Thomas D. Rowley Sponsoring organization: Rural Assistance Center Discusses the lack of services in rural areas such as access to medical care, housing, social services and transportation and the impact on retirees. Journal citation: Rural Monitor Volume 11 Issue 2 Date: 11 / 2004
Rural Population and Migration
Sponsoring organization: USDA Economic Research Service Provides statistics on aging and rural diversity, demographic and social characteristics, health status, poverty, social security income, economic assets, and rural implications. Date: 02 / 2007
Rural Populations and Health Care Providers: A Map Book
Author(s): Randy Randolph, Katherine Gaul, Rebecca Slifkin Sponsoring organization: North Carolina Rural Health Research and Policy Analysis Center (Cecil G. Sheps Center) Uses 2000 Census data to reassess and provide a visual picture of where rural people live, how the racial and ethnic nature of rural populations is changing, and whether the distribution of health care providers matches
the population distribution. Date: 09 / 2002
Setting the PACE for Rural Elder Care: A Framework for Action
Sponsoring organization: National PACE Association Describes PACE (Programs of All-Inclusive Care for the Elderly), which works to assist senior citizens to live as independently as possible. Date: 2003
Setting the PACE for Rural Elder Care: Three Rural PACE Case Studies
Sponsoring organization: National PACE Association Highlights three case studies involving rural
aging and health care providers who were in various stages of exploring PACE (Programs of All-inclusive Care for the Elderly). Date: 2004
State of 50+ America 2007
Author(s): John Gist, Laurel Beedon, Lisa Southworth Sponsoring organization: AARP Public Policy Institute Examines the changes in 25 economic, health, social and lifestyle indicators over the most recent year, as well as multi-year periods. Date: 01 / 2007
State of Aging and Health in America 2007
Sponsoring organization: Centers for Disease Control and Prevention Provides national data available on 15 key health indicators for older adults related to health status, health behaviors, preventive care and screening, and injuries. Date: 03 / 2007
Strategic Action Plan 2007-2012
Sponsoring organization: Administration on Aging Focuses on modernizing the Aging Services Network’s role in long-term care, and gives particular attention to implementing the new provisions contained in the Older Americans Act Amendments of 2006. Establishes five goals and 13 objectives. Date: 04 / 2007
Sustainable Communities for All Ages: A Viable Futures Toolkit
Sponsoring organization: Blue Moon Fund Aimed at designing solutions to meet the needs of older generations that will also meet the needs of younger generations. Examples from around the country include developing new school curricula that encourage young people to go into health care fields, designing walkable communities that improve the health of all generations, and having after school programs share sites with senior centers. A user guide complements the toolkit. Date: 2009
Work and Retirement: Facts and Figures
Sponsoring organization: Urban Institute Highlights current and future demographic trends and discusses the challenges of an aging population and the benefits of encouraging American's to work longer. Date: 08 / 2006
Journals
Aging Today
Covers developments in public policy, research, practice, media and programming in the field of aging. It is the bimonthly newspaper of The American Society on Aging.
ASA Connection
Provides updates on events in aging, research and policy developments, innovative practices and more. This is a monthly newsletter of the American Society on Aging.
Gerontologist
Provides a multidisciplinary perspective on human aging through the publication of research and analysis in gerontology, including social policy, program development, and service delivery. Reflects and informs the broad community of disciplines and professions involved in understanding the aging process and providing service to older people. Abstracts and citations available online free of charge, full text articles require paid subscription.
Journal of Aging and Health
Explores the relationship between gerontology and health. Covers a wide range of topics, including active life expectancy, diet/nutrition, disease prevention, ethics in health care, health behaviors and beliefs, health service utilization, longevity and mortality, long-term care, mental health, social support and health, recovery process, alcoholism, and suicide. Abstracts and citations available free, full text requires paid subscription.
Native Aging Visions
Contains peer-reviewed articles that address Native aging, health and related issues.
Social Security Update
Designed to keep the public up to date about Social Security issues with a particular focus on disability issues.
Spotlight on Aging Research
Electronic newsletter containing news and notes from the National Institute on Aging. Includes information for researchers, aging services providers, health care professionals, policy makers, media, and others.
Organizations
AARP
National organization
Administers programs, funded by grants or cooperative agreements with governments or private organizations, that assist older Americans in a wide variety of services including job training, tax assistance, assistance with important lawsuits being decided by the courts, and much more.
Administration on Aging (AoA)
Federal government
Advocates for older persons and their concerns at the federal level. Administration on Aging (AoA) works closely with its nationwide network of State and Area Agencies on Aging (AAA). Provides home and community-based services to millions of older persons through the programs funded under the Older Americans Act.
Agency for Healthcare Research and Quality (AHRQ)
Federal government
Sponsors and conducts research that provides evidence-based information on health care outcomes; quality; and cost, use, and access. The information helps health care decisionmakers - patients and clinicians, health system leaders, purchasers, and policymakers - make more informed decisions and improve the quality of health care services.
Alzheimer's Association
National organization
Comprises the largest voluntary health organization dedicated to finding prevention methods, treatments and an eventual cure for Alzheimer's. Works to eliminate Alzheimer's disease through the advancement of research; to provide and enhance care and support for all affected; and to reduce the risk of dementia through the promotion of brain health.
