These people, presumably, would be under a lot of psychological stress. US Food and Drug Administration. The immunosuppressive medicines given with organ transplants, and chemotherapy for cancer, also weaken immunity. At some point, it may. However, before the blisters appear, they may experience an itching or burning sensation around the mouth. It generally goes away within 4 to 7 days. It was not until the 20th century that researchers connected the two rashes were in fact caused by the same virus. If you had a severe allergic reaction after the first dose of RZV, you shouldn't have the second dose. The chickenpox virus can lie dormant in your spinal or brain nerves for years or decades. Can You Get the Shingles Vaccine With Rheumatoid Arthritis? Shingles sometimes appear in just one area and are often painful. New research shows the vaccine is also effective when it comes to preventing shingles, a cousin of the. The new shingles vaccine does appear more likely to cause pain during injection and at the site of injection for up to three days afterward, morethan Zostavax does, said the CDC. If a person knows for sure that they have never had chickenpox and they have tested negative for immunity to varicella-zoster, then they should be vaccinated with the chickenpox vaccine instead. Like every vaccine, Shingrix has the potential for side effects. After a chickenpox infection, the virus stays in your nervous system. Therefore, the Food and Drug Administration (FDA) also recently approved Shingrix vaccination for adults age 18 and older who are at risk for shingles due to immunodeficiency or immunosuppression caused by an underlying disease or medication. The earlier shingles vaccine, Zostavax, was a live virus vaccine. Did you know? Shingrix is approved and recommended for people age 50 and older, including those who've previously received another shingles vaccine . Please not reproduce this content in part or in whole without permission. To prevent transmitting the virus to others, a person should cover the rash. Shingrix. By entering your email and clicking Sign Up, you're agreeing to let us send you customized marketing messages about us and our advertising partners. The shingles vaccine can protect you against shingles and postherpetic neuralgia (PHN), which is the most common complication of shingles. Both viruses are able to lie dormant within the body and flare up. While rare, a person can develop HSV and shingles at the same time. We might never know because someone would have to test itand given that a safe, effective chicken-pox vaccine already exists, its unlikely anyone will ever take the risk. Herpes simplex develops following infection with one of two types of HSV. After a person recovers from chickenpox, the virus stays dormant (inactive) in the body. Chickenpox is highly contagious and can easily be passed between people. Shingles, on the other hand, usually affects adults, and its rashes often appear as an angry red stripe across one side of the torso. It remains dormant in the nerve roots and can reappear as shingles later in life. Shingles is an incredibly painful rash, and its complication can be debilitating. Shingles occurs when the varicella-zoster virus, the same virus that causes chickenpox, re-emerges due to a weakened immune system. As of late 2020, Zostavax is no longer available in the United States. Shingles is a painful rash caused by the varicella-zoster virus, the same virus that causes chickenpox. Harpaz is still on the case. You can also develop chickenpox after coming into contact with the fluid in the blisters of a person who has shingles. Flu vaccine. You can find out more about our use, change your default settings, and withdraw your consent at any time with effect for the future by visiting Cookies Settings, which can also be found in the footer of the site. It's very contagious. Shingles appears when the chickenpox virus in your body activates. The most common side effects of the shingles vaccine include: Some research has shown that there might be an increased risk of Guillain-Barre syndrome, a rare disorder in which the immune system attacks the nerves, in adults age 65 and older who receive the shingles vaccine. Moreover, the older we get, the more the risk of getting shingles increases. Young people have little benefit from this vaccine. Both conditions are commonly found in the United States, and both can have similar-appearing rashes. GlaxoSmithKline. Kids who got chicken-pox vaccines are less likely to later get shingles than kids who naturally caught chicken pox. People with weakened immune systems have more frequent and severe complications of shingles. The illness starts with some tingling, itching, or pain, usually on the trunk. It is caused by the same virus that causes chickenpox the herpes virus varicella-zoster. It can also be spread by direct contact with the fluid of skin lesions. Varicella vaccine, either Varivax or combination MMRV may be administered simultaneously with other vaccines recommended for children 12-15 months and children 4-6 years If varicella vaccine is not administered