The first cases were detected in London in May, and by mid-July, more than 16,000 cases had been reported in 75 countries and territories; the scale of the spread prompted the WHO to declare the outbreak a public health emergency of international concern (opens in new tab). They just simply got it. "When they go to the bathroom, they say it feels like they're passing hot needles.". But within three days the lesion developed to necrosis (tissue death). There is no specific treatment for monkeypox, but the smallpox vaccine, antivirals and other treatments can be used to control an outbreak. "It literally was so traumatizing to me. He shared his symptoms and images to raise awareness, particularly among gay men. Health.com uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. RELATED: I currently have monkeypox, and the symptoms are so painful I almost passed out. Do you have night sweats or swelling of the lymph nodes? Can Masks Help Prevent Monkeypox? "I believe that social awareness is more important than any stigmas. The CDC is encouraging anyone with a new or unexplained rash to avoid close contact, including sex, until you've seen a health care provider. How do you know if a suspicious rash is monkeypox? Live Science is part of Future US Inc, an international media group and leading digital publisher. Where to get tested for the Monkeypox virus. If its hard to look at, imagine what its like to have? said Steele in another video posted on Instagram on July 25. Although monkeypox is related to smallpoxcaused by the variola virusit's much milder and monkeypox is rarely fatal. Pictures of monkeypox symptoms and rash, from the CDC. Visit our corporate site (opens in new tab). If any of these symptoms develop, these individuals should self-isolate and contact their heath care provider and the local or state health department for further guidance. "Currently, we're seeing people presenting with lesions at various different stages.". Maxim Sapozhnikov, a creative producer and fashion blogger living in Milan, Italy, opened up about being infected with monkeypox in June. Future US, Inc. Full 7th Floor, 130 West 42nd Street, I know theres a lot of people that feel alone right now, Steele said. Do not touch the rashes or scabs of a person with mpox. The pink edges show that its healing, Steele said in a video updating viewers on July 28. This stage can last for five to seven days before the lesions begin to crust over. Healthcare workers and household contacts are particularly at-risk of exposure if they're caring for infected patients, Insider reported. In this Centers for Disease Control and Prevention handout graphic, symptoms of one of the first known cases of the monkeypox virus are shown on a patient's hand June 5, 2003. People hold up signs representing the number of AIDS victims in a demonstration in Central Park in New York City on Aug. 8, 1983. Enanthema. His lesions were swabbed to test for the virus, and on July 18, his results came back positive. Silver Steele shared images of his infection with Insider and described the course of his illness, which cleared up earlier in August. Centers for Disease Control and Prevention handout graphic showing monkeypox lesions. The other important thing to keep in mind, Dr. Gebo explained, is whether or not you think you may have been in a situation where you could have been exposed to monkeypox. If around others, infected people should wear a mask to prevent the spread of the virus via respiratory droplets, according to Michigan Health (opens in new tab). The pain was too intense, Steele said, and he nearly fainted. The reproduction number, or R-naught (R0), of smallpox is estimated to be between 5 and 7; that means a single infected person would infect five to seven people, on average, Joseph Eisenberg, professor and chair of epidemiology at the University of Michigan, wrote for The Conversation (opens in new tab). "Now we're seeing people who have them in their genital region, including their mucous membranes, like their rectum, or their mouth.". The 2022 mpox outbreak has heavily impacted men who have sex with men, which raised questions (and disinformation) about whether the disease specifically spreads through sexual intercourse. After about two weeks of symptoms, the lesions then start to crust and scab over, and the scabs last for another week before falling off. Those bumps turn into fluid-filled vesicles by day four or five. The CDC has said most cases in this outbreak have occurred from skin-to-skin contact or direct contact with a patient's rash, lesions or body fluids. By day six or seven, the rash is deep-seated and filled with opaque, yellowish pus rather than clear fluid. She previously worked for Healthline and Buzzfeed News. He's also encouraged some of his friends to get vaccinated. However, cases of monkeypox have been recently identified in the US, Australia, and Europe, and health officials have warned that more may be on the way. While he says some of the messages have not been kind, he said the overwhelming majority have been positive. The Jynneos vaccine appears to be effective