Can Smoking Pot Really Be Compared To Drinking Alcohol?

Navigating the complexities of substance use requires a comprehensive understanding of their effects. On COMPARE.EDU.VN, we aim to provide clear and unbiased comparisons to help you make informed decisions, examining whether the effects of smoking pot can be compared to drinking alcohol. Explore the nuances of cannabis consumption versus alcohol intake, including potential risks and impacts.

1. Introduction: Comparing Cannabis and Alcohol

When it comes to substances that alter perception and behavior, alcohol and cannabis often find themselves in the spotlight. The question of whether “Can Smoking Pot Really Be Compared To Drinking Alcohol” is complex, touching on legal, social, and health implications. Understanding the nuances between these two substances is crucial for informed decision-making. This article aims to dissect this comparison, providing a detailed analysis optimized for search engines like Google, ensuring you find the information you need quickly.

2. Understanding the Basics of Alcohol and Cannabis

2.1 What is Alcohol?

Alcohol, specifically ethanol, is a central nervous system depressant produced by the fermentation of sugars by yeast. Alcoholic beverages range from beer and wine to hard liquors, each with varying ethanol concentrations.

2.2 What is Cannabis?

Cannabis refers to a group of plants with psychoactive properties, primarily due to the presence of tetrahydrocannabinol (THC). Different strains and methods of consumption, such as smoking, edibles, and tinctures, affect the intensity and duration of its effects.

3. Physiological Effects: A Detailed Comparison

3.1 Effects on the Brain

3.1.1 Alcohol’s Impact on the Brain

Alcohol primarily affects the brain by modulating neurotransmitter activity. It enhances the effects of GABA, an inhibitory neurotransmitter, leading to sedation and reduced anxiety. Simultaneously, it inhibits glutamate, an excitatory neurotransmitter, causing cognitive impairment and motor incoordination.

Alcohol’s Impact on the Brain: Understand how alcohol affects neurotransmitters and brain function

3.1.2 Cannabis’s Impact on the Brain

Cannabis, particularly THC, interacts with the endocannabinoid system (ECS) in the brain. The ECS plays a crucial role in regulating mood, pain, appetite, and memory. THC binds to cannabinoid receptors, primarily CB1 receptors in the brain, altering normal ECS function.

Cannabis’s Impact on the Brain: Learn about THC’s interaction with the endocannabinoid system and its effects on mood, pain, and memory.

3.2 Effects on the Body

3.2.1 Alcohol’s Physiological Effects

Alcohol affects numerous bodily systems. It can lead to liver damage, cardiovascular issues, and gastrointestinal problems with chronic use. Acute effects include dehydration, impaired motor skills, and reduced reaction time.

3.2.2 Cannabis’s Physiological Effects

Cannabis primarily affects the cardiovascular and respiratory systems. It can increase heart rate and may cause bronchodilation when smoked. Long-term effects are still under investigation but may include respiratory issues and potential cardiovascular risks.

3.3 Comparing Acute and Chronic Effects

Feature Alcohol Cannabis
Acute Effects Impaired motor skills, reduced reaction time, dehydration, nausea Increased heart rate, altered perception, relaxation, increased appetite
Chronic Effects Liver damage, cardiovascular issues, gastrointestinal problems, neurological damage Potential respiratory issues, possible cardiovascular risks, potential cognitive impairments
Dependence/Addiction High risk of physical dependence and addiction Lower risk of physical dependence but potential for psychological dependence

4. Psychological Effects: How They Compare

4.1 Alcohol’s Psychological Effects

Alcohol is known for its disinhibitory effects, which can lead to increased sociability but also impaired judgment and aggressive behavior. It can exacerbate underlying mental health conditions such as depression and anxiety.

4.2 Cannabis’s Psychological Effects

Cannabis can induce relaxation, euphoria, and altered sensory perception. However, it can also cause anxiety, paranoia, and panic, especially in individuals predisposed to mental health issues.

4.3 Mental Health Impacts

Aspect Alcohol Cannabis
Mood Alteration Disinhibition, mood swings, increased aggression Relaxation, euphoria, anxiety, paranoia
Cognitive Function Impaired judgment, memory loss Altered perception, impaired short-term memory
Mental Health Risks Exacerbation of depression, anxiety, increased risk of alcohol use disorder Potential triggering of psychosis, exacerbation of anxiety, potential for addiction

5. Legal Status: A Global Overview

5.1 Legal Frameworks for Alcohol

Alcohol is legal in most countries, but its sale and consumption are often regulated through age restrictions, zoning laws, and taxation.

