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District health board

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22: 337: 225:, the Labour-led Government replaced the Hospital and Health Services system with 21 district health boards, which came into force in 2001. These DHBs operated as subsidiary organisations of the Health Ministry and were responsible for providing and funding health services within a defined geographical area. 380:(STV, a proportional voting system) has been used. The use of appointed Board members aims to balance the boards' expertise as deemed necessary. As part of the appointment process, the Minister of Health appoints a chairperson and a deputy-chair; either from the appointed members or from elected members. 279:
will also be established to centralise public health work. The transition will occur over a three-year period with an interim Health New Zealand organisation being set up in late 2021. Legislation establishing the new organisation is expected to occur in mid-2022. The second phase from late 2022 will
387:. Local-body elections take every three years on the second Saturday in October. As defined in the legislation, elected and appointed (if they get appointed in time) members started their term 58 days after the election (i.e. in early December) and the term of the previous board finished that day. 204:
coalition partner merged the RHAs in 1997 into a national purchasing agency, the Health Funding Authority. Under the Health and Disability Services Amendment Act 1998, the Crown Health Enterprises were revamped as Hospital and Health Services (HHS). As part of the coalition governing arrangement,
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and were responsible for providing health services. In addition, the Government established four Regional Health Authorities (RHAs) with purchasing responsibilities. The purchaser/provider split was meant to ensure that public hospitals did not have privileged access to purchasing resources over
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The Ministry of Health gives district health boards a set of objectives; they have a degree of autonomy in how they choose to achieve these. In contrast to their predecessors, the regional health authorities, the DHBs are non-profit providers. The DHB Funding and Performance Directorate of the
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with the goal of creating a free public health system in New Zealand. Due to disagreements between the Government and medical professionals, this vision was not realised. In 1941, the Government and medical providers concluded a series of arrangements known as the General Medical Service (GMS)
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On 1 July 2022, the district health boards were formally disestablished, with Health New Zealand assuming control of all hospitals and health services. The DHB system's functions and operations were assumed by Te Whatu Ora, Te Aka Whai Ora, and the Health Ministry. In addition, Te Whatu Ora
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On 1 May 2010 the Otago DHB and the Southland DHB merged to form a new Southern DHB, with elected members coming from two constituencies – Otago and Southland – and the remainder appointed by the Ministry of Health, with the change taking effect from the
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services to populations within a defined geographical area. They existed from 1 January 2001, when the act came into force, to 30 June 2022. Initially there were 21 DHBs, and this was reduced to 20 organisations in 2010: fifteen in the
1626: 145:. The Special Advisory Committee on Health Services Organisation (SACHSO) advocated establishing 14 "Area Health Boards" (AHBs), which combined the curative functions of the Hospital Boards with the preventative functions of the 172:
expanded the Area Health Board system. Between 1985 and 1989, the 27 existing hospital boards were restructured as AHBs. These entities were led by board members who were elected for three year terms concurrent with the
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Funding for the DHBs was allocated based on the Health Ministry's population-based funding formula. In addition, the HFA was disestablished and its health funding functions were transferred to the Health Ministry.
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Health Boards were replaced by unelected commissioners in Hawke's Bay in 2009, Southern in 2015 and Waikato in 2019. The basis on which ministers have made such decisions have been questioned.
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there was more emphasis on collaboration between health purchasers and providers while the HHS were reoriented to be less commercially focused with greater community input on hospital boards.
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The district health board (DHB) system had three predecessors: the Area Health Boards (1983–1989), the Regional Health Authorities and Crown Health Enterprises (1993–1997), and the
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DHB activities were governed by boards, which consisted of up to eleven members: seven elected by the public every three years, and up to four appointed by the Government's
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which proposed privatising public healthcare services in New Zealand. In 1993, the Area Health Boards were replaced by 23 Crown Health Enterprises (CHEs), which operated as
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introduced legislation replacing the AHB board members with Government-appointed commissioners. These changes were part of a Government "green and white paper" entitled
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to replace the country's district health boards with the new Te Whatu Ora. The legislation would also establish the Te Aka Whai Ora and a new
1962: 1488: 2854: 2507: 2423: 275:(Māori Health Authority) will be established to set up policies for Māori health and to decide and fund those who will deliver services. A 1853: 3496: 2824: 1311: 1991:"For the People, by the Minister: Ministerial Interventions in Subnational Elected Bodies and a Principled Approach to their Future Use" 1676: 1941: 3113: 2664: 181: 3093: 2300: 828: 241: 150: 2474: 2416: 2217: 1889: 590: 169: 429:
There were 20 DHBs, organised around geographical areas, of varying population sizes, though they were not coterminous with the
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regions. Due to the success of the pilot scheme, the Government passed legislation establishing Area Health Boards in 1983.
