Highlights
- Haryana is following central government’s 6x6x6 strategy to fight anaemia
- The strategy has 6 age groups, 6 interventions, 6 institutional mechanisms
- Folic acid and deworming tablets are provided to school children every week
New Delhi: Until a few months ago, Abhishek, a student of Class 12 and resident of Barwala, Hisar, Haryana, was suffering from acute anaemia with Haemoglobin (Hb) levels as low as 9.0 gm/dl, as opposed to the ideal Hb of minimum 13.8 gm/dl. However, now, he has Hb 12.0 gm/dl and is a peer educator, guiding his friends regarding the ideal diet for a healthy body and mind. Talking about how his Hb levels improved and what motivated him to guide others, Abhishek said, “A blood test was conducted at our school and there I was found to be anaemic. Following this, ASHA (Accredited Social Health Activist) workers started giving me medicines every Wednesday and even counselled me on the role of a wholesome diet. Due to the Coronavirus pandemic and lockdown, our schools were closed but ASHA workers would come home and ensure I take medicines regularly. The improvement in my health motivated me to guide my friends.”
According to Abhishek’s mother Suman, Abhishek used to be a weak and lazy child but now he actively participates in all kinds of activities. Abhishek was provided medication and guidance under the Government of India’s Anemia Mukt Bharat (AMB) campaign launched in 2018 to tackle anaemia. AMB is a part of the government’s flagship POSHAN Abhiyaan that aims to reduce stunting, under-nutrition, anemia (among young children, women and adolescent girls) and reduce low birth weight by 2 per cent, 2 per cent, 3 per cent and 2 per cent per annum respectively.
Also Read: One In Every Four Men In India Has Anaemia: Lancet Study
Anemia Mukt Bharat program uses the 6x6x6 strategy which implies six age groups, six interventions and six institutional mechanisms. To achieve the goals of AMB and eradicate anaemia in Haryana, in March 2019, state Health Minister Anil Vij launched ATAL (Assuring Total Anemia Limit) Abhiyaan in tune with central the government’s 6x6x6 strategy.
The six age groups or beneficiaries are: children (6-59 months) who are given IFA (iron and folic acid) syrup; children between 5-9 years of age are provided IFA pink tablets; adolescents boys and girls (10-19 years) get IFA blue; women of reproductive get IFA red; pregnant women and lactating women are also given IFA red.
Talking to NDTV about how IFA is distributed among different beneficiaries, Rajeev Arora, Additional Chief Secretary, Health, Haryana, said,
ASHA workers provide 1 ml iron syrup to infants and toddlers twice a week. Targeted beneficiaries under the age group of 6-59 months are 24.33 lakhs. IFA pink is a new component and in the final stage of procurement. It will be provided to 7.75 lakh students of class 1 to 5 of government schools and will be extended to over 59,000 students of private schools of Panchkula and Yamunanagar districts on a pilot basis. Among other groups, IFA tablets or injectable Iron sucrose is given depending on the level of anaemia.
Also Read: Anaemia, A Health Problem In All States Except Kerala, Finds A New Study
In an attempt to eradicate anaemia, the state government has been taking various steps apart from distributing IFA tablets and creating awareness. Elaborating on a few of them, Mr Arora said,
We organised Test-Treat-Talk (T3) anaemia camp wherein the emphasis is given on behaviour change and beneficiaries are counseled on lifestyle measures to increase iron levels in the body, and adopt foods rich in iron, protein and other essential nutrients. We also organised ‘Training of Trainers’ (TOT) and five to six participants from each district were trained as master trainers for respective districts for further dissemination of training to all level service providers.
According to the state government, the impact of its efforts reflects in monthly and quarterly scorecards issued by the Government of India. In the latest scorecard of August 2020, Haryana got an average AMB Index of 45.2 and secured top position among states. Talking about the scorecard, Mr Arora said,
The AMB scorecard is developed with the objective to provide information on coverage of IFA supplementation across selected target beneficiaries to support the assessment of progress and performance of program. The rankings are calculated as the mean coverage of IFA supplementation across selected targets beneficiaries.
