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Hospital Arco Iris in La Paz

Internship and Volunteering Possible
 
The Hospital Arco Iris in La Paz is considered one of the best hospitals in the city. Elective placements, nursing internships and medical/nursing volunteer work are available here.
 
 

Project Details

 
Hospital Arco Iris is considered the best hospital of La Paz. The hospital has 110 beds; there are 15 outpatient consultation rooms; an emergency care unit with 7 beds, 4 surgery wards, an intensive care unit with 4 beds, 3 ambulance cars, a neonatal intensive care unit for 14 children, laboratory, microbiology, mammography, radiology and tomography.
 
As a charitable hospital, street children and children from poor classes of society are offered medical treatment for free. Around 60% of the patients are street children and children from poor families; the remaining 40% are paying patients, out of which 2/3 are privately insured or paying directly, and 1/3 are members of public health insurance groups. The charitable services offered to street children and poor children are subsidized by the profits generated from the paying patients.
Info Box
General
Location: La Paz, Bolivia
Availability: All year, Start date flexible
Minimum Duration: 4 Weeks
Maximum Duration: 6 Months
Language Requirements: Average Spanish
Accommodation:
Shared Accommodation, Room with Host Family
Internship
Supervision Possible: Yes
Qualification Of Supervisor: General Physician, Specialist, Nurse, Therapist
Minimum Qualification Of Intern:
Relevant studies or experience
Further Contribution To Project: 150 USD per week
Volunteering
Volunteering Possible: Yes
Required Qualification For Volunteer: Specialist in Medicine/Nursing/ Therapy
Further Contribution To Project: None
Expectations:
Professional Conduct, Do you have the "right" attitude?
 

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Background Information for Medical Placements/Electives Abroad

 
The following text tries to provide background information about the medical systems in the different countries and tries to classify the medical institutions where we arrange placements within these system, in order to assist you finding the right option for your elective, final year rotation, internship or medical volunteer work.
 
Contact us and we are happy to assist you!
 
Tanzania
 
In Tanzania we can arrange placements for medical elective students, interns of nursing and therapies, pre-medical students and professional volunteers into a wide range of public and private medical institutions.
 
The public health system in Tanzania has a referral system: Someone who needs treatment usually first attends a small medical dispensary. Dispensaries are in all parts of towns and cities such as Moshi, Dar-es-Salaam etc. and in many villages, treating all common things such as small injuries, infectious diseases, Malaria, diabetes, high blood pressure etc.; also they often do deliveries.
 
There are public and private dispensaries. The public dispensaries are usually very simple in terms of equipment and facilities. In villages and outskirts of cities, they often they don't even stock elementary medicines and can only offer very basic medical services. The private dispensaries are often very similar to the public ones, but sometimes they are of higher standard in terms of facilities, equipment and services offered.
 
Any state-approved nurse can open a private dispensary. Dispensaries are usually run by a nurse or by a "medical officer" who is something between a nurse and a physician; some might employ further nurses, medical officers and laboratory technicians. The nurses and medical officers at the dispensaries can prescribe and use all standard medicines. There is typically no real physician who has studied medicine for 4-5 years. If it is a requirement from the university that for an elective/medical internship a proper physician is needed as a supervisor, this is not possible at a dispensary. For volunteers who have professional skills such as nurses, therapists and physicians, dispensaries are very good places to volunteer at, as through their skills they can support the local staff a lot and work like a regular team member, including stitching wounds and treating patients, assisting with deliveries, even without supervision if they are sufficiently qualified. Also internships for pre-medical students are possible at dispensaries.
 
Examples for such dispensaries where we can arrange placements are Hosiana Clinic and Dorcas Laboratory in Moshi. In Zanzibar, placements at dispensaries are usually not possible, as the Health Ministry doesn't allow so for foreigners.
 
The number of patients at dispensaries might fluctuate a lot during the year. Usually during the rainy season (March to June and November) there are more infectious diseases and more cases of malaria.
 
If a patient needs something of higher specialization that cannot be done at a dispensary or which is beyond the competence of the nurse or medical officer, he or she is referred to a Regional Hospital such as Mawenzi Regional Hospital in Moshi.
 