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benefits, which established a dual system of public and private healthcare services which would remain in place until 1983.
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announced that the system of district health boards was to be abolished and replaced by a single agency to be called
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launched an extensive revamp of New Zealand's healthcare system as part its of health election pledge. Under the
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During the 1970s, growing dissatisfaction with the quality and accessibility of the healthcare system led the
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established four new regional divisions to manage health services in the former 20 district health boards:
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which proposed a large-scale reform of the healthcare system. Labour subsequently lost the election to
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were organisations established by the New Zealand Public Health and Disability Act 2000 under the
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with the mandate of providing PHO resources and services, replacing the previous nine PHOs.
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Taranaki and Wairarapa District Health Boards maintained their own ambulance services, with
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announced that DHBs would be abolished and replaced by a public health agency to be called
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Ministry of Health monitors the performance of individual DHBs. DHBs provided funding to
92:(Māori Health Authority) was to be set up to regulate and provide health services to the 2152: 3194: 2884: 1883: 1167: 1163: 988: 931: 892: 888: 576: 517: 324:
Central: MidCentral, Whanganui, Capital & Coast/Hutt Valley, Hawke's Bay, Wairarapa
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Te Waipounamu: Canterbury/West Coast, Nelson Marlborough, Southern, South Canterbury.
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and characterised it as an "absurd system". He welcomed the abolition of DHBs.
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described the establishment of the district health board system as driven by
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Voting for public-elected DHB board members occurred at the same time as
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Te Manawa Taki: Waikato, Lakes, Bay of Plenty, Tairāwhiti, Taranaki
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be the expansion and development over a two-to-three year period.
3316: 3284: 2602: 1621: 976: 954: 414: 113:(HFA) and Hospital and Health Services (1998–2001). In 1938, the 1806: 1713: 1686: 1681: 1442:"Timeline: The evolution of New Zealand's public health system" 1230: 915: 758: 683: 267:(Health New Zealand), which will be modelled after the British 544: 497: 465: 1855:
Choosing Electoral Systems in Local Government in New Zealand
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Northern: Northland, Waitematā, Auckland and Counties Manukau
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Royal Commission of Inquiry into COVID-19 Lessons Learned
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Map showing district health board boundaries since 2010
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Herenga ā Nuku Aotearoa, the Outdoor Access Commission
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New Zealand Ministry of Health: District health boards
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Medical and health organisations based in New Zealand
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COVID-19 Response (Vaccinations) Legislation Act 2021
1963:"Health Minister David Clark sacks Waikato DHB board" 1677:"Hopes and doubts as health system overhaul kicks in" 1397: 1395: 1361: 1359: 2686: 1466: 1998:
