Announcement

**Shiloh** · May 4, 2009, 08:42 AM

Re: Michoac?n: Cases

Source: http://quadratin.com.mx/www1/noticia...8755&seccion=3

Google translation:
Remaining 70 suspected cases of Michoac?n, in the analysis INDRE 08:30:31 04-05-2009

MORELIA, Mich., May 4, 2009 .- The secretary of health in Michoacan, Armando Luna Escalante said still under analysis by the National Institute of Epidemiological Diagnosis and Reference (Indre), 70 suspected of carrying the virus human influenza.
Because of the 74 cases that were referred to during the weekend, which had proved positive for influenza type A, and four have been discarded AH1N1 which carry the disease, which is the most dangerous and which initiated the alert health.
Before this, Luna Escalante called on citizens not to relax the discipline and maintain preventive measures against this evil, to avoid further infections.
"I also appeal to young people because there is information on the Internet, which has confused mainly to this sector. The warning is real and can be fatal if not addressed. "
He stressed that a trend has been found to stabilize the condition, but this condition can change from one hour to another, so you have constant monitoring.
It may be recalled that during the weekend was recorded 74 positive tests for influenza type A in the state, of which one was positive virus AH1N1, a patient of 16 years is already out of danger.

**Shiloh** · May 7, 2009, 03:42 PM

Re: Michoac?n: Cases

Source: http://www.cambiodemichoacan.com.mx/....php?id=100370

Google translation:
Report SSM eleven new human cases of influenza in Michoacan
Carlos Alonso Cruz
Thursday May 7, 2009 ?

The secretary of health in Michoacan (SSM), Armando Luna Escalante reported 11 new cases of influenza A/H1N1 (or human), bringing the total since the epidemic began, 12 chaos of human influenza in the state.

In joint press conference with Aida Sagrera, owner of ESS, Moon explained that the results were confirmed by the National Institute of Epidemiological Diagnosis and Reference (Indre). The official noted that of the 12 cases, 5 are in the state capital, 3 Zamora, 2 Zitacuaro, 1 L?zaro C?rdenas and a more Quer?ndaro.

So far 21 have been done a thousand tests, of which 168 had positive infleunza type A.

**Shiloh** · May 9, 2009, 06:46 PM

Re: Michoac?n: Cases

Source: http://www.elfinanciero.com.mx/ElFin...cid&sortby=ASC

Confirms first death from influenza in Michoacan
Alert influenza - Friday, May 8 (18:30 hrs.)

* This is the lowest Leslie Bernal Marin, one year of age
* During the last hours were 25 other confirmed cases of influenza type A
El Financiero Online

Mexico, May 8 .- The Ministry of Health confirmed Friday in Michoac?n the first human death from influenza in the state.

The holder of a state agency, Armando Luna Escalante, reported that this is the lowest Leslie Bernal Marin, one years old, who was transferred last April 3 to this city from the town of Tuxpan, with a diagnosis of atypical pneumonia .

After being interned at the Hospital Infantil "Eva Samano de Lopez Mateos" passed away the smaller, so that doctors took a sample and sent to the Institute of Epidemiological Diagnosis and Reference (Indre), which confirmed that the girl was suffering from influenza A (H1N1) .

This adds to the death of a child under seven years of age from Quer?ndaro, who died in recent days and who was diagnosed with influenza type A, but also analyzes INDRE if infected with the new virus.

Also, Luna Escalante announced that during the last hours were 25 other confirmed cases of influenza type A, bringing the number of cases of the disease reached 193. (With information from Notimex / RSC)
> swap

**Shiloh** · May 9, 2009, 07:48 PM

Re: Michoac?n: Cases

Source: http://quadratin.com.mx/www1/noticia...9019&seccion=3

Baby dies in alleged human influenza bus, 20 passengers isolate 19:27:30 09-05-2009

