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Role of Ministry of Education in Tobacco Control, Proposed Activities Dr Mya Lay Nwe Deputy Director (NCD) Department of Public Health

Role of Ministry of Education in Tobacco Control, Proposed ... · Bilateral meeting with MOI (9 May 2018) 6/12/2019 CoordinationMeeting_MOE_Mingalarthiri 3 Recommendations– Article

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Page 1: Role of Ministry of Education in Tobacco Control, Proposed ... · Bilateral meeting with MOI (9 May 2018) 6/12/2019 CoordinationMeeting_MOE_Mingalarthiri 3 Recommendations– Article

Role of Ministry of Education in Tobacco Control,

Proposed Activities

Dr Mya Lay Nwe

Deputy Director (NCD)

Department of Public Health

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FCTC 2030 strategy launch & Stakeholder meeting (7-8 May 2018)

6/12/2019 CoordinationMeeting_MOE_Mingalarthiri 2

• Non-health sector engagement is not

strong in Myanmar and necessary to

strengthen non-health sector

engagement and ownership in

tobacco control

• Aimed implementation of WHO FCTC

would be accelerated and reflected

in sector-specific strategies

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Bilateral meeting with MOI (9 May 2018)

CoordinationMeeting_MOE_Mingalarthiri 6/12/2019 3

Recommendations– Article 8: Protection from

exposure to tobacco smoke

• Amend the Control of Smoking and

Consumption of Tobacco Product Law 2006

• Implement 100% smoke-free policies in all

indoor workplaces, indoor public places and, as

appropriate, other public places.

• Implement and strengthen monitoring and

enforcement measures related to smoke-free

policies.

Page 4: Role of Ministry of Education in Tobacco Control, Proposed ... · Bilateral meeting with MOI (9 May 2018) 6/12/2019 CoordinationMeeting_MOE_Mingalarthiri 3 Recommendations– Article

Workshop for Development of Tobacco Control Policy, Strategy and Legislation (19-22) Nov 2019

CoordinationMeeting_MOE_Mingalarthiri 6/12/2019 4

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Policy Priorities and Key Recommendations

• Raising awareness about provisions under tobacco control law

among relevant stakeholders such as parliamentarians,

Ministries, civil society and relevant sectors outside health for

enforcement of provisions under existing tobacco control law – a

series of advocacy and training workshops for law enforcers can

be planned and organized

• Endorse comprehensive Ban on tobacco advertising, promotion

and sponsorship, including at local festivals and events

CoordinationMeeting_MOE_Mingalarthiri 6/12/2019 5

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Policy Priorities and Key Recommendations

• Promote tobacco free workplaces, hospitals and educational

institutes – issue administrative orders to this effect and

highlight the same through various media including social media.

This will cover smoke free environments as per the law

• Implement school-based awareness generation campaigns

regarding harmful effects of tobacco use, second hand smoke

and new products in collaboration with Ministry of Education.

CoordinationMeeting_MOE_Mingalarthiri 6/12/2019 6

Page 7: Role of Ministry of Education in Tobacco Control, Proposed ... · Bilateral meeting with MOI (9 May 2018) 6/12/2019 CoordinationMeeting_MOE_Mingalarthiri 3 Recommendations– Article

Evidences

In Bangladesh, an estimated 10.5 million malnourished persons could

have an adequate diet if money currently spent on tobacco instead went

toward food, with the lives of 350 children saved each day.

According to a 2011 analysis, approximately 1.3 million children (14 and

under) are engaged in tobacco farming worldwide, with 500,000 in India

alone. Some 10-14 percent of children from tobacco growing families are

out of school because of working in tobacco fields.

Globally 570,000 children under five die each year from respiratory

infections, such as pneumonia, that are attributable to indoor and

outdoor air pollution and second-hand smoke. CoordinationMeeting_MOE_Mingalarthiri 6/12/2019 7

Page 8: Role of Ministry of Education in Tobacco Control, Proposed ... · Bilateral meeting with MOI (9 May 2018) 6/12/2019 CoordinationMeeting_MOE_Mingalarthiri 3 Recommendations– Article

Evidences

In Timor-Leste, 66 percent of youth (age 13-15) are exposed to tobacco

smoke at home, while 70 percent are exposed in enclosed public places.

Adolescent smoking is associated with attention deficits and increased

risk of cognitive impairment later in life.

