ANNUAL REPORT

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Health Care Without Harm and the Work in Asia

Our Mission and Vision

Message from the HCWH President, Gary Cohen

Message from Asia’s Executive Director, Ramon San Pascual, MPH

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Partnerships and Engagements

Climate-smart Health Care in the Asian setting

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Initiatives that Sparked Change in Asia’s Health Care Sector Healthy Energy Initiatives Asia Highlights

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ASIA IN THE GLOBAL CLIMATE AND HEALTH MOVEMENT

Global Green and Healthy Hospitals Asia Highlights

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Message from the Chairman of Asia’s Board of Trustees, Ronnel Lim

Message from the Chairman of Asia’s Regional Advisory Council

Asia Staff and Contact Details 2017 Photo Collection

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Advocate! Become a Health and Climate

HEALTH CARE WITHOUT HARM AS A GLOBAL COALITION Health Care Without Harm was founded in 1996 after the U.S. Environmental Protection Agency identified medical waste incineration as the leading source of dioxins, one of the most potent carcinogens. In response to this grave threat, 28 organizations came together in Bolinas, California to form the Health Care Without Harm coalition. At present, HCWH worldwide, aims to transform health care into a climate-smart, innovative sector that protects public health from climate change and accelerates the transition to a low-carbon economy while improving health equity and access.

HEALTH CARE WITHOUT HARM IN THE ASIA REGION

mission vision To transform the health sector worldwide, without compromising patient safety or care, so that it becomes ecologically sustainable and a leading advocate for environmental health and justice.

Healthcare providers have a responsibility to turn utilize practices and procedures that don’t harm people and the environment in the long run. Hippocrates, the father of western medicine, said it best in the Hippocratic Oath: “First, do no harm.”

Health Care Without Harm took root in Asia in 2003, committing to improve health care systems in the region. Now it has numerous partners all over the region who are working towards environmental health and justice without compromising patient safety and care. The Asia office worked with the Philippine Department of Health for instance in the Measles Eradication Campaign as well as in the 1st Asian Conference for Mercury-free Health Care. It has established initiatives with various plastics network in Asia who are working on banning incineration, in implementing sustainable waste management and has worked with countless civil organizations who are geared towards same advocacies. Its Global Green and Healthy Hospitals and Healthy Energy Initiative work in Asia has spanned through leading countries like South Korea, Singapore, Taiwan, Indonesia and Vietnam to name a few.

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MESSAGE FROM THE PRESIDENT

MESSAGE FROM ASIA’S EXECUTIVE DIRECTOR appreciation of hospital leadership in the vital impact to health of extreme weather events brought changing climate. Thus, two major events in Asia were organized to highlight this: the 4th Green Hospitals Asia Conference in Taipei in October and the 1st Healthy Energy Initiative (HEI) Asia Meeting in late November held in Seoul.

HCWH has the opportunity to help catalyze the rapid transition to a renewable energy economy that has so many cascading benefits: cleaner air, clean energy jobs, lower health care costs and major progress toward solving the climate crisis. Health Care Without Harm’s organizing work and presence in Asia is critical to our overall mission. Many of the crucial decisions about our future energy choices will be made in Asia but will impact the health of billions of other people. Many of the health impacts of climate change will especially be felt in Asia through extreme weather events and worsening air pollution. We have already witnessed the devastation of Typhoon Hyun to understand that the Philippines and other countries in Southeast Asia are exquisitely vulnerable to climate change impacts. HCWH has the opportunity to help catalyze the rapid transition to a renewable energy economy that has so many cascading benefits: cleaner air, clean energy jobs, lower health care costs and major progress toward solving the climate crisis. The health care sector has a historic opportunity to play a leading role in this transition by educating the public about fossil fuel impacts on health and climate, by decarbonizing its own facilities and supply chains and by advocating for policies that accelerate our progress toward solar and wind power. In this period of global upheaval, the health sector needs to have a broader mission to not only heal individual patients, but to heal communities and the planet that sustains us all.