Also Read: 5 Foods To Eliminate Iron Deficiency Anaemia
In the annual scorecard for the year 2018-2019, Haryana secured 15th position. In 2019-2020, quarterly report cards were released and Haryana showed an improvement in each quarter. In quarter 1, the score was 35.2 with rank 8; in quarter 2, the score moved to 38.8 with rank 13; quarter 3 noted a score of 46.7 and rank 7; quarter 4 reported a score of 47.1 and rank 10.
Talking about what this score means and how to comprehend it, Mr Arora said,
The score has been categorised into four colours – Red, Blue, Yellow and Green – based on the average AMB index. The score between 0-24.9 comes under red; 25-49.9 denotes blue; 50-74.9 states yellow and 75-100 AMB index is coded with green. Government of India has not mentioned any ideal score per se but above 75 is considered a good score.
Also Read: This NGO Is Aiming To Eradicate Anaemia Among Adolescent Girls In A Gurgaon Community
Though the state has managed to attain the top position in the recent past, there is still a long way to go and challenges to overcome. According to Mr Arora, the three main roadblocks in the state’s fight against anaemia are – dietary habits, patrilineal society and poor health seeking behavior. Sharing his take on the hurdles, Mr Arora said,
In rural India, usually people have their food with milk and curd which are a very poor source of iron. In addition to this, there is low consumption of green vegetables and pulses and a downward trend in the use of millets (Bajra, Jawar, Gram) as a staple diet. These days, people prefer cereals like rice and wheat which are again not rich in iron. Secondly, Haryana is predominantly a patrilineal society where females are dedicated to their family and fulfill the nutritional needs of male members first and this is reflected in their nutritional status. When anaemic woman conceives, her status of anaemia worsens leading to a birth of anemic newborn who grows up to anaemic adolescent. This leads to an intergenerational cycle of anaemia.
Mr Arora also said that anaemia unless severe is not considered a serious health issue because the symptoms are not apparent. Also, poor health seeking behavior fails to pull patients to healthcare facilities for a regular check-up of Hb levels. But now, under T3, digital hemoglobinometers have been procured which make the testing available even at ANM (Auxiliary nurse midwife) level.
To ensure the efforts made so far were not hampered by the Coronavirus pandemic and nationwide lockdown, Haryana government made sure beneficiaries especially school children have a supply of IFA tablets. The state took the help of ASHA workers to deliver the medicines at home and a strip of 10 tablets which could suffice for 10 weeks was provided to adolescents.
Also Read: Over 50 Per Cent Of Pregnant Women In India Are Anaemic, Reveals National Family Health Survey
While signing off, Mr Arora said,
COVID-19 pandemic had disrupted the health system as a whole and affected all programs including anaemia. Most of the resources were diverted towards COVID-19 management, ANMs and ASHAs were involved in surveys and our Rashtriya Bal Swasthya Karyakram (RBSK) teams are deployed in COVID-19 duty and in medical mobile units. But we managed.
NDTV – Dettol Banega Swasth India campaign is an extension of the five-year-old Banega Swachh India initiative helmed by Campaign Ambassador Amitabh Bachchan. It aims to spread awareness about critical health issues facing the country. In wake of the current COVID-19 pandemic, the need for WASH (Water, Sanitation and Hygiene) is reaffirmed as handwashing is one of the ways to prevent Coronavirus infection and other diseases. The campaign highlights the importance of nutrition and healthcare for women and children to prevent maternal and child mortality, fight malnutrition, stunting, wasting, anaemia and disease prevention through vaccines. Importance of programmes like Public Distribution System (PDS), Mid-day Meal Scheme, POSHAN Abhiyan and the role of Aganwadis and ASHA workers are also covered. Only a Swachh or clean India where toilets are used and open defecation free (ODF) status achieved as part of the Swachh Bharat Abhiyan launched by Prime Minister Narendra Modi in 2014, can eradicate diseases like diahorrea and become a Swasth or healthy India. The campaign will continue to cover issues like air pollution, waste management, plastic ban, manual scavenging and sanitation workers and menstrual hygiene.
