, Total percentages may not equal 100% due to rounding, All other conclusions includes: Killed lawfully; Killed unlawfully; Lack of care or self-neglect; Stillborn and represent together less than 1% of the short-form conclusions recorded. Lancashire and Blackburn with Darwen, Leicester City and South Leicestershire, Stoke-on-Trent and North Staffordshire, and Black Country conducted over a half (86%, 57%, 52% and 63% respectively) of all their post-mortems using only less-invasive techniques. The coronavirus pandemic has led to changes to the way coroners investigate deaths reported to them. NC1. An Inquest is a legal proceeding held by the Coroner to find out: who died. Once that MCCD reaches the registrar there are two possibilities depending on whether the deceased was seen before or after death. E.g; ministry of health or . Background information on inquest conclusions is provided in Chapter 1 of the supporting guidance document. The table below provides information about future hearings. Updated: 3 Mar 2023 - 10:20AM. An inquest has heard claims that the sudden death of a woman following a routine operation to remove an ovarian cyst three years ago was linked to her being administered with a blood-clotting . The Coroners Office and inquests Inquests listed for hearing Inquests listed for hearing The following listings may be subject to changes in date or time even at a late stage in. The pattern of conclusions recorded differs between males and females. The British government has selected a new team trusted with state secrets to run the inquest into the alleged Novichok death of Dawn Sturgess three years ago. Death investigation process Fire investigation process Exhumations Reviews and appeals Orders and Rulings This year we have provided a further breakdown for post-mortems to show the figures for second post-mortems which are often conducted following a request from a defence lawyer and post-mortems conducted by a Home Office (HO) forensic pathologist. As well as narrative conclusions, this category includes short non-standard conclusions which a coroner or jury might return when the circumstances do not easily fit any of the standard conclusions[footnote 9]. Future inquest hearings Inquest hearings scheduled at the City of London. Dont include personal or financial information like your National Insurance number or credit card details. In 2020, 803 finds were reported and 224 inquests were concluded. Mrs Iroko had died in hospital following cardiac arrest but issues had arisen over the Trusts Do Not Resuscitate policy. To see these again later, type ", {"type": "chips","options": [{"text": "More languages"},{"text": "COVID-19 safety"},{"text": "COVID-19 vaccine"},{"text": "Travel"},{"text": "COVID-19 testing"},{"text": "Self-isolation"},{"text": "COVID-19 data"},{"text": "Connect by phone"}]}, Birth, adoption, death, marriage and divorce, Employment, business and economic development, Employment standards and workplace safety, Environmental protection and sustainability, Tax verification, audits, rulings and appeals, Fraser Valley Highway 1 Corridor Improvement Program, Highway 1 - Lower Lynn Improvements Project, Belleville Terminal Redevelopment Project, Williams, Jovan Christopher & Williams, Shirley Beatrice, Butters, James Reginald (aka Hayward, James), Miles, Matthew Charles & Hanna, Kenneth Robert, Roche, Glenn Francis and Little, Alan Harvey, Robinson, Angela Elsie and Robinson, Robert Victor Able, Currier, Shawn Erickson, Doug Newcombe, Bob Weitzel, Kim, Understanding the role of Coroner's Inquests, Media information guide to Coroner's Inquests. when they died. There were no inquests held into Treasure Trove in 2020 (relating to finds made before the Treasure Act 1996 came into force), however it is likely that a few such inquests will continue to be held from time to time. National statistics status means that official statistics meet the highest standards of trustworthiness, quality and public value. , For further detail please see Figure 13 of Monitoring the Mental Health Act in 2019/20, available at the following link: https://www.cqc.org.uk/sites/default/files/20201127_mhareport1920_report.pdf, https://www.gov.uk/government/statistics/safety-in-custody-quarterly-update-to-september-2020, Schedule 1 to the Coroners and Justice Act 2009 states that the coroner should suspended an investigation in the event that criminal proceedings may or will take place. The Office for National Statistics (ONS) publishes covid-19 related deaths here: The Ministry of Justice also publishes statistics relating to Covid-19 related State detention/prison deaths in the links below. 