Upstream | January 05, 2011 | 36 comments

Retracted Autism Study An "Elaborate Fraud," the British Medical Journal (BMJ) Reveals

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EthicalVegan
Retracted autism study an 'elaborate fraud,' British journal finds
By the CNN Wire Staff
January 5, 2011 7:11 p.m. EST


Dr. Andrew Wakefield misrepresented or altered medical histories to bolster his 1998 study, an investigation found.

STORY HIGHLIGHTS

* British journal BMJ accuses Dr. Andrew Wakefield of faking data for his 1998 paper
* "The damage to public health continues" as a result of the autism-vaccine claim
* Vaccination rates dipped, measles cases increased after the study's publication
* The study was retracted and Wakefield lost his license in 2010



(CNN) -- A now-retracted British study that linked autism to childhood vaccines was an "elaborate fraud" that has done long-lasting damage to public health, a leading medical publication reported Wednesday.

An investigation published by the British medical journal BMJ concludes the study's author, Dr. Andrew Wakefield, misrepresented or altered the medical histories of all 12 of the patients whose cases formed the basis of the 1998 study -- and that there was "no doubt" Wakefield was responsible.

"It's one thing to have a bad study, a study full of error, and for the authors then to admit that they made errors," Fiona Godlee, BMJ's editor-in-chief, told CNN. "But in this case, we have a very different picture of what seems to be a deliberate attempt to create an impression that there was a link by falsifying the data."

Britain stripped Wakefield of his medical license in May 2010. Efforts to reach him for comment were unsuccessful Wednesday.

"Meanwhile, the damage to public health continues, fueled by unbalanced media reporting and an ineffective response from government, researchers, journals and the medical profession," BMJ states.

The now-discredited paper panicked many parents and led to a sharp drop in the number of children getting the vaccine that prevents measles, mumps and rubella. Vaccination rates dropped sharply in Britain after its publication, falling as low as 80 percent by 2004. Measles cases have gone up sharply in the ensuing years.

In the United States, more cases of measles were reported in 2008 than in any other year since 1997, according to the Centers for Disease Control and Prevention. More than 90 percent of those infected had not been vaccinated or their vaccination status was unknown, the CDC reported.

"But perhaps as important as the scare's effect on infectious disease is the energy, emotion and money that have been diverted away from efforts to understand the real causes of autism and how to help children and families who live with it," the BMJ editorial states.

Wakefield has been unable to reproduce his results in the face of criticism, and other researchers have been unable to match them. Most of his co-authors withdrew their names from the study in 2004 after learning he had had been paid by a law firm that intended to sue vaccine manufacturers -- a serious conflict of interest he failed to disclose. After years on controversy, the Lancet, the prestigious journal that originally published the research, retracted Wakefield's paper last February.


-- Unfortunately, (Wakefield's) core group of supporters is not going to let the facts dissuade their beliefs that MMR causes autism.
--Dr. Max Wiznitzer, pediatric neurologist


The series of articles launched Wednesday are investigative journalism, not results of a clinical study. The writer, Brian Deer, said Wakefield "chiseled" the data before him, "falsifying medical histories of children and essentially concocting a picture, which was the picture he was contracted to find by lawyers hoping to sue vaccine manufacturers and to create a vaccine scare."

According to BMJ, Wakefield received more than 435,000 pounds ($674,000) from the lawyers. Godlee said the study shows that of the 12 cases Wakefield examined in his paper, five showed developmental problems before receiving the MMR vaccine and three never had autism.

"It's always hard to explain fraud and where it affects people to lie in science," Godlee said. "But it does seem a financial motive was underlying this, both in terms of payments by lawyers and through legal aid grants that he received but also through financial schemes that he hoped would benefit him through diagnostic and other tests for autism and MMR-related issues."

Dr. Max Wiznitzer, a pediatric neurologist at Rainbow Babies & Children's Hospital in Cleveland, said the reporting "represents Wakefield as a person where the ends justified the means." But he said the latest news may have little effect on those families who still blame vaccines for their children's conditions.

"Unfortunately, his core group of supporters is not going to let the facts dissuade their beliefs that MMR causes autism," Wiznitzer said. "They need to be open-minded and examine the information as everybody else."

