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Right so, it's time now and we will start our event building disability in an inclusive world. Um It's a great pleasure to have you all here today. My name is maria person and I'm a member of the tomo, global health Event team, and I study a master's in control of infectious diseases at the London School of Hygiene and tropical medicine here in the UK, before we start. I would like to address some requests during the event, um So please make sure that you're muted and if you're not presenting, have your camera off throughout the event and especially while as presentations are happening and uh when you are presenting and during group discussion's please have your camera on um Also please refrain from recording and taking any screenshots and we appreciate your cooperation and yeah if you have any problems with sounds or screen share, ing, please just send a private message to any one of us um at tomo uh right so I will now introduce today's agenda, so we will start off by briefly introducing the topic of disability with an interactive slide of quiz with and then introduce some few facts and figures. Um Secondly, we will move on to the individual presentations. Each presentation should last around 10 minutes each on disability from different perspectives starting with India, and then we moved to egypt kenya and lastly brazil after the presentations, there will be a q and a and plenary discussion session um Lastly would like to end the event by taking a picture with all the participants, We hope you enjoy our event and learn something new so if everyone could join the slide oh, that would be great to just uh okay participate in the, in the quiz, and you can do so by uh scanning the qr code that's displayed on the screen right now, or by clicking the link that's just been sent in the chat function and putting in the code that's displayed on the screen as well, so, whilst we just wait for people to join the slide, oh so we would like to start off with what disability means to you, please write down whichever words or thoughts bring to mind when thinking about disability or like yeah disabilities or persons with disabilities um yes, please just write down your thoughts uh So for example, uh when someone mentions this ability to me, I might think wheelchair or accessibility, so if everyone could just write down a few words, what they think yeah, inclusivity. Great one yeah you can also put in multiple words, you don't have to write once you can put multiple entries in. It's a really interesting things are being written. Yeah, discriminations, stigma definitely mm. Yeah should we maybe do sort of a little longer just some health needs, yeah, that's a big one yeah um any other word that's bring to mind, maybe like yeah caretakers, exclusivity, ability to adapt workforce maybe uh different aspects of life of being disabled and such yeah body physical condition, yeah, these are really great thoughts um So it seems to me that a lot of you guys already know quite a bit about disability, which is quite nice um. So let's move on to the next question then to uh see if you know how many people with disabilities there are in the world at the moment, So the prevalence of persons with disabilities um just a little hint a disability doesn't have to be a permanent state. It can also be a temporary state. So if everyone could just take a guess as to um but they think the percentage of people in the world live with disabilities right um okay, so I see around 80% of people voted around the 15% of people in the world live with disabilities, 20% said 12% and no one said 3% 5% to 23% interesting, so they're about um over like one billion people who are estimated to have experience or experiencing disability at the moment, and this corresponds to about 15% So yeah most of you guys are correct, that's amazing of the world's population um with up to 190 million people aged 15 years and older having significant difficulties, function meaning and often requiring some form of health service and that corresponds to around um 3.8% of the world's population so really great you guys. Maybe you guys were guessing, but I think yeah that's really great that most of you guys said 15% um right let's move on to the next question then um so well, then, move on to being uh like facing catastrophic health expenditure so as a little clue for people who don't know what a catastrophic health expenditure is. It's a term to describe a phenomenon whereby a household or an individual suffers financial hardship due to health costs, health expenditure, and it can encompass a range of definitions, A different let's say standards to be called uh financial hardship and that can include anywhere from being pushed below the poverty line or um the health expenditure is being so costly that you have to forgo non health related costs um so it can also include loss of income because of days of work and so on that you have to you know used to for trips to the health center in these kinds of things, so if everyone could guess how much more likely people with disabilities are likely to experience catastrophic health expenditures. All right um has everyone had a chance to take a guess at that. Um So I think we should reveal the right answer. Yeah, so um people with disabilities are about 50% more likely to suffer catastrophic health expenditures compared to people that are not personal disabilities, so there's just two more questions left and then we'll stop making you guess um so if everyone