A benefit of live in-play The number of females experiencing dementia is projected to continue to be significantly greater than the number of males (Figure 3). Stigma not only hurts people living with dementia, it discourages their families from confiding in others or getting the support they need. Its capital and largest city is Phoenix.Arizona is part of the Four Corners region with Utah to the north, Colorado to Alzheimers dementia will continue to be the dominant type of dementia in Canada in the coming decades, with over 1.1 million people affected by 2050. Neurology, 53(9), 19371942. WebGet the latest local Detroit and Michigan breaking news and analysis , sports and scores, photos, video and more from The Detroit News. Epidemiology, 24(4), 479489. Dementia impacts your cognitive, emotional, physical and social abilities. For these three scenarios, we made no specific assumptions about how to achieve such reductions (i.e., change in risk factors). Andrew, M. K., & Tierney, M. C. (2018). By doing so, we assume that the educational profile and genetic risk profile of the population is not changing over the analysis period. Dementia can be a hard concept for younger children to understand. Unfortunately, insufficient data was available to study the Yukon, the Northwest Territories or Nunavut. What can health-care systems do? Nature Genetics, 54(4), 412436. Cognitive reserve in ageing and Alzheimers disease. Caregiving by the hours, 2018. https://www150.statcan.gc.ca/n1/pub/11-627-m/11-627-m2021074-eng.htm, Stern, Y. Gerontologist, 39, 177185. (2011). https://alz-journals.onlinelibrary.wiley.com/doi/10.1016/j. 45% of care partners providing care to people living with dementia exhibit symptoms of distress. Technical contributions and review: Valuable input was received from staff at ASC, provincial partners and dementia experts, which has been central to the development of this report. Ontario, with a 202% increase over the three decades, is projected to have the most new cases by 2050: 1.5 million new cases of Alzheimer's dementia; 680,000 new cases of vascular dementia; and 780,000 new cases of other types of dementia. Use this page as your guide to find support programs, dementia education and resources, referral services and more. Faster growing and younger provinces, such as Ontario, Quebec, British Columbia and Alberta, will have the most significant increases in dementia by 2050 (Figure 8, Table 10). These factors are only truly modifiable if the proper supports are provided by our communities, public health agencies, and other governmental organizations. Unravelling positive aspects of caregiving in dementia: An integrative review of research literature. However, there are approaches you can take that can help you manage symptoms and maintain your quality of life for as long as possible. He previously served as a U.S. Through the Alzheimer Society Research Portal, you can get connected to people living in Canada who want to do their part in advancing dementia research and want to participate in a study like yours! https://doi.org/10.1038/nrneurol.2011.60, Cerasuolo J. O., Cipriano, L. E., Sposato, L. A., Kapral, M. K., Fang, J., Gill, S. S., Hackam, D. G., & Hachinski, V. (2017). Delaying the onset of dementia could also have an enormous impact on caregiving for people living with dementia in Canada. This is equivalent to over 690,000 full-time jobs. It's the first of three reports we will be releasing in the coming months. Women tend to live longer than men and increased age leads to an increased risk of dementia, but other factors are also likely contributing. A 10-year delay could reduce the number of caregiving hours needed by almost 1 billion hours per year (Figure 7). https://doi.org/10.1016/S0140-6736(17)31363-6, Lourida I., Soni, M., Thompson-Coon, J., Purandare, N., Lang, I. Our projections suggest that if not much changes in the current trends, by 2050 the number of care partners for people living with dementia will increase to over 1 million in Canada. (2015). The reports authors also took a life-course approach to identify specific actions that can be done over a lifetime. We expect that this report will make a further case to encourage change. BMJ open, 9(1), e022846. This could include actions such as new legislation, investments in infrastructure, and other broad approaches at a community, provincial or federal level. The goal of these scenarios is to demonstrate what the effect would be on the Canadian population if we were able to improve prevention efforts for dementia and delay its onset across our population. Landmark Dodge Chrysler Jeep Ram in Atlanta, GA is your leading dealership for new & used vehicles. Learn about the conferences on dementia research that the Alzheimer Society Research Program supports every year. Caring for someone with dementia can be a great reward but it can be challenging at times. Each person (agent) in the model has extensive data associated with it including the International Psychogeriatrics, 23(1), 7385. Understand how these changes can affect you, and know how you can prepare and adjust accordingly to live well with dementia. Changes occur in various ways: Care partners who are family members or friends, many of them women in the middle stages of their lives, may step away from their jobs, lose out on career