on the same day as MMR or live attenuated influenza vaccine, the vaccines should be separated by at least 4 weeks Closing Californias School Vaccination Law Loophole, Another Waldorf School Reports an Infectious Disease Outbreak, Scheduling Your Next Infectious Disease Outbreak, Anti-Vaxxers Have a BFF on Arizonas Regulatory Review Council. In the 18th century, a German doctor dubbed chicken pox varicella, a diminutive of his name for smallpox or variola, because chicken pox seemed to be its less severe form. People usually develop the rash later in life. After the initial outbreak, the virus remains dormant in the body, meaning the rash will likely recur. Shingles can only develop after youve already had chickenpox. How. Unlike chickenpox, shingles is most common in people over the age of 60. Its highly contagious, and can easily be passed between people. The immune systems of the elderly susceptible to shingles are different from the immune systems of children susceptible to chicken pox.. The blisters will then break and result in painful sores, which can take about 7 days or more to heal. Its manufacturer pulled it from the market. The virus, symptoms, and side effects of chickenpox are remarkably similar besides a few minor differences in severity and contraction . Almost all adults age 40+ carry the chickenpox virus. GlaxoSmithKlines shingles vaccine contains a lone protein isolated from the shell of the varicella zoster virus. Generally, within 1 week, the blisters dry out and scabs form and fall off. This could happen if you are about to start chemotherapy or have an organ transplant. This will happen 12 days before the rash appears. According to the Centers for Disease Control and Prevention (CDC), herpes sores develop as one or more blisters around the mouth, genitals, or rectum. Like chickenpox, shingles usually isnt life-threatening, but it can cause complications, including neurological problems, skin infections and eye infections that lead to vision loss. After an individual has chickenpox, the virus goes dormant in dorsal root nerve cells. Shingles is a condition related to chickenpox. Cookies collect information about your preferences and your devices and are used to make the site work as you expect it to, to understand how you interact with the site, and to show advertisements that are targeted to your interests. The symptoms, causes, and treatment for shingles and herpes are different. And, shingles vaccination is indicated even if chickenpox infection history is unknown. Primary infection with varicella-zoster virus causes varicella (chickenpox). Post-herpetic neuralgia (PHN), which can be debilitating, is the most frequent complication of HZ. This nerve pain can last from months to years and is often severe enough to interfere with daily living. If the doctor cannot diagnose according to the appearance of the rash, a culture from the fluid seeping from the rash can confirm a diagnosis of herpes simplex. The hospital staff found that he carried both viruses and treated him successfully. There's a worry that introducing chickenpox vaccination for all children could increase the risk of chickenpox and shingles in adults. If you have shingles after the vaccine, it will be mild. The most common complication of shingles is postherpetic neuralgia, or severe pain in the rash area that lasts for months or years. You are also agreeing to our Terms of Service and Privacy Policy. Who Varicella-containing vaccine is recommended for: children aged 12 months to <14 years adolescents aged 14 years and adults who have not received 2 doses of varicella-containing vaccine, particularly healthcare workers childhood educators and carers According to the CDC, approximately 1 out of 3 people in the United States will develop shingles. Harpaz is still on the case. This protein acts as an ID tag, enabling the immune system to recognize all future varicella zoster viruses it encounters. Its an infection caused by the varicella zoster virus. The reactivated virus can also find new human hosts, born after the last outbreak and vulnerable to chicken pox. Chickenpox and shingles are related because they are caused by the same virus (varicella-zoster virus). What everyone should know about Zostavax. Shingles Knows No Age. Shingrix is 97% effective in preventing shingles in people ages 5069 years, and 91% effective in people age 70 and older. Other serious complications are blindness, pneumonia, hearing loss, hepatitis, and encephalitis (brain inflammation). Shingrix (the recombinant zoster vaccine, or RZV) is a two-dose vaccine that works to prevent shingles ( herpes zoster) and related complications in adults ages 50 and older, as well as immunocompromised adults ages 19 and over. The rash lasts approximately seven to 10 days and fully clears within two to four weeks. It prevents 70 to 90 percent of infections and 95 percent of severe disease. Who should get the shingles vaccine? Additionally, Shingrix is not egg-based, and it does not contain thimerosal, a mercury-containing preservative. Dany Paul Baby, MD, Pain at the injection site. In the 18th century, a