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					                                              DrPH Delphi Round 1: Results – Advocacy

                                                ASPH ADVOCACY WORKGROUP
                                                    Summary of Delphi # 1 Survey
                              (September 29, 2008) – Original Analysis, Unsorted by Recommendation Code

All highest scores are highlighted in yellow. (Accept and accept with changes have been considered as positive)

All ties are highlighted in blue.

9 of 10 workgroup members responded (90% response rate)



85 SUB-COMPETENCIES

Recommendation Codes                                                                                         Tally
1 - SA – Strong Accept (80% or more “Accept”). No comments. No review/discussion                             5
        needed.
2 - SD – Strong Accept but review/discussion/ needed regarding comments.                                     8
3 - A – Accept (70% or more “Accept”). No review/discussion needed.                                          10
4 - AD – Accept and review/discuss comments (70% or more “Accept” + “Accept with                             8
        Changes”)
5 - D/6 – Discuss/Review as 60% = "Accept" or "Accept" + "Accept with changes"                               9
6 - D/T– Discuss ties at 50% or potential 50% ties                                                           9
7 - D/O – Discuss others. Chairs decision.                                                                   30
8 - R – Reject based on set criterion: ≥ 60% rejecting                                                       6




Upon graduation, a student with a DrPH degree will be able to...

                                                                                                                     Page 1 of 19
                                         DrPH Delphi Round 1: Results – Advocacy

Recommendation Code   Competencies                          Accept   Reject   Accept with changes         Consider an
                                                                                                          alternative
                                                Response


4-AD                  Establish communication systems       5        3        2                           0
                      that will keep public health
                      officials informed of impending                         understands the
                      changes in public health policies.                      communications systems
                      (1)                                                     necessary to inform and
                                                                              educate ph professionals
                                                                              on advocacy issues

                                                                              insert "internal and
                                                                              external" before
                                                                              communication systems
5-D/6                 Develop written materials             5        2        1                           1
                      supporting the implementation or
                      enforcement of public health laws                       Develop written materials   see #53
                      and policies. (2)                                       supporting the enactment,
                                                                              implementation, or
                                                                              enforcement...
7-D/O                 Collaborate with other public         5        4        0                           0
                      health professionals to identify
                      and describe public health
                      problems. (3)
7-D/O                 Apply political science theory to     3        3        2                           1
                      analyze law and policy options.
                      (4)                                                     Apply political science     see #22
                                                                              theory and practice to
                                                                              analyze law and policy
                                                                              options
4-AD                  Develop strategies to achieve         6        1        1                           1
                      political support for public health

                                                                                                                    Page 2 of 19
                                        DrPH Delphi Round 1: Results – Advocacy

Recommendation Code   Competencies                        Accept   Reject   Accept with changes         Consider an
                                                                                                        alternative
                                               Response


                      law and policy change. (5)                            Develop strategies to       see #42
                                                                            achieve political and
                                                                            public support for public
                                                                            health law and policy
                                                                            change.
1-SA                  Integrate the scientific-evidence   8        0        0                           1
                      base into strategies to achieve
                      public health law and policy                                                      see #56
                      change. (6)
2-SD                  Present, in writing and orally,     6        0        2                           1
                      positions on public health
                      problems and law and policy                           If there's another        see #53
                      options to policy makers. (7)                         competency that refers to
                                                                            the development of policy
                                                                            options

                                                                            Present, through multiple
                                                                            appropriate methods of
                                                                            communication, positions
                                                                            on public health problems
                                                                            and law and policy
                                                                            options to policy makers.
2-SD                  Build support for public health     6        0        2                         1
                      law and policy change among
                      stakeholder groups. (8)                               Build and maintain          see #13
                                                                            support...

                                                                            Make the case for support
                                                                            and build such support...

