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S.ravi
Advanced Member
India
4183 Posts |
 Posted - 05/01/2009 : 20:51:51
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Swine flu scare at Mumbai airport
2 May 2009, 0234 hrs IST, TNN
MUMBAI: The screening drill for swine flu at Mumbai international airport had barely got under way in earnest when a traveller who landed from the
UK early on Friday gave the health authorities some anxious moments. The passenger, who was en route to Hyderabad, was kept back to verify whether he had been affected by swine flu, but then allowed to fly on to his destination.
Dr Ravindra Katti from the Directorate General of Health Services (DGHS), who is coordinating the control cell activities, said, “Around 11 am, I got a call stating that a passenger had been kept under surveillance.’’ The airport’s screening process is being handled by doctors from the Central Government Health Services, with an expert from the Delhi-based National Institute of Communicable Diseases to help out with the protocols drawn up by the Union health ministry.
As per the protocol, all passengers arriving at international airports are asked to fill out a detailed questionnaire on their recent travel history as well as their symptoms, if any. Based on the Hyderabad-bound passenger’s answers, he was kept back to verify whether he had been affected by swine flu.
Dr Katti said that Mumbai was in a state of readiness for swine flu. “BMC’s Kasturba Hospital has 20 beds ready, along with special equipment, to handle any situation. We have a stock of Tamiflu as well.’’
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Edited by - S.ravi on 05/01/2009 21:14:11 |
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S.ravi
Advanced Member
India
4183 Posts |
Posted - 05/01/2009 : 20:53:16
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Mexico installs heat-imaging cameras at airport to detect flu
2 May 2009, 0630 hrs IST, AFP
Print Email Discuss Share Save Comment Text:
MEXICO CITY: Authorities at Mexico City's international airport said they have installed 10 heat-imaging cameras to catch any departing or arriving
passengers with flu symptoms.
Those passing through the facility were also first being asked to feel out a health questionnaire, spokesman Victor Mejia said on Thursday.
The cameras showed passengers in colours corresponding to heat coming off parts of their body, he said, adding: "If the image is yellow, orange or red, doctors will take them to a third check point."
There, a quick test would be carried out to see whether the passenger should be taken to hospital for an examination for the H1N1 swine flu.
The airport in the resort of Cancun, usually popular with US and European tourists but largely empty because of Mexico's flu emergency, had heat scanners in place.
Mexico's transport ministry said five people with suspected flu had been detected in the past few days as they tried to leave Mexico City for international destinations.
The airport in the capital has seen 15% fewer passengers because of the flu, Mejia said.
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S.ravi
Advanced Member
India
4183 Posts |
Posted - 05/01/2009 : 20:54:18
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White House: WHO may soon raise flu alert
2 May 2009, 0442 hrs IST, AFP
WASHINGTON: The White House has said that the World Health Organisation is "somewhat likely" to raise its flu alert soon to the highest level, phase
six, which would signal that the world is in a pandemic.
"I think it is somewhat likely that in the next few days that the WHO will raise their alert level. I think most people anticipate that," spokesman Robert Gibbs told reporters yesterday at his daily briefing.
"That won't change our preparation because we have always planned for doing all that is necessary to ensure the protection of the American people," said Gibbs, who is President Barack Obama's lead spokesman.
The WHO had said on Thursday that there was no reason to raise its five-step alert level to the sixth notch as the outbreak of swine flu appeared to remain steady.
On Wednesday, the organisation had raised the alert level to five, which signals that a pandemic is "imminent." Phase six would signal that the world is in a pandemic.
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S.ravi
Advanced Member
India
4183 Posts |
Posted - 05/01/2009 : 21:13:34
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If pigs can fly...
30 Apr 2009, 2255 hrs IST, Naveen Kumar, TNN
VARANASI: Is the holy city under threat of swine flu virus that has already created fears of pandemic in American and European countries? If the
reports of health experts in the city are to be believed, the hot tourist destination can be under the threat of the deadly virus, if urgent precautionary measures are not taken to control the situation.
While health check-up of air passengers at Babatpur International Airport have already become mandatory after the reports of the spread of swine virus, lack of such measures at the Cantonment railway station and Roadways have exposed a number of people in the city to risk of falling prey to the virus.