Wakefield's defenders include David Kirby, a journalist who has written extensively on autism. He told CNN that Wakefield not only has denied falsifying data, he has said he had no way to do so.

"I have known him for a number of years. He does not strike me as a charlatan or a liar," Kirby said. If the BMJ allegations are true, then Wakefield "did a terrible thing" -- but he added, "I personally find it hard to believe that he did that."


CNN's Elizabeth Cohen and Miriam Falco contributed to this report.
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36 comments // Retracted Autism Study An "Elaborate Fraud," the British Medical Journal (BMJ) Reveals

  • adamvelvetu
    • +1
      adamvelvetu  
    • The fact that he deliberately manipulated the data in the hope of benefiting off of lawsuits is something I find particularly disturbing.

    • 1 year ago
  • cantucwearebrothers
  • EmperorThan
    • +2
      EmperorThan  
    • So far the best explanation for autism I've read came from the book The Brain That Changes Itself. Page 83.

      Essentially it's saying it's genetic predisposition but outside environments, likely heavy exposure to white noise during a very small window of brain development. Which causes long lasting problems with how they perceive sound in their brain. Pointing out that autism rates were higher for children who lived near major highways or under heavy traffic airport routes. Genetically identical rats exposed to the white noise during infancy exhibited the same flawed brain patterns when hearing noises as children with autism hearing sound or voice. But after about 8 years old for humans Nucleus basalis in the brain discontinues its mass quantities of acetylcholine and choline acetyltransferase. Which is why you can't learn a new language IN THAT LANGUAGE'S ACCENT after age 8 for adults. So this is ideally the autism window (which just happens to fall around the time when most children are getting vaccinations).

      But autism can be found in children WITHOUT being given any vaccines at all!?!!?! So there's your first hint of flawed reasoning that the rise of autism was from the rise of vaccine use. But the rise in autism might be more explainable by the fact that more humans on earth now live in cities than in rural areas, for the first time ever in human history (I believe the year that happened was around 2006/2007) but that switch to city life was gradually building for years, along with the steady rate of autism rates growing.

      The same book also mentions how vast improvement can be made to autistic children by way of the Fast ForWard program used for developmentally challenged children BUT for the autistic children adding simple tones playing in the background on headphones seems to make it easier for them to redraw their current brain maps with a consistent tone to guide them in rebuilding their auditory senses while learning information.

      It is theorized that artificially re-initiating the Nucleus Basalis in adults with autism could speed up the process of curing it along with using the above mentioned program tone experiment. Though Nucleus Basalis' have been turned back on in rats and shown promise of extra fast learning abilities no current human trials are under way. It's speculated that the low acetylcholine and choline acetyltransferase being released in people with Parkingson's disease and Alzheimer's if their Nucleus Basalis were temporarily re-initiated like in the lab rats could also heighten their memory retention as if they were a child again taking in tons of information from the world around them.

    • 1 year ago
  • EmperorThan
  • treewolf39
  • MrMxyzptlk
  • treewolf39
  • TurboFool
  • MrMxyzptlk
  • TurboFool
  • EthicalVegan
  • EthicalVegan
    • +1
      EthicalVegan  
    • Image
    • http://www.cnn.com/2011/HEALTH/01/06/autism.vaccines/index.html?hpt=T1

      Doctor defends discredited autism-vaccine link study
      By the CNN Wire Staff
      January 6, 2011 4:41 a.m. EST

      Autism-vaccine study author defends work

      (CNN) -- A physician accused of an "elaborate fraud" in a now-retracted British study that linked autism to childhood vaccines is defending himself, telling CNN his work has been "grossly distorted."

      Speaking on CNN's "Anderson Cooper 360," Dr. Andrew Wakefield said Wednesday he has been the target of "a ruthless, pragmatic attempt to crush any attempt to investigate valid vaccine safety concerns."

      An investigation published by the British medical journal BMJ concludes Wakefield misrepresented or altered the medical histories of all 12 of the patients whose cases formed the basis of the 1998 study -- and that there was "no doubt" Wakefield was responsible.

      The medical publication says the study has done long-lasting damage to public health.

      "It's one thing to have a bad study, a study full of error, and for the authors then to admit that they made errors," Fiona Godlee, BMJ's editor-in-chief, told CNN. "But in this case, we have a very different picture of what seems to be a deliberate attempt to create an impression that there was a link by falsifying the data."