could take uh I guess as to what the rates are of abuse are with people with disabilities compared to non disabled people that would be great okay. I think we can I think everyone has had a chance now to okay, so it's quiet even everyone else is something else, but yeah persons with disabilities are five times more likely to suffer or to have suffered abuse now. That's the last question um yeah so it's about denial of healthcare and accessibility to healthcare, and if everyone could just take a chance to answer that question, I'll just give it some time, has everyone had a chance to try to answer the questions uh. Huh so no one answered the right question in this situation um So if you can reveal the right answer, Yeah, so uh persons with disabilities are about three times more likely to be denied health care. So um Thank you for this short little interactive quiz. Hopefully, no one was put on the spot um so uh and Congrats to uh okay here for getting two out of the four answer answers. Right yeah mhm, right, so um we just wanted to mention one of uh like you're the European Commission's initiatives in terms of increasing accessibility for persons with disabilities, and so yeah the EU Commission has adopted a 10 year strategy to improve the quality of life for persons with disabilities within the EU, member states, as well as across the world, and it builds up on the previous European disability strategy that was between 2010 2 2020 and the aim is to ensure and improve the accessibility for persons with disabilities across the Eu by ensuring that they can enjoy their human rights, have equal opportunities, equal access to participate in society and the economy, and be able to decide where and how and with whom they live and to be able to freely move around the Eu regardless of their support needs, and lastly to no longer experience discrimination and on the screen, you'll find some of their flagship initiatives with this new strategy that they created for 2021 to 2030 and that includes accessible eu, the European disability card, and uh uh I own a should have sent some links. If you're interested, you can refer to them in your own time about these initiatives that are being done in Europe at the moment, so we'll now move on to the individual presentations and we'll start off with india presented by cath ear and bark heavy, so the floor is yours catherine bark heavy, good morning, Everyone, so I'm cadet, so, I'm a medical student, I'm a second year medical student in Panama Medical College in chennai in tamil nadu. So today, now we're going to cancel the slide, so we're going to check uh see the accessibility, just just provided in India for the disabled people, uh so uh we'll see if we take the location work and we're ointment, like office, our government office of private office, the uh facilities uh which uh which are provided uh like people uh like wheelchair will be there in all the places and uh wheelchairs will be there and uh people helping people will be the special people for uh moving the wheelchair uh like uh people are employed uh people will be employed for helping for these disabled people, like people who are unable to walk uh and uh like uh we should come up visually people, so uh not usually challenged, uh people who work with six like fractures and uh people don't have legs, so who will be having that additional leg like that in public places, mostly in public places, we don't have like that in schools and colleges. Generally, it will be there. Uh Additional people will be there or any assistant. Uh particular student can bring this own assistant or anyone who will be helping for him with the complete work like that and uh most probably and other than this uh what the person's with disabled persons generally, in general what the benefit they get is uh people uh with uh 40% disability like hands and legs. If they don't uh if they're disabled with their hands and legs, um they get a tax deduction up to 75,000 per year. Uh This is generally in, india, for all the disabled people, uh the government is giving a tax reduction and the people with uh 80% disability like people who are visually challenged and their hands legs. Uh Everything is of issue. Everything is disabled, I mean they're unable to move like that means they get 80% reduction up to like one lakh 25,000 tax deduct in indian rupee perea. This is generally in government they give, but other than this in work environment, uh people can bring their own wheelchairs and everything and it'll be it'll also be available, wheelchairs will be available in the work environment. In public places, uh we have lifts, uh lift for them like in metro station, uh only in metro station, we have the lift for those people, uh physically challenged people. Uh It'll be easy for them, and in schools, as I told earlier schools, it will be generally there and the people extra people will be employed of, for these helping for these people and uh students are, they coming on their own can also bring their own uh own uh persons, who will be helping them and the college is also the same thing followed, so uh This is the only thing and uh in india, the main uh main purpose, I mean advantage for disabled people is uh in every in everything will be getting a preference uh it may be an admission uh medical College are admission in a college in a school uh disabled people, even in our works uh in government or jobs, mostly in government jobs comparing to private uh disabled people will be getting uh first priority for the job for the job