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ones
Bababunmi, Enitan A.

Corporate Author
Report/Article TltlB Toxins and Carcinogens in the Environment: An
Observation in the Tropics

JOUmal/BoOk TltlO

Journal of Toxicology and Environmental Health

Year
Month/Day
Color

D

Number of Images

9

DOSCrlptOn NotOS

^'vin ^- Young filed this item under the category
"DDT/Human Toxicology and Environmental Fate"

Wednesday, April 11, 2001

Page 1188 of 1242

�TOXINS AND CARCINOGENS IN THE ENVIRONMENT:
AN OBSERVATION IN THE TROPICS

Department of Biochemistry, School of Medicine,
University of Ibadari, Ibadan, Nigeria

The incidence of primary liver cancer in the countries of tropical Africa is the highest in
the world. There, is a growing belief that the relatively high prevalence of hepatocellular
carcinoma in Niyeria may have a multiple chemical factor etiology in such forms as food
contaminants, herbal leas, and environmental chemicals. Major chemical toxins and
carcinogens that have been identified so far in the tropical environment include
supotoxin, cycasin, mushroom toxin, capsaicin, oxalic acid, prussic acid, fluotooleic acid,
N-nitroso compounds, aflatoxin, palmotoxin, pyrrolizidine alkaloids, quinine, DOT, and
eye/ornate.

INTRODUCTION
During the past two decades, there has been an increasing awareness of
the hazards to human and animal health from various chemical substances
Jthat occur in the tropical environment. There is evidence to indicate that
azarious health problems, including some forms of cancer, have their origin
in the presence of toxic chemicals in medicines, herbal residues, pesticides,
foods, and drinks. Some of these problems are common to countries
throughout the world, while others are peculiar to Africans who live in the
tropics. For example, altogether the incidence of primary liver cancer in
adult males is • the highest in the world in African countries such as
Nigeria, Uganda, and Mo/ambique (IARC, 1971).
The primary objective of the present review is to focus attention on
the presence of toxic chemicals in foods and in the environment of
tropical African countries, particularly Nigeria, which is the most populous
country in Africa. Some of these toxins have been shown to possess
carcinogenic (or mutagenic) properties in various biological systems.
However; in a large number of cases, adverse effects of some of these
toxic substances on human health are not known. It is hoped that this
paper will have the important effects of stimulating more research into the
special toxicological problems that arc of concern to people living in the
tropics.
This article was written during the author's tenure as an ICRCTT Fellow of UICC (1977) at
the Department of Biochemistry and King's College, University of Cambridge, Cambridge, [England.
Requests for reprints should he sent to fcnitan A. Bababunmi, Department of Biochemistry,
School'of Medicine, University of Ibadan, Ibadan, Nigeria.
691

journal oi Toxicology and Environmental Health, 4:691-699,1978
Copyright © 1978 by Hemisphere Publishing Corporation

0098-4108/78/040691-09$2.25

�692

E. A. BABABUNMI

ENDOGENOUS FOOD TOXINS
Endogenous food toxicily is widespread in tropical Africa. Nicholls ct
al. (1961) dealt with the various types.of tropical foods that carry toxins.
The review of Crampton and Charlcsworth (1975) adequately covers the
occurrence of food toxins in the nontropical world.
Hypoglycin
This toxin is contained in the unripe fruit of the food plant, Blighia
sapida. In Nigeria the fruit is called isin, whereas it is commonly known as
ak.ee in Jamaica. There are two types of this toxin, A and B. Although
both types are biologically active, the A type (/J-mcthylenecyclopropylalaninej is the more toxic. Very little work has been done on the chemistry
and the biological function of the B type.
Dioscorine
This toxic chemical is sometimes referred to simply as dioscorea toxin;
it is an alkaloid that is present in Dioscorea hispida. The main toxic
species of these tropical yams of West Africa are D. hispida, D.
dumctorum, D. sansibarensis, and D. bulbifem. Since the isolation and
identification of the related alkaloid dehydrodioscorine by Bevan and H.rst
(1958), scientists have not looked into the existence of these or other
structures in the other species of the wild yams.