In Bulgaria, Egypt, Indonesia, Myanmar and Nepal, low-income

households often spend more of their disposable income on tobacco

than on education.

In Viet Nam, smokers spent 3.6 times more on tobacco than on

education in 2003.

CoordinationMeeting_MOE_Mingalarthiri 6/12/2019 8

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Source : 2nd Data from NSO which are reanalyzed by Sarunya Benjakul

53 per cent of smokers started smoking before 18 years old 36 per cent started between 18 and 24 years old

73 percent of smokers cannot quit smoking

10/9/2019 [email protected];SFYadanarbonUni 9

Page 10: Role of Ministry of Education in Tobacco Control, Proposed ... · Bilateral meeting with MOI (9 May 2018) 6/12/2019 CoordinationMeeting_MOE_Mingalarthiri 3 Recommendations– Article

• “…Today’s teenager is tomorrow’s potential regular

customer”

Myron E Johnston, Philip Morris, researcher 1981

10/9/2019 [email protected];SFYadanarbonUni 10

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Key Message

Tobacco interferes with education as nicotine addiction impairs learning,

and tobacco use (as well as exposure to second-hand smoke) leads to

early death for users later in life.

Families often spend income on tobacco rather than on schooling (and

nutrition).

Children often drop out of school to care for a sick relative or to make up

for lost wages.

CoordinationMeeting_MOE_Mingalarthiri 6/12/2019 11

Page 12: Role of Ministry of Education in Tobacco Control, Proposed ... · Bilateral meeting with MOI (9 May 2018) 6/12/2019 CoordinationMeeting_MOE_Mingalarthiri 3 Recommendations– Article

Key Message

Education is the top priority in protecting children from the predatory

marketing strategies of the tobacco industry, which for example include

sponsorship of youth events to hook a new generation of vulnerable

users.

Educating children and families, and protecting them from exposure to

tobacco smoke, leads to better learning and health outcomes

CoordinationMeeting_MOE_Mingalarthiri 6/12/2019 12

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Key Roles of Ministry of Education (Tobacco Control Planning Toolkit)

Concerned Area

• Article 8: Protection from exposure to tobacco smoke

• သတစပါ၏ ေေလပေ းက ရရကရခြ မ ကာကးယခြ

• Article 12: Education, communication, training, and public awareness

• ကန မာေရပညာေပခြ ၊ သတ အြကအလကခဖနခဖခြ ၊ သ တနေပခြ န ခပညသလထအတး အသပညာတပးာေစရန ေော ရးကခြ

• Article 13: Tobacco advertising, promotion, and sponsorship

• ေေလပေ ကာခ ာခြ ၊ ေရာ အာခမ တ ခြ န စပးနောခပလပခြ

CoordinationMeeting_MOE_Mingalarthiri 6/12/2019 13

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Key Roles of Ministry of Education

Potential Roles

Ban tobacco sales, use and sponsorship/advertising in and around schools (at all levels of education) as well as in other places where children and youth gather (e.g. sporting events, concert venues)

Educate students, out-of-school youth and parents on the harms of tobacco products and second-hand smoke, including by integrating lessons into school curricula

Ensure effective implementation and monitoring of legislation and other measures to protect youth from tobacco, working with other sectors as appropriate

CoordinationMeeting_MOE_Mingalarthiri 6/12/2019 14

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15 6/12/2019 CoordinationMeeting_MOE_Mingalarthiri

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Article 13: Tobacco Advertising, Promotion and Sponsorship

ေေလပ၊ေေရးကကကထးကပစစည ေ ကာခ ာခြ ၊ အေရာ ခမ တ ခြ န

စပးနောေပခြ

Page 17: Role of Ministry of Education in Tobacco Control, Proposed ... · Bilateral meeting with MOI (9 May 2018) 6/12/2019 CoordinationMeeting_MOE_Mingalarthiri 3 Recommendations– Article

Sale girls promotion Merchandising

Promotion

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The problem is not only limited to advertising and promotion but also includes sale to minor, tax evasion and illicit trade

Internet sale

18 6/12/2019 CoordinationMeeting_MOE_Mingalarthiri

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• Tobacco pack or product features are used in various way to attract customers, to promote products and to cultivate brand identity.

