• Overview
  • Obesity prevalence
  • Trends over time
  • Population breakdowns
  • Drivers
  • Comorbidities
  • Economic impact
  • Policies
  • Contextual factors
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Obesity prevalence

Adults, 2017

Survey type:Measured
Age:18-69
Sample size:3858
Area covered:National
References:Tonga STEPS Survey 2017 https://extranet.who.int/ncdsmicrodata/index.php/catalog/713 (Last accessed 13.10.20)
Unless otherwise noted, overweight refers to a BMI between 25kg and 29.9kg/m², obesity refers to a BMI greater than 30kg/m².

Adults, 2012

Survey type:Measured
Age:25-64
Sample size:2599
Area covered:National
References:STEPS Survey Tonga 2012 available at https://www.who.int/ncds/surveillance/steps/2012_Tonga_STEPSReport.pdf (last accessed 04.05.2020)
Notes:STEPS
Unless otherwise noted, overweight refers to a BMI between 25kg and 29.9kg/m², obesity refers to a BMI greater than 30kg/m².

Adults, 2004

Survey type:Measured
Age:15-64
Sample size:958
Area covered:National
References:Tonga STEPS Survey 2004
Unless otherwise noted, overweight refers to a BMI between 25kg and 29.9kg/m², obesity refers to a BMI greater than 30kg/m².

Adults, 1998-2000

Survey type:Measured
Age:15-85
Sample size:1024
Area covered:National
References:Colaguir S, Colagiuri R, Na'ati S, Muimuiheata S, Hussain Z and Palau T. (2002). The prevalence of diabetes in the Kingdom of Tonga. Diabetes care, 25: 1378 - 1383.
Unless otherwise noted, overweight refers to a BMI between 25kg and 29.9kg/m², obesity refers to a BMI greater than 30kg/m².

Children, 2017

Survey type:Self-reported
Age:13-17
Sample size:3333
Area covered:National
References:Tonga - Global School-Based Student Health Survey 2017 https://www.who.int/ncds/surveillance/gshs/tonga/en/ (Last accessed 20.10.20)
Cutoffs:WHO

Children, 2010

Survey type:Self-reported
Age:13-15
Sample size:2111
Area covered:National
References:Global School Health Student Survey Factsheet Tonga, available at https://www.who.int/ncds/surveillance/gshs/2010_GSHS_FS_Tonga.pdf?ua=1 (last accessed 14.12.20)
Cutoffs:WHO

Children, 2002-2003

Survey type:Measured
Age:5-11
Sample size:895
References:Shoko Fukuyama a;  Tsukasa Inaoka b;  Yasuhiro Matsumura c;  Taro Yamauchi a;  Kazumi Natsuhara d;  Ryosuke kimura e; Ryutaro Ohtsuka f. Anthropometry of 5-19-year-old Tongan children with special interest in the high prevalence of obesity among adolescent girls. Annals of Human Biology, Volume 32, Issue 6 November 2005 , pages 714 - 723
Notes:IOTF Cut off. Reference: Cole TJ, Bellizzi MC, Flegal KM, Dietz WH. Establishing a standard definition for child overweight and obesity worldwide: International survey. BMJ. 2000 May 6;320(7244):1240-3
Cutoffs:IOTF

0-5 years, 2019

Survey type:Measured
Age:0-5
Sample size:1271
Area covered:National
References:Tonga Multiple Indicator Cluster Survey 2019, Survey Findings Report. Nuku’alofa, Tonga: Tonga Statistics Department
Notes:Infants.
Definitions:Weight for height. Overweight = +2SD-+3SD. Obesity = >+3SD
Cutoffs:Other

0-5 years, 2019

Age:0-5
Sample size:1271
References:MICS: Tonga Multiple Indicator Cluster Survey 2019, Survey Findings Report. Nuku’alofa, Tonga: Tonga Statistics Department
Notes:UNICEF/WHO/World Bank Joint Child Malnutrition Estimates Expanded Database: Overweight (Survey Estimates), May 2023, New York. For more information about the methodology, please consult https://data.unicef.org/resources/jme-2023-country-consultations/ Percentage of children under 5 years of age falling above 2 standard deviations (moderate and severe) from the median weight-for-height of the reference population.
Definitions:=>+2SD

