{"id":10345,"date":"2026-04-29T20:34:25","date_gmt":"2026-04-29T17:34:25","guid":{"rendered":"https:\/\/spontanedigital.com.tr\/?p=10345"},"modified":"2026-04-29T20:34:30","modified_gmt":"2026-04-29T17:34:30","slug":"ilac-tedarikinde-sorun-kanser-hastalari-zor-durumda","status":"publish","type":"post","link":"https:\/\/spontanedigital.com.tr\/?p=10345","title":{"rendered":"\u0130la\u00e7 Tedarikinde Sorun: Kanser Hastalar\u0131 Zor Durumda"},"content":{"rendered":"\n

T\u00fcrkiye\u2019de prostat ve meme kanseri ba\u015fta olmak \u00fczere kritik hastal\u0131klar\u0131n tedavisinde kullan\u0131lan “Zoladex” isimli ilac\u0131n sat\u0131\u015f\u0131, \u00fcretici firma AstraZeneca taraf\u0131ndan durduruldu. Muadili bulunmayan ilaca eri\u015femeyen yakla\u015f\u0131k 30 bin hasta, tedavilerinin aksamas\u0131 nedeniyle hayati tehlikeyle kar\u015f\u0131 kar\u015f\u0131ya.<\/strong><\/p>\n\n\n\n

T\u00fcrkiye’de prostat ve meme kanseri ba\u015fta olmak \u00fczere kritik hastal\u0131klar\u0131n tedavisinde kullan\u0131lan ila\u00e7lardan biri birka\u00e7 ayd\u0131r eczanelerde bulunam\u0131yor.<\/p>\n\n\n\n

Bu ila\u00e7, prostat ve meme kanserinin yan\u0131 s\u0131ra endometriozis gibi kad\u0131n hastal\u0131klar\u0131nda ve yard\u0131mc\u0131 \u00fcreme tedavilerinde kullan\u0131l\u0131yor.<\/p>\n\n\n\n

Uzmanlar, ilac\u0131n bu anlamda muadilinin olmad\u0131\u011f\u0131n\u0131 ve hastalar taraf\u0131ndan d\u00fczenli kullan\u0131lmas\u0131 gerekti\u011fini s\u00f6yl\u00fcyor.<\/p>\n\n\n\n

Eczac\u0131lar ve sa\u011fl\u0131k meslek \u00f6rg\u00fctleri, ilac\u0131n art\u0131k ecza depolar\u0131nda ve eczanelerde bulunmad\u0131\u011f\u0131n\u0131 belirtiyor.<\/p>\n\n\n\n

Sa\u011fl\u0131k Bakanl\u0131\u011f\u0131’n\u0131n 24 Nisan’da yay\u0131mlanan Ruhsatl\u0131 Be\u015fer\u00ee T\u0131bbi \u00dcr\u00fcnler Listesi’nde Zoladex adl\u0131 ilac\u0131n ruhsat\u0131n\u0131n 7 Kas\u0131m 2025’te ask\u0131ya al\u0131nd\u0131\u011f\u0131 g\u00f6r\u00fcl\u00fcyor.<\/p>\n\n\n\n

BBC T\u00fcrk\u00e7e’nin ula\u015ft\u0131\u011f\u0131 sa\u011fl\u0131k sekt\u00f6r\u00fcnden \u00fcst d\u00fczey bir kaynak, AstraZeneca \u015firketinin ”ticari gerek\u00e7elerle” ilac\u0131n sat\u0131\u015f\u0131n\u0131 durdurma karar\u0131 ald\u0131\u011f\u0131n\u0131 iddia etti.<\/p>\n\n\n\n

AstraZeneca ise BBC T\u00fcrk\u00e7e’ye g\u00f6nderdi\u011fi yaz\u0131l\u0131 a\u00e7\u0131klamada, ilac\u0131n sat\u0131\u015f\u0131n\u0131n durduruldu\u011fu iddias\u0131n\u0131 reddetmedi.<\/p>\n\n\n\n

Ancak \u015firket ila\u00e7 portf\u00f6y\u00fcn\u00fcn d\u00fczenli olarak g\u00f6zden ge\u00e7irildi\u011fini kaydetti.<\/p>\n\n\n\n

