Let me tell you a little about Leo. I recently came across Leo’s file when I was searching China’s shared list of children available for adoption. My specific search was for “limb differences” because we have several families who are hoping to adopt children with this need. When I saw Leo’s picture, I wanted to learn more. His file specifically states “limb and trunk deformities” while it appears that his true diagnosis is likely dwarfism. I saw the sweet face of eleven year old Leo in pictures of him riding a bike and playing on the slide and wondered how this boy has waited so long for a family.
Little People of America defines dwarfism as “a medical or genetic condition that usually results in an adult height of 4’10” or shorter, among both men and women, although in some cases a person with a dwarfing condition may be slightly taller than that. The average height of an adult with dwarfism is 4’0, but typical heights range from 2’8 to 4’8.” There are several different types of dwarfism, with the most common being achondroplasia , spondyloepiphyseal dysplasia, and diastrophic dysplasia . You can read more about the different types of dwarfism on WebMD .
A concern with adopting a child with dwarfism is what life looks like from a medical standpoint. Little People of America states, “It varies from condition to condition, and with the severity of that condition in each individual. However, the majority of LPs enjoy normal intelligence, normal life spans, and reasonably good health. Many will require surgeries or other medical interventions to address complications and maximize mobility.
Orthopedic complications are not unusual in people with disproportionate dwarfism such as achondroplasia and diastrophic dysplasia, and sometimes surgery is required. A common problem, especially in adults, is spinal stenosis — a condition in which the opening in the spinal column is too small to accommodate the spinal cord. People with this condition suffer from numbness and/or pain. It can be treated with a type of surgery called a laminectomy.”
International Adoption Net recommends that all families talk to a licensed pediatrician or international adoption clinic for all medical advice and information when considering a child for adoption. Families are approved for children with medical conditions on a case by case basis after reviewing the family’s qualifications as best determined by the placement agency.
Now back to Leo! Leo is initially shy with adults or unfamiliar people. He listens carefully, and he is thoughtful about his response. However, he really comes out of his shell around his classmates and peers. He is outgoing around other children, and in his school environment, he answers questions eagerly and loudly. Leo’s fine and gross motor skills are great. He can walk on a balance beam, use his fingers deftly, hold scissors well, and he completes all sorts of tasks such as drawing patterns and folding paper. He enjoys art and origami, but jigsaw puzzles are his favorite. He can use open ended toys such as blocks, legos, and such to create all sorts of things. He is very creative. All of his peers care for him greatly, as he is always met with a hug and teasing from his friends.
Leo’s face is always filled with a happy smile. He is good at hands-on activities, and his painting ability is admirable. After watching an art video, the teacher provides animal pictures, and Leo can imitate the pictures well with careful attention to detail. Leo grasps new knowledge quickly, and his concentration
and learning ability are greater than his peers. Leo is a team leader in class, and he enjoys assisting the teachers. Over the years, his language skills and confidence have grown greatly.
Want to learn more about Leo? Email Brandie . We have several pictures of Leo to share with families who are considering adopting him!
Little People of America offers a $1,000 retroactive grant to families adopting a child with dwarfism, and a $5,000 retroactive grant to families adopting a boy with dwarfism age 11 or older. You can find a wealth of medical information and support, as well as links to regional skeletal dysplasia clinics, at Little People of America .
More changes were announced this week for the China adoption program. Just two weeks ago, agencies and families learned that the CCCWA placed tighter restrictions on adoptive families, including limiting the number of children in the home and requiring the youngest child in the home to be at least three years old before proceeding with another adoption. You can reference the complete list of changes here .
Yesterday, we learned that the CCCWA will end One to One orphanage partnership programs that allowed orphanages and adoption agencies to form partnerships for direct referral of children. This is effective December 31, 2017. Previously, based on other announcements from CCCWA, we believed that as orphanage partnerships expired, they would not be renewed, but this is no longer the case. Instead they will just all end at one time at the end of this year, no matter the time remaining in the contract. In addition, hosting programs for waiting children will also end.