0-5 years, 2012

Age:0-5
References:DHS-Style: Tonga demographic and health survey 2012. Noumea, New Caledonia: Secretariat of the Pacific Community, 2013.
Notes:UNICEF/WHO/World Bank Joint Child Malnutrition Estimates Expanded Database: Overweight (Survey Estimates), May 2023, New York. For more information about the methodology, please consult https://data.unicef.org/resources/jme-2023-country-consultations/ Percentage of children under 5 years of age falling above 2 standard deviations (moderate and severe) from the median weight-for-height of the reference population.
Definitions:=>+2SD

Overweight/obesity by education

0-5 years, 2019

Sample size:1271
References:MICS: Tonga Multiple Indicator Cluster Survey 2019, Survey Findings Report. Nuku’alofa, Tonga: Tonga Statistics Department
Notes:UNICEF/WHO/World Bank Joint Child Malnutrition Estimates Expanded Database: Overweight (Survey Estimates), May 2023, New York. For more information about the methodology, please consult https://data.unicef.org/resources/jme-2023-country-consultations/ Percentage of children under 5 years of age falling above 2 standard deviations (moderate and severe) from the median weight-for-height of the reference population.
Definitions:=>+2SD

0-5 years, 2012

References:DHS-Style: Tonga demographic and health survey 2012. Noumea, New Caledonia: Secretariat of the Pacific Community, 2013.
Notes:UNICEF/WHO/World Bank Joint Child Malnutrition Estimates Expanded Database: Overweight (Survey Estimates), May 2023, New York. For more information about the methodology, please consult https://data.unicef.org/resources/jme-2023-country-consultations/ Percentage of children under 5 years of age falling above 2 standard deviations (moderate and severe) from the median weight-for-height of the reference population.
Definitions:=>+2SD

Overweight/obesity by age

Adults, 2012

Survey type:Measured
Sample size:2599
Area covered:National
References:STEPS Survey Tonga 2012 available at https://www.who.int/ncds/surveillance/steps/2012_Tonga_STEPSReport.pdf (last accessed 04.05.2020)
Notes:STEPS
Unless otherwise noted, overweight refers to a BMI between 25kg and 29.9kg/m², obesity refers to a BMI greater than 30kg/m².

Overweight/obesity by region

0-5 years, 2019

Sample size:1271
References:MICS: Tonga Multiple Indicator Cluster Survey 2019, Survey Findings Report. Nuku’alofa, Tonga: Tonga Statistics Department
Notes:UNICEF/WHO/World Bank Joint Child Malnutrition Estimates Expanded Database: Overweight (Survey Estimates), May 2023, New York. For more information about the methodology, please consult https://data.unicef.org/resources/jme-2023-country-consultations/ Percentage of children under 5 years of age falling above 2 standard deviations (moderate and severe) from the median weight-for-height of the reference population.
Definitions:=>+2SD

0-5 years, 2012

References:DHS-Style: Tonga demographic and health survey 2012. Noumea, New Caledonia: Secretariat of the Pacific Community, 2013.
Notes:UNICEF/WHO/World Bank Joint Child Malnutrition Estimates Expanded Database: Overweight (Survey Estimates), May 2023, New York. For more information about the methodology, please consult https://data.unicef.org/resources/jme-2023-country-consultations/ Percentage of children under 5 years of age falling above 2 standard deviations (moderate and severe) from the median weight-for-height of the reference population.
Definitions:=>+2SD

Overweight/obesity by socio-economic group

0-5 years, 2019

Sample size:1271
References:MICS: Tonga Multiple Indicator Cluster Survey 2019, Survey Findings Report. Nuku’alofa, Tonga: Tonga Statistics Department
Notes:UNICEF/WHO/World Bank Joint Child Malnutrition Estimates Expanded Database: Overweight (Survey Estimates), May 2023, New York. For more information about the methodology, please consult https://data.unicef.org/resources/jme-2023-country-consultations/ Percentage of children under 5 years of age falling above 2 standard deviations (moderate and severe) from the median weight-for-height of the reference population.
Definitions:=>+2SD

