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  • New Jersey - Outbreak of fungal meningitis and associated infections - 48 cases

    State of New Jersey, Dept. of Health:


    "For Release:
    October 10, 2012

    NJ Reports Second Case of Meningitis Associated With Potentially Contaminated Steroid Medication

    Today, the New Jersey Department of Health is reporting to the U.S. Centers for Disease Control and Prevention (CDC) its second case linked to an ongoing, multi-state outbreak of fungal meningitis associated with potentially contaminated steroid medication.

    A 57-year-old Cumberland County man is hospitalized at South Jersey Healthcare Regional Medical Center at Vineland with presumptive fungal meningitis. He is recovering and receiving intravenous anti-fungal medication. He received a spinal injection on July 12 at South Jersey Healthcare Regional Medical Center from one of the lots recalled by New England Compounding Center (NECC) located in Framingham, Mass. Two to three weeks later, he began having headaches. He was contacted by South Jersey Healthcare over the weekend as part of its patient notification and was evaluated at the hospital's clinic Monday with a worsening headache, stiff neck and increased sensitivity to light. He was sent to the hospital's emergency department for further testing and was admitted on Tuesday.

    "Nearly all of the approximately 650 New Jersey residents who received injections associated with potentially contaminated steroid medication have been contacted. These individuals will need to be monitored for several weeks because it may take one to four weeks or longer for patients to exhibit symptoms," said Health Commissioner Mary E. O'Dowd. "Symptoms include headaches, fever, nausea, neck stiffness, confusion and/or dizziness."

    "Any patient who has had a steroid injection and is experiencing symptoms should call their health care provider immediately," the Commissioner said.

    According to the CDC, the form of fungal meningitis that has been identified is not contagious, meaning it is not spread from person to person. The source of the fungus has not yet been identified, and the cause of infections in the other patients is still being assessed. Additional information about the outbreak is available on the CDC's website at http://www.cdc.gov/HAI/outbreaks/meningitis.html

    DOH has been in contact with the six facilities that received the affected product and they have worked diligently to contact patients who received injections of the recalled steroid medication (methylprednisolone acetate).

    "I thank the affected health care facilities for their efforts to offer assistance to their patients as quickly and effectively as possible during this ongoing investigation and response," Commissioner O'Dowd said.

    Out of an abundance of caution, on Oct.6, the U.S. Food and Drug Administration (FDA) and the NECC announced a voluntary recall of all NECC products due to fungal contamination.

    Health care facilities in New Jersey that received this medication have removed the product from inventory. Those facilities are:

    Central Jersey Orthopedics Specialists, PC in South Plainfield
    Edison Surgical Center, Edison
    IF Pain Associates/Isaiah Florence, Teaneck
    Premier Orthopaedic Associates, Vineland
    Comprehensive Pain Management, Sparta
    South Jersey Healthcare, Elmer and Vineland


    Nationally, 119 cases, including 11 deaths have been reported in 10 states.

    On September 25, 2012, NECC voluntarily recalled the following lots of methylprednisolone acetate (PF) 80mg/ml:. PF) 80 mg/ml Injection, Lot #05212012@68, BUD 11/17/2012 Methylprednisolone Acetate (PF) 80 mg/ml Injection, Lot #06292012@26, BUD 12/26/2012. Methylprednisolone Acetate (PF) 80 mg/ml Injection, Lot #08102012@51, BUD
    2/6/2013

    On October 3, 2012, the compounding center ceased all production and initiated recall of all methylprednisolone acetate and other drug products.
    Last edited by Emily; December 23, 2012, 05:46 AM. Reason: Updated title count.



    "What information consumes is rather obvious: it consumes the attention of its recipients. Hence a wealth of information creates a poverty of attention, and a need to allocate that attention efficiently among the overabundance of information sources that might consume it." - Herbert Simon

    "The benefits of education and of useful knowledge, generally diffused through a community, are essential to the preservation of a free government." - Sam Houston

  • #2
    Re: New Jersey - Outbreak of fungal meningitis - 2 cases

    2 new cases in New Jersey.

    State of New Jersey, Department of Health

    NJ Reports Two Additional Cases Associated With Potentially Contaminated Steroid Medication


    Today, the New Jersey Department of Health is reporting to the U.S. Centers for Disease Control and Prevention (CDC) two new cases-for a total of 4-linked to an ongoing, multi-state outbreak of fungal meningitis associated with potentially contaminated steroid medication.