2020 saw the highest number of registered deaths in England and Wales since 1995. In the last two years there has been an increase in the number of inquests opened despite a decrease in the number of deaths reported to coroners. Inquests are usually opened in less than 20% of all deaths reported to coroners. Family lawyers say inquest into Dawn Sturgess's death should examine Russian state's role . Inquest cases represented 16% of all the deaths reported to coroners in 2020, an increase from 14% in 2019. In the 1928 Hill's Wilson, N.C., city directory: Morris Lillian (c) elev opr Court House h 22 Ashe. Many coroners have, however, been able to hear routine inquests throughout, either on the papers or with courts using audio and videoconferencing. An inquest was held into his death at Wiltshire and Swindon Coroners Court in Salisbury on Thursday, July 30. If a medical practitioner (who does not have to be the same medical practitioner who signed the MCCD) attended the deceased within 28 days before death (a new, longer timescale) or after death, then the registrar can register the death in the normal way. The Coroner's office is situated, and can be reached by post, at: Room 226County HallTopsham RoadExeterDevonEX2 4QD. In 2020, natural causes decreased 3%. Inquests must be held in public. The process for families By law, certain deaths must be reported to the coroner. This has led to a significant drop this year in deaths abroad where the body has been repatriated and led to a coroner investigation. The deceased, Cjea Weekes. The list of short form inquest conclusions which the coroners can provide is set out in legislation and can be found in Table 7 of the coroners publication. 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Annex A: Details of recent Coroner Area amalgamations, Annex B: Further analysis of deaths reported to coroners, Check benefits and financial support you can get, Find out about the Energy Bills Support Scheme, nationalarchives.gov.uk/doc/open-government-licence/version/3, www.gov.uk/government/collections/coroners-and-burials-statistics, https://www.ons.gov.uk/peoplepopulationandcommunity/birthsdeathsandmarriages/deaths, https://www.gov.uk/government/statistics/hmpps-covid-19-statistics-december-2020, https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/944911/deaths-offenders-community-2019-20-bulletin.pdf, https://www.judiciary.uk/wp-content/uploads/2020/03/Chief-Coroners-Office-Summary-of-the-Coronavirus-Act-2020-30.03.20.pdf, https://www.ons.gov.uk/peoplepopulationandcommunity/birthsdeathsandmarriages/deaths/datasets/monthlyfiguresondeathsregisteredbyareaofusualresidence, https://www.cqc.org.uk/sites/default/files/20201127_mhareport1920_report.pdf, https://www.gov.uk/government/statistics/safety-in-custody-quarterly-update-to-september-2020, www.gov.uk/government/statistics/coroners-statistics, www.ons.gov.uk/peoplepopulationandcommunity/birthsdeathsandmarriages/deaths/datasets/deathsregisteredinenglandandwalesseriesdrreferencetables, https://www.gov.uk/government/statistics/statistical-release-for-reported-treasure-finds-2018-and-2019, 205,400 deaths were reported to coroners in 2020, the lowest level since 1995, The proportion of registered deaths in England and Wales that were reported to coroners has, 562 deaths in state detention were reported to coroners in 2020 (, There were 79,400 post-mortem examinations ordered by coroners in 2020, a 3% decline compared to 2019. An application to the High Court for permission to judicially review a decision taken by a Coroner needs to be made as soon as possible following the making of that decision, and within three months at the very latest. required to sign the MCCD; or. They have had to be flexible and innovative in the way they conduct their inquests due to social distancing requirements. An incorrectly placed breathing tube could have contributed to the death of a 13-year-old boy who became the UK's first known child victim of Covid-19, a doctor has told the inquest into his death. However, there were falls in other conclusions such as those killed unlawfully (down 55% to its lowest level since 1995), those involved in a road traffic collisions (down 22% since 2019), and suicide (down by 3% on 2019). She tried to stir him and called out to Louiss father, Marvin Moreman. Coronial Services of New Zealand. Title: East Riding and Kingston upon Hull Coroner's district records. Coroners, post-mortems and inquests. Courts 'No closure' for family as Surrey Coroner's Court held inquest without their knowledge The Coroner's Service admitted "administrative errors" accounted for the hearing being. Medical practitioners: Refer a death to the coroner. Coroner's inquests are held in cases of sudden, unexplained or suspicious deaths. Coroners will not normally enter into correspondence about the cases they have completed, but comments and suggestions on improving the Coroner's Service are always welcome. These statistics help to understand those deaths reported to coroners, post-mortem examinations and inquests held, and conclusions recorded at inquests in England and Wales. This is even if the deceased was not attended during their last illness and not