In this Tuesday, April 19, 2016 photo, Fidel Castro sits as he clasps hands with his brother, Cuban President Raul Castro, right, and second secretary of the Central Committee, Jose Ramon Machado Ventura, moments before the playing of the Communist party hymn during the closing ceremonies of the 7th Congress of the Cuban Communist Party, in Havana, Cuba. Fidel Castro formally stepped down in 2008 after suffering gastrointestinal ailments and public appearances have been increasingly unusual in recent years. (Ismael Francisco/Cubadebate via AP)
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