0-5 years, 2012

References:DHS-Style: Tonga demographic and health survey 2012. Noumea, New Caledonia: Secretariat of the Pacific Community, 2013.
Notes:UNICEF/WHO/World Bank Joint Child Malnutrition Estimates Expanded Database: Overweight (Survey Estimates), May 2023, New York. For more information about the methodology, please consult https://data.unicef.org/resources/jme-2023-country-consultations/ Percentage of children under 5 years of age falling above 2 standard deviations (moderate and severe) from the median weight-for-height of the reference population.
Definitions:=>+2SD

Insufficient physical activity

Adults, 2016

References:Guthold R, Stevens GA, Riley LM, Bull FC. Worldwide trends in insufficient physical activity from 2001 to 2016: a pooled analysis of 358 population-based surveys with 1.9 million participants. Lancet 2018 http://dx.doi.org/10.1016/S2214-109X(18)30357-7

Men, 2016

References:Guthold R, Stevens GA, Riley LM, Bull FC. Worldwide trends in insufficient physical activity from 2001 to 2016: a pooled analysis of 358 population-based surveys with 1.9 million participants. Lancet 2018 http://dx.doi.org/10.1016/S2214-109X(18)30357-7

Women, 2016

References:Guthold R, Stevens GA, Riley LM, Bull FC. Worldwide trends in insufficient physical activity from 2001 to 2016: a pooled analysis of 358 population-based surveys with 1.9 million participants. Lancet 2018 http://dx.doi.org/10.1016/S2214-109X(18)30357-7

Children, 2016

Survey type:Self-reported
Age:11-17
References:Global Health Observatory data repository, World Health Organisation, https://apps.who.int/gho/data/node.main.A893ADO?lang=en (last accessed 16.03.21)
Notes:% of school going adolescents not meeting WHO recommendations on Physical Activity for Health, i.e. doing less than 60 minutes of moderate- to vigorous-intensity physical activity daily.
Definitions:% Adolescents insufficiently active (age standardised estimate)

Boys, 2016

Survey type:Self-reported
Age:11-17
References:Global Health Observatory data repository, World Health Organisation, https://apps.who.int/gho/data/node.main.A893ADO?lang=en (last accessed 16.03.21)
Notes:% of school going adolescents not meeting WHO recommendations on Physical Activity for Health, i.e. doing less than 60 minutes of moderate- to vigorous-intensity physical activity daily.
Definitions:% Adolescents insufficiently active (age standardised estimate)

Girls, 2016

Survey type:Self-reported
Age:11-17
References:Global Health Observatory data repository, World Health Organisation, https://apps.who.int/gho/data/node.main.A893ADO?lang=en (last accessed 16.03.21)
Notes:% of school going adolescents not meeting WHO recommendations on Physical Activity for Health, i.e. doing less than 60 minutes of moderate- to vigorous-intensity physical activity daily.
Definitions:% Adolescents insufficiently active (age standardised estimate)

Children, 2010

Age:11-17
References:Global Health Observatory data repository, World Health Organisation, http://apps.who.int/gho/data/node.main.A893?lang=en
Notes:% of school going adolescents not meeting WHO recommendations on Physical Activity for Health, i.e. doing less than 60 minutes of moderate- to vigorous-intensity physical activity daily.
Definitions:% Adolescents insufficiently active (age standardised estimate)

Boys, 2010

Age:11-17
References:Global Health Observatory data repository, World Health Organisation, http://apps.who.int/gho/data/node.main.A893?lang=en
Notes:% of school going adolescents not meeting WHO recommendations on Physical Activity for Health, i.e. doing less than 60 minutes of moderate- to vigorous-intensity physical activity daily.
Definitions:% Adolescents insufficiently active (age standardised estimate)

Girls, 2010

Age:11-17
References:Global Health Observatory data repository, World Health Organisation, http://apps.who.int/gho/data/node.main.A893?lang=en
Notes:% of school going adolescents not meeting WHO recommendations on Physical Activity for Health, i.e. doing less than 60 minutes of moderate- to vigorous-intensity physical activity daily.
Definitions:% Adolescents insufficiently active (age standardised estimate)

Average daily frequency of carbonated soft drink consumption

Children, 2010-2015

Survey type:Measured
Age:12-17
References:Beal et al. (2019). Global Patterns of Adolescent Fruit, Vegetable, Carbonated Soft Drink, and Fast-food consumption: A meta-analysis of global school-based student health surveys. Food and Nutrition Bulletin. https://doi.org/10.1177/0379572119848287 sourced from Food Systems Dashboard http://www.foodsystemsdashboard.org/food-system

