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Synopses of State Dental Public Health Programs

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2022 Synopses of State Dental Public Health Programs (FY 2020-2021)
Introduction and Instructions
Thank you in advance for your participation in the 2022 annual Synopses of Dental Public Health
Programs (Synopses) survey that collects data for state FY 2020-2021. Your participation and effort
are sincerely appreciated. This Synopses continues ASTDD's efforts to provide a complete and
accurate picture of state dental public health programs across the nation. Since the Synopses is the
only source for much of this information, your contribution is essential. Please complete and submit
the survey by February 28, 2022.
As you complete this questionnaire, responses are saved once you click the "Next Page" button at the
end of each page and information can be changed at any time. To exit the survey and return to it later,
simply close your browser. When you access the survey again, you will be directed to the last page
accessed by someone working on the survey. If you want to go to previous pages, click the “Previous
Page” button at the bottom of the page until you reach the page you want. NOTE: If a question has an
asterisk (*) next to the question number, you are required to provide an answer. If you don't know the
answer, select or enter don't know (DK) or not applicable/available (NA). VERY IMPORTANT: The online
question numbering system is dependent on the skip patterns. For this reason, the numbers on the
paper form may not match the numbers on the online version.
Getting Help with the Synopses Questionnaire
If you have questions or need help with completing the questionnaire, please contact:
Kathy Phipps, ASTDD Data and Surveillance Coordinator
[email protected]
805-776-3393 (Pacific time zone)

OMB Approval Number: XXXX-XXX
Expiration Date: XX/XX/XXXX

2022 Synopses of State Dental Public Health Programs (FY 2020-2021)
General Information
* 1. State Name

* 2. During FY 2020-2021, did your state have a state oral health program?
Yes
No (You do not need to complete the questionnaire)

Public reporting burden of this collection of information is estimated to average 351 minutes per response, including the time for reviewing instructions,
searching existing data sources, gathering, and maintaining the data needed, and completing and reviewing the collection of information. An agency may
not conduct or sponsor, and a person is not required to respond to a collection of information unless it displays a currently valid OMB control number.
Send comments regarding this burden estimate or any other aspect of this collection of information including suggestions for reducing this burden to
CDC/ATSDR Reports Clearance Officer; 1600 Clifton Road NE, MS D-74 Atlanta, Georgia 30333; ATTN: PRA (0920-1132)

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2022 Synopses of State Dental Public Health Programs (FY 2020-2021)
Dental Director/Program Manager Information
3. Does your state currently have a state Dental Director/Program Manager? NOTE: If your state has both a
state Dental Director and a Program Manager, this question refers to the Dental Director position.
No
Yes – Acting Director/Manager
Yes – Permanent Director/Manager

2022 Synopses of State Dental Public Health Programs (FY 2020-2021)
Dental Director/Program Manager Information
4. How long has the permanent state Dental Director/Program Manager position been vacant?

5. Is your state actively searching to fill the permanent Dental Director/Program Manager position?
No

Yes

2022 Synopses of State Dental Public Health Programs (FY 2020-2021)
State Oral Health Program Information
6. Please provide the website address (URL) for the oral health program. If the oral health program doesn't
have a website, enter NA.

7. Within your health agency, is the oral health program housed within a larger unit (e.g., Chronic Disease,
Maternal & Child Health, Community Health)? If yes, what is the name of that unit?

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8. How many levels of authority are between your oral health program and your State Health Official? The
name of your State Health Official can be found on the Association of State and Territorial Health Officials
website, www.astho.org/Directory/

9. Is the Dental Director/Program Manager position civil service, appointed, contractual or other? If you have
both a Dental Director and a Program Manager, provide information for the Dental Director position.
Appointed by governor

Civil service/government employee

Appointed by state health officer

Contract

Appointed by other
Other (list mechanism)

2022 Synopses of State Dental Public Health Programs (FY 2020-2021)
School Dental Health Screenings
10. Does your state have a requirement or mandate for a dental health examination, screening, or certificate at
school entry?
No

Yes

Don't know

2022 Synopses of State Dental Public Health Programs (FY 2020-2021)
Coalitions and Collaborations
11. Briefly describe your state's dental examination/screening mandate or requirement.