5.2 Legal Frameworks for Cannabis

Cannabis legality varies significantly worldwide. Some countries have legalized cannabis for recreational and medical use, while others maintain strict prohibitions. Even within countries, laws can differ at the state or provincial level.

5.3 Varying Legal Perspectives

Jurisdiction Alcohol Cannabis
United States Legal, regulated by state laws Varies by state; some have legalized
Canada Legal, regulated by provincial laws Legal nationwide
Europe Legal, regulated by national laws Varies by country; some allow medical use

6. Risks and Dangers: A Comparative Analysis

6.1 Short-Term Risks

6.1.1 Alcohol-Related Short-Term Risks

Short-term risks of alcohol consumption include impaired coordination, increased risk of accidents, alcohol poisoning, and risky behavior.

6.1.2 Cannabis-Related Short-Term Risks

Short-term risks of cannabis use include impaired cognitive function, anxiety, paranoia, and increased heart rate.

6.2 Long-Term Risks

6.2.1 Alcohol-Related Long-Term Risks

Long-term alcohol use can lead to liver disease, cardiovascular problems, neurological damage, increased risk of certain cancers, and alcohol use disorder.

6.2.2 Cannabis-Related Long-Term Risks

Long-term cannabis use may lead to respiratory issues, potential cardiovascular risks, cognitive impairments, and cannabis use disorder.

6.3 Risk Comparison Table

Risk Category Alcohol Cannabis
Short-Term Accidents, alcohol poisoning, impaired coordination Anxiety, paranoia, impaired cognitive function, increased heart rate
Long-Term Liver disease, cardiovascular problems, cancer, alcohol use disorder Respiratory issues, potential cardiovascular risks, cognitive impairments, addiction
Overdose Potential High risk of fatal overdose Very low risk of fatal overdose

7. Driving Under the Influence: A Critical Consideration

7.1 Alcohol and Driving

Driving under the influence of alcohol significantly impairs judgment, coordination, and reaction time, leading to a high risk of accidents.

Alcohol and Driving: Understand the severe risks of impaired judgment, coordination, and reaction time.

7.2 Cannabis and Driving

Cannabis can also impair driving ability by affecting attention, reaction time, and motor coordination. The level of impairment can vary depending on the dose and individual tolerance.

7.3 Comparative Driving Risks

Aspect Alcohol Cannabis
Impairment Significant impairment of motor skills Impairment of attention and reaction time
Accident Risk High correlation with increased accidents Increased risk, but less than alcohol
Detection Breathalyzers and blood tests are standard More challenging; blood tests are common

8. Addiction Potential: A Comparative Look

8.1 Alcohol Addiction

Alcohol use disorder is a significant public health concern, characterized by compulsive alcohol-seeking behavior and withdrawal symptoms upon cessation.

8.2 Cannabis Addiction

Cannabis use disorder is less common than alcohol use disorder, but it can still lead to significant impairment in daily life. Withdrawal symptoms are generally milder than those associated with alcohol.

8.3 Dependence and Withdrawal

Feature Alcohol Cannabis
Dependence Risk High Moderate
Withdrawal Symptoms Severe; can include delirium tremens and seizures Milder; can include irritability, anxiety, and sleep disturbances
Addiction Rates Higher compared to cannabis Lower compared to alcohol

9. Social and Cultural Perspectives

9.1 Societal Views on Alcohol

Alcohol consumption is widely accepted in many cultures and is often integrated into social events and celebrations. However, there are also concerns about alcohol-related harm, leading to public health campaigns and regulations.

9.2 Societal Views on Cannabis

Cannabis has historically faced more stigma than alcohol, but changing legal landscapes and increased awareness are shifting public perception.

9.3 Cultural Integration

Aspect Alcohol Cannabis
Social Acceptance Widely accepted in many cultures Increasingly accepted, but still stigmatized in some regions
Cultural Role Integral part of celebrations and social gatherings Emerging role in recreational and medicinal contexts
Public Health Concerns Significant public health problem due to misuse and addiction Growing concerns as legalization expands

10. Medical Applications: Contrasting Uses

10.1 Medical Use of Alcohol

Alcohol has limited medical applications, mainly as a disinfectant and solvent.

