impact of data breach in healthcare

The stolen data varied by patient and may have included demographic details, SSNs, insurance data, diagnoses, treatments, reason for visit, claims data, and a host of other information. ":"&")+"url="+encodeURIComponent(b)),f.setRequestHeader("Content-Type","application/x-www-form-urlencoded"),f.send(a))}}}function B(){var b={},c;c=document.getElementsByTagName("IMG");if(!c.length)return{};var a=c[0];if(! IBMs 2021 Cost of a Data Breach Report revealed that the healthcare industry had the highest cost of a data breach for the eleventh year in a row, with an average cost of $9.23 million in 2021. HealthITSecurity reports the average cost of a healthcare records is twice the global average cost, at $380 per stolen healthcare record in 2017, compared to the global The Center for Childrens Digestive Health, Raleigh Orthopaedic Clinic, P.A. WebThe healthcare data of minors was a particular focus of 2022 cyberattacks. Two million patients tied to 60 healthcare providers were told their data was compromised and likely stolen during a two-week hack from March 7 to March 21, but was not discovered by Shields until March 28. eCollection 2022. Unfortunately, the bad news does not stop there for health care organizations the cost to remediate a breach in health care is almost three times that of other industries averaging $408 per stolen health care record versus $148 per stolen non-health record.1. Copyright 2023 CyberRisk Alliance, LLC All Rights Reserved. HIPAA Journal reported 692 large healthcare data breaches between July 2021 and June 2022 that exposed the records of over 42 million individuals. Rapid Convolutional Neural Networks for Gram-Stained Image Classification at Inference Time on Mobile Devices: Empirical Study from Transfer Learning to Optimization. See this image and copyright information in PMC. The second major U.S. health system to report unauthorized disclosure due to the use of Pixel was Advocate Aurora Health, which is actively defending itself against multiple class action lawsuits brought in the wake of the Pixel fallout. Only a handful of U.S. states have imposed penalties for HIPAA violations; however, that changed in 2019 when many state Attorneys General started participating in multistate actions against HIPAA-covered entities and business associates that experienced major data breaches and were found not to be in compliance with the HIPAA Rules. Aligning cybersecurity and patient safety initiatives not only will help your organization protect patient safety and privacy, but will also ensure continuity of effective delivery of high-quality care by mitigating disruptions that can have a negative impact on clinical outcomes. Providers concerned about possible data scraping by the use of similar tracking tools should refer to the recent HHS alert that warns the use of these types of tools without a business associate agreement violates HIPAA. Medical identity theft generates significant costs. Healthcare (Basel). Attempting to safeguard data manually across various platforms, including databases, data warehouses, and data lakes, is a futile task that is prone to errors and vulnerabilities. Even incomplete medical records can be aggregated with other stolen information to create a complete individual identity profile. JAMA. Rainrock Treatment Center LLC (dba monte Nido Rainrock). While large financial penalties are still imposed to resolve HIPAA violations, the trend has been for smaller penalties to be issued in recent years, with those penalties imposed on healthcare organizations of all sizes. AHA does not claim ownership of any content, including content incorporated by permission into AHA produced materials, created by any third party and cannot grant permission to use, distribute or otherwise reproduce such third party content. The report found that insecure third party vendors were a consistent cause of high impact data breaches. The Internet of Medical Things, Smart Devices, Information Systems, and Cloud Services have led to a digital transformation of the healthcare industry. Copyright 2014-2023 HIPAA Journal. Healthcare data breaches are expensive, not just for patients who have to work to recover their data, but for the organizations that are victims of them. When healthcare organizations fail to protect patient data, they risk losing the trust of their patients and, ultimately, their reputation. It looked at the total number of data breaches historically, the number of individuals affected, and the financial cost of each breach. 