American Association of Homes and Services for the Aging (AAHSA)
National organization
Represents 5,600 mission-driven, not-for-profit nursing homes, continuing care retirement communities, assisted living and senior housing facilities, and home and community-based service providers. Committed to advancing the vision of healthy, affordable, ethical aging services for America.
American Federation for Aging Research (AFAR)
National organization
Supports both basic and clinical biomedical research into aging and age-related diseases and conditions. Probes a wide range of illnesses and issues from Alzheimer disease to osteoporosis, from heart disease to glaucoma, from the processes of cell death to cancer.
American Geriatrics Society (AGS)
National organization
Comprised of health care providers dedicated to improving the health and well-being of all older adults. Designed to help shape attitudes, policies and practices regarding health care for older people.
American Society on Aging (ASA)
National organization
Works to enhance the knowledge and skills of people working with older adults and their families through resources, publications, and educational opportunities.
Assisted Living Federation of America (ALFA)
National organization
Works to influence public policy by advocating for informed choice, quality care, and accessibility for all Americans. Provides an interactive directory of professionally managed senior living communities.
Center for Excellence in Assisted Living (CEAL)
Nonprofit/Foundation
Promotes high-quality assisted living and serves as a national clearinghouse, bringing together research, practices, and policy that foster quality and affordability in assisted living.
Gerontological Society of America (GSA)
National organization
Provides researchers, educators, practitioners, and policy makers with opportunities to understand, advance, integrate, and use basic and applied research on aging to improve the quality of life as one ages.
Meals on Wheels Association of America (MOWAA)
National organization
Works to bring meals to seniors in need including men and women who are elderly, homebound, disabled, frail, or at risk.
National Association of Area Agencies on Aging (n4a)
National organization
Serves as the umbrella organization for the 655 area agencies on aging and more than 230 Title VI Native American aging programs in the U.S. Advocates on behalf of the local aging agencies to ensure that needed resources and support services are available to older Americans. Works to provide services which make it possible for older individuals to remain in their home.
National Association of State Units on Aging (NASUA)
National organization
State Units on Aging (SUAs) are agencies of state and territorial governments designated by governors and state legislatures to administer, manage, design and advocate for benefits, programs and services for the elderly and their families and, in many states, for adults with physical disabilities.
National Center for Assisted Living (NCAL)
National organization
Strives to serve the needs of the assisted living community through national advocacy, education, networking, professional development, and quality initiatives.
National Center on Elder Abuse (NCEA)
National organization
Provides resources on elder abuse, neglect, and exploitation.
National Council on Aging (NCOA)
National organization
Serves as a strong public advocate on behalf of older adults living in rural America. Develops, recommends, and promotes social policy to enhance the quality of life for rural older adults.
National Foundation of Dentistry for the Handicapped (NFDH)
National organization
Provides qualified disabled and elderly people in numerous states with free, comprehensive, donated treatment by volunteer dentists.
National Indian Council on Aging (NICOA)
National organization
Works to better the lives of the nation's indigenous seniors through advocacy, employment training, dissemination of information, and data support.
National PACE Association (NPA)
National organization
Exists to advance the efforts of Program of All-inclusive Care for the Elderly (PACE). PACE programs coordinate and provide all needed preventive, primary, acute and long term care services so that older individuals can continue living in the community.
National Resource Center on Native American Aging (NRCNAA)
National organization
Works closely with the local service providers throughout the nation to address the needs of American Indian, Alaskan Native and Native Hawaiian elders.
West Virginia University Center on Aging (WVU COA)
Academic/Research
Works to improve the health, wellbeing and security of older people and those who care for them, in West Virginia and across the nation, through research, education, clinical service, technology and advocacy.
Terms & Acronyms
Assisted Living Facility (ALF) Licensed residential facility that provides room, board and 24 hour personal care to individuals with long term care needs.
Dial-a-Ride Non-fixed route service utilizing vans or buses with passengers boarding and alighting at pre-arranged times at any location within the system's service area.
Geriatric Care Manager (GCM) A health and human services professional, such as a gerontologist, nurse, social worker, or psychologist with a specialized focus on issues related to aging and elder care. Geriatric care managers work privately with older adults and their families to create a plan of care that meets the needs of the older adult. They will meet with you to help you understand your loved one's needs and to learn what resources and options are available to meet those needs.
Out-Migration Process when people leave their areas of residence without intention of returning. In rural areas, this is primarily the trend of younger people who migrate to larger urban areas.
PACE PACE (Program of All-Inclusive Care for the Elderly) programs serve individuals with long term care needs by providing access to the entire continuum of health care services, including preventive, primary, acute and long term care. A basic tenet of the PACE philosophy is that it is better for both the senior with long term care needs and the health care system to focus on keeping the individual living as independently as possible in the community for as long as possible.
Population Aging Changes in the age structure of a population, caused by changes in birth rate, mortality, and migration. The result of these changes is the increase in the relative size of the population age 65 and over.
Weatherization Assistance Program (WAP) A program funded by the Department of Energy that reduces heating and cooling costs for low-income families, particularly for the elderly, people with disabilities, and children, by improving the energy efficiency of their homes while ensuring their health and safety.
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