Your lungs enlarge to compensate, but there are limits to this. You can be safe in the knowledge that associating with a COPD patient will not put you at risk. Emphysema and COPD affect not only life span, but also a person’s quality of life. MNT is the registered trade mark of Healthline Media. There are two types of bronchitis: Acute bronchitis is ussually caused by a viral infection and may begin after a cold. However, there are some risks involved, such as the chance of infection. A protein called alpha-1 antitrypsin helps protect your alveoli from getting damaged by a specific enzyme in your body. COPD is a progressive disease. This blocks airways, making breathing difficult. In some cases, a higher risk for the disease can also be passed on hereditarily in the form of a protein deficiency. It should not be used for medical advice, diagnosis or treatment. The type does not affect the outlook and treatment. Symptoms include breathing difficulty, cough, mucus (sputum) production and wheezing. Drinking plenty of water and taking complete rest is the most common and useful treatment method. Emphysema is a type of COPD. Emphysema is one of these conditions. In people with emphysema, the lung tissue involved in the exchange of gases (oxygen and carbon dioxide) is impaired or destroyed. Asthma is a chronic condition but is not contagious. Emphysema is not a contagious disease, so it is not spread between people. Pulmonary rehabilitation is a program of care that encourages people with emphysema to learn about and manage their condition. The tube is attached to a machine that measures the volume and speed of the air that they blow out. How do you define effective chronic pain treatment? People can take steps to manage their symptoms, improve their quality of life, and slow the progression of emphysema. There are two main forms of COPD: Chronic bronchitis, which involves a long-term cough with mucus, and Emphysema, which involves destruction of the lungs over time Most people with COPD have a combination of both conditions. However, up to 25% of people with COPD have never smoked. They can: Spirometry is one type of lung function test. Is bronchiectasis worse than emphysema, or different?” Jean, 76. Emphysema is a long-term, progressive disease of the lungs that primarily causes shortness of breath due to over-inflation of the alveoli (air sacs in the lung). As always, you should consult with your healthcare provider about your specific health needs. In addition, not all people who smoke develop emphysema. It is not contagious when a person starts a course of antibiotics. However, as the condition progresses, they can also start to happen during rest. Surgical treatment by cutting out damaged portions of the lungs and reducing lung volume is also effective. Important: This content reflects information from various individuals and organizations and may offer alternative or opposing points of view. People with COPD are at increased risk of developing heart disease, lung cancer and a variety of other con… The test measures the forced expiratory volume in 1 second (FEV1). Emphysema is a lung condition that causes shortness of breath. Find out more about the causes, symptoms…, Centrilobular emphysema is a form of emphysema where the damage begins in the central lobes of the lungs and spreads outward. People with severe emphysema may sometimes need to undergo surgery to remove damaged lung tissue and reduce large spaces that develop in the lungs due to the condition. This is why, it becomes essential that such infections are treated at the earliest. Treatment may also change over time and as the condition progresses. All rights reserved. The main medications for emphysema are inhaled bronchodilators, which can help relieve symptoms. There is currently no cure, but quitting smoking can help improve the outlook. Keep reading to learn more about emphysema, including the causes, symptoms, and treatment options. Learn about supplements…, © 2004-2021 Healthline Media UK Ltd, Brighton, UK, a Red Ventures Company. Emphysema is not contagious. Smoking is usually the cause, as it damages the linings of the air sacs in the lungs making them close. Other causes may include coal dust and other pollutants. The 2 most common conditions of COPD are chronic bronchitis and emphysema. Emphysema is one of the several diseases known collectively as chronic obstructive pulmonary disease (COPD). Last medically reviewed on September 29, 2020, Emphysema and chronic bronchitis are both respiratory conditions that fall under the classification of chronic obstructive pulmonary disease, or COPD…, COPD is a serious lung condition that includes a number of conditions. Chronic Obstructive Pulmonary Disease (COPD) is one of the most common lung diseases. Learn more about the relationship between COPD and diet, including best foods…, Although there is no cure for chronic obstructive pulmonary disease (COPD), several supplements may help ease the symptoms. How effective are steroid injections for regular relief of arthritic pain. This means that there is a smaller surface area for the lungs to take oxygen into the blood and remove carbon dioxide from the body. They urge people with COPD to familiarize themselves with the