According to Dr Sudhakar Pandey, in-charge, epidemic and emergency cell in the office of chief medical officer, the arrival of a number of foreign tourists including non-resident Indians (NRIs) to the city via train and bus routes is beginning to show chinks in the measures to fight the spread of the virus in the region. "A number of tourists and NRIs from American and European countries visit the city even in the summer season, though it is considered off-season for tourists," he added.
It may be mentioned here that the city, along with Sarnath (pilgrimage for Buddhists), attracts more than four million tourists including four lakh foreign tourists coming from different parts of the world every year.
As per the recent report of the UP State Tourism Department Corporation, the tourist inflow to the holy city is increasing at a rate of four per cent per year, enough to indicate that the city has continued to attract tourists in spite of global economic recession. In addition, the foreign tourists comprise nearly 15 per cent of tourists inflow in the city that also includes Sarnath.
"The swine virus (H1N1 virus) is an extremely contagious virus spreading quickly through oral and nasal routes," said Dr Kamta Prasad, chief medical superintendent Pt Deen Dayal Upadhyaya district hospital, in the city. "What makes the virus even more dangerous is the fact that there is no vaccine to fight the disease caused by one of the strains of influenza virus," he added.
Meanwhile, the only consolation for the authorities of the district health administration seems to be the fact that the peak season for tourists has already passed and the deadly virus has not yet attacked any of the cities in the country so far.
What is swine flu?
It is a highly contagious disease caused by H1N1 virus (one of the strains of influenza virus). The symptoms of the disease resemble influenza including high fever, running nose, problems in breathing, blockage in naso pharyngeal route and constant headache and backache in the body.
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Edited by - S.ravi on 05/01/2009 21:14:47 |
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S.ravi
Advanced Member
India
4183 Posts |
Posted - 05/01/2009 : 21:17:40
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Travellers asked to give health history
2 May 2009, 0504 hrs IST, TNN
CHENNAI: The city airport has made it mandatory for passengers from H1N1 flu-affected regions to sign health forms, declaring their travel history,
health status and the list of vaccines they had taken before the travel. All passengers are being screened by doctors, who have been asked to stand three meters away from the passengers, wearing three-layered masks.
The arrangements were made after Dr Dhingra, assistant director, family health services, ministry of health, visited the airport to oversee the screening procedures taken up by the airport authorities along with doctors of the central government health scheme and the directorate of public health, Tamil Nadu for prevention of H1N1 flu.
"All the airport staff assisting passengers or working near the aircraft are given three-layered masks. We have also been told to keep a quarantine cabin ready. This cabin will be at least 10 metres from the passenger area," an Airports Authority of India official said.
Meanwhile, at an emergency meeting convened by state health secretary V K Subburaj, directives were issued to all local and civic authorities to ensure that all passengers travelling from the influenza-affected zones should get themselves screened by doctors at least once in two days. "They should have the seal and signature of the medical practioners along with the doctor's registration numbers. The incubation period of the disease is four days. There are chances of us missing them at the airport. So, it's better to track them for at least 10 days," said director of public health Dr S Elango.
The directorate will also give the list of names and addresses of the passengers who came to the city from the 11 flu-affected countries since Monday last. "We did not screen passengers at the airport till Thursday. Local bodies will have door-to-door visits to their houses, hotels and offices for screening. It's probabaly the largest screening process taken up in the country, but this manhunt is unavoidable," he said.
A team of doctors will meet on Monday to draw guidelines for treatment of the disease. "We have broad guidelines from WHO, but we want to tell local doctors what they need to do when they get patients with high fever or upper respiratory tract infection," he said.
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S.ravi
Advanced Member
India
4183 Posts |
Posted - 05/02/2009 : 01:59:46
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China moves to curb virus spread
LatestQ&AOutbreak mapHistory of fluUK situationMeasures
AdvertisementPolice are guarding the Hong Kong hotel where the man stayed
China says it will quarantine all those who travelled on a flight from Mexico with a man suffering from swine flu, in a bid to curb the spread of the virus.
The 25-year-old man flew to Hong Kong via Shanghai on Thursday, and was admitted to hospital.
Beijing said it would put his fellow passengers under week-long observation. It also suspended flights from Mexico.
The move came as South Korea confirmed a case of the virus, the second country in North-East Asia to do so.
Globally, 16 countries have now reported swine flu cases. Six countries have confirmed person-to-person transmission.