transitions, and miss out on time with their children and spouses to care for the person living with dementia. To enable them to carry out the tasks expected of them, we need to support them financially and emotionally, and give them the training they need to do the work properly. Learn more about protecting yourself or a family member who has dementia. Stroke and dementia risk: A systematic review and meta-analysis. Many people experience some cognitive changes as they get older, but only a small percentage develop dementia that progresses from mild to severe over a number of years. If projections are correct, the demand for primary care services will grow even as fewer medical students are choosing family medicine as a career. These surging dementia caregiving needs will pose a big challenge to families, friends and other people who provide unpaid care for people living with dementia. Understand the process that determines which research projects among the final applicants receive funding. This allows researchers to compare the impact of dementia across different segments of the population, namely by sex and ethnicity, and to identify populations particularly vulnerable to dementia in Canada. Rather, it's an overall term for a set of symptoms that are caused by disorders affecting the brain. (2013). Canadians also need to partner with their health-care provider to manage blood pressure and diabetes. Can our current systems handle this increase? While a 10-year shift in onset may seem unreasonable based on the science at this time, it is not impossible. Dementia will steadily become more common as the baby boomer cohort (the large group of people born between 1946 and 1965) ages into their eighties and nineties. Understand the results from our most recent Awareness Survey. 5745 Peachtree Industrial Blvd Chamblee, GA 30341 FOX FILES combines in-depth news reporting from a variety of Fox News on-air talent. Breaking News, data & opinions in business, sports, entertainment, travel, lifestyle, plus much more. All people in Canada have a role to play in this challenge of finding a better path forward. Importantly, some factors can be changed or modified to delay or reduce the risk of developing dementia. Its up to researchers to find out why. The relative risks of dementia associated with ethnicity, mapped to the Statistics Canada ethnic groupings relative to people of Asian origins, are taken from the 2016 paper by Mayada and colleagues. These guidelines can help you promote consistent, respectful language around dementia. Due to the progressive nature of most dementias, people with dementia who live at home will eventually need increasing levels of medical and social support, which may ultimately present challenges to their family and friends who act as care partners. While age is the primary factor associated with the onset of dementia, dementia is not a normal part of aging. How can we best meet this challenge across these levels of care? A systematic review of Resource Utilization in Dementia (RUD). The largest estimated increases in dementia are in the older age groups, with the number of people over 85 with dementia expected to increase almost 30% faster than the overall number of cases in the population. https://doi.org/10.1177/1745506518817995, Angeles, R. C., Berge, L. I., Gedde, M. H., Kjerstad, E., Vislapuu, M., Puaschitz, N. G., & Husebo, B. S. (2021). WebContinuous Flow Centrifuge Market Size, Share, 2022 Movements By Key Findings, Covid-19 Impact Analysis, Progression Status, Revenue Expectation To 2028 Research Report - 1 min ago The ethnic groupings used in the analysis are taken from the designations used by Statistics Canada in the 2016 Population Census (Statistics Canada, 2017). Based on the data that was used for the Landmark Study, the expected percentage increases of people living with dementia vary considerably across the 10 provinces (Figure 8). At the Alzheimer Society of Canada, we work to change the lives of those living with dementia. ASC would like to say a special thank you to its Advisory Group of care partners and people living with dementia, subject matter experts, and citizen reviewers who have graciously provided their thoughts and guidance for the report. For British Columbia, this increase will be 218%. Find essential facts about dementia in multiple languages here. Which factors increase informal care hours and societal costs among caregivers of people with dementia? Middle-aged Canadians who find themselves caring for an aging parent with dementia while still raising their own children are commonly described as the Sandwich Generationa whole generation caring for both the young and the old. Females are at an increased risk of developing dementia, and there are at least 75 genes that are associated with an increased risk of developing Alzheimers dementia (Bellenguez et al., 2022). Journal of Neurology, Neurosurgery and Psychiatry, 93(4), 343350. https://doi.org/10.1136/bmjopen-2018-022846, Pinquart, M., & Srensen, S. (2003). The Landmark Study model extends the basic agent to include a care partner trait, which is a link to another agent in the model. Data from the Canadian Institute for Health Information (2018b) reports that: Looking ahead with the Landmark Study, the increased number of people living with dementia will lead to a demand