foreigners catching hiv in thailand

foreigners catching hiv in thailand

The https:// ensures that you are connecting to the In some countries, people applying for a visa or residency permit may be obliged to take an HIV test or to prove their HIV-negative status. NAM is a charity based in the United Kingdom. A type of fungal infection usually affecting the membrane around the brain, causing meningitis. Price: $ 36. But when sex workers hook up with customers online, we can only wait for them to access e-learning modules, PR materials or come to us, she said. The room was super clean, well-designed, and definitely made me feel comfortable. STDs increasing in Thailand, because condoms mean mistrust. The only country in East Asia that will deport on the basis of HIV status is the Democratic People's Republic of Korea (North Korea). In 1992, Prime Minister Anand Panyarachun started the 100-percent condoms initiative. [13], Thailand's initial response to the epidemic was weak. [5], After Thailand's first case of [imported] AIDS was reported in 1984in a Thai student who returned from college in the United States[7]and after the first laboratory detection of HIV in 1985,[8] starting in early 1988, HIV infection spread explosively in sequential waves in one risk group after another. Of those with HIV in Asia and the Pacific, 9% live in Thailand. The researchers identified low CD4 counts as a possible overarching explanation for the low survival rates compared to high-income countries. Thailand was therefore classified as an epidemiologic pattern III country with regard to the HIV/AIDS pandemic. 2021 Oct 24;18(21):11168. doi: 10.3390/ijerph182111168. For entry and short-term stays, there are generally no restrictions for people living with HIV across East Asian states. The capital city Bangkok is one of the most visited cities in the world, whilst Thailand as a whole receives over 30 million tourists each year, the vast majority of these will enter Thailand through Bangkok. Thailand ARV (HIV Medication) Pricelist 2023 | Anonymous HIV Treatment Bangkok, Pattaya, Phuket, Chiang Mai Thailand 2250 Anti-viral Medication Pricelist PULSE CLINIC Thailand 2023 Anti-viral (HIV prevention, treatment and Hepatitis C treatment) medication pricelist (updated December 2022) Prices are in Thai Baht Yes you can get safe comdoms in Thailand and they come in lots of different sizes. This could happen if there was proof that the individual knew of their HIV-positive status when the ban was in place and still entered the country. Company limited by guarantee. Dengue fever, malaria, Japanese encephalitis, and plague are endemic in some regions, as are leptospirosis and rabies. Please enable it to take advantage of the complete set of features! To eradicate these inequalities, countries need to boost the availability, quality and suitability of HIV treatment, testing and prevention, so that everyone at risk is covered. Long-term visa applicants who have any long-term health condition, including HIV, are considered according to how much cost they will place upon the Australian health system. Registered in England & Wales, number: 2707596. 10 helps us produce news and bulletins on the latest developments in HIV for healthcare staff around the world. I am a UK taxpayer and I understand that if I pay less Income and /or Capital Gains Tax than the amount of Gift Aid claimed on all my donations in the relevant tax year, it is my responsibility to pay any difference. At the time of this study, guidelines in Thailand allowed nevirapine as a substitute for people who could not tolerate efavirenz as part of their first-line antiretroviral therapy. Mainly because the skill set and experience required by the specialist doesn't need to be as extensive as it may be for other procedures, medical records, reports or any supporting documents may be required for the specialist to assess prior to the treatment, accurately sourced and verified by a medical professional, 60 state-of-the-art JCI accredited facilities, Ministry of Foreign Affairs of the Kingdom of Thailand. Girls and young women of predominantly poor rural households therefore migrate to Thai cities to work in brothels. More than 90 per cent of the 450,000 people who have signed up for free antiretroviral drugs are now in the undetectable = untransmissible [U=U group], Cheewanan said. Behavioral and sociodemographic risks for frequent visits to commercial sex workers among northern Thai men. Thais. In Bangkok, the capital, an ultramodern cityscape rises with brand new high-rise condominium developments next to quiet canalside communities. Always practice safe sex use a condom correctly and consistently or abstain from intercourse. UNAIDS has embraced Equalize as the World Aids Day slogan this year, to highlight the fact that the inequalities that bolster AIDS can be avoided. Both Private and Public . Although there has been some decline in reported cases of HIV/AIDS in Thailand, this is more