each year they are playing for comparing to the non disabled people okay, let's yeah, thank you, hello everyone, I'm barco B and currently, I'm pursuing fourth year of med School in four Eastern Federal University Vladivostok, so today I'm going to talk about obstacles and challenges faced too, uh faced into people with disabilities in India. The first thing is poverty, offering the infrastructure in next uh sorry, conference the infrastructure and then poverty, and then insufficient evidence of fact schemes to collect all these things, we need to know about the poverty uh. The point here is uh India is a democratic country and we don't use uh insurance system. We are using data pain, where the patient's will pay for their medicines and for their consult, consultation to the doctor, they actually um to the hospital, so the medicines, the cost of medicine is very very expensive and for disabled people if they want to have some special equipments to move from place to place because in India, local water disability is the most frequent and most common from a trauma or from accident, Anything so it's very very expensive for them, and because of that if they can't go further in education or in korea, So this is the main thing about the obstacles and chat just in India and like a friendly infrastructure. Of course, we have um we we have special considerations for disabled people in India, but still um the people around them and uh the way how the work place is gonna be uh so we don't really have a very good friendly infrastructure and then inefficient a vannas for uh welfare schemes. Uh Scudder set, we do have a very good scholarships and job placements right after the graduate, and very good tax reduction compared to the other people who are living in India and but still the people with disabilities disabilities. They don't know how to apply for it even if they know that such as schemes and systems or exist in India, they don't know how to go forward with it, and I have attached uh status, sticks about the young young uh scheme in India. According to that you can see that the employment status of disabled people, the total uh total working disabled workers is just 36% out of 100% so you could see here. The poverty plays a very big role so what happens to the uh rest of the people they they do need to pay for, uh pay a lot of money for the health care for the health and also they can't have a good housing and they can't go further with their education or career so you could see and and out of these 100% 45% females or educated and 62% male or educated. The reason why female or less educated is because the parents are not happy in India. It's it's a very big thing that the parents don't send females to go further in education, just because uh why why do they need to send their females to you know further in the career, so it's it's it's really a big thing that we need to talk about and we need to raise awareness and we do have a lot of female disabled people than mail in India, and especially we have infrastructure in the cities, which is urban area, but INR oral area that people do know much information or much aware of this uh Presidente world uh better acute mints to use with disability in neural area, so, the people the percentage of people who live in the area is too much and they don't have much knowledge about a very good environments, so and that concludes my presentation thank you very much, Thank you so much catherine barca, be, for that. Very insightful presentation, It was a very very well conducted and very interesting we'll now move on to egypt, which is presented by Fatima. The floor is yours Fat, hma, thanks a lot, and I'm really glad to be here. It's my pleasure to talk to you about this topic, although it's been a very great of a great attention our country, the disability concept and the people who have been uh maybe affected by disability were really the focus of many charities and many initiatives. Uh Still it's on progress and we still have a long way to go and I just want to college with them, not opening my camera. It's been a little bit crazy for traveling and so uh but I'm really glad to to be able to attend here, so uh I'm going actually to say that when I read uh the other presentations that the most contributor of disability was trauma and most uh places like India, I think that I would have probably had this in mind. When I prepared the uh the presentation and included uh trauma in a big as a big contributor because we have like we have a very good range uh in trauma uh in, in most countries like I think after or before India, as, as mentioned by our orthopedic professor, so basically yeah trauma, I would have put trauma maybe side with consanguine itty, but the main thing that I want to highlight when I mentioned that concern, unity was the main contributor is that uh Unfortunately we do have these kind of traditions that spread along people within in villages, in rule areas where they have this uh mindset that is to keep the baby's healthy and to keep like the family intact, they need to marry from each other like for example their cousins, and so on, and unfortunately this is um maybe they don't know that, and we need to have more focused on spreading awareness of own consent, consent do, initi, that it's more harmful when it comes to genetic diseases, so uh this is why I wanted to highlight continue initi, egypt because of the traditions involved in uh in, in like increasing this kind of uh of acts like marrying from each other like tribes, and