    All four patients are Cumberland County residents. Three are hospitalized and recovering in South Jersey Healthcare Regional Medical Center at Vineland and a fourth is being monitored by the hospital as an outpatient. The three hospitalized patients are being treated intravenously with anti-fungal medication after receiving a steroid injection from one of the lots of medication recalled by the New England Compounding Center in Massachusetts. The company has suspended its operations.

    The two new cases include a 59-year-old man who received an injection on September 12 at Premier Orthopaedic Associates in Vineland and was admitted to South Jersey Regional Medical Center, Vineland on Oct. 9 with headaches and fever. The fourth patient is a 52-year-old female who received an injection in August at South Jersey Healthcare Regional Medical Center. She visited the Emergency Department on October 9 with headaches and back and neck pain and is being closely monitored as an outpatient by the hospital.

    In New Jersey, the investigation affects 634 patients who received a steroid injection at one of six health care facilities between May 21 and September 26. The facilities are:

    • Central Jersey Orthopedics Specialists, PC in South Plainfield
    • Edison Surgical Center, Edison
    • IF Pain Associates/Isaiah Florence, Teaneck
    • Premier Orthopaedic Associates, Vineland
    • Comprehensive Pain Management, Sparta
    • South Jersey Healthcare, Elmer and Vineland

    "Nearly all of the 634 New Jersey residents who received potentially contaminated injections at one of six health care facilities have been notified, but any patient who has had a steroid injection and is experiencing symptoms should call their health care provider immediately," said Health Commissioner Mary E. O'Dowd.

    South Jersey Healthcare Home Health nurses have partnered with the Cumberland and Salem County Health Departments to make home visits to affected patients whom they have been unable to reach by phone. The region includes a large population of migrant workers.

    "Doctors and patients will need to be vigilant for several months because fungal infections can be slow to develop. It may take one to four weeks or longer for patients to exhibit symptoms," said Commissioner O'Dowd said.

    Symptoms include new or worsening headache, fever, neck stiffness, sensitivity to light or redness, soreness or swelling at the injection site should contact the facility that administered the injection or a health care provider immediately. Nationally, some patients have also experienced stroke symptoms including localized weakness (on one side of the face, drooping face), numbness or slurred speech.

    Nationally, a total of 169 cases-including 14 deaths-have been reported by 11 states.

    According to the CDC, the form of fungal meningitis that has been identified is not contagious, meaning it is not spread from person to person. The source of the fungus and cause of the cause of infection is still under investigation by the CDC and the U.S. Food and Drug Administration (FDA). Additional information about the outbreak is available on the CDC's website at http://www.cdc.gov/HAI/outbreaks/meningitis.html



    "What information consumes is rather obvious: it consumes the attention of its recipients. Hence a wealth of information creates a poverty of attention, and a need to allocate that attention efficiently among the overabundance of information sources that might consume it." - Herbert Simon

    "The benefits of education and of useful knowledge, generally diffused through a community, are essential to the preservation of a free government." - Sam Houston

    Comment


    • #3
      Re: New Jersey - Outbreak of fungal meningitis - 2 cases

      New Jersey now has a total of 8 cases.

      4 more meningitis cases in NJ related to outbreak

      "Updated 6:38 p.m., Saturday, October 13, 2012

      TRENTON, N.J. (AP) ? New Jersey health officials have linked four more fungal meningitis cases to a nationwide outbreak caused by a potentially tainted medication.

      The new cases announced Saturday bring the total in the state to eight.

      Among the four new cases, two are women from Salem County. One is a 37-year-old who received a steroid injection Sept. 20, while the other is a 33-year-old who got her injection July 25.

      The two other new patients are a 77-year-old Atlantic County woman who received a steroid injection Aug. 22, and a 64-year-old Cumberland County man who got his injection Sept. 6.


      The patients in the four other cases are all Cumberland County residents. Overall, seven of the patients remained hospitalized Saturday, while the other person was being treated as an outpatient."