GARY COHEN PRESIDENT Health Care Without Harm and Practice Greenhealth

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ASIA IN THE GLOBAL CLIMATE AND HEALTH MOVEMENT

Four (4) Case Studies were completed and published, three (3) Webinars were conducted and collaborative trainings across programs were organized, all to illustrate various issues and initiatives on the emerging health and climate disciplines such as hospitals pursuing healthy renewable energy sources and sustainable health care waste management.

2017 was a big transition year for Health Care Without Harm Asia in terms of highlighting health dimension of climate change, which in turn helped define the office thrust for 2018. Under the 2017 goal of ‘expanding operations and integrating strategic programs in key Asian countries particularly among the highest emitters and most vulnerable in terms of climate change’, the whole organization pursued the program objectives of hospital awareness on climate issues, mobilize the health care sector in tackling energy issues, and gradually establish medical waste management services for hospitals. To support the frontline programs, the administrative and finance unit also launched efforts on fundraising, staff development, and most importantly, communications. Global Green and Healthy Hospital (GGHH) Network’s gradual expansion in the region coupled with deliberate education and communication activities were meant to deepen the

Establishing networks with allied groups in the health community, environmental campaigners, health advocates and among health professionals were accelerated. The Healthy Energy Initiative launched the Choose Healthy Energy Campaign by introducing its commendable campaign Ambassadors who are all known personalities and influencers in their respective fields and are geared towards helping HCWH advocate for clean and healthy sources of energy instead of coal for instance. Coal happens to be the biggest contributor to climate change, causing 46% of worldwide emission of carbon dioxide. In addition, community documentation trainings were organized in frontline communities that enabled them to develop not only factsheets but stories and photos that will reveal experiences related to dirty energy sources and its health and environmental impacts. The round-table forum series on Greening Philippine Hospital done jointly with Climate Change Commission in the last quarter of the year happened just as the 23rd Conference

of Parties (COP) was held in Berlin. The choice of CCC to highlight role of hospitals in mitigating impact of climate change and to partner with HCWH succeeded in bringing together key stakeholders from design and engineering, hospital administrators, DOH, local government units, doctors associations, NGOs. The signed resolution and pledge for continuing action are critical in sustaining such momentum for healthcare sector action on climate in 2018 onward. The connections made out of three visits in Vietnam, hospital engagements in Indonesia, Malaysia, Thailand and Korea and even the agreement with Khoo Teck Puat Hospital In Singapore to host the 2018 GGHH Conference, are all part of calibrated efforts to highlight the distinct role of Asian health care systems in addressing climate change in our region. In all these challenges, accomplishments and continuing tasks initiated in 2017, we are very grateful for all our partners, allies, GGHH network members, CSO advocates donors and global colleagues for such thrust to collaborate and engage with us. Your collaboration and partnership make our resolve stronger to tackle three main goals in 2018: broaden the network of green hospitals in the Southeast Asian countries; strengthen the understanding and operational link between green hospital, people’s health and climate; and actualize renewable energy initiatives among health care systems.

Cheers to all of us as we look forward in 2018 with more vigor and energy to work for a greener health care, healthy people and a sustainable planet. RAMON SAN PASCUAL, MPH EXECUTIVE DIRECTOR Health Care Without Harm Asia

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HEALTHY ENERGY INITIATIVE HIGHLIGHTS

Weaving Stories To Brave Realities: A Community Documentation/ Storytelling Workshop

LEADING THE HEALTH CARE SECTOR IN ASIA IN TRANSITIONING TO CLEAN, HEALTHY AND RENEWABLE ENERGY “I always wanted to become part of an organization that champions pro-environmental issues such as renewable energy. So, when a chance arrived to become part of #ChooseHealthyEnergy, I immediately said yes. Although, I wanted to become a part of more hands-on project this 2018, I appreciate learning more about this Healthy Energy Campaign.”

Marky Ramone Go of Nomadic Experiences #ChooseHealthyEnergy Ambassador

Launch of the #ChooseHealthyEnergy Campaign

Health Impacts of Energy Choices Forum

Dr. Gina Nazareth #ChooseHealthyEnergy Ambassador

“As Healthy Energy Ambassador among physicians, the awareness part should now move to more actionable plans. Moreover, sharing of best green practices is the key to sustainability in the health care sector.”