something so uh basically this is why it's uh although one thing that I want to highlight that Down syndrome is uh some people actually think that it's the main contributor is consensual initi, A lot of our community think that but it's basically an empathic, so when I got in like too deep into genetics and understood the fact that Down syndrome is one of the most common um like conditions uh in our community is contributed to empathic reason, not concerned humanity. It's just a very small contribution to Susanna humanity. Many people were kind of shocked to understand that because they already they already related down syndrome too concerned humanity in some civilized uh like areas. So this is what I wanted to highlight about continue initi, maybe our role as students is to spread awareness about this condition's maybe uh the cool thing about our role to contribute to awareness is to call for maybe like um contribution from our country to hold facilities and to facilitate genetic testing for families that just want to marry from each other from their cousins and so pre marital status premarital tests. These things are probably when they spread more in as students, we we contribute to spreading them more it would be easier for people to avoid such complications of consensual nitty, so, uh the obstacles and challenges faced by people with disability actually there are a lot, but from my point of view, and from the resources that I came across would be the public facilities, is transportation because many people struggle with that and unfortunately some just go to who already have label can afford they go to private countries and uh sorry private companies and the private companies, Unfortunately they charge a lot, so not not a lot of people can afford the service of transportation for disabled people and maybe I'm referring to people disabilities in movement and also uh those who have uh like who cannot see and cannot maybe depend on themselves fully. This is probably most of the uh of the disability definition as I mentioned for I think and in the presentation, but unfortunately it's not around here or not in front of me, so uh public facilities is transportation is a big problem, and I think if we need to learn from some countries, Japan would be on top of the list and uh for our role as well as the students, I think the most important thing is to also spreading thing is with this is what we can do right now, uh What I contributed when I was like in the first year of Medical school was how to deal with people who are how to deal with def, people like for example, uh is it okay to just grab their hands and try to uh make them understand their way or maybe uh the people who have lost their site is it okay just to grab their hands and show them the way, sometimes not the best option. So maybe when we spread awareness about how to make them be more involved in how to make them cope with the lack of facilities, things would be easier easier for that for healthcare. As burdens may rise basically her healthcare, unfortunately just marginalize uh people with disabilities, not many positions or people who work working in the healthcare are equipped, fully equipped or like even uh enough equipped to deal with people's disabilities, as well as the thing the the country itself doesn't provide services enough for for either working and people working in healthcare or for the people who are dealing with disabilities in general and also, I want to highlight something which is the physicians or the people who work in healthcare when they have under, when they undergo trauma or maybe something tragic that makes them disabled. Unfortunately, we do not provide any sort of compensation for physicians, and uh one of the initiatives that actually sparked in my mind right now was one in the, in the us uh well where they wanted to make physicians who have been in trauma, like for example under one amputation, one of the limbs to be re employed in the rolls by way or another, and there was actually like a very good organisation, unfortunately, can't remember the name right now, but it was a was a organization depending on uh donations to provide that support positions uh I would have really want to establish something like that in our countries because there will be a lot of wasted um talents for our physicians and people working in healthcare in general, so the stigma is lack of awareness uh well, we actually got back to the point of awareness again, uh and uh I think as students, our role would be more focused on awareness because this is the main thing that we can contribute with the stigma, is a little bit less right now because the media is actually contributing to highlight highlighting their uh their inclusion in society and maybe highlighting the initiatives that are rewarded for creating a more inclusive society for disabled financial services. Actually, there have been uh with, with the new law that our country adapted with actually we, we do provide like financial support for disabled people and would like provide something special for them to get their groceries and to get to get their uh paperwork done as easy as possible. So this uh these two last points would be actually the most important points that our country now is working on to provide support for the disabled people. Um I think I've finished with this uh slide. I uh I think it took a lot of time so thank you very much and looking forward to hearing the others thank you for asthma. That was a really great presentation. It was really