Estimated per capita fruit intake

Adults, 2017

Survey type:Measured
Age:25+
References:Global Burden of Disease, the Institute for Health Metrics and Evaluation http://ghdx.healthdata.org/
Definitions:Estimated per-capita fruit intake (g/day)

Prevalence of less than daily fruit consumption

Children, 2010-2015

Survey type:Measured
Age:12-17
References:Global School-based Student Health Surveys. Beal et al (2019). Global Patterns of Adolescent Fruit, Vegetable, Carbonated Soft Drink, and Fast-food consumption: A meta-analysis of global school-based student health surveys. Food and Nutrition Bulletin. https://doi.org/10.1177/0379572119848287. Sourced from Food Systems Dashboard http://www.foodsystemsdashboard.org/food-system
Definitions:Prevalence of less-than-daily fruit consumption (% less-than-daily fruit consumption)

Prevalence of less than daily vegetable consumption

Children, 2010-2015

Survey type:Measured
Age:12-17
References:Beal et al. (2019). Global Patterns of Adolescent Fruit, Vegetable, Carbonated Soft Drink, and Fast-food consumption: A meta-analysis of global school-based student health surveys. Food and Nutrition Bulletin. https://doi.org/10.1177/0379572119848287 sourced from Food Systems Dashboard http://www.foodsystemsdashboard.org/food-system
Definitions:Prevalence of less-than-daily vegetable consumption (% less-than-daily vegetable consumption)

Average weekly frequency of fast food consumption

Children, 2010-2015

Age:12-17
References:Beal et al. (2019). Global Patterns of Adolescent Fruit, Vegetable, Carbonated Soft Drink, and Fast-food consumption: A meta-analysis of global school-based student health surveys. Food and Nutrition Bulletin. https://doi.org/10.1177/0379572119848287 sourced from Food Systems Dashboard http://www.foodsystemsdashboard.org/food-system

Estimated per-capita processed meat intake

Adults, 2017

Survey type:Measured
Age:25+
References:Global Burden of Disease, the Institute for Health Metrics and Evaluation http://ghdx.healthdata.org/
Definitions:Estimated per-capita processed meat intake (g per day)

Estimated per capita whole grains intake

Adults, 2017

Survey type:Measured
Age:25+
References:Global Burden of Disease, the Institute for Health Metrics and Evaluation http://ghdx.healthdata.org/
Definitions:Estimated per-capita whole grains intake (g/day)

Mental health - depression disorders

Adults, 2015

References:Prevalence data from Global Burden of Disease study 2015 (http://ghdx.healthdata.org) published in: Depression and Other Common Mental Disorders: Global Health Estimates. Geneva:World Health Organization; 2017. Licence: CC BY-NC-SA 3.0 IGO.
Definitions:% of population with depression disorders

Mental health - anxiety disorders

Adults, 2015

References:Prevalence data from Global Burden of Disease study 2015 (http://ghdx.healthdata.org) published in: Depression and Other Common Mental Disorders: Global Health Estimates. Geneva:World Health Organization; 2017. Licence: CC BY-NC-SA 3.0 IGO.
Definitions:% of population with anxiety disorders

% Infants exclusively breastfed 0-5 months

0-5 years, 2007-2022

References:Tonga Multiple Indicator Cluster Survey 2019, Survey Findings Report. Nuku’alofa, Tonga: Tonga Statistics Department
Notes:Full details are available. Original citation United Nations Children’s Fund, Division of Data, Analysis, Planning and Monitoring (2023). Global UNICEF Global Databases: Infant and Young Child Feeding: Exclusive breastfeeding, New York, October 2023.

Raised blood pressure

Adults, 2015

References:Global Health Observatory data repository, World Health Organisation, http://apps.who.int/gho/data/node.main.A875?lang=en
Definitions:Age Standardised estimated % Raised blood pressure 2015 (SBP>=140 OR DBP>=90).

Men, 2015

References:Global Health Observatory data repository, World Health Organisation, http://apps.who.int/gho/data/node.main.A875?lang=en
Definitions:Age Standardised estimated % Raised blood pressure 2015 (SBP>=140 OR DBP>=90).

