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ECDC

Monkeypox: ECDC says risk to wider population is 'low' but that countries should prepare

As of Saturday, there were 92 confirmed cases of the disease in countries where monkeypox is not endemic.

LAST UPDATE | 23 May 2022

THE ECDC HAS said that the likelihood of the spread of monkeypox in the wider population was “low” but that local health officials should take a number of preparatory actions. 

In a risk assessment published today, the the European Centre for Disease Prevention and Control (ECDC) said that a total of 85 cases of monkeypox acquired in the EU have been reported in eight EU Member States in the past week. 

The member states are Belgium, France, Germany, Italy, Netherlands, Portugal, Spain and Sweden. 

This is in addition cases that have been confirmed in the UK, with Scotland recording its first case today following 20 in England. 

Northern Ireland’s Public Health Agency has said that there have been no recorded cases as yet in the north, with the HSE saying there have been none recorded in the Republic of Ireland. 

Monkeypox does not spread easily between people but human-to-human transmission can occur through through close contact with infectious material from skin lesions of an infected person. 

It can also be spread through respiratory droplets in prolonged face-to-face contact and droplets of a contaminated person, as well as shared items such as bedding and towels.

The ECDC said today that the predomincance of the current outbreak among men having sex with men, and the nature of the presenting lesions in some cases, suggests transmission occurred during sexual intercourse.

“Based on ECDC’s epidemiological assessment, the likelihood of monkeypox spreading in persons having multiple sexual partners in the EU/EEA is considered high,” the Europe-wide health agency said. 

Although most cases in current outbreaks have presented with mild disease symptoms, monkeypox virus  may cause severe disease in certain population groups, such as young children, pregnant women, immunosuppressed persons.  

The ECDC added: “A balance should be kept between informing those most at risk but also communicating that the virus does not spread easily between people the risk to the broader population is low.”

 

Overall, the ECDC’s message to national health officials is to focus on prompt identification, management, contact tracing and reporting of new monkeypox cases.

Monkeypox is from the same family of as the smallpox virus but is clinically less severe than smallpox. The he ECDC is therefore also encouraging countries to review the availability of smallpox vaccines. 

Although the virus is only fatal in a small number of cases, it can cause uncomfortable symptoms for weeks and there is no cure for it.

Initial symptoms of monkeypox infection include a fever, headache, muscle aches, backache, swollen lymph nodes, chills, and exhaustion.

Patients will also develop a rash, which starts on their face and spreads to the mouth, and raised red spots that develop into blisters within three days.

switzerland-who-assembly Director General of the WHO Dr Tedros Adhanom Ghebreyesus addresses delegates on the first day of the 75th World Health Assembly. SALVATORE DI NOLFI SALVATORE DI NOLFI

Speaking earlier today, the director general of the World Health Organisation said that monkeypox is among the “formidable” challenges the world is facing. 

Dr Tedros Adhanom Ghebreyesus was speaking at the opening of the 75th World Health Assembly in Geneva on Sunday, where the health agency was discussing the outbreak of monkeypox. 

The WHO said that as of Saturday, there were 92 confirmed cases of the disease in countries where monkeypox is not endemic, including in the UK, France, Germany, Spain, Australia, Canada and the United States. 

“Of course, the [Covid-19] pandemic is not the only crisis in our world,” Ghebreyesus said in his opening remarks. 

“As we speak, our colleagues around the world are responding to outbreaks of Ebola in the Democratic Republic of Congo, monkeypox and hepatitis of unknown cause and complex humanitarian crises in Afghanistan, Ethiopia, Somalia, South Sudan, the Syrian Arab Republic, Ukraine and Yemen,” he said.

We face a formidable convergence of disease, drought, famine and war, fuelled by climate change, inequity and geopolitical rivalry.

Scotland

Scotland has recorded the first case of monkeypox in the country, Public Health Scotland (PHS) has confirmed today.

Dr Nick Phin, the medical and public health science director of the PHS has said that the person is being treated in line with nationally agreed protocols.

“Close contacts of the case are being identified and provided with health information and advice. This may include the offer of vaccination,” he said. 