insightful. Um It was also very fascinating um So now our next presenters, presenters Mcqueen and she'll be presenting about Kenya and the floor is yours, hello, everyone I'm much to use a bit from bracelets, University of uh Kenya, so my colleague Damaris kibowen was as well uh supposed to present, but unfortunately, she's sitting for uh and some aside ground uh so maybe can I present for her as well before I get to my walk, is it possible, yes, yes it is good okay, okay. So in, as such, she found out that the main contributors of disability in kenya as cerebral palsy, down syndrome, depression, environmental factors with fevers and accidents uh These are just some of the examples but here in Canada's main cause of uh disability is accident because people are not that much careful while driving or at the pedestrians, so uh we'll find out that the main contributor factors the disability is accident maybe you can move to the next slide. Accessibility for disabilities in Kenya. Uh I managed to explain some of the access abilities to disability here in our country, uh and it includes work environments, has been uh maybe stable people living with disabilities for easy access abilities. This includes infrastructures, uh for example the facilities it has been made in a way that people living with disabilities are able to access the buildings. Mhm check my is still a challenge faced by people with disability, so people okay stigma is brought about when people do not accept that they're living with a disability, so it is uh also the main challenge that people living with disabilities face. Next slide, a government of Kenya uh support uh support for people living with disability, so government of Kenya came out with this, I mean initiatives that are help people living with disability. The government of Kenya has adopted a number of laws and policies pertaining to people living with disabilities, including their rights to listen to working basic services, so here in our country, Government uh came up with some policies and laws that have people living with disabilities, for example, they treated the same way, with the same way people who are not living with disability are treated, so they can as well, do the same work that people who are not living with instabilities are also doing. Women and men living disabilities often can work and want to be productive members of the society in what developed and developing countries promoting more inclusive societies and employment opportunities for people living disabilities, requires to improve access to basic education, vocational training, relevance to labor market needs, and job sited to their skills, sited to their skills, interest in the abilities either, depression's, as maybe so that is one of the things that uh the government of Kenya has enabled to be put in place. Many societies are also recognizing the need to uh dismantle other barriers, making the physical environment more accessible, providing information in a variety of formats and challenging attitudes and mistaken assumptions about people living disability, so uh mostly something that people mistake is just to generalize that people with disability you know. When you say people living in this people with disability, it feels a bit offensive, so the right actually people living with disability because it is not their choice to have the disability, so it is correct to say that people living with disability. Yeah yeah I think that is the end of my presentation and if there is any equation anyone can feel free to ask me any question. Thank you, thank you MAC Creon for that presentation, it was really interesting um so now our final presentation will be about brazil uh okay um so Rodolfo is just having a few technical issues, so, I'm just talking to him to see if we can get him to join and if not alma very kindly who has lived in. I, I said that she will talk through some of these issues from her perspective using Rodolfo sides. So if you just bear with us a moment, please well, we try and figure out some of the zoom, technicalities will be right with you. Yeah Rudolfo, are you here, no are you able to present okay. I think unfortunately the technical problems might be something that are slightly harder to fix, so we'll go ahead with almond just present the about brazil very kindly, thank you so much. Uh no worries hello, so I'm alva uh part of some the event seem organizer and um so I just lived in brazil for like three years when I was in high school, so I'm not really sure about like the details, um but Rodolfo send us some information, so it would be nice if I could share a little bit about brazil um So that's like uh in other country, trauma is the major cause of disability and in brazil, and if you can go to the next slide, um The major issue in brazil is that there's like more than 17 meat, um 70 million people with disability, um but the thing is uh the issue in brazil is about the poverty that is related to disability people, so the government can't really support disability people back in brazil, so and also there's like half of the people who have disability, tends to be really old age like 60 years and a. Both, so it's really hard for the government to help them and additionally the poverty is really um hitting hard on government um And they are so trying to revise the law back in brazil, but in brazil, everything's kind of corrupted as well as you guys know maybe. Um So it's really hard to even revise the law for the disability people and support them and some of the things