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State & District Details
State | Cases | Active | Recovered | Deaths |
---|---|---|---|---|
DistrictCases Mumbai45,478 Thane13,660 Pune9,920 Mumbai Suburban5,363 Aurangabad1,974 Nashik1,575 Raigad1,462 Palghar1,421 Solapur1,291 Jalgaon1,039 Akola757 Nagpur692 Kolhapur646 Satara629 Ratnagiri350 Amravati291 Dhule228 Hingoli208 Jalna201 Ahmednagar190 Nanded176 Yavatmal150 Sangli145 Latur139 Osmanabad125 Sindhudurg114 Buldhana88 Parbhani78 gondia69 Beed54 Nandurbar42 Gadchiroli42 Bhandara41 Chandrapur32 Washim13 Wardha11 | 21,61,467 6,397 | 78,825 613 | 20,30,458 5,754 | 52,184 30 |
DistrictCases Kannur357 Kasaragod333 Palakkad224 Malappuram119 Kollam118 Thrissur106 Thiruvananthapuram104 Pathanamthitta98 Kozhikode90 Alappuzha76 Kottayam73 Ernakulam60 Idukki40 Wayanad36 | 10,61,341 1,938 | 48,159 1,550 | 10,08,972 3,475 | 4,210 13 |
DistrictCases Udupi1,176 Kalaburagi669 Yadgir538 Bengaluru Urban529 Raichur369 Mandya346 Belagavi337 Bidar219 Hassan205 Davangere204 Vijayapura201 Dakshina Kannada179 Chikkaballapura149 Mysuru107 Bagalkote103 Uttara Kannada95 Shivamogga67 Dharwad61 Ballari60 Gadag45 Bengaluru Rural40 Tumakuru36 Kolar29 Haveri24 Chikkamagaluru19 Chitradurga14 Koppal5 Kodagu4 Ramanagara3 Chamarajanagara0 | 9,51,600 349 | 5,843 20 | 9,33,421 324 | 12,336 5 |
DistrictCases Kurnool795 Krishna557 Guntur511 Anantapur428 East Godavari356 Chittoor319 Sri Potti Sriramulu Nell*296 Y.S.R.205 West Godavari199 Srikakulam183 Prakasam104 Visakhapatnam103 Vizianagaram23 | 8,89,974 58 | 725 7 | 8,82,080 51 | 7,169 |
DistrictCases Chennai23,324 Chengalpattu1,314 Thiruvallur774 Villupuram509 Kanchipuram503 Tiruvannamalai496 Cuddalore477 Ariyalur444 Tirunelveli433 Tuticorin333 Kallakurichi324 Madurai322 Salem258 Coimbatore188 Virudhunagar185 Dindigul175 Perambalur133 Ranipet133 Thanjavur130 Theni129 Tiruchirappalli119 Ramanathapuram119 Tiruppur116 Kanniyakumari110 Tenkasi103 Nagapattinam99 Karur88 Namakkal83 Erode75 Vellore71 Thiruvarur67 Pudukkottai53 Sivaganga46 Tirupathur45 Krishnagiri43 The Nilgiris17 Dharmapuri15 | 8,52,016 474 | 4,009 13 | 8,35,506 482 | 12,501 5 |
DistrictCases North West5,463 Central4,817 West4,768 New Delhi3,405 North3,059 East2,472 South East2,446 South West2,391 South2,329 North East1,914 Shahdara1,580 | 6,39,464 175 | 1,404 69 | 6,27,149 105 | 10,911 1 |