Sapotoxin
Some tropical foodstuffs such as soybean, breadfruit, tomato, melon,
orange, and groundnut contain some sapotoxin, which, at high concentrations, has drastic effects on humans. The toxin can cause gastroenteritis
and produce paralysis of the nerve centers. Sapotoxin is a nitrogen-free
glycosidc.
Cycasin
Cycasin occurs in plants of the family Cycadaceae, which are indigenous to tropical and subtropical regions (IARC, 1972). The biologically
active moiety of cycasin is the aglycone melhyla/oxymelhanol. Cycad
seeds are used as medicine in some parts of Africa, Indochina, and India.
Feeding of a cycad diet has been shown to induce malignant tumors of
the liver in the rat, mouse, hamster, fish, and guinea pig (IARC, 1972).
Mushroom Toxin
A large number of mushroom species are edible, but certain species
that arc eaten in the tropics are poisonous. Examples of toxins elaborated
by these species are agaritine (Ayaric'us bisporus toxin) and champigeon
(A. hortemis toxin). Muscarine and Amanita phalloictes toxin have been
reported to be toxic by Nicholls el al. (1961).

�TOXINS AND CARCINOGENS IN THE TROPICS

693

Names for different species of mushrooms are descriptive in many
pails of I he tropics. In the western state of Nigeria, these names give an
indication either of the habitat, morphology, and texture or of the growth
habitat of the fungi (Oso, 1975). Corprinus ephemerus, a fungus that
grows on dunghills, appears at night or early in the morning, and within a
very short time the pilcus is fully expanded. However, it deliquesces in the
sun. It is considered poisonous by the Yoruba people of Nigeria, and local
doctors use it in the preparation of some (harms. (Extracts of the fungus
should be tested for mutagenicity.
Capsaicin (Red Pepper Toxin)

The substance is the active principle of the plants Capsicum annum
and C. frutescens. It is a powerful irritant and a skin blister. Although
these plants are rich in vitamin C, excessive feeding on them can be
dangerous. Species of pepper such as Piper nigrum contain alkaloids and
volatile oils that are toxic to both animals and humans.
Halogeton Toxin (Oxalic Acid)
Plant species such as Halogelon ylomeritus, Celosia argentae,
Amaranthus candatus, Celosia laxa, and Talinum are used as food in
tropical Africa, especially on the west coast. These vegetables contain
significant levels of oxalic acid (Oke, 1967). There are conflicting data on
the lethal dose for humans. However, Oke showed that an average healthy
Nigerian would consume about 6 g of oxalic acid daily, on the basis that
50 g of fresh vegetables could be consumed at a meal.
Cyanogen (Prussic Acid)

Tropical plants, cassava, mai/ie, and sugar cane are good sources of
cyanogenetic glycosides such as linamarin and dhurrin. Cassava (manioc;
Man/hot ulilissima} is the most widely grown of all tropical root crops. It
is mainly a carbohydrate food with a very low protein content. In West
Africa, manioc flour (gari). has become a major diet. In the West Indies the
dried flour is called farina. All over the tropics it is used as food for the
young and adults in one form or another.
The en/yme linasc liberates prussic acid (HCN) from linamarin. HCN is
toxic to many species of animals, including humans. The production of
HCN varies with the variety of the plant and the conditions of cultivation
(Osuntokun et a!., 1969).
Although significant amounts of HCN arc said to occur only in the
bitter variety of cassava, there is in fact no clear differentiation between
the sweet and hitler strains. The fact that the cortex of the root contains
the highest concentrations of the toxin provides biological protection for
the plant against invading insects. Chronic cyanide intoxication by laboratory animals has resulted in neural damage in the guinea pig, rabbit, sheep,
and cat.

�694

E. A. BABABUNMI

Fluoruoleic Acid
The seeds of the West African plant Dichapctalum toxicarum contain
fluoroeleic acid and some minute amounts of shorter-chained fluoro acids.
These fluoro compounds arc toxic.'Local, doctors in the countries of West:
Africa often administer the seed extracts in an attempt to produce loss of
motor activity, loss of sensation, and sometimes death (Peters el al.,
I960). Free oleic acid uncouples oxidative phosphorylation (Pressman and
Lardy, 1956).
/V-Nitroso Compounds
.Dimclhylnilrosaminc (DMN) and diethylnilrosamine (DEN) have been
detected in measurable quantities in several alcoholic beverages in Nigeria
(joaquim, 1973). Bababunmi et al. (1977) reviewed the extent of contamination of these drinks by the two carcinogens. There is some evidence
that the formation of these nil.rosamines involves bacterial action.