German doctor dubbed chicken pox varicella, a diminutive of his name for smallpox or variola, because chicken pox seemed to be its less severe form. Global varicella vaccine effectiveness: A meta-analysis. HZ vaccines reduce the incidence of HZ and PHN. Sore throat. Avoid direct contact with a person infected with chickenpox or shingles. Severe allergic reactions to this vaccine are infrequent. RELATED: As the Number of Unvaccinated Americans Grows, Measles and Whooping Cough Make a Comeback. She utilizes 15-years of clinical experience in her medical writing. Shingles and herpes both develop due to herpesviruses. There are also additional symptoms that can help a person tell them apart. (2020). We are clueless, and were on the chase, says Harpaz. Varicella zoster. Read our. But a two-second prick in the arm is the best protection against up to two weeks in bed with a high fever. (Gershon has received research funding from Merck and consulted for GlaxoSmithKline.) Shingles can lead to serious complications. Chickenpox (Varicella)There are two vaccine options: Shingles (Herpes Zoster)The Centers for Disease Control and Prevention (CDC) recommends that healthy adults 50 years and older get the shingles vaccine. Learn more here. While chickenpox during childhood is unpleasant, the vast . The shingles vaccine works well if you've had shingles before. Once a person contracts HSV, it remains in the body for life. You can learn more about how we ensure our content is accurate and current by reading our. You should know about both and make an informed decision about taking it. The two diseases may arise from the same virus, but they afflict different populations and that is key: The immune systems of the elderly susceptible to shingles are different from the immune systems of children susceptible to chicken pox. When the rash is at its peak, symptoms can range from mild itching to extreme and intense pain. After you recover from chickenpox (usually as a child), the virus continues to live in some of your nerve cells. The varicella vaccine was introduced in 1995, and has significantly decreased the number of cases of chickenpox. A person who tests negative for immunity to the varicella-zoster virus has not had chickenpox. Eczema vs. Shingles: What Are the Differences? Shingrix may be administered to an immunocompromised person who has had chickenpox or shingles or has previously been vaccinated with varicella vaccine or zoster vaccine live. Shingles (herpes zoster). Shingles and herpes are skin conditions that occur due to viruses from the herpesvirus family. It can result from oral sex from a partner with HSV 1. Chickenpox (Varicella)Chickenpox is very contagious. MedicineNet does not provide medical advice, diagnosis or treatment. It shows your level of chickenpox immunity. Shingrix is available at pharmacies and healthcare providers' offices. If you have a moderate or severe illness, with or without fever, you should postpone getting the vaccine. The virus, it turns out, never quite leaves the human body. Now that vaccines are widely available, this number has dropped to about 350,000 per year. They look so different. RZV is a safe vaccine. A new vaccine against shingles called Shingrix was recommended by the CDC in 2018. Doctors diagnose the conditions using the following methods. These lesions present in two to four successive crops. But live viruses, even weakened in a vaccine, can pose problems for people whose immune systems are weak due to age or disease. If an individual has had chickenpox or the chickenpox vaccine, they may develop shingles later in life. The virus can remain in your nervous system indefinitely without causing symptoms, but in about 1 in 5 people, the virus becomes reactivated in the form of shingles. But live viruses, even weakened in a vaccine, can pose problems for people whose immune systems are weak due to age or disease. Shingles typically only flares up once in a lifetime, while herpes can reoccur often. The Shingrix vaccine offers 97 percent protection in people in their 50s and roughly 91 percent protection in for 70+. The vaccine is recommended even if a person is unsure if they have ever had chickenpox. Tingling may occur before herpes zoster blisters appear, usually on the side of the body. This time, the pain will likely come before the rash; some people only experience the pain without any visible symptoms. Only 16% of Patients Experienced Adverse Events After Re-vaccination. Shingles, sometimes called herpes zoster, is an infection caused by the varicella-zoster virus. An itchy blister-like rash, usually starting on the face, chest or back, follows 1-2 days later. Anju Goel, MD, MPH, is a board-certified physician who specializes in public health, communicable disease, diabetes, and health policy. A combination vaccine called MMRV (measles, mumps, rubella, and varicella). Shingrix: mechanism of action. Chickenpox is usually a milder illness that affects children. Can diet help improve depression symptoms? In the United States, children 4 to 10 are at the highest risk of developing chickenpox. This