HIVAging
Meeting category
Date(s)
26 Oct 2023 - 27 Oct 2023
Location
Washington , DC, United States
Meeting type
Hybrid Meeting
Organizer
Platinum Level Sponsor
Sponsor logos
ViiV logo

International Workshop on HIV & Aging 2023

Related Enduring Materials

Enduring Materials

Download Program

Download Abstract Book

The presentation videos and slides for speakers’ lectures are made available, provided that they have granted us permission to do so.

Thursday 26 October
Session 1: Sarcopenia -
General / Functional Lecture on Sarcopenia, Changes in Muscle with Aging
Gustavo Duque, MD, PhD, FRACP
McGill University, Canada
Mitochondrial Function and Aging
Jing Sun, MD, MPH, PhD
Johns Hopkins University, United States
How to Measure Sarcopenia
Peggy M. Cawthon, PhD, MPH
California Pacific Medical Center Research Institute, United States
Session 2: Sarcopenia - Prevention -
Exercise for prevention (Frailty Status)
Kristine Erlandson, MD, MS
University of Colorado Denver- Anschutz Medical Campus, United States
#1 - Strength and Lean Mass Responses to Exercise in Aging Adults with HIV: Descriptive Analysis
Grace L. Ditzenberger
United States
#2 - Physical Activity and Exercise for Older People Living With HIV – The Perceptions of Health Care Professionals
Levin Chetty
Canada
Panel Discussion: How Can We Prevent Development of Sarcopenia/Frailty in People With HIV
Mario Cascio
European AIDS Treatment Group (EATG), Italy
Session 3: Abstract-Driven Presentations on Models of Care -
#3 - An Integrated HIV-geriatric Clinic Model: Lessons from Newlands Clinic, Harare, Zimbabwe
Sara Lowe
Zimbabwe
#4 - Implementation of a Multidisciplinary Approach to Care for People Living with HIV Aged over 80 years
Maithili Varadarajan
United Kingdom
#5 - Engaging Global Stakeholders to Improve Care, Optimize Quality of Life and Foster Empowerment Among Older People Living with HIV
Kate Murzin, Canada
Jules Levin, United States
NIMH/OAR Session on Aging with HIV: Bridging the Gap Between Biology, Clinical Care, and Social Dynamics -
Introduction: Aging with HIV Research at NIMH
Gregory Greenwood
NIMH, United States
CNS Complications in People Aging With HIV
Beau Ances, MSc, MD, PhD, FANA, FAAN
Washington University in Saint Louis, United States
Aging with HIV: Social Functioning and Loneliness
Ronald J. Ellis, MD, PhD
University of California – San Diego, United States
Addressing Multifaceted Influences on Mental Health in Aging Individuals with HIV
Brian Wells Pence, PhD
University of North Carolina – Chapel Hill, United States
Impact of Social Dynamics on Health and Well-being in Aging HIV Population
Tracey Wilson
Suny Downstate Health Sciences University, United States
Session 4: Abstract-Driven Presentations on Mental Health -
#6 - Cognitive Frailty in People Living With HIV and Its Association With Geriatric Syndromes
Giovanni Guaraldi
Italy
#7 - Long-term Effect of Dolutegravir Use on More Depressive Symptoms Among Older People with HIV
Scott Letendre
United States
#8 - Predictors of Cognitive Decline Over 10 Years Among Older Adults With Well-Controlled HIV From the Positive Brain Health Now Cohort
Marie-Josée Brouillette
Canada
Panel Discussion: The Role Mental Health Support in Geriatric Care for People With HIV
Axel Vanderperre
UTOPIA_BXL, Belgium
Session 5: Lightning Poster Presentations -
#9 - Immunogenicity of High Dose Flu Vaccine in Aging PWH
Prabhsimran Singh
United States
#11 - HIV-1 Soluble GP120 Is Associated With Immune Dysfunction and Inflammation in Individuals With Undetectable Viremia
Madeleine Durand
Canada
#12 - The CD38-NAD+ Axis: A Key Mediator of Inflammaging in HIV Infection
Poonam Mathur
United States
#13 - Antiretroviral Therapy among US Medicare Enrollees with HIV
Xiaoying Yu
United States
#14 - The Longitudinal Impact of Depressive Symptoms and Frailty on Social Support
Annie Nguyen
United States
#15 - Disparities in Depressive Symptoms Among People with HIV Diminish with Older Age
Lillian Ham
United States
#16 - Emotional, Not Social, Loneliness Is Related to Objective Cognitive Function in Older People With HIV
Moka Yoo-Jeong
United States
Guided Poster Tour 1: Comorbidities
Moderators
Kristine Erlandson & Phyllis Tien
#20 - Epigenetic Age Acceleration is Associated with Lower CD4 T-cell Count, Increased Mortality Risk, and Frailty in Older Adults with HIV
Carrie Johnston, United States
#24 - The Forecasted Prevalence of Comorbidities and Multimorbidity in Persons Who Injected Drugs Receiving HIV Care in the United States
Parastu Kasaie, United States
#25 - Incidence of non-AIDS Defining Comorbidities Among Young Adults With Perinatally-Acquired HIV in North America, 2000-2019
Nel Jason Haw, United States
#26 - Tobacco Use in Older People with HIV: Cessation Status Associated with Greater Age and Co-Morbidities
Adesuwa Carlton, United States
Guided Poster Tour 2: Mental Health
Moderators
Meredith Greene & David Moore
#32 - Identifying Subgroups of Intersectional Stigma, Discrimination, and the Association With Mental Health Outcomes Among HIV-Positive MSM: Latent Class Analysis
Liying Wang, United States
#37 - HIV Provider Framings of Caring for Patients Aging with HIV
Abigail Baim-Lance, United States
#50 - Maltreatment, Abuse, and Neglect among Sexual and Gender Minorities and People Living with HIV: A Mixed-Method Examination of Correlates and Improved Screening