DistrictCases Gautam Buddha Nagar1,119 Agra933 Ghaziabad794 Meerut504 Lucknow386 Saharanpur298 Kanpur Nagar286 Moradabad252 Varanasi243 Hapur225 Aligarh215 Basti214 Amethi206 Rampur203 Jaunpur194 Firozabad190 Barabanki168 Gorakhpur166 Bulandshahr166 Siddharth Nagar159 Ghazipur159 Bijnor157 Deoria143 Azamgarh138 Sant Kabeer Nagar132 Mathura129 Ayodhya120 Muzaffarnagar117 Sambhal116 Sultanpur97 Ambedkar Nagar92 Maharajganj85 Amroha80 Rae Bareli78 Bahraich73 Kheri72 Kannauj69 Baghpat68 Kushi Nagar67 Bhadohi60 Ballia60 Gonda59 Etah52 Hardoi49 Balrampur49 Mau48 Mainpuri46 Etawah46 Hathras43 Unnao42 Jalaun41 Jhansi41 Shamli40 Chandauli38 Auraiya37 Farrukhabad36 Sitapur32 Prayagraj30 Banda27 Shahjahanpur25 Shravasti23 Budaun23 Mirzapur22 Bareilly17 Kasganj16 Pratapgarh15 Pilibhit15 Sonbhadra10 Kaushambi6 Kanpur Dehat4 Chitrakoot4 Lalitpur3 Hamirpur3 Mahoba3 Fatehpur3 | 6,03,608 81 | 2,078 25 | 5,92,803 104 | 8,727 2 |
DistrictCases Kolkata2,777 Howrah1,435 24 Paraganas North1,031 Hooghly604 24 Paraganas South281 Maldah235 Dinajpur Uttar216 Coochbehar210 Birbhum206 Medinipur West159 Medinipur East153 Nadia139 Purba Bardhaman130 Murshidabad125 Bankura116 Darjeeling97 Jalpaiguri88 Paschim Bardhaman70 Purulia66 Dinajpur Dakshin50 Alipurduar39 Kalimpong18 Jhargram9 | 5,75,316 198 | 3,293 14 | 5,61,755 212 | 10,268 |
DistrictCases Ganjam581 Jajapur322 Khordha238 Baleshwar190 Kendrapara164 Cuttack155 Bhadrak137 Balangir129 Puri103 Sundargarh102 Jagatsinghapur91 Nayagarh86 Mayurbhanj73 Nuapada69 Gajapati61 Dhenkanal36 Boudh34 Kendujhar34 Deogarh33 Kalahandi33 Sonepur29 Kandhamal28 Anugul26 Malkangiri20 Bargarh16 Koraput16 Sambalpur16 Jharsuguda8 Nabarangpur2 Rayagada2 | 3,37,277 86 | 714 10 | 3,34,647 76 | 1,916 |
DistrictCases Jaipur2,177 Jodhpur1,748 Udaipur724 Bharatpur563 Kota503 Nagaur500 Ajmer379 Dungarpur374 Pali352 Jhalawar329 Bhilwara250 Sikar231 Chittorgarh188 Tonk171 Jalore164 Rajsamand140 Sirohi130 Bikaner112 Banswara91 Alwar90 Churu81 Jhunjhunu64 Dausa61 Dholpur60 Baran59 Jaisalmer53 Barmer34 Hanumangarh31 SawaiMadhopur26 Karauli17 Pratapgarh14 Ganganagar8 Bundi5 | 3,20,455 119 | 1,304 4 | 3,16,364 123 | 2,787 |
DistrictCases Bilaspur100 Korba100 Mungeli87 Baloda Bazar85 Jashpur77 Janjgir-Champa56 Mahasamund54 Rajnandgaon52 Kabirdham52 Raigarh47 Raipur46 Balod41 Korea39 Durg31 Bemetara21 Kanker19 Balrampur17 Surguja14 Gariyaband10 Surajpur9 Dhamtari6 Bijapur2 Bastar2 Dantewada0 Kondagaon0 Narayanpur0 Sukma0 | 3,12,816 256 | 2,880 106 | 3,06,094 143 | 3,842 7 |
DistrictCases Hyderabad2,475 Ranga Reddy183 Suryapet87 Jagitial77 Nizamabad76 MedchalMalkajgiri75 Mancherial43 YadadriBhuvanagiri40 Jogulamba Gadwal40 Vikarabad40 Nalgonda33 Warangal Urban32 Mahabubnagar30 Sangareddy26 Khammam26 Adilabad22 Nirmal21 Karimnagar17 RajannaSircilla16 Medak11 Kamareddy11 Mahabubabad10 Jayashankar Bhupalapally9 Nagarkurnool8 Kumuram Bheem Asifabad8 Jangoan8 Siddipet7 Peddapalli5 Bhadradri Kothagudem5 Warangal Rural4 Mulugu3 Narayanpet3 Wanaparthy1 | 2,99,086 163 | 1,907 5 | 2,95,544 157 | 1,635 1 |