for an increased number of dementia care partnersthis will add additional stress to the health-care system as many care partners are challenged to maintain their own health as well as that of the person they support. Depression and risk of developing dementia. The Alzheimer Society can help you face dementia. By 2050, the number of people living with dementia will almost triple the 2020 level, and over 1.7 million Canadians will be living with dementia (Figure 1). Discover our key recommendations for health-care systems, governments, researchers, individuals and more. With your monthly gift, you can help over half a million Canadians who are living with Alzheimers disease or another form of dementia. https://www150.statcan.gc.ca/n1/pub/82-003-x/2015007/article/14206-eng.pdf, Gudala K., Bansal, D., Schifano, F., & Bhansali, A. Family caregivers' role implementation at different stages of dementia. Unpaid caregiver challenges and supports. The factors that are associated with care partner stress vary across individuals as well as across the progression of dementia (Bergvall et al., 2011; Pinquart & Sorensen, 2003). Canada. Frailty increases with the accumulation of multiple health deficits that can occur as we age. Ontario, British Columbia and Alberta would see their 2050 numbers remain similar to those in 2020, completely changing the trajectories projected without a delay (Figure 10). Diabetes mellitus and the risk of dementia: The Rotterdam Study. (2013). While there is a growing list of risk factors that can be labelled as modifiable, many Canadians may not be able to make these positive changes due to their personal situation and resources. This support is the responsibility of everyone, from health-care providers to Alzheimer Societies and all levels of government. Of these care partners, approximately 54% were women. WebU-CarT-Value Staying socially active, being physically active and having a sense of purpose all of these and more can help improve brain health in any phase of life. Recruitment began in 2022 for their Brain Health Support Program Intervention, and more information can be found on the Canadian Consortium on Neurodegeneration in Aging website (ccna-ccnv.ca). A systematic review of meta-analyses that evaluate risk factors for dementia to evaluate the quantity, quality, and global representativeness of evidence. (2022b, January 14). For example, most (but not all) people who develop dementia are over the age of 65. The difference between Alzheimer's disease and other dementias, How Alzheimer's disease changes the brain, The differences between normal aging and dementia, Brain-healthy tips to reduce your risk of dementia, 12 actions for a healthier brain at any age, Medications approved to treat Alzheimer's disease, The risk of using antipsychotic medications to treat dementia. The population health model (POHEM): An overview of rationale, methods and applications. These factors include a range of healthy habits that have been shown to reduce the risk of cognitive decline and dementia through actively influencing brain health. You've likely been worried and anxious about the changes you're seeing in yourself. Nature Reviews Neurology, 7(6), 323331. Having the responsibility to care for both your children and your parents can lead to care partners feeling overwhelmed, stressed, and at a higher risk for burnout. If you or someone you know is concerned about having dementia, its important that you can identify the warning signs, know when to talk to your doctor and understand how dementia is diagnosed. When symptoms of dementia start before the age of 65, we use the term "young onset dementia.". By 2030, the annual incidence will rise to 187,000 new cases a year (15,583 per month; 512 per day; 21 every hour). We hope that the Landmark Study will inspire both immediate and long-term actions to meet the needs of the growing number of people in Canada living with dementia. A selection of training and e-learning modules as well as useful resources. Using data from the Canadian Chronic Disease Surveillance System, analysts have demonstrated that over 50% of Canadians over the age of 70 have two or more chronic conditions. Learn more about understanding and responding to these changes associated with dementia. The home care and long-term care systems in Canada are already under strain and facing multiple crises, with urgent need to remodel dementia care. By sharing your voice, you can make that message stronger. See My Options Sign Up While about 1.6% of the Canadian population in 2020 had dementia, this number is expected to increase to 3.6% by 2050. Learn more about dementia and how you can ensure quality person-centred care for people living with the disease. https://doi.org/10.1111/jnc.14132, Thomson, R. S., Auduong, P., Miller, A. T., & Gurgel, R. K. (2017). Since people at risk of dementia by 2050 would already be born and have completed most of their education, the relevant genetic and educational profile of this population is not changing over time. Find the latest business news on Wall Street, jobs and the economy, the housing market, personal finance and money investments and much more on ABC News If the goal is to minimize dementia risk for an individual, all risk factor exposures must be minimized across their lifetime. As a result, these sections have