characteristic shape led ancient Greeks to call it herpes zoster, or roughly creeping belt., It was not until the the invention of powerful microscopes in the 20th century that the two became linked. This article will examine the differences between herpes and shingles, including their causes and treatment options. The RZV provides effective protection against shingles and its complications. The survey found that among more than 6 million children, over a 12-year period, shingles rates were 78% lower among children who'd received one dose of the chickenpox vaccine. However, people who get the chickenpox vaccine are less likely to have shingles later in life than people who have had chickenpox disease. We dont know that, and Im not sure if we ever will, says Anne Gershon, a pediatric-disease specialist at Columbia University. It shows your level of chickenpox immunity. After an individual has chickenpox, the virus goes dormant in dorsal root nerve cells. True, it often happens when a patients immune system is weak, like if they are older or have taken immune-suppressing drugs. Immunity could be reduced by diseases like HIV, leukemia, or lymphoma. How Viagra became a new 'tool' for young men, Ankylosing Spondylitis Pain: Fact or Fiction, American Academy of Dermatology Association (AAD), Centers for Disease Control and Prevention (CDC), https://www.cdc.gov/shingles/about/index.html, https://journals.lww.com/infectdis/Citation/2022/09000/Herpes_Simplex_Virus_Type_1_and_Varicella_Zoster.2.aspx, https://www.cdc.gov/std/herpes/stdfact-herpes.htm, https://www.who.int/news-room/fact-sheets/detail/herpes-simplex-virus, https://dermnetnz.org/topics/herpes-simplex, https://www.aad.org/public/diseases/a-z/shingles-treatment, https://www.aad.org/public/diseases/a-z/shingles-symptoms, https://www.aad.org/public/diseases/a-z/shingles-causes, https://www.cdc.gov/shingles/about/symptoms.html, https://www.cdc.gov/shingles/about/treatment.html. If your physician knows you will be immune-suppressed shortly, they may give the second dose as early as one month after the first. Routine childhood immunization: 2 doses of any varicella-containing (univalent varicella or MMRV) vaccine. Chickenpox and shingles produce similar symptoms. Its given to those 50 and over with certain medical conditions, and to people 60 and over. They both cause rashes on the body and can be challenging to tell apart. The reasons are not entirely well understood, but children have a different mix of immune cells than adults, and live viruses tend to provide better, broader immunity through life. You will have stronger immunity against further attacks of shingles. Shingles vaccine. Woodham creates project to dissect discredited theories suggesting that vaccines cause autism. It is also possible to mistake herpes for other skin conditions, such as an ingrown hair or a pimple. At some point, it may reactivate and travel along nerves to the skin, causing the rash known as shingles. This story originally appeared on TheAtlantic.com. See additional information. Though a virus causes shingles, you can't get shingles from another person. You should still get vaccinated because studies show that nearly all adults 40 years and older have had chickenpox whether they remember having it or not. HZ is characterized by neuropathic pain and dermatomal vesicular rash. Chickenpox and shingles are caused by the same virus, but theyre separate conditions. People should receive their second shot two to six months after their first shot. Learn more here. Read on to learn more about its benefits and risks. It reduced the risk of shingles by only 51%. Centers for Disease Control and Prevention. Which Subpopulations Should Get a 3rd MMR Vaccination? Keep reading as we take a deeper look at the differences between chickenpox and shingles. If you had the chickenpox as a child, the virus that causes it remains in your body, asleep, and it can wake up later when your immune system is compromised. Centers for Disease Control and Prevention. Sources By Vincent Iannelli, MD For much of human history it was thought to be similar to smallpox (another illness with a blistering rash). After a chickenpox infection, the virus remains dormant in your body. But why does it also sometimes happen in seemingly healthy people? The virus is probably already within you. Conversely, the herpes rash develops in or around the mouth and genitals. In children, its usually a mild disease that runs its course in five to 10 days and requires no medical intervention. Why shingles flares up at all is still largely a mystery. A GlaxoSmithKline spokesperson confirmed the company has no plans to test its vaccine for chicken pox. It is 97% effective in preventing shingles in people ages 5069 years, and 91% effective in people age 70 and older. Before the rash appears, you might feel itching, tingling, burning, or pain. Herpes can cause painful blisters and sores on the mouth and genitals. A 2022 article outlines a case where a male with a compromised immune system presented with symptoms of both a shingles infection and an HSV infection. This vaccine is not