12. Does your state have a statewide, broad-based oral health coalition?
No

Yes

Don't know

13. Does your state oral health program participate in any non-oral health specific coalitions (e.g., tobacco,
maternal and child health, medical/dental integration)?
No

Yes

NA/DK

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14. During FY 2020-2021, did your state oral health program work with other state agencies, organizations or
programs on the following health issues/topics.
No

Yes

Don't Know

Tobacco use prevention and control
Vaping (e.g., e-cigarette) use prevention and control
Sugar-sweetened beverage reduction /obesity prevention
Oral cancer screenings
Diabetes or pre-diabetes screening and referral
Rapid HIV testing
Cardiovascular health
HPV vaccinations
Opioid and/or other substance abuse prevention and control
Antibiotic stewardship/awareness
Healthy aging
Healthcare-associated infections

2022 Synopses of State Dental Public Health Programs (FY 2020-2021)
State Oral Health Plans
15. Does your state have a written state oral health plan?
No

Yes

2022 Synopses of State Dental Public Health Programs (FY 2020-2021)
State Oral Health Plans
16. What years does your most current state oral health plan cover?

17. Please provide a URL for your posted state oral health plan. If not posted online, enter NA.

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18. Does your state have the following specific plans for your state oral health program?
No

Yes

Don't Know

Communication plan
Sustainability plan
Quality improvement plan
Dental sealant plan
Fluoridation plan

2022 Synopses of State Dental Public Health Programs (FY 2020-2021)
Workforce
19. How many dental hygienists are licensed by your state? Include all licensed hygienists regardless of
address. If unknown or not available, enter NA.

20. How many dental hygienists licensed by your state have an address in the state? Include only those
licensed hygienists with an address in the state. This number should be smaller than the previous
number. If unknown or not available, enter NA.

21. Does your state grant special permits, approvals or licensure to dental hygienists to work in alternate
public health or other settings (e.g., schools, nursing facilities)?
No

Yes

Don't know

2022 Synopses of State Dental Public Health Programs (FY 2020-2021)
Workforce
22. How many hygienists are on record as having such a designation? If unknown or not available, enter NA.

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23. Does your state have dental therapists?
No
Yes - tribal, Indian Health Service or pilot programs only
Yes
Don't know

2022 Synopses of State Dental Public Health Programs (FY 2020-2021)
Workforce
24. How many dental therapists are licensed by the state? If unknown or not available, enter NA.

25. Has any organization or agency in your state conducted a statewide oral health workforce survey?
No

Yes

Don't Know

2022 Synopses of State Dental Public Health Programs (FY 2020-2021)
State Oral Health Program Administration
26. What year was the most current oral health workforce survey completed?

27. Please provide a URL for the most current workforce report. If not posted online, enter NA.

28. As of January 1, 2022, how many full years has the current Dental Director/Program Manager been in this
position? If less than 1 year, enter <1 year. If position is vacant, enter vacant. If your state has both a Dental
Director and Program Manager, enter information for the Dental Director.

29. Does your state currently have a statutory requirement or authority for:
No

Yes

Don't Know

An oral health program?
A state Dental Director?

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30. Does the current Dental Director/Program Manager position require:
No

Yes

Don't Know

Dental or dental hygiene degree?
Public health experience?
Public health degree?

31. Is the Dental Director/Program Manager position full-time? If your state has both a Dental Director and
Program Manager, enter information for the Dental Director.
No

Yes

NA

32. What percent of the Dental Director’s/Program Manager's time is spent on Medicaid issues? If your
state has both a Dental Director and Program Manager, enter information for the Dental Director.

33. What percent of the Dental Director’s/Program Manager's salary is compensated by Medicaid? If your
state has both a Dental Director and Program Manager, enter information for the Dental Director.