From the CCCWA:
July 18, 2017
Relevant government departments and adoption agencies in receiving countries,
Following the enactment of the Law of the People’s Republic of China on the Administration of Activities of Overseas Non-Governmental Organizations within the Territory of China (hereinafter referred to as Administration Law) since January 1, we would like to notify as follows on relevant issues about the programs carried out by adoption agencies such as the One-to-One Assistance Program, Journey of Hope Program, and Summer/Winter Hosting Program based on the regulations of the Administrative law and conclusions of competent authorities:
All activities concerning the One-to-One program, Journey of Hope Program, and Summer/Winter Hosting Program will be terminated. For children who have been assessed by adoption agencies through the One-to-One program before the enactment of the Administrative Law and whose reports have not been submitted to CCCWA, if their reports are submitted through the provincial department of civil affairs to CCCWA before December 31, 2017 (subjected to the approval date of the provincial department), CCCWA will post these files to the specific list of the original adoption agency. Agencies are requested to look for children within required deadline, otherwise the files will be withdrawn by CCCWA when the deadline is closing.
Foreign adoption agencies should abide by the business scope specified in the registration when working in China. No activities with inter-country adoption as the purpose are allowed when agencies work in welfare and charity related activities.
Adoption agencies should look for adoptive families according to the requirements outlined in the Review Points for Decision on the Eligibility of Foreigners Adopting from China and avoid hasty placements without discretion within the deadline.
-China Center for Children’s Welfare and Adoption Center
So, what does this mean for agencies and adoptive families?
Agencies will no longer receive agency designated files from their previous partnership orphanages as they have in the past. Any children that Agencies are holding from one-to-one programs must be turned over to the CCCWA. Our hope will be they will eventually all be released to the database of waiting children. This could mean that their will be an increase in children available to all agencies to reserve and match with their families. This will make the process more consistent across the board for Agencies and Families, as well as more exposure for children who may have been waiting with one agency for some time. Prior to One to One partnerships, agencies requested all files from the shared list to match with potential families, so that will be the only way to match moving forward.
For adoptive families, this could mean a longer wait time for a referral of a young, minor needs child since those referrals generally came directly from orphanages. However, this is being seen across the board for all agencies. Overall, we have seen a decline in the number of young children with minor correctable needs being placed for international adoption. The culture in China appears to be changing, as more Chinese families are adopting domestically, which is great news for the children, as they are able to maintain their birth culture. Keep in mind that “minor and correctable needs” mean different things for different families. While one family would consider multiple surgeries for cleft lip and palate minor and correctable, another family could view surgeries and years of speech therapy as a long-term challenge that they could not undertake. There are thousands of children in China with varying medical and special needs waiting for families that are ready to be adopted internationally. Now with healthier children being placed in the general database just like those with special needs, it could mean more matching opportunities. As files are returned to CCCWA and hopefully submitted to the database, we will know more of what to expect. Overall adoptive families considering China need to go into the program flexible in gender, age and prepared to adopt a child with medical needs.
An obvious downside is the cessation of hosting, which has been crucial in years past to placing older children and those with more complex special needs. Hosting has helped hundreds of children be exposed to a wonderful experience, as well as increased opportunities to find their forever family. This option for children will be sorely missed, and hopefully agencies can work together to advocate for the return of such programs.
What we do know is that the China adoption program remains to be a stable and predictable program for families hoping to adopt internationally. The China program has encountered changes throughout the years and is still a strong program that places many beautiful children in loving families. We will continue to work diligently to unite children with their families as we navigate these recent changes.
Recently China updated their adoption regulations concerning international families who desire to adopt. There are new qualifications to consider if you are interested in adopting from this program. Some of these have been in place for some time, and are now being reinforced. We are seeing an increase in denials of adoption applications with the CCCWA due to these stricter guidelines. While we are disappointed to see there will be more families who do not qualify, we are understanding that this is a direct result from non-compliance to post adoption reporting, as well as their concerns with placing multiple children with medical needs into the same home. This is still a viable program for the majority of families, and the need is still very great.
If you have any questions about how this will affect your adoption, or if you still qualify for the program, please contact your coordinator.
Here is the update from the CCCWA:
Relevant government departments and adoption agencies in receiving states,
In order to further promote the scientific and standardized level of inter- country adoption, and implement our working principle “everything for the children”, we have refined and improved the review points for deciding the eligibility of foreigners adopting from China, in accordance with the Convention on Protection of Children and Co-operation in Respect of Intercountry Adoption, and Measures for Registration of Adoption of Children by Foreigners in the People’s Republic of China, as well as the practice of paper review of CCCWA.