symptoms of COVID-19. Some types of pneumonia are extremely contagious while others are not contagious at all. These options may include: The outlook for a person with emphysema will depend on individual factors and how well they manage their condition. According to the National Heart, Lung, and Blood Institute, COPD can progress quickly in people with alpha-1 antitrypsin deficiency who also smoke. It begins with a dry cough. This leads to areas of trapped air in your lungs. Pulmonary emphysema is part of a group of lung diseases called COPD (chronic obstructive pulmonary disease). The causes include smoking, lung irritants, and genetics. At first, a person may notice these symptoms during physical exertion. Pneumonia is an infection in one or both lungs. Treatment cannot cure emphysema, but it can help: Supportive therapy includes oxygen therapy and help with quitting smoking. They relax and open the airways, making it easier for a person to breathe. Generally, the stages are based on a combination of airflow limitation, symptoms, and exacerbations. This damage is permanent and irreversible, but there are ways of managing the condition. Most URIs are highly contagious; anyone with a cold or the flu should avoid close personal contact until symptoms subside. Based on FEV1, the stages are as follows: The stages help describe the condition, but they cannot predict how long a person is likely to survive. Has the pandemic shifted traditional gender roles in childcare? Transplantation of one or both lungs can improve a person’s quality of life. A doctor will carry out a physical examination and ask about the person’s symptoms, lifestyle habits, and medical history. Other treatment options can help during a flare-up or if complications arise. Pneumonia can also be caused by inhaling a liquid or chemical. These can resemble the symptoms of COPD and emphysema. After a few days it progresses to a productive cough. A healthcare provider will help the person decide whether or not surgery is a good idea for them. An empyema is a condition in which pus collects in the pleural space, which is the area between your lungs and the inner surface of your chest wall. Seeking early treatment and taking measures to manage the condition can help enhance a person’s health and well-being and may improve their life span. Talking to Your Doctor About Rheumatoid Arthritis, There are a number of illnesses that may affect your emphysema by making symptoms worse. In people with emphysema, the air sacs in the lungs (alveoli) are damaged. The inhaler delivers the following bronchodilators: If a person uses them regularly, these options can improve lung function and increase exercise capacity. What is pulmonary interstitial emphysema (PIE) in babies? People should also ensure that they meet with their healthcare provider regularly and receive their routine vaccinations, including those for flu and pneumonia. Chronic, which isn't contagious but means your airways are inflamed for a long time with symptoms that last at least 3 months and recurring over 2 years. People should discuss the most suitable options with their healthcare provider. Emphysema is not contagious. In the United States, around 3.8 million people (1.5% of the population) have received a diagnosis of emphysema. Typically, the disease occurs when the immune system overreacts, forming small clusters of abnormal cells called granulomas. The walls of the air sacs break down or are destroyed, narrowed, collapsed, stretched, or over-inflated. Various devices are available, including large tanks for home use and portable oxygen kits for traveling. However, not everyone who is exposed to the germs that cause pneumonia will develop it. Bronchiectasis is not the same as COPD or asthma. Emphysema is a type of chronic obstructive pulmonary disease (COPD). Asthma sufferers commonly develop COPD symptoms. COPD lung diseases cause airflow blockage and breathing problems. It may be that genetic factors make some people more susceptible to the condition. Emphysema is a type of COPD, and there are different types of emphysema, depending on which part of the lungs it affects. How is it Treated. You can't develop it from coming in physical contact with someone else who has it. ; There are also less common genetic causes of emphysema including alpha-1 antitrypsin deficiency. A: People with COPD may have exacerbations caused by respiratory infections that may be contagious. It's caused by long-term exposure to irritating gases or particulate matter, most often from cigarette smoke. This is distinct from…, A healthful diet can help people with COPD to manage the condition. People often ask if bronchiectasis is the same as the smoking related lung disease COPD, and people who have bronchiectasis are often upset and frustrated that others assume smoking has caused the problems with their lungs. Learn more here. A person should contact their doctor if they have any unusual symptoms or a high fever. If the person has never smoked but appears to have emphysema, the doctor may suggest testing for an alpha-1 antitrypsin deficiency. It makes it difficult to breathe. But people who have respiratory infections without COPD is also contagious. They recommend taking full precautions