Collaboration with Climate Change Commission (CCC) in Greening Philippine Hospitals

1st Healthy Energy Initiative Regional Partners Meeting in Seoul, South Korea Collaboration with Allotrope Partners’ in greening Philippine Hospitals “If Asia is going to have a more sustainable power supply, we need to greatly reduce our reliance on coal and other fossil-based sources. The same applies to health facilities adopting clean energy systems in order to serve the public better not only for today but especially for the future.”

Marlon Apanada

BATAAN

CEBU

Managing Director of Allotrope for the Philippines

“Siguro yung value ng documentation, ng mga kaganapan, yung nagkaroon sila ng journal kasi makikita na arawaraw pwedeng may makitang ebidensya; ito ang naitulong ng workshop. Makakatulong ito sa kampanya ng komunidad.”

Efficient Energy Options en route to a Healthier Future: A workshop for health facilities

Derek Cabe

Organizer, Coal-Free Bataan Movement

“As a health care institution SPHC has two advocacies, namely: Pro – Life and Pro- Ecology. We commit to provide quality care to people and the environment. It is necessary to shift to Renewable Energy. It is safe, clean, financially viable and sustainable.”

“The importance of capacitating community leaders and advocates to ensure the much-needed environmental protection is very relevant in today’s engagements on some pressing environmental issues. The workshop sponsored by HEI is a welcome move that utilizes the capacity & skills of the community to confront the issue & apply it to their daily struggle and concerns.”

Sr. Arcelita Sarnillo, SPC

Teody Navea

St. Paul Hospital – Cavite #ChooseHealthyEnergy Ambassador

Secretary-General, Sanlakas Cebu

“The primary considerations for the health care sector are presumably patient health and safety, and financial viability. Energy efficiency cuts down energy requirements without sacrificing energy needs, and is therefore the best measure to take for both health, safety and viability. That is why health facilities need access to affordable financing, to facilitate their transition to a low-carbon future based on energy efficiency and renewable energy.”

Engr. Roberto Verzola

President, Center for Renewable Energy and Sustainable Technology (CREST)

GLOBAL GREEN AND HEALTHY HOSPITALS HIGHLIGHTS

Launch of the Green Health Challenges in the 2017 Asia Members Meeting

FOSTERING LOW-CARBON HEALTH CARE AS THE SECTOR’S CONTRIBUTION TO THE GLOBAL CLIMATE NARRATIVE

“Our hospital is a GGHH member and our purpose in attending this Conference is to get experiences from other hospitals in order to fulfill the 10 Goals of GGHH.”

Dewi Sarastuti

Rumah Sakit Universitas Gadjah Mada Hospital – Indonesia

“Health is one of the major concerns of human beings; however, health care services are among the most intensive energy-consuming industries; byproducts of health care services, including toxins and medical waste and can undermine the health of the people the hospital’s meant to serve. While hospitals should take the responsibility to address their impacts on the environment, it is also important that they have a credible voice in providing better health to the patients and the global communities.”

Dr. Ming Nan-Lin Tzu Chi Medical Foundation – Taiwan

Webinars on: • Introduction to Hippocrates • Solar Power: Webinar on Renewable Energy • Health Care: On building disaster and climate-resilient facilities

“At Khoo Teck Puat Hospital (KTPH), we believe that a healing environment will allow people to enjoy good health. Therefore since the hospital started in 2010, we have made environmental sustainability a part of our corporate ethos.”

Sr. Arcelita Sarnillo, SPC

St. Paul Hospital Cavite (SPHC)

Mrs. CHEW Kwee Tiang,

“A Green and Healthy Hospital is one of HPH’s standards in promoting a healthy workplace. So, we build strong advocacy and commitment with great spirit to all HPH Indonesia members by implementing the GGHH Agenda. We are very thankful to GGHH Asia for a great relationship with strong commitment to share ideas and creative campaigns among members.”