      "What information consumes is rather obvious: it consumes the attention of its recipients. Hence a wealth of information creates a poverty of attention, and a need to allocate that attention efficiently among the overabundance of information sources that might consume it." - Herbert Simon

      "The benefits of education and of useful knowledge, generally diffused through a community, are essential to the preservation of a free government." - Sam Houston

      Comment


      • #4
        Re: New Jersey - Outbreak of fungal meningitis - 8 cases

        2 more meningitis cases in NJ related to outbreak

        "New Jersey health officials have linked two more fungal meningitis cases to a nationwide outbreak caused by a potentially tainted medication.

        The new cases announced Wednesday bring the total in the state to 12.

        Health officials say the two new patients are a 66-year-old Cumberland County man and a 49-year-old Salem County woman who both received steroid injections in August.

        The patients in the 10 other cases include residents from Atlantic, Cumberland, Gloucester and Salem counties.

        Overall, 10 of the 12 patients remained hospitalized Wednesday, while one has been discharged from the hospital and the other person is being treated as an outpatient.


        Health officials say more than 600 patients in New Jersey received the steroid injection at six facilities across the state between May 21 and September 26."



        "What information consumes is rather obvious: it consumes the attention of its recipients. Hence a wealth of information creates a poverty of attention, and a need to allocate that attention efficiently among the overabundance of information sources that might consume it." - Herbert Simon

        "The benefits of education and of useful knowledge, generally diffused through a community, are essential to the preservation of a free government." - Sam Houston

        Comment


        • #5
          Re: New Jersey - Outbreak of fungal meningitis - 12 cases

          "Fungal meningitis cases in NJ rise to 13"

          "New Jersey health officials are reporting another fungal meningitis case, bringing to 13 in the state tied to a potentially tainted medication.

          Health officials on Thursday say the newest patient is a 48-year-old female in Cumberland County who received steroid injections in August.

          The cases are isolated to Atlantic, Cumberland, Gloucester and Salem counties.

          Overall, 11 of the 13 patients remained hospitalized Thursday
          ."



          "What information consumes is rather obvious: it consumes the attention of its recipients. Hence a wealth of information creates a poverty of attention, and a need to allocate that attention efficiently among the overabundance of information sources that might consume it." - Herbert Simon

          "The benefits of education and of useful knowledge, generally diffused through a community, are essential to the preservation of a free government." - Sam Houston

          Comment


          • #6
            Re: New Jersey - Outbreak of fungal meningitis - 13 cases

            Fungal Meningitis Outbreak:
            NJ Cases as of 10/23/2012
            Link to

            Detailed NJ Case Information

            • Total Exposures: 634
            • Probable Cases: 17
            • Confirmed Cases: 0
            • Deaths: 0
            • Affected Counties: Atlantic, Cumberland, Gloucester & Salem
            http://www.state.nj.us/health/

            Fungal Meningitis Outbreak

            Detailed Case Information on Multistate Fungal Meningitis Outbreak.
            <TABLE border=0 cellSpacing=2 cellPadding=10 width=909 bgColor=#ffffff align=center><TBODY><TR bgColor=#cccccc><TH width="9%">Case Report Date </TH><TH width="5%">Age</TH><TH width="8%">Gender</TH><TH width="11%">County</TH><TH width="13%">Facility that Administered Injection</TH><TH width="15%">Date of Injection</TH><TH width="17%">Hospitalization/
            Outpatient Care

            </TH><TH width="11%">Patient Status</TH><TH width="11%">Confirmed/
            Probable