that uh ridolfi listed here is that average work environment um So people do have the work in there, but it's really average and they need further support. Uh I mention in some research, and also in terms of bapa, public transportation, this is definitely true because when I lived there, first of all, there's not much like good public transportation first of all, but of course for um disability people, we need further um um help in terms of public transportation, you know, so you can see the picture, they need definitely those um things. Uh Additional um support in terms of public transportation, so I've never seen those, uh especially in brasilia, which is like the like the capital, uh I've never seen those and so it's a big issue um and also in term of a medical care, I would say they do offer a good care, but first of all um they're uh they have a limited a location, nurses and limited amount of money, so I think it could be improved in a way, uh but they do offer good medical and in term of access to education um to those people. Um Yeah, so, I think that's all from uh I'm just sorry to interrupt with. Also has want to join the meeting so so much um so, yeah I can see him now yes, so, so, yeah I think you can emphasize more um since it's your presentation your technical problems so alma lived in brazil for a couple of years, So she's talked us through um trauma being the main contributor, but would you like to talk us through your slides about accessibility for disabilities in brazil. Please of course, everyone listen me okay, hello okay uh you're watching me in the camera or not, yeah we can see your camera as well okay, So in brazil, we have like a disability or mainly uh was injured by trauma, yeah so work, labor like occupational hazard, so uh generally, uh we sustained this um uh mainly hazards for being like uh for, like amputation link of limbs mainly yeah, uh and now so for like heating and radius and mine ing, like hazards that can make like the workers like have like a problem, respiration in uh mainly like a upper respiratory system, uh kidney problems generally could kidney, kidney failure, that's their transportation to play patient's um and also uh patient's who can have like mental problems. So also, so we have a special units in brazil for like analyzing like psycho, uh patient's for this, this kind of disabilities, so this the main system for like uh invalid, this patient's are making by the government, but each any doctor in the system even in private can request this this invalidation and uh sustain this patient for like the security and and mainly for like the help of the government for like stop working. Yeah. Um These workers generally have like one common issue that is like it's a liberty and generally lack of equipment in there works yes in our country, so uh this happens mainly because of uh the lack of um policy from companies that work in our country and these patient's are like uh leave without real good and real protective equipment, um So we as a doctor's, we need to sustain and analyze this type of malformations, scars, mainly amputation scars and uh see if these patient's because you know these patient's come back to the system of working because they need to win money. You know and um the some doctors don't just tell you are invalid and they come back to the system for working and come back to making working their views. So in occupational medicine, that we're speaking about this patient's need to be aware of a good doctor to like analyze them and make the documents for invalidation because generally they can even sustain the function that they do in the work, and they stay like long time without work. Of course because they lack of leaned, lack of uh cognitive itty excess. You know like because they were uh really in celebrity works before. Also, we need to analyze the type of works as a legal or legal works yes in brazil, we have a lot of illegal works, so there's a legal works make the, this patient's comes with us with a lot of uh debilitation. You know from the privates work that's not even registered work. It's not even official work for the government like analyzing work, so we need to do that uh and analyze what is your preference work is not analyze that you, you you need to make a uh document saying that this this company that he comes before is not official. We need to close this company because he's like making workers like debilitated, we make work because like have diseases, you make workers have like a lack of equipment, no we need to do that as a doctor's job, so in brazil have this problem because as a huge country uh the four biggest country in the world, and then we need to like know how to analyze this this type of workers that have the abilities and now the time this is really important um access for us as a doctor's so brazil have this this kind of problems, and we need to analyze this workers like this so, uh the transport inversion uh in some regions for these people after they are retired. If they are analyzed it with this disabilities, there are really um good in some cities. You know, but I can say like 80% of the country is not good. They have a really uh struggling with that. They have rehabilitations. Um These photos that I put exactly in this light is from a really ideal city. This is my city, yes in South brazil is, uh but the this type of transport is not uh common in brazil, especially in North regions Southwest regions. They have like really struggling with that because of governmental issues, governmental