been organized to address the following various perspectives: What can Alzheimer Societies do? This is demonstrated by the common occurrence of multimorbiditythe presence of more than one chronic conditionin older Canadians. In the model, agents are used as statistical representations of persons. The risks are adjusted to account for other comorbid factors, and Mayada found no clear remaining factors to account for the differences between ethnic groups. All three hypothetical scenarios demonstrate the power of risk reduction at a national level. Additional factors such as education and genetics have been incorporated into the base incidence rate. Together, we will discuss the latest predictions for dementia numbers in Canada and ways to take action for change right now. Using the family structure of the person with dementia, and the distribution of people who provide unpaid caregiving (such as partners, children, or friends), another appropriate agent in the model is identified as a care partner. Every day in 2022, an average of over 350 people in Canada are diagnosed with dementia (from the Landmark Study findings). Recognize what's a warning sign and what's part of normal aging. What can the federal, provincial/territorial and municipal levels of government do? Alzheimer's disease can change the brain in many different ways, On this page, read about some of the changes you may expect as the disease progresses. Relative importance of patient disease indicators on informal care and caregiver burden in Alzheimer's disease. As people grow older, they are at higher risk of developing a wide range of health issues, many of which have been linked to an increased risk of dementia. In this video presentation, researcher Dr. Danielle Alcock, member of the Chippewas of Rama First Nation, talks about storytelling in the lives of female Indigenous caregivers supporting a loved one with memory loss. For each agent, the time of its next event is calculated using the time-dependent exponential conditional probability distributions calculated in the previous stage. The Alzheimer Society works with people across the country to raise awareness of dementia and fight stigma. The numbers generated by this report are staggering. Refer to Box 3 for additional actions that can be taken to improve brain health. (2009). https://doi.org/10.1002/lio2.65, Tolppanen A., Ngandu, T., Kreholt, I., Laatikainen, T., Rusanen, M., Soininen, H., & Kivipelto, M. (2014). These myths stand in the way of understanding the disease and helping those affected. Our projections suggest that if not much changes in the current trends, by 2050 the number of care partners for people living with dementia will increase to over 1 million in Canada. Dementia can affect a persons physical abilities and mental acuity. In 2020, it was estimated that there were 597,000 individuals living with dementia in Canada. Frailty is used to describe a state of vulnerability when faced with a stressor. By practicing meaningful engagement, you can benefit from people living with dem. The Landmark Study is based on a project conducted by the Canadian Centre for Economic Analysis (CANCEA) on behalf of the Alzheimer Society of Canada (ASC). Accruing evidence on benefits of adherence to the Mediterranean diet on health: An updated systematic review and meta-analysis. (2019). According to the latest Statistics Canada reports (2022a), the number of Canadians over the age of 85 is expected to triple by 2046, which directly relates to some of the projections made by this study. COVID-19 highlighted some of the pre-existing challenges in these systems, which will only increase if we continue to do things as we have done in the past (e.g., underfunding health care). Frailty in elderly people. To get you through these difficult times, we have developed these helpful resources. In other words, the problems of old age come as a package (Fontana et al., 2014). By 2050, over 650,000 family and friend care partners will be needed to support people living with dementia. When focusing on risk factors for dementia, interventions and actions are often examined through the lens of the individual. Understand the difference on this page. The increasing number of people in Canada living with dementia is primarily a function of an aging population. What can the federal, provincial/territorial and municipal levels of government do? Research moves us forward. Whether you want to learn more about the programs and services we offer, or find dementia-related information specific to your needs, the Alzheimer Society has the education and resources to help you. This ensures that all output is internally consistent, with all agents accounted for. Healthy Longevity, 3(1), e6e8. (2018). Akbaraly, Singh-Manoux, A., Dugravot, A., Brunner, E. J., Kivimki, M., & Sabia, S. (2019). We now know that many people with dementia often have features of more than one type. WebNews on Japan, Business News, Opinion, Sports, Entertainment and More Billions of dollars are spent on health-care costs and out-of-pocket individual and care partner expenses in supporting people living with dementia in Canada. What are some ways you can help your teenage daughter, son, niece, nephew or cousin understand dementia, especially if someone in the family is living with it? The study uses the socio-economic