34. Is the Dental Director/Program Manager currently performing non-oral health responsibilities, even
temporarily, (such as rural health) that isn’t part of the oral health position? If your state has both a Dental
Director and Program Manager, enter information for the Dental Director.
No

Yes

NA

2022 Synopses of State Dental Public Health Programs (FY 2020-2021)
State Oral Health Program Administration
35. What percent of the Dental Director's/Program Manager's time is spent on non-oral health duties? If your
state has both a Dental Director and Program Manager, enter information for the Dental Director.

36. What type of non-oral health duties does the Dental Director/Program Manager perform? If your state
has both a Dental Director and Program Manager, enter information for the Dental Director.

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37. How many FTE employees or contractors are funded by and work in the state oral health program?
Count only those employees or contractors, including the Dental Director/Program Manager who work in state,
district, county or local programs and are directly supervised by someone in the state health agency.

38. How many FTE employees or contractors are funded by the state oral health program but do not work in
the state oral health program? Count only those employees or contractors working in state, district, county, or
local programs who are NOT directly supervised by someone in the state health agency.

39. Total FTEs that are funded by the state oral health program (total should be the sum of the previous
two questions):

2022 Synopses of State Dental Public Health Programs (FY 2020-2021)
State Oral Health Program Budget

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40. What percent of your FY 2020-2021 state oral health program budget was funded from each of the
following sources? Enter whole numbers only - do not enter percent signs or decimal points (e.g.,
50).The total must equal 100. If the total does not equal 100 you will receive an error message.
Medicaid

State general funds

Tobacco tax

Sugar-sweetened beverage tax

Other non-Medicaid State Funding

Maternal & Child Health (MCH) Block Grant (Title V)

Oral Health Workforce Activities (OHWA)

Other HRSA Funding

Preventive Health & Health Services (PHHS) Block Grant

State Actions to Improve Oral Health Outcomes (DP18-1810)

Other Public Funding

DentaQuest Funding

Other Private Funding

2022 Synopses of State Dental Public Health Programs (FY 2020-2021)
State Oral Health Program Budget

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41. Compared to FY 2019-2020, did the total state oral health program budget for FY 2020-2021, increase,
decrease or remain the same?
Increased

Decreased

Same

Don't Know

42. As a percent of the total dental program budget, did funds from the following sources increase, decrease
or remain the same between FY 2019-2020 & 2020-2021? (check the appropriate column, if no funding mark
NA)
Increased Decreased

Same

NA/DK

Medicaid
State general funds
Tobacco tax
Sugar-sweetened beverage tax
Other non-Medicaid State Funding
Maternal & Child Health (MCH) Block Grant (Title V)
Oral Health Workforce Activities (OHWA)
Other HRSA Funding
Preventive Health & Health Services (PHHS) Block Grant
State Actions to Improve Oral Health Outcomes (DP18-1810)
Other Public Funding
DentaQuest Funding
Other Private Funding

43. What was your state oral health program budget for FY 2020-2021? NOTE: This information will not be
shared or reported at the state level.

44. Does your state allocate other monies to support oral health activities that ARE NOT included in your oral
health program budget listed in the previous question?
No

Yes

Don't know

2022 Synopses of State Dental Public Health Programs (FY 2020-2021)
State Oral Health Program Budget

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45. How much additional money is allocated and what programs/services are funded? Examples: (1) MCHBG
funds are provided directly to local agencies to fund local oral health coordinators. (2) CDC funds are provided
to environmental health to pay for a fluoridation engineer. (3) State funds are allocated to the Medicaid agency
to pay for local oral health case management.
Source of Funds

