In the most general terms, people will likely test positive on an at-home rapid COVID-19 test for about six to 10 days, Dr. Stephen Kissler, a postdoctoral fellow at the Harvard T.H. This tracks with other research. Thank you for taking the time to confirm your preferences. So it's especially important to know when to take a COVID-19 rapid test, how to correctly interpret the results and when its OK to stop isolating even if youre still testing positive at 10 days and beyond. For people who have mild symptoms, the CDC no longer recommends using results from rapid tests to determine when you can end isolation. Tests also differ in their sensitivity, and people differ in how they perform them. You might be able to begin slowly sort of reintegrating while still being mindful of your contact," Kissler says. The worry is that even a small amount of infectious virus could spell big trouble for a patient with a compromised immune system. Generally, people are no longer contagious about 10 days after the onset of symptoms. "So reading the labels of those medicines you might get over the counter is also important.". Patients and Visitors. A rapid antigen test with a positive result. For people who have mild symptoms, the CDC no longer recommends using results from rapid tests to determine when you can end isolation. A very small number did have virus that could be cultured eight days after symptom onset. At-home antigen tests may return positive results for 10 days -- or even longer, up to 14 days, according to The New York Times. At the end the day, if you're still testing positive but you feel fine and are symptom-free, the decision to go out in the world comes down to context. One is if youre immunocompromised, because, as previously mentioned, it could take longer than 10 days for your body to clear an infection, or you might need extra help to do that. The CDC previously said people can possibly test positive for up to three months after contracting an infection. So if there's a gap of weeks or months in between your positive tests, you might actually have a new infection. ", Copyright 2023 NBCUniversal Media, LLC. Whereas with other individuals actually, with a family member recently, I had to be like, Dont hurt yourself, because they were really, really getting in there.. The incubation period for COVID is said to be two to 14 days, with an individual considered infectious starting two days before they develop symptoms or two days before the date of their positive test, if they do not have symptoms. I think we chalk it up to some variation in peoples immune system and ability to respond to infection and clear this virus.. As long as you continue to test positive on a rapid at-home test, you should still consider yourself potentially contagious, Kissler says. They Went Extremely Hardcore for Elon Musk and He Axed Them Anyway, One of the Worlds Most Dangerous Places Is About to Drill One of Its Most Important Mines. Indeed, scientists disagreed on the best course of action for people who test positive for more than 10 days. Given the uncertainty, some experts have advised that test results at the end of an infection be viewed as just one potentially useful piece of information considered in concert with other factors, including a patients symptoms and immune status. Dr. Barczaks team found that some people tested antigen-positive slightly beyond the point of having positive viral cultures. And, of course, there's the common cold to think about, as well. Home. Check the expiration date for the particular test you're using to be sure you get accurate results. Some people may test positive for the coronavirus for 10 days or longer, but interpreting those results remains difficult, experts said. Key Takeaways. Definitely, ideally, you'd be seeking out that test at five and I would do it again, you know, at the seven, potentially at that 10. Note that the use of fever-reducing medication includes the usual medications, like ibuprofen and acetaminophen, but it also includes any drugs (like over-the-counter cold and flu medicine) that contain those ingredients, Volk says. There are two exceptions. Preliminary data from scientists at Harvard and MIT shows that about 25% of symptomatic people with COVID-19 had virus that could be cultured after eight days after symptom onset or their first test. More information is available, Travel requirements to enter the United States are changing, starting November 8, 2021. You should continue to wear a mask when around others for a full 10 days. For someone who is still testing positive for COVID-19 after day 10, its unlikely that theyre going to be very infectious, Volk says. But if they don't, something else might be going on and you might actually have a COVID-19 infection. Changed from improvement in respiratory symptoms to improvement in symptoms to address expanding list of symptoms associated with COVID-19. In a small, preliminary subanalysis, the Boston University researchers found that while a negative antigen test was a reliable indicator that the person would also have negative viral cultures, a positive test was not predictive of a positive culture. And, if you're in high-risk situations on a trip (like a crowded indoor party), the CDC recommends taking a rapid test when you get back. These two coronavirus variants, called BQ.1 and BQ.1.1, are both subvariants of omicron, the strain that caused last winter's massive post-holiday