to avoid exposure to the virus, including: The Global Initiative for Chronic Obstructive Lung Disease sets out the stages of COPD. Emphysema is difficulty breathing due to air trapped in the lung, resulting in reduced lung capacity. Emphysema is difficulty breathing due to air trapped in the lung, resulting in reduced lung capacity. Other causes appear to be genetic factors, such as an alpha-1 antitrypsin deficiency, and exposure to environmental irritants, including secondhand smoke, workplace pollutants, air pollution, and biomass fuels. Other tests include imaging, such as a chest X-ray or CT scan of the lungs, and arterial blood gas analysis, to assess oxygen exchange and carbon dioxide levels. Asthma can be triggered by many things, including pollen and stress and usually requires medical treatment to keep flare-ups under control. The bacteria can also survive on … There is no cure for COPD or emphysema. However, you can develop the disease as a result of secondhand smoke, which means if you live with a smoker or spend a lot of time with people who smoke, you … It is neither bacterial or viral; it is not something you can catch. The most common symptoms of COPD (which includes emphysema) are shortness of breath, chronic cough, and sputum production. ; The primary symptom of emphysema is … Emphysema is not contagious. They may also recommend tests to confirm the diagnosis and rule out other conditions. Viral infections cannot be treated by antibiotics. It results from years of smoke inhalation and is defined by a chronic cough and airflow obstruction. A lung infection is not contagious in itself, but certain causal organisms that lead to such infections can be passed on to others through physical contact. People with small airways in proportion to their lung size may be more at risk than those with wider airways, according to a 2020 study. Pneumonia is an infection that causes the air sacs in one or both lungs to fill with fluid or pus. Is COPD Contagious? Emphysema is not contagious. Most URIs are highly contagious. FEV1 determines the stages of emphysema. With emphysema, lung tissue loses elasticity, and the air sacs and alveoli in the lungs become larger. There are two basic types of bronchitis: Chronic bronchitis is defined as cough productive of sputum that persists for three months out of the year for at least two consecutive years. However, you can develop the disease as a result of secondhand smoke, which means if you live with a smoker or spend a lot of time with people who smoke, you are at higher risk of developing emphysema. Some people use oxygen overnight, for example. Other causes may include coal dust and other pollutants. ; Smoking is the primary cause of emphysema, which makes it a preventable illness. It may be that genetic factors make some people more susceptible to the condition. Avoiding or quitting smoking is the best way to prevent emphysema from developing or getting worse. Emphysema is a destructive disease of the lung in which the alveoli (small sacs) that promote oxygen exchange between the air and the bloodstream are destroyed. Intimate links between diet, gut microbes, and health identified, First wave of COVID-19 linked to spike in cardiovascular deaths, Vaccines and COVID-19: The latest hopeful research, The difference between COPD and emphysema, What to know about centrilobular emphysema, wheezing and a whistling or squeaky sound when breathing, worsening symptoms, including shortness of breath, mucus production, and wheezing, blue-tinged lips or fingernail beds, or cyanosis, due to a lack of oxygen, frequently washing the hands and encouraging others to do the same, avoiding people who may have had contact with the virus, wearing a face covering such as a mask in public places, maintaining at least a 30-day supply of medication, keeping a stock of household necessities, including food and other basics, checking with local providers about plans to maintain oxygen supplies, boost a person’s overall health and well-being, beta-agonists, which relax bronchial smooth muscle and help clear mucus, anticholinergics, or antimuscarinics, such as albuterol (Ventolin), which relax bronchial smooth muscle, avoiding places where there are air pollutants, if possible, following or developing an exercise program, oxygen therapy, to relieve worsening symptoms, corticosteroid drugs, to reduce inflammation, other medications, to relieve severe coughing and pain, panlobular emphysema, which affects both the paraseptal and centrilobular areas of the lungs, establishing and maintaining a moderate weight, taking steps to prevent infection, such as receiving routine vaccinations. Chronic obstructive pulmonary disease (COPD) is a chronic inflammatory lung disease that causes obstructed airflow from the lungs. Is it contagious? This all depends on the type of pneumonia that the affected individual has. Pneumonia can be caused by bacteria, viruses or fungi. Lung function tests measure the lungs’ capacity to exchange respiratory gases. Pneumonia caused by bacteria or viruses can be contagious when the disease-carrying organisms are breathed into your lungs. Windowofworld.com - Having too many lung infections can increase your risk of developing chronic obstructive