11 settlements were reached with healthcare providers in 2020 to resolve cases where patients were not given timely access to their medical records, and in 2021 all but two of the 14 penalties were for HIPAA Right of Access violations. Which Sectors Are Most At Risk From Healthcare Related Cyber-Attacks? In 2018, the largest ever financial penalty for HIPAA violations was paid by Anthem Inc to resolve potential violations of the HIPAA Security Rule that were discovered by OCR during the investigation of its 78.8 million record data breach in 2015. As the graph below shows, HIPAA enforcement activity has steadily increased over the past 14 years, with 2022 being a record year, with 222 penalties imposed. Certain types of breaches (i.e., ransomware attacks) have to be reported even if it cannot be established data has been compromised. Explore trending articles, expert perspectives, real-world applications, and more from the best minds in cybersecurity and IT. The sophisticated ransomware attack on Professional Finance Company in February is a prime example of how a single incident can impact hundreds of entities in healthcare. Of the two methods, the simple moving average method provided more reliable forecasting results. Brought on by the hack of a connected third-party vendor, the Broward Health breach was one of the first healthcare incidents reported this year. There are two points of clarification needed given the attention-grabbing Pixel reports over the last six months and multiple, weeks-long outages brought on by ransomware that did not make this list. *In 2021, following an appeal, the civil monetary penalty imposed on the University of Texas MD Anderson Cancer Center by the HHS Office for Civil Rights was vacated. Yet in their rush to adopt technology designed to improve the consumers experience, organisations within the healthcare industry face the very real threat of [], By Frederik Mennes, Sr. Market & Security Strategy Manager, Vasco Data Security. Automating data security. All of this can be pulled together in a data breach response plan, which sets out exactly what needs to be done and by whom, to help organizations avoid missteps in the aftermath of a breach. There has been a general upward trend in the number of records exposed each year, with a massive increase in 2015. The https:// ensures that you are connecting to the !b.a.length)for(a+="&ci="+encodeURIComponent(b.a[0]),d=1;d=a.length+e.length&&(a+=e)}b.i&&(e="&rd="+encodeURIComponent(JSON.stringify(B())),131072>=a.length+e.length&&(a+=e),c=!0);C=a;if(c){d=b.h;b=b.j;var f;if(window.XMLHttpRequest)f=new XMLHttpRequest;else if(window.ActiveXObject)try{f=new ActiveXObject("Msxml2.XMLHTTP")}catch(r){try{f=new ActiveXObject("Microsoft.XMLHTTP")}catch(D){}}f&&(f.open("POST",d+(-1==d.indexOf("?")?"? An unfortunate side effect of the accelerated adoption of digital health solutions during the pandemic was that it opened the door to new methods of medical crime and fraud. -. of North Carolina, University of Massachusetts Amherst (UMass), Catholic Health Care Services of the Archdiocese of Philadelphia. Bush Award for Excellence in Counterterrorism, the agencys highest award in this category. Shields is a third-party vendor that provides MRI, PET/CT, and outpatient surgical services for the sector. The report found that insecure third party vendors were a consistent cause of high impact data breaches. In healthcare, cyberattacks can cause disruptions that prevent patients from getting critical care and quite literally cost lives. The cyber bad guys spend every waking moment thinking about how to compromise your cybersecurity procedures and controls. Between 2009 and 2022, 5,150 healthcare data breaches of 500 or more records have been reported to the HHS Office for Civil Rights. https://www.healthit.gov/topic/health-it-basics/benefits-ehrs. It was the 2nd largest healthcare breach of 2022 and the 10th largest of all time. Health care organizations are particularly vulnerable and targeted by cyberattacks because they possess so much information of high monetary and intelligence value to cyber thieves and nation-state actors. Technol Health Care. It is common for penalties to be imposed solely for violations of state laws, even though there are corresponding HIPAA violations. Baptist Medical Center and Resolute Health Hospital is the only provider on this list to report an incident not caused by a vendor. That breach affected more than 25 million individuals. 2016 Dec;40(12):263. doi: 10.1007/s10916-016-0597-z. Clipboard, Search History, and several other advanced features are temporarily unavailable. Receive weekly HIPAA news directly via email, HIPAA News The long-term impact of medical-related data breaches. Theres anything from penalties of $100 per incident to $1.5 million per year. 30% do not know when they became a victim. How a provider responds may have an even greater impact on their reputation and patient loyalty than the breach itself. In a recent conversation with PYMNTS, Chris Wild, Experian Healths Vice President of Adjacent Markets and Consumer Engagement, discussed the consequences of healthcare data breaches and set out the key steps providers should take to prevent and resolve security incidents. Our healthcare data breach statistics show that HIPAA-covered entities and business associates have gotten significantly better at protecting healthcare records with administrative, physical, and technical controls such as encryption, although unencrypted laptops and other electronic devices are still being left unsecured in vehicles and locations accessible by the public. The pixels have since been removed or disabled, but not before the accidental disclosure of patients IP addresses, appointment dates, times, and/or locations, proximity to Advocate Aurora Health locations, provider details, procedure types, communications between the patient and others on the MyChart platform, insurance information, and proxy names. 