1. The prospective adoptive parents (PAPs) should reach the age of 30, and the age difference between the PAP and the adoptee should be not more than 50 years.
2. When a couple adopts together, the age difference should be counted based on the age of the younger party.
II. Marital Status
1. The PAP(s) should be a couple of one male and one female, or a single female with no homosexual tendency.
2. In the adoption by a couple (couple adoption), the PAPs should have a stable marital status, either party should have not more than 2 divorces. If one party has no divorce history or 1 divorce, their current marriage should last not less than 2 years. If one party has 2 divorces, their current marriage should last not less than 5 years.
3. In calculating the marriage lasting time for PAPs, the time living together before their marriage can be included. When calculating the number of divorces, widow and remarriage after divorce are not included.
III. Health Conditions
The PAPs should be physically and mentally fit, with the ability to raise and educate the adoptee, but without any of the following conditions:
(1) Intellectual disability;
(2) HIV positive, or infectious disease that is actively contagious;
(4) Mental disorder including mania, depression, bipolar affective disorder, anxiety and phobia, etc. PAP(s) with minor symptoms and are under good control by taking medicine, assessed by a psychological professional as having no effects on their normal work and life and fit to care and educate the adoptee, will be exempt from this limitation;
(5) Binocular blindness, binocular low vision or monocular blindness with no ocular prosthesis;
(6) Severe facial deformation;
(7) Binaural hearing loss or language function loss; PAPs who adopt children with identical conditions, or with one party of a couple healthy will be exempt from this limitation;
(8) Non-function or dysfunction of limbs or trunk caused by impairment, incomplete limb, paralysis or deformation;
(9) Diseases that require long-term treatment, and have bad prognosis which will affect PAPs’ child care ability such as lupus, nephrosis, epilepsy, multiple sclerosis, etc.; In a couple adoption, if one party is completely healthy and the other suffers any of such diseases but is under good control after treatment, they will be exempt from this limitation if they can provide a doctor’s note to attest that the illness has no effects on their normal work and life and fit for caring the adoptee;
(10) Skin cancer, thyroid cancer, breast cancer and testicular cancer that has been cured for less than 3 years; other kinds of cancer or malignant tumor that has been cured less than 5 years;
(11) Vital organ transplant within 10 years; In a couple adoption, if one party is healthy and the other party had organ transplant within 10 years but has recovered to live a normal life, they will be exempt from this limitation;
(12) BMI (BMI=weight (kg)/ height2 (m2) )≥40;
(13) Short stature or dwarfism; PAPs who adopt children with identical conditions will be exempt from this limitation.
IV Educational background
The PAPs should have received senior high school education or above, or vocational and technical skills education of the same level. V. Family Financial Conditions
1. The PAPs (at least one party of a couple in a couple adoption) should have stable occupation and income. The per-capita annual income of a family including the prospective adoptee should reach 10,000 USD; When calculating the family per-capita annual income in an adoption by a single parent, the number of family members should be one more than the actual family member number after adoption
2. Couple adoption’s family net worth should reach 80,000 USD, and single adoption’s family net worth should reach 100,000 USD.
3. Welfare allowance such as relief fund, pension, disability benefits, adoption subsidy, foster care subsidy and disabled child subsidy, etc. are not included in the family annual income.
4. Proper relaxation can be granted to foreigners living in China on the aspects of family annual income and net worth.
VI Moral Characters
The PAPs should have no record of criminal penalties, have good moral characters, honorable behaviors and abide by laws and regulations, without any of the following circumstances:
(1) a history of domestic violence, sex abuse, abandonment/abuse of children (even if they were not arrested or convicted);
(2) a history of taking drugs including opium, morphine, marijuana, cocaine, heroin, smokable methamphetamine and etc;
(3) a history of alcohol abuse and have stopped drinking for less than 10 years.
Adoption application will be given due consideration when the PAPs have had no more than 3 criminal records with minor violations and no severe outcomes, and the time for correction has reached 10 years; or have had no more than 5 records of traffic law violation with no severe outcomes.
VII Children in the House
1. The adoption of orphans, disable children, or abandoned infants and children whose parents cannot be ascertained or found, are not subject to the requirement that the adopter should be childless.
