Guest editorial

Liz Breen (School of Pharmacy and Medical Sciences, University of Bradford, Bradford, UK)
Claire Hannibal (Liverpool John Moores University Faculty of Business and Law, Liverpool, UK)

Supply Chain Management

ISSN: 1359-8546

Article publication date: 6 September 2021

Issue publication date: 6 September 2021

1575

Citation

Breen, L. and Hannibal, C. (2021), "Guest editorial", Supply Chain Management, Vol. 26 No. 6, pp. 649-653. https://doi.org/10.1108/SCM-09-2021-642

Publisher

:

Emerald Publishing Limited

Copyright © 2021, Emerald Publishing Limited


Learning from the COVID-19 pandemic: Planning, controlling and driving change for greater resilience in supply chains

Introduction

The COVID-19 pandemic has challenged the fundamental principles of supply chain management as we research, teach and experience it unfolding. Its impact has been widespread and damaging to all aspects of our lives and the global economy. We have chosen to learn more from our experiences (both positive and negative) during this time, hence the focus of this Special Issue, Learning from the Covid-19 Pandemic: Planning, controlling and driving change for greater resilience in supply chains.

For decades, supply chain scholars and practitioners have diligently explored options for supply chain design and delivery to advance our knowledge of manufacturing and service supply chain management (Gremyr and Halldorsson, 2021): outsourcing (Tsay et al., 2018), offshoring, reshoring and right-shoring (Hilletofth et al., 2019), going global (Olivares Tenorio et al., 2021), staying local (Loiseau et al., 2020), just in time (Fraser, 2020) and just in case (Yoon et al., 2018). As a community, we are also very familiar with our pursuits to fully understand supply chain resilience, responsiveness, agility and vulnerability (Yaroson et al., 2021; Scholten et al., 2019; Hendry et al., 2019; Mehralian et al., 2015; Day, 2014; Christopher and Peck, 2004). However, the pandemic has forced us to re-evaluate this. Resilience post COVID-19 is much sought after and has fostered a contemporary and novel research agenda, bringing together experts, knowledge and experience from multi-disciplinary strands to examine all aspects of service and manufacturing supply chain literature and practice (van Hoek, 2020; Nyoman Pujawan and Bah, 2021; Singh et al., 2021).

Ingenuity and versatility have been critical to ensure business viability and supply chain continuity. Being able to innovate and adapt quickly were seen not only in the immediacy of the pandemic but also in the medium-to-long term. Much needs to be done to consolidate this learning and use this to design resilience and flexibility into our supply chains. Examples of excellent practice are widespread, such as the ability of companies to digitalise and localise, becoming more agile and responsive to secure business sustainability (Nandi et al., 2021; McKinsey.com, 2021), adopting new positions in supply chains, establishing new distribution networks (Stoll et al., 2021) and managing business relationships (Mitręga and Choi, 2021). Brewdog, the beer manufacturer, was one of the companies cited early for repurposing their manufacturing capacity/capability to produce hand sanitizer (Shrieberg, 2020; Butler, 2020). Innovation in the form of fast-tracking manufacturing capability and vaccine creation also demonstrated how effectively resources and intelligence can be marshalled in times of crisis (Davis, 2020).

In 2020/2021, partnerships and alliances came to the fore as businesses struggled to survive in a declining global economy. The complexity of supply chains and relationships has always been an area of research interest (Kalra et al., 2021; Aitken et al., 2021; Wang et al., 2016; Childerhouse et al., 2013) and this intensified during the COVID-19 pandemic. As a response to globalisation, supply chains were proactively designed to give businesses new markets and opportunities yet during the pandemic this strategy left many open to vulnerability (Goodman and Chokshi, 2021). Countries struggled to cope with the onslaught of the pandemic, as well as other supply chain disruptions such as Brexit and the grounding of the Ever Given in the Suez Canal, reminding us of the constant challenges to our supply chains.