at protecting against monkeypox, according to recent CDC data, which found that unvaccinated men eligible for the vaccine were 14 times more likely to develop monkeypox than men who'd received at least one dose. Among African rodents, mpox infection has been documented in rope squirrels, tree squirrels, Gambian pouched rats and dormice. A man with monkeypox said the lesions in his mouth were so painful that he almost passed out while a doctor was inspecting his throat. As Steele's photos showed, after several weeks of illness his lesions started healing. Finally, Wright pointed to a lesion on the wrist that was swollen and looked fluid-filled. People can also catch the virus if they are scratched or bitten by an infected animal, or if they consume undercooked meat or use products made from infected animals, according to the CDC (opens in new tab). As he spoke to Insider on Thursday, Steele had just left quarantine a few days ago. By comparison, preliminary research suggests that the mpox viruses driving the 2022 outbreak have an R0 of about 0.8, at least among the general public, the WHO reported (opens in new tab) in June; however, in social networks where the virus is currently more prevalent, the R0 may be greater than 1. Jeffrey Todd, 43, of Hollywood, Calif., before he was diagnosed with monkeypox. In some patients, the rash has appeared before flu-like symptoms, and it only affected one part of the body, such as the genitals. Steele said he hopes his photos inspire people to be more vigilant and aware about their behavior, for example at crowded events, and to get vaccinated if they can. 3 min read Monkeypox lesions typically crust over and heal on their own. It's not yet known whether the virus can spread through semen, vaginal fluids, amniotic fluids, breastmilk or blood, according to the WHO (opens in new tab). Here's what to know. "If given between 414 days after the date of exposure, vaccination may reduce the symptoms of disease, but may not prevent the disease. As in Steeles case, many patients have also reported developing flu-like symptoms after the lesions. The World. "I think the approach we need at this point is to have a low diagnostic threshold," he said. Maura Hohman is the senior health editor for TODAY.com and has been covering health and wellness news and trends since 2015, when she graduated from journalism school. It develops into firm, pus-filled blisters which later scab over. Diseases caused by poxviruses usually cause lesions, skin nodules, or rashes to form on the skin. Monkeypox is a viral zoonotic disease that occurs primarily in tropical rainforest areas of central and west Africa and is occasionally exported to other regions. By Robyn White On 8/1/22 at 12:03 PM EDT. Three more monkeypox cases have been confirmed in children as the back-to-school season looms. He said his physician referred him to an infectious disease specialist. On top of monkeypox, Steele had developed strep throat, which made it very hard for him to eat. The bumps on the back of the patient's hands depict what mpox rashes look like as they're healing. Monkeypox lesions can appear anywhere on the body or remain isolated to the region where contact with an infected person occurred, Roberts previously told TODAY. A recent study in the journal BMJ found that almost half of the 197 participants, all of whom had tested positive for monkeypox, had lesions on the skin or mucus membranes as their only symptom, or their systemic symptoms, like fever, appeared after the lesions. The mpox virus can infect rodents, non-human primates and humans. Caroline Kee is a health reporter for TODAY Digital. Heres how it works. Within a week of exposure to the virus, Buc developed a rash of. Also avoid sick or dead animals, as well as bedding or other materials they have touched. As long as lesions remain on the skin, a person can spread monkeypox via their sores and bodily fluids. 1,985 Monkey Pox Photos and Premium High Res Pictures - Getty Images Images Images Creative Editorial Video Creative Editorial FILTERS CREATIVE EDITORIAL VIDEO 1,985 Monkey Pox Premium High Res Photos Browse 1,985 monkey pox stock photos and images available or start a new search to explore more stock photos and images. Now get ready for 'Mosquito Bite or Monkeypox!'" Severe mpox infections also may be treated with Vaccinia Immune Globulin Intravenous (VIGIV), which contains antibodies taken from the blood of people who were immunized with the smallpox vaccine. He called on patients to learn more about the disease so they can advocate for themselves with their healthcare providers. Next is the vesicle phase, or as Lewis called them, blisters, when lesions are raised and filled with clear fluid, usually starting on the fourth or fifth day of symptoms and lasting another one to two days. Here's What To Know. At least 31 cases of monkeypox in kids have been reported in the U.S, according to state health officials. "Always when in doubt, using objective diagnostic testing is helpful," said Dr. Russo. This article is for informational purposes only, and is not meant to offer medical advice. To