Imtiaz Sooliman – Fourth wave not as severe as previous waves

Imtiaz Sooliman
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The speakers discuss the lack of COVID-19 cases in South Africa and the severity of infection in healthcare workers. They emphasize the importance of wearing masks and not taking chances, as the virus is not everyone's responsibility. The speakers also discuss the increasing spread of COVID-19 and the need for more healthcare workers to cover the whole country. They emphasize the importance of social distancing and maintaining health, as it is crucial for everyone to stay home and avoid getting infected.

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			Now humanitarian NGO, gift of the
givers is optimistic. The fourth
		
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			wave won't be as harsh as previous
waves to of covid 19. To explain
		
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			why the organization believes this
is the case in the face of rapidly
		
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			spreading infections, I'm joined
now by his chairperson. Let's
		
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			welcome Doctor Imtiaz Suleman.
Doctor Suleman, good afternoon.
		
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			Thank you very much for your time.
Your sense of optimism is driven
		
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			by what factors? What are you
seeing on the ground?
		
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			Good afternoon. It's more by what
I'm not seeing on the ground. You
		
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			know, it's in the first three
waves. You know, we was we were
		
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			getting flooded with calls. We
were in the fourth wave peak, and
		
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			the numbers started rising. We
were expecting calls to pour in
		
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			from CEOs, from medical managers,
from hospital staff in general,
		
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			from gift of the givers team
station all over the country in
		
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			greatest hospitals. From the
public sector, from those who lend
		
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			out oxygen concentrator machines
from ICUs. Not one call since the
		
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			24th of November till today. 24th
was the day it was announced that
		
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			the new strain was detected in
South Africa and identified from
		
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			that data today, not a single
call. And yet, in a three strains
		
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			previous to that, we were we were
flooded with calls virtually, what
		
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			without exaggeration, 1000s of
calls. People call from the
		
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			public, no family members, late at
night, 12 at night, two o'clock
		
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			the morning, all my team members
will be woken up in the early
		
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			hours of the morning. We need
oxygen. We need machines. We need
		
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			oxygen. Please. Can you help? Not
a single call, which tells me that
		
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			whilst we have 1000s and 1000s of
cases, and this number is probably
		
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			much higher than it's recorded,
because many people still don't
		
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			test, and many people
asymptomatic, and with all those
		
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			testing, we haven't had the level
of admission, you know, in in
		
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			hospital, but more than the level
of admission, the level of deaths,
		
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			because a lot of people died
without admission. They died in
		
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			the homes, they died in the cars.
They died in the casualty in the
		
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			car. Pumps. Many people,
especially in the second wave,
		
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			died outside hospital, and we
haven't seen anything to that
		
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			effect. And the other way of
measuring it, the number of
		
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			funerals, you know, if you check
with the federal Palace, it's
		
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			substantially low in this wave.
Now what you are seeing, or what
		
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			you said, what you are not seeing
on the ground indicates that
		
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			perhaps in this fourth wave,
despite the new Omicron variant,
		
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			the level of aggression is not the
same. Therefore, there's not much
		
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			severe illness going around.
		
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			Yes, it's very much transmissible.
No, it's people are getting,
		
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			getting infected faster. And, you
know, it goes back to the time in
		
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			the plane those people went to
Netherlands, and that was stopped,
		
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			stopped from the km flight 12
hours before they left, nobody was
		
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			positive. Everybody had a negative
test. And our 12 or 13 hours
		
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			later, there's 81 people positive.
You know, how did that happen? The
		
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			distinct somebody became incubated
and became positive. And straight
		
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			to those people, very, very fast.
And even in hospitals, I mean in
		
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			the morning. I mean touch what a
lot of hospitals. And the CEO will
		
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			tell you, you know what? I trust
staff positive this morning, and
		
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			suddenly she tells you it's now
30, and then she tells you it's
		
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			50. It's within hours, it's
spelling. In events, people are
		
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			going, you know, even at the rate
event at the ICC, there was the
		
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			ICASA event, you find that within
a short space of time the number
		
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			of positives increase. So yes, the
rate of infection is very much
		
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			higher and very much faster, but
the severity of infection is not
		
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			there. I'm sure. I don't practice
medicine anymore, but I'm sure
		
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			those physicians being the blood
markers, don't see the type of
		
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			blood changes that we've seen in
the other three cases where the
		
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			blood changes were very, very
severe. In this case, it's even
		
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			milder than than the flu. Most
people we know recover within two
		
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			and a half days. Now. What are the
lessons here? Because I mean,
		
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			there's still uncertainty, but
what you are seeing is the reality
		
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			on the ground, as you saw
eloquently. Point painted the
		
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			picture for us, Doctor Suleman,
but there could be some lessons.
		
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			We can't really sit back and
relax, because the last thing we
		
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			do need is something else coming
up from the left field and putting
		
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			pressure, for example, on
hospitalisations.
		
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			Complacency. The biggest disaster
is complacency. We can't take a
		
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			chance. Because what's warning me
is, why are there so many positive
		
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			healthcare workers? You know, most
of them have been vaccinated, and
		
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			most of them I spoke to have been
vaccinated. Some have taken
		
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			boosted doses, and some of them,
or many people, have been ill
		
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			previously. They've had previous
covid Yet they're positive again.
		