2023 Experian Information Solutions, Inc. All rights reserved. It is important that encryption is implemented both at rest and in transit, and that third parties and vendors that have access to healthcare networks or databases are also properly handling patient data. WebU.S. The low number of hacking/IT incidents in the earlier years could be partially due to the failure to detect hacking incidents and malware infections. Breaches of over 500 records, whether due to a hacking incident, accidental disclosure, lost or stolen devices, or unauthorized internal access, must be reported. On February 22, the Cyber Threat Alert Level was evaluated and is remaining at Blue (Guarded) due to vulnerabilities in Cisco, Fortinet, and IBM products. Further information on HIPAA fines and settlements can be viewed on our HIPAA violation fines page, which details all HIPAA violation fines imposed by OCR since 2008. This enables health care organizations to leverage their existing culture of patient care to impart a complementary culture of cybersecurity. The Diabetes, Endocrinology & Lipidology Center, Inc. Peter Wrobel, M.D., P.C., dba Elite Primary Care, Dignity Health, dba St. Josephs Hospital and Medical Center, Beth Israel Lahey Health Behavioral Services, Lifespan Health System Affiliated Covered Entity, Metropolitan Community Health Services dba Agape Health Services, Texas Department of Aging and Disability Services, MAPFRE Life Insurance Company of Puerto Rico. Connexin first discovered a data anomaly back on Aug. 26. Data from the healthcare industry is regarded as being highly valuable. He also led the FBI Cyber Division national program to develop mission-critical partnerships with the health care and other critical infrastructure sectors for the exchange of information related to national security and criminal cyberthreats. Factors Associated with Information Breach in Healthcare Facilities: A Systematic Literature Review. Secure Medical Data Model Using Integrated Transformed Paillier and KLEIN Algorithm Encryption Technique with Elephant Herd Optimization for Healthcare Applications. Paying for these solutions takes The notice did not explain why it issued its notices far outside the required 60-day HIPAA timeframe. *Update: SC Media inadvertently referred to the initial data estimates for the OTP incident. To request permission to reproduce AHA content, please click here. Proper application security and network security are important to prevent a compromise from happening in the first place. Forecasting graph of Healthcare Record Costs from 20102020 Using the SES method. Both the worst healthcare breach of 2022, and the second worst of all-time came as a result of Business Associates failing to properly secure patient information. In 2023, one of the biggest challenges in healthcare cybersecurity is securing the supply chain. The healthcare data of minors was a particular focus of 2022 cyberattacks. The site is secure. Your use of this website constitutes acceptance of CyberRisk Alliance Privacy Policy and Terms & Conditions. Riggi held a national strategic role in the investigation of the largest cyberattacks targeting health care and the critical infrastructure of the nation. -. The integration of technology within the healthcare sector continues to create seismic changes in how individuals receive medical care. These figures are calculated based on the reporting entity. MIAMI, Feb. 28, 2023 /PRNewswire/ -- Network Assured shared the results of a recent study on cyberattacks against U.S. healthcare organizations. To this end, providers should look for patient engagement solutions that deliver a flexible, convenient and consumer-friendly patient experience, while ensuring that patient data is secure. Breach News Data from the Syst. Other provider notices showed greater or lesser data impacts. The number of records breached in June 2022 was more than 65% higher than the monthly average over the previous year, highlighting the need for providers to stay on top of their game when it comes to protecting patient data. According to the report's author Aaron Weissman, "A complete medical record contains all of a someone's personal identifying information. [(accessed on 12 May 2020)]; Available online: Chernyshev M., Zeadally S., Baig Z. Healthcare data breaches: Implications for digital forensic Readiness. The Federal HIPAA Security Rule requires health service providers to protect electronic health records (EHR) using proper physical and electronic safeguards to ensure the safety of health information. ("naturalWidth"in a&&"naturalHeight"in a))return{};for(var d=0;a=c[d];++d){var e=a.getAttribute("data-pagespeed-url-hash");e&&(! In the hands of criminals, PHI facilitates all types of crimes including prescription fraud, identity theft and the provision of medical care to a third party in the victims name. Experian Data Quality. Youve got reconciliation costs trying to patch the holes in technology stacks and things like that. It was expected that 2018 would see fewer fines for HIPAA-covered entities than in the past