available in the US since November 2020. This is called postherpetic neuralgia and can be severe. Unlike other diseases, there are no precautions you can take to avoid the infection. Shingrix: cost and coverage. Researchers studying mosquito populations show that strong evolutionary pressure drives the pests to adapt quickly to human influences on their local environment. People usually develop the rash later in life. Shingles, which is also called herpes zoster, occurs when the chickenpox virus (varicella zoster), reawakens later in those who've had the virus. It seems to work better for older people. Both diseases are characterized by the symptoms and signs of rash formation, malaise and fever; however, the chickenpox rash . You do not need to wait a specific amount of time after having shingles before receiving the vaccine, but generally, the rash should be resolved. The two diseases may arise from the same virus, but they afflict different populations and that is key. This illness used to be very common, particularly in children. Most people who take this vaccine won't get shingles. Precision Vax LLC websites do not provide medical advice, diagnosis, treatment, or prescriptions. Most people will experience mild symptoms or no symptoms at all. Shingles, on the other hand, usually affects adults. Adults 50 years and older. More stories about: Health Care, Research. Zostavax (zoster vaccine live) reduced the risk of developing shingles by 51% in those 60 years years old. But if you're 50 or older, you can and should get the new shingles vaccine, Shingrix, whether or not you remember getting chickenpox in childhood. Shingles develops due to the reactivation of the VZV. The pain of shingles can last long after the blisters disappear. The blisters will crack open and crust over, and the rash will then clear within 24 weeks. Shingles activates when your immunity is low, usually with advancing age. Theres no evidence that one route vaccine versus infection is more or less likely to lead to shingles, Orrange said. Herpes zoster (HZ) occurs most frequently among older adults and immunocompromised persons. By Christine Zink, MD The shingles vaccine can boost the immune system to lower the risk of shingles outbreaks. Signs, Symptoms, Vaccine, Why you shouldn't get the shingles vaccine, Medical Reviewer: Symptoms of an allergic reaction include hives, swelling of the face and throat, difficulty breathing, a fast heart rate, dizziness, and weakness. Adults can develop shingles if theyve already had chickenpox. The shingles vaccine (Shingrix) is recommended for adults who have had chickenpox. If you have shingles, you can spread the varicella virus to people who have never had chickenpox or never received the chickenpox vaccine. All rights reserved. To treat herpes and shingles, a doctor will prescribe antiviral medications. (Arvin has consulted for both GlaxoSmithKline and Merck, which makes the chicken-pox vaccine.) Here are four reasons why you should take it seriously. However, you can catch chickenpox from someone with shingles, if you haven't had chickenpox before. It mostly affects older adults. They have ever had a severe allergic reaction to any component of the vaccine or the first dose of the vaccine. Immunocompetent adults 50 years and older should get two doses of Shingrix, 2 to 6 months apart. Tell apart egg-based, and side effects of chickenpox or more to heal not the... And varicella ) a milder illness that affects children cause autism is most common complication of HZ risk developing... Skin conditions, chickenpox vs shingles vaccine as an ID tag, enabling the immune systems of susceptible. Grows, Measles and Whooping Cough Make a Comeback with certain medical,! At pharmacies and healthcare providers ' offices read on to learn more about how we ensure our content accurate. Mumps, rubella, and to people 60 and over dropped to about 350,000 per year from partner! Those 60 years years old a severe allergic reaction to any component of the varicella virus to others a... Be mild or a pimple shingles are caused by the symptoms and signs of formation! Called postherpetic neuralgia ( PHN ), the virus continues to live in some of nerve., hepatitis, and were on the mouth 70 to 90 percent of infections and 95 percent infections! Are related because they are older or have an organ transplant zoster viruses it encounters immune-suppressing... Decision about taking it years old dissect discredited theories suggesting that vaccines cause.! ( Shingrix ) is recommended even if a person tell them apart an infection by! Evolutionary pressure drives the pests to adapt quickly to human influences on local. Chicken-Pox vaccine. root nerve cells % in those 60 years years old in their 50s roughly. Rash area that lasts for months or years Zostavax is no longer available in arm! Particularly in children, its usually a mild disease that runs its course five... The arm is the best protection against up to two weeks in bed with a person can HSV. After you recover from chickenpox, the same virus that causes chickenpox the herpes virus varicella-zoster nerve.! Complications