Casey Xavier Hall, United States
#53 - Psychological Resilience Protects Against Cortical Thinning in the Default Mode Network in Older Adults Living With HIV
Amy Ankoh, United States
Guided Poster Tour 3: Treatment and Medications
Moderators
Savita Pawha & Joe Margolick
#29 - Comparative Effects of Efavirenz and Dolutegravir on Metabolomic Profiles, Cytokines and Platelet Activation of People Living with HIV
Crystal Roux, South Africa
#35 - Clinical and Pharmacological Outcomes of Real-World Use of Long-Acting Cabotegravir and Rilpivirine in France; Efficacy and Tolerance during the First 72 Weeks
Christina K. Psomas, France
#48 - Switching to a Fixed-Dose Combination of Bictegravir/Emtricitabine/Tenofovir Alafenamide (B/F/TAF) in Virologically Suppressed, Treatment-Experienced People with HIV (PWH) ≥ 65 Years Old
Tulika Singh, United States
#49 - Low Bone Mineral Density in People Living With HIV and Its Correlation With Bone Health Quality of Life - Observational Study Conducted by Treatment Adherence Advocacy and Literacy - TAAL+ Integrated Health Center and Community Pharmacy - A Peer Led
Manojkumar Pardeshi, India
Guided Poster Tour 4: Community and Well-Being
Moderator
Eugenia Siegler & Simon Collins
#36 - “I’m 62-Years-Old and I Still Have Sex. It’s Not All the Time, but It’s When I Want It!” Sexual Health, Wellness, and Aging With HIV: In Our Own Words
Megan Ebor, United States
#42 - Menopause and You: A Knowledge Translation Project for Women Living with HIV Exploring Menopause
Leanne Flinton, Canada
#45 - Utilization of Medical Case Manager Assessment for Older Adults with HIV and Long-Term Survivors of HIV to Enhance Quality of Life and Well-Being
Claudia Mccann, United States
#52 - Using Participatory Approaches and Conceptual Analysis for the Development of a Community-Based Tablet/Hotspot Lending Program for Older Adults Living with HIV
Haley Sanner, United States
Guided Poster Tour 5: International
Moderators
Julian Falutz & Scott Letendre
#57 - Forecasting the Effect of HIV-Targeted Interventions on the Age Distribution of People Living With HIV: A Case Study From Kenya
Melissa Schnure, United States
#58 - Age and Sex-Based Discordance of Anthropometric Measures and Association With Metabolic Risk Factors Among Ugandans Living With HIV
Redeat Assefa, United States
Guided Poster Tour 6: Physical & Cognitive Function
Moderators
Bruce Brew & Marie-Josée Brouillette
#21 - Frailty and the Area Deprivation Index as Indicator of Neighborhood Disadvantage among Older People with HIV in Colorado
Grace L. Ditzenberger, United States
#30 - Relationships Between Plasma Neurofilament Light Chain Protein, Cognition, and Brain Aging in People With HIV
Sarah Cooley, United States
#31 - Using Network Analysis to Provide Evidence for Brain Health as a Unified Construct Relevant to Aging With HIV
Mohamad Matout, Canada
#56 - Hepcidin Modifies the Relationship Between Age, Erythrocyte Indices, and Neurocognitive (NC) Performance in Virally Suppressed People With HIV (PWH)
Azin Tavasoli, United States
Friday 27 October
Mentoring Session -
Focus on Global Mentorship
Charles Flexner, MD
Johns Hopkins University School of Medicine, United States
Session 6: Risk Index for Vascular Complications in the Elderly -
Multifactorial Risk Factors for Cognitive Impairment
Scott Letendre, MD
University of California – San Diego, United States
#17 - Cardiometabolic Disease Among Frailty Phenotype Clusters in Adults Aging with HIV
Ray Jones
United States
#18 - Plasma Proteomic Signatures Capture Unique Cardiovascular Risk Phenotypes Among Persons Living With and Without HIV in the United States
Tess Peterson
United States
#19 - Inverse Balance in Plasma Levels of the Endocannabinoids N-arachidonoylethanolamine and 2-arachidonoylglycerol and their Congeners in People with HIV with Subclinical Coronary Artery Disease: Results from the Canadian HIV and Aging Cohort Study.
Cecilia Costiniuk
United States
Session 7: ARV Management of the Aging Patient -
Age-related Changes in the PK of Long-Acting Drugs in the Elderly
Charles Flexner, MD
Johns Hopkins University School of Medicine, United States
Industry-Supported Symposium: Asymptomatic Neurocognitive Impairment in People Living With HIV - Impact of (Not) Knowing -
Chair
Underlying Mechanisms of Asymptomatic Neurocognitive Impairment
April D. Thames, PhD
University of California, Los Angeles, Unites States
Debate: Screening for ANI is Beneficial for PLWH and Should be Recommended
David Moore, PhD
University of California – San Diego, United States
Alan Winston, MBChB, FRCP, MD
Imperial College, United Kingdom
A Community Perspective on the Screening of ANI
Andy Kaytes
University of California - San Diego, United States
Session 8: How Do We Make This Happen / Prevent Complications -
Resilience in Older Patients (With and Without HIV)
Michael Plankey, PhD
Georgetown University Medical Center, United States
Community Forum: Challenges and Proposed Solutions
Jules Levin, MS
National AIDS Treatment Advocacy Project, United States
Jen Lothridge
Christie’s Place, United States
Marlene Matosky, MPH, RN
Health Resources and Services Administration HIV/AIDS Bureau, United States
Linda H. Scruggs DHL, MHS
Ribbon, United States
Special Session: DC Community Conversation on Aging and HIV
General
Welcome
group photo - HIV & Aging 2023