or investments you know. Um our medical support for them is really great because they can have everything for free they can have like um even transport to the doctor and uh consultations and everything the problem is like the time they wait for it. You know because there's a lot of people needing this type of service and uh they are not organized enough, so they will have like this issue of how can we we can manage this patient, how can we get this patient to the consultation this time. So this is a real problem with us now and also this access of education. You know for knowing that any worker who goes to to to the company needs to ask about protection, need to ask about like I am celebrity of worker, I I need protection, I need, I, I can't do that without a mask, I can do that without like some uh protective gear. Yes, this is really important so education is really important even inside the company, so we need to have workshops inside the companies in brazil is like it's so great problem because they don't have this kind of education, so workers go there without equipment and they don't know about it that they did like to to to keep their body health. They just think out, I need to pay my bills in the end of the month and I needed to work, I need to work so this, this this the company give me work, and I will do everything for them because they need to pay my rent my my bills you know, but they need to know that how how long they will be working for how long they will sustain this job Because this is uh sometimes really hazard situations, really uh dangerous situations that they put themselves it and they don't know how to do it about it, so it's a really complicated situation uh so in brazil, like, I can say like we have like 40% of sustain of these workers, 40% of help, uh 40% of um I can say government re ability for this. This type of things, disabilities in brazil, uh the public system give out the treatment and support without any money, but at the same time, they are not ideal they have a long wait. They have problems so sometimes the patient have uh aggravating of their problems because of the waiting, because of the lack of s specialist, because lack of transport, and everything so I think it's really important to say about it you know, I don't know what more you want you you just say about this the situation, but it's it's really um I think we as a doctor's need to know how to analyze these patient's no matter the country, no matter uh what what is our office, uh where it's located, we need to know how to educate, first educate these patient's second or how to manage this patient's how to treat them how to especially psychological help. Because generally, these patient's have a really psychological lack of help, you know, we need to know how to speak with them and uh of course, uh we we need to direct them to the right uh services to the right position and to know their rights about the situation because they work, sometimes in the companies that are really um explore them and everything so if you don't want to have like a question for me, I don't know if I I get all the top because I was late sorry because I take mauritius, so uh so I think I read up for that presentation. Um We'll now move on to a q and a slash discussion session, a plenary session, so uh we'll be open to uh run that's participating right now, but as as tomo, we have uh we need uh we've created to questions for all the presenters, so anyone who's presented today can answer them, and the first question is um how can we increase increase awareness about disabilities would any of the participants like the answer. Uh can I answer of course yes so to increase the viral illness first of all, by talking and to create support groups, so many people would get to know about disabilities and they will they disabled people will have a chance to meet other disabled people and could get along with and talk about how life is with disability. So this could be this could work. Thank you, is there anyone else that wants to add to that answer okay. I can, I can okay if we have redoubled trust and then macron mate okay, I can add something uh so uh I think uh the first step for every country you know if it's like governmental uh conscious you know because government is the main main entity that can help these workers so with, as a doctor like uh supporting groups. If you could just speak about, it would be useless. If the government don't like sustain our backs, you know, so uh the the Minister of Health, uh all the health system need to support us to have these entities and these bodies to help this valid people. You know to you create the projects we create like um how how we will pay them off work, and everything you know this is really important uh the government support is really important in this case, so um the only way we can support these people in work, labor is governmental sphere, and that's all all right thank you for your ideas, can we have macron, did you want macron, did you want to say something or someone else was talking yes, I wanted to say something perfect you want to go ahead oh so private agency, so governments can come in between and uh helping encouragement of people living with disability. This can be done through social media talk shows, radio uh just to bring awareness that visibility is not their child, and people should treat them equally like the normal people because no one knows in kenya like, I said in my presentation that disability can be brought about by accident, so anyone