seen after death, provided that they are able to state the cause of death to the best of their knowledge and belief. If a death is reported which does not need an inquest - when death was a result of natural disease or illness - a certificate giving the cause of death will be sent to the registrar of deaths sometimes following an examination after death, a post mortem. Findings and upcoming inquests - Coroners Court. The ONS mortality statistics, based on death registrations, report the number of deaths registered in England and Wales in a particular year irrespective of whether a coroner has investigated the death. In R (Iroko) v HM Senior Coroner for Inner London South [2020] EWHC 1753, the Chief Coroner stated that the courts role in considering the decision of the Coroner was narrow. Industrial disease had the highest proportion of inquests relating to males, at 90%, and accident/misadventure had the highest proportion of inquests relating to females[footnote 14], at 46%. More information about how the average time taken has been estimated can be found in the Guide to coroners statistics published alongside this report. There are also the coroner's courts, investigating causes of deaths, and the High and Appeal Courts, mainly heard in London. This is a decrease of 5,474 (3%) from 2019. However, in 2018, 2019 and 2020, it accounted for 14%, 15% and 14% of all inquest conclusions respectively. On this page: About inquests When an inquest is held What is a pre-inquest conference *Includes Killed unlawfully; Killed lawfully; Lack of care or self-neglect; Stillborn; Open; Industrial Disease; Drugs/Alcohol related[footnote 8]; and Road traffic collision. This will have meant that a greater proportion than usual of all deaths were from natural causes and therefore did not require a report to the coroner. James Robottom and Rose Harvey-Sullivan, barristers at 7BR, have written a blog post considering the case of R (on the application of Maughan) (Appellant) v Her Majesty's Senior Coroner for . The proportion of post-mortems carried out varies from 16% of deaths reported in Staffordshire South to 63% in North Yorkshire (Eastern), as shown by Map 1. JAMIE MAN-CLARKE, aged 27, of Roses Lane, Amesbury, was sentenced to 28 days in prison for sending electronic communications . For example, the coroner office for the City of London shows a distorted figure above 100% due to the low level of residence and high level of commuters. If there is an inquest it will probably be open . , The latest Department for Digital, Culture, Media & Sport (DCMS) figures are for 2019 and showed there were 1,307 finds reported in England and Wales, in line with the 1,061 treasure finds reported to Coroner Areas in 2019. Newsquest Media Group Ltd, Loudwater Mill, Station Road, High Wycombe, Buckinghamshire. . We use this information to make the website work as well as possible and improve our services. All official statistics should comply with all aspects of the Code of Practice for Official Statistics. The large range of average time (41 weeks) may be due to the fact that the profile of coroner areas although there will be other factors including the resources provided to coroner services can vary greatly and a direct comparison between coroner areas is therefore not advised. . National Statistics status can be removed at any point when the highest standards are not maintained, and reinstated when standards are restored. The role of the Coroner, sometimes along with a Jury, is to investigate the circumstances which caused the person to die and to find out all of the facts relating to the death. Prior to his death Louis doctors were contacted because he had a dry cough for a few days but was still active, eating and drinking, and had no temperature. Of these, 599 had a inquest open at the time of suspension, representing 2% of all inquests concluded, down one percentage point compared to 2019. An inquest is a court hearing conducted by the coroner to gather information about the cause and circumstances of a death. Dates and. Of those 224 inquests concluded in 2020, 98% (220) returned a verdict of treasure, a six percentage point increase compared to 2019 and the highest since 2001. Died 14 February 2022 at JRH. An ambulance was called and CPR was carried out. Friday 3 March 2023 Location: Court 51, 5th . where they died. Yellowquill, *Don't provide personal information . The Ministry of Justices coroner statistics provide the number of deaths which are reported to coroners in England and Wales. Coroner's Courts inquests will soon resume. The Senior Coroner has made the decision to sit in open court at 10am every Wednesday to receive evidence for the purposes of opening inquests. To help us improve GOV.UK, wed like to know more about your visit today. Our aim is also to dispel possible Inquests are in public. The estimated average time taken to process an inquest remained stable at 27 