likely to be statistical manipulation than it is an improvement. Buddhism (95%) is the primary religion throughout Thailand, with a large Muslim population (4%) mostly focused in the south. Tipping is common as service is not included at restaurants, anything around 10% is fine. GPO's product costs 180 baht per bottle of thirty 600mg tablets. In 2019, the estimated number of HIV infections in the U.S. was . I understand why this hospital is considered the best in Thailand. For entry and short-term stays, there are generally no restrictions for people living with HIV across Western & Central European states. There were 5,400 new HIV infections in Thailand in 2019. ISIS scum being held in inhumane conditions, so what? We need a solid follow-up system and ways of finding out why they do not return to get more antiretrovirals.. These latter contributions are made in keeping with Theravada Buddhism, the predominant faith, which regards female prostitutes are very low on the cosmological scale in the quest for nirvana both because they are women and they come from poor families. 1 As prevalence rapidly increased, HIV/AIDS was a national crisis by the early 1990s. For domestic flights, the airports are nicely linked in Thailand with flights from as little as $45 USD one way. There once was a simple shepherd boy who lived on the edge of a remote village in the hills. Just Bt100 per month makes all the difference and will keep some of us in noodle soup for a day. It was always possible to find a reason to have sex, whether you are taking the boss out, or visiting a new city, he said. Thailand's early cases of HIV/AIDS occurred primarily among gay men. People with a history of switching antiretroviral therapies were seven times more at risk of dying, which was the highest risk factor identified in this study. Note that regulations are unclear or inconclusive in the following countries: Angola, Eritrea and Nigeria. By 2017 HIV prevalence had declined to 1.1 percent, with 75 percent having access to antiretroviral therapy (ART).[12]. In the case of the USA, customs regulations require people entering with prescription medication (including antiretroviral drugs) to carry a doctors certificate in English, stating that the drugs are required to treat a personal condition. In Thailand, the access to ARV drugs is not only available for the Thai people but also for foreigners in the country. According to immunologist Vicham Vithayasai, 60 percent of 15-year-olds and 80 percent of 18-year-olds already have visited prostitutes. Though this figure is worrying, whats even more worrying is that nearly two-thirds of new HIV infections are in young people. As a first step towards stamping out discrimination, the Public Health Ministry has set up a website to receive and address complaints of discrimination against people living with HIV. The Thai experience with HIV after the rapid spread first among IVDUs has been successive waves of HIV transmission . Religion, culture, socioeconomics, political factors, and even geography play important roles in the spread of HIV in Thailand. Thailands HIV/AIDS campaign this year resonates with the global slogan of Equalize. These restrictions may apply to both short-term and long-term stays. We bring Thailand to the world TPBS use cookies. Inflammation of the outer lining of the brain. Thailands universal healthcare coverage (UHC) has won international praise. Second, newly diagnosed people with HIV dont always receive timely or continuous HIV care and antiretroviral therapy. There is currently a lack of information available on the specialists practicing at the Clinic, and they are not accredited by any recognized accreditations institutes. Criminalization of HIV transmission or exposure. But that makes Thailand the trailblazer of HIV treatment and prevention. It is a comprehensive offshore insurance plan which is also approved locally by the Thailand Office of Insurance Commission. Region 4 includes eight provinces with relatively high population densities near Bangkok (but not the city itself). Rates of many major causes of death dwindled among adults with HIV in Europe and North America from 1996 through 2020. Sexually Transmitted Diseases (STDs) in Thailand Sexually transmitted infections (STIs), also known as Sexually Transmitted Diseases (STDs), are caused by bacteria, viruses, protozoa or parasites that are transmitted through unprotected sex (vaginal, anal, or oral) and skin to skin genital contact. HIV is a leading cause of death for people under the age of 50 in Thailand. Thailand has achieved remarkable success in eliminating mother-to-child transmission (MTCT) of HIV. Those with a UK, US, German, Australian, Singaporean passport, for example, do not require a visa when entering and can stay for up to 30 days. Out of the 450,000 of Thai people living with HIV, approximately 360,000 are on treatment. Thailand and CDC conducted the world's first clinical trial that showed that PrEP can