can get involved in accident, so people should really treat people, other people living disability, so right well encouraging them and not making them feel that they are lesser beans. Yeah thank you, thank you for that, everyone who answered are there. Any other questions that people would like to ask specific presenters or just in general yes, I wanted to add ask Quinn to use it the luff from brazil a little do food. Hello In your presentation, I didn't hear how you your government is supporting or something your government is doing to people living in disability. Can you please explain or maybe I didn't just get it clearly, so our government already say they give free treatment for all of them, yeah they give retirement for, of them like fully retirement um Also they give like transport and everything are major problem in this system is like they have like uh lack of time they have like a long way time for this this this uh services, so they're not organized enough, they don't have like uh investment enough, so sometimes the lack of special specialist to take care of these people, uh lack of uh time, yeah, and the structure to get these people, but they get everything for free, so they have out the support uh let's say like uh In theory, they have all the support you know the the law give out the support, but in the real life, they lack of uh structure, sometimes a lack of specialist sometimes that that's how our government treated, mhm, uh sorry, sorry for disturbing, I have an evacuation like in kenya, uh the government has made easy accessibility to okay the work. If you compare the work environment, there is a way that it has been made so available for people living with disability, so how is your government working on that, how is the work environment because you find that some of people living disability are learning some are working, so how is the work environment in your country for the people living disability, So we have a legislation, our country that's responsible for uh generally, occupational doctors, yes, they are higher for each company they are obliged to be hired by by law yeah so private or governmental companies need to have these doctors. What happens sometimes is, um we get workers from informal work that are not registration did in the system of government, So these guys sometimes have like uh invalidity is disabilities. Yes, they come to us um informal works later, and we can then we analyze them and then we put them in the system for work for helping them. You know, so it's really complicated situations because brazil have a lot of informal works. I think Africa also have this this problem in general, yes and no matter the country have brazil also have this, so we have a lot of informal works, uh and we can manage these people in data. We can help these people in data. Specifically, so sometimes they come, we don't know even they have disability, and when it comes to formal, we just uh put them in the system of government. I don't know if I answer exactly your question, but thank you any more questions any of the presenters. I want to know about uh if, in other countries, how is the Sheree network about data for these people uh We have like a registration of data how much people are really invalid, really disability, how can we manage this situation, and how is the health system for other countries for about that's really interesting for me would any of the presenters like to answer this question. I can uh ask you for mozuki, for example, I don't if she's a presenter uh I'm not a presenter, but I'm so all right, I'm studying medicine in the UK, and I believe that we have a national health care system, so then uh the data is usually um shared between different institutions and there's communication between different places, but then like when I go to placements, I see that even though the system is in place, there are times when the communication is not exactly the best and patient like gets bounced back between different systems, but it's at least I think quite good that we have a um digital system where at least like this abilities and like a big like important data is shared between health professionals. Thank you also, um you have like electronic health records and different types of registries, you have a cancer registry all of these things so that's another way to keep it monitored is there anyone else. I would like to answer this question from another country okay, so I think that then wraps up our q and a and discussion session. So now we would like to take a photo um So it would be really appreciative if you could turn on your camera to appear on screen, but only if you're comfortable, there is no pressure too uh you're on the camera. Uh So yeah we'll just take some photos now. Yeah mhm, I'll just take a few photos uh yeah just all right, uh perfect think I've got a few photos um So yeah thank you so much for uh participating in our event uh building an inclusive world for persons with disabilities in honor of the international day of persons with disabilities um and lastly, we would like to get some feedback um about this event, so we can always improve, but also to issue certificates for all the participants today and if you're not already a member, please do join our community, the total community, and for more information, please check us out on uh facebook and instagram and on our website and thank you very much and hope to see you at another event. Um uh Iona will have sent the link, so they're easily accessible to you and yeah thank you.