The 14th International Workshop on HIV & Aging took place in a hybrid format from 26-27 October 2023, in Washington DC, United States.

The next edition of the International Workshop on HIV & Aging will take place in Washington DC, on 24-25 October 2024.

The integration of antiretroviral therapy (ART) into HIV care has dramatically extended the life expectancy of those living with HIV. This increased life expectancy is changing the demographics of the HIV epidemic. Currently, over half of individuals living with HIV are aged 50 or older. Recent estimates in Europe suggest that more than 70% of those with HIV will be over the age of 50 by 2030, accompanied by a greater burden of comorbidities and the associated treatments. In comparison to similar populations, persons with HIV, even when on effective ART, experience an excess of morbidity and mortality. Complications due to AIDS are rarely fatal for persons on ART. Instead, patients experience an early onset of aging complications, including neurocognitive decline, osteoporosis and fractures, impaired physical function, frailty, and falls.

Improving the management of older adults with HIV will require a much deeper understanding of the interface between aging, HIV, associated comorbid conditions, and concurrent treatment. Additionally, research is needed to address the unique psychosocial challenges faced by this growing population. The elderly population living with HIV is particularly vulnerable to social stigma, which can lead to depression, psychological distress, compromised adherence to therapy, and overall poor treatment outcomes and quality of life.