Sa\u011fl\u0131k Bakanl\u0131\u011f\u0131’na ba\u011fl\u0131 T\u00fcrkiye \u0130la\u00e7 ve T\u0131bbi Cihaz Kurumu (T\u0130TCK) ise sorular\u0131m\u0131za yan\u0131t vermedi.<\/p>\n\n\n\n

T\u0130TCK, T\u00fcrkiye’de ila\u00e7lar ve t\u0131bbi cihazlar\u0131n g\u00fcvenli, etkili ve standartlara uygun \u015fekilde piyasaya sunulmas\u0131n\u0131 ve denetlenmesini sa\u011fl\u0131yor.<\/p>\n\n\n\n

‘HASTALARIN BU \u0130LACA \u0130HT\u0130YACI VAR’<\/h3>\n\n\n\n

T\u00fcrk Eczac\u0131lar\u0131 Birli\u011fi (TEB) Ba\u015fkan\u0131 Mehmet \u0130rfan Demirci, “Hastalar tek tek eczaneleri gezerek Zoladex ar\u0131yor. Son birka\u00e7 ayd\u0131r ilac\u0131 depolarda bulam\u0131yoruz” diyor.<\/p>\n\n\n\n

Demirci, halk sa\u011fl\u0131\u011f\u0131 a\u00e7\u0131s\u0131ndan bu sorunun bir an evvel \u00e7\u00f6z\u00fclmesi gerekti\u011fini s\u00f6yl\u00fcyor:<\/p>\n\n\n\n

“Baz\u0131 ila\u00e7 firmalar\u0131 T\u00fcrkiye’deki ila\u00e7 fiyatland\u0131rma sistemine itiraz ediyor ve kendilerini i\u00e7in k\u00e2rl\u0131 bulmuyor.<\/p>\n\n\n\n

“Ancak ila\u00e7 konusuna sadece ticari boyutuyla bak\u0131lamaz. Bu bir halk sa\u011fl\u0131\u011f\u0131 sorunudur ve tedavinin s\u00fcreklili\u011fi sa\u011flanmal\u0131d\u0131r.<\/p>\n\n\n\n

“Kanser ve \u00fcreme tedavisinde kullan\u0131lan bu kadar \u00f6nemli bir ilac\u0131n bu \u015fekilde piyasadan \u00e7ekilmesini do\u011fru bulmuyoruz. Hastalar\u0131n bu ilaca ihtiyac\u0131 var.”<\/p>\n\n\n\n

BBC T\u00fcrk\u00e7e AstraZeneca’ya; son be\u015f y\u0131lda T\u00fcrkiye’de ka\u00e7 kutu Zoladex sat\u0131ld\u0131\u011f\u0131n\u0131, sat\u0131\u015f durdurma karar\u0131 al\u0131nd\u0131ysa; bu karar\u0131n gerek\u00e7esini, halk sa\u011fl\u0131\u011f\u0131na olas\u0131 etkilerini ve bu kararda ticari kayg\u0131lar\u0131n etkili oldu\u011fu iddialar\u0131n\u0131 sordu.<\/p>\n\n\n\n

\u015eirket, BBC T\u00fcrk\u00e7e’nin sorular\u0131na \u015fu yan\u0131t\u0131 verdi:<\/p>\n\n\n\n

”Portf\u00f6y\u00fcm\u00fcz\u00fcn normal ya\u015fam d\u00f6ng\u00fcs\u00fc y\u00f6netimi kapsam\u0131nda, kaynaklar\u0131 optimize etmek ve yenilik\u00e7i ila\u00e7lara odaklanmak amac\u0131yla talebi, tedarik dinamiklerini ve tedavi standartlar\u0131n\u0131 d\u00fczenli olarak g\u00f6zden ge\u00e7iriyoruz.<\/p>\n\n\n\n

”Hastalar\u0131 \u00f6nceliklendirmeye ve s\u00fcrd\u00fcr\u00fclebilir eri\u015fimi korumaya kararl\u0131y\u0131z. Ayr\u0131ca, tedavilerin devaml\u0131l\u0131\u011f\u0131n\u0131 ve ge\u00e7i\u015f s\u00fcrecinin sorunsuz bir \u015fekilde ger\u00e7ekle\u015fmesini desteklemek amac\u0131yla ilgili yerel yetkililerle s\u00fcrekli temas i\u00e7erisindeyiz.”<\/p>\n\n\n\n