MORELIA, Mich., May 8 of 2009.-A small little 11 months of age with apparent symptoms of influenza died Saturday afternoon in the arms of his mother, while riding in a commercial bus line bus from the West, economic number that moved from 19 to Zacapu Morelia.
Although primarily a vehicle, went to the premises of the Attorney General for the State (PGJE), state authorities are determined to lead the building of Ministry of Health in Michoac?n (SSM) to raise the diagnostic and confirm whether this is a death caused by the virus A / H1N1.
He went to the edge of 15:20 hours when it confirmed the death of the small minutes before reaching the capital michoacana, which required the transfer to the health center for 20 other passengers who were traveling in the same unit, this with the intent to mitigate potential contamination if it is found that the presence of strains of the global epidemiological picture.
To tell of Elijah Miranda Blanco, head of State Emergency Services Program Epidemiol?gicas confirmed that the preliminary reports are for a table for respiratory problems, however, made it clear that it will be in a period no longer than 12 days when they could confirm the death from influenza human because the samples are sent to the National Institute of Epidemiological Diagnosis and Reference (Indre) and this body will do the official report on the matter.
In this regard, that "we are warned of the death of a seemingly minor one years with respiratory symptoms, we decided to send to the health center for research on the contingency that we are living for the diagnosis, talk to the mom and says that is less than 11 months and says that since his birth had heart problems, had problems three days ago by frame diarrhea was seen by a medical problem was treated on his return to his home and became ill with breathing difficulties began .
Given this condition, Miranda Blanco said the measures were necessary to ensure that this table is not related to the contingency epidemiol?gica.
Until now health authorities have identified this as a table with congenital heart disease is so complicated that it would ensure that no virus A / H1N1.
Health authorities have confirmed that none of the 20 passengers had some similar symptoms, however, data were taken both of them as two drivers who have regular contact over the next three days to rule out any contingency.
After lifting the diagnosis of the small body was moved the Public Ministry, by elements Expert Services, about the case the holder of the SSM, Armando Luna Escalante said it was awaiting the outcome of the diagnosis to provide a formal report.

**Shiloh** · May 10, 2009, 09:45 PM

Re: Michoac?n: Cases

Source: http://www.cambiodemichoacan.com.mx/....php?id=100474

Google translation:

Of 92 samples tested today, 15 confirmed influenza: SSM
Jessica Martinez Chio
Sunday May 10, 2009 ?

Morelia, Michoacan .- After reporting today that only yesterday 92 samples were processed by symptoms associated with influenza, of which 15 were positive influenza type A, the Health Secretary, Armando Luna Escalante said that all measures preventive closure of bars and avoid agglomerations remain in force until the 18th of this month, especially in the metropolitan region of Zamora and Los Reyes Jacona, where hot spots were detected on the epidemic.

At a news conference, the state official reported that the first state public health laboratory gave the report of the tests processed the same day, he could only describe this Sunday 92 samples were processed, of which 15 were Positive Influenza Type A, which held that "the trend is stable, taking into account the whole state."

Moreover, said that 8 of these cases belong to Zamora, 1st Arteaga, 1st Tancicuaro, another more Chilchota, 2 Sahuayo, Tocumbo had another and the last in Uruapan, so what is the contingency presented epidemiological in the state the cumulative number of samples is 441 thousand, while only 240 were positive for influenza type A, while in the case of human influenza is holding the figure of 50 reports, 12 of them positive.

Reported that if the girl died last Saturday at Children's Hospital three records in that hospital revenues as a result of a congenital heart disease, which is causing him to death, "in questioning the parents did not raise any box respiratory infection therefore possible that the death was due to the virus ", and recalled that the four deaths in the state presented three have been diagnosed with pneumonia," except one woman who died at 32 years of Uruapan which has yet to be the result. "

It also warned that still a focus of active infection in the region of Zamora and the metropolitan area with Jacona and Los Reyes, although the latter have been found positive, "which said that the fence has implemented epidemiological results , but expressed concerned about the location of its boundaries in Michoacan and Jalisco to Guerrero, said that it will remain watchful of what happens in neighboring states, "and hopefully not increase the number of cases in those states that have complicated geographic situation with what has been reported so far, we have also delayed their return to classes:

The officer found that despite the high number of cases of Influenza type A, the state is low and the epidemic is stable, because "surveillance is good and cases are widely dispersed in small towns, dominates populated cities such as Uruapan, Zamora and Morelia, "it was clear that despite this data is not yet time to drop our guard.

Finally, he reported that all preventive measures to avoid agglomeration of the 18 remain in force until this month, so the clubs, bars and even political parties will have to wait for massive events, and made it clear that in the case of bars dens and the councils will have to be punishing those who do not comply.