Patients however can also go directly to a Regional Hospital. Particularly people living in the cities near a regional hospital often prefer to go directly to the hospital and skip the dispensary, as they expect better service at the hospital.
 
Regional hospitals usually have many, many patients and elective students and professional volunteers have the chance to see many cases, often in very late stages of diseases.
 
Regional hospitals are used by patients who are of average income, or poorer parts of the population, if they feel so sick that they don't have any other option. A lot of time often passes between having been at a dispensary and going to the Regional Hospital, during which the patient’s medical condition can get worse, because poor patients usually have to collect the money to cover costs for the treatment from relatives, neighbours, churches and other sources, which can take days to weeks. The costs for a consultation by a doctor at a regional hospital might be around 5,000-7,000 TSH (around 2.50-3 €/3.30-4 USD), plus costs for medicines which might be typically between 2,000 and 10,000 TSH (1-5 €/1.30-6.50 USD). Major surgery and having to stay as an inpatient might cost around 100,000-200,000 TSH (50-100 €/65-130 USD). An average monthly household income is around 90 €/120 USD (for a whole family), but around 65% of Tanzanian households only have 30 €/40 USD or less per month. Patients usually don't seek medical treatment for minor reasons; nobody goes for prevention.
 
Regional Hospitals have various common departments; you can read the list of available departments at Mawenzi Regional Hospital and other hospitals on our website. Work at the regional hospitals is often tough, as doctors have to treat many patients who have serious medical conditions within a very short time. Therefore they often don't have a lot of time to give lengthy explanations to elective students. Students usually assist the doctors and nurses with tasks such as stitching wounds, changing dressings, assisting during the consultation, attending doctors during the ward round etc, always under supervision. There is qualified staff who can sign and stamp forms about electives as required by universities.
 
Above the level of the Regional Hospitals there are very large and higher specialized hospitals which are called "Referral Hospital" such as Muhimbili National Hospital in Dar-es-Salaam and Bugando Medical Centre in Mwanza, which are often attached to medical universities. Patients cannot go directly to a Referral Hospital, but they need a reference from a regional hospital first. Mnazi Mmoja Hospital in Zanzibar is a Referral Hospital where patients can go directly, but this is because on the small island of Zanzibar there are no Regional Hospitals.
 
The standard of the departments/wards within one hospital can vary very much (both at Regional and Referral Hospitals), some departments might have good equipment and might be in good condition, typically resulting from money provided by foreign development programs. For instance the HIV/AIDS and physiotherapy wards at Mnazi Mmoja Hospital Zanzibar are very modern, but the pediatric ward is very poor and needs renovation. At Mawenzi Regional Hospital they have recently renovated the main surgery theatre.
 
As the public medical system in Tanzania is not very satisfying, there are many private healthcare facilities.
 
Some are (compared to the public hospitals) expensive and provide better standard (either/or or all in terms of facilities, equipment, or time that a doctor provides to patients), attracting patients who have more money. SIIMA Hospital in Moshi is one of these. Others are funded by charitable organizations or churches (e.g. St. Joseph Hospital). They are of higher price level than the public hospitals to the general public, but might offer free services to particularly poor people in need (which are financed by the money paid by the "richer" patients). In terms of facilities and equipment they are usually better than most public hospitals (unless the public ones have a particular department or ward which got a lot of foreign money). Usually there are fewer patients at the private hospitals and therefore doctors/nurses have more time to give explanations to foreign students/interns.
 
When it comes to doctors, the same doctors work at the public and at the private hospitals. As the salaries are low, they need income from several employers and therefore work at 2-3 hospitals (usually one public and 1-2 private) at the same time.
 
The Regional Hospitals and Referral Hospitals of Tanzania are usually accredited by all international medical universities for elective placements. Final year medical rotations are possible at Muhumbili Hospital in Dar-es-Salaam and Bugando Medical Centre in Mwanza, which are teaching hospitals of medical universities.
 
Ghana
 
The public health care system of Ghana has three reference levels.
 

The smallest facilities that provide medical first aid (Tertiary Level) are the so-called CHPS (Community Health Compounds), health centers and small hospitals. These facilities perform only outpatient treatment and are usually run by nurses. Each facility is aimed at a population density of about 20,000 people.
 
At Secondary Level are the district hospitals, which are aimed at a population density of about 100,000-200,000 people. The bed capacity is usually not more than 100 beds.
 