KA\u00c7 HASTANIN ZOLADEX KULLANDI\u011eI TAHM\u0130N ED\u0130L\u0130YOR?<\/h3>\n\n\n\n

Zoladex’in 3.9 mg’l\u0131k ve 10.8 mg’l\u0131k olmak \u00fczere iki farkl\u0131 formu bulunuyor.<\/p>\n\n\n\n

\u0130lki ayl\u0131k olarak, di\u011feri ise \u00fc\u00e7 ayl\u0131k olarak kullan\u0131l\u0131yor.<\/p>\n\n\n\n

T\u00fcrk Eczac\u0131lar\u0131 Birli\u011fi (TEB) verilerine g\u00f6re, 2025 y\u0131l\u0131nda her iki formda toplamda yakla\u015f\u0131k 150 bin kutu Zoladex sat\u0131ld\u0131.<\/p>\n\n\n\n

2022 y\u0131l\u0131nda ise bu rakam\u0131n yakla\u015f\u0131k 200 bin oldu\u011fu belirtiliyor.<\/p>\n\n\n\n

TEB verilerine g\u00f6re, T\u00fcrkiye’de ortalama 30 bin hastan\u0131n Zoladex kulland\u0131\u011f\u0131 tahmin ediliyor.<\/p>\n\n\n\n

Ancak bu say\u0131 sadece sat\u0131lan kutu miktar\u0131 \u00fczerinden yap\u0131lan tahminlere dayan\u0131yor.<\/p>\n\n\n\n

HASTALARA ETK\u0130S\u0130 NE OLUR?<\/h3>\n\n\n\n

T\u00fcrkiye’de hastalar, ruhsatl\u0131 ila\u00e7lar listesinde bulunmayan ila\u00e7lar\u0131 T\u00fcrk Eczac\u0131lar\u0131 Birli\u011fi \u00fczerinden bireysel ba\u015fvuru yaparak ithal edebiliyor.<\/p>\n\n\n\n

Ancak Demirci’ye g\u00f6re bu uzun ve masrafl\u0131 bir s\u00fcre\u00e7 anlam\u0131na geliyor.<\/p>\n\n\n\n

Hastalar\u0131n doktorundan rapor almas\u0131 ve ithalat talebinin Sa\u011fl\u0131k Bakanl\u0131\u011f\u0131 taraf\u0131ndan onaylanmas\u0131 gerekiyor.<\/p>\n\n\n\n

Ard\u0131ndan ilac\u0131n ithal edilece\u011fi \u00fclkedeki \u00fccreti ve g\u00fcncel kur \u00fczerinden bir fiyat hesaplan\u0131yor.<\/p>\n\n\n\n

\u0130thalat masraflar\u0131n\u0131 da kar\u015f\u0131lamak zorunda kalan hastalar, y\u00fcksek \u00fccretlerle kar\u015f\u0131 kar\u015f\u0131ya geliyor.<\/p>\n\n\n\n

Demirci, Zoladex ilac\u0131 kullanan binlerce hasta i\u00e7in tek tek ithalat ger\u00e7ekle\u015ftirmenin ger\u00e7ek\u00e7i ve pratik olmad\u0131\u011f\u0131n\u0131 belirtiyor.<\/p>\n\n\n\n

Hastalar\u0131n ilaca do\u011frudan eczaneler \u00fczerinden ula\u015fmas\u0131 gerekti\u011fini s\u00f6yleyen Demirce, “Bazen \u00f6yle durumlar oluyor ki, hastalar\u0131n g\u00fcnlerce ve haftalarca ithal ilac\u0131 beklemesi gerekiyor” diyor.<\/p>\n\n\n\n

‘D\u0130YABET VE KALP RAHATSIZLIKLARINDA KULLANILAN \u0130LA\u00c7LAR DA ZOR BULUNUYOR’<\/h3>\n\n\n\n

Uzmanlar, AstraZeneca’n\u0131n satt\u0131\u011f\u0131 Byetta ve Plendil ila\u00e7lar\u0131nda da \u00e7e\u015fitli zorluklar ya\u015fand\u0131\u011f\u0131n\u0131 s\u00f6yl\u00fcyor.<\/p>\n\n\n\n