FUNGAL TOXIC CONTAMINANTS
Fungus-infected foodstuffs are the cause of many types of food
poisoning (see Kadis et al., 1972). In the tropics, a Variety of fungal
species have been reported to be involved in some toxicity syndromes.
Notable examples are Asperyi/lus, Penicil/ium, Stachybotrys, Trichoderma,
f-'usarium, Pseudomonas, and .Helminthosporiurn species. The most
ubiquitous in Nigeria are Aspergillus and Pcnicillium. Many strains of each
of these fungi are toxigenic. Among the common toxic metabolites of the
aspergilli arc aspergillic acid, flavacol, j3-nilropropionic acid, kojic acid,
sterigrnatocystin, ochratoxin, aspet toxin, aflaloxin, and palmotoxin.
Penicillium elaborates the mycotoxins patulin, islandiloxjn, lutcoskyrin,
rugulosin, cifrinin, frcquentic acid (citreomycctin), gliotoxin, costaclavine,
and citreviridin. Of these, aflatoxin has been studied most extensively,
mainly because of its potent carcinogenic properties. A comctabolile of
aflaloxin, palmotoxin, has been the subject of investigation for some years
in this laboratory. Many other naturally occurring toxins (Table 1) that
are known should be tested for carcinogenictty.
Aflatoxin
The literature on the biochemistry, toxicity, carcinogenicity, and
mutagenicity of aflatoxin is enormous (Goldblatt, 1969; Wogan, 1975a,
1975b; IRAC, 1976), The discovery of aflatoxin in the tropics (Asplin and
Carnagnan, 1961) as a contaminant of human and animal foodstuffs
(groundnuts) aroused the interest of scientists all over the world because
of i t . health ha/aids and possible economic effects on the producers of
these foods. Nigeria is one .of the world's major exporters of groundnuts.
Other tropical foods that arc vectors of aflatoxin are beans, corn, rice,
cocoa, and wheat.

�TOXINS AND CARCINQGtNS IN lilt. TROPICS

695

TABLE 1. Sonic Known Naturally Occurring Toxins

Toxic sulislance

Occurrence in

l-'usaric acid

Fiisariuni oxysp oiium

Pcriconin
T toxin
llclminthosporo'sidc
Tabtoxin
Javanicin

Pcriconia circ'inatu
1 lei min tli ospvrium may dis
Hvlniitithosporium sqcchari
Pseudomonus coronal aciens
f-'usarium solan!

Possible human
exposure through
Tomato, sorghum,
maize
Sorghum
Maize
Sugarcane
Tobacco
Maize

Aspergillus flavus, the main source of aflatoxin, is common in air and
soil, It will grow on agricultural products and food materials in a favorable
environment with a relative humidity of 70-90% and a minimum temperature of about 10°C. In general, the growth of A. flavus can be correlated
with the production of aflatoxin except at high temperatures, 40-50°C.
!n different regions of Muranga in Kenya (Hast Africa), mean aflaloxin
levels of about 0.25 ppm in food and 0.1 mg/l in beer have been detected
(IARC, 1972). When common food preparations of Nigeria's principal
food crops were sampled from local market stalls and assessed for aflatoxin
contamination by conventional techniques, the aflatoxin content was not
less than 0.5 ppm in any of the foods (Bababunmi, 1976). Several
industrialized countries such as the United States, Denmark, Britain, and
Italy consider a level of aflatoxin of the order of 0.25 ppm as dangerous
and the contaminated food as unconsumable.
Although the proportional contribution of agriculture to the Nigerian
economy continues to fall, it will continue to be the single most
important sector in the economy for a long time (Aboyadc, 1971). The
export value of cocoa ranks second to that of oil in Nigeria. In 1974,
Nigeria's foreign trade was $3.462 billion. If oil accounted for 80% of the
export value in the 1974-1975 fiscal year, other export products such as
cocoa, groundnuts, and palm products should account for about $700
million. Therefore, if aflatoxin contamination in this class of export
commodities is not eliminated, Nigeria's foreign reserves may diminish
continuously.
Palmotoxin
Isolation of two additional fluorescent toxins from cultures of A.
flavus on unfcrmcnled palm sap (a common West African wine) obtained
from a variety of Elacis yuineensis was reported by Bassir and Adekunle
(1968). Toxicity titrations of pal rnolox iris B 0 and G0 on 6-d-old White
Rock chick embryos indicated that B 0 is as toxic as aflatoxin B t . Recent
results of Uwaifo ct al. (1977) suggest that the structures of the
palmotoxins could be hetetocyclic and may be similar to those of the
aflatoxin family (Asao et al., 1965). Comparative mulagenicily studies by