weeks in 2020 compared to 2019. I think you have to reference the government as author .specifically , the department which responsible for these issues in your country . Should you have any questions about the impact of COVID-19 please contact the Coroners Office by email [email protected] by telephone on01392 383636. The number of suicide conclusions fell, by 3%, compared to 2019. Home; Coroners Process. Consideration for these issues should be taken into account when making comparisons to previous years figures. The principles upon which the application will be assessed are the same as for any application for judicial review and are concerned with the fairness of the procedure and whether the Coroner properly exercised his or her powers. Inquests An inquest is a public hearing into a death or a fire. Editors' Code of Practice. Useful contacts for bereaved families. 224 inquests were concluded into finds. The office is open 9am to 5pm Monday to Friday. In terms of Russias responsibility more generally, the court held that an inquest was the appropriate forum to investigate the source of the Novichok and the directions given to the two Russians. The Coroner will then ask any questions that they have. Mr Gordon Clow, assistant coroner for Nottinghamshire opened the inquests on the morning on Tuesday, May 4 at Nottingham Council House. Registered in England & Wales | 01676637 |. Deaths should be reported to the coroner's officers. Deaths Reported to the Coroner; . Home address, Salisbury. In addition to the bulletin and tables, we have published a coroners statistical tool. Upon conclusion of the inquest, a written report known as a Verdict is prepared. These will generally be professionals working for an organisation that had contact with your relative. This means that the coroner has opened an investigation into the death but has not yet decided whether it is necessary to hold an inquest. An inquest is a fact-finding inquiry; it does not deal with issues of liability or blame. Other enquiries about these statistics should be directed to the Data and Evidence as a Service division of the Ministry of Justice: Rita Kumi-Ampofo or Matteo Chiesa - email: [email protected], URL: www.gov.uk/government/collections/coroners-and-burials-statistics, Crown copyright From: Ministry of Justice Published 13 May 2021 Documents Coroners statistics 2020: England . Whilst it is understandable that greater scrutiny might be expected by the public over the incidents that took place in Hillsborough and Salisbury, where does that leave families who have lost loved ones to the deficiencies of our health service? Data returned from the Piano 'meterActive/meterExpired' callback event. Dawn Sturgess's relatives challenged the . There were 79,357 post-mortem examinations ordered by coroners in 2020, 39% of all cases reported to them (no change compared to 2019). Family 'happy' boy's death prompts policy change. It was thought the ongoing cough could be asthma but his chest was said to be clear of infection and he had no temperature. In the majority (81%) of deaths referred to coroners, there is no inquest. If this is refused, there can be no challenge to the Administrative Court: R (Lyttle) v (1) Attorney General (2) HM Senior Coroner for Preston [2018]. Coroner Rickie Burnett today (Friday) discharged the jury in the inquest touching and concerning the death of Cjea Weekes, without any evidence being given. The Coroner has a duty to investigate deaths: which are unnatural or violent where the cause of death is unknown where the person died in prison, police custody or state detention Following the. Therefore, a Coroner must sit in a Court and cannot conduct the hearing remotely, e.g. South Yorkshire (Western), West Yorkshire (Western), and Gwent conducted over a quarter of all their post-mortems using less-invasive techniques (28%, 27% and 31% respectively). He was given an inhaler device. Tue 14 Jul 2020 12.53 EDT . Contact us Office of the Chief Coroner and Forensic Pathology Service 25 Morton Shulman Avenue Toronto, Ontario M3M 0B1 Tel: 416-314-4000 Toll-free: 1-877-991-9959 (Ontario only) The presiding coroner ensures the jury maintains the goal of fact-finding, not fault-finding. Later, former Coroner Jeanine Weech-Gomez was sworn in as a . Complaints about a coroner's decision or the outcome of an inquest can only be dealt with through the High Court. Such deaths decreased by 60% in 2020 compared to the same period a year earlier, the lowest it has been since before 2010. Aged 14 years. More information about the duties of coroners to investigate treasure found within their jurisdiction and the provisions of the Treasure Act 1996 (and the previous Treasure Trove provisions) can be found in the supporting guidance, Map 4: Number of treasure finds reported to coroners, England and Wales, 2020. Open conclusions have seen a decrease over the last decade - they accounted for 