T\u00fcrkiye Eczac\u0131lar Birli\u011fi B\u00fcy\u00fck Kongre Delegesi Erdal Kart, diyabet hastal\u0131\u011f\u0131n\u0131n tedavisinde kullan\u0131lan Byetta ilac\u0131n\u0131n 10 mg’l\u0131k kutusuna ula\u015f\u0131lmad\u0131\u011f\u0131n\u0131 iddia ediyor.<\/p>\n\n\n\n

BBC T\u00fcrk\u00e7e’nin ula\u015ft\u0131\u011f\u0131 sa\u011fl\u0131k sekt\u00f6r\u00fcnden \u00fcst d\u00fczey kaynak da yak\u0131n zamanda Byetta’n\u0131n hi\u00e7bir formunun eczanelerde bulunamayaca\u011f\u0131n\u0131 ve kalp rahats\u0131zl\u0131klar\u0131n\u0131n tedavisinde kullan\u0131lan Plendil ilac\u0131n\u0131n da \u00fcretiminin durduruldu\u011funu \u00f6ne s\u00fcr\u00fcyor.<\/p>\n\n\n\n

Eczac\u0131 Erdal Kart, ilac\u0131n\u0131n muadili oldu\u011funu ancak Sosyal G\u00fcvenlik Kurumu’nun (SGK) geri \u00f6deme listesinde olmad\u0131\u011f\u0131 i\u00e7in hastalar\u0131n para \u00f6deyerek sat\u0131n almas\u0131 gerekece\u011fini s\u00f6yl\u00fcyor.<\/p>\n\n\n\n

BBC T\u00fcrk\u00e7e, AstraZeneca’ya Byetta ve Plendil ila\u00e7lar\u0131n\u0131n piyasadaki g\u00fcncel durumunu sordu ancak yan\u0131t alamad\u0131.<\/p>\n\n\n\n

‘T\u0130CAR\u0130 KAYGILAR ETK\u0130L\u0130 OLDU’ \u0130DD\u0130ASI<\/h3>\n\n\n\n

T\u00fcrkiye’deki ila\u00e7 fiyatlar\u0131, g\u00fcncel d\u00f6viz kurunun \u00e7ok daha alt\u0131nda bir tarifeyle Sa\u011fl\u0131k Bakanl\u0131\u011f\u0131 taraf\u0131ndan belirleniyor.<\/p>\n\n\n\n

Her sene ila\u00e7 \u015firketleri ve Sa\u011fl\u0131k Bakanl\u0131\u011f\u0131 aras\u0131nda, g\u00fcncel kurun alt\u0131nda kalan ila\u00e7 fiyatlar\u0131 sebebiyle \u00e7e\u015fitli tart\u0131\u015fmalar ya\u015fan\u0131yor.<\/p>\n\n\n\n

BBC T\u00fcrk\u00e7e’nin ula\u015ft\u0131\u011f\u0131 sa\u011fl\u0131k sekt\u00f6r\u00fcnden \u00fcst d\u00fczey kaynak, AstraZeneca’n\u0131n karar\u0131nda ticari kayg\u0131lar\u0131n etkili oldu\u011funu iddia ediyor:<\/p>\n\n\n\n

”Uluslararas\u0131 ila\u00e7 \u015firketleri her \u00fclkede farkl\u0131 fiyatland\u0131rma modelleriyle kar\u015f\u0131la\u015f\u0131yor. \u00c7in ila\u00e7 fiyat\u0131n\u0131 belirlerken, T\u00fcrkiye’deki fiyatlar\u0131 da referans al\u0131yor.<\/p>\n\n\n\n

”AstraZeneca, bu durumu engellemek i\u00e7in T\u00fcrkiye’deki Zoladex sat\u0131\u015flar\u0131n\u0131 durdurdu. B\u00f6ylece \u00c7in’deki sat\u0131\u015flardan daha fazla k\u00e2r edilmesi hedeflendi.<\/p>\n\n\n\n

”Bu karar olduk\u00e7a ani bir \u015fekilde, T\u00fcrk makamlar zaman\u0131nda bilgilendirilmeden ve alternatif bir \u00e7\u00f6z\u00fcm geli\u015ftirecek f\u0131rsat kalmadan al\u0131nd\u0131.”<\/p>\n\n\n\n

