Arlindo, a patient from the Nise da Silveira Mental Health Institute, makes his marionette dance during a carnival parade coined, in Portuguese: "Loucura Suburbana," or Suburban Madness, in the streets of Rio de Janeiro, Brazil, Thursday, Feb. 23, 2017. Patients, their relatives and institute workers held their parade one day before the official start of Carnival. (AP Photo/Silvia Izquierdo)
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