19

Packaging and product features

6/12/2019 CoordinationMeeting_MOE_Mingalarthiri

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Brand Stretching

• Occurs when a tobacco brand name,

emblem, trademark, logo or trade insignia

or any other distinctive feature (including

distinctive color combination) is connected

with a non-tobacco product or service are

likely to be associated

20 6/12/2019 CoordinationMeeting_MOE_Mingalarthiri

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• Some tobacco companies make financial or in-kind contributions to organizations, such as community, health, welfare or environmental organizations, either directly or through other entities.

• Publicity given to “socially responsible” business practices of the tobacco industry constitutes advertising and promotion

BAT = British American Tobacco

Corporate Social Responsibility (CSR)

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Tobacco Sponsorship

22 6/12/2019 CoordinationMeeting_MOE_Mingalarthiri

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ေဆလပနငေဆရကကကထကပစစည ေသာကသမထနချပေရ ဥပေဒပါ အေကကာငအရာမျာ

ေဆလပေသာကခငမရေသာေနရာမျာ

တာဝနခပဂဂလ၏ လပငနတာဝနမျာနင ြပစမြပစဒဏမျာ

ေဆလပ၊ ေဆရကကကထကပစစည က တငကျယစာ ြဖနြဖေရာငချနငေရ အတက

ြပလပမနင ြပစမြပစဒဏမျာ

ဥပေဒအရ ေဆာငရကြခငက ေနာငယကြခငမျာနင ြပစမြပစဒဏမျာ

ေဆလပ၊ ေဆရကကကထကပစစည ထတလပ၊ ြဖနြဖ ေရာငချသမျာအတက

ြပစဒဏထကေသာ ြပလပမနင ြပစမြပစဒဏမျာ

ေကျာငမျာနင အသက ၁၈နစေအာကကေလမျာအတက အကာအကယေပထာ

သညအချကမျာနင ကျလနသအတက ြပစမြပစဒဏမျာ

CoordinationMeeting_MOE_Mingalarthiri 6/12/2019 23

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10/21/2019 SRTrainingOnTobaccoControlLaw_GrandAmara

24

ေေလပန ေေရးကကကထနြပေရဥပေဒန ခပဌာနြကမာ

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ေေလပန ေေရးကကကထနြပေရဥပေဒန ခပဌာနြကမာ

10/21/2019 SRTrainingOnTobaccoControlLaw_GrandAmara 25

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MOH Directives on Smoke-free

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MOH Directives on Smoke-free

“SMOKING AREA ”

“ NO SMOKING BEYOND THIS POINT ”

Penalties Apply

Smoking is Dangerous for Health

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MOH Directives on Smoke-free

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ေမျောမနချက

12-06-2019 [email protected]_SHSeminar_MICC2 32

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ရညရယချကမျာ

• ေဆလပနင ေဆရကကက သစမေကကာင ကျနမာေရက ထခကေစနငေကကာင

နာလညသေဘာေပါကပပ ေဆလပနငေဆရကကကသစြခငမ ေရာငကကဉေစရန

• ေဆလပေငကငစငသညပတဝနကျငက ဖနတြခငြဖင ေကျာငသာ လငယတ၏

ကျနမာေရက ထခကေစသည အနတရာယမ ကာကယရန

• ကေလသငယနင လငယတက ေဆလပနင ေဆရကကက သစြခင အေလအထမ

တာဆကာကယြခငြဖင ကျနမာေသာ ေနထငမဘဝရရေစရန

• ေဆလပနင ေဆရကကကထကပစစည ေသာကသ မထနချပြခငြဖင လငယမျာ၏

ကျနမာေရ အဆငအတနြမငမာလာေစရန

12-06-2019 [email protected]_SHSeminar_MICC2 33

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၁။ ပညာေရဝနကကဌာနရ ဦစဌာနမျာနင တငေဒသကက/ြပညနယ ြပညသ