Herlan Suangsa

Health Promoting Hospitals (HPH) Indonesia

2017 ASIA MEMBERSHIP Bangladesh PRISM Bangladesh Foundation China China Association of Building Energy Efficiency Green Hospital Committee

GGHH Members Meeting 2017

“Among the 10 GGHH Goals, St. Paul Hospital Cavite has committed to pursue the Leadership Goal in 2017. We had numerous ecological activities, efforts in minimizing carbon footprints and practicing power-efficient activities. Seminars towards sustainability were also initiated by SPHC with GGHH Asia’s support.”

Chief Executive Officer at Khoo Teck Puat Hospital & Yishun Health Singapore

Gan Cai Ru (Connie)

Sr. Maria Teresita Parreno

“We congratulate the Global Green and Healthy Hospital (GGHH) Network for bringing together the hospitals, health systems, and health organizations from around the world in order to raise the awareness to promote greater sustainability and environmental health and for offering a diverse array of programs for members to achieve their sustainability goals.”

PsQua Healthcare Philippines

Faye Ferrer

“GGHH Asia’s webinars are very eye-opening. Especially its topics on different initiatives and impressive efforts around the world. Their webinars are always a fun learning opportunity for me to catch on ideas which are useful and usable especially in my field of work.”

“Our hospitals have to be prepared to serve our communities in the face of growing threats from typhoons, heat waves and the shifting burden of disease.”

SPC Notre Dame Chartres Hospital - Philippines

Dr. Francisco Montillano

GGHH Asia Coordinator

Task Force on Health Promoting Hospital (HPH) & Environment GGHH Webinar Participant

The 4th Green Hospitals Asia Conference in Taipei, Taiwan

“The modern health care sector does not only contribute to climate change but is also affected by it. That is why employing initiatives like the Green Health Challenges is important especially among Asian health facilities in order to monitor & decarbonize the sector and ultimately mitigate impacts of the worsening climate situation and bring about a climate-smart health care”

India Apollo Hospitals Aravind Eye Care System Association of Healthcare Providers (AHPI) Dr. Lal Path labs limited Environment and Child Health of CIAP Global Association of Physicians of India Origin (GAPIO) HUMA Specialist Hospital & Research Centre Private Limited Indian Academy of Pediatrics Manipal Hospitals NATHEALTH

National Accreditation Board for Hospitals & Healthcare Providers (NABH) National Board of Examination (NBE) National Neonatology Forum of India (NNF) PSG -Institute of Medical Sciences & Research Associations of National Board Accredited Institutions (ANBAI) Bhagat Hospitals Cancer Institute Chennai Catholic Health Association of India (CHAI) Columbia Asia hospitals, India Pvt Ltd Consortium of Accredited Healthcare Organizations (CAHO) Council on Energy Environment and Water (CEEW) Delhi Medical Association Indonesia Universitas Gadjan Mada Academic Hospital

Mongolia General Hospital for State Special Servants Nepal Association of Non-Governmental Hospital of Nepal – ANGHOS Dr. Iwamura Memorial Hospital and Research Centre Karnali Academy of Health Sciences Blue Cross Hospital PW. Ltd Crimson Hospital Philippines Bicol Medical Center Mary Mediatrix Medical Center Philippine National Police General Hospital (PNPGH) Taiwan Public Health Bureau, Tainan City Government

Healthy Energy Initiative Asia attended a high-level meeting of Clean Air Asia and the Growald Family Fund in Kuala Lumpur, Malaysia on Alleviating Air Pollution

PARTNERSHIPS AND ENGAGEMENTS CREST (Center for Renewable Energy and Sustainable Technology) and the Renewable Energy and Energy Efficiency Workshop for Health Facilities

Climate Change Commission and the “Greening of Philippine Hospitals” Project

#ChooseHealthyEnergy Ambassadors from Various Fields and Sectors

“The year 2017 was a fruitful year for CREST in large part because it was the year when our partnership with HCWH Asia bore fruit through a series of meetings and consultations with the Climate Change Commission and health facilities, convincing some health facilities to actually install solar panels in their premises and others to set aside some budget to do so in the future.”