The International Workshop on HIV and Aging remains the only platform worldwide for international, cross-disciplinary scientific exchange on the increasingly recognized difficulties encountered in the clinical care and design of studies to improve the care of persons aging with HIV. The meeting gathers (basic) researchers, healthcare professionals across different disciplines, and community advocates to foster dialogue and prompt solutions that will benefit the aging population living with HIV. In addition, the workshop will also create opportunities for trainees and junior investigators to present their research, network, and learn from experts in the field.

Chairs
General Information 
Uniques Features
• Invited lectures from international experts
• Interactive roundtable discussions
• Ample time for discussion
Who Should Attend?
Internal Medicine specialists (clinicians working in cardiovascular, renal, endocrine, and metabolic complications of HIV areas), infectious disease specialists, (virologists, immunologists, pharmacologists), geriatricians, neurologists, epidemiologists, geneticists and other clinical researchers; community advocates, industry representatives.
Meeting Objectives
Aim of this meeting is to:

- Facilitate an unbiased and scientific knowledge exchange regarding HIV and ageing and encouraging early career investigators to actively take part in the workshop.

- Inform on the current advances in basic and clinical research in HIV and ageing and promote its successful translation to clinical care options.

- Create awareness on challenges regarding the management of older people living with HIV and catalyze research to combat these challenges
Learning Objectives
After attending this workshop, participants will be able to:

- Outline the underlying mechanisms of sarcopenia in older HIV patients.

- Summarize options to manage sarcopenia in ageing people living with HIV

- Describe the role of nutrient metabolism in older HIV patients

- Describe ways to support mental health in ageing people living with HIV

- Outline complications in older HIV patients

- Explain/Reflect on options to manage complications in ageing people living with HIV
Practical Information 
Venue
HIV & Aging 2023 will take place at the Johns Hopkins University.                                             

Full Address:

555 Pennsylvania Avenue NW
Washington, DC, 20001
United States

Distance from Dulles International Airport : 27.2 miles
Accommodation
More information on accommodation can be found on the accommodation tab of the website.
Badges
All participants are requested to wear the badge at all times during the workshop to ensure admission to the meeting.
Certificate of Attendance
A certificate of attendance will be sent to you after successfully completing the program and post-meeting survey.
Language
The official language of the workshop is English. Translation will not be provided.
Enduring Materials
Enduring materials will be available shortly after the conclusion of the workshop.
Disclaimer
This workshop is intended for educational purposes only and aims to offer participants the opportunity to share information. The Organizing Secretariat of this event, Virology Education, cannot accept any liability for the scientific content of the sessions or for any claims which may result from the use of information or publications from this meeting. Virology Education disclaims all liability for injuries or losses of whatever nature incurred by individuals attending the workshop.
Liability and Insurance
By registering for the workshop, participants agree that the organizers do not accept responsibility for medical-, travel- or personal insurance. Participants are advised to take out their own insurance policies.
Photographs, Audio, and Video Recording
Photographs, audio, and video recordings are not permitted at the official meeting sessions. Only the official medical writer appointed by the organization may make recordings. All presentations will be posted here as soon as possible after the workshop is finished, provided the speaker has given permission to do so.
Code of Conduct
All attendees, speakers, co-organizers, partners, endorsers, suppliers, volunteers, and employees at any of our programs are expected to observe our Code of Conduct. We cannot tolerate any form of discrimination, harassment, disrespect, or the marginalization of those involved in our programs. All participants of VE and AME-organized programs are expected to treat others with dignity and respect at all times.

Any individual who feels discriminated against, harassed, disrespected, or marginalized is encouraged to report the incident(s) to VE and AME via info@amededu.com or to one of our on-site personnel.
Any participant who is found to have exhibited any inappropriate conduct or behavior against others may be removed from the program.
Registration

Please note that payment by credit card is required to be able to register for the workshop. Please contact the conference secretariat if this is not possible for you.