4% in 2020 compared with 7% in 2010. Post-mortem examinations were held for 79,357 deaths reported to coroners in 2020, down 2,715 (3%) from 2019. Inquests are legal inquiries into the cause and circumstances of a death, and are limited, fact-finding inquiries; a Coroner will consider both oral and written evidence during the course of an. Within the Key Findings sections, figures greater than 1,000 are rounded to the nearest 100. It is the duty of coroners to investigate deaths which are reported to them. Get the WiltshireLive newsletter - sign up here 08:48, 25 FEB 2023 Findings are published on this website when an inquest was held or a coroner otherwise orders they be published in the public interest. Administration . These statistics help to understand those deaths reported to coroners, post-mortem examinations and inquests held, and conclusions recorded at inquests in England and Wales. If you wish to discuss anything in this article or you want to instruct Charlotte you can contact her clerk on [email protected]. Try to find out: the date the coroner's. Figure 8: Average time taken to process an inquest (in weeks), 2009-2020 (Source: Table 9), Map 3: Estimated average time taken to process inquests, England and Wales, 2020, There was a 24% decrease in Treasure finds[footnote 19] reported in 2020 and a 41% decrease in inquest conclusions into finds. contact the editor here. The household have been found at their . July 2021 Archives for The Cobalt Centre Kineton Road Accident News and Police Reports 205,438 deaths were reported to coroners in 2020, the lowest level since 1995. Medical professionals and Funeral Directors are requested to continue to communicate with us by email. Of the 205,438 deaths reported to coroners in 2020, less than 1% (771) were reports of deaths that had occurred outside England and Wales, a slight decrease compared to 2019. Figure 7: Proportion of inquest conclusions by age of deceased, England and Wales, 2020 (Source: Table 8)[footnote 16], Overall, no change in the average time taken to process an inquest. The matter was remitted to the Coroner for further consideration. It is believed George Pattison, 39, murdered his spouse, Emma Pattison, 45, and their seven-year-old daughter Lettie, earlier than he took his personal life on 5 February. The proceedings of the inquest are as follows: the Coroner opens the inquest witnesses are called and examined by the Coroner's Officer or Government Counsel, the jury, family members of the deceased, properly interested persons, and the Coroner the Coroner sums up the case To quash the original inquest and order a fresh investigation, s.13 of the Act provides that the High Court must be satisfied that it is necessary or desirable in the interests of justice that an investigation, or another investigation, be held, whether because of fraud, rejection of evidence, irregularity or proceedings, insufficiency of inquiry, the discovery of new facts or evidence or otherwise. Should you have any questions or queries, you can contact the office on 0300 303 3180 or email [email protected] **Please Note: Inquests are public hearings and as such the Press may. for the Exeter and Greater Devon District, Further information about attending court, Thomas William POMEROY - Inquest, No Jury, Stanley Bryan SIMMONDS - Inquest, No Jury, Erin Dallas - Inquest, No Jury - POSTPONED. An inquest isn't a trial and there is no jury. In 2020, a total of 562 deaths which occurred in state detention were reported to coroners[footnote 4], an increase of 84 deaths (18%) on the previous year and representing less than 1% of all deaths reported to coroners. This publication covers the work of all coroners across England and Wales, including figures on inquests and post-mortems examinations held, and so any activity in this area may well have been affected by Covid-19. COVID-19 was classified as a notifiable death under the Health Protection (Notification) Regulations 2010 in March 2020. In 2020, almost all (94%) of post-mortems were ordered at a standard rate this proportion is one percentage point lower than in 2019. (excluding 16 & 17 March), Beaconsfield Court Jury Inquest. This year saw the lowest killed unlawfully conclusions (61) since 1995, which may be due to pandemic restrictions reducing outdoor activity. 28/01/2021 Coroners' Courts A Guide to Law and Practice Third Edition Christopher Dorries OBE Provides practical, step-by-step explanations of the law and procedure relating to coroner's investigations and inquests Written to encompass the extensive changes introduced by the Coroners and Justice Act 2009 and the relevant Rules and Regulations Per her death certificate, she was 28 years old; was born in Boston, Massachusetts, to David Morris of Henderson, N.C., and Lillian Hinson of Boston; was single; and lived at 1123 East Nash Street. The Wiltshire and Swindon Coroner What a coroner. by Skype facility. Three young men died when the driver of their car lost control while drunk and crashed into a house, a coroner ruled. 