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Here we go everyone. Good evening. Nice to see you everyone. Thank you for joining. My name is Cathy Howell. I'm one of the obstetric er registrars and representatives of Gas O Global Anesthesia and Surgery and obstetric Collaboration. I've got Alva with me and tonight, we are presenting um Gas X Global webinar series, April 2025 sustainable Medical Outreach in Guyana. And I'm really pleased that we've got two fantastic speakers with us tonight, Jackie Duran and he'll be speaking to us about outreaching Guyana and Doctor Lydia Hawker who will be speaking to us about the Global Library of Women's Medicine. So welcome. And thank you so much just to let you know that this event is live and it will also be recorded. So please do not swear. Um I'd just like to make you aware of the chat box down the side. Um During the talks, we'll, we'll hear the speakers and then at the end you'll have the opportunity to ask questions. It would be great if you could let us know your name and where you're tuning in from tonight because it's always lovely to see which countries people are tuning in. From and also any questions you have if you pop them in the chat box? Thank you. So, let's get on with the webinar. Um Tonight we're discussing really important women's health topic, um cervical screening and cervical cancer. Um Let's go ahead. So just gonna move the slides on just a brief introduction from me and we're gonna talk about cervical screening and um, and the World Health Organization Goals for eradication of cervical cancer. And, and then gonna, we're, they gonna have the, the talk from er Lydia um with regards to the um Glome Library project. And then we'll be listening to Jackie speak on Cervical screening in Guyana. Then we'll have a bit of QA and a quick news from Gasso and Close. It's great to see people joining. Thanks very much. So, why is it so important that we're talking about this topic tonight? Well, cervical cancer is the fourth most common cancer in women worldwide. Um but it disproportionately affects people from low middle income countries. Um 94% of deaths happening in low middle income countries. Most um is caused by persistence of HPV virus um which changes um cells in the transformation zone of the cervix into precancerous cells and then cancer. And so the good thing about cervical cancer is that we have a precancerous state and that generally speaking, it is slow growing. So it's an excellent opportunity for us to use cervical screening programs. Um Cervical cancer is curable if caught at an early stage and treated. But the major problem um in is, is uh getting, um, it detected in that early stage. Um, in places where there are low resources prevention, we have the HPV Vaccination Program, um, cervical screening itself and women reporting symptoms. So, for example, postcoital bleeding, intermenstrual bleeding or any new symptoms, uh, of abnormal vaginal bleeding. Also, though, in terms of prevention, we should be, er, promoting global um er, global health adjustments. So stopping smoking definitely reduces um HPV, hanging around as does preventing um immune compromise. So, reducing sexually transmitted infection, um er, er, such as HIV, um by using condoms. Ok. So that's a bit on cervical screening for, for those who don't do OBS and gynae as a specialty. The World Health Organization set out a strategy to eliminate cervical cancer. Really, really importantly and they set goals um for by 2030 those goals were um to get 90% of girls vaccinated with the HPV vaccine. By age 15. Many countries in a high income settings have started also vaccinating boys as well to have 70% of women screened with a high quality screening test by the age of 35 and 45. And that means good quality visual inspection with acetic acid or HPV screening. Also by 2030 to get 90% of women with cervical disease receiving treatment. And so obviously, um really important trying to detect that cervical disease early either in the precancerous or cancerous state. So this was a, a country commitment, a world commitment to eliminate cervical cancer as a public health problem. And this was a global strategy by who to try and reduce um this uh the number of cases to four or fewer per 100,000 women. Modeling on these estimates, the aim is to try and eradi eradicate cervical cancer as a public health problem by um the, the, the year 2120 and HPV associated precancer and cancer um is also a, an element of whose global health sector strategy on HIV, hepatitis and S TI S. Um So we're gonna go ahead now and talk about something really important to um eradication of cervical cancer, which is education and awareness. Um Both of our health professionals and our patients as well. So without um without any further hesitation, I'm gonna put the slides on for Doctor Lydia Hawker. So just introducing Lydia Lydia is an obstetrics and gynecology trainee doctor and N I NIH R academic fellow with an interesting global maternal health infection and mixed method research. She currently sits on the editorial board for the Glome uh Women's Health Library. So we're just gonna upload her slides and bear with me for one minute, Lydia. Could you tell him one of your, you sound on, I think we might be there now with OK, so let me know. So have you got another modality. It looks like you signed in twice. Let me try it one second. No, I don't think. And the, ok. Not to worry, just bear with me a second and we'll get you set up just uploading your slides now. Ok? Can people see the slides just there? Ok. And just let Lydia know with a nod, Jackie if you can hear us speaking. Three. Hello. So, um hopefully you can hear me good. Uh So my name is Lydia. Um Thank you for uh results. A project called The Welfare of Project of which I am a very small copy in the machine and there's a lot of people working on this. So as a sort of background while I'm chatting, there's a QR code. If you wanted to have a little look through the website, I'm more than happy for you to do so while I'm having a chat and it will also help maybe for you to see exactly what it is that I'm talking about. Um So I'll just tell you a little bit about who we are then. So if we can go to the next slide, I was hoping you can all hear me. Yeah, we can hear you brilliant. So we are called the Welfare of Women Project, which is part of a larger scale of work called GM or the Global Library of Women's Medicine. So GLO itself is a global platform which is advocating for women's health and enhancing access to resources globally. It's free to access resources that has primarily focused on expert clinical guidance skills, videos, all aimed at healthcare professionals. The welfare of Women project is actually focused more on the women themselves and providing patient education. So all of the resources in the welfare of women project are written by clinical experts. We currently have experts from over seven different countries who have contributed to this work and then they are reviewed and edited by specialist editorial board which is led by Dr Kate lightly. So uh what do we actually do if we can go to the next line? Thank you so much. So the aim really is being to create easy to access, free high quality and up to date resources that are at different levels of comprehension. So we have videos.