Within the pharmaceutical supply chain, the threat of overreliance on countries such as India and China for pharmaceutical production was very real and prompted supply chain design recalibration (Rapoza, 2020; Wilkinson, 2019). China produces up to 80% of the world’s basic ingredients for manufacturing antibiotics (Oxford University, 2020) but the production index in February 2020 was 27.8%, reduced from 51.3% in the preceding month (National Bureau of Statistics of China, 2020). Innovative partnering was seen between pharmaceutical manufacturers working together to produce the COVID-19 vaccines to meet global demand (Irwin, 2021). This partnering extended to competing companies within supply chains working to a common agenda, previously seen in other crisis-focussed supply chains (e.g. humanitarian operations, Schiffling et al., 2020) and demonstrated by pharmaceutical giants such as Merck, Johnson & Johnson, Novartis, GlaxoSmithKline and Sanofi (Irwin, 2021).

Our health-care supply chains were met with unprecedented demand for their services during the pandemic. The coronavirus impact on patients and our workforce was severe with global estimates of 185,291,530 cases and 4,010,834 deaths as reported by the World Health Organisation, July 9th, 2021 (WHO, 2021). A larger workforce was needed to respond to the increasing demand for COVID-19 patient care, emergency cases and business as usual. However, a shortage of ventilators, personal protective equipment (PPE), medicines, oxygen and other medical equipment prevented them from safely doing so (Medicins Sans Frontieres, 2021; Cohen and van der Meulen Rodgers, 2020; Gondi et al., 2020). This caused immense pressure within healthcare systems at the time and reinforces the need to build resilience within our health-care supply chains.

About this special issue

In response to the COVID-19, the motivation for this special issue was to collate a state-of-the-art collection of empirical studies. Our selection of papers is based on research undertaken at a time of global crisis and offers a repository of knowledge from high quality research studies with a broad range of research methodology, sectors, practical learning and theoretical contribution.

We received a high number of submissions to this special issue, further illustrating the importance and timeliness of the topic. It is hoped that this special issue will provide a reference point and solid foundation for further work on the COVID-19 pandemic and supply chains and on supply chain disruption more broadly. The need to understand response and preparedness for global supply chain disruptions is at the heart of this collection. It provides the basis for grounded theory development of supply chain resilience/preparedness in times of crisis, supporting further exploration of lives and livelihoods, as well as social and economic recovery post pandemic.

In this Special Issue, we have selected eight papers focussing on resilience, sourcing, agility, responsiveness and learning. The studies are timely, data driven and offer important contributions to theory and practice by drawing on research situated in the UK, USA, Austria, Brazil, Australia, India, China and Thailand. The complementary mix of research and insights from industry offer a state-of-the-art portfolio incorporating new and fresh perspectives on how supply chains survived, and for some thrived, in this tumultuous period in 2020/2021. The articles present a lens through which we can gain greater insights into real time business activity that we are not always privileged to see. The impact of the COVID-19 pandemic is explored in manufacturing and service supply chains in multiple sectors, including healthcare, food, medical technology, coffee, PPE, automotive, DIY and logistics.

Summary of articles:

Article 1: Supply chain resilience during pandemic disruption: Evidence from healthcare

The paper offers in-depth insight into the resilience of public sector health-care supply chains when faced with disruption due to the COVID-19 pandemic. In this context a shortage of resources puts lives at risk. This study focuses on the PPE health-care supply chain in Scotland. A country level exploratory case study research design is used to examine four phases of resilience: readiness, response, recovery and growth. The study finds that whilst individual tiers of the supply chain had limited visibility, overall, it demonstrated resilience due to resilient nodes in the chain. These resilient nodes were developed through organisational readiness, response to disruption, ability to create redundancy through make or buy strategies and flexibility in identifying new suppliers as the pandemic unfolded. The paper concludes by offering lessons learned, which highlight how pre-existing collaborative relationships do not necessarily improve visibility during supply chain disruption, how multi-agency collaboration is crucial to developing resilience during a pandemic response and how a specific focus on the well-being of health-care staff is required to build supply chain resilience by mitigating staff burnout.

Article 2: towards more balanced sourcing strategies – Are supply chain risks caused by the COVID-19 pandemic driving reshoring considerations?

