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A paramedic cleans the eye of a villager as Mount Sinabung spews ash and hot lava, at Simpang Empat village in Karo district, Indonesia's North Sumatra province, September 18, 2013. Mount Sinabung threw more volcanic ash into air, covering the surrounding areas, as around 13,000 people were moved to temporary shelters, local media reported on Wednesday. REUTERS/YT Haryono