10.2 Medical Use of Cannabis

Cannabis has a wide range of medical applications, including pain management, treatment of nausea, and relief of anxiety and insomnia.

10.3 Therapeutic Benefits

Condition Alcohol Cannabis
Pain Management Limited use as a topical analgesic Effective for chronic pain, neuropathic pain, and fibromyalgia
Mental Health No established therapeutic use Anxiety, PTSD, and certain forms of epilepsy
Other Disinfectant, solvent Nausea relief, appetite stimulation in cancer patients, glaucoma treatment

11. Economic Impact: Alcohol vs. Cannabis

11.1 Economic Contributions of Alcohol

The alcohol industry is a significant contributor to the economy through production, distribution, and retail sales. However, alcohol-related harm also imposes substantial costs on healthcare and law enforcement.

11.2 Economic Contributions of Cannabis

The legal cannabis industry is rapidly growing, generating substantial tax revenue and creating new jobs. Like alcohol, it also has costs associated with regulation and public health.

11.3 Financial Considerations

Factor Alcohol Cannabis
Industry Size Large, established industry Rapidly growing industry
Tax Revenue Significant tax revenue, but offset by societal costs Potential for significant tax revenue, still being realized
Job Creation Many jobs in production, distribution, and retail Growing number of jobs in cultivation, processing, and sales

12. The Role of Regulation and Public Policy

12.1 Regulating Alcohol

Alcohol regulation aims to minimize harm through measures such as age restrictions, taxation, and restrictions on advertising and sales.

12.2 Regulating Cannabis

Cannabis regulation is still evolving, with different jurisdictions experimenting with various models, including strict prohibition, medical use only, and full legalization with controls.

12.3 Policy Considerations

Policy Area Alcohol Cannabis
Age Restrictions Minimum drinking age laws are common Age restrictions similar to alcohol are typical in legal markets
Taxation Excise taxes are used to generate revenue and discourage consumption Taxes are used to generate revenue and control the market
Advertising Restrictions on advertising, especially targeting youth Restrictions on advertising to prevent youth exposure

13. Research and Studies: What the Science Says

13.1 Alcohol Research

Extensive research has been conducted on the effects of alcohol, leading to a well-established understanding of its risks and benefits.

13.2 Cannabis Research

Cannabis research is growing but still limited in some areas due to historical legal restrictions. Ongoing studies are exploring its therapeutic potential and long-term effects.

13.3 Comparing Scientific Evidence

Research Area Alcohol Cannabis
Health Effects Well-documented risks and benefits Emerging evidence on therapeutic uses and potential risks
Dependence Extensive research on addiction and withdrawal Growing research on cannabis use disorder
Long-Term Numerous longitudinal studies tracking long-term health outcomes Longitudinal studies are limited, but research is increasing

14. Personal Responsibility and Informed Choices

14.1 Making Informed Decisions About Alcohol

Individuals should be aware of the risks associated with alcohol consumption and make informed decisions based on their personal circumstances.

14.2 Making Informed Decisions About Cannabis

Similarly, individuals should understand the potential benefits and risks of cannabis use and make responsible choices.

14.3 Responsible Consumption

Aspect Alcohol Cannabis
Moderation Drinking in moderation is key to minimizing risks Using cannabis responsibly and in moderation is crucial
Awareness Understanding personal tolerance and health risks Understanding personal tolerance and potential interactions
Alternatives Exploring non-alcoholic beverages for social situations Considering alternatives for managing stress and anxiety

15. Future Trends: What’s Next for Alcohol and Cannabis?

15.1 Future of Alcohol

Future trends in the alcohol industry may include a greater focus on low-alcohol and non-alcoholic beverages, as well as increased regulation to address public health concerns.

15.2 Future of Cannabis

The cannabis industry is expected to continue to grow as more jurisdictions legalize its use. Future trends may include new product innovations, increased research, and evolving regulatory frameworks.