Amount

Programs or Services Funded

2022 Synopses of State Dental Public Health Programs (FY 2020-2021)
School Dental Sealant Programs
The next several questions are designed to obtain information on school sealant programs including
school-based or school-linked sealant programs. If you do not have data on the number of children or
schools, please put “NA” in the "Number" box. Your state may have different eligibility criteria for
school sealant programs but for these questions, we are interested in public primary and middle
schools with 50% or more of students eligible for the National School Lunch Program (NSLP, also
referred to as free/reduced lunch [FRL]). Please include both traditional public and public charter
schools.
Definitions:
School-based sealant programs: Conducted completely within the school setting, with teams of dental
providers (dentists, dental hygienists and dental assistants) using portable or mobile dental
equipment or a fixed facility within the school setting.
School-linked programs: Connected with schools in some manner but deliver the sealants at a site
other than the school.
State funds, manages or operates: The state oral health program provides funding for the
implementation of local sealant programs and/or provides direct sealant services.
Primary school: A school offering a low grade of prekindergarten to 3 and a high grade of 8 or lower,
defined by the National Center for Education Statistics (NCES).
Middle school: A school offering a low grade of 4 to 7 and a high grade of 9 or lower, defined by the
NCES.
46. How many public primary and middle schools in your state have 50% or more of the enrolled students
eligible for NSLP (also referred to as FRL). If unknown or not available, enter NA.

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47. During the 2020-2021 school year, how many of the schools answered in the previous question had a
school-based/linked sealant program funded, managed, or operated by your state oral health program?
If you do not have a school sealant program enter 0. If unknown or not available, enter NA.

48. During the 2020-2021 school year, how many students at the schools answered in the previous question
received sealants from a program funded, managed or operated by your state oral health program? If
you do not have a school sealant program enter 0. If unknown or not available, enter NA.

49. During the 2020-2021 school year, how many schools answered in the first sealant question had a
school-based/linked sealant program that was NOT funded, managed, or operated by your state oral health
program? If unknown or not available, enter NA.

50. During the 2020-2021 school year, how many students at the schools listed in the previous
question received sealants from a sealant program that was NOT funded, managed, or operated by your state
oral health program? If unknown or not available, enter NA.

2022 Synopses of State Dental Public Health Programs (FY 2020-2021)
Oral Health Surveillance
The following questions are designed to obtain information about oral health surveillance in your
state using the Council of State and Territorial Epidemiologists definition.
51. Does your state have a written oral health surveillance plan?
No

Yes

In Process

2022 Synopses of State Dental Public Health Programs (FY 2020-2021)
Oral Health Surveillance
52. What years does your current oral health surveillance plan cover?

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53. Does your state’s surveillance plan or another written document describe:
No

Yes

Don't
know

Yes

Don't
know

How your surveillance data will be disseminated?
How your surveillance system will be evaluated?

54. Do you have current state specific data, collected within the last 5 years, for the following?
No
3rd grade oral health status data, obtained using the BSS protocol
Permanent tooth loss data for adults
Oral cancer incidence and mortality data
Percent of Medicaid/CHIP children with a dental visit
Percent of children 1-17 years with a dental visit
Percent of adults 18+ years with a dental visit
Percent of diabetic adults with a dental visit
Percent of adults with other chronic diseases (e.g., heart disease) or a risk factor (e.g., smokers) with a
dental visit
Percent of population served by water fluoridation
Additional state specific data other than listed (e.g., data from older adult BSS, PRAMS, YRBS, or
emergency department data)

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55. Between 2017 and 2021, did your state disseminate any of the following data in publicly available
formats (e.g., oral health reports, burden document, fact sheets, data briefs, infographics, web-based
content, peer-reviewed publications, presentations at national or statewide meetings, social media, or
surveillance plan)? If you do not have the data, select NA.
No

Yes

NA/DK

3rd grade oral health status data, obtained using the BSS protocol
Permanent tooth loss data for adults
Oral cancer incidence and mortality data
Percent of Medicaid/CHIP children with a dental visit
Percent of children 1-17 years with a dental visit
Percent of adults 18+ years with a dental visit
Percent of diabetic adults with a dental visit
Percent of adults with other chronic diseases (e.g., heart disease) or a risk factor (e.g., smokers) with a
dental visit
Percent of population served by water fluoridation
Additional state specific data other than listed (e.g., data from older adult BSS, PRAMS, YRBS, or
emergency department data)