While no cases have been confirmed in Northern Ireland, the head of health protection at NI’s Public Health Agency Dr Gillian Armstrong said that an multidisciplinary incident management team (IMT) has been established here prepare for any cases. 

“Monkeypox is usually a mild self-limiting illness and most people recover within a few weeks,” she said. 

The infection can be passed on through close contact with someone with the infection, or contact with clothing or linens used by a person who has monkeypox. However, the virus does not usually spread easily between people and the risk to the Northern Ireland population is considered low.

‘Concern’

Most people recover within several weeks and monkeypox has only been fatal in rare cases.

US President Joe Biden has said that people should be on guard against the disease which has the potential for “consequential” impact, if it were to spread further.

Biden, on his maiden trip to Asia as president, said in Seoul that health officials have not fully briefed him about “the level of exposure” in the United States.

“But it is something that everybody should be concerned about,” he told reporters before boarding Air Force One to fly to Tokyo.

“It is a concern, in that, if it were to spread, it would be consequential,” he added.

“We’re working on it hard to figure out what we do, and what vaccine if any might be available for it.”

The first US case in the recent global spate was reported on 18 May in Massachusetts, which was joined on Sunday by Florida.

Health authorities said they were investigating the southern state’s first presumptive case of monkeypox in someone who had recently traveled abroad.

UKHSA

The UK Health Security Agency (UKHSA) guidance now recommends that people who have had “unprotected direct contact or high-risk environmental contact” should isolate for 21 days.

This includes no travel, providing details for contact tracing and avoiding direct contact with immunosuppressed people, pregnant women and children under 12.

Those who are considered at high risk of having caught monkeypox may have had household contact, sexual contact, or have changed an infected person’s bedding without wearing appropriate PPE.

UKHSA also advises that they are offered a smallpox vaccine.

The guidance comes after Dr Susan Hopkins, chief medical adviser for UKHSA, warned that monkeypox is spreading through community transmission.

So far the agency has confirmed 20 cases in the UK.

Hopkins said updated figures for the weekend will be given today as she warned of more cases “on a daily basis”.

With reporting from Rónán Duffy. © AFP 2022 and the Press Association.

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41 Comments
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    Mute Oisín McGovern
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    Nov 11th 2022, 12:58 PM

    Did their mothers drop them in?

    532
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    Mute thesaltyurchin
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    Nov 11th 2022, 1:13 PM

    @Oisín McGovern: Ever tried to ‘drive’ in Dublin? Not pos.

    50
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    Mute Nora McElhinney
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    Nov 12th 2022, 7:37 AM

    @Oisín McGovern: the great unwashed…..

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    Mute James Delaney
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    Nov 11th 2022, 1:09 PM

    Give us a break ,eventually they’ll put on a suit and work for daddies company

    372
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    Mute thesaltyurchin
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    Nov 11th 2022, 1:14 PM

    @James Delaney: Probs become insurance investigators.

    96
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    Mute Ben O'Hara
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    Nov 11th 2022, 2:53 PM

    @James Delaney: very broad assumption

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    Mute Ian Coleman
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    Nov 11th 2022, 6:00 PM

    @James Delaney: Have you read the IPCC report summary? You’re painting them as idealistic hippies but the scientists are on their side scientistrebellion.com

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    Mute Davey Ohanlon
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    Nov 11th 2022, 1:18 PM

    A sit down protest against oil on a pedestrianised street…..well that’s symbolism for ya folks.

    316
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    Mute Larry Roe
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    Nov 11th 2022, 1:27 PM

    @Davey Ohanlon: its the road to the dail.cop on

    49
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    Mute JedBartlett
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    Nov 11th 2022, 1:30 PM

    @Larry Roe: It’s not a road.

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    Mute Bri Lyons
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    Nov 11th 2022, 2:13 PM

    @Larry Roe: check your Google maps Tonto….Grafton street runs from Stephen’s Green to Nassau Street…

    43
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    Mute Davey Ohanlon
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    Nov 11th 2022, 2:24 PM

    @Larry Roe:
    Didn’t think a sense of humour need a dose of cop on.