ကျနမာေရဦစဌာနမျာမ တာဝနရသမျာမ ေဆလပ၊ ေဆရကကကသ စမ

အနတရာယနင ဥပေဒနင အမန ေကကာြငာစာပါ အချကမျာနင ပတသက၍

ပမနာလညသရေစရန အသပညာြမငတငြခင အလပရေဆေနပက

ေနြပညေတာတင ကျငပြခင

၂။ ပညာေရဝနကကဌာန၊ ကျနမာေရနင အာကစာဝနကကဌာနတ ပေပါင၍

တငေဒသကက /ြပညနယအဆင၌ ဆငပာအသပညာြမငတငြခင အလပရ

ေဆေန ပမျာကျငပြခင

ေဆာငရကရမည လပငနမျာ

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၃။ ဥပေဒပါြပဌာနချကမျာအရ -

ေကျာငပရဝဏအတငရ ဝနထမအမရာနင အမခနမျာမအပ သငကကာေရ အေဆာကအအ၊ စာသငခန၊ ရ ခနပရဝဏနင ပရဝဏအတငရ အြခာ အေဆာကအအမျာ၊ တကကသလ၊ ဒဂရေကာလပ၊ ေကာလပနင သပပတ၏ သငကကာေရအေဆာကအအ၊ စာသငခနနင ရခနမျာသည

ေဆလပလဝေသာကခငမရေသာေနရာမျာ ြဖစသြဖငဥပေဒပါြပဌာနချက မျာ က လကနာေဆာငရကရန ေဖာြပပါေနရာမျာက တာဝနယစမခန ခသည တာဝနခပဂဂလတငတင တာဝနရသညနငအည ေဆလပ၊ ေဆရကကက ကငစင ေကျာငမျာ၊ တကကသလမျာထေထာငြခင

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ေဆာငရကရမည လပငနမျာ

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၄။ လငယမျာအတင ေဆလပ၊ ေဆရကကကအနတရာယက ေသချာစာသရေစရနနင

စတငစမသပသစြခငမြပမေစရန အသပညာေပ ေဟာေြပာပမျာ၊ ပပငပမျာ

ကျငပရန အစအစဉေရဆ၍ ေကျာငတင၊ တကကသလတငတငကျငပြခင

၅။ လငယမျာအတင ေဆလပ၊ ေဆရကကကကငစငေသာ လငယမျာ (Tobacco

Free Generation) ထေထာင၍ လငယအချငချင စညရ ေဆာငရကနငရန

ပတဝနကျငဖနတေပြခင

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ေဆာငရကရမည လပငနမျာ

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၆။ အာဏာပငအဖ အစညမျာ၊ နနယဝနကကဌာနမျာ၊ သကဆငရာစညပငသာယာေရ

ေကာမတ၊ လမေရအဖအစည မျာ၊ ြပညသလထတနင ပေပါင၍ ဥပေဒပါ

ြပဌာနချက၊ တာြမစချကမျာအတက ပေပါငေဆာငရကြခင

– ေကျာငပရဝဏအတင နင ေကျာငပရဝဏမ ေပ ၁၀၀ အတင ေဆလပေရာငချ

ြခငကတာြမစြခင

– ေဆလပနင ေဆရကကကထကပစစညြဖနြဖြခင သမဟတ ေရာငချြခင

ြပရာတင အြခာကနပစစညတစမျ မျ ကလညေကာင တကရကြဖစေစ၊

သယဝက၍ြဖစေစ ထပေဆာငေပြခင၊ လကေဆာငေပြခငသမဟတ တဖက

ေပြခငက တာြမစြခင

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ေဆာငရကရမည လပငနမျာ

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– တကရကေသာလညေကာင၊ သယဝက၍ေသာလညေကာငေကကာြငာြခင ကတာြမစြခင

– အသက (၁၈)နစ မြပညေသေသာသအာ ေဆလပက ေရာငချြခင (သမဟတ) ေပကမြခငက တာြမစြခင

– အသက(၁၈)နစ မြပညေသေသာသက ေဆလပြဖနြဖြခင (သမဟတ) ေရာငချြခင ြပရာတင ခငေစြခငကတာြမစြခင

– ေဆလပက လယကစာ ဝယယေသာကသနငေစရန တစလပချငြဖစေစ၊ အလပ ၂၀ ထကနည ေသာ အထပြဖငြဖစေစ ေရာငချြခငကတာြမစြခင

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၇။ အာဏာပငအဖ အစညမျာ၊ နနယဝနကကဌာနမျာ၊ သကဆငရာစညပငသာယာ