DistrictCases Gurugram2,950 Faridabad867 Sonipat404 Rohtak145 Palwal120 Jhajjar114 Karnal104 Hisar98 Ambala93 Panipat78 Nuh68 Bhiwani60 Rewari56 Kurukshetra55 Sirsa50 Kaithal48 Mahendragarh47 CharkiDadri43 Panchkula39 Fatehabad38 Jind38 Yamunanagar19 | 2,70,950 166 | 1,288 13 | 2,66,612 151 | 3,050 2 |
DistrictCases Ahmadabad17,125 Surat2,311 Vadodara1,555 Gandhinagar410 Mahesana159 Banas Kantha147 Bhavnagar146 Rajkot135 Arvalli134 Mahisagar125 Anand107 PanchMahals107 Patan105 SabarKantha101 Kachchh99 Kheda98 Jamnagar63 Bharuch56 Botad55 Surendranagar55 Valsad47 GirSomnath45 Dohad43 Chhotaudepur37 Naysari35 Junagadh31 Narmada25 DevbhumiDwarka22 Amreli16 Porbandar11 Tapi6 Dang5 Morbi4 | 2,70,316 427 | 2,431 68 | 2,63,475 359 | 4,410 |
DistrictCases Patna279 Bhagalpur266 Rohtas256 Khagaria253 Begusarai243 Madhubani199 Munger188 Jehanabad178 Katihar175 Darbhanga143 Samastipur139 Siwan139 PurbiChamparan138 Purnia135 Banka134 Buxar134 Nalanda123 Gopalganj123 Nawada122 Sheikhpura118 Gaya115 Kaimur (bhabua)105 Bhojpur103 Saran101 Muzaffarpur96 Saharsa88 Supaul87 Vaishali87 Madhepura82 Kishanganj75 Aurangabad75 Sitamarhi73 Lakhisarai72 Araria68 Pashchim Champaran57 Arwal52 Jamui47 Sheohar20 | 2,62,556 22 | 370 29 | 2,60,645 51 | 1,541 |
DistrictCases Indore3,839 Bhopal1,880 Ujjain799 Burhanpur351 Neemuch319 Jabalpur276 East Nimar266 Sagar228 Gwalior211 Khargone196 Dewas140 Dhar132 Mandsaur112 Morena109 Bhind87 Raisen71 Barwani60 Ratlam51 Rewa39 Shajapur39 Hoshangabad37 Vidisha37 Chhatarpur35 Betul35 Rajgarh31 Dindori29 Sheopur26 Damoh26 Satna24 Anuppur22 Panna20 Tikamgarh18 Sidhi17 Narsinghpur17 Chhindwara16 Agar Malwa15 Mandla15 Shivpuri15 Jhabua14 Shandol14 Singrauli13 Ashoknagar13 Datia12 Sehore12 Umaria10 Balaghat9 Guna8 Harda4 Alirajpur3 Katni3 Seoni2 Niwari0 | 2,62,102 336 | 2,901 116 | 2,55,336 219 | 3,865 1 |
DistrictCases Kamrup Metro276 Golaghat203 Nagaon143 Hojai89 Dima Hasao86 Karimganj85 Tinsukia84 Cachar80 Dibrugarh61 Hailakandi57 Lakhimpur57 Marigaon50 Dhemaji47 Kamrup42 Kokrajhar37 Dhubri30 Charaideo29 Barpeta28 Udalguri28 Sonitpur27 Jorhat24 Nalbari23 Darrang20 Sivasagar20 Goalpara19 Biswanath16 Baksa14 KarbiAnglong13 Bongaigaon12 Chirang6 West KarbiAnglong5 South SalmaraMancachar4 Majuli2 | 2,17,570 33 | 1,631 16 | 2,14,846 16 | 1,093 1 |
DistrictCases Amritsar485 Jalandhar297 Ludhiana293 Tarn Taran163 Gurdaspur154 Hoshiarpur140 S.A.S Nagar137 Patiala132 Sangrur107 Shahid Bhagat Singh Nagar (Nawanshahr)99 Pathankot86 Rupnagar (Ropar)74 Faridkot74 Sri Muktsar Sahib71 Moga65 Bathinda60 Fatehgarh Sahib57 Fazilka53 Firozepur50 Kapurthala44 Mansa31 Barnala25 | 1,82,809 633 | 4,853 221 | 1,72,106 394 | 5,850 18 |
DistrictCases Anantnag395 Srinagar300 Kulgam295 Baramulla271 Shopian255 Kupwara231 Bandipora175 Udhampur155 Ramban151 Jammu138 Budgam110 Pulwama108 Kathua53 Rajouri39 Ganderbal37 Poonch35 Doda27 Reasi26 Samba25 Kishtwar10 Mirpur0 Muzaffarabad0 | 1,26,504 63 | 829 6 | 1,23,717 56 | 1,958 1 |