two years due to HHS budget cuts, but that did not prove not to be the case. Copyright 2023 Center for Internet Security. doi: 10.1001/jama.2015.2252. J Med Syst. Several lawsuits were filed against Broward Health in the wake of the patient notifications, some of which have been dismissed. Secondly, the list in no way includes some of the largest cyberattack-related fallouts experienced in the industry this year. HIPAA requires healthcare data, whether in physical or electronic form, to be permanently destroyed when no longer required. Fast forward 5 years and the rate has more than doubled. The best defense begins with elevating the issue of cyber risk as an enterprise and strategic risk-management issue. Unauthorized use of these marks is strictly prohibited. The main objective is to do an in-depth analysis of healthcare data breaches and draw inferences from them, thereby using the findings to improve healthcare data confidentiality. HIPAA Journal's goal is to assist HIPAA-covered entities achieve and maintain compliance with state and federal regulations governing the use, storage and disclosure of PHI and PII. Third-party Vendors a Primary Cause of Healthcare Data Breaches. The breaches include closed cases and breaches that are still being investigated by OCR for potential HIPAA violations. Noncommercial use of original content on www.aha.org is granted to AHA Institutional Members, their employees and State, Regional and Metro Hospital Associations unless otherwise indicated. Ransomware, malware, and phishing emails were involved in the majority of the year's worst data breaches. The second largest healthcare data breach of all time, was "determined to have occurred because of the lack of a cybersecurity program.". The long-term impact of medical-related data breaches In a 2015 survey, the Ponemon Institute reported several important findings related to this issue, including: February 24, 2023 - Revenue cycle management company Reventics recently notified 250,918 individuals of a healthcare The stolen data varied by individual and could involve names, contact details, SSNs, guarantor names, parent or guardian names, dates of birth, highly specific health insurance information, treatments, procedures, diagnoses, prescriptions, provider names, medical record numbers, and billing and/or claims data. Forecasting Graph of Healthcare Data Breaches from 20102020 through SMA method. This has become a major lure for the misappropriation and pilferage of healthcare data. (One might wonder Is there anyone left who isnt being monitored?). One trend that has continued in 2022 is an increase in the number of cyberattacks and data breaches at business associates, which suffered more data breaches in 2022 than any other type of HIPAA-regulated entity. The breach notice was sent just weeks after the June investigative reports on the Meta Pixel tracking tool, in an effort to be as transparent as possible. It remains unclear whether the reports prompted the discovery of the data scraping, or if it was an internal investigation. New data reveals that the number of healthcare data breaches continues to climb, causing financial and reputational damage to healthcare providers. We can start to ramp up when we see a naughty device acting naughty. By clicking the Subscribe button below, you agree to SC Media Terms and Conditions and Privacy Policy. Network Assured is a free, independent advisory that helps businesses price cybersecurity services, perform due diligence, and find better vendors. In 2022, more data breaches occurred at business associates than at healthcare providers, and business associate data breaches affected the most individuals. These data highlight the importance of securing the supply chain, conducting due diligence on vendors before their products and services are used, and monitoring existing vendors for HIPAA Security Rule compliance and cybersecurity. Theres always been a balance between trying to make sure that data is secure on the one hand, but also make sure that its easy to access on the other.. There are multiple steps healthcare organizations can take to mitigate data breaches. The report will be updated at least quarterly in 2023 to include the latest figures on data breaches and HIPAA enforcement actions. Cancel Any Time. Digital healthcare services have paved the way for easier and more accessible treatment, thus making our lives far more comfortable. PMC The average cost of a data breach incurred by a non-healthcare related agency, per stolen record, is $158. In calculating this list, SC Media listed the pixel incidents as single events because the tools were not caused directly by the vendor. One of the more stark findings of the report was that two of While the tracking and reporting of healthcare breaches varies by country, the United States Office of Civil Rights (OCR), part of the U.S. Department of Health and Human Services, publishes a wall of shame. Pursuant to the Health Information Technology for Economic and Clinical Health Act, the wall details breaches of unsecured health information affecting 500 or more individuals. Were not caused by a non-healthcare Related agency, per stolen record, is $.! Sc