            </TH></TR><TR bgColor=#eeeeee><TD>10/9/12</TD><TD>70</TD><TD>Male</TD><TD>Cumberland</TD><TD>Premier Orthopedic Associates</TD><TD>September 26</TD><TD>South Jersey Healthcare Regional Medical Center (SJHRMC)</TD><TD>Recovering </TD><TD>Probable</TD></TR><TR bgColor=#eeeeee><TD>10/10/12</TD><TD>57</TD><TD>Male</TD><TD>Cumberland</TD><TD>SJHRMC</TD><TD>July 12</TD><TD>SJHRMC</TD><TD>Recovering</TD><TD>Probable</TD></TR><TR bgColor=#eeeeee><TD>10/12/12</TD><TD>59</TD><TD>Male</TD><TD>Cumberland</TD><TD>Premier Orthopedic Associates</TD><TD>September 12 </TD><TD>SJHRMC</TD><TD>Recovering</TD><TD>Probable</TD></TR><TR bgColor=#eeeeee><TD>10/12/12</TD><TD>52</TD><TD>Female</TD><TD>Cumberland</TD><TD>SJHRMC</TD><TD>August</TD><TD>Being monitored as an outpatient by SJHRMC</TD><TD>Recovering</TD><TD>Probable</TD></TR><TR bgColor=#eeeeee><TD>10/13/12</TD><TD>37</TD><TD>Female</TD><TD>Salem</TD><TD>SJHRMC</TD><TD>September 20</TD><TD>SJHRMC</TD><TD>Recovering</TD><TD>Probable</TD></TR><TR bgColor=#eeeeee><TD>10/13/12</TD><TD>77</TD><TD>Female</TD><TD>Atlantic</TD><TD>Premier Orthopedic Associates</TD><TD>August 22</TD><TD>Discharged from SJHRMC</TD><TD>Recovering</TD><TD>Probable</TD></TR><TR bgColor=#eeeeee><TD>10/13/12</TD><TD>64</TD><TD>Male</TD><TD>Cumberland</TD><TD>SJHRMC</TD><TD>September 6</TD><TD>SJHRMC</TD><TD>Recovering</TD><TD>Probable</TD></TR><TR bgColor=#eeeeee><TD>10/13/12</TD><TD>33</TD><TD>Female</TD><TD>Salem</TD><TD>Premier Orthopedic Associates</TD><TD>July 25</TD><TD>SJHRMC</TD><TD>Recovering</TD><TD>Probable</TD></TR><TR bgColor=#eeeeee><TD>10/16/12</TD><TD>50</TD><TD>Male</TD><TD>Cumberland</TD><TD>Premier Orthopedic Associates</TD><TD>September 26</TD><TD>SJHRMC</TD><TD>Recovering</TD><TD>Probable</TD></TR><TR bgColor=#eeeeee><TD>10/16/12</TD><TD>26</TD><TD>Female</TD><TD>Gloucester</TD><TD>SJHRMC - Vineland</TD><TD>September 20</TD><TD>SJHRMC</TD><TD>Recovering</TD><TD>Probable</TD></TR><TR bgColor=#eeeeee><TD>10/17/12</TD><TD>66</TD><TD>Male</TD><TD>Cumberland</TD><TD>SJH Elmer Hospital</TD><TD>August 16</TD><TD>SJHRMC</TD><TD>Recovering </TD><TD>Probable</TD></TR><TR bgColor=#eeeeee><TD>10/17/12</TD><TD>49</TD><TD>Female</TD><TD>Salem</TD><TD>SJH Elmer Hospital</TD><TD>August 23</TD><TD>SJHRMC</TD><TD>Recovering </TD><TD>Probable</TD></TR><TR bgColor=#eeeeee><TD>10/18/12</TD><TD>48</TD><TD>Female</TD><TD>Cumberland</TD><TD>Premier Orthopedics</TD><TD>August 22</TD><TD>SJHRMC</TD><TD>Recovering </TD><TD>Probable</TD></TR><TR bgColor=#eeeeee><TD>10/20/12</TD><TD>82</TD><TD>Male</TD><TD>Cumberland</TD><TD>Premier Orthopedics</TD><TD>September 12</TD><TD>SJHRMC</TD><TD>Recovering </TD><TD>Probable</TD></TR><TR bgColor=#eeeeee><TD>10/20/12</TD><TD>62</TD><TD>Female</TD><TD>Cumberland</TD><TD>SJHRMC - Vineland</TD><TD>September 20</TD><TD>SJHRMC</TD><TD>Recovering </TD><TD>Probable</TD></TR><TR bgColor=#eeeeee><TD>10/20/12</TD><TD>53</TD><TD>Male</TD><TD>Cumberland</TD><TD>Premier Orthopedics</TD><TD>September 12</TD><TD>SJHRMC</TD><TD>Recovering </TD><TD>Probable</TD></TR><TR bgColor=#eeeeee><TD>10/23/12</TD><TD>41</TD><TD>Male</TD><TD>Cumberland</TD><TD>SJHRMC - Vineland</TD><TD>September 13</TD><TD>SJHRMC</TD><TD>Recovering </TD><TD>Probable</TD></TR></TBODY></TABLE>
            <TABLE class=tablebordertop border=0 cellSpacing=0 summary="State of New Jersey copywrite information and shortcuts to NJ departments, programs and services" cellPadding=0 width=950 bgColor=#ffffff align=center><TBODY><TR><TD>