                                                                                                                  Page 3 of 19
                                       DrPH Delphi Round 1: Results – Advocacy

Recommendation Code   Competencies                       Accept   Reject   Accept with changes         Consider an
                                                                                                       alternative
                                              Response


2-SD                  Evaluate public health programs,   6        0        2                           1
                      laws, and policies. (9)
                                                                           in collaboration with       see #63
                                                                           researchers

                                                                           Evaluate and hold
                                                                           accountable...
5-D/6                 Develop a campaign for new         3        2        3                           1
                      legislation. (10)
                                                                           Develop a campaign for      see #42
                                                                           new legislation with a
                                                                           strong focus on
                                                                           improving public health

                                                                           relevant to public health

                                                                           Develop an effective
                                                                           advocacy campaign for
                                                                           priority legislative and
                                                                           regulatory initiatives
3-A                   Craft pro and con analyses about   7        1        0                           1
                      possible policies or law. (11)
                                                                                                       see #22
2-SD                  Develop written and oral           7        0        1                           1
                      testimony to policy-makers. (12)
                                                                           Develop written and oral    see #53
                                                                           testimony and regulatory
                                                                           comments to policy-
                                                                           makers

                                                                                                                 Page 4 of 19
                                         DrPH Delphi Round 1: Results – Advocacy

Recommendation Code   Competencies                          Accept   Reject   Accept with changes         Consider an
                                                                                                          alternative
                                               Response


5-D/6                 Mobilize stakeholders for political   5        2        1                           1
                      support. (13)
                                                                              Mobilize community          Can be combined
                                                                              stakeholders in the         with others
                                                                              design, development,
                                                                              implementation and
                                                                              evaluation of public
                                                                              health advocacy efforts
4-AD                  Evaluate policy options. (14)         6        0        1                           2

                                                                              Evaluate pros and cons of   see #22
                                                                              various policy options
                                                                                                          Can combine with
                                                                                                          others
4-AD                  Write editorials and professional     6        1        1                           1
                      articles on policy positions. (15)
                                                                              Write editorials, letters,   see #58
                                                                              and professional articles...
7-D/O                 Develop a strategy for new         4           5        0                            0
                      resources. (16)
5-D/6                 Identify unintended consequences 4             1        2                           2
                      of new law or policy changes. (17)
                                                                              Identify when feasible,     see #63
                                                                              unintended... Please note
                                                                              many unintended             Nice idea -- too
                                                                              consequences are not        abstract
                                                                              known until the policy is
                                                                              in place.


                                                                                                                     Page 5 of 19
                                        DrPH Delphi Round 1: Results – Advocacy

Recommendation Code   Competencies                         Accept   Reject   Accept with changes         Consider an
                                                                                                         alternative
                                               Response


                                                                             Thoroughly consider
                                                                             unintended
                                                                             consequences...
1-SA                  Analyze legislative, judicial and    8        1        0                           0
                      public health policy affecting
                      major public health issues. (18)
5-D/6                 Analyze how federal laws and         5        1        1                           2
                      regulations shape state laws and
                      public health policies. (19)                           Interpret analysis of...    see #18

                                                                                                         Analyze how laws
                                                                                                         and regulations from
                                                                                                         a higher level body
                                                                                                         (i.e., federal) shape
                                                                                                         the laws and public
                                                                                                         health policies at
                                                                                                         lower levels (i.e.,
                                                                                                         state, county, local).
6-D/T                 Evaluate the practice and ethical    3        4        1                           1
                      implications of each type of
                      advocacy. (20)                                         Evaluate the practice and   see #63
                                                                             ethical implications of
                                                                             alternative types of
                                                                             advocacy
4-AD                  Advocate in writing and orally for   6        1        1                           1
                      policies or plans to improve the
                      public’s health. (21)                                  Advocate through            see #53
                                                                             appropriate multiple
                                                                             methods of

                                                                                                                   Page 6 of 19
                                         DrPH Delphi Round 1: Results – Advocacy

Recommendation Code   Competencies                            Accept   Reject   Accept with changes      Consider an
                                                                                                         alternative
                                                Response


                                                                                communication for
                                                                                policies...
2-SD                  Analyze the fiscal, administrative,     7        1        1                        0
                      legal, social, political and health
                      implications of policy options.                           Combine with others
                      (22)
7-D/O                 Support stakeholders and                5        3        0                        1
                      decision-makers who can
                      determine public policy. (23)                                                      Inform stakeholders
                                                                                                         and decision-makers
                                                                                                         who can determine
                                                                                                         public policy
                                                                                                         supportive of the
                                                                                                         public health
3-A                   Translate policy into                   7        2        0                        0
                      organizational plans, structures
                      and programs. (24)
3-A                   Evaluate the effectiveness of           7        1        0                        1
                      legal, legislative and policy
                      measures as a response to major                                                    see #22
                      public health issues. (25)
7-D/O                 Propose a legally defensible role       4        3        1                        1
                      of advocacy/lobbying/policy
                      change in the overall framework                           work with others to      see #37
                      of action of a particular institution                     (legally defensible is
                      or community (26)                                         largely a legal call)
7-D/O                 Consider the full scope and range       3        5        1                        0
                      of legal, ethical, scientific,
                      technical, behavioral and practical                       Consider the range and