In examining reshoring as a strategy to mitigate risk in the context of the COVID-19 pandemic, this paper offers state-of-the-art insight from senior supply chain managers as they engage in reshoring decision making. The study uses experiential knowledge capture to portray the real time decisions made by three manufacturing companies headquartered in the USA and shows how all of them were considering reshoring in 2020. Findings show how consideration for reshoring was not only driven by tariffs and supply chain risk management, but also by market growth and the faster delivery times desired by customers. By documenting the steps in the reshoring process (trigger events, reshoring decision making and reshoring implementation) and time horizons, the study shows how challenges associated with supply chain risk and logistical bottlenecks triggered reshoring considerations. Short-term decisions included opportunities for rapidly switching sources to ensure supply (both offshore and in the USA), medium-term decisions focussed on collaborating more closely with existing suppliers and identifying new suppliers, and a longer-term strategy considered moving away from global sourcing by evaluating near and local sourcing options. Each of these options involves different forms of supplier collaboration depending on whether the focus is dyadic or goes beyond the dyad.

Article 3: Supply chain agility for coping with unprecedented changes: Empirical evidence from the UK food supply chain during the COVID-19 crisis

This paper investigates how the UK food supply chain has responded with remarkable speed to COVID-19 supply chain disruptions; disruptions that initially caused widespread consumer panic buying. In adopting an exploratory case study research design, the study examines the agile responses of three food supply chains: meat, fresh vegetables and bread. Agile responses are theoretically framed as dynamic capabilities, specifically sensing and seising capabilities. Findings show how the supply chains used sensing capabilities by understanding two sources of change: Labour and demand. In consequence, threats were mitigated, and opportunities leveraged by acquiring, combining and modifying resources. The study documents how each supply chain operationalised supply chain agility practices and provides insight into which of these practices may endure post-pandemic. The study develops a dynamic capability framework for the operationalisation and advancement of supply chain agility in times of crisis. The framework includes a “sustain” capability to sustain positive changes once the crisis has diminished to leverage sensing and seising capabilities and translate these into transforming capabilities.

Article 4: the power of purpose – lessons in agility from the ventilator challenge

Focussing on ventilator supply in response to increasing demand due to the COVID-19, this study empirically examines agile procurement in times of crisis. It examines the UK “Ventilator Challenge” whereby, in response to a call for assistance from the government, a consortium of UK engineering and technology companies from the aerospace, automotive and medical sector collaborated to produce 30,000 ventilators in eight weeks. The case study documents the extraordinary effort of all involved and demonstrates how production was dramatically increased in an extremely short time period against a backdrop of unprecedented uncertainty, and thus challenges the received wisdom regarding agile supply chain management. Interviews were conducted with senior managers across the consortium, and challenges and enablers to the “Ventilator Challenge UK” identified. The findings show how, against the backdrop of the pandemic, supplier selection prioritised speed over all other criteria. Technology and culture and environment were also established as crucial, and the study highlights the importance of human-centric operations in times of disruption.

Article 5: COVID-19 and the pursuit of supply chain resilience: reactions and “lessons learned” from logistics service providers

The focus of this paper is the resilience of logistics service providers (LSPs) in response to the COVID-19. By drawing on interviews with LSPs operating in Austria, the study provides insights into the often-precarious position that many LSPs experienced during the initial outbreak of the COVID-19 pandemic, and the steps that they took to survive in the short term and build resilience over the longer term. The study analyses LSP actions and reactions to the pandemic and categorises these as follows: Create revenue streams, enhance operational flexibility, enforce digitalisation and data management, optimise logistics infrastructure and capacity and optimise personnel capacity. This categorisation is then used to develop an LSP Resilience Framework. The paper discusses the lessons learned by LSPs with respect to transport, personnel and organisational response. These lessons learned provide practical insights into how LSPs built resilience in the short and longer term and offers suggestions as to how supply chains can manage the downsides and leverage the upsides of external shocks characterised by low probability and high impact.

Article 6: Supply chain sustainability learning: the COVID-19 impact on emerging economy suppliers

This paper examines the impact of the COVID-19 on supply chain sustainability learning by focussing on export-oriented Brazilian coffee producers. The study poses questions investigating how sustainability initiatives are impacted by the COVID-19, and how supply chain sustainability learning is experienced by emerging economy suppliers during a pandemic. A multi-case study research design is used to collect data through semi-structured interviews with Brazilian coffee farmers during three scenarios: firstly, prior to the pandemic; secondly, during the period in which COVID-19 spread to coffee buyers and finally when the pandemic spread to Brazil. By comparing sustainability initiatives during the three scenarios the study shows how suppliers are responding to environmental changes and how their sustainability initiatives have evolved. Social sustainability is shown to have received more attention in response to COVID-19 and the study demonstrates how emerging economy global suppliers adapted their sustainability learning orientation due to the disruption caused by an unprecedented event. The study finds that a balance between exploitation and exploration learning capabilities is required to achieve a long-term sustainability perspective.