Women, 2015

References:Global Health Observatory data repository, World Health Organisation, http://apps.who.int/gho/data/node.main.A875?lang=en
Definitions:Age Standardised estimated % Raised blood pressure 2015 (SBP>=140 OR DBP>=90).

Raised cholesterol

Adults, 2008

References:Global Health Observatory data repository, World Health Organisation, http://apps.who.int/gho/data/node.main.A885
Definitions:% Raised total cholesterol (>= 5.0 mmol/L) (age-standardized estimate).

Men, 2008

References:Global Health Observatory data repository, World Health Organisation, http://apps.who.int/gho/data/node.main.A885
Definitions:% Raised total cholesterol (>= 5.0 mmol/L) (age-standardized estimate).

Women, 2008

References:Global Health Observatory data repository, World Health Organisation, http://apps.who.int/gho/data/node.main.A885
Definitions:% Raised total cholesterol (>= 5.0 mmol/L) (age-standardized estimate).

Raised fasting blood glucose

Men, 2014

References:Global Health Observatory data repository, World Health Organisation, http://apps.who.int/gho/data/node.main.A869?lang=en
Definitions:Age Standardised % raised fasting blood glucose (>= 7.0 mmol/L or on medication).

Women, 2014

References:Global Health Observatory data repository, World Health Organisation, http://apps.who.int/gho/data/node.main.A869?lang=en
Definitions:Age Standardised % raised fasting blood glucose (>= 7.0 mmol/L or on medication).

Diabetes prevalence

Adults, 2021

Age:20-79
Area covered:National
References:Reproduced with kind permission International Diabetes Federation.  IDF Diabetes Atlas, 10th edn. Brussels, Belgium:International Diabetes Federation, 2021. http://www.diabetesatlas.org
Definitions:Age-adjusted comparative prevalence of diabetes, %

Adults, 2019

Age:20-79
References:Reproduced with kind permission International Diabetes Federation. IDF Diabetes Atlas, 9th edn. Brussels,Belgium: 2019. Available at: https://www.diabetesatlas.org
Definitions:Diabetes age-adjusted comparative prevalence (%).

Adults, 2017

References:Reproduced with kind permission of IDF, International Diabetes Federation. IDF Diabetes Atlas, 8th edition. Brussels, Belgium: International Diabetes Federation, 2017. http://www.diabetesatlas.org
Definitions:Diabetes age-adjusted comparative prevalence (%).

Economic impact of overweight and obesity

Country comparisons

You can choose to compare this country’s data with the data for up to four other countries.

Policies, Interventions and Actions

National Strategy for prevention and control of non communicable diseases 2015-2020

Year(s):2015-2020
Target age group:Adults and children
Organisation:Ministry of Health Tonga, Tonga Health
Linked document:Download linked document
References:Tonga Health Promotion Foundation (TongaHealth). Hala Fononga Path to Good Health Ki Ha Tonga Mo'ui Lelei: National strategy for prevention and control of non-communicable diseases 2015–2020. (Kingdom of Tonga, Australian Aid, World Health Organization Western Pacific Region, Tonga Health eds.).Tonga: National Non-Communicable Diseases Committee; 2016.

Public health evidence related to obesity in Tonga - a literature review

Categories:Health Effectiveness Reviews (obesity related)
Year(s):2015 (ongoing)
Target age group:Adults and children
Organisation:Ministy of Health Tonga & Tonga Health
Linked document:Download linked document
References:Michelle Kermode, Gregory Armstrong, Sara Gloede, Seini Filai, Reynold Ofanoa, Sione Hufunga, Ofa Tukia. Public health evidence related to obesity in Tonga- Literature Review. Ministry of Health 2015

Tonga National Healthy Eating Advisory Committee

Categories:Evidence of Nutritional or Health Strategy/ Guidelines/Policy/Action plan
Year(s):2015 (ongoing)
Target age group:Adults and children
Find out more:www.tongahealth.org
References:https://extranet.who.int/nutrition/gina/en/mechanisms/1562 Please note the GINA website has been replaced by the GIFNA database and the GINA link will no longer work. You will find this document by searching this new database: https://gifna.who.int/

Tax on sugary drinks

Soft drinks containing sugar or sweeteners are taxed at T$0.5 per litre, this increased to T$1.5 by 2017.