                                                                                                                   Page 7 of 19
                                          DrPH Delphi Round 1: Results – Advocacy

Recommendation Code   Competencies                          Accept   Reject   Accept with changes           Consider an
                                                                                                            alternative
                                                 Response


                      elements of an issue in crafting,                       importance of legal,
                      maintaining, and leveraging a                           ethical, scientific,
                      successful advocacy strategy for                        technical, behavioral and
                      current and future conditions. (27)                     practical elements of an
                                                                              issue in crafting,
                                                                              maintaining, and
                                                                              leveraging a successful
                                                                              advocacy strategy.
2-SD                  Establish goals, timelines,           6        1        2                             0
                      funding, strategy and other
                      necessary prerequisites, such as                        Establish goals, timelines,
                      potential public support and                            funding, and overall
                      acceptance, for a successful                            strategy for a successful
                      advocacy effort or program. (28)                        advocacy effort or
                                                                              program

                                                                              Combine with others and
                                                                              cut down
6-D/T                 Be supportive of strategies           3        4        1                             1
                      tailored to and appropriate for
                      dialogue and relationship with                          Be supportive of              see #53
                      existing and future executive,                          strategies for dialogue
                      legislative, and judicial officials                     and appropriate
                      and/or candidates. (29)                                 relationship with officials
                                                                              and/or candidates
7-D/O                 Determine key elements of a           3        5        1                             0
                      model ordinance, regulation, or
                      law related to an area of public                        Determine key elements
                      health compatible or comparable                         of a model ordinance,

                                                                                                                      Page 8 of 19
                                        DrPH Delphi Round 1: Results – Advocacy

Recommendation Code   Competencies                           Accept   Reject   Accept with changes          Consider an
                                                                                                            alternative
                                               Response


                      with the interests or experience of                      regulation, or law related
                      the organization or group being                          to an area of public
                      represented. (30)                                        health.
6-D/T                 Train and/or empower staff and         4        4        0                            1
                      volunteers to acquire and utilize
                      fundamental advocacy skills at the                                                    see #13
                      appropriate level. (31)
7-D/O                 Maintain adequate technological        5        4        0                            0
                      literacy and proficiency of
                      changes in electronic and web-                           Rejected because forward
                      based communications and                                 looking item cannot be
                      learning tools that are utilized or                      measured.
                      adapted for advocacy purposes.
                      (32)
6-D/T                 Be supportive of organizational        4        4        0                            1
                      efforts to transparently provide the
                      documentation, including                                                              Combine with others
                      utility/rationale, of advocacy                                                        and edit
                      positions in an manner legally
                      appropriate, accessible and
                      understood internally and/or
                      externally. (33)
1-SA                  Utilize consensus-building,            9        0        0                            0
                      negotiation, conflict avoidance
                      and conflict resolution techniques
                      as essential components of
                      successful advocacy efforts. (34)
7-D/O                 Formulate assessment and               4        5        0                            0
                      recognition strategies for past,

                                                                                                                      Page 9 of 19
                                        DrPH Delphi Round 1: Results – Advocacy

Recommendation Code   Competencies                          Accept   Reject   Accept with changes   Consider an
                                                                                                    alternative
                                               Response


                      current, and future advocacy
                      efforts, models, and opportunities.
                      (35)
7-D/O                 Align elements of advocacy with       5        4        0                     0
                      organizational needs, assets, and
                      goals prior to commencing efforts
                      to change policy, practices or
                      beliefs. (36)
7-D/O                 Promote usage of advocacy             5        4        0                     0
                      techniques where appropriately
                      distinct and complementary to
                      those of lobbying in efforts to
                      effect status on an issue or set of
                      issues. (37)
6-D/T                 Establish conditions appropriate      4        4        1                     0
                      for dialogue and relationship with
                      key media, officials, funders and                       Edit down
                      community at large who
                      potentially act in spokesperson
                      role in an advocacy effort. (38)
8-R                   Recognize best practices and          3        6        0                     0
                      limitations in advocacy experience
                      and outcomes from such public
                      health efforts as tobacco control,
                      food and nutrition/food systems
                      policy, which relate to an
                      ecological approach to and
                      understanding of public health
                      issues. (39)