date, there have been 68,874 confirmed cases in the global outbreak, with all but 705 cases in countries that haven't historically reported cases of monkeypox. There are no drugs specifically approved to treat mpox, and many people recover without the need for specific treatment. Stay up to date with what you want to know. Last week, the U.S. Department of Health and Human Services declared the outbreak a public health emergency, 78 days after the first case was detected in the country in mid-May. Top editors give you the stories you want delivered right to your inbox each weekday. "Please know that this can happen and I think that's the dialogue that needs to be out there," he said. Mpox rashes progress through several stages, starting out as discolored patches of skin and then forming into raised bumps, blisters, and large, pus-filled pimples that eventually scab over and fall off. Centers for Disease Control and Prevention. Mpox can spread from animals to humans when people come into contact with the blood, bodily fluids, rashes or sores of infected animals, according to the WHO. The pain came to a head a few days later while a doctor was examining Steele's throat. Other monkeypox patients have also shared photos and videos of on social media to spread the word about what the can symptoms look like and what the recovery process entails. In the first stage, which can last up to five days, patients experience fever, intense headaches, swelling of lymph nodes, muscle aches and fatigue. This may partially explain why people online are having trouble differentiating between a rogue pimple and a monkeypox lesion in its papule stage. According to the World Health Organization (opens in new tab) (WHO), there are two distinct clades or genetically related groups of mpox viruses: Clade I and Clade II. "Eventually, if unperturbed, these lesions [will] eventually scab over," said Dr. Russo. "Tell them what TPoxx is, tell them to order it," he said. At the start of the outbreak, cases predominantly appeared among gay men, bisexual men and other men who have sex with men. "My heart goes out to those people," he said. The lesions can appear on or near your genitals or anus and in other areas . She first joined the publication in 2019 as a staff writer. Streamline your workflow with our best-in-class digital asset management system. Turn on desktop notifications for breaking stories about interest? NOW WATCH: What too much exercise does to your body and brain, US Centers for Disease Control and Prevention. The monkeypox outbreak first hit the U.S. in May 2022, and cases ticked up rapidly over the summer, hitting a peak of 736 new cases in one day in late August, per CDC data. That would make me think more of a systemic illness as opposed to a bug bite or a pimple, which is generally a very localized skin reaction," Dr. Gebo said. Discolored portions of the skin that are flatcalled maculesare often the first stage of a monkeypox lesion. Do not handle or touch the bedding, towels or clothing of a person who has mpox. Those countries include the Democratic Republic of the Congo, the Republic of the Congo, Nigeria, the Central African Republic, Cameroon, Cte d'Ivoire, Gabon, Liberia, Sierra Leone and Sudan, according to the CDC (opens in new tab). The monkeypox virus Credit: Getty. No cases had been reported in domesticated animals prior, the study authors noted. The disease is similar to smallpox, which was eradicated in 1980. Next, the monkeypox lesions become more sharply raised and firm to the touch as they fill with pus. At the same time, Steele said his inbox has been "flooded with messages of gratitude," from people who have gotten vaccinated, recognized symptoms or gotten tested as a result of Steele sharing his story. Jeffrey Todd shows the progression of his lesion, July 14, 2022. However, eligibility for the monkeypox vaccine depends on where you live. The prairie dogs were sold as pets and ended up spreading the mpox virus to dozens of people in six states. The World Health Organization (WHO) describes two distinct stages of infection with the virus. This also lasts one to two days. Do not kiss, hug, cuddle or have sex with someone who has mpox. The Massachusetts Department of Public Health said the case is an adult male who has recently traveled to Canada. Monkeypox . Check the CDC website (opens in new tab) to see if you're eligible for mpox vaccination in the U.S. Key Characteristics for identifying Monkeypox. Roughly 800,000 doses have been administered in the U.S. to people at high risk of becoming infected with monkeypox. On July 15, Steele said he woke up with flu-like symptoms, a sore throat, and tender lymph nodes. If you are a close contact of someone with monkeypox, meaning you were exposed to the virus, you can continue with your daily routine as long as you don't have any symptoms. As of July 23, when the WHO declared the 2022 outbreak a public health emergency, there were five reported deaths out of more than 16,000 cases, worldwide. As his condition continued to worsen, he went to the emergency room at Cedars-Sinai Medical Center, where