ေရ ေကာမတ၊ လမေရအဖအစညမျာ၊ ြပညသလထတနင ပေပါင၍

ေအာကပါ ေဖာကဖျကကျလနြခငမျာမရေစရန ပေပါငေဆာငရကြခင

–ေဆလပေသာကြခငေကကာင ကျနမာေရကဆ ရာစာ ထခကေစနငေကကာင

ြမနမာ ဘာသာြဖင သတေပစာတနက ေဆလပေရာင ချသညေနရာတင

ထငရာြမငသာစာ ေဖာြပထာရရန ပျကကကြခင

–အသက ၁၈နစ မြပညေသေသာသက ေဆလပေရာင ချြခငမြပေကကာင

ြမနမာဘာသာြဖင အသေပစာတနက ေဆလပေရာငချသညေနရာတင

ထငရာြမငသာစာ ေဖာြပထာရရန ပျကကကြခင

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– ေဆလပနင ေဆရကကကထကပစစညက တငကျယစာ ြဖနြဖေရာငချ

နငေရအတက လအမျာသရေစရန တစနညနည ြဖငေကကာြငာြခင၊

အခမြဖနြဖေဝငြခင၊ လကေဆာင ေပြခင၊ ေပျာပရငပ၊ အကျ ြပလပငန

တစခခြပလပရန အေထာကအပေပြခင၊ ဝနေဆာငမေပြခင

– လအသအေဆာငမျာတင အမတတဆပကေဖာြပြခင၊ ေဆလပပသဏဌာန

ြပလပ ထာေသာ ကစာစရာပစစည၊ စာေသာကဖယရာ သမဟတ

အသအေဆာငက ထတလပြခင၊ ြဖနြဖြခင သမဟတ ေရာငချြခင

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• ေကျာငမျာ၊ တကကသလမျာတင ကကကကပေရ ေကာမတမျာဖစည

ေဆာငရကြခင

• ဥပေဒစမမရေစရန ဗဟမစ၍ တငေဒသကက/ြပညနယ၊ ခရငနငပမနယ

အဆငအထ နနယဝနကကဌာန၊ ဦစဌာန၊ အဖ အစညမျာ ပေပါင

ေဆာငရကြခင

ေစာငကကပကကညရြခင နင ဆနစစြခင

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10 Steps towards a Smoke-Free Place

1. Work with a Potential Champion 2. Launch the Smoke-Free Campaign and Intensify Public Awareness on the

Hazards of Smoking and Exposure to Secondhand Smoke 3. Prepare the Smoke-Free Policy 4. Organize a Task Force 5. Gather Stakeholder’s Support 6. Post Adequate and Visible ‘No Smoking’ Signs 7. Pre-Enforcement: Intensify Public Awareness on the Provisions of the Smoke-

free Law 8. Launch the Smoke-Free Law 9. Enforcement of the Smoke-Free Law: Intensified and Sustained 10. Monitoring and Evaluation

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• Foundation for smoke free world – Tobacco Industry supported

foundation

• Researches, studies, sponsorship by tobacco industry

သတြပရနအချကမျာ

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လကနာရန

• ေေလပ၊ ေေရးကကကက အစခပလျ စးတတပပ ခဖတရန

အလးနြကြေသာေ ကာ လဝ အစမခပပါန ။

• မဘခပညသမာက သာသမမာန ကေလသ ယမာက

ေေလပေသာကခြ ၊ ကးမစာခြ အစမခပမ ကေစရန

ဝ ဝနေစာ ေရာက ကပါ။ သတေပ ကပါ။

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• ကေလ ယမာေရ တး ေေလပေသာကခြ ၊ ကေလ ယမာအာ ေေလပမညြ ခြ ၊ ေေလပဝယြ ခြ တက ေရာ ကဉပါ။

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• ေေလပေ းက စ သည ေလေကာ ေလသန က ရရကန ရန လတ တး ေမးရာပါအြး အေရ ရသခဖ သ မသာစ၊ မတေေး မာေရ န လအမာန ေ ေသာ ေနရာမာ တး ေေလပလဝမေသာကပါန ။

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• မမအမက ေေလပေ းက စ သညအမ ခဖစရန စတ လပေော ပါ။

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• မမကယတ လည ေေလပေသာကခြ ၊ ကးမစာခြ က ခဖတန ရန ကကစာပါ။

• မသာစဝ မာန မတေေးမာ ေေလပေသာကခြ ၊ ကးမစာခြ က ခဖတန ရနလည တကတးန အာေပကညပါ။

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ေေလပ/ေေရးကကက က စ ၍ ကနမာေသာ

လမပတဝနက က ဖနတ ကပါစ

ေကဇတ ပါတယ။