Inventing our future Collective action for a sustainable economy

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Local Authority Male Female Male Female District Dacorum 3.3 1.0 7% East Hertfordshire 3.4 2.8 0% Hertsmere 3.6 2.1 7% Yes Yes North Hertfordshire 2.4 1.8 0% St. Albans 4.0 3.1 0% Yes Stevenage Yes Yes 2.4 -2.6 8% Yes Three Rivers 3.2 1.5 5% Yes Yes Watford Yes Yes 2.1 0.1 8% Yes Welwyn Hatfield 3.5 1.5 6% Yes Yes Breckland 2.4 1.6 6% Broadland 3.8 1.4 0% Great Yarmouth Yes 3.3 1.9 35% Yes Yes King’s Lynn & WNorfolk 2.8 2.3 29% Yes Yes North Norfolk 3.6 2.0 0% Norwich Yes 3.7 1.0 38% Yes South Norfolk 3.4 2.9 8% Babergh 3.6 2.4 0% Forest Heath 3.5 0.5 0% Ipswich 2.8 1.4 44% Mid Suffolk 3.0 3.0 0% St. Edmundsbury 3.3 2.1 0% Suffolk Coastal 2.2 2.0 0% Waveney 2.7 1.9 17% (Source: Data provided by ERPHO) Life expectancy significantly lower than regional average Average % increase in Life Expectancy 1991-2003 % wards in LAD whose rate of poor health is significantly higher than EoE average Socio-economic inequality in CHD Socio-economic inequality in cancer A Regional Health Strategy for the East of England 33
34 3.11 Looking together at Figure 3.6 and the six maps (which follow), several observations can be made: • There are a number of PCT areas which score consistently poorly on every measure. These include Great Yarmouth, Peterborough, Luton and Tendring. In these areas, the link between poverty, deprivation and poor health appears to be strong. This observation is confirmed by the data in Figure 3.6: in the main, life expectancy has increased more slowly than the regional average and there is a high local incidence of socio-economic inequality in both CHD and cancer • Conversely, there are several PCT areas which score consistently well on every measure: in South Cambridgeshire and St Albans and Harpenden, for example, the incidence of deprivation is low, people’s self-reported health is typically good and life expectancy is high for both females and males. Figure 3.6 also suggests that in these areas, life expectancy has increased at a faster rate than the regional average • There are other areas in which the picture is more mixed. Across much of the London fringe, for example, PCT areas score well in terms of measures from the Indices of Deprivation (ID) but these are not translated straightforwardly into good health outcomes. In part this may be explicable in terms of substantial local inequalities linked to the incidence of CHD and cancer. In Hertsmere and Three Rivers Local Authority Districts, for instance, Figure 3.6 suggests that the proportion of wards with a rate of poor health which is higher than the regional average is low but that there are sizeable socio-economic inequalities in both CHD and cancer. In both cases, rates of improvement in life expectancy have been close to the regional average. Figure 3.7: Child poverty Indices of Deprivation 2000 (ID 2000) PCT Weighted average ID 2000 Child poverty domain Weighted average of Child Poverty East of England: 24.7 34.7 to 42.5 (7) 24.7 to 34.7 (11) 18.5 to 24.7 (7) 9.8 to 18.5 (16) PCT Boundary SHA Boundary Source: erpho PCT Core Dataset 2003 Based on Ordnance Survey Material. © Crown Copyright. All rights reserved. Erpho 100040338 2003
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Inventing our future Collective act
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2 Foreword Welcome to the East of E
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Michael Allen East of England Envir
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Where are we now? The purpose of th
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Where are we now? The purpose of th
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Where are we now? Policy context 10
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Where are we now? Long-term trends
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Where do we want to be? 2.1 Vision
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Where do we want to be? Headline re
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In the future, people in business w
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Our future in the East of England,
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The best way to nurture gifted youn
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Managers need to embrace the idea o
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What do we need to change? 3.1 Ente
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Enterprise Enterprises are the hear
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What do we need to change? Enterpri
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Innovation Innovation - the success
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What do we need to change? Innovati
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Digital Economy Digital technologie
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What do we need to change? Digital
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Resource Efficiency Getting more fr
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What do we need to change ? Resourc
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What do we need to change ? Resourc
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What do we need to change? Skills f
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What do we need to change? Skills f
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What do we need to change? Economic
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What do we need to change? Economic
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Transport A transport system that e
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What do we need to change? Transpor
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What do we need to change? Transpor
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Spatial Economy High-quality and di
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What do we need to change? Spatial
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What do we need to change? Spatial
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What do we need to change? The spat
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How do we get there? 4.1 Leadership
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How do we get there? Leadership, go
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Our universities’ interaction wit
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Peterborough plays a significant ro
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We aim to make the East of England
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How do we get there? Monitoring Hea
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Indicators linked to RES goals Ente
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From soca to steel pan, mas to new
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Indicators linked to RES goals Reso
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Indicators linked to RES goals Tran
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How do we get there? Monitoring 2.