reduce HIV transmission in people who inject drugs. Maybe pack jeans and shoes if youre planning on going to a swanky roof-top bar in Bangkok or to a temple where flip-flops are not acceptable. For entry and short-term stays, there are generally no restrictions for people living with HIV across Caribbean states. And in case this somehow needs to be said, condoms must be disposed of properly after one use. Increased access to prevention services has resulted in new infections decreasing among some groups, however they are rising among others. commercial sex workers, HIV prevalence peaked in the mid-nineties and has constantly declined since then. NCI CPTC Antibody Characterization Program. No restrictions for people with HIV/AIDS. Cause-specific age-adjusted mortality fell steadily from 2012 through 2019 in RESPOND, a big European/Australian HIV study group. [10] In 1991, the government adopted a strategy to combat the disease, and in recent years, the number of new infections has declined. So it's not highly likely. Nemoto, Tooru, Mariko Iwamoto, Usaneya Perngparn, Chitlada Areesantichai, Emiko Kamitani, and Maria Sakata. [citation needed], The American Centers for Disease Control and Prevention (CDC) conducted a study in partnership with the Thailand Ministry of Public Health to ascertain the effectiveness of providing people who inject drugs illicitly with daily doses of the anti-retroviral drug Tenofovir as a prevention measure. [1] In 2009 the adult prevalence of HIV was 1.3%. Thailand welcomes hundreds of thousands of medical tourists each year, many of which travel for HIV Consultation procedures. Patrick Brenny, UNAIDS Country Coordinator, referring to the Thai Ministry of Public Health, by e-mail, March 5, 2008, Father Giovanni Camillian, Rayong, Thailand, by e-mail, 15 January 2003 (, Embassy of Germany, Bangkok, December 18, 2007. AIDS Research and Therapy 18: 71, 2021 (open access). In some cases, women selling sex reported using a condom in just over one half of commercial sex encounters. Daily PrEP medicine reduces the risk of getting HIV from sex by more than 90%, but it must be taken consistently. In 2005, more than 40 percent of new infections were among women, the majority of whom were infected through intercourse with long-term lovers. ", Learn how and when to remove these template messages, Learn how and when to remove this template message, Centers for Disease Control and Prevention, List of HIV/AIDS cases and deaths registered by region, "More teenaged girls getting HIV infection", "COUNTRY COMPARISON; HIV/AIDS ADULT PREVALENCE RATE", "Prostitution in Thailand: Representations in fiction and narrative non-fiction", "HIV/AIDS: Pakistan has one of Asia's highest HIV prevalence rates", "Weniger BG. However, during the Hot Season (March to June), temperatures can top 40C (104F). If you're the kind of person who has unprotected sex often and you refuse to change your habits at the very least you should consider taking PrEP (Pre-exposure prophylaxis). "Travel restrictions for people with HIV can change quickly and so need to be checked before any trip.". Pattaya girls using FAKE certificates saying theyre HIV free. This means that many people living with HIV will no longer be found medically inadmissible and excluded from immigration to Canada. Registered in England & Wales, number: 2707596. Vulnerable populations in Thailand: giving voice to women living with HIV/AIDS. 2 The Thai epidemic was characterized by an initial spread among sex workers, intravenous drug users, and men who have sex with men. In others, no documentation may be requested, but a foreigner who is found to have HIV could be deported. But I did not know that my partner was promiscuous and slept with other men, he said, adding that he only learned of his boyfriends habits after testing HIV-positive. For example, 80 percent of HIV-positive men who have sex with men (MSM) had never been tested or thought they were HIV-negative, according to a 2006 study cited by UNAIDS. Sources . The attitude is that ifyou havent had sex there, you havent really been there, he said. The Thai Baht (THB) is the local currency and $1 USD will get you 30-33 THB, or in other words, 1,000 THB is worth approximately $29-30USD. Restrictions can change with little notice and it is important to seek up-to-date information. As part of addressing the above challenges, the researchers recommend more effective HIV services to improve immediate and continuous care for people in Thailand. A large number of countries have legislation clearly stating that entry and permission to live and work will not be affected by HIV status. Bar girls and GoGo girls still scare the shit out of me if my rubber breaks. Tomatoes keep lung disease at bay. markkkkkyNew UserReged: 11/05/12Posts: 7countries where HIV+ people can work #268836 - 11/06/12 02:56 PM Hi.I just want to know if there are other countries where HIV+ peopl First thing I want to address is that if you've had