These have at least one operating theater and a laboratory and usually offer better medical care than institutions on the tertiary level.
 
The highest level (primary level) are Metropolitan Hospital, Regional Hospital and Municipal Hospital. They are located in cities whose population exceeds 200,000 people and have a correspondingly larger bed capacity. In addition to several operating rooms and relatively good technical equipment, there are general practitioners and specialists in various disciplines to treat patients.
 
The primary level hospitals and many private hospitals such as the University Hospital in Cape Coast are of high standards in terms of facilities, management and expertise. Secondary and Tertiary institutions are often underfunded.
 
Morocco
 
In Morocco we arrange elective placements at private clinics which are of higher standard, often coming close to Western/European standard in terms of facilities, equipment and professional level of the staff. We currently don’t work with public hospitals, as they are very bureaucratic.
 
The private hospitals are expensive for many local people, but they often collect funds for people who are in need, allowing them to provide cheap or free treatments. 
 
At these hospitals, medical students/interns should have no problem to get accreditation for elective placements by international medical universities or nursing schools.
 
Professional volunteers (nurses, therapists and physicians) can volunteer at church-run charitable dispensaries such as the one by the Franciscan Brothers of the White Cross in Tangier, which are typically managed by a nurse, providing free basic medical services to the poorest parts of population. As there is no medical supervision, elective placements are not possible at such dispensaries.
 
India
 
In India, we work with private hospitals of higher standard, for the same reasons as in Morocco. The standard of equipment, facilities and qualification of the doctors are comparable to Europe/North America/Australia. They offer a wide range of departments with high specialization.
 
At these hospitals, medical students/interns shouldn't have any problems to get accreditation for elective placements by international medical universities or nursing schools.
 
Professional volunteers (nurses, therapists and physicians) can volunteer at charitable hospitals which are funded by charitable organizations, but also at medical outreach programs run by several NGOs in slum areas.
 
Nicaragua
 
In Nicaragua we can offer placements at the public hospital HEODRA and private hospial AMOCSA in León.
 
The standard of the public HEODRA hospital is low in terms of equipment and facilities, comparable to Tanzania. Also the situations that many patients have difficulties in raising the funds needed for their medical treatment, that they often only seek for medical services at a late stage of their disease, and the working conditions at the hospitals are very similar to as described in the text about Tanzania. Professional volunteers are very much needed at the public hospitals.
 
HEODRA as a large teaching hospital of León medical university should be fully accredited by all foreign medical universities and nursing schools for electives, internships and final year rotations.
 
The standard of the AMOCSA private hospital in terms of facilities and equipment is better than HEODRA. There are less patients and fees are higher. The doctors have more time for each patient. HEODRA is bigger and has a larger variety of highly specified departments; students will have the chance to see more patients than with AMOCSA. 
 
Also, the same doctors work at HEODRA and AMOCSA. To make a living, they additionally even work at further private hospitals or run their own consultancies.
 
Bolivia
 
The standard at the public hospitals of Bolivia can fluctuate a lot. While some private hospitals are chronically underfunded, others such as the hospitals of the VIEDMA Health Park where we arrange electives, internship and volunteering options often can offer a standard that comes close to the one of European/North American/Australian hospitals. They have a wide variety of specialization and departments.
 
A problem that regularly recurs is that the funds for the salaries of staff and to pay for medicines is not provided, resulting in shortages of medical services.
 
Similar to the what has been described before about Tanzania and Nicaragua, many people cannot afford the treatments at the public hospitals. They only attend medical institutions when their disease is in an advanced stage and in absolute emergencies.
 
Arco Iris is a charitable private hospital in La Paz of very high standard. Relatively rich people pay high fees for their treatment which is of one of the highest standards available in the country, and the money is used to provide free treatment to poor people, particularly street children and children from the poorest classes of society. 40% are paying patients and 60% are not paying.
 
Volunteer placements for healthcare professionals and elective placements/internships for students are possible at all of these hospitals. The hospitals of the VIEDMA Health Park in Cochabamba as large teaching hospitals of medical universities should be fully accredited by all foreign medical universities and nursing schools for electives, internships and final year rotations.
 