803 finds were reported to coroners in 2020, a decrease of 258 on 2019. Where a death is from natural causes (for example, from a naturally occurring disease) in most cases that death will not need to be reported to the coroner. Of these, 98% (220) returned a verdict of treasure, an increase in proportion by six percentage points when compared to 2019 and the highest since 2001. The appointments of former Court of Appeals judge, Lady Heather Hallett, and Martin Smith as legal advisor will commence at a court hearing in London on March 30. 26/03/2021 14:00 26/03/2021 16:00 Documentary Plus Steven LAMPEY 39 11/09/2020 Crawley Lisa MILNER Court 2 - Crawley 30/03/2021 10:00 30/03/2021 12:00 Pre-inquest Review Jade HUTCHINGS 18 23/05/2020 Royal Sussex County 45 post-mortems were conducted following a request from a defence lawyer (less than 1% of all post-mortems) and 2% (1,635) of post-mortems in 2020 were conducted by a Home Office forensic pathologist. the Coroner in open court considered the evidence on the papers, which had been discussed in advance with the family (and interested persons) this agreed process which usually did not require a post-mortem examination report took much less time to process and conclude thus reducing the average time. This publication is licensed under the terms of the Open Government Licence v3.0 except where otherwise stated. The inquest heard Louis was found by his mother Tanisha Hill face down on the mattress when she went to check on him. The former NSW State Coroner's Court and Morgue building was located at 44-46 Parramatta Road, Glebe for 48 years. If anyone affected has any question or concern, please do not hesitate to contact the City of London Coroner's Office. When expanded it provides a list of search options that will switch the search inputs to match the current selection. S. Williams Verdict, Luggi, Robert Jr. and Charlie, Carl Rodney, Response for Robert and Angie Robinson (updated March 24, 2016) / MCFD Action Plan for inquest recommendations for Robert and Angie Robinson (updated May 2018), Verdicts with Coroner Comments: The number of inquests opened in 2020 increased by 2,022 (up 7%) to 31,991. 10am - Anthony Mark McNally. Click or tap to ask a general question about $agentSubject. Figure 6: Conclusions recorded at inquests by sex, England and Wales, 2020 (Source: Table 7), The majority of inquests completed were for those aged 65 years and over. All complaints about the administration of the Wiltshire & Swindon Coroner's Service, the conduct of individual coroners, administrative staff or their officers and should be raised in the first instance with the coroner. The Authority considers whether the statistics meet the highest standards of Code compliance, including the value they add to public decisions and debate. , Killed lawfully was excluded from above, as there was only 5 such inquest conclusions in 2020. There are two types of inquests: mandatory (required by law) discretionary (at the discretion of the coroner) Learn more about inquests and view the current schedule. Information is provided on the number of deaths reported to coroners, post-mortem examinations and inquests held, and conclusions recorded at inquests. There were no amalgamations in 2019. If we become concerned about whether these statistics are still meeting the appropriate standards, we will discuss any concerns with the Authority promptly. If it seems that the person took their own life, there has to be a coroner's inquiry. The decreases in time taken that occurred in 2015 and 2016 can largely be attributed to DoLS deaths where, in accordance with the Chief Coroners guidance, in uncontroversial cases, there could be a paper inquest, i.e. Charlotte has appeared in numerous multi-day inquests representing all types of interested parties, including Article 2 and jury inquests. The investigation process Coroners investigate all reportable deaths, all reviewable deaths, and fires that are reported and in the public interest. Coroners issued 4,711 Out of England and Wales orders in 2020, compared with 5,632 issued in 2019. The duty to investigate only arises when the coroner has reason to believe that the death is violent, unnatural, the cause of death is unknown or occurring in custody or other state detention. Salisbury attack: inquest must look into role of Russian officials, court told Lawyers for Dawn Sturgess' family say inquest should examine who ordered novichok attack Dawn Sturgess. An inquest was held into his death at Wiltshire and Swindon Coroners Court in Salisbury on Thursday, July 30. contact IPSO here, 2001-2023. Coroners' Investigations and Inquests is an essential legal guide for all professionals working, or hoping to work, in the field of coronial law.

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