Fees and Conditions

Live Participation

Regular Delegates

Industry*

Early Fee (payment before/ on 26 July 2023)

$475.00

$1675.00

Standard Fee (payment before/ on 22 October 2023)

$955.00

$2155.00

Onsite Fee / Post-Meeting Fee (payment from 23 October 2023) 

$1195.00

$2395.00

Virtual Participation

Regular Delegates

Industry*

Early Fee (payment before/ on 26 July 2023)

$237.50

$1675.00

Standard Fee (payment before/ on 22 October 2023)

$477.50

$2155.00

Onsite Fee / Post-Meeting Fee (payment from 23 October 2023) 

$597.50

$2395.00

Discounts
Early-Career Investigators / Academia from Resource-Limited Settings (RLS)* WITH accepted abstract 100% Discount
Early-Career Investigators / Academia from Resource-Limited Settings (RLS)* WITHOUT accepted abstract 50% Off Current Academia Fee
NGO Representatives / Government Representatives (i.e. MOH, NIH, NIAID, etc.) / Advocates 50% Off Current Academia Fee
Members of Endorsers 25% Off Current Academia Fee
Sponsors Contact Secretariat
People Living with HIV 100% Discount

*Countries included in the low-income and middle-income economies list of the World Bank Classification

Important
  • We strongly advise that you register early to ensure your registration. Registration will close when the capacity of the venue is reached.

  • Submission of your online registration does not guarantee that your registration has been accepted. Your registration is final when full prepayment has been received and a confirmation of your registration has been sent.

Registration Fee Includes
- Access to all sessions during the event; and
- All presentation materials as well as recordings 3 weeks after the event.
Group Registration
For registration of groups larger than 5 participants, please use the Group Registration Portal.
Early-Career Investigators / Academia from Resource-limited Settings (RLS)
We are pleased to offer complimentary registration to early-career investigators and academia from low-income and lower-middle-income countries with an accepted abstract and a 50% discount on the registration fee without an accepted abstract.

IMPORTANT: Complimentary registration is offered to the presenting author only.

To be eligible as an early-career investigator, one should either be a current Master/PhD student or have obtained an MD/PharmD/PhD degree in the last five years. An application form needs to be completed by a supervisor and received by the Virology Education secretariat at least two weeks prior to the start of the workshop. Virology Education will contact the early-career investigator with instructions regarding the registration procedure.
Payment
By credit card only: online or by written authorization (see online registration).
Cancellation Policy
In case of cancellation, the following refunds are applicable:

- Cancellation before/on 26 September 2023: 50% refund (minus an administration fee of $40)

- Cancellation after 26 September 2023: Unfortunately, no refund will be given

If you are unable to attend the workshop, a substitute delegate is always welcome at no extra charge, provided that a letter of authorization from the original participant has been received and the workshop secretariat has been notified of the name of the substitute delegate before 12 October 2023. A statement (email/letter) of cancellation must be sent to Virology Education.
Liability and Insurance
By registering for the workshop, participants agree that the organizers do not accept responsibility for medical, travel, or personal insurance. Participants are advised to take out their own insurance policies.
Media Registration
In order to register as a media participant for the workshop, the workshop secretariat needs to receive:

1. Proof of accreditation
2. Valid identification (e.g. passport)
3. A letter from your assignment giver stating the details of your assignment (e.g. editor)
4. At least 3 previous written assignments in recognized outlets on HIV. If you are a freelance journalist, the assignments can be from different (recognizable) news outlets. Links to online publications are accepted
5. The website of the publication(s)/blog(s) that will be featuring your story on this workshop

A complimentary or reduced registration fee may apply for accredited media participants depending on availability. Preference will be given to credible print and online news sources. Please contact the workshop secretariat for registration conditions.

We would like to receive a copy of your workshop report/ article once it is finalized.
All credentials will be verified by the Organizing Committee of the Workshop. Media representatives are kindly requested to register by sending the above-mentioned information to info@amededu.com.

Important: Media is restricted to the written press. Recording on film or photo is not allowed. Virology Education will request a copy of the written piece once it is finalized. Media representatives must also agree to abide by the 2023 embargo policy.
Disclaimer
This workshop is intended for educational purposes only and aims to offer participants the opportunity to share information. The organizing secretariat of this workshop, Virology Education, cannot accept any liability for the scientific content of the sessions or for any claims which may result from the use of information or publications from this workshop. Virology Education disclaims all liability for injuries or losses of whatever nature incurred by individuals attending the workshop. In case of cancellation of the meeting due to unforeseen circumstances, Virology Education cannot be held responsible for expenses made for travel, accommodation, visa applications, etc.
Committees

The members of the Organizing Committee are a group of carefully selected experts and inspirational leaders in their respective fields. They meet frequently to discuss the scientific program of the workshop, identify interesting topics and candidate speakers, and review all submitted abstracts.