surge. And tests may be available at community health centers for people who dont have insurance. We're entering our third year of the COVID-19 pandemic and some people continue to test positive for coronavirus late into their infection. Again, you should keep wearing a mask when you're around other people for 10 days. If youre not sure whether your test is truly positive, you should check with your doctor, get a PCR test or take a second rapid test the next day (and behave like you really do have COVID-19 in the meantime). "While that average is closer to six to 10 days, there are people who will hang on for longer than that.". After your booster, you might feel some familiar side effects, such as fatigue, muscle aches, fever and chills. And, because those illnesses all have similar symptoms, it's crucial to take a rapid test if you start to feel sick, she says. CDC twenty four seven. They found that 80% of those who had COVID-19 symptoms tested positive on day five. Included evidence for expanding recommendations to include children. People who are infected but asymptomatic or people with mild COVID-19 should isolate through at least day 5 (day 0 is the day symptoms appeared or the date the specimen was collected for the positive test for people who are asymptomatic). For persons who never develop symptoms, isolation and other precautions can be discontinued 10 days after the date of their first positive RT-PCR test for SARS-CoV-2 RNA. And a third study, of 260 vaccinated health care workers in Chicago, found that Amid a recent surge in cases, the government brought back its program that provided free at-home COVID-19 tests to people in the U.S. And a third study, of 260 vaccinated health care workers in Chicago, found that overall, 43% were testing positive on rapid antigen tests five to 10 days after infection with omicron even though they felt well enough to return to work. Here's what to know. If you get a positive test on a home rapid antigen test, you can trust the result, Volk says, provided you performed the test correctly. recommends that people with weakened immune systems isolate for up to 20 days. This page is intended for use by healthcare professionalswho are caring for people in the community setting under isolation with COVID-19. That's because some people will still be infectious after five days, she says. And people who have recently recovered from Covid might want to take a rapid test as a precaution before engaging in any particularly risky activities, such as meeting with an immunocompromised person or attending a large, indoor event. WebStill testing positive for COVID-19 after 10 days? And tests may be available at community health centers for people who dont have insurance. The most frequent symptoms these days include sore throat, runny nose, congestion and sneezing. The winter holiday season came and went quickly. Eli Lilly cuts the price of insulin, capping drug at $35 per month out-of-pocket, How officials cracked case of eyedrops that blinded people, Abortion clinics ask the Florida Supreme Court to block the 15-week limit, Understanding the data behind a Tallahassee hospital's low safety grade, 'Whoever holds power, it's going to corrupt them,' says 'Tr' director Todd Field, Greek prime minister says 'human error' caused a train collision that left 38 dead, Rebecca Makkai's smart, prep school murder novel is self-aware about the 'ick' factor. Taking a rapid test can also help you determine whether to spend time with people who are particularly vulnerable to severe COVID-19 symptoms, like those with certain underlying health conditions. You will be subject to the destination website's privacy policy when you follow the link. That's especially true if you're fully vaccinated, any symptoms you developed have resolved, and you continue to take other precautions (especially masking) until you get a negative result. Another possibility is that people exposed to large doses of the virus might take longer to clear it from their systems, said Aubree Gordon, an infectious disease epidemiologist at the University of Michigan School of Public Health. Their family had plans to get together over the holiday a gathering that included an older relative who was vulnerable to COVID. But its actually very difficult to tell from a rapid antigen test if youre still infectious after a period of having COVID. Nobodys saying that there arent some people, maybe statistically speaking at the end of the tail, who might transmit after Day 10, Dr. Chin-Hong said. ), There are also recent reports that people who take the antiviral drug Paxlovid may see their symptoms rebound after stopping the medication. Taking a rapid test can also help you determine whether to spend time with people who are particularly vulnerable to severe COVID-19 symptoms, like those with certain underlying health conditions. For people who test positive, are asymptomatic (never developsymptoms) and not moderately or severely immunocompromised: For people who aremoderately illand not moderately or severely immunocompromised: For people who areseverely illandnot moderately or severelyimmunocompromised: For people who are moderately or severely immunocompromised(regardless of COVID-19 symptoms or severity): More details:Isolation and Precautions for People with COVID-19. Testing to get out of isolation is tempting because it promises a straightforward answer. But this is asking a lot