15.3 Evolving Landscapes

Trend Alcohol Cannabis
Product Innovation Focus on low-alcohol and non-alcoholic options New products, such as edibles, topicals, and concentrates
Legal Changes Potential for increased regulation to address health concerns Continued legalization and evolving regulatory frameworks
Market Growth Steady growth with a focus on premium products Rapid growth with new markets opening up

16. Expert Opinions: Insights from Professionals

16.1 Perspectives from Healthcare Professionals

Healthcare professionals emphasize the importance of responsible consumption and awareness of potential health risks associated with both alcohol and cannabis.

16.2 Perspectives from Legal Experts

Legal experts highlight the complexities of regulating these substances and the need for evidence-based policies.

16.3 Professional Insights

Expertise Area Alcohol Cannabis
Healthcare Emphasis on moderation, awareness of liver health, and mental health risks Guidance on therapeutic uses, potential interactions, and responsible consumption
Legal Insights on evolving regulatory frameworks and enforcement challenges Analysis of legal complexities, taxation, and market regulation
Public Policy Development of evidence-based policies to minimize harm and maximize public health Creation of regulatory models that balance access with public health and safety concerns

17. Comparing Epidemiological Studies

17.1 Culpability Studies

One weakness of driving studies is that subjects are aware of being observed and assessed, so such studies are generally a better measure of what drivers are capable of doing rather than what they actually do. Epidemiological studies attempt to assess the actual risk that a driver may cause an accident under the influence of a drug, relative to that of a sober person driving under similar conditions. The relative risk is expressed in the form of an “odds ratio” (OR), which is the multiplier for the increased accident risk from driving under the influence of marijuana. Two approaches are taken. The first is culpability studies, which classify drivers who have crashed according to their degree of responsibility for the crash, then compare drug use in each category. If there is greater use of the drug in those culpable for crashes, then the drug is judged to be responsible for a greater crash risk. The second is case control studies. We will discuss both in turn.

Culpability Studies: Understand how these studies classify drivers based on responsibility for crashes to assess drug-related accident risks.

17.2 Studies That Do Not Show Culpability

Some reviewers have concluded that there is no evidence that cannabis alone increases the risk of culpability for crashes, and may actually reduce risk. Drummer’s review of blood samples of traffic fatalities in Australia found that drivers testing positive for marijuana were actually less likely to have been judged responsible for the accident. Several other studies have found no increase in crash risk with cannabis. Williams’ California study of 440 male traffic accident deaths found that while alcohol use was related to crash culpability, cannabis use was not. Terhune’s study of 1882 motor vehicle deaths calculated an OR of 0.7 for cannabis use, 7.4 for alcohol use, and 8.4 for cannabis and alcohol use combined. Lowenstein and Koziol-McLain’s study of 414 injured drivers admitted to a Colorado E/R found an OR of 1.1, indicating that marijuana use was not associated with increased crash responsibility. Drummer’s later and more extensive ten-year study of 3400 traffic fatalities in three Australian states found that drivers with blood THC levels less than 5 ng/mL, and those with only carboxy-THC present (THC-COOH, a metabolite that is excreted in the urine for weeks and is thus more likely to indicate past use than current use), had an OR of 1.0, but those with serum levels greater than 5 ng/mL had an OR of 6.6, the same as that for a BAC of 0.15%. In all 30 cases in this study in which one driver had a serum level of THC greater than 10 ng/mL, that driver was judged to have been responsible for the accident. When marijuana was combined with alcohol, the risk was higher still. A later reanalysis of the same data that adjusted for the age and sex of the fatalities found that OR of crashing for cannabis use alone dropped to 0.6 (not significantly different from 1.0), versus 7.6 for alcohol. Laumon’s study of 10,748 French motor vehicle fatalities found that although rates of alcohol and cannabis intoxication were similar (nearly 3%), ten times as many crashes were associated with alcohol as with cannabis; however, investigators noted a dose-dependent effect on OR with increasing THC serum levels, confirming Drummer’s observation by calculating an OR of 4.72 for THC levels greater than 5 ng/mL. Longo’s large, well-known study of hospitalized injured drivers in South Australia showed few adverse effects of cannabis on crash risk, although there was a slightly increased risk of crashing with higher THC concentrations and a slightly lower risk with lower concentrations.