56. If you answered YES to dissemination of data in publicly available formats between 2017 and 2021
(previous question), please provide the date and URL of the most recent dissemination. If a URL is not
available, please describe the type of dissemination (e.g., presentation at NOHC).
Date of Dissemination

URL or Type of Dissemination

2022 Synopses of State Dental Public Health Programs (FY 2020-2021)
Oral Health Surveillance

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57. During the last 5 years, has your state added supplemental oral health questions to the listed surveys?
Include only state added questions, do not include the core oral health questions.
No

Yes

NA/DK

BRFSS
Youth risk survey
Pregnancy risk survey
Other
Please describe type of other survey.

2022 Synopses of State Dental Public Health Programs (FY 2020-2021)
Programs Funded/Conducted by State Oral Health Program
Which of the following programs are funded, conducted or otherwise facilitated by your state oral
health program? Indicate which programs the state oral health program supports by checking the
“No” or “Yes” box then enter the approximate number of individuals served annually by each program
and the target age group. If you do not have data on the number served by a program, please put
“NA” in the "Number" box. Provide a brief description of each program. (For example: "To increase
access to dental care in rural areas, we support two mobile dental vans and a loan repayment
program”). NOTE: If you select "No" the number, target age group and description questions will be
skipped.
58. Does your SOHP have an access to care program? Definition: Programs designed to increase access to
restorative dental services. Examples include dental clinics operated/funded by the state oral health program,
programs that assist with payment for dental services (not including Medicaid), and tax credit programs for
dental providers in underserved areas.
No

Yes

2022 Synopses of State Dental Public Health Programs (FY 2020-2021)
Programs Funded/Conducted by State Oral Health Program
59. Access to care programs.
Number Served
Target Age Group

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60. Briefly describe your access to care programs.

61. Does your SOHP have dental screening programs? Definition: Programs that provide screening and
referral services. This may include screenings performed as part of a dental sealant program if referral
services are provided as part of the sealant program. Do not include screenings that are performed as
part of a BSS oral health survey.
No

Yes

2022 Synopses of State Dental Public Health Programs (FY 2020-2021)
Programs Funded/Conducted by State Oral Health Program
62. Dental screening programs.
Number Served
Target Age Group

63. Briefly describe your dental screening programs.

64. Does your SOHP have a fluoride mouthrinse program?
No

Yes

2022 Synopses of State Dental Public Health Programs (FY 2020-2021)
Programs Funded/Conducted by State Oral Health Program
65. Fluoride mouthrinse programs
Number Served
Target Age Group

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66. Briefly describe your fluoride mouthrinse programs.

67. Does your SOHP have fluoride varnish programs?
No

Yes

2022 Synopses of State Dental Public Health Programs (FY 2020-2021)
Programs Funded/Conducted by State Oral Health Program
68. Fluoride varnish programs.
Number Served
Target Age Group

69. Briefly describe your fluoride varnish programs.

70. Does your SOHP have silver diamine fluoride programs?
No

Yes

2022 Synopses of State Dental Public Health Programs (FY 2020-2021)
Programs Funded/Conducted by State Oral Health Program
71. Silver diamine fluoride programs.
Number Served
Target Age Group

72. Briefly describe your silver diamine fluoride programs.

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73. Does your SOHP have oral health literacy/education/promotion programs? Examples: state has oral
health education materials for a variety of population groups, state provides oral health education to
children/adults/health care providers, etc.
No

Yes

2022 Synopses of State Dental Public Health Programs (FY 2020-2021)
Programs Funded/Conducted by State Oral Health Program
74. Oral health literacy/education/promotion programs.
Number Served
Target Age Group

75. Briefly describe your oral health literacy/education/promotion programs.

76. During FY 2020-2021, did your state conduct an oral health (open-mouth) survey using the Basic
Screening Survey (BSS) protocol? Do not include BSS surveys conducted in other fiscal years.
No

Yes

2022 Synopses of State Dental Public Health Programs (FY 2020-2021)
Programs Funded/Conducted by State Oral Health Program
77. Basic Screening Survey.
Number Screened in FY 2020-2021

Target Age Group

78. Briefly describe the Basic Screening Survey conducted in FY 2020-2021.

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79. Does your state have oral health programs specifically for preschool children?
No

Yes

2022 Synopses of State Dental Public Health Programs (FY 2020-2021)
Programs Funded/Conducted by State Oral Health Program
80. Number served by preschool programs.