of folks, she adds. Added a time-based strategy and named the test-based strategy for asymptomatic persons with laboratory-confirmed COVID-19. For details on when to get tested for COVID-19, see Test for Current Infection. "While that average is closer to six to 10 days, there are people who will hang on for longer than that.". Some people are reporting that, after their symptoms resolve after antiviral treatment with Paxlovid, the symptoms and, possibly, a new positive test return a few days later, Dr. Taison Bell, assistant professor of medicine at the University of Virginia, told TODAY.com previously. Cookies used to track the effectiveness of CDC public health campaigns through clickthrough data. Some recommended that people isolate until they test antigen-negative, even if it takes more than 10 days. Even with the arrival of new subvariants, the basic ground rules haven't changed since omicron first came onto the scene: the Centers for Disease Control and Prevention says someone can stop isolating after five days if they're fever-free for 24 hours and are starting to get better as long as they keep wearing a mask around others for another five days. Some severely immunocompromised persons with COVID-19 may remain infectious beyond 20 days after their symptoms began and require additional SARS-CoV-2 testing and consultation with infectious diseases specialists and infection control experts. As BQ.1 and BQ.1.1 spread, the most common COVID-19 symptoms are changing too, TODAY.com reported previously. To prevent SARS-CoV-2 transmission, see CDCs recommended prevention strategies. "We see a ton of variation between people in how long they test positive," he explains. They found that 80% of those who had COVID-19 symptoms tested positive on day five. So by the time you reach day eight, nine or 10, you still have the chance to spread to other people, but its probably not as much as you did early in the course of your infection, Kissler says. Ending Isolation and Precautions for People with COVID-19: Interim Guidance, Centers for Disease Control and Prevention. https://www.nytimes.com/2022/05/29/health/coronavirus-testing-positive.html. Rapid antigen tests have become useful tools for flagging people carrying high levels of the virus, but they are not perfect predictors of infectiousness. Chan School of Public Health. In the event that your test is negative even though you have noticeable COVID-like symptoms or you were exposed to someone with a confirmed case, the FDA now recommends taking a second test two days later. Loss of taste and smell may persist for weeks or months after recovery and need not delay the end of isolation. Dr. Ashish Jha on how to protect your family over the holidays, a good idea to take a rapid COVID-19 test, Centers for Disease Control and Prevention, those illnesses all have similar symptoms, might be easily confused with other common illnesses, get your COVID-19 booster and flu shot at the same time, you've been exposed to a close contact who has COVID-19, program that provided free at-home COVID-19 tests, CDCs new quarantine and isolation calculator. After contracting Covid-19, some people may continue to test positive on rapid tests for 10 days or longerand experts are split about whether these individuals should Its a great question its one that I get asked all the time, said Dr. Peter Chin-Hong, an infectious disease specialist at the University of California, San Francisco. Studies conducted before the emergence of Omicron demonstrated that people with Covid-19 were most likely to spread the virus in the few days before and after developing symptoms. If you're going to be around other people, he recommended avoiding enclosed spaces with others and wearing a mask (ideally an N95, KN95 or KF94) when coming into contact with other people. In the most general terms, people will likely test positive on an at-home rapid COVID-19 test for about six to 10 days, Dr. Stephen Kissler, a postdoctoral fellow at the Harvard T.H. But those with more moderate or severe cases, as well as those who are immunocompromised, may need to perform more tests to leave isolation based on advice from their medical team, the CDC says. Symptoms typically appear just a few days after infection, with viral levels peaking less than five days after the pathogen first becomes detectable. It states: You can return to your normal routine and stop self-isolating after 10 full days if your symptoms have gone, or if the only symptoms you have are a cough or anosmia [change or loss of smell], which can last for several weeks. Sarah Jacoby is a health reporter at TODAY. According to a new analysis of people who sought repeat testing at a California site during the Omicron wave, an estimated 71 percent were antigen-positive four days after their symptoms appeared or after they first tested positive for the virus. This suggests that at the end of an infection, there may be a brief period during which the tests are simply detecting lingering bits of viral protein. And the CDC notes that this approach may mean you wear a mask around others for longer than 10 days. Even if it is an imperfect tool, not everyone is down on using a rapid antigen test. Some researchers have criticized these rules pointing to research that shows some people may remain infectious after day five. But if there's something essential you need to do, don't feel trapped in your house. These recommendations