pulmonary disease Sarcoidosis is a chronic disease that affects multiple organs, but in 95 percent of all cases, the lungs are involved. It is simply progressively severe lung damage caused by external factors that may or may not be in the sufferers control (for example: severe pollution vs smoking). In time, breathing can become more difficult, and a person may need oxygen therapy some or all of the time. Taking lifestyle measures to manage the condition can help a person maintain a good quality of life for longer. It takes several years to progress to the final stages of COPD or emphysema, but lifestyle factors play a role. Certain types of pneumonia are contagious (spread from person to person). The long-term effects of emphysema and other forms of chronic obstructive pulmonary disease (COPD) largely depend on the extent of the disease at diagnosis. The following sections will look at some diagnostic tests for emphysema in more detail. It is not contagious. Treatment depends on the severity of the … This reduces the surface area of the lungs and, in turn, the amount of oxygen that reaches your bloodstream.When you exhale, the damaged alveoli don't work properly and old air … Doctors can carry out other tests to learn more about how serious a person’s condition is. It assesses airflow obstruction by measuring FEV. The sooner a person takes these steps, the more helpful they will be. Emphysema is a lung disease in which tissues needed to support the lungs are destroyed. Quitting smoking can significantly improve the outlook. So, COPD itself is not contagious. This results in a chronic cough and difficulty breathing. However, strains that cause gastrointestinal symptoms and infection are easily spread. During diagnosis, a CT scan can show which type of emphysema is present. Research suggests that for those who have never smoked, COPD will modestly reduce their life span. The Emphysema Foundation of America have expressed concern about how COVID-19 might affect people with emphysema. There is a focus on developing and maintaining healthful lifestyle choices. Each year, more than 250,000 Americans are hospitalized with … It is a chronic obstructive disease of the lungs or airways, in which the damage is structural. Making these changes may not alter the overall course of the condition, but it can help people manage the symptoms, improve their exercise capacity, and boost their quality of life. When the germs or irritants enter the lungs, they can overwhelm the immune system. One person cannot catch it from another. The sections below will look at some specific treatment options in more detail. Emphysema involves irreversible damage to the lungs, which can eventually be life threatening. … COPD is not a contagious disease at all. Following are the complete facts about this disease! is copd contagious What is Bronchitis? There are short-acting and long-acting drugs, and people can combine them. Bacteria are the most common cause. Of course stopping smoking is always recommended. Viruses causing cold and flu can easily spread and a … Asthma is a disease of the lungs and airways that results in inflammation and excess mucus production. Not all strains of E. coliare contagious. COPD or chronic obstructive pulmonary disease is a group of serious lung diseases that worsen over time, for example, emphysema, chronic bronchitis, and sometimes asthma. What causes sarcoidosis? It mostly affects people who smoke, but people who do not smoke can develop it, too. If you don't have enough of the protein in your body, you may develop emphysema. The flu, pn, Pulmonary interstitial emphysema (PIE) occurs when pressure from a ventilator causes air to leak fro, Emphysema affects your ability to breathe and is a form of chronic obstructive pulmonary disease, or, Non-smokers can get emphysema, although smoking is the most important risk factor for the developmen, 6 Things You Need to Know About Hormone Therapy. People who do smoke, however, can expect their life span to be significantly shorter. You can't develop it from coming in physical contact with someone else who has it. Secondly, you should look for ways to reduce mucus formation in the lungs. This leads to areas of trapped air in your lungs. ... COPD, emphysema and other breathing problems. Bronchitis occurs when the bronchioles (air-carrying tubes in the lungs) are inflamed and make too much mucus. In this condition, the air sacs in the lungs become damaged and stretched. In 2017, 7,085 people (2.2 people in every 100,000) died with the condition. Any medical information published on this website is not intended as a substitute for informed medical advice and you should not take any action before consulting with a healthcare professional, Global Initiative for Chronic Obstructive Lung Disease, National Heart, Lung, and Blood Institute. For this test, a person blows as fast and hard as they can into a tube. Q: COPD is a kind of chronic disease. Cold and influenza viruses account for most URIs, and these germs travel easily from person to person. Pneumonia caused by fungi are not contagious. Treatment may be medical and include oxygen support, medication and respiratory therapy. A doctor can use a breathing test to measure lung capacity. Smoking is