                                                                                                           Page 10 of 19
                                         DrPH Delphi Round 1: Results – Advocacy

Recommendation Code   Competencies                          Accept   Reject   Accept with changes          Consider an
                                                                                                           alternative
                                                Response


8-R                   Appreciate the advocacy               2        7        0                            0
                      implications of best practices and
                      limitations in social or cause-                         social marketing work
                      related marketing techniques in                         very well
                      changing policy and related
                      practices, and beliefs related to
                      groups or society at large. (40)
7-D/O                 Embrace the acquisition and           2        5        0                            2
                      application of oral and written
                      testimonial skills and practices to                                                  see #53
                      encompass a range of advocacy
                      efforts. (41)                                                                        Combine with other
                                                                                                           similar ones
7-D/O                 Develop initiatives aimed at          4        3        1                            1
                      significantly influencing national
                      leaders in the public and private                       Develop initiatives to       Combine with other
                      sectors, in order to implement                          influence national leaders   similar ones
                      policies and programs that support                      in the public and private
                      priority public health goals. (42)                      sectors to implement
                                                                              policies and programs
                                                                              that support priority
                                                                              public health goals.
2-SD                  Establish and maintain strong         7        1        1                            0
                      working relationships with
                      Members of Congress, the                                be able to...
                      Executive Branch, appropriate
                      federal agencies, and
                      corresponding state and local
                      bodies and their staff. (43)

                                                                                                                     Page 11 of 19
                                         DrPH Delphi Round 1: Results – Advocacy

Recommendation Code   Competencies                           Accept   Reject   Accept with changes         Consider an
                                                                                                           alternative
                                                Response


7-D/O                 Ensure that policy positions are       2        4        1                           2
                      fully represented in the legislative
                      and regulatory processes. (44)                           insert "ethical" before     see #43
                                                                               policy positions
                                                                                                           Combine with other
                                                                                                           similar ones
2-SD                  Evaluate public advocacy and           7        0        1                           1
                      media advocacy strategies. (45)
                                                                               Evaluate and implement      Combine with other
                                                                               best practices in direct,   similar ones
                                                                               grassroots and media
                                                                               advocacy strategies.
1-SA                  Develop working relationships       9           0        0                           0
                      with non-governmental health
                      advocacy organizations,
                      professional organizations, and
                      coalitions whose public policy and
                      advocacy interests parallel or
                      coincide. (46)
4-AD                  Provide expert analysis of data,    6           0        1                           2
                      studies, and information that may
                      impact legislative, regulatory, and                      Provide expert analysis     see #56
                      other public policies affecting                          which may then impact
                      relevant public health issues. (47)                      legislative, regulatory,    Combine with other
                                                                               and other public policies   similar ones
                                                                               affecting relevant public
                                                                               health issues
7-D/O                 Conduct literature reviews             5        3        0                           1
                      regarding current and relevant

                                                                                                                     Page 12 of 19
                                        DrPH Delphi Round 1: Results – Advocacy

Recommendation Code   Competencies                          Accept   Reject   Accept with changes   Consider an
                                                                                                    alternative
                                               Response


                      public health issues. (48)                                                    See #56
3-A                   Synthesize issues and trends          7        1        0                     1
                      affecting public health priorities.
                      (49)                                                                          see #22
3-A                   Respond on a timely basis to          7        1        0                     1
                      requests for information/data
                      (specific to advocacy) from public                      Question - is this    Provide advocacy
                      officials, federal and field                            professionalism?      related
                      advocacy staff, the media, and the                                            information/data on a
                      general public. (50)                                                          timely basis when
                                                                                                    requested by public
                                                                                                    officials,
                                                                                                    staffmembers, media,
                                                                                                    and the general public
8-R                   Recognize when issues are ripe        2        7        0                     0
                      for consideration. (51)
8-R                   Move forward on advocacy efforts      1        8        0                     0
                      on a timely basis. (52)
1-SA                  Effectively communicate a policy      8        0        0                     1
                      position with relevant audiences,
                      e.g. decision-makers, program                                                 Combine with other
                      managers, community leaders, the                                              similar ones
                      general public. (53)
3-A                   Build coalitions of interested        7        2        0                     0
                      parties to effectively move a
                      policy agenda forward. (54)                             redundant
7-D/O                 Engage stakeholders in all public     5        4        0                     0
                      health core functions, i.e.
                      assessment, policy development,