      Britain stripped Wakefield of his medical license in May.

      "Meanwhile, the damage to public health continues, fueled by unbalanced media reporting and an ineffective response from government, researchers, journals and the medical profession," BMJ states in an editorial accompanying the work.

      Wendy Fournier, president of the National Autism Association defended Wakefield in a CNN interview.

      "I cannot imagine for a second that Dr. Wakefield would have any reason to falsify data," she said. "He's a man of integrity and honesty and truly wants to find the answers for millions of children who have been affected by autism."

      Fournier accused pharmaceutical companies of trying to protect their turf.

      "You can't question vaccines without being destroyed," she said. "There's too much money at stake here."

      JB Handley, parent of an 8-year-old with autism and a co-founder of Generation Rescue -- a group that believes there's connection between autism and vaccinations, also questioned the motivation behind the investigation into Wakefield's work.

      "Children are given 36 vaccines in the U.S. by the time they reach the age of five," he said. "This is an attempt to whitewash, once and for all, the notion that vaccines cause autism."

      The now-discredited paper panicked many parents and led to a sharp drop in the number of children getting the vaccine that prevents measles, mumps and rubella.

      Vaccination rates dropped sharply in Britain after its publication, falling as low as 80% by 2004. Measles cases have gone up sharply in the ensuing years.

      In the United States, more cases of measles were reported in 2008 than in any other year since 1997, according to the Centers for Disease Control and Prevention. More than 90% of those infected had not been vaccinated or their vaccination status was unknown, the CDC reported.

      "But perhaps as important as the scare's effect on infectious disease is the energy, emotion and money that have been diverted away from efforts to understand the real causes of autism and how to help children and families who live with it," the BMJ editorial states.

      Wakefield has been unable to reproduce his results in the face of criticism, and other researchers have been unable to match them.

      Most of his co-authors withdrew their names from the study in 2004 after learning he had had been paid by a law firm that intended to sue vaccine manufacturers -- a serious conflict of interest he failed to disclose.

      After years of controversy, the Lancet, the prestigious journal that originally published the research, retracted Wakefield's paper last February.

      Actress Jenny McCarthy, founder of Generation Rescue and whose son also has autism, declined to comment on Wednesday's developments, but has previously supported Wakefield.

      "It is our most sincere belief that Dr. Wakefield and parents of children with autism around the world are being subjected to a remarkable media campaign engineered by vaccine manufacturers reporting on the retraction" she said after the Lancet retraction. .

      The writer of the British Medical Journal articles, Brian Deer, said Wakefield "chiseled" the data before him, "falsifying medical histories of children and essentially concocting a picture, which was the picture he was contracted to find by lawyers hoping to sue vaccine manufacturers and to create a vaccine scare."

      According to BMJ, Wakefield received more than 435,000 pounds ($674,000) from the lawyers.

      Godlee, the journal's editor-in-chief, said the study shows that of the 12 cases Wakefield examined in his paper, five showed developmental problems before receiving the MMR vaccine and three never had autism.

      "It's always hard to explain fraud and where it affects people to lie in science," Godlee said. "But it does seem a financial motive was underlying this, both in terms of payments by lawyers and through legal aid grants that he received but also through financial schemes that he hoped would benefit him through diagnostic and other tests for autism and MMR-related issues."

      But Wakefield told CNN that claims of a link between the MMR vaccine and autism "came from the parents, not me," and that his paper had "nothing to do with the litigation."

      "These children were seen on the basis of their clinical symptoms, for their clinical need, and they were seen by expert clinicians and their disease diagnosed by them, not by me," he said.

      Wakefield dismissed Deer as "a hit man who has been brought into take me down" by pharmaceutical interests. Deer has signed a disclosure form stating that he has no financial interest in the business.

      Dr. Max Wiznitzer, a pediatric neurologist at Rainbow Babies & Children's Hospital in Cleveland, said the reporting "represents Wakefield as a person where the ends justified the means." But he said the latest news may have little effect on those families who still blame vaccines for their children's conditions.

      "Unfortunately, his core group of supporters is not going to let the facts dissuade their beliefs that MMR causes autism," Wiznitzer said. "They need to be open-minded and examine the information as everybody else."

