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Combinatorics Difficulty 5.4 AIME, harder Prove it Baltic Way

In the very large Baltic-Way-City (in the far future) there are 1616 hospitals. Every night exactly 44 of them must be on duty for emergencies. Is it possible to arrange the schedule in such a way that after 2020 days every pair of hospitals were on duty exactly once? If not, prove the non-existence. If yes, give a schedule.

Solution

The answer is yes. Let the hospitals be numbered 1,2,,161, 2, \ldots, 16. The hospitals on duty are the 44 on the rows.

1234
5678
9101112
13141516
15913
281015
361116
471214
161014
27916
351215
481113
171115
261213
38914
451016
181216
251114
371013
46915

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Source: MathNet, licensed CC-BY-4.0. Statement reproduced verbatim; metadata (topic, difficulty) added by this project.