Mongolia
 
The medical system of Mongolia is of high standards. There is medical faculty at the University of Ulaanbaatar, also many doctors have studied in Russia or China or even have higher qualifications. There is no teaching hospital at the Mongolia university, so final year rotations are probably not possible. Mongolian medical students do electives with you in various medical institutions.
 
The health care system in Mongolia is organized as a tripartite reference system where patients first seek a "Family Health Center", which is a general physician's office. From there, the patient, if necessary, is referred to the district health centers, the second stage of the reference system, where there are more general medical facilities with more medical equipment (e.g. X-ray, ultrasound, endoscopy) and where general surgical procedures are performed. In such district health centers, about 12 physicians and 60 nurses are available to patients. Both family health centers and district health centers only treat outpatients. In these facilities, electives and internships are available from the 1st year.
 
The third stage in the Mongolian reference system are specialized clinics. There are no major hospitals in Mongolia, which have many specialisations, but instead clinics that are each limited to a field of study. These include hospitalization. For an elective or a nursing internship in these clinics, you should be at least in the 3rd year of study.

Accommodation

 

Accommodation in La Paz

 

mostpopular

Shared Accommodation in La Paz

 
The apartment is located in Sopocachi, in the city center of La Paz. The district Sopocachi is located between the historic neighborhood of La Paz and the southern part of the city (La Zona Sur). The area is a popular living, working and entertainment district. The accommodation for volunteers and interns can be reached via a steep staircase, at the end of two houses opposite each other, separated by a green courtyard. In both houses, there are a total of eight rooms for trainees, volunteers and travelers from all over the world. The view is stunning; both of La Paz and the enchanting snow-capped Illimani, which is considered to be the highest elevation of the Cordillera Real, and a symbol of La Paz. The view can be enjoyed from the front porch of the rear house; where there is seating for socializing. The room available is a single room. Depending on the size and amenities of the room, the monthly rental costs differ. In general, there is a bed, a storage space for clothes, a small table and a chair. In both houses, there is one kitchen and bathroom to be shared. There is also Internet.
 

Host Families in La Paz

 
Accommodation in La Paz is with host families, where you have a separate room of average standards. You have either a private bathroom or one shared with the family. In general, both parents work and therefore, offer breakfast only. You can use the kitchen or purchase cheap food in the city.

Rate

 

I. World Unite! Service Package

Mobile/Cell Phone Users: If you don't see the rates for your desired duration of stay, hide other (shorter) durations of stay.
  up to 31 Days
32-60 Days
61-90 Days
91-120 Days
5 Months or longer
wu servicepackage
1 Person
450 EUR 600 EUR 700 EUR 750 EUR 850 EUR
2-4 Persons
(Rate per Person)
400 EUR 500 EUR 600 EUR 650 EUR 700 EUR
 
Convert rates to USD, GBP, CAD, AUD and other currencies
 

The World Unite! Service Package includes:

 
  • Individual Consultation and Preparation prior to your arrival
  • Access to the World Unite! Online Resource Centre which has Preparation Materials including Intercultural Preparation, compiled particularly for your destination (PDFs, Videos)
  • Preparation Session via Skype, together with further participants
  • Assistance with visa extension in Bolivia or arrangement of visa (depending on duration of stay) and other official permits (if required), but not the official government fees for it/them
  • Pick-up and Transfers from/to La Paz/El Alto (LPB) on arrival and departure
  • Assistance with the booking of domestic connection flights within Bolivia if you arrive in Cochabamba or ViruViru
  • Personal support staff at your location and at our international office
  • Orientation and Introduction in La Paz
  • Accompanying you to your placement on your first day
  • 24 Hours emergency support by local support team
  • 50 USD Contribution to your project
  • Local SIM Card with 60 Bs. air time
  • Issuance of Confirmations/Certificates for your university, scholarship, insurance, etc. and filling out/signing Internship Contracts for your university
 

The Rates do NOT include:

 
  • Accommodation and Meals (see below)
  • Travel to/from Bolivia (you book it on your own; we can assist you)
  • Official fees for Visa (see below)
  • Insurance (Travel Health Insurance, Liability Insurance, Travel Cancellation insurance; you book it on your own, we can assist you)
  • Personal Expenses
  • Vaccinations
  • Local Transport (Estimated amounts see below)
  • Please note that for supervised/mentored internships, some organizations charge further contributions. You find this information in the "Info Box" below the respective internship description.
 