DistrictCases East Singhbum170 Ranchi148 Hazaribagh110 Garhwa80 Ramgarh75 Koderma58 Simdega48 Dhanbad32 Gumla28 Palamu27 West Singhbhum21 SaraikelaKharsawan20 Giridih19 Bokaro16 Latehar14 Khunti10 Lohardaga8 Deoghar5 Dumka5 Pakur4 Jamtara2 Godda2 Chatra1 Sahebganj0 | 1,19,986 37 | 485 9 | 1,18,411 46 | 1,090 |
DistrictCases Dehradun370 Nainital323 Tehri Garhwal110 Haridwar94 Udam Singh Nagar83 Almora71 Champawat45 Pithoragarh43 Chamoli36 PauriGarhwal36 Bageshwar31 Rudraprayag30 Uttar Kashi24 | 97,031 | 459 30 | 94,880 30 | 1,692 |
DistrictCases Hamirpur117 Kangra105 Una41 Solan32 Chamba29 Bilaspur21 Mandi21 Sirmaur11 Shimla10 Kullu4 Kinnaur2 Lahaul And Spiti0 | 58,777 132 | 434 116 | 57,347 15 | 996 1 |
DistrictCases South Goa69 North Goa57 | 55,026 40 | 583 23 | 53,647 62 | 796 1 |
DistrictCases Pondicherry111 Mahe4 Karaikal2 Yanam0 | 39,734 9 | 177 8 | 38,888 16 | 669 1 |
DistrictCases Dhalai196 Sepahijala174 Gomati74 South Tripura53 Unakoti49 West Tripura45 Khowai24 North Tripura14 | 33,420 3 | 42 3 | 32,987 | 391 |
DistrictCases Churachandpur32 Kangpokpi26 Imphal West21 Thoubal18 Imphal East10 Tengnoupal9 Bishnupur7 Senapati6 Chandel5 Kamjong5 Ukhrul4 Jiribam3 Pherzawl3 Kakching2 Tamenglong2 Noney1 | 29,274 1 | 30 3 | 28,871 4 | 373 |
DistrictCases Chandigarh313 | 21,839 69 | 430 49 | 21,056 19 | 353 1 |
DistrictCases Changlang31 Papum Pare8 Lohit3 Namsai2 West Siang1 East Siang1 Upper Siang1 Tawang1 PakkeKessang1 West Kameng0 Upper Subansiri0 Tirap0 Siang0 Shi Yomi0 Anjaw0 Lower Subansiri0 Lower Dibang Valley0 Longding0 Leparada0 KurungKumey0 KraDaadi0 Kamle0 East Kameng0 Dibang Valley0 Lower Siang0 | 16,837 1 | 1 1 | 16,780 | 56 |
DistrictCases East Khasi Hills22 West Garo Hills5 South West Garo Hills4 North Garo Hills1 West Jaintia Hills1 West Khasi Hills1 East Garo Hills0 East Jaintia Hills0 Ribhoi0 South Garo Hills0 South West Khasi Hills0 | 13,963 1 | 17 0 | 13,798 1 | 148 |
DistrictCases Dimapur20 Mon8 Kohima7 Kiphire3 Tuensang3 Peren2 Phek1 Longleng0 Mokokchung0 Wokha0 Zunheboto0 | 12,200 | 7 0 | 12,102 | 91 |
DistrictCases Kargil77 LehLadakh43 | 9,819 1 | 46 7 | 9,643 8 | 130 |
DistrictCases East District3 South District3 North District0 West District0 | 6,145 | 45 1 | 5,965 1 | 135 |
DistrictCases South Andamans33 Nicobars1 North And Middle Andaman1 | 5,020 | 6 0 | 4,952 | 62 |
DistrictCases Kolasib11 Aizawl10 Mamit8 Lawngtlai2 Lunglei2 Saitual1 Champhai0 Hnahthial0 Khawzawl0 Saiha0 Serchhip0 | 4,426 3 | 20 0 | 4,396 3 | 10 |
DistrictCases Dadra And Nagar Haveli20 | 3,406 | 4 0 | 3,400 | 2 |
DistrictCases Lakshadweep District0 | 397 15 | 128 8 | 268 7 | 1 |