Categories:Taxation/Subsidies on Food or Beverages or law relating to public health
Year(s):2013 (ongoing)
Target age group:Adults and children
Organisation:Government of Tonga
Find out more:ago.gov.to
Linked document:Download linked document
References:Information provided with kind permission of the World Cancer Research Fund International (WCRF) NOURISHING Framework. http://www.wcrf.org/int/policy/nourishing-framework

GNPR 2016-17 (q7) Breastfeeeding promotion and/or counselling

WHO Global Nutrition Policy Review 2016-2017 reported the evidence of breastfeeding promotion and/or counselling (q7)

Categories:Evidence of Breastfeeding promotion or related activity
Target age group:Adults
Organisation:Ministry of Health (information provided by the GINA progam)
Find out more:extranet.who.int
References:Information provided with kind permission of WHO Global database on the Implementation of Nutrition Action (GINA): https://extranet.who.int/nutrition/gina/en Please note the GINA website has been replaced by the GIFNA database and the GINA link will no longer work. You will find this document by searching this new database: https://gifna.who.int/

Obesity, Healthy Eating and Physical Activity trends in Tonga and the implications for the prevention and control of NCDs

The report recommends priority groups and behaviours to maximise the health impact of new NCD Strategy

Categories:Evidence of Nutritional or Health Strategy/ Guidelines/Policy/Action plan
Evidence of Physical Activity Guidelines/Policy
Evidence of NCD strategy
Categories (partial):Evidence of National Obesity Strategy/Policy or Action plan
Target age group:Adults and children
Organisation:Ministy of Health Tonga & Tonga Health
Linked document:Download linked document
References:Obesity, healthy eating and physical activity health trends in Tonga and the implications for the prevention and control of NCDs. Dr Toakase Fakakovikaetau, Saia Faletau, Seini Filiai, Sara Gloede,Sione Hufanga, Dr Veisinia Matoto, Elisiva Naati, Dr Reynold 'Ofanoa, Dr Taniela Palu, Dr 'Ofa Tukia. Published by Ministry of Health Tonga & Tonga Health

No actions could be found for the above criteria.

Contextual factors

Disclaimer: These contextual factors should be interpreted with care. Results are updated as regularly as possible and use very specific criteria. The criteria used and full definitions are available for download at the bottom of this page.

Tap on a tick to find out more about policies influencing this factor.

Labelling

Is there mandatory nutrition labelling?Absent
Front-of-package labelling?Absent
Back-of-pack nutrition declaration?Absent
Color coding?Absent
Warning label?Absent

Regulation and marketing

Are there fiscal policies on unhealthy products?Present
Tax on unhealthy foods?Absent
Tax on unhealthy drinks?Present
Are there fiscal policies on healthy products?Absent
Subsidy on fruits?Absent
Subsidy on vegetables?Absent
Subsidy on other healthy products?Absent
Mandatory limit or ban of trans fat (all settings)?Absent
Mandatory limit of trans fats in place (all settings)? Absent
Ban on trans-fats or phos in place (all settings)? Absent
Are there any mandatory policies/marketing restrictions on the promotion of unhealthy food/drinks to children?Absent
Mandatory restriction on broadcast media?Absent
Mandatory restriction on non-broadcast media?Absent
Voluntary policies/marketing restrictions on the promotion of unhealthy food/drinks to children?Absent
Are there mandatory standards for food in schools?Absent
Are there any mandatory nutrient limits in any manufactured food products?Absent
Nutrition standards for public sector procurement?Absent

Political will and support

National obesity strategy or nutrition and physical activity national strategy?Absent
National obesity strategy?Absent
National childhood obesity strategy?Absent
Comprehensive nutrition strategy?Absent
Comprehensive physical activity strategy?Absent
Evidence-based dietary guidelines and/or RDAs?Absent
National target(s) on reducing obesity?Absent
Guidelines/policy on obesity treatment?Absent
Promotion of breastfeeding?Present

Monitoring and surveillance

Monitoring of the prevalence and incidence for the main obesity-related NCDs and risk factors?Present
Within 5 years?Present

Governance and resource

Multi-sectoral national co-ordination mechanism for obesity or nutrition (including obesity)?Present

Key

Present
Present (voluntary)
Incoming
Absent
Unknown

Last updated September 13, 2022

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