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    Mute Kevin Farrell
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    Nov 11th 2022, 5:16 PM

    @Bri Lyons: The headline is misleading. The article says:

    “Students and groups such as Extinction Rebellion, Fridays for Future and Irish Doctors for the Environment gathered in Trinity’s Front Square and marched to the Dáil via Grafton Street, where they staged a sit-down protest.”

    i.e. they staged a sit-down outside the Dail, which is on Kildare Street. This ties in with the photograph.

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    Mute Bri Lyons
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    Nov 11th 2022, 6:06 PM

    @Kevin Farrell: headline makes perfect sense’en route’ not the same as ‘leads to’

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    Mute Kevin Simm
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    Nov 12th 2022, 4:45 AM

    @Kevin Farrell: its actually molesworth street …..

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    Mute Celtic Eagle
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    Nov 11th 2022, 12:58 PM

    Saying things like “to symbolise the fact that we’re running out of time” is just scaremongering and causing stress in some young people. Ireland will be fine bar some coastal flooding and more rain.

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    Mute Rochelle
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    Nov 11th 2022, 1:16 PM

    @Celtic Eagle: I’m sure the millions of climate refugees from the countries that won’t be fine will be received warmly in Ireland by the likes of yourself?

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    Mute thesaltyurchin
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    Nov 11th 2022, 1:23 PM

    @Rochelle: Stop taunting our American-Arabic-Irish Eagle. They have the right to misunderstand symbolism too.

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    Mute Alan Biddulph
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    Nov 11th 2022, 2:09 PM

    @Celtic Eagle: we won’t be fine. We are going to be seen as a place of safe refugee by hundreds of millions forced to move globally. Not scaremongering at all. Things could get brutal very quickly, we aren’t talking decades either.

    54
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    Mute Ben O'Hara
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    Nov 11th 2022, 2:55 PM

    @Celtic Eagle: good job ireland us the only country on the planet so

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    Mute Ben O'Hara
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    Nov 11th 2022, 2:56 PM

    @Celtic Eagle: good job ireland is the only country on the planet so

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    Mute wormtubes
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    Nov 11th 2022, 4:13 PM

    @Rochelle: unless the militaries and all industries from around completely revamp their ways then we as individuals and as a country are completely wasting our time and money on such green efforts.

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    Mute Rochelle
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    Nov 11th 2022, 4:24 PM

    @wormtubes: Civil disobedience and protest literally grinds everything to a halt, nothing can function if the ordinary worker refuses to work.

    I think people would be startled at how quickly governments would act against those industries and how quickly compromise would be found if the citizens around the world could ever unite on this.

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    Mute wormtubes
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    Nov 11th 2022, 6:16 PM

    @Rochelle: I wish it could but unfortunately there’s too much corruption, conflict and division for change to happen.

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    Mute dreiglaser
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    Nov 11th 2022, 7:48 PM

    @Celtic Eagle: I’m sure all the other countries that Ireland’s economy depends on for trade will be fine also.

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    Mute DERRY1973
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    Nov 11th 2022, 1:12 PM

    A great bunch of people for sitting down.

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    Mute John Mulligan
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    Nov 11th 2022, 2:54 PM

    @DERRY1973: they might never have walked that much before. A little rest before trotting away behind the whaddawewant with the megaphone.

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    Mute Wooden Spoon
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    Nov 11th 2022, 12:51 PM

    At least they’re not trying to throw soup on the Book of Kells.

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    Mute Joe_X
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    Nov 11th 2022, 12:56 PM

    @Wooden Spoon: shhh, don’t give them any ideas!

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    Mute Claude Saulnier
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    Nov 11th 2022, 1:46 PM

    @Wooden Spoon: I think those doing this were careful to throw soup at artwork protected by a glass and have no intention to damage them. It’s a pity most reports made them look like terrorists while they only want to bring attention to the complete lack of actions from politicians.

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    Mute The Divils Avocado
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    Nov 11th 2022, 2:02 PM

    @Claude Saulnier: complete lack of action?
    You can’t put a chimney on a new house,
    You can only buy turf on the black market or buy imported,
    The excuse on diesel and petrol is a continuing deterrent despite an unprecedented cost of living crisis,
    Electric and Hybrid cars are far cheaper to tax and insure despite the cost of the car being out of reach for many and others struggling to maintain their old diesel,
    Any more action from the government that hits the tax payer could be the straw that breaks people so pi$$ off with the tomatoes soup and “just stop oil”.