      Wakefield's defenders include David Kirby, a journalist who has written extensively on autism. He told CNN that Wakefield not only has denied falsifying data, he has said he had no way to do so.

      "I have known him for a number of years. He does not strike me as a charlatan or a liar," Kirby said. If the BMJ allegations are true, then Wakefield "did a terrible thing" -- but he added, "I personally find it hard to believe that he did that."

      CNN's Elizabeth Cohen, Miriam Falco and Ed Payne contributed to this report.

    • 1 year ago
  • EthicalVegan
  • MrMxyzptlk
  • EmperorThan
  • EmperorThan
  • EthicalVegan
  • Mcellie
  • EthicalVegan
  • Mcellie
    • +2
      Mcellie  
    • EthicalVegan:

      i don't mind people taking alt meds, but with the lancet report it is worrying that maybe there's been an increase in people mistrusting all vaccines esp for serious illnesses when going on holiday.
      In the UK after the MMR scandal, media did go after vaccines quite bad. sorry if this didn't come across. Plus reports parallel with questions over medical advice and the quality of research on medicine, including natural remedies and lab based ones.

    • 1 year ago
  • EthicalVegan
  • TurboFool
    • +2
      TurboFool  
    • Mcellie:

      Not to mention the complete lack of understanding by the public that homeopathy is WATER. It contains no actual medicine, its root principle has NEVER been proven scientifically or had any credibility in physics or chemistry, and yet homeopaths will happily prescribe them in place of vaccines or other proven drugs.

      Yes, obviously there are plenty of problems inside mainstream medicine. But since mainstream medicine follows science, these problems are constantly found and resolved. People get up in arms when they hear of a major drug being taken off the market because it was harmful, and yet that's the PROOF that science and medicine are WORKING, because they're actually finding out these things, proving them, and fixing their mistakes. When's the last time you heard of ANY alt med product being taken off the market by its manufacturers?

    • 1 year ago
  • Mcellie
    • 0
      Mcellie  
    • TurboFool:

      there was a great campaign in the uk where groups of people 'overdosed' on homoeopathic pills brought from stores, they all survived. I like how in that report it shows that pets have better regulation when it comes to treatments than people. wonder how that happened

    • 1 year ago
  • rhetoricallyineffective
  • EthicalVegan
  • rhetoricallyineffective
  • EthicalVegan
  • treewolf39
  • treewolf39
    • -5
      treewolf39  
    • Sounds fishy to me. Anytime some study or person is "discredited" evidence of wrong doing needs to be immediately produced. I think we should post his study and get down to it. This sounds like an attempt, by the MAN, to ignore data.

    • 1 year ago
  • TurboFool
    • +4
      TurboFool  
    • treewolf39:

      Where've you been? This is all AFTER the fact. The evidence has been all over the Internet for YEARS. This man has fabricated virtually everything, was incredibly unethical in his behavior, used labs known to contaminate results, cooked the results, and WAS SELLING HIS OWN ALTERNATIVE VACCINES. A TINY bit of research on your part will bring up mountains of evidence against this horrible man. He's done immeasurable damage convincing people that the single most valuable medical advance in history is dangerous and should be avoided. Pay attention.

    • 1 year ago
  • treewolf39
  • EmperorThan
  • treewolf39
    • 0
      treewolf39  
    • EmperorThan:

      I was hasty in my judgement. Still I will never believe that for profit vaccine corporations never doctor data to push THEIR product. People are dying everyday due to inadequate testing of drugs and the marginalizing of the risks. Money is the master; not health.

    • 1 year ago
  • EthicalVegan
    • +1
      EthicalVegan  
    • Image
    • http://parkerspitzer.blogs.cnn.com/2011/01/05/breaking-news-landmark-autism-stud...

      CNN...

      January 5th, 2011
      07:59 PM ET

      Journal: Autism-vaccine study was 'fraud'
      Posted by:
      CNN Wire Staff

      In the video embedded into this post, activist and parent of an autistic child, JB Handley, dismisses a new report declaring a 1998 study linking autism to vaccinations an "elaborate fraud." The full story follows:

      (CNN) – A now-retracted British study that linked autism to childhood vaccines was an "elaborate fraud" that has done long-lasting damage to public health, a leading medical publication reported Wednesday.