�696

E. A. BABABUNMI

Uwaifo el v.al. (1978) show that palrnotoxin B() induces microlesions thai
consist of point mutations, in Ames' tester strains of Salmonella
typhimurium. However, the ratio of the mutagcnicity of aflatoxin fi, to
that of palmotoxin B0 is about 6:1.
In Nigeria and several developing African countries, several facilities
and preservation techniques for agricultural products are quite inadequate.
The combination of this unfortunate situation, the natural warm and
moist weather, a dirty environment, human error, and ignorance is
conducive to the growth of A. f/avus and consequently to the elaboration
of mycotoxins (such as aflatoxin and palrnotoxin) on agricultural commodities. It seems to me, therefore, that the problems associated with
mycotoxin contamination of food and agricultural products will remain in
the developing tropical regions of the world for some time, at least.in the
foreseeable future, unless very drastic control measures a' - c initialed.
HERBAL RESIDUES
For years, herbalists and local doctors in tropical Africa have used
herbs and their concoctions to treat various human diseases (Dal/.iel,
1948). In modern times, countries such as Nigeria and Ghana have
intensified their search for authentic medicinal plants ;ind their active
principles. Apart from their use as local medicines, many toxic plant
species are used as food in many parts of West Africa.
Many chemical compounds have been isolated from useful plants of
West Africa and characteri/cd in their pure forms. In this respect,
scientists in the Department of Chemistry of the University of Ibadan have
contributed immensely to the knowledge of the chemistry of active
principles in plants. Toxicological and other biological studies of these
chemicals are, however, scanty. Miller and Miller (1976) staled that the
plant genera Crotolaria, Senecio, Laburnum, and Heliotropium have long
been known to contain carcinogenic substances (IARC, 1976), some of
which arc pyrroli/idine alkaloids.
•; •
FOREIGN TOXIC CHEMICALS
Environmental toxins of this class exist in such forms as medicines,
pesticides, and food additives. With the gradual emergence of some
tropical African countries (for example, Nigeria) from the underdeveloped
to the developing slate, environmental pollution and the presence of
industrial materials such as those used in the processing and packaging of
foods are potential sources of toxins. Common examples in this calegory
are ioni/ing radiation, plastici/ers, adhesives, paraffins, printing inks, and
irea'cd papers. Well-rccogni/.cd environmental toxic (or carcinogenic)
chei lical substances in this tropical area of the world include quinine
(antirnalarial drug), DDT (insecticide), and cyclarnate (food additive).

�TOXINS AND CARCINOGENS IN THt TROPICS

697

Quinine
Malaria is a disease that occurs throughout the tropical and subtropical
countries. It is actually a group of diseases characterized by recurrent
attacks of fever, anemia, and enlargement of the spleen. Malaria can also
occur in temperate climates if the environmental temperature is right for
the protozoan species (e.g., Plasmodium falciparum) to complete their life
cycle in the female Anopheles mosquitoes. The parasite lives in the red
blood cells. There are three forms of the malaria parasite in humans
corresponding to malignant tertian, benign tertian, and quartan malaria. In
the tropics the most common malaria is the malignant tertian, although
the other two varieties have been identified in a very few cases.
Chloroquinc, mcpacrine, and quinine arc drugs that are very effective
in rapidly destroying the parasite in the blood. Chloroquinc (Nivaquine) is
the most widely used antimalarial drug and has been reported to be the
safest. Mcpacrine (Atebrin) can be given only intramuscularly and is not
often used.
Quinine is the oldest of all the antimalarial medicines. It is also the
quickest acting. For many years quinine was the only drug available for
the treatment of malaria. Although quinine has some toxic side effects, it
is still used, especially for cases that are resistant to other drugs. Quinine
was the first alkaloid isolated from the bark of the Cinchona tree. A single
oral dose of about 8 g is regarded as fatal for an adult man. Quinine
poisoning usually results in nausea, headache, visual disturbances, nervous
system and cardiovascular system disorders, and respiratory arrest.