The Healthy Energy Work in the Philippines together with the Philippine Movement for Climate Justice (PMCJ)

Declaration of Commitment

“I agreed to be a Healthy Energy Ambassador to encourage doctors to consider Mother Earth as one of their patients. If she dies, we all do, too! We all have to #ChooseHealthyEnergy if we want to save our only planet.”

Dr. Stef Dela Cruz Doctor and Columnist

2017 Break Free From Plastics Project During a preliminary Waste Audit meeting with the management of Mother Teresa of Calcutta Medical Center in Pampanga seen here with Mother Earth Foundation and HCWH’s Medical Waste Management Program

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ASIA IN THE GLOBAL CLIMATE AND HEALTH MOVEMENT

“Choosing healthy energy is important to me because it impacts not only our health, but also our environment. When we’re healthy, we’re happy and we perform better at work and at home. So, if you think about it, choosing healthy energy makes for a good economy and society as a whole.”

Toni Nicolas Blogger and Wellness Enthusiast

“As we all persevere towards an intensified struggle against coal-fired power plants and other dirty energy sources in the country, we would like to extend our sincere gratitude and appreciation to one of our partners, Health Care Without Harm, in contributing to the building of the climate justice movement and in assisting the coal-affected communities. Given the many challenges that lie ahead, the Philippine Movement for Climate Justice continues to stand in solidarity with you in promoting clean, healthy, and sustainable energy sources for the Filipino people.”

Global Green and Healthy Hospitals Asia was invited to speak at the 11th Regional Training Course on Hospital Emergency Preparedness and Response Course (HEPR 11) in Thailand by the Asian Disaster Preparedness Center (ADPC)

Sustainable Procurement Meeting in Seattle

Ian Rivera, National Coordinator of PMCJ

International Council Meeting in Buenos Aires, Argentina The Mercury Workshop in Jakarta, Indonesia Dialogue with the Department of Environment and Natural Resources (DENR), PMCJ, Healthy Energy Initiative and the Limay, Bataan Coal Community

CLIMATE-SMART HEALTH CARE IN THE ASIAN SETTING A Climate-Smart Health care approach can form the foundation of health care’s response. Hospitals, health centers and public health workers are first responders to the health effects of climate change and these institutions will inevitably bear high costs resulting from the growing number of extreme weather events. By jointly implementing resiliency and de-carbonization strategies within the sector, climate-smart health care can reduce emissions from large systems. It can also help power health systems that are energy-poor, while supporting resiliency and adaptation everywhere. This approach can form a foundation from which health care can contribute to broader policy, economic and communications initiatives in concert with both global climate and health goals.

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*Health Care Decarbonization, Resilience and Mobilization 2018-2022 (HCWH)

ASIA IN THE GLOBAL CLIMATE AND HEALTH MOVEMENT

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MESSAGE FROM THE CHAIRMAN OF ASIA’S BOARD OF TRUSTEES

MESSAGE FROM CHAIRMAN OF ASIA REGIONAL ADVISORY COUNCIL

For many countries in Asia, the past year was an especially eventful one, even for the standards of a pretty dynamic region. Thailand bade its final goodbye to the world’s longestserving royal king, South Korea ousted its leader and put her on trial, and in the Philippines, we witnessed the worst in the treatment of people into drug addiction, essentially a health issue that caused numerous human rights violation victimizing the poor.

Dear colleagues and friends of HCWH, It gives me honor to be the Chair of Asia Advisory Council of Health Care Without Harm, especially as I recall the great strides we made in 2017. As a dedicated leader, advocate and practitioner of green hospital, I would consider the 4th Green Hospitals Asia Conference in Taipei as the most remarkable 2017 accomplishment of the Advisory Council and of HCWH Asia as a whole. I also consider as top achievement of HCWH the fact that we were able to sustain the regional campaign for energy policy as a vital healthcare issue, and pinpointing the cardiovascular and respiratory illnesses, among other illnesses, caused by fossil fuel especially coal.