      An investigation published by the British medical journal BMJ concludes the study's author, Dr. Andrew Wakefield, misrepresented or altered the medical histories of all 12 of the patients whose cases formed the basis of the 1998 study - and that there was "no doubt" Wakefield was responsible.

      "It's one thing to have a bad study, a study full of error, and for the authors then to admit that they made errors," Fiona Godlee, BMJ's editor-in-chief, told CNN. "But in this case, we have a very different picture of what seems to be a deliberate attempt to create an impression that there was a link by falsifying the data."

      Britain stripped Wakefield of his medical license in May. Efforts to reach him for comment were unsuccessful Wednesday.

      "Meanwhile, the damage to public health continues, fueled by unbalanced media reporting and an ineffective response from government, researchers, journals and the medical profession," BMJ states.

      The now-discredited paper panicked many parents and led to a sharp drop in the number of children getting the vaccine that prevents measles, mumps and rubella. Vaccination rates dropped sharply in Britain after its publication, falling as low as 80% by 2004. Measles cases have gone up sharply in the ensuing years.

      In the United States, more cases of measles were reported in 2008 than in any other year since 1997, according to the Centers for Disease Control and Prevention. More than 90% of those infected had not been vaccinated or their vaccination status was unknown, the CDC reported.

      "But perhaps as important as the scare's effect on infectious disease is the energy, emotion and money that have been diverted away from efforts to understand the real causes of autism and how to help children and families who live with it," the BMJ editorial states.

      Wakefield has been unable to reproduce his results in the face of criticism, and other researchers have been unable to match them. Most of his co-authors withdrew their names from the study in 2004 after learning he had had been paid by a law firm that intended to sue vaccine manufacturers - a serious conflict of interest he failed to disclose. After years on controversy, the Lancet, the prestigious journal that originally published the research, retracted Wakefield's paper last February.

      The series of articles launched Wednesday are investigative journalism, not results of a clinical study. The writer, Brian Deer, said Wakefield "chiseled" the data before him, "falsifying medical histories of children and essentially concocting a picture, which was the picture he was contracted to find by lawyers hoping to sue vaccine manufacturers and to create a vaccine scare."

      According to BMJ, Wakefield received more than 435,000 pounds ($674,000) from the lawyers. Godlee said the study shows that of the 12 cases Wakefield examined in his paper, five showed developmental problems before receiving the MMR vaccine and three never had autism.

      "It's always hard to explain fraud and where it affects people to lie in science," Godlee said. "But it does seem a financial motive was underlying this, both in terms of payments by lawyers and through legal aid grants that he received but also through financial schemes that he hoped would benefit him through diagnostic and other tests for autism and MMR-related issues."

      Dr. Max Wiznitzer, a pediatric neurologist at Rainbow Babies & Children's Hospital in Cleveland, said the reporting "represents Wakefield as a person where the ends justified the means." But he said the latest news may have little effect on those families who still blame vaccines for their children's conditions.

      "Unfortunately, his core group of supporters is not going to let the facts dissuade their beliefs that MMR causes autism," Wiznitzer said. "They need to be open-minded and examine the information as everybody else."

      Wakefield's defenders include David Kirby, a journalist who has written extensively on autism. He told CNN that Wakefield not only has denied falsifying data, he has said he had no way to do so.

      "I have known him for a number of years. He does not strike me as a charlatan or a liar," Kirby said. If the BMJ allegations are true, then Wakefield "did a terrible thing" - but he added, "I personally find it hard to believe that he did that."

      [Click on link to watch CNN's video]

    • 1 year ago
  • EthicalVegan
    • +1
      EthicalVegan  
    • http://www.nytimes.com/aponline/2011/01/05/health/AP-EU-MED-Autism-Fraud.html?sc...

      The New York Times...

      Study Linking Vaccine to Autism Was Fraud, Journal Reports

      By THE ASSOCIATED PRESS
      Published: January 5, 2011

      Filed at 7:50 p.m. EST

      LONDON (AP) — The first study to link a childhood vaccine to autism was based on doctored information about the children involved, according to a new report on the widely discredited research.

      The conclusions of the 1998 paper by Andrew Wakefield and colleagues was renounced by 10 of its 13 authors and later retracted by the medical journal Lancet, where it was published. Still, the suggestion the MMR shot was connected to autism spooked parents worldwide and immunization rates for measles, mumps and rubella have never fully recovered.