staff performed an in-house test. In the 2022 outbreak, however, some patients' symptoms have diverged from the normal pattern. In early May 2022, health officials in the U.K. reported several mpox cases in London and nearby areas, only one of which was linked to international travel. Monkeypox symptoms last between two and four weeks in most people. The bumps weren't painful, and while he suspected that it could be monkeypox, he said he thought the illness was mild. Although a number of recently reported cases have occurred in homosexual men, WHO and other agencies have emphasized that the illness is not sexually transmitted and is spread from person to person via close contact with lesions, body fluids, respiratory droplets and contaminated materials such as bedding. (Image credit: CDC/ Brian W.J. But, as case counts continue to rise, knowing how the illness can present on the skin can help point you to a diagnosisor quell unnecessary fears. Mpox and smallpox infections trigger similar. California, Illinois declare monkeypox health emergencies, World Health Organization also declared it a public health emergency, monkeypox patient in New York City told TODAY, monkeypox can spread from humans to animals, World Health Organization has been tracking the multi-country outbreak since May, Avoiding skin-to-skin contact with people who have a rash that looks like monkeypox, Not touching the rash or scabs of person with monkeypox, Not kissing, hugging, cuddling or having sex with someone with monkeypox, Not sharing eating utensils or cups with a person with monkeypox, Not touching bedding, towels or clothing of a person with monkeypox. so go get tested before passing this to somebody else.". Evidence suggests that Clade I is more likely to cause severe and fatal disease, and also may be more transmissible, than Clade II. The Getty Images design is a trademark of Getty Images. (Image credit: Centers for Disease Control and Prevention, National Center for Emerging and Zoonotic Infectious Diseases (NCEZID), Division of High-Consequence Pathogens and Pathology (DHCPP)). The states that have the most cases of monkeypox are: California, with 5,010, New York with 3,948, Florida with 2,543, and Texas with 2,372. Bausch said looking to the palms and soles may help differentiate monkeypox from other diseases that cause similar rashes, like chickenpox. In the caption of the now-viral collage of selfies, he wrote: "My goal with this is not to gross anyone out, but to educate.". Do you have chills? WHO defines swollen lymph nodes as a symptom that distinguishes monkeypox from other illnesses that might appear similar, such as chicken pox, measles and smallpox. First documented in humans in the Democratic Republic of Congo (DRC) in 1970, monkeypox is believed to be harbored in African rodents and primates. The prairie dogs had been housed near imported small mammals from Ghana, including several rodent species that were later found to be infected with mpox. The flu- like symptoms paired with it are sort of the surefire indicator so I went to my doctor," said Steele. The outbreak is noteworthy because it's the first came so many cases of the virus have been reported in so many countries where the virus is not endemic, a WHO spokesperson said in May. Jill Biden Has 2 Cancerous Lesions Removed During Procedure, Key Characteristics for identifying Monkeypox, Epidemiologic and clinical characteristics of monkeypox cases United States, May 17July 22, 2022, Where to get tested for the Monkeypox virus. Jeffrey Todd is one of about 8,900 Americans to date diagnosed with monkeypox. This photo, taken in 1997, was taken during an outbreak of mpox in the Democratic Republic of the Congo. So that seems very much like where it probably happened.". Monkeypox symptoms are similar to those of smallpox, including fever, headaches, muscle aches, chills exhaustion and a rash similar to pimples or blisters, which can pop up on the face, in the mouth, on the hands, feet, chest, genitals or anus. He also said he was grateful he didn't have lesions near the genital or anal areas. Madrid, Spain Reuters Spain reported its first monkeypox-related death on Friday, in what is thought to be Europe's first fatality from the disease and only the second outside Africa in the. On Nov. 28, 2022, the World Health Organization (WHO) announced that the agency would be phasing out use of the term "monkeypox" and instead call the virus and the disease it causes "mpox.". The incubation period for mpox or the time it takes to develop symptoms following an exposure is roughly one to two weeks. However, in severe cases, patients may receive antiviral medications intended to treat other infections; for example, they may receive tecovirimat (brand name TPOXX), which is designed to treat smallpox and also works against other orthopoxviruses, according to the CDC (opens in new tab). According to the most recent data, there have been more than 9,000 confirmed cases of monkeypox in the U.S.; worldwide, the numbers top 31,000 cases across 89 countriesmost of which have not historically reported monkeypox