CONFIRMED CASES
Mexico: 101 deaths estimated, 16 confirmed
US: One death, at least 141 confirmed cases
New Zealand: 4 confirmed, 12 probable cases
Canada: 35 confirmed cases
UK: 13 confirmed cases
Spain: 13 confirmed cases
Germany: 4 confirmed cases
France: 2 confirmed cases
Israel, Costa Rica: 2 confirmed cases each
The Netherlands, Switzerland, Austria, Denmark, Hong Kong, South Korea: 1 confirmed case each
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Countries with confirmed cases of secondary transmission
Mexico
US
Canada
Spain
Germany
UK
Mapping the outbreak
Mexico: First swine flu cases
Border town not slowing down
Price hikes in Mexico amid flu panic
In cases outside Mexico, where the virus emerged, the effects do not appear to be severe.
In Mexico itself, officials have raised the number of confirmed deaths to 16.
Restaurants, public buildings and businesses have been closed for five days to try to bring the virus under control.
Mayor Marcelo Ebrard said the emergency measures were bringing results, with the numbers "getting better every day".
He said the next 10 days would be critical in determining whether restrictions should remain in place.
Some health experts say the strain of the virus may not be as deadly as first feared.
Dr Anne Schuchat, acting deputy director of America's Centers for Disease Control and Prevention (CDC), said that although experts were concerned about the possibility of severe cases, the majority so far had been "mild, self-limited illness".
The new virus lacked the traits that made the 1918 flu pandemic so deadly, another CDC official said.
Flights suspended
The virus was confirmed in North-East Asia on Friday, when authorities in Hong Kong received the results of tests from a man recently arrived from Mexico.
SYMPTOMS - WHAT TO DO
Swine flu symptoms are similar to those produced by ordinary seasonal flu - fever, cough, sore throat, body aches, chills and fatigue
If you have flu symptoms and recently visited affected areas of Mexico, you should seek medical advice
If you suspect you are infected, you should stay at home and take advice by telephone initially, in order to minimise the risk of infection
Q&A: What is swine flu?
Mexican economy squeezed by flu
In pictures: Flu concern grows
The quest for a swine flu vaccine
The government has ordered a week-long quarantine of the hotel he was staying in, as well as its 300 guests and staff.
Local TV footage showed police wearing masks guarding the hotel exits.
An Australian guest at the hotel said he was told to go to his room, though the authorities denied people were being confined in their rooms.
"They haven't told us anything at all," the guest told Reuters news agency.
"They told me I will stay here. I won't be allowed out and this is it. So I don't know what is happening."
The infected man arrived in the territory from the city of Shanghai.
China's health ministry said it had asked local authorities to put all those who travelled on the same flights as him - both from Mexico and within China - into medical quarantine.
On Friday Chinese Health Minister Chen Zhu said the virus was very likely to enter mainland China and urged the country to prepare for an outbreak.
In South Korea, officials confirmed that a 51-year-old woman who had recently returned from Mexico had the virus.
They are testing a woman who met her at the airport to see if human-to-human transmission had occurred.
France and Denmark also both confirmed their first cases on Friday.
There is growing concern about the effect the virus could have on Mexico's economy.
Several US air carriers say they will cut flights to Mexico as demand falls amid concerns over the crisis. Tourism has plummeted since the outbreak was declared a week ago.
In Egypt, authorities are expected to begin the slaughter of over 300,000 pigs as a precaution. Experts say the virus cannot be caught from eating pork and there is no scientific rationale for the cull.
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S.ravi
Advanced Member
India
4183 Posts |
Posted - 05/02/2009 : 02:03:37
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NRIs admitted to Delhi hospital with swine flu symptoms
New Delhi (PTI): Two young NRIs, who came from London and Texas, were admitted to Ram Manohar Lohia Hospital here with suspected A H1N1 flu symptoms and have been kept under observation in the isolation ward.
While the 35-year-old London-based NRI was brought to hospital directly from the Indira Gandhi International Airport this morning, the 25-year-old who came from Texas got himself admitted to the RML last evening.
"Both of them are under observation in isolation ward. We have done all tests and samples have been sent to National Institute of Communicable Diseases (NICD)," N K Chaturvedi, Medical Superintendent of RML, told reporters.
The London-based NRI, who hails from Delhi, developed flu symptoms during his flight to the national capital from London and was referred to the hospital after a screening at the airport, he said.