AstraZeneca, ticari kayg\u0131 iddialar\u0131 ve \u00c7in’deki sat\u0131\u015flarla ilgili sorumuza yan\u0131t vermedi.<\/p>\n\n\n\n

‘GLOBAL \u015e\u0130RKETLER T\u00dcRK\u0130YE’DEN \u00c7EK\u0130L\u0130YOR’<\/h3>\n\n\n\n

T\u00fcrkiye’de bu y\u0131l ila\u00e7 fiyat kararnamesi Aral\u0131k 2025, Mart-Nisan 2026’da olmak \u00fczere \u00fc\u00e7 kez g\u00fcncellendi.<\/p>\n\n\n\n

\u0130la\u00e7lar\u0131n fiyatlar\u0131n\u0131 belirlemede referans al\u0131nan Euro kuru 29,11 TL olarak belirlendi.<\/p>\n\n\n\n

TEB Ba\u015fkan\u0131 Mehmet \u0130rfan Demirci, ila\u00e7 fiyatlar\u0131na toplamda y\u00fczde 35 civar\u0131nda zam yap\u0131ld\u0131\u011f\u0131n\u0131 s\u00f6yl\u00fcyor.<\/p>\n\n\n\n

Demirci’ye g\u00f6re \u00e7ok uluslu firmalar bu art\u0131\u015f\u0131 yeterli bulmuyor ve s\u00fcrd\u00fcr\u00fclebilir fiyat yap\u0131s\u0131 talep ediyor, Sa\u011fl\u0131k Bakanl\u0131\u011f\u0131 ise maliyetleri kontrol etmek istiyor:<\/p>\n\n\n\n

”Hastan\u0131n ilaca eri\u015fimi hepsinden \u00f6nemlidir. Bu noktada her iki taraf\u0131n da \u00e7\u00f6z\u00fcm konusunda sorumluluklar\u0131n\u0131 yerine getirmesini bekliyoruz.”<\/p>\n\n\n\n

Eczac\u0131 Erdal Kart’a g\u00f6re ise T\u00fcrkiye’deki fiyatland\u0131rmay\u0131 s\u00fcrd\u00fcrebilir bulmayan uluslararas\u0131 ila\u00e7 firmalar\u0131, T\u00fcrkiye’den \u00e7ekilme e\u011filiminde.<\/p>\n\n\n\n

\u0130la\u00e7 fiyatlar\u0131n\u0131 belirlemek i\u00e7in yeni bir model geli\u015ftirilmesi gerekti\u011fini belirten Kart, d\u00f6viz kuruna dayal\u0131 g\u00fcncelleme modelinin art\u0131k s\u00fcrd\u00fcr\u00fclebilir olmad\u0131\u011f\u0131n\u0131 s\u00f6yl\u00fcyor:<\/p>\n\n\n\n

”\u0130la\u00e7 fiyatlar\u0131n\u0131n senede 1-2 kere yenilenmesi yerine bunun y\u0131l boyuna yay\u0131lmas\u0131 gerekiyor. \u00c7\u00fcnk\u00fc zam d\u00f6nemlerinde piyasada ila\u00e7 olmuyor.<\/p>\n\n\n\n

”Zamdan \u00f6nce firma depoya ila\u00e7 vermiyor, depo eczaneye vermiyor ve yine halk ilaca eri\u015fimde ma\u011fdur oluyor.<\/p>\n\n\n\n

”\u00d6rne\u011fin bu sene 15 Mart ve 1 Nisan olmak \u00fczere iki zam d\u00f6nemi aras\u0131nda \u00e7ok ciddi zorluk ya\u015fad\u0131k, depolar eczanelere ila\u00e7 vermedi.”<\/p>\n\n\n\n

Demirci ise kal\u0131c\u0131 bir \u00e7\u00f6z\u00fcm i\u00e7in T\u00fcrkiye’nin kendi ulusal ila\u00e7 sanayisini geli\u015ftirerek d\u0131\u015fa ba\u011f\u0131ml\u0131l\u0131\u011f\u0131n\u0131 azaltmas\u0131 gerekti\u011fini s\u00f6yl\u00fcyor.<\/p>\n\n\n\n