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Appendices 5.1 Underlying principle
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Appendices Underlying principles Su
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Appendices Underlying principles Su
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Appendices Key terms 145 5.2 Key te
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Appendices Key terms 147 Integrated
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Appendices Key terms 149 qualificat
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Appendices Acronyms 151 5.3 Acronym
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Appendices List of stakeholders inv
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Appendices List of stakeholders inv
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If you know anyone who needs this d
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‘OUR ENVIRONMENT, OUR FUTURE’ T
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CONTENTS 1 Introduction 11 1.1 Why
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Introduction 1.2 PURPOSE OF THE ENV
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The Landscape and Natural Environme
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The Historic and Built Environment
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The Historic and Built Environment
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Natural Resources • Surface Water
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Natural Resources Mineral extractio
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Meeting the Environmental Challenge
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Page 182 and 183: Meeting the Environmental Challenge
Page 190 and 191: The Way Forward 6.1 DELIVERING SUST
Page 192 and 193: The Way Forward SA11: Enhance biodi
Page 194 and 195: Appendix 1 - Bibliography Power of
Page 196 and 197: Appendix 3 - Other Regional Strateg
Page 200 and 201: HealthyFutures A Regional Health St
Page 202: HealthyFutures A Regional Health St
Page 206: Preface I am delighted to introduce
Page 209 and 210: 10 6 What actually determines the h
Page 211 and 212: 12 Delivering Healthy Futures 11 Gi
Page 214 and 215: 01 Introduction Chapter summary Hea
Page 216: What the Strategy does not address
Page 219 and 220: 20 2.5 Against this backdrop, the W
Page 221 and 222: 22 Figure 2.1: Sustainable Futures:
Page 224 and 225: 03 Describing the health of people
Page 226 and 227: Figure 3.2: Projected trends in old
Page 228 and 229: Figure 3.4: Trend in male life expe
Page 230 and 231: 3.7 In 2001, the incidence of all c
Page 234 and 235: Figure 3.8: Unemployment Index of M
Page 236 and 237: Figure 3.12: Male life expectancy M
Page 238: Conclusions 3.19 Across the East of
Page 241 and 242: 42 Figure 4.1: The main determinant
Page 243 and 244: 44 The changing experience of group
Page 245 and 246: 46 4.18 There is a direct relations
Page 247 and 248: 48 Working and learning environment
Page 249 and 250: 50 Access to health care and other
Page 251 and 252: 52 Diet ‘People in lower socio-ec
Page 253 and 254: 54 Figure 4.2: Summary table highli
Page 256: Section B: Healthy Futures: Regiona
Page 259 and 260: 60 5.4 Healthy Futures has a number
Page 261 and 262: 62 5.10 In response there is a need
Page 264 and 265: 06 Theme A: Health in Sustainable C
Page 266 and 267: • Acknowledge the potential links
Page 268 and 269: Sustainable transport and health -
Page 270 and 271: Timescale Suggested lead partner(s)
Page 272 and 273: 6.11 Against this backdrop, there i
Page 274 and 275: Young people, volunteering, social
Page 276 and 277: Timescale Suggested lead partner(s)
Page 278 and 279: 6.18 In addition, there are real op
Page 280: Timescale Suggested lead partner(s)
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84 Nationally, the early years work
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86 7.7 The agenda with regard to ch
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88 Strategic Priority 4: To ensure
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90 Strategic Priority 5: To encoura
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92 (iii) Issues relating to life-wo
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94 Strategic Priority 5: To encoura
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96 Strategic Priority 6: To support
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98 Town and Bridge Project: Improvi
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100 Strategic Priority 6: To suppor
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102
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104 people seeking asylum and refug
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106 Strategic Priority 8: To harnes
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108 Strategic Priority 9: To unders
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110 Strategic Priority 9: To unders
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112
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116 Figure 9.1: Delivering Healthy
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118 Strategy Date published 2004 20
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120
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122 Consultation process Overview O
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126 Links between Healthy Futures a
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128 • Improving the basic skill l
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130 C: Other PSA Targets (from SR20
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132 Active ageing This is defined b
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134 Social Capital Defined as ‘th
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136 Bibliography A Shared Vision: T
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138 The CHD National Service Framew
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Regional Housing Strategy for the E
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2 1 Foreword I am very pleased to i
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4 For the foreseeable future, most
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6 Recommendations for public invest
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8 8 Recommendations for public inve
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10 3.12 There are considerable diff
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12 Figure 1. Relationships between
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14 The regional strategic framework
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16 4.25 In preparing the East of En
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18 Each of these sub-regions has a
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20 5 More, sustainable housing prov
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22 Strategic policy: planning frame
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24 5.28 Partnering: the principle o
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26 5.40 EEDA, the development indus
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28 5.54 Local Authorities: local au
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30 5.62 EEDA has a key role to play
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32 6.10 Quality applies as much to
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34 6.31 The EERA/RHB must ensure th
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36 6.53 The EERA/RHB will encourage
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38 6.63 There are three levels of a
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40 Figure 8. Policy framework: hous
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42 7.10 Barriers to achieving more
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44 raising awareness of refugees as
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46 Providing mixed communities and
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48 Figure 10. Policy framework: pro
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50 Supply of affordable housing 7.5
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52 Homelessness 7.69 Rising levels
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54 Supporting people 7.82 ’Suppor
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56 7.95 There is a lack of detailed
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58 8.4 The most significant source
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60 8.14 The Decent Homes Standard i
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62 Disabled Facilities Grants 8.30
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64 recommended in national guidance
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66 Figure 17. Investment themes The
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68 Thematic targeting of investment
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70 Growth 8.61 Three of the Growth
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72 8.77 Similarly, although much pr
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74 8.94 This is not necessarily abo
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76 9 Implementation, managing and m
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78 Monitoring and review of the RHS
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80 Strategic risk Operational risk
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82 Action Regional housing provider
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84 10 Appendix Appendix 1 - deliver
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Regional Social Strategy the strate
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Regional Social Strategy - the stra
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6 Achievements of the strategy to d
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8 Achievements of the strategy to d
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10 Chapter 1 - Vision, aims & objec
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16 Chapter 2 - An overview of socia
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48 Chapter 3 - Effective interventi
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96 Glossary Glossary BME Black and
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98 Acknowledgements Acknowledgement
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Printed on 9lives 55 Silk; an FSC a
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Inventing our future Collective action for a sustainable economy

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