"He has a running nose, sore throat and cold but has no fever. He will be kept under observation for the next three days," Dr. Chaturvedi said.
The Texas-based youth, who landed in Delhi on April 19 and had fever for two days on April 24, turned up at the hospital on Friday evening, Dr. Chaturvedi said adding the man, who hails from adjoining Ghaziabad, later became asymptomatic.
"However, due to media coverage, he himself turned up at the hospital. We have kept him under observation in the isolation ward. As of now there are no symptoms," he said.
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S.ravi
Advanced Member
India
4183 Posts |
Posted - 05/02/2009 : 02:05:28
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`Fully prepared to deal with A H1N1 flu'
New Delhi (PTI): The Ram Manohar Lohia Hospital, where suspected cases of A H1N1 flu are being treated in the capital, on Saturday said it was well equipped to deal with such cases and has a stock of 1,000 Tamiflu tablets, the drug used to treat the virus.
The RML, the nodal hospital in the city to deal with A H1N1 flu cases, has already set up an isolation ward with 30 beds where 20 doctors and 12 nurses are on duty.
"We have a full-fledged isolation ward which has 30 beds. There are 20 doctors and 12 nurses on duty. We also have 1,000 Tamiflu tablets. If there is a shortage of Tamiflu tablets then the NICD will provide it," N K Chaturvedi, Medical Superintendent of RML, said.
The team of doctors comprises general physicians, ENT specialists, paediatricians and micro-biologists, he said adding the hospital also has 100 medical kits which consists of protective gowns, gloves, eye-gears, syringes and scissors.
Two young NRIs, who came from London and Texas, were admitted to Ram Manohar Lohia Hospital here with suspected A H1N1 flu symptoms in the past 24 hours and have been kept under observation in the isolation ward.
A senior Health Ministry official said four to five persons were brought to RML in the past 24 hours but they were discharged as they did not show any symptoms of the A H1N1 flu.
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S.ravi
Advanced Member
India
4183 Posts |
Posted - 05/02/2009 : 02:10:18
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Will swine flu turn pandemic?
On Monday night, the world appeared to move closer to a flu pandemic with the World Health Organisation (WHO) raising its alert level one notch higher. In recent years, public health experts have worried over the possibility of a deadly bird flu known as H5N1 acquiring the ability to pass easily from one human being to another. But now the threat of a pandemic is coming from an entirely different flu virus, tagged as H1N1, which originated in pigs. (The ‘H’ and the ‘N’ in the names of the viruses indicate the types of two proteins they possess.) The epicentre of the swine flu outbreak is quite clearly Mexico where more than 1,600 people are believed to have caught the disease and already over 150 of them have reportedly died of it. Although neighbouring United States as well as Canada, Europe, Israel, and New Zealand also have people infected with the new strain of flu, outside Mexico the disease has generally been mild and no one so far has succumbed to it. The rapidity with which the virus has claimed new victims and its geographical spread led the WHO to raise its flu pandemic alert level to Phase 4, just two steps short of a full-blown pandemic. “The change to a higher phase of pandemic alert indicates that the likelihood of a pandemic has increased, but not that a pandemic is inevitable,” said the international health body in a statement, adding: “As further information becomes available, WHO may decide to either revert to Phase 3 or raise the level of alert to another phase.”
There are many important unknowns about the swine flu outbreak, which health professionals and scientists are working frantically to clarify. A key unknown is the transmissibility of the virus. If one person gets infected, how many people on average would that person infect in turn? The transmissibility of the virus will determine what measures are needed to curtail its spread. Another puzzle is why the severity of the disease has been so much greater in Mexico than elsewhere. Despite such uncertainties, waiting it out is not an option available to any government at this juncture. Fortunately, concerns over the H5N1 bird flu have improved pandemic preparedness across the world. It is time now to put those plans into action. In India, as elsewhere, the government must be ready to act swiftly and sensibly should cases of the disease begin to surface at home. What would be the best ways to limit the spread of the disease within the country and in communities? Is the country’s stockpile of anti-flu drugs sufficient and how will those drugs be deployed? Are the country’s hospitals and the medical community ready to meet the challenge? While there is no need to panic, the government must not be caught off guard.