‘KANSER TEDAV\u0130S\u0130NDE S\u00dcREKL\u0130L\u0130K ESASTIR’<\/h3>\n\n\n\n

T\u00fcrk Tabipleri Birli\u011fi Halk Sa\u011fl\u0131\u011f\u0131 Kolu Ba\u015fkan\u0131 Nas\u0131r Nesan\u0131r, kanser tedavilerinde s\u00fcreklili\u011fin esas oldu\u011funu vurguluyor.<\/p>\n\n\n\n

Zoladex’in meme ve prostat kanserinde hormon duyarl\u0131 t\u00fcm\u00f6rlerin kontrol alt\u0131na al\u0131nmas\u0131nda kullan\u0131ld\u0131\u011f\u0131n\u0131 ve tedavide kritik \u00f6neme sahip oldu\u011funu s\u00f6yl\u00fcyor:<\/p>\n\n\n\n

”Bu t\u00fcr ila\u00e7lar\u0131n piyasada bulunamamas\u0131, do\u011frudan tedavi s\u00fcreklili\u011finin bozulmas\u0131 anlam\u0131na gelir.<\/p>\n\n\n\n

”Tedavinin kesintiye u\u011framas\u0131, hastal\u0131\u011f\u0131n yeniden ilerlemesi, t\u00fcm\u00f6r\u00fcn daha agresif seyretmesi ve tedavi ba\u015far\u0131s\u0131n\u0131n d\u00fc\u015fmesi gibi ciddi sonu\u00e7lar do\u011furabilir.<\/p>\n\n\n\n

”Bu durum, hekimlerin bilimsel olarak do\u011fru tedaviyi uygulama imkan\u0131n\u0131 da s\u0131n\u0131rlar ve sa\u011fl\u0131k sisteminde ciddi bir k\u0131r\u0131lganl\u0131k yarat\u0131r.”<\/p>\n\n\n\n

Sa\u011fl\u0131k hizmetlerinin kamusal bir nitelik ta\u015f\u0131d\u0131\u011f\u0131n\u0131 belirten Nesan\u0131r, \u00f6zellikle alternatifi olmayan tedaviler s\u00f6z konusu oldu\u011funda, ila\u00e7lara eri\u015fimin yaln\u0131zca ticari kararlarla belirlenemeyece\u011fini belirtiyor.<\/p>\n\n\n\n

Nesan\u0131r, ila\u00e7 firmalar\u0131n\u0131n, hayati \u00f6neme sahip \u00fcr\u00fcnleri piyasadan \u00e7ekmeden 6\u201312 ay \u00f6nce kamu otoritelerini bilgilendirmesi gerekti\u011fini kaydediyor:<\/p>\n\n\n\n

”Muadili olmayan ila\u00e7lar\u0131n piyasadan \u00e7ekilmesi, yaln\u0131zca ticari bir karar olarak de\u011ferlendirilemez; bu durum do\u011frudan halk sa\u011fl\u0131\u011f\u0131n\u0131 ve ya\u015fam hakk\u0131n\u0131 ilgilendiren bir meseleye d\u00f6n\u00fc\u015f\u00fcr.<\/p>\n\n\n\n

”\u0130la\u00e7lara eri\u015fim, yaln\u0131zca bir piyasa meselesi de\u011fil, temel bir sa\u011fl\u0131k hakk\u0131d\u0131r. Bu t\u00fcr krizler, sa\u011fl\u0131k sistemlerinin dayan\u0131kl\u0131l\u0131\u011f\u0131n\u0131 ve devletlerin kamusal sorumluluklar\u0131n\u0131 yeniden d\u00fc\u015f\u00fcnmeyi zorunlu k\u0131lmaktad\u0131r.”<\/p>\n\n\n\n

Nesan\u0131r ayr\u0131ca, muadili olmayan ila\u00e7lar i\u00e7in \u00f6zel fiyatland\u0131rma politikalar\u0131, vergi d\u00fczenlemeleri veya geri \u00f6deme mekanizmalar\u0131yla ilac\u0131n piyasada kalmas\u0131n\u0131n te\u015fvik edilebilece\u011fini s\u00f6yl\u00fcyor.<\/p>\n\n\n\n

Kaynak ve G\u00f6rsel:Cumhuriyet<\/a><\/p>\n\n\n\n

Yay\u0131nlanma Tarihi:29.04.2026-20:33<\/p>\n","protected":false},"excerpt":{"rendered":"

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