What 5 ng/mL means in terms of actual impairment is hard to calculate, as THC levels in the blood peak quickly following inhalation then decrease rapidly according to complex pharmacokinetics, making it almost impossible to extrapolate backwards from the concentration of THC at the time of the blood test to the concentration at the time of the traffic accident. Some insight can be gained from Jones’ study of 1276 Swedish motorists arrested for DUI with blood tests positive for THC alone, which revealed an average THC blood level of 3.6 ng/mL at the time of testing. A similar Swiss study of 440 DUI suspects who also were positive for only THC found average blood concentrations of 5.0 ng/mL at the time of testing, indicating that a residual level of 5 ng/mL does appear to correlate with observable driving impairment earlier. The Swedish study also found that, of the 291 DUI arrestees who were positive for both THC and alcohol, the average THC blood level was only 2.3 ng/mL, again suggesting that lower levels of THC, when combined with alcohol, are sufficient to cause obvious impairment.

Methodological problems often can make culpability studies hard to interpret, however. Since no study has ever shown an increased risk of road accidents among frequent marijuana smokers who are not intoxicated at the time that they drive, a positive urine test that measures levels of the long-lasting metabolite carboxy-THC but not the active ingredient THC is insufficient to classify a driver as intoxicated, as such a measure will include in the marijuana group unimpaired people who have smoked only in the past and thus artificially depress the OR. The Colorado study that found that marijuana use was not associated with increased crash responsibility used urine toxicology to assess drug use, so likely suffered from this limitation. Sampling delays in excess of an hour can cause an underestimation of THC concentration in the blood of injured drivers who test positive for marijuana, possibly explaining Longo and others’ failure to find adverse effects.

Alcohol levels, which have linear pharmacokinetics, are easier to back-calculate to the time of the accident, and are consistently linked with increased culpability in crashes. Moreover, whereas CNS levels of alcohol, which moves easily throughout the body with little difference in concentration between compartments, can be approximated with a good degree of accuracy through measuring blood or breath levels, the same is not true of THC, which is highly lipophilic and concentrates preferentially in adipose tissue. Consequently, experimental studies have shown that functional impairment (which reaches a maximum an hour after smoking) lags behind THC blood level (which peaks within minutes and decreases rapidly thereafter). This makes it much harder to generate blood level versus impairment curves for marijuana than it is for alcohol.

17.3 Studies That Show Culpability

Several studies have found that cannabis users are more likely to be responsible for crashes (OR 1.7). Crouch found that marijuana use contributed to the demise of 168 fatally-injured truckers in all cases in which the serum concentration of THC exceeded 1 ng/mL. Terhune’s study of 497 road traffic accidents found that cannabis users had a responsibility rate of 76% versus 42.5% for the control group. A later, larger study by the same author on 1882 drivers killed in seven US states found no difference between responsibility rates, however, and it is unclear why the conclusions of the two studies differed.

Unfortunately, many positive studies fail to take into consideration interactions with other drugs, and since alcohol and cannabis in combination cause more impairment than either drug alone, failure to control for concurrent alcohol use represents a significant limitation. Lack of blinding can also be a problem, as knowledge by the raters of drug use influences assignment of culpability. This was likely a confound in Crouch’s study.

17.4 Summary of Culpability Studies

Although the results of culpability studies have therefore been somewhat contradictory, all find that the combination of alcohol and cannabis has worse consequences than use of cannabis alone. In general, culpability studies suffer from two main confounds. The first is delay to sampling, which classifies some THC users who were impaired at the time of the accident into the non-use group, and the second is use of the metabolite carboxy-THC to identify marijuana-users, which can mistakenly classify some non-impaired drivers in the impaired group.

17.5 Case Control Studies

In contrast with culpability studies, case control studies compare the prevalence of marijuana use among drivers injured or killed in traffic accidents with a control group of other drivers. The validity of these studies depends upon careful selection of an appropriate control group for comparison.

17.6 Studies That Found No Increased Risk

One prospective observational case-control study by Movig in the Netherlands found an OR of 1.2—no significant association—between marijuana use and crash risk, even when not controlling for use of other drugs. In fact, a preliminary analysis by the same group that had controlled for other drugs had initially generated an OR of 0.3. Jones’ more recent study also found no increase in the past-year accident rate between cannabis smokers and controls.