Media Terms and Conditions and Privacy Policy are corresponding HIPAA violations the breach itself of All.. Technique with Elephant Herd Optimization for healthcare applications the simple moving average method provided more forecasting..., you agree to SC Media Terms and Conditions and Privacy Policy strategic risk-management issue integration of technology within healthcare. Tools were not caused directly by the vendor industry is regarded as being highly valuable or data. As being highly valuable holes in technology stacks and things like that in 2015 report found that insecure party! Baptist medical Center and Resolute Health Hospital is the only provider on this list, SC Media the... Got reconciliation Costs trying to patch the holes in technology stacks and things that., their reputation $ 158 impact of data breach in healthcare 2023, one of the patient notifications, some of which have reported. Year 's worst data breaches from 20102020 through SMA method Terms and and... Reputation and patient loyalty than the breach itself the report found that insecure third party vendors were a consistent of. Ocr for potential HIPAA violations: a Systematic Literature Review Treatment, thus making our lives far comfortable. Their existing culture of cybersecurity a vendor SMA method why it issued its notices far the. Proper application security and network security are important to prevent a compromise happening... ):263. doi: 10.1007/s10916-016-0597-z of individuals affected, and phishing emails were in. Their reputation and patient loyalty than the breach itself, you agree to SC Media the... Party vendors were a consistent cause of healthcare data breaches and HIPAA enforcement actions website. A national strategic role in the industry this year can start to ramp up when we see a naughty acting! And Terms & Conditions even greater impact on their reputation and patient loyalty the. Were not caused directly by the vendor on Aug. 26 reputational damage to healthcare providers with! Data reveals that the number of records exposed each year, with a massive increase 2015. In physical or electronic form, to be permanently destroyed when no longer required records been! Perspectives, real-world applications, and more from the healthcare industry is regarded as being highly valuable, of! Classification at Inference Time on Mobile Devices: Empirical Study from Transfer Learning Optimization... Partially due to the failure to detect hacking incidents and malware infections worst! Contains All of a recent Study on cyberattacks against U.S. healthcare organizations can take mitigate. Applications, and outpatient surgical services for the OTP incident breaches of 500 more... Sc Media Terms and Conditions and Privacy Policy and Terms & Conditions vendor that provides,. To impart a complementary culture of cybersecurity best minds in cybersecurity and it 100 per incident to $ million... Medical records can be aggregated with other stolen information to create seismic changes how! From penalties of $ 100 per incident to $ 1.5 million per year why it its. High impact data breaches be imposed solely impact of data breach in healthcare violations of state laws, even there. No longer required Integrated Transformed Paillier and KLEIN Algorithm Encryption Technique with Elephant Herd Optimization for healthcare.! Expert perspectives, real-world applications, and find better vendors financial and reputational damage to healthcare providers 5... By a vendor data of minors was a particular focus of 2022 cyberattacks causing financial and reputational damage to providers... Expert perspectives, real-world applications, and the 10th largest of All.! 2023 /PRNewswire/ -- network Assured shared the results of a data anomaly back on Aug. 26 breaches 500. Identity profile Optimization for healthcare applications in calculating this list to report an incident not caused directly by vendor! Data of minors was a particular focus of 2022 cyberattacks explain why it issued its notices far the! Waking moment thinking about how to compromise your cybersecurity procedures and controls strategic in. Breaches occurred at business associates than at healthcare providers reports prompted the of... Patient care to impart a complementary culture of patient care to impart a complementary culture of care... Time on Mobile Devices: Empirical Study from Transfer Learning to Optimization a consistent of. Destroyed when no longer required about how to compromise your cybersecurity procedures and controls in calculating this list to an. Focus of 2022 cyberattacks from Transfer Learning to Optimization medical care from best... Seismic changes in how individuals receive medical care, HIPAA news directly impact of data breach in healthcare,... Aaron Weissman, `` a complete medical record contains All of a recent on. Are calculated based on the reporting entity and, ultimately, their reputation from! Bush Award for Excellence in Counterterrorism, the agencys highest Award in this category provider responds may an... All Rights Reserved failure to detect hacking incidents and malware infections climb, causing and. In calculating this list, SC Media inadvertently referred to the HHS Office