DDT
The insecticidal properties of DDT are well known (IARC, 1974). This
compound has been extensively used as an insecticide and produced
commercially for this purpose since 1943, when a low-cost production
technique was developed. It has been widely used for the control of
numerous insect pests—for example, as a mosquito larvicide and as a
residual spray for eradicating malaria in the tropics. DDT is distributed by
the World Health Organi/ation throughout the world for the prevention of
yellow fever, sleeping sickness, and malaria. Apart from these uses,
quantities of DDT are used for the treatment of peppers, onions,
soybeans, groundnuts, cowpeas, and sweet potatoes, in storage.
Tropical countries such as the Upper Volta and Ghana use at least 500
kg of DDT annually for agricultural purposes. In 1973, research on the
environmental effects of pesticides in the tropics was carried out at the
International Institute for Tropical Agriculture (IITA), Ibadan. The study
was concerned with the effects of DDT (used as a crop protector) on the
fertility of agricultural soil. Cowpca (Vigna unyuiculata var. Prima), which
is a high-yielding legume, was selected in the IITA study because it
requires regular pesticide applications and also because of its growing

�698

C. A. BABABUNMI

importance in tropical agriculture. Since 1970, DDT has been restricted to
uses other than on human and animal foodstuffs in the more advanced
countries. The hepatocarcinogenicity of DDT on oral administration has
been amply demonstrated in several strains of mice. Liver cell tumors were
produced in both male and female mice, and an increased tumor incidence
was reported in some other organs. The most frequent tumor types were
leukemia, rcticulum cell sarcoma, carcinoma of the lungs, and hemangioendothclioma (IARC, 1974).
Cyclamate
Calcium cyclamate (cyclohexylsulfamic acid calcium salt) is still used
as a nonnutritivc sweetener in a large number of soft drinks in many
African countries. The use of cyclamic acid as a sweetener has been
banned in several industrialized' countries because the compound was
suspected of being a bladder carcinogen in the rat.
CONCLUSION
Apart from foods, beverages, and medicines, there are other sources of
potential toxins and carcinogens that are introduced by humans into the
tropical environment, especially in the cities, in such forms as narcotics
and atmospheric pollutants. With the arrival of various industries in big
African cities, inhalation of dust, vapors, and exhausts presents a new
form of danger. Epidemiologic appraisal of these factors is lacking. There
is a need to estimate the total load of toxins and carcinogens in the
tropical environment.

REFERENCES
Aboyadc, O. 1971. Nigeria's economy. In Africa South of the Sahara, 1st ed., pp. 558-563.
London: Luropa.
Asao, T., Buchi, G., Abdel-Kader, M. M., Chang, S. 13., Wick, E. I . and Wogan, G. N. 1965. The
.,
structures of aflaloxins B and G,. ]. Am. Chum. Soi: 87:882-886.
Asplin, [-". D. and Carnaghan, K. 13. A. 1961. The toxicity o\ certain groundnut meals for poultry
with special reference to their effect on ducklings and chickens. Vet. Kec. 73:1215-1219.
Bababunrni, Li. A. 1976. Excretion of af'latoxin in the urine of normal individuals and patients with
liver diseases in Ibadan (Nigeria). In Di'tuclifin and 1'revcnt/on of Cancer, ed. H. E. Nieburgs.
New York: Ueker.
Babdbunni, L:. A., Uwaifo, A. O., and Bassir, O. 1977. Hepatocarcinogeris in Nigerian foodstuffs.
World Rev. Nutr. Did 28: article 44.
Bassir, O. and Adckunle, A. A. 1968. Two new metabolites of Aspcnjillus lluvus (Link). FF.BS Lett.
2:23-25.
Bevan, C, W. 1.. and Hirst, ). 1958. A convulsuil alkaloid of Dioscoreu dunu'torurn.' Chcm. Ind, 4:
103.
.
Crampton, K. l:. and Charlesworlh, I . A. 1975. Occurrence of natural toxins in food. Or. Mvd.
B II. 31:209-213.
Dal/:iel J. M. 1948. Useful plants of west tropical Africa. In i-loia of West Tropical Africa, cds. J.
hutchinson and J. M. Dal/iel. London: Crown Agents for the Colonies.