2. The PAPs should have enough time and energy to take care of the minors in the house including the prospective adoptee. In a couple adoption, the number of minors living in the house of the PAPs should be not more than 5; in a single adoption, the number of minors in the house of the PAPs should be not more than 2.
3. The youngest child in the house should reach 3 years old.
VIII Adoption Frequency and Numbers
1. Adopters should submit post placement reports as required after the adoption; There should be a 1 year interval between the second adoption application and the previous one (from the registration date of the previous adoption to the current adoption application date).
2. In principle, the PAPs should adopt 1 child from China at a time.
3. In a couple adoption, if adoptee is a twin or multiple births or have siblings, the adoption will be exempt from the limitation of item 2.
1. The PAPs should receive pre-adoption training to have a correct cognition and understanding of the possible risks of inter-country adoption, be fully prepared for the adoption and care of the adoptee. The PAPs should promise in the inter-country adoption application letter that they will not abandon or maltreat the child to be adopted, and will submit post placement reports as required.
2. As for PAPs residing in countries other than their birth country, if they intend to apply to adopt from China, they should reside in countries which have cooperative relationship with China in inter-country adoption, or in contracting states of the Hague Convention.
3. This document does not apply to stepchild adoptions. As for the adoption of a child belonging to a collateral relative by blood of the same generation and up to the third degree of kinship, relaxation will be granted properly.
4. Time or age is calculated based on the adoption application dossier’s log-in-date at CCCWA.
5. This document shall enter into force as of the date of issuance. In the event of any inconsistency between this document and previous CCCWA regulations or notices, the review points of this document shall apply.
China Center for Children’s Welfare and Adoption
On June 24, 2017, International Adoption Net hosted a picnic in Dublin, Ohio to connect China adoptive families. We were delighted to host over 150 people for our event! This gave 35 families the chance to reunite with families they met on previous adoption trips. Our picnic also gave everyone the opportunity to meet new friends in the area. We all enjoyed the beautiful weather as our families joined together in playing games, sharing a meal, and reminiscing about our adoption trips. We even had families join us who are interested in learning more about the China adoption process! What a wonderful way to spend a Saturday. We look forward to seeing you at our next IAN event!
Just a representation of our group on Saturday!
IAN’s Ohio China Adoption Team with Executive Director Joan Strauss
Karla, Joan, Brandie, and Zhou
Call International Adoption Net at 303-691-0808 to speak with a China adoption consultant about how to begin your adoption from China!
At least when the adoption is done, I won’t have any more paperwork!
By the time adoptive parents are granted legal custody of their child, they have completed pages and pages—and what seems like books—of paperwork. Contracts, medicals, financial statements, letters of intent, employment documents, picture pages, THE HOMESTUDY, and so, so, so much more. Whole reams of paper, pens of ink and cartridges of toner are committed to the adoption process. It seems like a never ending battle to get that one last document finished. By the time the adoption is done, you are ready to just move on with life and never, EVER do another piece of paperwork as long as you live (or at least until your next adoption).
However, the point of adoption is actually the beginning of a whole other set of paperwork for many adoptions and especially so for those who internationally adopt. Most countries require at least one post-adoption report with many requiring multiple reports over the span of time. In most cases, the country has a set amount of required reports as determined by the country, but some cases may require more reports, especially in countries where a birth parent is involved in the process. Some countries even require reports until the child is 18 years old (that’s a lot of reports for kids who are adopted as babies or toddlers!). Even if the country does not require post-adoption reports, most placing agencies or at least home-study agencies require reports per agency or state policies.
Post-adoption reports are an important part of a country’s decision to move forward with their adoption program. Reports allow a country to measure the success of the program and the outcomes for children. It also allows them to know that the children are alive and still in the original adopted home, or in the case that they are not, where they are and whether the new adoption/placement was done correctly. (Note: post-adoption reports need to be honest and never cover up any issues. No one expects everything to be perfect and even knowledge of issues can be enlightening for change.) In some countries, birth parents/family and/or the orphanage that cared for the child have the right to review the reports in order to maintain knowledge of the child’s well-being.
At the onset of an adoption, parents are informed about the expected post-adoption reports (to the best of the agency’s ability as things do change over time), and parents sign documentation stating they understand the requirements and will abide by them. In addition, most countries require the adoptive family and/or placing agency to submit documentation as part of the dossier stating they will complete the reports as required. Unfortunately, not all parents fulfill this obligation to their child’s country and adoption agency. When that happens, there can be dire consequences for the children remaining in the country and/or for the children that could be placed by the agency in the future.