Article 7: COVID-19 response of an additive manufacturing cluster in Australia

This study focuses on the PPE supply chain in Australia and examines the formation and development of a geographical cluster that used additive manufacturing to respond to the PPE supply crisis. A supply chain complexity lens is used to frame the study to analyse barriers and enablers to the operation. Longitudinal case study data are presented that were collected over three stages: pre supply chain disruption, during supply chain disruption and post major supply chain disruption. Findings show how the cluster transformed from a loosely constructed arrangement into a dynamic and highly focussed network to produce PPE. The challenges experienced by members of the cluster, relationship inter-dependence and governance are discussed. Further, the nature of exchanges between the organisations involved in the cluster before, during and after the major supply chain disruption caused by COVID-19 were found to have changed significantly in terms of structural, socio-political and emergent dimensions.

Article 8: Role of digital technologies in supply chain resilience for emerging markets’ automotive sector

Focussing on the automotive industry, this study examines the role of digital supply chain technologies in supply chain resilience activities to improve supply chain performance. A survey was used to explore the performance of automotive supply chains, with the sample comprising original equipment manufacturers, tier-1 component manufacturers and lead logistics providers in Asia-Pacific emerging markets. The findings highlight the importance of digital supply chain technologies in improving supply chain performance during periods of disruption and particularly when human interaction is difficult. Business continuity is identified as an important driver for the introduction of digital supply chain technologies. Monetising the payback of such technologies has historically proven difficult. However, the findings show how benefits identified during the pandemic period have provided a more robust justification for the investment required. The study finds that adapting digital supply chain technologies influenced resilience practices to improve supply chain performance objectives during periods of supply chain disruption. In emerging markets in the automotive sector, the data show how the implementation of such technologies facilitates data sharing, speeds up transactions and facilitates supply chain recovery.

Summary

The collection of empirical studies in this special issue provides an exemplar foundation for further work advancing how planning, controlling and driving change in our supply chains can result in enhanced resilience. The special issue has been developed as the COVID-19 pandemic continues to unfold, and hence further future reflections will be necessary. We do hope, however, that the learning from the papers in this special issue will prove fruitful as we continue to develop our understanding of supply chain resilience during periods of uncertainty. We encourage academics and practitioners to continue to challenge received wisdom and to push the boundaries of supply chain management research in developing relevant theory and the continuous improvement of practice.

References

Aitken, J., Esain, A.E. and Williams, S. (2021), “Management of complexity in the care ecosystem”, Supply Chain Management: An International Journal, Vol. 26 No. 4, pp. 481-494.

Butler, S. (2020), “BrewDog begins making hand sanitizer amid shortages in UK”, available at: www.theguardian.com/business/2020/mar/18/brewdog-begins-making-hand-sanitiser-shortages-uk (accessed 1 July 2021).

Childerhouse, P.H.J., Ahn, H.J., Basnet, C., Luo, W. and Vossen, G. (2013), “Logistical service provider triadic relational dynamics”, International Journal of Industrial Engineering, Vol. 20 Nos 1/2, pp. 126-140.

Christopher, M. and Peck, H. (2004), “Building the resilient supply chain”, The International Journal of Logistics Management, Vol. 15 No. 2, pp. 1-14.

Cohen, J. and van der Meulen Rodgers, Y. (2020), “Contributing factors to personal protective equipment shortages during the COVID-19 pandemic”, Preventive Medicine, Vol. 141, p. 106263.

Davis, N. (2020), “How has a covid vaccine been developed so quickly”, available at: www.theguardian.com/society/2020/dec/08/how-has-a-covid-vaccine-been-developed-so-quickly (accessed 10 December 2020).

Day, J.M. (2014), “Fostering emergent resilience: the complex adaptive supply network of disaster relief”, International Journal of Production Research, Vol. 52 No. 7, pp. 1970-1988.

Fraser, E. (2020), “Coronavirus: the perils of our ‘just enough, just in time’ food system”, available at: https://theconversation.com/coronavirus-the-perils-of-our-just-enough-just-in-time-food-system-133724 (accessed 20 March 2020).