**Shiloh** · May 11, 2009, 04:04 PM

Re: Michoac?n: Cases

Source: http://www.cambiodemichoacan.com.mx/....php?id=100498

Google translation:

Zamora
Increased cases of influenza type A in the jurisdiction of Zamora
Jos? Perales
Monday May 11, 2009 ?

Zamora, Michoacan .- The jurisdiction of Zamora were recorded and nearly 70 cases of Influenza type A and three cases of A/H1N1, no deaths have been presented by this virus in the 21 municipalities in the jurisdiction, as those affected were treated in a timely manner.

Conference on media doctor Crist?bal Garc?a Mendoza, head of the health jurisdiction Zamora, said that at least eight municipalities of the demarcation of presenting cases, but most are in the conurbation of Zamora and Jacona, but are cases in Vistahermosa, Briseno, Chilchota, Tanganc?cuaro and Ting?nd?n, among others.

Indicated that it has ordered the deployment of brigades in order to establish the necessary health fences to support the people and intensify preventive measures to curb the spread of the virus.

In this context, he urged people not to waver in the observation of the preventive measures which have been insisting on the various means in order to prevent the virus spreading to a larger radius or more people .

He recalled that by order of the government is to suspend classes at all levels, from preschool through college, as well as to avoid the mass meetings.

You must also abide by not ordering the opening of clubs and bars and other places which by their nature, involve the presence of many people. Of course you should avoid contact with sick people, and welcome to kiss the hand or the other.

Finally, he reiterated the call for people to relax and not to the contrary strengthen preventive measures to give battle to the virus and early life in the region and Zamora could return to normal.

**Shiloh** · May 14, 2009, 09:57 PM

Re: Michoac?n: Cases

Source: http://www.eluniversal.com.mx/notas/598134.html

Michoac?n eight confirmed influenza cases
The cases were registered in the municipalities of Zamora, Morelia, P?tzcuaro, Coalcom?n, Los Reyes, Ting?ind?n and Chavinda

Azucena Silva / Correspondent
El Universal
Morelia, Mich. Thursday May 14, 2009
21:35

Eight cases of influenza were confirmed in human AH1/N1 Michoac?n, which gave positive results from the National Institute of Epidemiological Diagnosis and Reference (Indre), so at 35 and joined the organization.

Health Secretary, Armando Luna Escalante said that the cases occurred in the municipalities of Zamora, Morelia, P?tzcuaro, Coalcom?n, Los Reyes, Ting?ind?n and Chavinda, one in each.

He clarified that all patients are recovering well thanks to the timely supply of antiviral drugs. Besides that monitors the health of their families.

Since Thursday last week there had been only one positive sample for influenza type A in Morelia, the secretary approved the implementation of the parade "a million dreams made history", which commemorated the 468 anniversary of the founding of the city, on Sunday May 17 at the Garden Plaza Morelos.

**Shiloh** · May 15, 2009, 04:48 PM

Re: Michoac?n: Cases

Source: http://www.cambiodemichoacan.com.mx/....php?id=100851

A new case of human influenza in Michoacan, add 36
Editorial
Friday May 15, 2009 ?

Morelia, Michoacan .- The authorities of the Ministry of Health in Michoacan reported that according to reports from the State Laboratory of Public Health, other 135 samples were processed, of which 28 were positive for influenza type A, giving a total of one thousand 820 processed and 295 positive.

It also announced that the National Institute of Epidemiological Diagnosis and Reference (Indre), reported 135 samples processed, of which one was positive for human influenza A/H1N1, giving a cumulative total to date of 36 cases confirmed in the state.

The case is a minor, who is stable, after receiving antiviral therapy indicated, as well as their contacts, to prevent the spread of the virus.

**Shiloh** · May 16, 2009, 09:55 PM

Re: Michoac?n: Cases

Source: http://quadratin.com.mx/www1/noticia...9389&seccion=3

Google translation:
And 52 cases were positive for human influenza in Michoacan 19:35:22 16-05-2009