There are also some unwelcome developments coming from the United States government which has withdrawn its commitment to curb climate change. Given this, it is of greater imperative in Asia to rally the health care sector to take up a leadership role in adopting healthier and renewable energy sources that are better for people and the environment. At the same time, we must emphasize that burning municipal waste to harvest little energy is neither sustainable nor economically desirable. Last year, Health Care Without Harm-Asia and Tzu Chi Foundation facilitated the 4th Green Hospitals Asia Conference in Taipei, the biggest gathering of hospitals in Asia that are working on environmental issues. It is a welcome development too that Global Green Hospitals network in Asia has added 30 new hospital members from 5 different Asian countries. This year 2018, we look forward to Khoo Teck Puat Hospital in Singapore to be the host as the hospitals in Asia seek to learn from and exchange with each other on how to best adopt green practices in health care. In behalf of the Board of Trustees of Health Care Without Harm-Asia, I warmly congratulate the hardworking staff and all our committed partners for all the successes in 2017, even as we look forward to taking up and overcoming more tasks and challenges akin to climate and health in 2018.

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L to R: Atty. Armand H. Mejia, Ramon San Pascual, Von Hernandez, Ronnel Lim, Dr. Gina Nazareth, Dr. Michelle S. Segarra and Joyce Lanuza. Also member of the Board is Dr. Esperanza Cabral - not in the photo

RONNEL LIM Chairperson HCWH Asia Board of Trustees

Also, we had the 1st HEI Regional Partners Meeting in Seoul last November to facilitate networking and collaboration among healthy energy advocates in the Asia region. Our own network of green hospitals based in Yonsei University College of Medicine was the proud host of that meeting in which we announced that Korea will form its own Healthy Energy Program together with prestigious public health schools, environmental NGOs and health organizations. Asia is the most economically dynamic region and has the largest market in the world in terms of population. Many countries in our region are expected to be even more prosperous in the near future. The fast pace of economic development also exact lasting burden to our environment and health among Asian people. So, we need to make more efforts to achieve sustainability in our societies, in key sectors where we belong, but more so in the healthcare community who are seen as healers of people’s health, and given the crisis brought about by climate change, as healers of the planet. Wishing you all a happy 2018! DR. DONG CHUN SHIN Chairperson HCWH Asia Regional Advisory Council

ASIA IN THE GLOBAL CLIMATE AND HEALTH MOVEMENT

Chairperson, Dr. Dong Chun Shin

Dr. Chin-Lon Lin, Mahesh Nakarm, Janet Robinson, Sr. Arcelita Sarnillo, SPC , Dr. H. Suherman, MKM, Ang Zhao, Professor K. Srinath Reddy, Shweta Narayan, Ronnel Lim, Josh Karliner

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ASIA STAFF AND CONTACT DETAILS Ramon San Pascual, MPH Executive Director, HCWH Asia [email protected]

Moresa Tolibas-Reyes Sustainability Officer, Global Green and Healthy Hospitals (GGHH) [email protected]

Joyce Lanuza Deputy Director, HCWH Asia [email protected]

Pats Oliva Communications Campaigner, HCWH Asia [email protected]

Faye Ferrer Coordinator, Global Green and Healthy Hospitals (GGHH) [email protected]

Kris Evangelista Administrative Associate, HCWH Asia [email protected]

Paeng Lopez Campaigner, Healthy Energy Initiative [email protected]

Nef Mendinueto Finance and Admin Support, HCWH Asia [email protected]

Ayeth Enrile Campaigner, Medical Waste Management Ann Lustresano Project Associate, Healthy Energy Initiative Antony Esguerra Bookkeeper

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2017 PHOTO COLLECTION

Climate Change is a reality and health care being a resource intensive sector does not only contribute, but is put to danger by it as well. Thus, Health Care Without Harm in Asia aims to broaden the knowledge and awareness on this issue in the region in order to pave the way towards building a climate-smart health care and communities, as our contribution to the global climate action. Help us realize this advocacy; any way of contributing will greatly be appreciated. Send a message to [email protected] for more info. HEALTH CARE WITHOUT HARM ANNUAL REPORT 2017

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