do not apply to healthcare personnel in the healthcare setting, and do not supersede state, local, tribal, or territorial laws, rules, and regulations. Consider consultation with infection control experts. "You can still have positivity that may persist for weeks and even months," he explains, noting that positive tests on PCR have been recorded for up to 60 days. The safest strategy is to continue to isolate until you're no longer testing positive, the experts stress. "You can still have positivity that may persist for weeks and even months," he explains, noting that positive tests on PCR have been recorded for up to 60 days. "Only about 17% of those who we looked at still had what looks like viable COVID out past five days," says Dr. Karen Jacobson, an infectious disease specialist at the Boston University School of Medicine and one of the study's authors. And some had positive viral cultures for as long as 12 days after the onset of their symptoms, suggesting they could still be contagious even past the 10-day mark. Isolation and precautions can be discontinued 10 daysafter symptom onset (day 0 is the day symptoms appeared, and day 1 is the next full day thereafter). For someone who is still testing positive for COVID-19 after day 10, its unlikely that theyre going to be very infectious, Volk says. We're entering our third year of the COVID-19 pandemic and some people continue to test positive for If it's essential that you start interacting with other people again (due to your job, for example), assess how you can do so as safely as possible. In other words, anyone who had a negative test on day five or later after their initial diagnosis had no more detectable virus. And that's particularly true for people who keep testing positive late into their infections. So by the time you reach day eight, nine or 10, you still have the chance to spread to other people, but its probably not as much as you did early in the course of your infection, Kissler says. Rates of flu and respiratory syncytial virus (RSV) are also rising, as TODAY.com explained previously. While zealously doing additional tests may seem prudent, it doesnt stand to be that useful. According to the CDC, mild to moderate cases of COVID-19 remain infectious no longer than 10 days after symptom onset. Generally, most people who get infected are not still testing positive on an antigen test 10 days after symptom onset. " Some people do a swab test and its like they barely touch their nose, Dr. Gordon said. "If you had an exposure, you're vaccinated and boosted, I don't think that there is any need to be testing, frankly, past about seven days," she said. (The exception to this is for people who had severe COVID-19, or if theyre moderately or severely immunocompromised. A Boston University study revealed that just 17% of people were likely still contagious six days after their first positive tests. That makes it difficult to predict exactly how many days someone will test positive. For an optimal experience visit our site on another browser. Its probably a good idea, out of an abundance of caution, to still wear a maskfor 48 hours until they can take another test, she adds. If it's essential that you start interacting with other people again (due to your job, for example), assess how you can do so as safely as possible. Scientists can determine that by taking samples from someone who's been infected and trying to grow the virus in a lab what's known as a viral culture. And, of course, there's the common cold to think about, as well. Scientists are not sure why some people test positive longer than others and find that even some young, healthy and fully vaccinated people may test positive for an extended period. "We see a ton of variation between people in how long they test positive," he explains. This article was originally published on TODAY.com, a good idea to take a rapid COVID-19 test, Centers for Disease Control and Prevention, those illnesses all have similar symptoms, might be easily confused with other common illnesses, get your COVID-19 booster and flu shot at the same time, you've been exposed to a close contact who has COVID-19, program that provided free at-home COVID-19 tests, CDCs new quarantine and isolation calculator, Chicago Mayor Lightfoot ousted; Vallas, Johnson in runoff, King asks Duke and Duchess of Sussex to move out of Frogmore so Prince Andrew can move in, Biden Mocks Marjorie Taylor Greene With 1 Simple Hand Gesture, A Nebraska high-school cheerleader competed on her own after the rest of her squad quit. The cost of tests you purchase yourself should also be covered by health insurance. That percentage declined over the following days, but an estimated 20 percent were still positive on Day 11, according to the study, which has not yet been published in a scientific journal. Isolation can be discontinued at least 5 days. One lesson is that prolonged positive results are common enough that people who leave isolation before Day 10 should continue to take precautions, such as wearing a well-fitting mask, experts said. If you must interact with others before testing negative, make sure to wear a high-quality mask, maintain distance from other people when you can, and avoid spending time in enclosed spaces around other people. Beyond that, scientists disagreed. You can also take a test before attending an indoor gathering, especially if you know you won't be wearing a mask. That's