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Filipino devotee Ruben Enaje shouts in pain as he is nailed to a cross to re-enact the crucifixion of Jesus Christ in San Pedro Cutud village, Pampanga province, northern Philippines on Friday, April 18, 2014. Church leaders and health officials have spoken against the practice which mixes Roman Catholic devotion with folk belief, but the annual rites continue to draw participants and huge crowds. Enaje participates in this annual ritual for the past 28 years. (AP Photo/Aaron Favila)

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