            </TD></TR></TBODY></TABLE>
            "Safety and security don't just happen, they are the result of collective consensus and public investment. We owe our children, the most vulnerable citizens in our society, a life free of violence and fear."
            -Nelson Mandela

            Comment


            • #7
              Re: New Jersey - Outbreak of fungal meningitis - 17 probable cases

              Fungal Meningitis Outbreak: NJ Cases as of 10/24/2012
              • Total Exposures: 634
              • Probable Cases: 17
              • Confirmed Cases: 1
              • Deaths: 0
              • Affected Counties: Atlantic, Cumberland, Gloucester & Salem
              http://www.state.nj.us/health/
              <TABLE border=0 cellSpacing=2 cellPadding=10 width=909 bgColor=#ffffff align=center><TBODY><TR bgColor=#eeeeee><TD>10/24/12</TD><TD>57</TD><TD>Female</TD><TD>Gloucester</TD><TD>SJHRMC</TD><TD>July 12</TD><TD>SJHRMC</TD><TD>Recovering </TD><TD>Probable</TD></TR></TBODY></TABLE>
              "Safety and security don't just happen, they are the result of collective consensus and public investment. We owe our children, the most vulnerable citizens in our society, a life free of violence and fear."
              -Nelson Mandela

              Comment


              • #8
                Re: New Jersey - Outbreak of fungal meningitis - 17 probable cases, 1 confirmed

                Gloucester County woman diagnosed with probable fungal meningitis; Cumberland man files complaint against pharmacy company

                By Don E. Woods/South Jersey Times
                on October 24, 2012 at 11:15 AM, updated October 24, 2012 at 11:26 AM

                VINELAND ? The state Department of Health announced a new case of probable fungal meningitis on Wednesday, making the state total 18.

                The patient is a 57-year-old Gloucester County woman. She received the injection on July 12 at South Jersey Healthcare Regional Medical Center.

                She is currently listed as recovering at South Jersey Healthcare, according to the Department of Health.

                This is the second recorded case of meningitis found in Gloucester County.

                Read more...
                "Safety and security don't just happen, they are the result of collective consensus and public investment. We owe our children, the most vulnerable citizens in our society, a life free of violence and fear."
                -Nelson Mandela

                Comment


                • #9
                  Re: New Jersey - Outbreak of fungal meningitis - 17 probable cases, 1 confirmed

                  Three more cases of probable fungal meningitis

                  " The state Department of Health reported three new cases of probable fungal meningitis today.

                  The first patient is a 51-year-old female who received the tainted steroid injection on Sept. 12.

                  The second patient is a 35-year-old male who received the injection on Aug. 23.

                  Both patients went to South Jersey Healthcare Regional Medical Center in Vineland for the steroid and are listed as an outpatient at the hospital.

                  The third patient, a 73-year-old male, received the injection at Premier Orthopedics on July 25 and is listed as recovering at South Jersey Healthcare.

                  All three individuals are Cumberland County residents.

                  Since Oct. 9, the state has a total of 20 cases of probable meningitis."



                  "What information consumes is rather obvious: it consumes the attention of its recipients. Hence a wealth of information creates a poverty of attention, and a need to allocate that attention efficiently among the overabundance of information sources that might consume it." - Herbert Simon

                  "The benefits of education and of useful knowledge, generally diffused through a community, are essential to the preservation of a free government." - Sam Houston

                  Comment


                  • #10
                    Re: New Jersey - Outbreak of fungal meningitis - 20 probable cases, 1 confirmed

                    NJ fungal meningitis case total up to 25 with another probable in Cumberland County

                    "The state Department of Health (DOH) announced a 25th case of fungal meningitis in New Jersey.

                    A 59-year-old Cumberland County female was listed as recovering from probable fungal meningitis today on the DOH website.

                    The patient received the tainted steroid injection from Premier Orthopedics on Sept. 5, according to the DOH ? where many of the probably cases of fungal meningitis have derived.

                    She is now recovering at South Jersey Healthcare Regional Medical Center in Vineland.

                    New Jersey now has 23 cases of probable meningitis and 2 confirmed cases."