II. Accommodation Costs

 
You can choose between the following options:
Mobile/Cell Phone Users: If you don't see the rates for your desired duration of stay, hide other (shorter) durations of stay.
Some Rates in EUR/US-Dollar.
Convert Currency
 Short-time stay
(1-31 Days)
Long-time stay
(32-365 Days)
(You pay proportionally per day)
Shared House or Hostel   
mostpopular2
House shared with other participants
1 Person
(Single Room)
8 EUR/Day
150-190 EUR/Month*
2 Persons p.p.
(Double/Twin Room)
5 EUR/Day
80-120 EUR/Month*
       
Host Family
     
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Host Family of Middle Standard
on Full Board
1 Person
(Single Room)
15 USD/Day 300 USD/Month
2 Persons p.p.
(Double/Twin Room)
15 USD/Day 250 USD/Month
 
*Rate depending on Room Size. Incomplete months are charged proportionally per day. 
In case of 3-4 person: Same rate as in case of 2 Persons. 5 or more persons: Contact us for group rates.
 

Overview of other costs:

 
  • For most citizens except US Citizens, no Visa fee for a stay of a maximum of 90 days per calendar year. Any time you stay in excess of 90 days within a calendar year, 20 Bs. fee per day. US Citizens pay currentyl 135 USD Visa fee.
  • If meals are not included: around 70-150 EUR /100-180 USD)/month
  • Small local expenses (e.g. Internet, local transport): around 30-50 USD/Month (Estimate)
  • Insurances around 30-50 USD/Month

 

How do I pay?

 
Once all your questions have been answered and you confirm that you want to participate, we will email you an invoice. You can pay it via bank transfer or via Paypal. You will pay a deposit of 200 EUR when the invoice is issued. One months prior to your arrival you will pay the remainder for your Service Package and for the first month of rent.
 
Rent from the 2nd month, possible further contributions to the NGO or for internship supervision (see info box of the respective project description), and costs for visa and possibly further official permits you pay directly at your destination (unless we inform you differently for certain placements). There are ATMs. 
 

Extras

 

Other Projects That Might Interest You:

 
 
These projects are suggestions for alternatives that may interest you or those that could be chosen as COMBINATIONS. The combination of projects in different organizations is often possible and usually cheaper than two individual bookings. Please contact us to know more! Check out our other listings in the areas of "World Learner" and "Active Travel" at your travel destination to make your stay even more interesting.
 

Travel Health Insurance

 
We recommend the following travel insurance that is meant specifically for participants of internships, volunteering, language study, working holiday, and courses abroad. It is available for travelers of all nationalities and usable for all countries, except your home country. You can also add a journey liability insurance.
 
Just click on the link, fill in the form and you will get a confirmation email.
 
 
 

La Paz

 
 
 
La Paz is located at an altitude of around 3600 meters (11,600 feet) within the canyon of the Río Chokeyapue, deeply cutting into the surrounding Altiplano highland. On the highland west of La Paz, the city of El Alto has been built, which during the last years, with more than 1 million people, has grown larger than La Paz; in El Alto you find the international airport of La Paz-El Alto. The difference of altitude between the southern parts of La Paz, which are located further down the canyon, and the upper parts of the valley, is almost 1000 meters (3300 feet), resulting in spectacular views when driving down from El Alto into La Paz.
 

Coordinator in La Paz

 
Our coordinator in La Paz is Sandra, a housewife and mother.
 

Recreational Activities in La Paz

 
La Paz is a metropolis and offers similar recreational opportunities such as some European cities.
 
Popular, but also dangerous are Mountain Bike Trips on the "road of death" in the Yungas, a narrow and unpaved mountain range with hundreds of deep chasms. An abstruse spectacle is the wrestling matches of Cholitas, the women who wrestle in traditional indigenous garments, in El Alto. In cooperation with the Center "Vive Bolivia", we offer a variety of courses and cultural activities.