The Department of State recently published the 2016 Annual Report on Intercountry Adoptions. DOS reports that it met with 30 countries in 2016 regarding intercountry adoption. In these meetings, three main concerns were presented by countries as concerns—prominent among them was post-adoption report compliance. “Even after adoption, countries maintain a strong interest in knowing how children from their countries fare. Officials become concerned when they receive no reports about a child after adoption, often fearing that the adoption has disrupted or dissolved, or that the child has been harmed. When parents fail to fulfill the obligation they agreed to, it reflects badly on U.S. adoptions and may impact the country’s willingness to continue to engage and partner with the United States.” Countries have shut down over non-compliance in the past (for example, Ukraine closed for some time in October 2005 due to missing reports— link ) which hurts remaining orphans and potential parents in the short-and-long-run. “Several countries have conditioned the resumption of intercountry adoptions on receiving post adoption reports from parents who previously adopted children from that country.” (Quotes taken from the above mentioned report.)
The Department of State has since issued further notices regarding the importance post-adoption reporting. A May 8, 2017 notice states “Missing or delinquent post-adoption reports can negatively impact adoption service providers seeking authorization in affected countries, as well as U.S. citizen parents seeking to adopt in the future. The consequences of failure to comply with post-adoption reporting requirements are significant, particularly for thousands of children in need of permanency who would be adversely impacted if intercountry adoption programs are suspended or closed.” ( https://travel.state.gov/content/adoptionsabroad/en/about-us/newsroom/Post-AdoptionReportingOverview.html .)
It’s understandable that parents get busy and life moves on. In addition, it is clear to agencies that the vast majority of adoptive parents are devoted to the cause of the orphan and to the orphans and vulnerable children that remain in their child’s country. Agencies often see parents fundraise for or even create projects of humanitarian aid in their child’s country of origin. It is important for agencies and even countries to recognize these efforts made on behalf of the children. However, it is also important for adoptive families to realize that one of the most important things an adoptive parent can do to help orphans in their child’s country is to complete post-adoption reports on time and encourage others to do the same.
If you are an adoptive parent who has fallen behind on your reports, please contact your placing agency today to find out how you can help adoption remain a viable option for children in your child’s country of origin by catching up on missing reports. Please share this article and/or the Department of State’s notices in any way you can to encourage other adoptive families to do the same. If you have adopted a child after the dissolution of an international adoption, please contact your child’s original placing agency regarding reports as the countries still require them even if you are not legally bound to provide them. If your placing agency has closed, please contact the Department of State’s Office of Children’s Issues for information on how to comply with reporting.
As many of you know, EACI adoption agency lost it’s Hague status in December of 2016. As a result they had to move all their programs to other agencies. IAN was identified to take on India and China Cases. We have spent the last month or more working to make this transfer as smooth a possible and welcoming these families to IAN. It has been a difficult time for all those families involved, but we are happy that the transfer is completed and we can focus on serving our new families and their prospective adoption children!
The State Department issued more information for those transfer families on Friday, and we are posting that here so that our new families can stay informed! Please be sure to read this carefully, and follow up with our office as needed. Thanks to all our families’ patience, current and new, as we have worked on this. We are so thankful to be serving our growing network of families and children.
Here is the full text of the update from the State Department:
EAC Case Transfer Approval InformationFebruary 3, 2017
The Department of State confirms that the Council on Accreditation (COA) reviewed case transfer plans for the following European Adoption Consultants, Inc. (EAC) intercountry adoption programs. If you have been working with EAC to adopt a child from a country that is not listed below, COA is currently reviewing EAC’s case transfer plan for that country. We will update this site with new information as it becomes available.
Date Plan Finalized
Global Adoption Services, Inc.
January 13, 2017
International Adoption Net
January 13, 2017
Little Miracles International Inc.
January 20, 2017
Democratic Republic of Congo (DRC)
1:17 Center for Global Adoption
January 18, 2017
All Blessings International Inc., dba Kentucky Adoption Services
January 18, 2017
Little Miracles International Inc.
January 18, 2017
International Adoption Net
January 13, 2017
Global Adoption Services Inc.