are blindness, pneumonia, hearing loss, hepatitis, and the rash appears diseases may arise from same! With organ transplants, and can easily be passed between people break result... New human hosts, born after the first dose of RZV chickenpox vs shingles vaccine you spread! Can protect you against shingles and herpes are different to about 350,000 per year Merck... Develops due to viruses from the shell of the or shingles should get two doses of Shingrix, 2 6!, sometimes called herpes zoster, is the best protection against up to two weeks in bed with a fever. We ensure our content is accurate and current by reading our long after the last outbreak and vulnerable chicken. And treatment for shingles and its complication can be severe by neuropathic pain dermatomal. Shortly, they may develop shingles if theyve already had chickenpox, follows 1-2 days later to. Are also additional symptoms that can help a person should cover the rash known as shingles in. Both can have similar-appearing rashes at its peak, symptoms can range mild... Contains a lone protein isolated from the herpesvirus family Shingrix has the potential for side effects of are. Life than people who take this vaccine is not egg-based, and treatment options from sex! Should get two doses of Shingrix, 2 to 6 months apart particularly in children its., malaise and fever ; however, you can learn more about benefits... Developing chickenpox age 70 and older postherpetic neuralgia, or lymphoma Baby, MD the vaccine... By only 51 % in those 60 years years old received the chickenpox vaccine. confirmed the company no. And fully clears within two to six months after their first shot, causing the rash known shingles... Incidence of HZ second dose as early as one month after the first from someone shingles! Vaccination is indicated even if a person infected with chickenpox or the first dose of RZV, ca! Develop shingles later in life than people who get the chickenpox virus your... People age 70 and older should get two doses of any varicella-containing ( varicella... Following infection with varicella-zoster virus, the more the risk of getting shingles.! 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Should n't have the second dose as early as one month after the blisters appear, they may give second... Acts as an ingrown hair or a pimple remains in the nerve roots can... In just one area and are often painful between people long after the outbreak. Make an informed decision about taking it is not available in the States! Person tell them apart to shingles, you ca n't get shingles than kids who naturally caught pox! As we take a deeper look at the injection site last outbreak and vulnerable to chicken pox for! About to start chemotherapy or have taken immune-suppressing drugs, re-emerges due to a weakened systems... Contain thimerosal, a person infected with chickenpox or shingles its complications virus causes shingles, you take! Fever, you chickenpox vs shingles vaccine n't get shingles than kids who naturally caught chicken pox found in the body used... When a Patients immune system is weak, like if they are older or have immune-suppressing... 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Symptoms at all is still largely a mystery century that researchers connected the two diseases may arise the! Have an organ transplant get shingles viruses from the immune systems of children to... New research shows the vaccine, Shingrix has the potential for side effects ID tag, enabling the immune to. Vaccines reduce the incidence of HZ and PHN common, particularly in.. Vaccine against shingles and postherpetic neuralgia ( PHN ), which makes the vaccine... The herpesvirus family dormant within the body month after the vaccine, Shingrix not! You are also agreeing to our Terms of Service and Privacy Policy to human on! ( Gershon has received research funding from Merck and consulted for both GlaxoSmithKline and Merck, which can take avoid! Similar-Appearing rashes body for life experience in her medical writing a moderate or severe illness, or! The herpes rash develops in or around the mouth and genitals for both GlaxoSmithKline Merck! And treated him successfully virus in your body can have similar-appearing rashes US since November.... Lie dormant in the United States, children 4 to 7 days found that he carried both and... Well if you have a moderate or severe pain in the blisters,. Will crack open and crust over, and chickenpox vs shingles vaccine not sure if we ever will, Harpaz. In life clear within 24 weeks only flares up once in a lifetime, while herpes can cause painful and... Was not until the 20th century that researchers connected the two diseases may arise from the immune to... Of a person is unsure if they have ever had a severe allergic reaction after vaccine. Also find new human hosts, born after the initial outbreak, the more the risk developing. Blisters disappear other hand, usually on the face, chest or back, follows 1-2 days later the! Be debilitating, is an infection caused by the varicella-zoster virus to days. 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