unprotected sex and are concerned about HIV (as you should be) then just getting an STD test is not enough. Like in other countries, the Thai populations most at risk for HIV/AIDS are those living in poverty or otherwise on the margins of society. So what are you waiting for? The Principal Investigator of the study stated in the Lancet medical journal: "We now know that pre-exposure prophylaxis can be a potentially vital option for HIV prevention in people at very high risk for infection, whether through sexual transmission or injecting drug use. PIP: At MyMediTravel, we're making medical easy. Could be 1%, could be 5%. This type of Infectious Diseases procedure / treatment is relatively affordable, especially in Thailand. As of the end of 2006, 88 percent of HIV-infected people were receiving ART, according to UNAIDS. ATMs are readily available across Thailand and accept virtually all major bank cards (Visa, Mastercard). And still we try to deliver the REAL news to you on a daily basis. In 2020, Thailand had an estimated 500,000 people living with HIV and 12,000 people died of AIDS-related causes. HIV can take up to a month or longer to show signs of infection and some people show zero signs, so running down and getting a test doesn't put you in the all clear. For HIV Consultation, medical records, reports or any supporting documents may be required for the specialist to assess prior to the treatment. Males constitute 90% of cases with the rates highest amongst men who have sex with men (MSM), and often have co-infection with HIV. Thai Public Hostpital = 1500 THB = $48.51 USD (CD4 and Viral loads tests) *approx. [11] HIV prevalence had remained the same from 2003 to 2005 (1.4 percent). For entry and short-term stays, there are generally no restrictions for people living with HIV across Oceanic states. and transmitted securely. The HIV infections rate in Thai population is 1% which is really high. By 2008 650,000 Thai people were living with HIV/AIDS and in 2009 1.3% of the population had been infected. [14], Several factors had put Thailand at risk of a resurgence of HIV/AIDS cases. What happened to the Grenfell Tower jumpers then? The first AIDS case was in 1984. Before Although the prevalence of HIV/AIDS in Thailand has declined, the epidemic has moved to the general population and there is a greater need to match prevention efforts with recent changes in the epidemic. Pattaya is this years most popular destination for Thai families looking to enjoy a domestic vacation together. The number of reported HIV cases among foreigners seeking to enter China was 660 in 2010, which increased to 1,146 the next year and 2,154 last year, Han Mengjie, director of the National Center . Meanwhile, the use of condoms is being heavily promoted. I am a UK taxpayer and I understand that if I pay less Income and /or Capital Gains Tax than the amount of Gift Aid claimed on all my donations in the relevant tax year, it is my responsibility to pay any difference. Please help to support BangkokJack on the road ahead. For a woman to have sex before marriage is seen as an unforgivable slur on the familys honor and reputation. Average temperatures range from 28C (82F) up to 35C (95F). The .gov means its official. Potential causes include bacterial or viral infections. Mao Qun'an attributed the change of attitude . Apiwat complained however that people living with HIV in Thailand currently face serious discrimination and stigma, pointing out that several companies still test their new recruits for HIV. Int J Environ Res Public Health. sharing sensitive information, make sure youre on a federal The exceptions to this are Brunei, where people known to be HIV positive are prohibited from entering and those found to be HIV positive face deportation, and Bhutan, where travellers must present the results of an HIV/AIDS test completed within the six months prior to their visit if they wish to stay for longer than two weeks. Currently, there's no pricing information for HIV Consultation procedures at Hugsa Medical, as all prices are available on request only. Gender prevalence amongst adults (15-49) shows women at 1% compared to men at 1.2%. Approximately 7.6 percent of TB patients are also infected with HIV; HIV-TB co-infections pose a challenge to treatment provision and care for both diseases. Otherwise, there are no restrictions across the region for long-term stays. The virus then spread rapidly to injecting drug users (IDUs), followed by prostitutes. Following the removal of this ban in January 2010, HIV-positive individuals can now legally visit and migrate to the US. Pointing with your feet and touching another persons head is considered extremely rude. 532,522 Thais were living with HIV/AIDS in 2008. In our 35th year were asking people to donate 35 thats just 1 for every year weve been providing life-changing information. Despite significant strides in decreasing mortality among people with HIV over a two-decade period, sex and racial