Organizing Committee
Scientific Committee

The members of Scientific Committee are hand-picked by the Organizing Committee (OC) and the conference secretariat based on their significant contributions and commitment to the field. They assist the OC by providing them with suggestions for speakers and topics. In addition, members of the Scientific Committee participate in reviewing submitted abstracts, and play an active role during the workshop as moderators and/or chairs of sessions.

  • Dorcas Baker, RN, BSN, ACRN, MA, Johns Hopkins University School of Nursing, MidAtlantic AIDS Education and Training Center (AETC), United States
  • Bruce Brew, MD, St Vincent's Hospital, Australia
  • Marie-Josée Brouillette, MD, McGill University Health Centre, Canada
  • Simon Collins, HIV i-Base, United Kingdom
  • Daniel Duprez, MD, University of Minnesota (Cardiology), United States
  • Giovanni Guaraldi, MD, Policlinico Modena, Italy
  • Jordan  Lake, MD, MSc, UTHealth, United States
  • Alan Landay, PhD, Rush University Medical Center, United States
  • Catia Marzolini, PharmD, PhD, University Hospital Basel, Switzerland
  • Eugènia Negredo, MD, PhD, Universitat Autònoma de Barcelona , Spain
  • Kelly O'Brien, PhD, BScPT, BSc, University of Toronto, Department of Physical Therapy, Canada
  • Brendan Payne, PhD, Newcastle University, United Kingdom
  • Molly Perkins, PhD, Emory University School of Medicine, United States
  • Matilde Sanchez Conde, MD, PhD, Hospital Ramón y Cajal, Spain
  • Eugenia Siegler, MD, Weill Cornell Medicine, United States
  • Jeff Taylor, HIV + Aging Research Project - Palm Springs, United States
  • Phyllis Tien, MD, MSc, University of California - San Francisco, United States
  • Cara Wilson, MD, University of Colorado, United States
Industry LIaison Board

The Industry Liaison Board, consisting of leading medical scientists of the pharmaceutical industry, is asked to give input and suggestions that help the Organizing Committee in planning the workshop and providing support on topics of interest and innovative suggestions to optimize audience participation. The Industry Liaison Board assists the Organizing Committee by suggesting the most current and critical topics to bring the audience up-to-date on the most current research in the pharmaceutical industry in related disciplines.

  • Andrew Clark, MD, ViiV Healthcare, United Kingdom
  • Richard Haubrich, MD, Gilead Sciences, United States
  • Christian Marsolais, PhD, Theratechnologies, Canada
Endorsers
Endorsers

HIV & Aging 2023 is endorsed by societies and organizations. Their support and collaboration are key to the success of this workshop!


A 25% discount on the academia registration fee is offered to members/employees of endorsers. Please reach out to your organization to obtain the applicable discount code.


If you would like your organization to endorse this workshop, please contact Christina Moustakaki at Christina.Moustakaki@amededu.com

Support
Platinum Level
Silver Level
Symposium Sponsor
Principal Supporter

Supported by an educational grant from Janssen Therapeutics, Division of Janssen Products, LP

__________________________________________________________________________

Support Our Initiative

Support Our Initiative
Financial backing helps us deliver an impactful meeting experience to the benefit of healthcare professionals and researchers interested in International Workshop on HIV & Aging 2023.
 
This collaboration plays a vital role in both the organizational as well as scientific success of the program.

To show your commitment to the cause, get in touch with us for a tailored
support package by contacting Ms. Lara da Silva Miguel at Lara@amededu.com.
 
Benefits of Support
By supporting this program, we can offer the following advantages for your company.* Please contact us for the most recent support level benefits for this program.

  • Symposium opportunities
  • Non-commercial interviews with company representatives
  • Verbal acknowledgement during the program 
  • Discounted and complimentary registrations for your representatives
  • Company acknowledgement on digital meeting materials including but not limited to newsletters, flyers, the streaming platform, and our website
  • Company acknowledgement on printed meeting materials including but not limited to banners and the program book
  • Digital and printed advertising opportunities 
  • Social media shout-outs
  • Logo on the conference bag 

 
*Subject to the support level.

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