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    Mute John Mulligan
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    Nov 11th 2022, 2:52 PM

    @Wooden Spoon: yet.

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    Mute Ian Coleman
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    Nov 11th 2022, 6:02 PM

    @The Divils Avocado: these are all great points except when used as reasons to continue the genocide that we call climate change

    7
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    Mute Eoghan Augusta
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    Nov 11th 2022, 2:46 PM

    Why don’t they go to China or India and do the protest? We’ve been pumping billions into renewable energy, the majority of the economy relies on services we don’t have any huge industry. We don’t even have our own supply.. or so we’re told. No doubt the government will listen to the protest and lash another few hundred onto the bills.

    78
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    Mute Paolo Fandango
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    Nov 11th 2022, 1:27 PM

    For all the grief climate protesting has caused, at least these folks are not disrupting peoples lives to raise awareness. Have to commend them for this.

    65
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    Mute Type17
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    Nov 11th 2022, 1:42 PM

    @Paolo Fandango: Yeah, it’s great because we can ignore them and continue driving to the airport to fly away on holidays / driving 1.5km to drop our kids to school in our SUVs / driving to the shops to buy imported plastic tat. #everyoneshouldchangeexceptme

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    Mute Julian King
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    Nov 11th 2022, 2:24 PM

    @Type17: cool hashtag bro

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    Mute Paolo Fandango
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    Nov 11th 2022, 2:36 PM

    @Type17: what would you rather these protestors so then

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    Mute Paolo Fandango
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    Nov 11th 2022, 2:37 PM

    @Paolo Fandango: typo. What would you rather these protesters do then ?

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    Mute Type17
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    Nov 11th 2022, 3:46 PM

    @Paolo Fandango: I’d rather they disrupt our lives now with protests, and force change, because if they don’t, and disruption comes later, it will be in the form of coastal erosion, destructive weather, unaffordable food, influxes of climate refugees and wars over food and water. You can pay something now, or pay a lot more later…

    14
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    Mute The next small thing
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    Nov 11th 2022, 2:30 PM

    I’ve nothing against the protest in general but it seems to be the usual wishlist of increased expenditure but nothing on what taxes they want to increase to pay for their largesse. Are Brid Smith and Paul Murphy seeking a large increase in fuel excise taxes or just carbon taxes.
    Personally I feel it’s already past the point of no return and we will see more devastation over the coming years as well as the huge numbers migrating to flee areas that can no longer sustain human life. If you think the numbers coming this year are large due to the Ukrainian war then you ain’t seen nothing yet, obviously we’ll need to pay more taxes to support those arriving into our country as well as they’ll have nothing so will need the usual housing, social welfare, language supports, health/education services etc.

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    Mute Dave Forde
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    Nov 11th 2022, 1:42 PM

    Lovely sentiment but unfortunately we are past the point of no return and doomed. 10years left at best and then that’s it.

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    Mute James Reardon
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    Nov 11th 2022, 2:15 PM

    @Dave Forde: 10 years?

    25
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    Mute Dave Forde
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    Nov 11th 2022, 3:53 PM

    @James Reardon: sorry 5

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    Mute Mario
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    Nov 11th 2022, 6:59 PM

    @Dave Forde: No worries. NATO will have sleepwalked us into ww3 before then. So all good

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    Mute thesaltyurchin
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    Nov 11th 2022, 1:21 PM

    People are scared of change in all facets. pro, anti, for or against. ‘I have everything so change nothing’ or ‘I have nothing, change everything’… Mad really when you think its pretty much the only certainty in life (apart from death obvs)… anyway, I’ll get my coat.

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    Mute Brendan J O'Connor Jr
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    Nov 11th 2022, 2:07 PM

    Flava Flave beeb wearing a clock since the 80s . YEEEEEEH booiiii!

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    Mute Dennis Laffey
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    Nov 11th 2022, 3:26 PM

    Fair play to them. At least they are taking action. The Big Oil shills on here are moaning as usual, without contributing anything.

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