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S.ravi
Advanced Member
India
4183 Posts |
Posted - 05/02/2009 : 02:14:33
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Swine flu may be less potent than first feared
Atlanta (AP): The swine flu outbreak that has alarmed the world for a week now appears less ominous, with the virus showing little staying power in the hardest-hit cities and scientists suggesting it lacks the genetic fortitude of past killer bugs.
A flu expert said he sees no reason to believe the virus is particularly lethal. And a U.S. federal scientist said the germ's genetic makeup lacks some traits seen in the deadly 1918 flu pandemic strain and the more recent killer bird flu.
Still, it was too soon to be certain what the swine flu virus will do. Experts say the only wise course is to prepare for the worst. But in a world that's been rattled by the specter of a global pandemic, glimmers of hope were more than welcome on Friday.
In New York City, which has the most confirmed swine flu cases in the U.S. with 49, swine flu has not spread far beyond cases linked to one Catholic school. In Mexico, the epicenter of the outbreak, very few relatives of flu victims seem to have caught it.
Officials in Mexico have voiced optimism for two days that the worst may be over. But Dr. Scott F. Dowell of the U.S. Centers for Disease Control and Prevention said it's hard to know whether the outbreak is easing up in Mexico. ``They're still seeing plenty of cases,'' Dr. Dowell said.
He said outbreaks in any given area might be relatively brief, so that they may seem to be ending in some areas that had a lot of illness a few weeks ago. But cases are occurring elsewhere, and national numbers in Mexico are not abating, he said.
Worldwide, the total confirmed cases passed 650, although that number is also believed to be much larger. Besides the U.S. and Mexico, the virus has been detected in Canada, New Zealand, China, Israel and eight European nations.
Scientists looking closely at the H1N1 virus itself have found some encouraging news, said Nancy Cox, flu chief at the federal Centers for Disease Control and Prevention. Its genetic makeup doesn't show specific traits that showed up in the 1918 pandemic virus, which killed about 40 million to 50 million people worldwide.
``However, we know that there is a great deal that we do not understand about the virulence of the 1918 virus or other influenza viruses'' that caused serious illnesses, Cox said. ``So we are continuing to learn.''
She told The Associated Press that the swine flu virus also lacked genetic traits associated with the virulence of the bird flu virus, which grabbed headlines a few years ago and has killed 250 people, mostly in Asia.
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S.ravi
Advanced Member
India
4183 Posts |
Posted - 05/02/2009 : 02:16:00
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Nigerian health minister says no flu outbreak reported
LAGOS (Xinhua): Nigerian Minister of Health Babatunde Osotimehin says his country has not yet found any trace of influenza A/H1N1 that is spreading fast across the world.
The statement was made at an emergency meeting of the novel flu virus, the Lagos-based Vanguard newspaper reported on Friday.
"Nigeria has not recorded any suspected case ...and the Nigerian federal government is prepared to contain any outbreak," he was quoted as saying.
In order to promptly detect and effectively respond to any suspected case, a National Epidemic Preparedness and Response Committee was put in place which consists of state heath commissioners, Osotimehin said.
Surveillance has been strengthened at all ports of entry into the country, the minister said, adding that all federal port health services officers have been sensitized and put on alert at all international airports.
He also pledged that immediate steps have been taken including the procurement of drugs and supplies, laboratory reagents and training of state directors of public health.
A special awareness campaign will be launched through media across the 36 states in Nigeria as a precaution, the minister said.
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S.ravi
Advanced Member
India
4183 Posts |
Posted - 05/02/2009 : 02:22:11
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Ministry of Health and Family Welfare
Update on Influenza A(H1N1) as on 1st May 2009
World Health Organization has reported human cases of Influenza A [H1N1][earlier referred to as Swine Influenza] caused by...
http://pib.nic.in/release/release.asp?relid=48589 |
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S.ravi
Advanced Member
India
4183 Posts |
Posted - 05/02/2009 : 10:01:43
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Sci. & Tech.
Scientists racing against time to deliver swine flu test
London (IANS): A team of genetic experts are racing against time to produce the world's first DNA test for the Mexican strain of swine flu that has led to scores of deaths and global panic.
Primer Design, a University of Southampton company specializes in producing high-tech DNA detection kits. The technology detects results faster and more accurately than traditional diagnosis techniques.
Staff at the Primer Design lab realized they were ideally positioned to create the first DNA swine flu test when the US Centre for Disease Control published the genetic data for the killer virus this week.