New Zealand Journal of Public and International Law
1576: 1574: 1392: 1356: 223:New Zealand Public Health and Disability Act 2000 3483: 1435: 1433: 1431: 2438: 2074:. Taranaki District Health Boards. 10 June 2019 1826:"Editorial: Elected boards an unhealthy hybrid" 1571: 1366:Manch, Thomas; Witton, Bridie (21 April 2021). 1307:List of chairpersons of district health boards 2672: 2424: 2168: 1428: 2649:indicates an entity which has been dissolved 2508:Energy Efficiency and Conservation Authority 340:The DHBs operate healthcare facilities. The 44:, responsible for ensuring the provision of 1365: 1312:Association of Salaried Medical Specialists 2679: 2665: 2454:public sector organisations in New Zealand 2431: 2417: 2175: 2161: 2038: 1647: 153:piloted a trial AHB health scheme in the 88:(Health New Zealand). In addition, a new 3094:COVID-19 Public Health Response Act 2020 1439: 335: 61:. DHBs received public funding from the 20: 3180:Samoan Assemblies of God in New Zealand 1861:. STV Taskforce. May 2002. p. 27. 200:, the governing National Party and its 3484: 2532:Health Research Council of New Zealand 1745:"Health and disability system reforms" 820:, Ōtaki ward of Kāpiti Coast District 16:Defunct health provider in New Zealand 3502:2022 disestablishments in New Zealand 3492:District health boards in New Zealand 2660: 2412: 2156: 2041:"Waikato DHB Board sacking confirmed" 1914:from the original on 31 December 2005 1614: 1596:from the original on 8 September 2012 1401: 248:; reducing the number of DHBs to 20. 2578:New Zealand Qualifications Authority 1773: 219:Labour-Alliance coalition government 3190:The Freedoms & Rights Coalition 3104:COVID-19 Response Recognition Award 2570:New Zealand Fire Service Commission 1888:: CS1 maint: ignored ISBN errors ( 1489:"New Zealand Health System Reforms" 1440:Williams, Katarina (16 June 2020). 13: 3497:2001 establishments in New Zealand 2545:Kāinga Ora – Homes and Communities 2100:. Wairarapa District Health Boards 1648:Langstone, Michelle (1 May 2021). 1629:from the original on 21 April 2021 1582:"New Southern DHB roles announced" 1549:"Population-based funding formula" 1529:from the original on 22 April 2022 1132:excluding Waimarino-Waiouru ward. 401:covering the rest of the country. 14: 3523: 3302:Millennium & Copthorne Hotels 2613:Social Workers Registration Board 2465:Accident Compensation Corporation 2141: 1904:"District Health Board Elections" 1499:from the original on 18 June 2022 1454:from the original on 9 April 2022 131:A health service for New Zealand, 73:) and partially appointed by the 3129:New Zealand Microbiology Network 2688:COVID-19 pandemic in New Zealand 2603:Pharmaceutical Management Agency 2593:New Zealand Trade and Enterprise 1788:from the original on 1 July 2022 1755:from the original on 3 July 2022 1725:from the original on 7 June 2022 1318:List of hospitals in New Zealand 149:'s district health offices. The 2583:NZ Transport Agency Waka Kotahi 2560:New Zealand Antarctic Institute 2341:Southland District Health Board 2112: 2086: 2060: 2039:Macpherson, Dave (7 May 2019). 2032: 2004: 1983: 1955: 1926: 1896: 1846: 1818: 1800: 1767: 1737: 1701: 1669: 1641: 331: 104: 2513:Fire and Emergency New Zealand 1608: 1541: 1511: 1402:Quinn, Rowan (21 April 2021). 1330: 514:Western Bay of Plenty District 300:Pae Ora (Healthy Futures) Bill 251: 246:Southern District Health Board 129:to issue a white paper called 1: 2631:Tertiary Education Commission 2485:Crown Health Financing Agency 1615:Small, Zane (21 April 2021). 1323: 368:held on 13 October using the 186:Your Health and Public Health 1942:Parliamentary Counsel Office 1288:, Waimarino-Waiouru ward of 706:Central Hawke's Bay District 424: 355:primary health organisations 208: 7: 3322:SkyCity Entertainment Group 2336:Otago District Health Board 2094:"After Hours and Emergency" 1807:DHB Funding and Performance 1300: 435: 10: 3528: 3507:Health care in New Zealand 3200:The Disinformation Project 2537:Health Sponsorship Council 2524:Health Promotion Authority 1774:Brew, Andy (1 July 2022). 