Gondi, S., Beckman, A.L., Deveau, N., Raja, A.S., Ranney, M.L., Popkin, R. and He, S. (2020), “Personal protective equipment needs in the USA during the COVID-19 pandemic”, The Lancet, Vol. 395 No. 10237, pp. 90-91.

Goodman, P.S. and Chokshi, N. (2021), “How the world ran out of everything”, available at: www.nytimes.com/2021/06/01/business/coronavirus-global-shortages.html (accessed 4 July 2021).

Gremyr, I. and Halldorsson, A. (2021), “Guest editorial”, Supply Chain Management: An International Journal, Vol. 26 No. 3, pp. 297-306.

Hendry, L.C., Stevenson, M., MacBryde, J., Ball, P., Sayed, M. and Liu, L. (2019), “Local food supply chain resilience to constitutional change: the Brexit effect”, International Journal of Operations & Production Management, Vol. 39 No. 3, pp. 429-453.

Hilletofth, P., Eriksson, D., Tate, W. and Kinkel, S. (2019), “Right-shoring: making resilient offshoring and reshoring decisions”, Journal of Purchasing and Supply Management, Vol. 25 No. 3, p. 100540.

Irwin, A. (2021), “What it will take to vaccinate the world against COVID-19”, available at: www.nature.com/articles/d41586-021-00727-3 (accessed 25 March 2021).

Kalra, J., Lewis, M. and Roehrich, J.K. (2021), “The manifestation of coordination failures in service triads”, Supply Chain Management: An International Journal, Vol. 26 No. 3, pp. 341-358.

Loiseau, E., Colin, M., Alaphilippe, A., Coste, G. and Roux, P. (2020), “To what extent are short food supply chains (SFSCs) environmentally friendly? Application to French apple distribution using life cycle assessment”, Journal of Cleaner Production, Vol. 276, p. 124166.

McKinsey.com (2021), “COVID-19: implications for business”, available at: www.mckinsey.com/business-functions/risk/our-insights/covid-19-implications-for-business# (accessed 25 March 2021).

Medicins Sans Frontieres (2021), “Gasping for air. The deadly shortages in medical oxygen for COVID-19 patients”, MSF Briefing Paper. May 2021, available at: www.msf.org/sites/msf.org/files/2021-05/Gasping%20for%20Air-The%20deadly%20consequences%20of%20oxygen%20shortages_2021.pdf (accessed 10 July 2021).

Mehralian, G., Zarenezhad, F. and Ghatari, A.R. (2015), “Developing a model for an agile supply chain in pharmaceutical industry”, International Journal of Pharmaceutical and Healthcare Marketing, Vol. 9 No. 1, pp. 74-91.

Mitręga, M. and Choi, T.M. (2021), “How small-and-medium transportation companies handle asymmetric customer relationships under COVID-19 pandemic: a multi-method study”, Transportation Research Part E: Logistics and Transportation Review, Vol. 148, p. 102249.

Nandi, S., Sarkis, J., Hervani, A.A. and Helms, M.M. (2021), “Redesigning supply chains using blockchain-enabled circular economy and COVID-19 experiences”, Sustainable Production and Consumption, Vol. 27, pp. 10-22.

National Bureau of Statistics of China (2020), “Purchasing Managers Index for February 2020”, National Bureau of Statistics of China [Press Release], Department of Service Statistics of NBS, Beijing, available at: www.stats.gov.cn/english/PressRelease/202003/t20200302_1729254.html (accessed 1 July 2021).

Nyoman Pujawan, I. and Bah, A.M. (2021), “Supply chains under COVID-19 disruptions: literature review and research agenda”, Supply Chain Forum: An International Journal, doi: 10.1080/16258312.2021.1932568.

Olivares Tenorio, M.L., Pascucci, S., Verkerk, R., Dekker, M. and van Boekel, T.A.J.S. (2021), “What does it take to go global? The role of quality alignment and complexity in designing international food supply chains”, Supply Chain Management: An International Journal, Vol. 26 No. 4, pp. 467-480.

Oxford University (2020), “The economic impact of COVID-19”, available at: www.research.ox.ac.uk/article/2020-04-07-the-economic-impact-of-covid-19 (accessed 4 July 2021).