MORELIA, Mich., May 16 2009.-The health authorities continue surveillance to detect cases of human influenza A/H1N1. Until today, there are already 52 cases positive to the virus, after having 16 more confirmed yesterday by the National Institute of Epidemiological Diagnosis and Reference (Indre).
The distribution of the cases are as follows: Los Reyes, Uruapan, Chilchota, ?lvaro Obreg?n and Zamora. So far, the amount accumulated 173 samples processed.
They are stable, after receiving antiviral treatment as well as their contacts, to prevent the spread of the virus, none of them serious and presents greater risks.
The 52 confirmed cases of AH1N1 are 7 in Los Reyes, 13 Morelia, Ting?indin 2 Uruapan 5, Zamora 11, Zitacuaro 3 and one in the municipalities of ?lvaro Obreg?n, Chavinda, Chilchota, Coalcoman, Jacona, L?zaro C?rdenas, Ocampo, Patzcuaro , Quer?ndaro, Sahuayo and Tuxpan, where there has been the only death from the virus in a minor.
In this regard, it is important to reiterate that it is focused on corridor-Jacona Los Reyes-Zamora, that as the area where most cases have arisen, they have strengthened preventive measures in the areas with the greatest influx of people.
Also, the State Laboratory of Public Health announces its latest report that 103 other samples were processed, of which 15 were positive for influenza A in the municipalities of Morelia, La Piedad, Zamora, Uruapan and Zitacuaro. The accumulated amount of samples processed 923 thousand, with 310 positive for influenza A.
During epidemiological alert for influenza (from April 17 to date), is the record of 84 people hospitalized for pneumonia in the units of the health sector in the state, 11 died, of which only gave a positive result to influenza A/H1N1. Currently 14 patients have been hospitalized negative test influenza A.
Remember that since last April 17 that saw the epidemiological alert to track these cases, intensified prevention efforts and to detect influenza in the population.
Since then and until now, epidemiological surveillance has been ongoing, as well as the intentional pursuit of cases, but it is important that people do not lower the guard in the implementation of preventive measures.
Therefore, the state authorities in coordination with the federation, established some preventive health measures and to strengthen measures to prevent, monitor and combat human influenza virus in the state, including the suspension of classes at all levels of education , the mass, the operation of the facilities at night and even in areas of different government agencies.
Gradually and in accordance with the results every day by the State Laboratory of Public Health, they were lifted, but always emphasizing the importance of continued implementation of the preventive measures recommended.

Finally, it invites people to give time to follow the preventive measures that have been released, as is frequent hand washing with soap or antibacterial gel, because this simple action can remove the swine influenza virus, maintained away from those who submit data on respiratory infection, no hand salute or kiss anyone.

Timeline of human influenza

On April 17, 2009, is received by the General Directorate of Epidemiology of influenza epidemiological alert and immediately reported to the authorities of the 8 hospitals and 25 Health Jurisdictions State's Ministry of Health and Michoac?n IMSS-Ordinary Scheme, ISSSTE and IMSS-Oportunidades, was also giving the guidelines and new indications.
Subsequently, there is a network denial of Units Monitors influenza and implement a work plan for the immediate prevention and treatment of Influenza. It also settles the situation room for the daily monitoring of this virus.
In the aspect of promotion, in coordination with the Ministry of Communications and Transport (SCT) were distributed flyers and leaflets, on bus, toll booth and through the Unit of Preventive Medicine of the unit.

**Shiloh** · May 18, 2009, 06:16 PM

Re: Michoac?n: Cases

Source: http://quadratin.com.mx/www1/noticia.php?id=49488

26 cases of human influenza; added 78 in Michoacan 17:56:19 18-05-2009

MORELIA, Mich., 18 May 2009 .- In total, until this Monday, the National Institute of Epidemiological Diagnosis and Reference (INDRE) reported 78 cases positive for human influenza A/H1N1 in Michoac?n. This from a total of 217 tests that have been processed.

The distribution of these 26 municipalities reported cases is 13 Morelia, Uruapan 3 P?tzcuaro 2 and one case in the municipalities of: Sahuayo, Ting?ind?n, Los Reyes, Quer?ndaro, Hidalgo, Zitacuaro, and Susupuato Jacona.

In chronological order these 78 cases have been confirmed by the INDRE, considering the date of onset of symptoms, are distributed as follows: three on April 18, one on April 21 and another on April 23, four cases more April 25, five on April 26, the four others April 27.

It also confirmed three cases, the April 28, the six others April 29, five on April 30, five over the May 1, the five other May 2, May 3 eight, nine on May 4, eight on May 5, nine on May 6, one on May 7 and May 8 the two.