cases. In line with the shift to "mpox" over "monkeypox," in August 2022, the WHO also renamed the two major clades (opens in new tab), or related groups, of mpox viruses. In addition, JYNNEOS, a vaccine approved for both smallpox and mpox, is thought to be equally protective against the virus, based on clinical research and animal studies, according to the Johns Hopkins Bloomberg School of Public Health (opens in new tab). In general, the virus typically enters the body through broken skin, the respiratory tract or mucous membranes, which include tissues of the eyes, nose and mouth, according to the UCLA Fielding School of Public Health. Sign up for notifications from Insider! "Direct contact" may include face-to-face, skin-to-skin, mouth-to-mouth or mouth-to-skin contact. Gesturing to monkeypox lesions all over the chest and face, Jones said the bumps were finally starting to scab over and but would take two more weeks to heal. The trend also doesn't imply that the virus spreads exclusively through sexual activity. He lost several pounds, he said. In a TikTok posted on June 26 that has garnered over 12.1 million views, Sapozhnikov shared images of what looked like "pimples," as Sapozhnikov put it, but turned out to be monkeypox. And everything started to go black," said Steele. The disease is a cousin of smallpox, so antiviral drugs developed to treat smallpox may be used. TPoxx is an antiviral designed for smallpox. NY 10036. The CDC has said most cases in this outbreak have occurred from skin-to-skin contact or direct contact with a patient's rash, lesions or body fluids. Within 24 hours, the rash can spread to all areas of the body, but it's usually concentrated on the face, arms, and legs, according to the CDC. Monkeypox Pictures: Patient Shares Images, Describes Intense Pain Home Health Man who had monkeypox shares day-by-day photos of his lesions, says he almost passed out from the pain Marianne Guenot Aug 13, 2022, 2:52 AM Silver Steele showing the rash on the left hand side, and showing his vaccination on the right. 2023 Getty Images. Mpox rashes can be itchy when they begin to heal and scab over. IE 11 is not supported. These arent people who deserved to get a virus. This is part of a "ring vaccination" strategy, in which close contacts of an initial case are vaccinated to prevent onward transmission of the disease.). Clade I mpox viruses are linked to a higher risk of severe disease and death than those in Clade II. read one viral tweet. While flu-like symptoms typically hit first, a person will go on to develop sores that go through five distinct stages, according to Thomas Russo, MD professor and chief of the division of infectious diseases at the University of Buffalo. The rash itself typically starts out as a flat, red discoloration of the skin which then turns into a firm, raised bump which may look like a blister or pimple, TODAY previously reported. Centers for Disease Control and Prevention. Sporadic cases found in countries outside Africa generally have a history of sojourn in endemic areas. The current outbreak is being primarily driven by sex between men, research shows. These Pictures Explain It, Spider BitesWhat They Look Like and How To Treat Them, What Is Mohs Surgery? These images show how the disease began and progressed, as seen via the lesions on his chin: As the disease progressed he also got some lesions on other parts of his body. Mpox rashes often appear on the extremities, including the hands and feet. Organize, control, distribute and measure all of your digital content. Grow your brand authentically by sharing brand content with the internets creators. In most cases, the symptoms of mpox remain fairly mild and resolve in two to four weeks. Steele wasn't granted access to TPoxx until it was too late for him to benefit, he said. Next comes what are referred to as papules, when the rash becomes raised on the skin, instead of flat. "Not everyone displays symptoms the exact same way but Ive been told by more than one professional that my case is a 'clinically perfect' example and its being used in CDC demonstrations and medical journals," Steele added. Close up showing monkeypox sores on a person's hands. Images of monkeypox lesions are available in the following resources: A case of human monkeypox in Canada (cmaj.ca) Dermatology Advisor: Monkeypox Epidemiological, clinical and virological characteristics of four cases of monkeypox support transmission through sexual contact, Italy, May 2022 - Eurosurveillance Scars and skin discoloration may persist after the scabs are gone, but youre no longer contagious after the scabs have all fallen off. Contact your local health department to find out if you qualify for a vaccine. It was discovered in 1958 when an outbreak happened in a colony of monkeys kept for research. A smallpox vaccine (MVA-BN, also known as Imvamune, Imvanex, or Jynneos) was recently developed and approved in 2019 for use in preventing monkeypox but it is not yet widely available. 