Coordinator of the swine flu DNA project, Rob Powell said, "with the release of the unique genetic code for this dangerous virus strain we're able to develop the ultimate diagnosis tool within the next few days."
"At Primer Design we're able to produce synthetic DNA that matches the virus exactly, without ever having to come into contact with the flu itself. The test can identify the presence of swine flu within two hours."
The high-tech production methods of the kits mean that the Southampton team could very quickly produce enough test kits for hospitals across Europe if needed. The kits will be fully developed and ready to go within two weeks, said a University of Southampton release.
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S.ravi
Advanced Member
India
4183 Posts |
Posted - 05/02/2009 : 19:49:00
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Suspected swine flu patient in Chest Hospital
The 28-year-old passenger arrives in Hyderabad from San Francisco
— PHOTO: P.V. SIVAKUMAR
An 108 ambulance attendant carries the baggage of the San Francisco passenger.
HYDERABAD: A 28-year-old passenger, who reached the city on Saturday morning, from San Francisco via Dubai, was admitted to Government General and Chest Hospital, Erragadda with symptoms of suspected swine flu. Another passenger, who came to Hyderabad from Mexico via New Delhi on Saturday, was counselled and allowed to go home.
The hospital authorities did not reveal the identity of both the passengers but confirmed that they were from Hyderabad and working on overseas assignments. The authorities said that the patients insisted their identity be kept under wraps.
The passenger who came from Mexico volunteered to meet the doctors of Chest Hospital despite not having any flu symptoms. The doctors said that a medical team will visit the passenger’s residence for regular check-up. He has been asked not to venture out till the doctor grants him permission.
The San Francisco passenger arrived at 2.50 a.m. on Saturday at Shamshabad International Airport by an Emirates flight from Dubai and was admitted to the hospital at 5.30 a.m. with a running nose. The doctors, fully attired in the personnel protection equipment, immediately shifted the patient to isolation ward for a battery of diagnostic tests.
Throat and nasal secretions, swabs, sputum and serum samples of the patient were collected and immediately sent to National Institute of Communicable Diseases (NICD), New Delhi for confirmation. The vital signs, temperature and blood pressure of the patient were stable, doctors informed.
“The patient took a flight on April 30 in San Francisco to Dubai. He was screened for swine flu at the San Francisco airport. He was not screened by doctors in Dubai, where he stayed for two hours before taking a flight to Hyderabad. The patient would be kept in isolation till we get NICD results,” said Professor of TB and Chest Diseases, Government General and Chest Hospital Dr. K. Subhakar.
About 2,500 such passengers had undergone the check-up at the airport soon after they arrived by about 15 flights on Saturday, said L. V. Subrahmanyam, Principal Secretary, Health. Meanwhile, Chief Secretary P. Ramakanth Reddy reviewed the preparedness of the Medical & Health department to meet the new challenge and issued orders for making available adequate stocks of drugs at the hospitals all over the State.
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S.ravi
Advanced Member
India
4183 Posts |
Posted - 05/02/2009 : 21:20:05
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Asia struggles to limit spread of swine flu
South Korea, Hong Kong report two cases
HONG KONG: Health authorities across Asia are on high alert to limit the spread of swine flu after reporting two confirmed cases in the continent.
Hong Kong quarantined hundreds of hotel guests and workers on Friday after a tourist from Mexico tested positive for A(H1N1) flu, Asia's first confirmed case of the disease.
The man, who was not identified, flew from Mexico to Shanghai, then on to Hong Kong. He developed a fever after arriving in the territory on Thursday afternoon, Hong Kong leader Donald Tsang told reporters.
Meanwhile, South Korea confirmed its first case of the disease on Saturday, according to state disease control center chief Lee Jong-koo. The 51-year-old woman returned from Mexico on April 26 and reported to authorities the next day that she had flu symptoms. She has since been quarantined, but a doctor treating her told reporters Saturday that she is in good condition with few symptoms.
Mexico reported no new deaths from swine flu overnight - more reason to be optimistic that the worst is over at the epicenter of the outbreak.
Earlier on Saturday, World Health Organisation upped its tally of confirmed human cases to 615, with 17 deaths. The epidemic has spread across 17 countries. - AP
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'Swine flu more dangerous than bird flu'