The analysis by gender and age group of 78 positive cases of A/H1N1 shows no statistically significant difference by gender, the group most affected is from 20 to 24 years old, which has the 20.5 percent of cases with slight predominance of men. However, in groups of primary school age, and higher, there is 59 per cent of cases.

The incidence of per A/H1N1 jurisdiction focuses on health Morelia with 25 cases (32%), Zamora with 18 (23%) and Uruapan in 16 (20.5%). The jurisdiction of La Piedad is the only one with zero cases.

Also, the State Laboratory of Public Health reported yesterday, Sunday 53 samples processed, of which 16 were positive for influenza A. In a total of two thousand 070 and processed 325 positive influenza A. During the day Monday, 44 samples were processed, of which only two were positive for influenza A in Angamacutiro and La Piedad.

In the latest report from the National Institute of Epidemiological Diagnosis and Reference (INDRE) were sent to the Ministry of Health in Michoacan 42 samples, of which 26 were positive for human influenza A/H1N1. Patients are already recovered through the timely supply of medicines.

According to a release from the Ministry of Health, was between April 18 and May 8, that these cases were filed, but until now these results have been sent to state health authorities, as the INDRE takes carry out the process because it is receiving and analyzing samples from around the country.

Human influenza is a disease that is served on time, is curable. It affects the nose, throat and lungs. Is transmitted from person to person through sneezing, coughing, greetings, hand or even to speak, through droplets of saliva.

Health authorities intensify their surveillance activities, by seeking to prevent cases of intentional contamination and to control the locations where the outbreaks.

Morelia Although the largest number of positive samples, had joined several other municipalities as Puru?ndiro, Vista Hermosa, Jacona, Tar?mbaro and Ting?ind?n result of the increase in the work of epidemiological surveillance has been conducted by all institutions of the health sector.

The Ministry of Health recommends:

? Continue with handwashing
? Sneezing etiquette
? Going to the doctor before any symptoms
? Avoid hand to greet and kiss
? On sites not controlled agglomeration, such as public transportation, maintaining the use of cubrebocas
? Continue to filter school

**Shiloh** · May 19, 2009, 10:33 PM

Re: Michoac?n: Cases

Source: http://www.cambiodemichoacan.com.mx/....php?id=101132

Ya van 83 positive cases of human influenza in Michoacan
Carlos Alonso Cruz
Tuesday May 19, 2009

Morelia, Michoacan .- According to reports from the Ministry of Health in Michoac?n (SSM), last Monday the Institute of Epidemiological Diagnosis and Reference (INDRE) reported 19 samples processed, of which five were confirmed to influenza A/H1N1 . "These cases are not new, since onset of symptoms had since the days seven, eight, nine and eleven in May."

In total, have been confirmed by the 83 cases positive INDRE A/H1N1 in Michoacan, 236 tests that have been processed.

The five reported cases indicates that the unit is four women and one man who are already stable, under which are receiving the antiviral along with their direct contacts. The geographical distribution of municipalities by the latter cases is: Morelia two, two and Ting?ind?n a Los Reyes.

"As for the age of incidence, the same trend is observed in the young, as three new cases are younger than 24 years and the other two are older than 57 years. Patients are already fully recovered after being given medication. "

Influenza type A

The SSM also reported that the State Laboratory of Public Health processed until Tuesday 66 samples (plus), of which eight were positive for influenza type A. "The distribution by county is: Huetamo, Yur?cuaro, La Piedad, Uruapan, Taret?n, Morelia, L?zaro C?rdenas and La Union, Guerrero (sample taken at L?zaro C?rdenas). In addition, 2 thousand 180 samples are processed, of which 335 were positive for influenza A ".

**Shiloh** · May 20, 2009, 09:48 PM

Re: Michoac?n: Cases

Source: http://www.cambiodemichoacan.com.mx/....php?id=101201

Increase the number: 95 positive cases of human influenza in Michoacan
Carlos Alonso Cruz
Wednesday May 20, 2009

Morelia, Michoacan .- According to reports from the Ministry of Health in Michoac?n (SSM), on Tuesday the Institute of Epidemiological Diagnosis and Reference (INDRE) reported 64 samples processed, of which 12 were confirmed positive influenza A/H1N1 ( or human). However, in total 95 cases were confirmed positive for human influenza in Michoacan, 300 tests that have been processed.