                    "What information consumes is rather obvious: it consumes the attention of its recipients. Hence a wealth of information creates a poverty of attention, and a need to allocate that attention efficiently among the overabundance of information sources that might consume it." - Herbert Simon

                    "The benefits of education and of useful knowledge, generally diffused through a community, are essential to the preservation of a free government." - Sam Houston

                    Comment


                    • #11
                      Re: New Jersey - Outbreak of fungal meningitis - 25 cases


                      Fungal Meningitis Outbreak:
                      NJ Cases as of 11/9/2012

                      Link to Detailed NJ Case Information
                      • Total Exposures: 671
                      • Total Cases: 27
                      • Probable Cases: 25
                      • Confirmed Cases: 2
                      • Deaths: 0
                      • Affected Counties: Atlantic, Cumberland, Gloucester & Salem



                      "What information consumes is rather obvious: it consumes the attention of its recipients. Hence a wealth of information creates a poverty of attention, and a need to allocate that attention efficiently among the overabundance of information sources that might consume it." - Herbert Simon

                      "The benefits of education and of useful knowledge, generally diffused through a community, are essential to the preservation of a free government." - Sam Houston

                      Comment


                      • #12
                        Re: New Jersey - Outbreak of fungal meningitis - 27 cases

                        State of New Jersey, Dept. of Health


                        Fungal Meningitis Outbreak:
                        NJ Cases as of 11/19/2012

                        Link to Detailed NJ Case Information

                        Total Exposures: 705
                        Total Cases: 34
                        Probable Cases: 32
                        Confirmed Cases: 2
                        Deaths: 0
                        County of Residence: Atlantic, Cumberland, Gloucester, Salem and Out of State (PA)

                        ** Out of State** Person resides out of state but was exposed in New Jersey



                        "What information consumes is rather obvious: it consumes the attention of its recipients. Hence a wealth of information creates a poverty of attention, and a need to allocate that attention efficiently among the overabundance of information sources that might consume it." - Herbert Simon

                        "The benefits of education and of useful knowledge, generally diffused through a community, are essential to the preservation of a free government." - Sam Houston

                        Comment


                        • #13
                          Re: New Jersey - Outbreak of fungal meningitis - 34 cases

                          NJDoH: Meningitis/Fungal Infection Outbreak:



                          NJ Cases as of 12/05/2012

                          Link to Detailed NJ Case Information

                          Total Exposures: 705
                          Total Cases: 40
                          Probable Cases: 38
                          Confirmed Cases: 2
                          Deaths: 0
                          County of Residence: Atlantic, Cumberland, Gloucester, Salem and Out of State (PA)

                          ** Out of State** Person resides out of state but was exposed in New Jersey



                          "What information consumes is rather obvious: it consumes the attention of its recipients. Hence a wealth of information creates a poverty of attention, and a need to allocate that attention efficiently among the overabundance of information sources that might consume it." - Herbert Simon

                          "The benefits of education and of useful knowledge, generally diffused through a community, are essential to the preservation of a free government." - Sam Houston

                          Comment


                          • #14
                            Re: New Jersey - Outbreak of fungal meningitis and associated infections - 40 cases

                            NJDoH: Meningitis/Fungal Infection Outbreak



                            NJ Cases as of 12/13/2012

                            Link to Detailed NJ Case Information

                            Total Exposures: 705
                            Total Cases: 43
                            Probable Cases: 38
                            Confirmed Cases: 5
                            Deaths: 0
                            County of Residence: Atlantic, Cumberland, Gloucester, Morris, Salem and Out of State (PA)

                            ** Out of State** Person resides out of state but was exposed in New Jersey



                            "What information consumes is rather obvious: it consumes the attention of its recipients. Hence a wealth of information creates a poverty of attention, and a need to allocate that attention efficiently among the overabundance of information sources that might consume it." - Herbert Simon

                            "The benefits of education and of useful knowledge, generally diffused through a community, are essential to the preservation of a free government." - Sam Houston

                            Comment


                            • #15
                              Re: New Jersey - Outbreak of fungal meningitis and associated infections - 43 cases

                              http://www.philly.com/philly/news/pe..._one_hurt.html
                              New Jersey meningitis tally rises to 46 cases
                              Posted: Sunday, December 23, 2012, 3:01 AM
                              _____________________________________________

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