      A new examination found, by comparing the reported diagnoses in the paper to hospital records, that Wakefield and colleagues altered facts about patients in their study.

      The analysis, by British journalist Brian Deer, found that despite the claim in Wakefield's paper that the 12 children studied were normal until they had the MMR shot, five had previously documented developmental problems. Deer also found that all the cases were somehow misrepresented when he compared data from medical records and the children's parents.

      Wakefield could not be reached for comment despite repeated calls and requests to the publisher of his recent book, which claims there is a connection between vaccines and autism that has been ignored by the medical establishment. Wakefield now lives in the U.S. where he enjoys a vocal following including celebrity supporters like Jenny McCarthy.

      Deer's article was paid for by the Sunday Times of London and Britain's Channel 4 television network. It was published online Thursday in the medical journal, BMJ.

      In an accompanying editorial, BMJ editor Fiona Godlee and colleagues called Wakefield's study "an elaborate fraud." They said Wakefield's work in other journals should be examined to see if it should be retracted.

      Last May, Wakefield was stripped of his right to practice medicine in Britain. Many other published studies have shown no connection between the MMR vaccination and autism.

      But measles has surged since Wakefield's paper was published and there are sporadic outbreaks in Europe and the U.S. In 2008, measles was deemed endemic in England and Wales.

      ___

      Online:

      www.bmj.com

    • 1 year ago
  • EthicalVegan
    • +1
      EthicalVegan  
    • The Wall Street Journal...

      http://online.wsj.com/article/SB10001424052748704405704576064590742569026.html?m...

      * JANUARY 6, 2011

      Medical Journal Says Autism Study Was a 'Fraud'

      By RON WINSLOW

      An influential but now-discredited study that provoked fears around the world that childhood vaccinations caused autism was based largely on falsified data, according to an article and editorial published Wednesday in the British Medical Journal.

      The article, by journalist Brian Deer, found that important details of the cases of each of 12 children reported in the original study either misrepresented or altered the actual experiences of the children, the journal said. "In no single case could the medical records be fully reconciled with the descriptions, diagnoses, or histories published in the journal," the editorial said. It called the study "an elaborate fraud."

      The original article, by British doctor Andrew Wakefield and other researchers, was published in the highly regarded journal The Lancet in 1998. The study concluded that the measles, mumps and rubella vaccine—a mainstay of public health disease prevention efforts around the world—was linked to autism and gastrointestinal disorders.

      The findings provoked a still-raging debate over vaccine safety and they prompted thousands of parents to forgo shots for their children. Measles outbreaks were subsequently reported in several Western countries. Several epidemiological studies conducted since the Wakefield paper by public health authorities haven't found any link between the vaccines and autism.

      The Lancet withdrew the article in January of last year after concluding that "several elements" of the paper were incorrect. But the journal didn't describe any of the discrepancies as fraud. A British regulator stripped Dr. Wakefield of his medical license last May, citing "serious professional misconduct" in the way he handled the research.

      Efforts to reach Dr. Wakefield weren't successful.

      Speaking on CNN Wednesday night, Dr. Wakefield defended his research. "The study is not a lie. The findings that we made have been replicated in five countries around the world," he said.

      Speaking on CNN Wednesday night, Dr. Wakefield defended his study. "The study is not a lie. The findings that we made have been replicated in five countries around the world," he said.

      The editorial in the British Medical Journal noted that Dr. Wakefield "has refused to join 10 of his co-authors in retracting" the paper's conclusions. The Lancet wasn't reached for comment.

      In the article, Mr. Deer reported interviewing parents of the children included in the Wakefield study and finding important discrepancies between their recollections and medical records and what was reported in the Lancet. In one case, for instance, symptoms of autism and bowel problems appeared well before a child was vaccinated.

      In another case, a parent whose child was purportedly included in the study found none of the descriptive detail resembled the child's experience.

      Despite the Lancet retraction and other challenges to the original paper, "damage to public health continues," the British Medical Journal's editorial said, fueled "by unbalanced media reporting and an ineffective response from government, researchers and the medical professions." The journal said "hundreds of thousands" of British children remain unprotected even as efforts continue "to resore parents' trust in the vaccine."

    • 1 year ago
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