Rapoza, K. (2020), “Why is the U.S. So ridiculously dependent on China?”, available at: www.forbes.com/sites/kenrapoza/2020/04/30/why-is-the-us-is-so-ridiculously-dependent-on-china/?sh=1b95541e56b5 (accessed 2 May 2021).

Schiffling, S., Hannibal, C., Fan, Y. and Tickle, M. (2020), “Coopetition in temporary contexts: examining swift trust and swift distrust in humanitarian operations”, International Journal of Operations & Production Management, Vol. 40 No. 9, pp. 1449-1473.

Scholten, K., Scott, P.S. and Fynes, B. (2019), “Building routines for non-routine events: supply chain resilience learning mechanisms and their antecedents”, Supply Chain Management: An International Journal, Vol. 24 No. 3, pp. 430-442.

Shrieberg, F. (2020), “These UK and US distilleries are making and donating hand sanitizer”, available at: www.forbes.com/sites/felipeschrieberg/2020/03/17/these-uk-and-us-distilleries-are-making-and-donating-hand-sanitizer/?sh=6b89587a7bc9#%20540c95747bc9 (accessed 20 March 2020).

Singh, S., Kumar, R., Panchal, P. and Tiwari, M.K. (2021), “Impact of COVID-19 on logistics systems and disruptions in food supply chain”, International Journal of Production Research, Vol. 59 No. 7, pp. 1993-2008.

Stoll, J.S., Harrison, H.L., De Sousa, E., Callaway, D., Collier, M., Harrell, K., Jones, B., Kastlunger, J., Kramer, E., Kurian, S., Lovewell, M.A., Strobel, S., Sylvester, T., Tolley, B., Tomlinson, A., White, E.R., Young, T. and Loring, P.A. (2021), “Alternative seafood networks during COVID-19: implications for resilience and sustainability”, Frontiers in Sustainable Food Systems, Vol. 5, p. 97.

Tsay, A.A., Gray, J.V., Noh, I.J. and Mahoney, J.T. (2018), “A review of production and operations management research on outsourcing in supply chains: implications for the theory of the firm”, Production and Operations Management, Vol. 27 No. 7, pp. 1177-1220.

Van Hoek, R. (2020), “Research opportunities for a more resilient post-COVID-19 supply chain – closing the gap between research findings and industry practice”, International Journal of Operations & Production Management, Vol. 40 No. 4, pp. 341-355.

Wang, B., Childerhouse, P., Kang, Y., Huo, B. and Mathrani, S. (2016), “Enablers of supply chain integration: interpersonal and interorganizational relationship perspectives”, Industrial Management & Data Systems, Vol. 116 No. 4, pp. 838-855.

Wilkinson, E. (2019), “India and China spark concerns for UK drug supplies”, available at: https://pharmaceutical-journal.com/article/feature/india-and-china-spark-concerns-for-uk-drug-supplies (accessed 12 June 2021).

World Health Organisation (2021), “Coronavirus (COVID-19) dashboard”, available at: https://covid19.who.int/ (accessed 9 July 2021).

Yaroson, E.V., Breen, L., Hou, J. and Sowter, J. (2021), “Advancing the understanding of pharmaceutical supply chain resilience using complex adaptive system (CAS) theory”, Supply Chain Management: An International Journal, Vol. 26 No. 3, pp. 323-340.

Yoon, J., Narasimhan, R. and Kim, M.K. (2018), “Retailer’s sourcing strategy under consumer stockpiling in anticipation of supply disruptions”, International Journal of Production Research, Vol. 56 No. 10, pp. 3615-3635.

About the authors

Dr Liz Breen is a Reader in Health Service Operations at the University of Bradford School of Pharmacy and Medical Sciences, where she is also the Director of the Digital Health Enterprise Zone. Her research expertise resides in healthcare supply chain improvement, with particular focus on the pharmaceutical supply chain and patient safety. Recent projects include an exploration of the COVID-19 vaccine supply chain, pharmaceutical supply chain disruptions and resilience and access to medicines for end-of-life care.

Professor Claire Hannibal is a Professor of Operations Management at Liverpool John Moores University where she is also Associate Dean for Research and Knowledge Exchange in the Faculty of Business and Law. Her research interests lie in supply chain performance improvement, particularly in how supply chains can create value in public sector and non-profit contexts. Recent work has focussed on humanitarian supply chains and strategies for improving supply chain performance in disaster relief.

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