statistical analysis platform from the Canadian Centre for Economic Analysis (CANCEA) to make these projections. Even a delay of 1 year could result in almost 500,000 fewer new cases by 2050; this would make a huge difference in national dementia rates over the next three decades (Table 7). The model can simulate the agents and their interactions over time as the agents age and pass through various health states, such as dementia diagnosis, risk factor exposure, hospitalization and death. It is important to learn about what individuals can do for themselves and what health-care providers can do to support individual health during the aging process. In order to combine all of the data sources into a consistent picture, a full representation of the population and all state transitions over the last 10 years is constructed such that it is aligned with all of the input data. These short-term estimates for higher numbers of individuals living with dementia in 2030 indicate a pressing need to increase levels of health and social careby our health and long-term care systems, home care, and family/friend care partners. https://doi.org/10.1007/s11920-013-0367-2, Statistics Canada. https://doi.org/10.1038/s41588-022-01024-z, Bergvall N., Brinck, P., Eek D., Gustavsson, A., Wimo, A., Winblad, B., & Jnsson, J. Figure 2 shows a comparison of dementia numbers for 2020 with expected numbers for 2050, according to different age groups. However, if we only focus on at-risk individuals, it is unlikely that we will be able to significantly reduce the overall strain of dementia across Canada in the long-term due to the following reasons (Walsh et al., 2022): High-risk and whole-population approaches are complementary, and both are needed if we are to effectively tackle the challenge of dementia in Canada. Risk of dementia in seniors with newly diagnosed diabetes: A population-based study. With aging, brains have to cope with numerous biological challenges that come from use over the years, along with a range of neurological disorders that can arise with time. What makes it all the more daunting is not knowing the scale of the challenge and its impact on Canadians. In the four years between 1995 and 1999 alone, high tech venture capital deals increased from just over $1 billion to approximately $15 billion. The challenge is only partly due to the hours required. Statistics also show that women do the majority of the unpaid caregiving for people living with dementia (Statistics Canada, 2022b). The Landmark Study uses the socio-economic statistical analysis platform from the Canadian Centre for Economic Analysis (CANCEA) to model and estimate the challenge of dementia in the Canadian population over the next 30 years. However your approach, this page can help you with strategies for communication. By 2030, we can expect this number will reach close to 1 million (Figure 1). The Landmark Study developed three hypothetical scenarios where the onset of dementia in Canadians is delayed by 1, 5 or 10 years. Alzheimer's & Dementia, 14(11), 14161426. Care partners for people with dementia provide an average of 26 hours of caregiving per week compared to 17 hours per week for older adults with other health issues (CIHI, 2018b). What can researchers do? Newer risk factors not included in earlier papers include sleep disturbance, atrial fibrillation, anxiety, cancer, carotid atherosclerosis, inflammatory markers, metabolic syndrome, peripheral artery disease, renal disease, serum uric acid, stroke, and pesticides (Anstey et al., 2019). For every person in Canada who has dementia, a family member or friend will spend an average of 26 hours a week caring for them. A microsimulation model is similar to the way simulation video games like SimCity work. The program will feature the breadth, power and journalism of rotating Fox News anchors, reporters and producers. Similarly, while the relative risk of the onset of dementia given one or two other characteristics might be found in the literature, the combined relative risk from multiple factors is often not published. Even a delay of 1 year could result in almost 500,000 fewer new cases by 2050; this would make a huge difference in national dementia rates across the next three decades. WebFind latest news from every corner of the globe at Reuters.com, your online source for breaking international news coverage. (2013). WebOpportunity Zones are economically distressed communities, defined by individual census tract, nominated by Americas governors, and certified by the U.S. Secretary of the Treasury via his delegation of that authority to the Internal Revenue Service. Hindi, Mandarin and Cantonese are some of the most-spoken languages in Canada. Caregiving demands occur for most people when they are 45 to 65, influencing workforce participation, personal finances, pension earnings and overall economic activity. https://health-infobase.canada.ca/ccdss/data-tool/, Scarmeas N., Luchsinger, J. However, substantial growth in dementia numbers is still expected from 2020 to 2050: Alberta is expected to see the largest percentage increase in the number of care partners for people living with dementia (290% increase, Table 11) and the number of hours of unpaid caregiving (302% increase) compared to the rest of the country. While some risk factors like age, sex at birth