About 12 cases reported recently depedencia reports that seven women and five men who are already stable, they are receiving antiviral treatment with their direct contacts. The distribution of municipalities by the latter cases are reported: two Morelia, Zamora Ting?ind?n three and three, three and Uruapan Venustiano Carranza one. "

Influenza A

While the State Laboratory of Public Health on Wednesday processed 101 samples, of which 24 were positive for influenza A, which have been sent to INDRE to know whether or not human influenza

"In sum, two thousand 281 samples processed, of which 359 have resulted in positive influenza A".

The geographical distribution of these 24 municipalities is as follows: 11 in Zamora, Uruapan, four, the Kings, two; Tanc?taro, two; Tocumbo one, Cuitzeo one, Morelia, one; Tanganc?cuaro, one and a Jiquilpan.

**Shiloh** · May 22, 2009, 09:37 PM

Re: Michoac?n: Cases

Source: http://sdpnoticias.com/sdp/contenido/2009/05/22/404876

Confirms second human death from influenza in Michoacan
Today 21:23 --

Morelia, 22 May (Notimex) .- La Secretar?a de Salud de Michoac?n confirmed today the second death caused by influenza virus in the human body.

The unit said it was a patient of 69 years old, originating in the municipality of Tinguind?n, who was hospitalized for a chronic obstructive pneumopathy more basal pneumonia.

This adds to the death of a child under one year old, originally from Tuxpan, who died at Children's Hospital after being transferred by air to their attention.

In a report, the local Health Department also confirmed 14 new cases of influenza A H1N1 in the state, bringing the total of the disease reached 109.

He noted that new cases are seven women and seven men, among the latter deceased.

He added that the rest of the infected are stable, after the receipt direct contacts with antiviral.

The distribution of municipalities by the latter cases reported is: Morelia, three; Tinguind?n, three; Zamora, three, Uruapan, four, and Venustiano Carranza, one.

Regarding the impact of age, he added, the same trend is observed in the young, as eight of these cases are between 21 and 26 years, the rest are between one and 16 years.

**Shiloh** · May 24, 2009, 04:21 PM

Re: Michoac?n: Cases

Source: http://www.mimorelia.com/vernota.php?id=41261

111 positive cases of A/H1N1 in Michoacan

By: My Morelia.com / MiMorelia.com
Sunday May 24 2009
Morelia, Mich., 2009 to May 24 .- The health authorities continue surveillance to detect cases of human influenza A/H1N1. To date, 111 cases remained positive to the virus by the Institute of Epidemiological Diagnosis and Reference (Indre), because the samples received by this body yesterday were negative.

Remember that since last April 17 that saw the epidemiological alert to track these cases, intensified prevention efforts and to detect influenza in the population.

Since then and until now, epidemiological surveillance has been ongoing, as well as the intentional pursuit of cases, but it is important that people do not lower the guard in the implementation of preventive measures.

Therefore, the state authorities in coordination with the federation, it is tions some preventive health measures to control and combat human influenza virus in the state, including the suspension of classes at all levels of education, the massive operation the foundation is night and even in areas of different government agencies.

It is important to mention that the flu is a viral disease transmitted to affect the nose, throat and lungs. Is transmitted from person to person through sneezing, coughing, greetings, hand or even to speak, through droplets of saliva.

The manifestations appear suddenly and are characterized by the following symptoms: high fever, headache, fatigue or tiredness, it can be extreme, dry cough, sore throat, by runoff nose and muscle pain. These symptoms occur more than in the flu or common colds.

Yesterday, the Institute of Epidemiological Diagnosis and Reference (INDRE) reported 30 processed samples, which were wholly negative human influenza A/H1N1.

In this way, is the number of 111 cases positive for A/H1N1 in Michoacan, a total of 395 tests that have been processed.

In laboratories throughout the day 58 samples were processed, of which 11 were positive for influenza A. They were referred to as INDRE for confirmation.

In short, they are 2 thousand 562 samples processed, of which 402 have proved positive influenza A. The distribution of municipalities is as follows: 8 Zamora, Uruapan Morelia 1 and 2.

Related News
So far, in Michoacan, only two people have died of confirmed A/H1N1

Announcement

Michoac?n: Cases

Michoac?n: Cases

Comment

Comment

Comment

Comment

Comment

Comment

Comment

Comment

Comment

Comment

Comment

Comment

Comment

Comment