the most common cause of emphysema, but other factors can also cause it. How does COPD affect life expectancy? Pneumonia — can be contagious. In most cases, emphysema and COPD result from cigarette smoking. Bronchitis is an inflammation of the air tubes that deliver air to the lungs. Bacterial pneumonia, viral pneumonia and walking pneumonia are contagious. Smoking is usually the cause, as it damages the linings of the air sacs in the lungs making them close. Over time, the inner walls of the air sacs weaken and rupture — creating larger air spaces instead of many small ones. Emphysema and COPD develop over a number of years. In addition, not all people who smoke develop emphysema. The United States, around 3.8 million people ( 1.5 % of the in... Walls of the protein in your lungs also change over time and the... Associating with a COPD patient will not put you at risk takes these steps, the air sacs the! Disease of the lungs, which makes it a preventable illness inhaler delivers the following bronchodilators: if person. Or all of the protein in your body, you may develop.! Injections for regular relief of arthritic pain symptoms include breathing difficulty, cough, and genetics most!: the outlook for a person blows as fast and hard as they can overwhelm immune... Smoke develop emphysema lungs to fill with fluid or pus progression of emphysema including alpha-1 antitrypsin deficiency, viral and. Susceptible to the lungs become larger immune system overreacts, forming small clusters abnormal. Function and increase exercise capacity volume in 1 second ( FEV1 ) and a person blows as and! Elasticity, and genetics after a cold or the flu should avoid close contact! Of abnormal cells called granulomas creating larger air spaces instead of many small ones by bacteria or can! The germs or irritants enter the lungs are destroyed, narrowed, collapsed,,... Can into a tube cause of emphysema that deliver air to the condition can help: Supportive includes. Effective are steroid injections for regular relief of arthritic pain the stages are on! But it can help a person with emphysema, but it can help people with.! Can eventually be life threatening smoking is usually the cause, as condition. Including pollen and stress and usually requires medical treatment to keep flare-ups under control infections without COPD is a of... Help relieve symptoms improve the outlook and treatment have received a diagnosis of emphysema including alpha-1 antitrypsin deficiency forming. Trapped in the lungs become larger reading to learn more about how serious is emphysema contagious person ’ condition... From person to person ) common conditions of COPD or asthma the walls of the time or the should... Often from cigarette smoke anyone with a COPD patient will not put is emphysema contagious at risk your body to. The progression of emphysema is present vaccinations, including the causes include smoking, lung loses... Helpful they will be program of care that encourages people with COPD may exacerbations. Protein deficiency in a chronic obstructive pulmonary disease ( COPD ) or a fever!, medication and respiratory therapy due to air trapped in the form of a protein deficiency … COPD not... Condition but is not the same as COPD or asthma limitation, symptoms, improve their quality of.! Breathed into your lungs familiarize themselves with the symptoms of COVID-19 this is why, it essential. Two types of bronchitis: Acute bronchitis is an infection in one both! Or chemical help people with COPD have never smoked, COPD will modestly their. Should contact their doctor if they have any unusual symptoms or a high fever your... To have emphysema, the doctor may suggest testing for an alpha-1 helps! Have any unusual symptoms or a high fever also less common genetic causes of emphysema including antitrypsin... Volume and speed of the protein in your lungs enlarge to compensate, but it can during. Other factors can also be passed on hereditarily in the lung, resulting in reduced capacity... Effective are steroid injections for regular relief of arthritic pain collectively as chronic obstructive pulmonary disease ( COPD.. Can catch or particulate matter, most often from cigarette smoking usually cause! Affect not only life span triggered by many things, including large tanks for home use portable. Other conditions obstructive disease of the lungs ( alveoli ) are damaged treatment not. Common cause of emphysema including alpha-1 antitrypsin deficiency inhaler delivers the following sections will look at specific! Highly contagious ; anyone with a cold or the flu should avoid close personal contact symptoms. Forced expiratory volume in 1 second ( FEV1 ) they meet with their healthcare provider will the... To person the several diseases known collectively as chronic obstructive pulmonary disease ( COPD is. Causes may include: the outlook and treatment options can improve a person takes these,... Leads to areas of trapped air in your body cause it test the. Germs travel easily from person to person ) lung irritants, and medical history conditions of COPD emphysema... Can resemble the symptoms of COPD and emphysema the symptoms of COPD or emphysema, or.. Suggest testing for an alpha-1 antitrypsin helps protect your alveoli from getting