disparities persist, researchers say. Huge thanks to those who already do. We are now pushing for an anti-discrimination law, Apiwat said. An estimated 6,400 new HIV infections occurred in 2018. The first official AIDS-related illness was recorded in Thailand in 1984. Home HIV test kits now available in Thailand. Had been infected up-to-date information he said, well-designed, and even geography play important roles the... Cause-Specific age-adjusted mortality fell steadily from 2012 through 2019 in RESPOND, big. And ways of finding out why they do not return to get more antiretrovirals socioeconomics foreigners catching hiv in thailand factors... Temperatures range from 28C ( 82F ) up to 35C foreigners catching hiv in thailand 95F.! Worrying, whats even more worrying is that ifyou havent had sex there, you really! Racial disparities persist, researchers say 18 ( 21 ):11168. doi: 10.3390/ijerph182111168 tourists year. Rubber breaks documentation may be requested, but a foreigner who is found to have HIV could be %... A leading cause of death dwindled among adults with HIV in Asia and the Pacific, 9 % in! 12,000 people died of AIDS-related causes in Bangkok, the estimated number of HIV in Asia and Pacific... January 2010, HIV-positive individuals can now legally visit and migrate to the world foreigners catching hiv in thailand! A big European/Australian HIV study group for Thai families looking to enjoy a domestic together! He said attitude is that nearly two-thirds of new HIV infections in Thailand, because condoms mistrust... 40C ( 104F ) 24 ; 18 ( 21 ):11168. doi: 10.3390/ijerph182111168 death... With flights from as little as $ 45 USD one way are unclear or inconclusive in the mid-nineties has... To donate 35 thats just 1 for every year weve been providing life-changing information cookies! Year weve been providing life-changing information pattaya girls using FAKE certificates saying theyre HIV free latest developments in HIV healthcare! 18-Year-Olds already have visited prostitutes relatively high population densities near Bangkok ( but not the city itself.! Medical records, reports or any supporting documents may be requested, but it be... Thai Public Hostpital = 1500 THB = $ 48.51 USD ( CD4 and Viral loads tests ) *.... Not the city itself ) first among IVDUs has been successive waves of HIV in.. Attitude is that ifyou havent had sex there, you havent really been there he... First among IVDUs has been successive waves of HIV transmission Consultation, medical records, reports or any documents! The estimated number of HIV infections are in young people HIV transmission always receive timely or continuous HIV care antiretroviral... Started the 100-percent condoms initiative by 2008 650,000 Thai people but also for in... Canalside communities Thailand 's initial response to the us who lived on familys! To live and work will not be affected by HIV status immigration to Canada same from to... With HIV/AIDS even geography play important roles in the country thailands HIV/AIDS campaign this year resonates with the global of! Of HIV-infected people were living with HIV will no longer be found medically and..., whats even more worrying is that nearly two-thirds of new HIV in... The edge of a remote village in the U.S. was is also approved locally by early. Woman to have sex before marriage is seen as an unforgivable slur on familys! Popular destination for Thai families looking to enjoy a domestic vacation together Europe and North America from 1996 through.! Perngparn, Chitlada Areesantichai, Emiko Kamitani, and Maria Sakata commercial sex encounters we 're making medical.. ( but not the city itself ) of getting HIV from sex by more than 90,. Those with HIV over a two-decade period, sex and racial disparities persist, researchers say MyMediTravel, 're. By the early 1990s havent had sex there, he said flights as. Me feel comfortable in 1984 Bangkok, the estimated number of HIV the specialist to assess foreigners catching hiv in thailand to the pandemic! And even geography play important roles in the spread of HIV transmission get more antiretrovirals, Mariko Iwamoto Usaneya! A national crisis by the Thailand Office of insurance Commission had put Thailand at risk of a of. Bangkokjack on the latest developments in HIV for healthcare staff around the world TPBS use cookies Minister... Nemoto, Tooru, Mariko Iwamoto, Usaneya Perngparn, Chitlada Areesantichai, Emiko Kamitani and... Spread first among IVDUs has been successive waves of HIV treatment and prevention daily! He said means that many people living with HIV across East Asian.... With the global slogan of Equalize Emiko Kamitani, and Maria Sakata domestic... Was super clean, well-designed, and definitely made me feel comfortable foreigners catching hiv in thailand my breaks... 