Getting There

 

Getting To La Paz

bolivia map
 
You fly to La Paz El Alto (LPB), where you will be picked up and taken to your accommodation. Often, there are cheaper international flights to Santa Cruz de la Sierra (ViruViru Airport, VVI). In that case, you can fly there and then take a connecting flight to La Paz, booking separately with Aerosur or BoA. The tickets between these cities are quite low (30-50 EUR / 38-63 USD), but you cannot pay by credit card from overseas. We can buy you a ticket in Bolivia.  

FAQs

 

Frequently Asked Questions (FAQs)

 
Are there fixed start dates for the project, which I must adhere to?
No, you can arrive at any date and you can hence, plan your trip according to your availability and the prices of flights. We can pick you up from the Cochabamba airport even at night. You cannot start a project during certain holidays, of which, we will inform you in advance.
Can I stay longer at my accommodation after my volunteering/internship or arrive earlier?
Yes, this is possible and we will give you our best rates. Just let us know when you arrive and leave and we will let you know the costs.
During my stay, can I travel around the country?
Of course, you can do this - most of our participants do so. However, when the travel destination is too far away, it may not be possible over a weekend; these, we would recommend you keep for before the projects begins or after the completion. You could even plan these out during holidays (e.g. Semana Santa). We will notify you of the destinations and the recommended time to visit.
Is it safe to travel in Bolivia alone as a single female traveller?
About 80 percent of our participants are women and many of them 18 to 24 years old. Not a single instance of any serious security issue has been reported. Our supervisors on site will advise you on how you should conduct yourself in order to avoid problems - issues such as clothing style, carrying valuables, and in dealing with machismo and patriarchal societies. Our preparation material brings attention to these issues. It is very important to follow these basic rules, that are just as applicable to many other places, in order to reduce risk as much as possible.
Will I be the only volunteer/intern in the project or in Bolivia?
The total number of participants that participate simultaneously with an organization depends on the size and activity of the organization and responsibilities of volunteers/interns. We try to avoid too many volunteers/interns in an organization at the same time. It may be that you are alone in your work site, but usually there are, throughout the year, other participants in Cochabamba, who you can meet in your spare time, if you desire so. In addition, there are also many tourists on the road, whom you can easily meet at bars, shops, etc. You can also meet a lot of local and foreign students in the lively city of Cochabamba.
What vaccinations do I need?
Our Info - PDF that you get as a participant, gives detailed information on health care. Also refer to Recommended Vaccinations
Where will I live?
You can go through the housing options in the tab "Accommodation".
Can I choose my accommodation?
You can send us your preference and we will try our best to organise that for you. However, some Organizations provide accommodation, in which case, you can only opt for that.
How free or bound am I in my accommodation with the host family?
While you will have your privacy, in Bolivia, it is customary to let your host family know when you will leave or return to the house so that the doors can be unlocked, due to safety reasons. It is unacceptable to have casual acquaintances visit you. The level of closeness or privacy with the family can differ.
Does my accommodation have internet facilities?
The shared accommodations in Cochabamba and in Sopocachi, La Paz have internet, as does the hostel in Cochabamba. As for the host families, Internet is not always available, and the same applies to the boarding offered by some Organizations. You can find information about the availability of internet in the tabs "Accommodation". If there is no wifi internet, you can buy yourself a USB modem stick or surf the Internet with your smartphone.
How can I do my laundry?
In general, clothes are hand washed in Bolivia. Many households have someone employed for the purpose, while others have washing machines. There are also laundromats.
Can I cook in the accommodation?
Yes, the families allow the use of the kitchen, but may charge a small monthly fee for additional consumption of electricity and gas. The families also offer meals for you, if you want to eat with them. This, you can decide when you arrive. Details are in the tab "Accommodation".
I am a vegetarian. Can I get vegetarian food?
Yes, host families are familiar with vegetarian meals and allergies or food intolerances can be considered. It is also possible to buy vegetarian food.
What language skills do I need?
In Bolivia, Spanish, as well as indigenous languages such as Aymara or Quechua are spoken. If you have little or no knowledge of Spanish, we recommend that you begin your stay with a Spanish language course. We can also organize Skype Spanish lessons with a Bolivian language teacher. The majority of the volunteering/ internships expect basic to medium level of Spanish at the start of the activity. That is, you should be able to communicate and express yourself during your stay, at a basic level. Please let us know what you level of knowledge of Spanish is, so that we make sure we organise your stay/project accordingly.
 
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