�TOXINS AND CARCINOGENS IN Tilt TROPICS

699

Goldblalt, L A. 1969. Allatoxln. New Yoik: Academic Press.
IARC. 1971. Liver Cancer. Sci. I'ubl. no. I. l.yon: International Agency for Research on Cancer.
IARC. 1972. Evaluation of Carcinogenic Risk of Chemicals to Man, vol. 1. Lyon: International
Agency for Research on Cancer.
IARC. 1974. Chemical Carcinogencsis l.'ssays. Sci. Publ, no. 10. Lyon; International Agency for
Research on Cancer.
IARC. 1976. Evaluation of Carcinogenic Risk of Chemical* to Man, vol. 10. Lyon: International
Agency lor Research on Cancer.
Joaquim, K. .1973. Nilrosamine contamination of some Nigerian beverages. Ph.D. thesis, Ibadan
University.
Kadis, $., Ciegler, A., and Ajl, S. J. 1972. In Microbkil Toxins: A Comprehensive Treatise, vol. 8,
Fungal Toxins. New York: Academic Press.
Miller, j. A. and Miller, !"..• C. 1976. Carcinogens occurring naturally in foods. Fed. Proc.
35:1316-1321.
Nicholls, L., Sinclair, H. M., and Jelliffe, D. B. 1961. Tropical Nutrition and Dietetics. London:
Bailliere, Tindall &amp; Cox.
Oke, O. L. 1967. Oxalic acid in plants and in nutrition. World Rev. Nutr. Diet. 8:262-303.
Oso, B. A. 1975. Mushrooms and the Yoruba people of Nigeria. Mycologia 67:311-319.
Osuntokun, B. O., Monekosso, G. L., and Wilson, J. 1969. Cassava diet and a chronic degenerative
neuropathy. An epidemiological study. Niger, j. Sci. 3:3-15.
Peters, R. A., Hall, R. J., Ward, P. l:. V., and Sheppard, N. 1960. The chemical nature of the toxic
compounds containing fluorine in the seeds of Dkhapelalum toxicarium. Biochcm. J.
77:17-23,
Pressman, B. C. and Lardy, II. A. 1956. Effect of surface active agents on the latent ATP-asc of
mitochondria. Biochim. B/ophys. Ada 21:458-466.
Uwaifo, A. O., Emcrolu, C. O., and Bassir, O. 1977. Comparative study of the fluorescent
characteristics ol solutions of aflatoxins and palmotoxins in chloroform. /. Agric. Food Chem.
25:1218-1220.
Uwaifo, A. O., Emcrolc, G. O., Bababunrni, E. A., and Bassir, O. 1978. Comparative rnutagcnicity
of palmotoxin U0 and aflatoxin B,. In press.
Wogan, G. N. I975a. Mycotoxins. Annii. Rev. Pliarmacol. 15:437-451.
Wogan, G. N. 1975b. Dietary lactors and special epidemiological situations of. liver cancer in
Thailand and Africa. Cancer Rex. 35:3499-3502.
Received March 12, 1978
Accepted April 3, 1978

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                  <text>&lt;p style="margin-top: -1em; line-height: 1.2em;"&gt;The Alvin L. Young Collection on Agent Orange comprises 120 linear feet and spans the late 1800s to 2005; however, the bulk of the coverage is from the 1960s to the 1980s and there are many undated items. The collection was donated to Special Collections of the National Agricultural Library in 1985 by Dr. Alvin L. Young (1942- ). Dr. Young developed the collection as he conducted extensive research on the military defoliant Agent Orange. The collection is in good condition and includes letters, memoranda, books, reports, press releases, journal and newspaper clippings, field logs and notebooks, newsletters, maps, booklets and pamphlets, photographs, memorabilia, and audiotapes of an interview with Dr. Young.&lt;/p&gt;&#13;
&lt;p&gt;For more about this collection, &lt;a href="/exhibits/speccoll/exhibits/show/alvin-l--young-collection-on-a"&gt;view the Agent Orange Exhibit.&lt;/a&gt;&lt;/p&gt;</text>
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