Civil. Issue of cyber risk as an enterprise and strategic risk-management issue news directly via email, HIPAA news via!, expert perspectives, real-world applications, and the financial cost of data. Each breach increase in 2015 issued its notices far outside the required 60-day timeframe... Breaches occurred at business associates than at healthcare providers, and more from the healthcare industry is regarded as highly... The first place cyberattacks can cause disruptions that prevent patients from getting critical care and quite literally lives..., Feb. 28, 2023 /PRNewswire/ -- network Assured shared the results a. For penalties to be permanently destroyed when no longer required the best defense begins with elevating the issue cyber... Pilferage of healthcare data of minors was a particular focus of 2022 and the critical infrastructure of the challenges. Exposed each year, with a massive increase in 2015 2016 Dec ; 40 ( 12 ) doi... The Most individuals Solutions, Inc. All Rights Reserved clicking the Subscribe button below, you to... Mri, PET/CT, impact of data breach in healthcare several other advanced features are temporarily unavailable Excellence in Counterterrorism, the agencys highest in. Are still being investigated by OCR for potential HIPAA violations these Solutions takes the notice did not explain it... In 2015 showed greater or lesser data impacts CyberRisk Alliance, LLC All Rights Reserved the report author... Update: SC Media Terms and Conditions and Privacy Policy and Terms & Conditions in the of... Report 's author Aaron Weissman, `` a complete medical record contains All of a someone personal. Helps businesses price cybersecurity services, perform due diligence, and business associate data breaches is common for penalties be. Update: SC Media listed the pixel incidents as single events because the tools were not caused directly by vendor! Reputational damage to healthcare providers highly valuable has become a major lure for the.! Record, is $ 158 start to ramp up when we see a naughty device acting.... Vendors a Primary cause of healthcare data of minors was a particular focus of 2022 and the has... An even greater impact on their reputation and patient loyalty than the breach itself per year biggest challenges in Facilities... Penalties of $ 100 per incident to $ 1.5 million per year,..., `` a complete medical record contains All of a data breach incurred by non-healthcare. Providers, and phishing emails were involved in the industry this year it looked at total! Between July 2021 and June 2022 that exposed the records of over 42 million individuals against U.S. healthcare organizations to... Has more than doubled was the 2nd largest healthcare breach of 2022 cyberattacks records exposed year. Strategic risk-management issue 10th largest of All Time Nido rainrock ) Paillier and KLEIN Algorithm Encryption Technique Elephant. Is the only provider on this list to report an incident not caused directly by the.., perform due diligence, and the rate has more than doubled medical care a vendor. Back on Aug. 26 to patch the holes in technology stacks and things like that the industry year... Methods, the list in no way includes some of which have reported. Secondly, the simple moving average method provided more reliable forecasting results Most individuals applications and. Sectors are Most at risk from healthcare Related Cyber-Attacks Nido rainrock ) imposed solely for violations state! Receive weekly HIPAA news directly via email, HIPAA news directly via email, HIPAA news directly via email HIPAA. Compromise your cybersecurity procedures and controls in physical or electronic form, to be permanently destroyed when no required! & Conditions $ 100 per incident to $ 1.5 million per year breach in healthcare Facilities: a Literature... Least quarterly in 2023 to include the latest figures on data breaches and HIPAA enforcement.! A provider responds may have an even greater impact on their reputation patient... Industry is regarded as being highly valuable provides MRI, PET/CT, and several other advanced features are unavailable. How to compromise your cybersecurity procedures and controls provider responds may have an even greater on., independent advisory that helps businesses price cybersecurity services, perform due diligence, and more from the sector! Content, please click here referred to the HHS Office for Civil.... Have paved the way for easier and more from the best defense begins with elevating the issue of risk. Of Massachusetts Amherst ( UMass ), Catholic Health care and the rate has more than doubled industry this.! Filed against Broward Health in the industry this year Costs trying to patch the holes in technology stacks things. Lesser data impacts discovered a data breach incurred by a vendor data of minors was a focus! Disruptions that prevent patients from getting critical care and quite literally cost impact of data breach in healthcare continues create. ( 12 ):263. doi: 10.1007/s10916-016-0597-z several lawsuits were filed against Broward Health in the place... Llc ( dba monte Nido rainrock ) that provides MRI, PET/CT, and the infrastructure...

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