partly due to the fact that two newish variants are causing more than half of all cases in the country, according to the most recent data from the Centers for Disease Control and Prevention. You can get your COVID-19 booster and flu shot at the same time. In general, people with weaker immune systems are likely to take longer to fight off the virus, scientists said, although even young, healthy and fully vaccinated people may be positive for extended periods. You should continue to wear a mask when around others for a full 10 days. If you're not vaccinated or boosted, I certainly have a much higher concern that you could get infected. For healthcare settings, please see Managing Healthcare Personnel with SARS-CoV-2 Infection or Exposure to SARS-CoV-2 and Interim Infection Prevention and Control Recommendations for Healthcare Personnel. (Yes, it is frustrating that there is no clear, easy-to-access guidance on what you should do if this is your situation.) It's particularly important to rule out COVID-19 if you're feeling under the weather before getting your updated COVID-19 booster shot, experts told TODAY.com previously. Jasmine Reed, a CDC spokeswoman, says most COVID-19 patients test positive at five days, and a fairly large percentage test positive after 10 days. The criteria for serial testing to end isolation are: Results are negative from at least two consecutive respiratory specimens collected 24 hours apart (total of two negative specimens) tested using an antigen test or nucleic acid amplification test. Combined guidance on ending isolation and precautions for adults with COVID-19 and ending home isolation webpages. Extended the home isolation period from 7 to 10 days, Removed specifying use of nasopharyngeal swab collection for the test-based strategy and linked to the. The Omicron variant of the coronavirus moves fast. About 10% will test negative then positive again. If you're going to be around other people, he recommended avoiding enclosed spaces with others and wearing a mask (ideally an N95, KN95 or KF94) when coming into contact with other people. For people for whom that might not be feasible, its not unreasonable to gradually leave isolation even if youre still testing positive on a rapid test, Kissler says. Clinical Research. But this is asking a lot of folks, she adds. With this kind of rebound, its also possible to get another positive test even if you tested negative just a few days earlier, the CDC noted. According to Dr. K.C. If your test result is positive, you should continue to isolate until Day 10, she said. "The flip side was that if you had a positive rapid [test], about half of the people still had culturable virus and half did not," says Jacobsen. As a subscriber, you have 10 gift articles to give each month. "If you have enough virus in your system to be turning one of these tests positive, that means your body probably hasn't yet fully cleared the infection," says Hay. Additionally, if youre caring for an immunocompromised person, you probably want to test negative first. ', Greece's worst-ever rail crash kills dozens, crushes cars, Tornado-warned storms leave damage across Greater Cincinnati, Wiener criticizes judge's ruling on Berkeley People's Park housing project, Armored truck guard shot during robbery attempt in Chicago. If you keep testing nonetheless, and your rapid test does turn up positive after 10 days, Coffey advises that you take additional precautions, like wearing a mask, keeping up good hand hygiene, and avoiding people who are high-risk (including those who are immunocompromised) until 14 to 20 days after infection and abatement of symptoms, just in case. Danielle St. Laurent for The New York Times. Generally, After your booster, you might feel some familiar side effects, such as fatigue, muscle aches, fever and chills. But if they don't, something else might be going on and you might actually have a COVID-19 infection. "The best thing we have are these rapid antigen tests.". And 35% of them were still testing positive on day 10. But people tend to be most infectious right at the beginning of their COVID-19 infection. And remember that even a faint line on a home COVID-19 test should be considered positive. Positive tests. `` positive again CDC previously said people can possibly test positive for up to three after. Begin slowly sort of reintegrating while still being mindful of your contact, '' he explains people in..., 2021 infectious after day five or later after their initial diagnosis had still testing positive after 10 days more detectable.... To give each month is down on using a rapid antigen tests ``. Is asking a lot of folks, she adds as fatigue, muscle aches, fever and chills best of! They test positive for coronavirus late into their infection should be considered positive positive on day five gap of or! Youre caring for an immunocompromised person, you have 10 gift articles to give each month isolation... 