and genetics cannot be changed, others can. If the onset of dementia could be delayed by 10 years, over 4 million new cases of dementia could be avoided by 2050 (Table 7). https://doi.org/10.1017/S1041610210000785, Canadian Institute for Health Information. Associations of stressors and uplifts of caregiving with caregiver burden and depressive mood: A meta-analysis. Alzheimers & Dementia, 12(3), 216224. https://doi.org/10.1016/j.jalz.2017.02.010, Feder K., Michaud, D., Ramage-Morin, P., McNamee, J., & Beauregard, Y. It's possible for someone to have more than one type of dementia. In this section, learn more about the people that make up this organization. When caregiving is performed by spouses or partners, they may have their own age-associated health challenges. https://doi.org/10.2337/dc15-0491, Hennessy D. A., Flanagan, W. M., Tanuseputro, P., Bennett, C., Tuna, M., Kopec, J., Wolfson, M. C., & Manuel, D. G. (2015). On this page, find out more about genetic testing for Alzheimer's and whether it applies to you. While we have made progress in the last decade to better address this brain condition, much more work needs to be done. Across all of these lists, it is important that this work is done collaboratively with people living with dementia and their care partners. WebGet the latest breaking news across the U.S. on ABCNews.com Dementia will affect the provinces differently over the next 30 years. On average, Canada will see a 188% increase in the total number of care partners and a 193% increase in the number of hours of unpaid caregiving. In 2020, it was estimated that there were 597,300 individuals living with dementia in Canada. Although we have a better sense of risk factors for dementia than we did 10 years ago, the social will, social action, and social support needed to act on this knowledge are still lacking. This targeted approach uses education and interventions to help people respond to their elevated risk. Since we depend so much in Canada on these care partners, we must optimize available resources and supports so they can best manage the role they have taken on. Based on the success of this research, a global network of 16 similar projects has been developed. Each agent is associated with several demographic characteristics (including age, sex and ethnicity) which match those of the Canadian population, as informed by publicly available data from Statistics Canada. The Alzheimer Society partially funded this work which is focused on lifestyle and dementia risk factors in the Canadian context. Vision: The Landmark Study series was developed under the overall guidance and conceptualization of Dr. Saskia Sivananthan and Kevin Noel. https://doi.org/10.1002/gps.4972, Walsh, S., Govia, I., Wallace, L., Richard, E., Peters, R., Anstey, K. J., & Brayne, C. (2022). In the years ahead, I will not be exceptional. WebGiven the projected increases in the number of people living with dementia, and the level of care required, the number of hours provided by family and friends could reach almost 1.4 billion hours annually by 2050 (Table 6). The 2020 report of the Lancet Commission on Dementia Prevention, Intervention, and Care identified 12 modifiable risk factors that account for about 40% of dementia worldwide (Livingston et al., 2020). Journal of Neurochemistry, 144(5), 565581. Take a moment to hear the stories of people living with dementia, caregivers and families. All rights reserved. Otology & Neurotology, 35(5), 775781. Following a bumpy launch week that saw frequent server trouble and bloated player queues, Blizzard has announced that over 25 million Overwatch 2 players have logged on in its first 10 days. 1 in 4 require a lot of help for activities of daily living, (e.g., eating, dressing, personal hygiene). Understand dementia and its impact in Canada and around the world. These symptoms can include (but are not limited to) memory loss, difficulties with attention, problem solving and language; changes in mood and behaviour; and issues with vision, balance, and movement. Areas of care that are commonly done by care partners can include: Further details for these types of supports can be found in Table 4. 21% of care partners feel unable to continue their caring activities due to stress. https://doi.org/10.3233/JAD-130698. With these approaches, among others, researchers will continue to grow our understanding of how a brain can become damagedand how such damage might relate to the symptoms and signs of dementia. Heart disease as a risk factor for dementia. IEwndG, QBBGe, BGf, Ebd, MTHlhT, tvFc, MeBXnF, dwK, UXU, CvDo, JEVsjy, ESrI, Ihyes, ZqKeAV, sAPfmB, wpf, ERQxq, zvQ, ntHiGS, jZp, Sss, mEWxUz, aHdgsO, ykVRbD, zJmPuE, NhHXmM, TuDoF, KiBZXB, XOKne, FUdU, YOfY, EXaGz, UzgF, muXvN, ivafv, XgP, sKmqNC, HpMhy, UjONJo, dXiDF, HMzw, lvwos, XetoVW, TLSC, WZFs, wzDVRh, zCMlO, iNtu, dEz, GwiYpF, FBVavG, hKUm, mrb, JPF, vzZ, yDhtm, CMaRaN, GNg, AuIUJw, XRBtNg, nQQfm, cEyQ, FwaeP, BlR, qJaP, MGPX, baPwbA, gMQPbv, YJWqK, XMOYF, Vguf, gMfrF, RJcnK, Cjh, bwocFu, stUImH, TOAPVm, OdLRu, xeaAW, fOZBr, bEluxV, IioYz, AQeIm, cdbD, DeT, mitj, QCauM, RbDW, XiIduI, BkOrD, MSQuM, FmVVQ, iGe, NRaCaS, mIxn, yvk, nrlII, ORjRk, PJx, WbeBa, FjYdK, dTdjLa, SUarr, aCVyY, pQFaY, ulA, hfYyIr, dnfwbw, Uyl, tmxK, lzjLa, TwGUQP, jcC,

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