81. Briefly describe your preschool programs.

82. Does your state have oral health programs specifically for elementary school children?
No

Yes

2022 Synopses of State Dental Public Health Programs (FY 2020-2021)
Programs Funded/Conducted by State Oral Health Program
83. Number served by elementary school programs.

84. Briefly describe your elementary school programs.

85. Does your state have oral health programs specifically for adolescents?
No

Yes

2022 Synopses of State Dental Public Health Programs (FY 2020-2021)

19

Programs Funded/Conducted by State Oral Health Program
86. Number served by programs specifically for adolescents.

87. Briefly describe your programs specifically for adolescents.

88. Does your state have oral health programs specifically for children or adults with special health care
needs?
No

Yes

2022 Synopses of State Dental Public Health Programs (FY 2020-2021)
Programs Funded/Conducted by State Oral Health Program
89. Number served by oral health programs for children/adults with special health care needs.

90. Briefly describe your programs for children/adults with special health care needs.

91. Does your state have oral health programs specifically for pregnant women?
No

Yes

2022 Synopses of State Dental Public Health Programs (FY 2020-2021)
Programs Funded/Conducted by State Oral Health Program
92. Number served by programs specifically for pregnant women.

20

93. Briefly describe your programs specifically for pregnant women.

94. Does your state have oral health programs specifically for adults 18-64 years?
No

Yes

2022 Synopses of State Dental Public Health Programs (FY 2020-2021)
Programs Funded/Conducted by State Oral Health Program
95. Number served by programs specifically for adults 18-64 years.

96. Briefly describe your programs specifically for adults 18-64 years.

97. Does your state have oral health programs specifically for older adults 65+ years?
No

Yes

2022 Synopses of State Dental Public Health Programs (FY 2020-2021)
Programs Funded/Conducted by State Oral Health Program
98. Number served by programs specifically for older adults 65+ years.

99. Briefly describe your programs for older adults 65+ years.

21

100. Does your SOHP work with dental healthcare personnel on infection prevention and control issues?
Examples: continuing education courses on infection prevention and control, development of infection
prevention and control policies and procedures, etc.
No

Yes

2022 Synopses of State Dental Public Health Programs (FY 2020-2021)
101. Briefly describe your infection prevention and control programs.

102. Does your state oral health program offer programs not listed in the previous section that you would
like to include in the Synopses database and reports? If yes, please provide the name of the program, who it
serves, the number of people served in FY 2020-2021 and a brief description of the program.
No

Yes

2022 Synopses of State Dental Public Health Programs (FY 2020-2021)
Programs Funded/Conducted by State Oral Health Program
103. Other Program #1
Name of Program
Who it Serves
Number Served

104. Briefly describe other program #1.

105. Other Program #2
Name of Program
Who it Serves
Number Served

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106. Briefly describe other program #2

107. Other Program #3
Name of Program
Who it Serves
Number Served

108. Briefly describe other program #3.

109. Other Program #4
Name of Program
Who it Serves
Number Served

110. Briefly describe other program #4.

111. Other Program #5.
Name of Program
Who it Serves
Number Served

112. Briefly describe other program #5.

23

113. Other Program #6.
Name of Program
Who it Serves
Number Served

114. Briefly describe other program #6.

2022 Synopses of State Dental Public Health Programs (FY 2020-2021)
Additional Comments
115. Additional information, suggestions and/or comments.

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