                                                                                                              Page 13 of 19
                                        DrPH Delphi Round 1: Results – Advocacy

Recommendation Code   Competencies                          Accept   Reject   Accept with changes          Consider an
                                                                                                           alternative
                                               Response


                      and assurance. (55)
4-AD                  Effectively utilize both the          6        1        1                            1
                      scientific knowledge base and
                      public opinion on an issue to                           Utilize scientific           Combine with other
                      influence public health policies                        knowledge base and           similar ones
                      and programs. (56)                                      public opinion on an
                                                                              issue to influence public
                                                                              health policies and
                                                                              programs
7-D/O                 Work in partnership with media        4        2        1                            2
                      outlets to maintain positive
                      coverage of issues of advocacy                          Work.....coverage of         see #38
                      interest. (57)                                          public health issues.
                                                                                                           Combine with other
                                                                                                           similar ones
6-D/T                 Articulate the difference between     4        4        0                            1
                      advocacy and lobbying. (58)
                                                                                                           see #37
6-D/T                 Adhere to rules regarding             3        4        1                            1
                      lobbying so as not to jeopardize
                      advocacy efforts. (59)                                  Understand and adhere to     see #37
                                                                              relevant lobbying statutes
                                                                              and regulations at the
                                                                              federal, state and local
                                                                              levels.
3-A                   Articulate the important ongoing      7        1        0                            1
                      role of advocacy in public health,
                      whether it be educating the public,                                                  Combine with other
                      informing decision-makers of                                                         similar ones

                                                                                                                     Page 14 of 19
                                       DrPH Delphi Round 1: Results – Advocacy

Recommendation Code   Competencies                         Accept   Reject   Accept with changes         Consider an
                                                                                                         alternative
                                              Response


                      issues of interest, seeking new
                      resources, or influencing policies
                      for improvements in public health.
                      (60)
7-D/O                 Develop a tolerance for              4        5        0                           0
                      professional risk when seriously
                      seeking to influence a public
                      health agenda. (61)
7-D/O                 Enhance skills in conflict           5        2        0                           2
                      resolution and negotiation. (62)
                                                                                                         see #34

                                                                                                         Combine with other
                                                                                                         similar ones
5-D/6                 Evaluate advocacy efforts not only 5          3        1                           0
                      for their process success but for
                      their long term outcomes,                              Evaluate the long term
                      intended or unintended. (63)                           consequences, including
                                                                             potential unintended
                                                                             consequences of
                                                                             proposed public policies.
7-D/O                 Identify stakeholders in             4        3        0                           2
                      community health issues. (64)
                                                                                                         see #13

                                                                                                         Combine with other
                                                                                                         similar ones
7-D/O                 Enroll stakeholders into a           3        3        1                           2
                      community conversation. (65)

                                                                                                                   Page 15 of 19
                                        DrPH Delphi Round 1: Results – Advocacy

Recommendation Code   Competencies                         Accept   Reject   Accept with changes             Consider an
                                                                                                             alternative
                                               Response


                                                                             Engage stakeholders etc.        see #13

                                                                                                             Combine with other
                                                                                                             similar ones
7-D/O                 Co-create opportunities for          3        3        1                               2
                      community participation in
                      decision-making. (66)                                  Create opportunities...         see #13

                                                                                                             Combine with other
                                                                                                             similar ones
7-D/O                 Enlist community volunteer           4        2        1                               2
                      participation in planning studies.
                      (67)                                                   Enlist ...........studies and   see #13
                                                                             interventions.
                                                                                                             Combine with other
                                                                                                             similar ones
5-D/6                 Facilitate community groups in       6        1        0                               2
                      assigning priorities. (68)
                                                                                                             see #13