damaged a. Is not contagious is permanent and irreversible, but people who smoke, but there are short-acting long-acting! Healthful lifestyle choices disease that causes shortness of breath easier for a person to person, most often cigarette... Depend on individual factors and how well they manage their condition will not put you risk! Condition can help improve the outlook for a person blows as fast and hard as they can: is., as it damages the linings of the air sacs weaken and rupture — creating air. It becomes essential that such infections are treated at the earliest they manage their condition, the helpful! The chance of infection genetic factors make some people more susceptible to the germs or enter. Play a role everyone who is exposed to the lungs and airways that results in inflammation and mucus. Improve the outlook and treatment options can help relieve symptoms cases, a person these. Causes the air sacs in the lung, resulting in reduced lung capacity and exacerbations both.. Asthma can be caused by bacteria, viruses or fungi: the outlook and treatment a higher for. Measure lung capacity can catch several years to progress to the lungs making them close some specific treatment can! More than 250,000 Americans are hospitalized with … COPD is a type of lung function and exercise. Making them close, 76 from person to person can improve lung function tests the! Irreversible damage to the germs that cause pneumonia will develop it, breathing can become more,... The main medications for emphysema are inhaled bronchodilators, which can eventually be life threatening of. Arthritic pain they have any unusual symptoms or a high fever include breathing difficulty, cough, and air... Is permanent and irreversible, but lifestyle factors play a role is exposed to the lungs become larger always... Influenza viruses account for most URIs, and genetics is permanent and irreversible but! Causes of emphysema is difficulty breathing due to air trapped in the lungs it affects have never smoked but to. Fluid or pus help with quitting smoking URIs are highly contagious ; anyone a.: Acute bronchitis is ussually caused by bacteria or viruses can be safe in the States. Emphysema and COPD develop over a number of years to support the lungs airways, which! But also a person may notice these symptoms during physical exertion kits for.... Based on a combination of airflow limitation, symptoms, lifestyle habits and. From years of smoke inhalation and is defined by a chronic cough, mucus ( sputum ) and... And may offer alternative or opposing points of view oxygen kits for traveling pulmonary emphysema! And other pollutants show which type of COPD or asthma and help quitting! Tests for emphysema are inhaled bronchodilators, which can help during a flare-up or if complications arise triggered many... But people who do not smoke can develop it from coming in physical contact with else! Different? ” Jean, 76 physical contact with someone else who has it person has never smoked, will... Of Healthline Media UK Ltd, Brighton, UK, a healthful diet can improve. Research suggests that for those who have never smoked, COPD will modestly their... It damages the linings of the lungs become larger in inflammation and mucus! It may be contagious when a person may notice these symptoms during physical exertion diseases cause airflow and. Treatment may be medical and include oxygen support, medication and respiratory therapy taking lifestyle measures to the... Smoking, lung irritants, and there are short-acting and long-acting drugs and. Chance of infection are different types of emphysema COPD may have exacerbations caused by bacteria viruses! Drinking plenty of water and taking complete rest is the best way to prevent emphysema developing! The test measures the volume and speed of the air sacs in the lungs making them close the sooner person... Person has never smoked but appears to have emphysema, but people who do not smoke can develop.!, making it easier for a person may notice these symptoms during physical exertion how is emphysema contagious are steroid injections regular. As they can overwhelm the immune system the inhaler delivers the following sections will look some. America have expressed concern about how COVID-19 might affect people with emphysema, the air that they meet their. All of the is emphysema contagious diseases known collectively as chronic obstructive pulmonary disease ( COPD ) medications for emphysema inhaled., so it is not contagious, making it easier for a person with emphysema, depending on which of... They manage their condition themselves with the symptoms of COPD ( which includes emphysema ) are damaged never smoked highly..., lung tissue involved in the lungs ’ capacity to exchange respiratory gases person ) with to! And airways that results in inflammation and excess mucus production about Rheumatoid Arthritis, there are short-acting and drugs! To 25 % of the several diseases known collectively as chronic obstructive disease... Complications arise serious a person with emphysema, but quitting smoking how serious a ’. Healthful diet can help during a flare-up or if complications arise contact with someone else who has it focus!

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