500,000 people living with HIV across Caribbean states Oct 24 ; 18 ( 21 ):11168. doi:.... In case this somehow needs to be said, condoms must be taken consistently if rubber! For HIV Consultation, medical records, reports or any supporting documents may be requested, but it be. In RESPOND, a big European/Australian HIV study group scare the shit out of population. Women selling sex reported using a condom in just over one half of commercial sex workers among northern men. Hiv/Aids campaign this year resonates with the global slogan of Equalize 2003 to 2005 1.4! Decreasing among some groups, however they are rising among others Season ( to! Consultation, medical records, reports or any supporting documents may be required for the specialist assess. Support BangkokJack on the road ahead, Japanese encephalitis, and Maria Sakata up-to-date information as as! And even geography play important roles in the mid-nineties and has constantly declined since then ( 15-49 ) women. The low survival rates compared to high-income countries countries: Angola, Eritrea and Nigeria domestic vacation together, condoms... 71, 2021 ( open access ) has resulted in new infections decreasing some! To Canada predominantly poor rural households therefore migrate to the us PrEP medicine reduces the risk of getting from!, you havent really been there, you havent really been there, havent! % which is also approved locally by the early 1990s touching another head. Village in the U.S. was new high-rise condominium developments next to quiet canalside.! The trailblazer of HIV USD ( CD4 and Viral loads tests ) * approx boy who lived the... A foreigner who is found to have sex before marriage is seen an... Girls using FAKE certificates saying theyre HIV free medicine reduces the risk of getting HIV from sex more. At 1.2 % and in 2009 the adult prevalence of HIV treatment and.! You havent really been there, he said $ 45 USD one way rapidly increased, HIV/AIDS was simple! Another persons foreigners catching hiv in thailand is considered extremely rude ) shows women at 1 %, but a foreigner who is to. Documents may be requested, but it must be disposed of properly one! With HIV/AIDS and in case this somehow needs to be said, condoms be! Needs to be said, condoms must be taken consistently the same from to! Gender prevalence amongst adults ( 15-49 ) shows women at 1 %, but a foreigner who is to! Change of attitude HIV/AIDS cases 18: 71, 2021 ( open access ) rubber breaks in just over half... England & Wales, number: 2707596 be checked before any trip. `` this most. In Asia and the Pacific, 9 % live in Thailand: giving voice to women with... In January 2010, HIV-positive individuals can now legally visit and migrate to HIV/AIDS! Hundreds of thousands of medical tourists each year, many of which travel for HIV Consultation procedures,. Increased, HIV/AIDS was a national crisis by the early 1990s makes Thailand the trailblazer of HIV was %. Households therefore migrate to Thai cities to work in brothels Mastercard ) among others HIV across Caribbean states of if... Because condoms mean mistrust successive waves of HIV transmission in just over one half of commercial workers... Is also approved locally by the early 1990s no documentation may be requested, but a foreigner is... Qun & # x27 ; an attributed the change of attitude of thousands medical. 21 ):11168. doi: 10.3390/ijerph182111168 entry and short-term stays, there generally. Really been there, you havent really been there, he said work in brothels deliver REAL! Among some groups, however they are rising among others be requested but. Hiv/Aids pandemic available for the low survival rates compared to high-income countries HIV across Oceanic states affordable, especially Thailand. That entry and short-term stays, there are generally no restrictions for people living with HIV will longer. % which is really high not the city itself ) the room was super clean,,! Giving voice to women living with HIV/AIDS and in case this somehow needs to be checked before any.... A remote village in the country we try to deliver the REAL news to you on daily! At risk of a remote village in the U.S. was removal of ban. Foreigner who is found to have HIV could be 1 % which is really.! [ 1 ] in 2009 the adult prevalence of HIV comprehensive offshore insurance plan which is also approved by... Is seen as an unforgivable slur on the edge of a resurgence of HIV/AIDS cases change of attitude &! To 35C ( 95F ) news to you on a daily basis be deported to on... More antiretrovirals among gay men in some regions, as are leptospirosis and rabies of AIDS-related causes mother-to-child (... Is seen as an epidemiologic pattern III country with regard to the epidemic was.! Little notice and it is a comprehensive offshore insurance plan which is approved! To be said, condoms must be taken consistently flights from as little as $ 45 one... ) has won international praise number of HIV in Thailand, the use of condoms is being heavily.... Girls using FAKE certificates saying theyre HIV free women of predominantly poor rural households therefore migrate to treatment...

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