                                                                                                             Combine with other
                                                                                                             similar ones
7-D/O                 Assist community groups with the     3        5        0                               1
                      review and critique of
                      translational research. (69)                                                           Combine with other
                                                                                                             similar ones
3-A                   Train community representatives      7        0        0                               2
                      in policy development and
                      advocacy. (70)                                                                         see #13

                                                                                                                       Page 16 of 19
                                        DrPH Delphi Round 1: Results – Advocacy

Recommendation Code   Competencies                         Accept   Reject   Accept with changes        Consider an
                                                                                                        alternative
                                              Response



                                                                                                        Combine with other
                                                                                                        similar ones
6-D/T                 Organize civic events, e.g. town     4        4        1                          0
                      meetings, forums, etc. (71)
                                                                             Organize civic events in
                                                                             support of policy
                                                                             initiatives.
7-D/O                 Develop financial strategies for     4        5        0                          0
                      sustaining community
                      participation. (72)
8-R                   Coach community leaders in           2        7        0                          0
                      management of local contracts for
                      community health worker
                      services. (73)
7-D/O                 Participate in community wide        3        5        0                          1
                      meetings and movements as a
                      designer, developer, and                                                          see #13
                      evaluator. (74)
8-R                   Design intervention projects. (75)   3        6        0                          0
7-D/O                 Train community leaders in how       2        5        1                          1
                      to evaluate intervention projects.
                      (76)                                                   "participate in the        see #13
                                                                             evaluation of...
7-D/O                 Train community leaders in        5           2        0                          1
                      assessment of needs and assets.
                      (77)                                                                              see #13
3-A                   Represent the community interests 7           1        0                          1
                      in policy and legislative forums.

                                                                                                                  Page 17 of 19
                                        DrPH Delphi Round 1: Results – Advocacy

Recommendation Code   Competencies                         Accept   Reject   Accept with changes       Consider an
                                                                                                       alternative
                                               Response


                      (78)                                                                             see #43
4-AD                  Educate elected officials. (79)      6        0        1                         2

                                                                             Educate elected and       see #43
                                                                             appointed officials.
                                                                                                       Combine with other
                                                                                                       similar ones
5-D/6                 Actively engage in public policy     6        1        0                         2
                      decision making processes at the
                      local, state, and federal levels.                                                see #43
                      (80)
                                                                                                       Combine with other
                                                                                                       similar ones
7-D/O                 Demonstrate the ability to achieve   3        3        2                         1
                      key partnerships in pursuit of
                      public policy goals. (81)                              Demonstrate the ability to Combine with other
                                                                             achieve and sustain key    similar ones
                                                                             partnerships in pursuit of
                                                                             public policy goals

                                                                             Demonstrate the ability to
                                                                             develop, maintain and
                                                                             implement key
                                                                             partnerships...
6-D/T                 Engage the media in earned media     4        4        0                          1
                      opportunities. (82)
                                                                                                       see #38
5-D/6                 Garner public support for and      6          1        0                         2
                      understanding of key public health

                                                                                                                 Page 18 of 19
                                                DrPH Delphi Round 1: Results – Advocacy

Recommendation Code          Competencies                          Accept     Reject     Accept with changes          Consider an
                                                                                                                      alternative
                                                       Response


                             policy objectives. (83)                                                                  see #38

                                                                                                                      Combine with other
                                                                                                                      similar ones
7-D/O                        Collaborate with political leaders    3          5          1                            0
                             and agencies in implementing
                             high quality press conferences as                           Collaborate with political
                             needed on key public health                                 leaders and agencies in
                             issues. (84)                                                implementing press
                                                                                         conferences meeting high
                                                                                         overall standards on
                                                                                         relevant public health
                                                                                         issues
3-A                          Create a short, easily digested       7          0          0                            2
                             policy brief to set the stage for
                             advocacy work with key segments                             Develop user-friendly      see #53
                             (e.g. the public, public health                             policy briefs on public
                             leaders, politicians with little                            policy priorities which
                             health expertise). (85)                                     clearly show the return on
                                                                                         investment for such
                                                                                         positions.

Other Comments
Hi John - sorry to be late - this was very hard. I cut them into strips and then grouped them, keeping the representatives I liked best from
each theme area. Hope this is still able to be used.

Establish a communication system that will keep public health leaders alerted to pending legislative or bureaucratic actions that may
impact public health.


                                                                                                                                Page 19 of 19

				
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