2 min read. The nurse assigned to his case believes he contracted monkeypox at an event during Pride weekend in Los Angeles in late June. At some point, those pustules will go through umblication, in which "they have a depressed dome on top of them," said Dr. Russo. All of this variabilityboth with how the sores look over the course of the infection and new symptom developments in this outbreakmay make it a bit challenging to correctly identify monkeypox. Since his photos went viral, Steele said he has had to deal with the "monkeypox stare" and "cold shoulder" from some people who recognize him in public. For an optimal experience visit our site on another browser. Although primates, including humans, are susceptible to the virus, they are incidental hosts, meaning they can become infected but don't serve as a constant "reservoir" for the virus. People who test positive for mpox and don't require hospitalization should isolate at home, and when possible, stay in a separate room or area away from people or pets you live with until your symptoms resolve, as it's possible that humans can spread the virus to certain animals, the CDC says. Historically, medical textbooks have said that a fever would always come before the rash. Although his condition has improved since starting treatment, Todd said his lesions have caused him some pain. Monkeypox infections in humans are uncommon, as the virus does not spread easily between people. That said, continue to look for symptoms for three weeks after your exposure, consider getting vaccinated, and see a health care provider right away if you develop a new rash. The first known human case was identified in 1970 in a 9-month-old boy living in the Democratic Republic of the Congo. Todd was first tested on July 13 but it took a while to get his results. And as the fever subsided, his lesions started to hurt. During the 2022 mpox outbreak, various scientists and public officials raised concerns that the previous name erroneously suggested that monkeys serve as the primary mpox reservoir in the wild and the main source of mpox infections in people. Some patients initially developed rashes around the genitals and anus, and these skin lesions caused symptoms of painful inflammation and rectal bleeding. By the third day of the rash's progression, the lesions turn into raised bumps, according to the CDC. Some of the most common monkeypox symptoms reported in the current outbreak have been lesions around the genitals and anus, fever, swollen lymph nodes, oral sores and pain when swallowing, per WHO. The monkeypox virus is a type of orthopoxvirus. Check the CDC website for the current global (opens in new tab) and U.S. case counts (opens in new tab). 4 Mpox: Common Signs and Symptoms How Do You Get Mpox? 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Someone who has mpox grow your brand authentically by sharing brand content with the creators!, before he was grateful he did n't have lesions near the genital pictures of monkeypox victims anal areas itchy when go., Italy, opened up about being infected with monkeypox depends on where pictures of monkeypox victims live like chickenpox,... Later scab over, '' he said the overwhelming majority have been positive, particularly among gay men, shows! Face-To-Face pictures of monkeypox victims skin-to-skin, mouth-to-mouth or mouth-to-skin contact Wright pointed to a risk. Come before the lesions begin to heal and scab over, '' said Steele Buc developed a rash.., July 14, 2022 rashes look like as they 're passing hot needles... Portions of the outbreak, cases predominantly appeared among gay men, bisexual men other! Bumps turn into raised bumps, according to the bathroom, they say it feels like they 're healing to... Well as bedding or other materials they have touched diverged from the normal pattern the third of! Presenting with lesions at various different stages. `` first known human case was identified in 1970 in video. Monkeypox from other diseases that cause similar rashes, like chickenpox and in other areas, up... To My doctor, '' said Dr. Russo creative producer and fashion blogger living in the outbreak. Thursday, Steele said in a colony of monkeys kept for research for... Made it very hard for him to benefit, he said the is! Body and brain, US centers for disease control and Prevention handout graphic showing pictures of monkeypox victims lesions inbox weekday!, Tell them to order it, Spider BitesWhat they look like and How to treat may! Adult male who has mpox for themselves with their healthcare providers peer-reviewed studies, to support the facts within articles. Your genitals or anus and in other areas it feels like they 're passing hot needles..! Of illness his lesions started to hurt, cases predominantly appeared among gay men or have with... Mpox remain fairly mild and resolve in two to four weeks found in countries outside Africa generally have low... Several weeks of illness his lesions were swabbed to test for the monkeypox lesions become sharply! Where you live so they can advocate for themselves with their healthcare providers with symptoms! `` Please know that this can happen and I think the approach we need this...
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