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			So either you know this, the
strain is very, very unusual.
		
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			Alternatively, people are not
wearing their masks. You know,
		
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			kids thinking they're vaccinated
and it's safe, which is not true.
		
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			Yes, you may be safe from severe
illness, you may be safe from
		
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			hospitalization, you're safe from
ICU, but you are not safe from
		
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			being infected, and you are not
safe from passing an infection a
		
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			fellow healthcare workers, of your
family members. So the standard
		
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			rules that we had, we still have
to have the social distancing, the
		
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			masking, the washing of hands, the
cleaning of hand sanitizing, and,
		
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			of course, ventilation. We need to
have lots of ventilation to make
		
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			sure, especially now when people
are not being overseas anymore,
		
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			and I encourage them to do local
tourism, support the economy,
		
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			support support local jobs. But
when you go to restaurants,
		
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			preferably eat outside. You know,
do everything outside.
		
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			It as far as possible. Do outdoor
activities more than indoor
		
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			activities, because that's the
best safeguard for you. Yes, you
		
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			may not get so sick now, but the
chances are, if you slip up
		
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			somewhere and get into the habit
of not being safe, we may get hit
		
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			by our next wave, which you won't
be so friendly. Yeah, you are a
		
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			medical doctor. Before I let you
go, I need to ask you this, what
		
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			you have observed, would you
justify a change in the level of
		
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			restrictions from level one to a
higher level. When the inter, when
		
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			the national coronavirus Command
Council meets with the President?
		
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			No, it makes no sense. The testing
labs are showing that the virus is
		
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			all over the country. What are
they going to do? Jog the virus
		
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			down with the people? It's not
going to work. All the labs are
		
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			showing high numbers of cases all
over the country. So the virus is
		
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			all over the country. You just see
the beaches, what it looked like
		
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			in the weekend. It's all over.
It's spread all over as it doesn't
		
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			go to the Northern Cape. It's too
far for it, I think. But, you
		
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			know, it's everywhere else. It
doesn't make sense to do that, and
		
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			you have to better balance that
off of the economy. Are you going
		
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			to achieve anything significant by
locking down where there's not
		
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			severe infection, yes, there's
number of people getting infected,
		
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			but hospitals are not compromised.
They're not pressurized. There's
		
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			no issue there. And you're going
to knock out more jobs, which are
		
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			going to be a more difficult thing
to sort out. I would be dead
		
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			against going against higher than
level one. What I aim for is that
		
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			the extra 100 and 50 billion rand
that the finance minister has now,
		
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			Doctor mister ina karangwana
should put that in putting more
		
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			healthcare workers in hospitals.
We have a terrible shortage of
		
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			healthcare workers in hospitals.
What these healthcare workers were
		
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			now, maybe asymptomatic, but still
they have to be isolated. You
		
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			know, they're positive. They can't
go and touch patients because the
		
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			patients will get scared. So it's
not fair for positive workers. Are
		
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			you? Are you patients? Yeah, but
at the same time, sorry, Doctor, M
		
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			just to come in there. Are you?
Are you calling for, so to speak,
		
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			a concerted drive to employ more
healthcare workers on an interim
		
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			basis or on a permanent basis, to
close the gap that's being left by
		
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			those who are currently sick?
		
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			No permanent This is the call I
met on the first day. Because,
		
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			remember, we were the only country
virtually that went on a lockdown
		
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			when we had no wave. On the 15th
of March last year, the President
		
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			announced a national disaster on
the 27th of March, before our wave
		
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			came, we went into lockdown and
caused a massive catastrophe in
		
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			terms of jobs and lockdown, and we
were told the lockdown was being
		
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			put into place to prepare the
hospitals. What preparations were
		
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			being done to prepare the
hospitals? There were no
		
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			additional staff put in hospitals.
There were no additional oxygen
		
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			points put in hospitals, and the
hospitals were already severely
		
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			compromised. What a shortage of
healthcare workers Before covid
		
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			came and they got and then, of
course, we got hit by covid. More
		
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			than 1000 healthcare workers have
died, and now, many 1000s are
		
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			infected right now, and we don't
have replacements, even they were
		
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			Delhi darling, putting Junior
interns to work. I think it
		
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			finally happened in the last 48
hours. You can't be dealing with
		
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			things like that. When you're
dealing with people's health. You
		
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			have to have workers and to deal
with the country and covid. Should
		
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			tell you that your biggest
investment should be in
		
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			healthcare, and especially in
personnel. So to answer your
		
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			question, we want permanent
healthcare workers, doctors,
		
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			nurses, paramedics,
physiotherapists, and especially a
		
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			lot of psychologists, because
mental health has become a huge
		
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			problem right now. What what the
anxiety with covid 19? Doctor, mts
		
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			suraman, thank you very much for
your time and your very clear
		
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			message, there any lockdown, any
further restrictions won't resolve
		
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			anything. He's, of course, the
founder of the gift of the givers.
		
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			Currently, they're noticing a lot
of infections all over the
		
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			country, especially with this
Omicron variant. But illness is
		
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			not severe. There is no pressure
on hospitals. So why you want to
		
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			lock down the economy? Very good
point there being raised by
		
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			mentioned there by Doctor MJ
suluman from the gift of the
		
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			givers.