1106:Thames Coromandel District 370:first-past-the-post voting 182:Fourth National Government 99: 3451: 3415: 3385: 3355: 3215: 3208: 3167: 3079: 3004: 2903: 2817: 2747: 2701: 2694: 2644: 2588:New Zealand Tourism Board 2565:New Zealand Blood Service 2479:Aviation Security Service 2460: 2450: 2397: 2349: 2328: 2286: 2198: 2191: 973:Queenstown Lakes District 407:2010 local-body elections 399:Wellington Free Ambulance 374:2004 local-body elections 366:2001 local-body elections 242:Fifth National Government 151:Third National Government 2475:Civil Aviation Authority 1812:31 December 2005 at the 1519:"District health boards" 1338:"District health boards" 1172:South Wairarapa District 378:single transferable vote 372:system (FPP). Since the 306:while strengthening the 240:were amalgamated by the 170:Fourth Labour Government 119:Social Security Act 1938 111:Health Funding Authority 3398:2022 Wellington protest 1938:www.legislation.govt.nz 1102:Matamata Piako District 1063:South Taranaki District 296:Sixth Labour Government 277:Public Health Authority 269:National Health Service 190:state-owned enterprises 127:Third Labour Government 115:First Labour Government 42:Fifth Labour Government 3369:Papatoetoe High School 3109:District health boards 2490:District health boards 2184:District health boards 1831:The New Zealand Herald 1590:New Zealand Government 1493:New Zealand Parliament 1118:South Waikato District 969:Central Otago District 431:Regions of New Zealand 349: 180:In 1991, the incoming 30:District health boards 26: 2951:Helen Petousis-Harris 2608:Real Estate Authority 2550:Legal Services Agency 2503:Electricity Authority 2498:Earthquake Commission 2477:(Constituent agency: 1055:New Plymouth District 810:Palmerston North City 620:Kāpiti Coast District 346:Christchurch Hospital 339: 294:In October 2021, the 271:. In addition, a new 24: 3144:Traffic light system 2636:WorkSafe New Zealand 2555:Maritime New Zealand 2520:(Health New Zealand) 2400:List of chairpersons 2098:wairarapa.dhb.org.nz 858:Marlborough District 569:Waimakariri District 385:local-body elections 304:Public Health Agency 175:local council bodies 147:Department of Health 3245:Bank of New Zealand 2623:Transit New Zealand 2470:Careers New Zealand 2068:"Ambulance Service" 1286:Rangitikei District 1122:Otorohanga District 818:Horowhenua District 232:On 1 May 2010, the 193:private hospitals. 80:In April 2021, the 3195:Voices for Freedom 3185:Te Pūnaha Matatini 3119:Ministry of Health 2885:Sarah Stuart-Black 2301:Nelson Marlborough 2124:Ministry of Health 1908:Ministry of Health 1749:Ministry of Health 1553:Ministry of Health 1523:Ministry of Health 1344:. 12 February 2020 1342:Ministry of Health 1168:Carterton District 1164:Masterton District 1059:Stratford District 1007:Hauora Tairāwhiti 989:Southland District 932:Mackenzie District 893:Whangarei District 889:Far North District 829:Nelson Marlborough 577:Ashburton District 518:Whakatane District 362:Minister of Health 350: 308:Ministry of Health 258:Minister of Health 256:On 21 April 2021, 75:minister of Health 63:Ministry of Health 27: 3479: 3478: 3452:Associated states 3411: 3410: 3307:Ngāi Tahu Tourism 3265:Fletcher Building 3250:Bauer Media Group 3175:Counterspin Media 3114:Managed isolation 3075: 3074: 2976:Collin Tukuitonga 2830:Ashley Bloomfield 2809:Michael Woodhouse 2799:Fletcher Tabuteau 2749:Epidemic Response 2654: 2653: 2618:Sport New Zealand 2406: 2405: 2324: 2323: 2218:Capital and Coast 1592:. 31 March 2010. 1495:. 29 April 2009. 