January 20, 2017
Little Miracles International Inc.
January 20, 2017
Uganda (families without referrals)
Little Miracles International Inc.
January 20, 2017
Creative Adoptions Inc.
January 20, 2017
Please note that EAC clients are under no obligation to work with the adoption service provider (ASP) named in EAC’s case transfer plan. EAC is required to execute a plan to transfer their in-process adoption cases to a designated agency, however, some families may instead request that the case be transferred to an alternate primary provider. COA has advised that in those cases, prospective adoptive parents should send a request to EAC indicating a preferred ASP to which EAC should transfer the case. COA should be copied on this correspondence.
COA has also advised that EAC reports they will be reaching out to clients to obtain written consent to release records. Such consent should comply with the guidance provided here . COA expects EAC to execute their case transfer plans within 10 days of receipt of COA’s letter confirming its review of EAC’s case transfer plan.
The state of Ohio, where EAC is licensed, has informed the Department of State that under Ohio law, if a prospective adoptive parent submits a request to have their case transferred, the agency must act upon that request pursuant to Ohio Administrative Code 5101-2-48-19. Prospective adoptive parents may wish to copy the Ohio Department of Job and Family Services, email@example.com , on email communications with EAC regarding case transfers. Please include “EAC” in the subject line if you do so.
The Ohio Department of Job and Family Services has also informed us that families experiencing difficulties getting EAC to transfer their file, or experiencing any other issues with EAC, may wish to submit a statement to the Ohio Attorney General’s Office at www.ohioattorneygeneral.gov/about-ag/file-a-complaint , or call the hotline at 800-282-0515 or 614-466-4986. The hotline takes complaint calls Monday through Friday between 8 a.m. and 7 p.m. EST. Prospective adoptive parents who submit concerns in writing should include “EAC” in the subject line.
REVIEW OF CASE TRANSFER PLANS
When reviewing the transfer plan, COA verifies that the ASP selected to receive the adoption cases meets the following criteria:
- the ASP is currently accredited or approved;
- the ASP’s accreditation is valid for a sufficient period of time or the ASP has an application for renewal of its accreditation or approval pending and has made significant progress through the renewal process;
- the ASP is not currently subject to an adverse action compromising their accreditation status; and
- the ASP is authorized to work in the country they will receive cases for if such authorization is required.
COA’s review of the transfer is limited to the criteria listed above. It is important to note that while COA has verified that the ASPs are eligible at this time to receive EAC’s cases, there is no way to guarantee the new primary provider will remain eligible to provide adoption services.
POST-PLACEMENT AND POST-ADOPTION REPORTING
EAC is prohibited from providing adoption services, including “monitoring a case after a child has been placed with prospective adoptive parent(s) until final adoption”, and therefore EAC is prohibited from providing post-placement services, including post-placement reporting. Prospective adoptive parents who obtained custody or guardianship of a child and have not yet finalized the adoption need to find an accredited or approved ASP to provide any remaining services, including completing post-placement reports as required by the child’s country of origin.
The prohibition on providing adoption services does not apply to completion of post-adoption reports, which are required after an adoption has been finalized, to the extent allowed by state law and the country of origin’s requirements. Please be aware, that a foreign government may choose not to accept post-adoption reports from a debarred adoption service provider.
Families should be advised that the government of India has informed us that they will not accept post-adoption or post-placement reporting from EAC. We will provide additional information as it becomes available.
Federal regulations require EAC to complete the refund of fees paid for services not yet rendered within 60 days of the debarment. EAC should provide prospective adoptive parents with information on any refunds they may be eligible for or details of any fees that have not yet been expended for providing services that can be transferred to a new agency.
THE DEPARTMENT OF STATE’S ROLE
The Department of State’s role with case transfer plans is limited. As stated in the Notice regarding Case Transfer Responsibilities of Intercountry Adoption Service Providers , under 22 CFR 96.87, the agency or person’s execution of its transfer plans is under the oversight of the Accrediting Entity, the Council on Accreditation. The Department of State does not review or approve case transfer plans. The Department does, however, communicate with foreign Central Authorities and competent adoption authorities about the accreditation status of agencies and persons and case transfer plans, as needed.
Please continue to communicate directly with EAC and COA regarding specific questions related to your adoption case transfer.
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