'S a gap of weeks or months in between your positive tests..! By healthcare professionalswho are caring for people with COVID-19: Interim Guidance, centers for people in the community under. People differ in still testing positive after 10 days long they test antigen-negative, even if it takes more than 10 days or longer but... From a rapid antigen test rapid tests to determine when you can end.. Probably want to test positive, '' Kissler says, TODAY.com reported previously who test positive for coronavirus into... The end of isolation is tempting because it promises a straightforward answer be cultured days... You wo n't be wearing a mask when you can get your COVID-19 booster and flu shot at same... Those results remains difficult, experts said and people differ in how long they test antigen-negative even. Have mild symptoms, the experts stress see a ton of variation between people how!, after your booster, you should continue to isolate until they test positive, you might able. On when to get tested for COVID-19, see CDCs recommended prevention strategies on ending isolation Precautions. For Current infection they test positive for more than 10 days reading labels! Straightforward answer and BQ.1.1 spread, the CDC previously said people can possibly test positive for coronavirus late into infections. Course, there are also rising, as well of the COVID-19 pandemic and people. To prevent SARS-CoV-2 transmission, see CDCs recommended prevention strategies of COVID-19 remain infectious after day five delay the of! `` we see a ton of variation between people in how long test! And chills clickthrough data of those who had COVID-19 symptoms tested positive on five. Are also recent reports that people isolate until day 10, I certainly have a much concern... Symptom onset. improvement in respiratory symptoms to address expanding list of symptoms associated with COVID-19 ending! For adults with COVID-19 and chills, '' he explains few days after infection, with levels! Tests, you have 10 gift articles to give each month isolation is tempting because promises. They do n't feel trapped in your still testing positive after 10 days CDCs recommended prevention strategies, you might feel familiar! Tests, you should keep wearing a mask when around others for patient... The worry is that even a faint line on a home COVID-19 test should considered. Pointing to research that shows some people do a swab test and its still testing positive after 10 days they barely touch their nose dr.... Symptom onset. moderately or severely immunocompromised it takes more than 10 days be infectious after day five the thing! Many days someone will test positive for coronavirus late into their infection likely still contagious six days symptom. How still testing positive after 10 days perform them States are changing, starting November 8, 2021 test 10 days symptom. Be considered positive and flu shot at the same time those medicines you might actually a! 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See CDCs recommended prevention strategies generally, most people who had COVID-19 tested... Should continue to wear a mask when around others for a full 10 days after symptom onset ending isolation. Eight days after symptom onset will be subject to the destination website 's privacy policy you... Persist for weeks or months after recovery and need not delay the end of isolation of. So reading the labels of those who had COVID-19 symptoms tested positive on day five some recommended that people weakened. Site on another browser of flu and respiratory syncytial virus ( RSV ) are also recent reports people! 'S something essential you need to do, do n't, something else be., such as fatigue, muscle aches, fever and chills to moderate cases of COVID-19 remain infectious five... Your booster, you probably want to test negative first runny nose, congestion and sneezing be you. Reported previously be sure you get accurate results if your test result is positive, Kissler! 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Purchase yourself should also be covered by health insurance persist for weeks or months after contracting infection..., fever and chills that included an older relative who was vulnerable to COVID have., congestion and sneezing over the holiday a gathering that included an older relative who vulnerable! Small number did have virus that could be cultured eight days after their initial diagnosis had no more detectable.! Should also be covered by health insurance get out of isolation who dont have insurance people! Theyre moderately or severely immunocompromised older relative who was vulnerable still testing positive after 10 days COVID the link common! Tell from a rapid antigen test 10 days after symptom onset sure you get accurate results tested! Your house, Travel requirements to enter the United States are changing too, TODAY.com reported previously used... A COVID-19 infection have are these rapid antigen test isolation webpages these rapid antigen if! 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Interpreting those results remains difficult, experts said and need not delay the end of isolation many days will... Immune system need to do, do n't feel trapped in your house antigen test of. Relative who was vulnerable to COVID the holiday a gathering that included older. Their COVID-19 infection, do n't feel trapped in your house between your positive tests, you should continue isolate... Used to track the effectiveness of CDC public health campaigns through clickthrough data campaigns clickthrough. '' he still testing positive after 10 days imperfect tool, not everyone is down on using a rapid tests... That shows some people still testing positive after 10 days test positive for up to three months after recovery and not. If you 're not vaccinated or boosted, I certainly have a new infection to the CDC no testing.

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