1409:Radio New Zealand 1298: 1297: 1282:Wanganui District 1251:Westland District 1202:Pre-amalgamation 1024:Gisborne District 1014:.hauoratairawhiti 993:Invercargill City 806:Manawatū District 698:Hastings District 665:Franklin District 661:Papakura District 655:Pre-amalgamation 591:Capital and Coast 561:Kaikoura District 557:Christchurch City 202:New Zealand First 82:Labour government 3519: 3454:and dependencies 3356:Disease clusters 3342:Virgin Australia 3332:Steel & Tube 3260:Dunedin Railways 3213: 3212: 3139:NZ Pass Verifier 2860:Caroline McElnay 2699: 2698: 2681: 2674: 2667: 2658: 2657: 2433: 2426: 2419: 2410: 2409: 2306:South Canterbury 2223:Counties Manukau 2196: 2195: 2177: 2170: 2163: 2154: 2153: 2135: 2134: 2132: 2130: 2116: 2110: 2109: 2107: 2105: 2090: 2084: 2083: 2081: 2079: 2064: 2058: 2057: 2055: 2053: 2036: 2030: 2029: 2027: 2025: 2008: 2002: 2001: 2000:. December 2015. 1995: 1987: 1981: 1980: 1978: 1976: 1959: 1953: 1952: 1950: 1948: 1930: 1924: 1923: 1921: 1919: 1900: 1894: 1893: 1887: 1879: 1877: 1875: 1860: 1850: 1844: 1843: 1841: 1839: 1822: 1816: 1804: 1798: 1797: 1795: 1793: 1771: 1765: 1764: 1762: 1760: 1741: 1735: 1734: 1732: 1730: 1705: 1699: 1698: 1696: 1694: 1673: 1667: 1666: 1664: 1662: 1645: 1639: 1638: 1636: 1634: 1612: 1606: 1605: 1603: 1601: 1578: 1569: 1568: 1566: 1564: 1555:. Archived from 1545: 1539: 1538: 1536: 1534: 1515: 1509: 1508: 1506: 1504: 1485: 1464: 1463: 1461: 1459: 1437: 1426: 1425: 1423: 1421: 1416:on 21 April 2021 1412:. Archived from 1399: 1390: 1389: 1387: 1385: 1380:on 20 April 2021 1376:. Archived from 1363: 1354: 1353: 1351: 1349: 1334: 1290:Ruapehu District 1278: 1275: 1273: 1271: 1239: 1236: 1234: 1232: 1204:North Shore City 1199: 1196: 1194: 1192: 1160: 1157: 1155: 1153: 1151: 1130:Ruapehu District 1126:Waitomo District 1110:Hauraki District 1098:Waikato District 1090: 1087: 1085: 1083: 1051: 1048: 1046: 1044: 1020: 1017: 1015: 1013: 965:Waitaki District 961: 958: 956: 936:Waimate District 924: 921: 919: 917: 907:South Canterbury 897:Kaipara District 885: 882: 880: 878: 846: 843: 841: 839: 814:Tararua District 802: 799: 797: 795: 767: 764: 762: 760: 733: 730: 728: 726: 720:Hutt Valley DHB 690: 687: 685: 652: 649: 647: 646:.countiesmanukau 645: 635:Counties Manukau 608: 605: 603: 601: 565:Hurunui District 553: 550: 548: 546: 526:Opotiki District 522:Kawerau District 506: 503: 501: 499: 474: 471: 469: 467: 436: 244:to form the new 57:and five in the 3527: 3526: 3522: 3521: 3520: 3518: 3517: 3516: 3482: 3481: 3480: 3475: 3453: 3447: 3407: 3381: 3351: 3347:Warehouse 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3154:Zero-COVID 3081:Government 2904:Scientists 2855:Megan Main 2789:Shane Reti 2779:Ruth Dyson 2764:Kiri Allan 2316:West Coast 2296:Canterbury 2253:Tairawhiti 2243:MidCentral 1324:References 1222:West Coast 1152:.wairarapa 1003:Tairāwhiti 785:MidCentral 639:CM Health 536:Canterbury 155:Wellington 50:disability 3052:Paul Reid 3012:Suzy Cato 2850:Rose King 2835:Mike Bush 2825:Jim Bliss 2818:Officials 2751:Committee 2351:Elections 2278:Whanganui 2273:Waitemata 2268:Wairarapa 2248:Northland 1884:cite book 1838:8 January 1693:15 August 1261:Whanganui 1182:Waitematā 1141:Wairarapa 868:Northland 761:.lakesdhb 684:hawkesbay 425:Locations 411:Alexandra 344:operates 209:Formation 159:Northland 67:the Crown 3416:Timeline 3393:Protests 3255:Bunnings 3240:ASB Bank 3225:2degrees 3027:Sue Grey 3022:Rob Fyfe 2890:Ian Town 2311:Southern 2258:Taranaki 2208:Auckland 2192:Existing 1918:20 April 1912:Archived 1810:Archived 1786:Archived 1753:Archived 1723:Archived 1633:21 April 1627:Archived 1600:20 April 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Index


New Zealand
Fifth Labour Government
health
disability
North Island
South Island
Ministry of Health
the Crown
local elections
minister of Health
Labour government
Te Whatu Ora
Te Aka Whai Ora
Māori community
Health Funding Authority
First Labour Government
Social Security Act 1938
Third Labour Government
Robert Muldoon
National Party
1975 election
Department of Health
Third National Government
Wellington
Northland
1984 election
Fourth Labour Government
local council bodies
Fourth National Government

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