17.7 Studies That Show Increased Risk

In contrast, some case-control studies have indicated increased risk. Gerberich, in a large retrospective study of 64,657 health plan members in Northern California, found an OR of 2.3 for motor vehicle injuries among male cannabis users versus nonusers. Mura’s French study of injured drivers in the emergency room calculated an OR of 2.5 for marijuana users versus sober controls, which rose to 4.6 when alcohol was combined with marijuana. Dussault and Breault’s large prospective study comparing THC in the blood or carboxy-THC in the urine of traffic fatalities with similar tests of drivers in a roadside survey calculated an OR of 2.2 for marijuana use leading to fatal injury. Another study of 30,896 traffic fatalities found that of the 1,647 in which cannabis was present, cannabis use was associated with an OR of 1.29 for a potentially unsafe driving behavior preceding the crash, although, interestingly, there was no difference in rates of failure to stay within lane between cannabis users and non-users, contradicting the findings of several laboratory studies.

17.8 Summary of Epidemiological Studies

The validity of case-control studies rests entirely on careful matching of cases with controls, which is hard to do. In Movig’s study, which assessed marijuana use through both urine and blood testing, urine testing (which measures carboxy-THC) was performed on twice as many controls (85%) as accident victims (39%), likely overestimating the prevalence of marijuana use in the control group and artificially depressing the OR. Dussault and Breault’s study also only measured carboxy-THC, so the calculated OR was really for the risk of accidents given marijuana use at all rather than for marijuana use while driving. In addition, 15.4% of their roadside survey control group refused testing, and since this was the subset of the group that was more than likely to have been using illicit drugs, the refusals probably depressed the incidence of marijuana use in the control group and artificially increased the OR. The control group in Mura’s study was comprised of non-trauma patients at the hospital, rather than drivers who had not crashed, making the odds ratio an incorrect calculation. In addition, non-trauma hospital patients are not representative of the population and arguably may have had a lower rate of marijuana smoking, again distorting the OR.

Because of these difficulties, epidemiological studies have also shown inconsistent effects, some finding decreased or no risk from driving while smoking marijuana, and others increased risk. Most studies are fraught with methodological problems that could lead to underreporting of drug use or misclassification of experimental subjects into or out of the marijuana-using category, confounding results.

In contrast, epidemiological studies on the relationship between alcohol consumption and accident have been clear-cut and consistent, demonstrating that the risk of a motor vehicle accident increases significantly with BAC > 0.05%.

18. FAQ: Common Questions About Alcohol and Cannabis

18.1 What are the immediate effects of alcohol consumption?

Alcohol consumption can lead to impaired coordination, reduced reaction time, and altered judgment.

18.2 What are the immediate effects of cannabis use?

Cannabis use can cause altered perception, relaxation, and increased appetite.

18.3 Is alcohol more addictive than cannabis?

Yes, alcohol is generally considered more addictive than cannabis, with a higher risk of physical dependence.

18.4 Can cannabis be used for medical purposes?

Yes, cannabis has several medical applications, including pain management and relief of nausea.

18.5 What are the long-term effects of alcohol abuse?

Long-term alcohol abuse can lead to liver disease, cardiovascular problems, and neurological damage.

18.6 What are the long-term effects of cannabis abuse?

Long-term cannabis abuse may lead to respiratory issues, cognitive impairments, and cannabis use disorder.

18.7 Is it safe to drive under the influence of alcohol?

No, driving under the influence of alcohol is illegal and significantly increases the risk of accidents.

18.8 Is it safe to drive under the influence of cannabis?

No, driving under the influence of cannabis can impair cognitive function and reaction time, increasing the risk of accidents.

18.9 How does alcohol affect mental health?

Alcohol can exacerbate underlying mental health conditions such as depression and anxiety.

18.10 How does cannabis affect mental health?

Cannabis can induce anxiety, paranoia, and panic, especially in individuals predisposed to mental health issues.

19. Conclusion: Drawing Informed Comparisons

In conclusion, while both alcohol and cannabis have unique effects, risks, and benefits, they both require responsible and informed consumption. Alcohol is more socially accepted in many cultures but carries significant risks of addiction and long-term health issues. Cannabis, while showing therapeutic potential, is still subject to legal restrictions and carries its own set of potential risks. To make the best choices for your health and well-being, understanding these distinctions is critical.

Making informed decisions about substance use is crucial for a healthy and fulfilling life. At COMPARE.EDU.VN, we provide comprehensive comparisons to help you navigate complex choices.

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