Hey friends tonight, we are hanging out in Epcot I wanted to come out and try some more food from the flower and garden festival and then also I've been really wanting to sit down and watch the American Adventure It's one of my favorite shows in world showcase and it always closes early So I figured we come on out ride some rides eat some food and have a beautiful Epcot kind of day Anyhoo's let's go do this It's a little bit gloomy today Temperatures are in the 60s and I'm a little bit cold But I'm excited to be here hanging out at Epcot and look at that our spaceship Earth Like I mentioned, I wanted to come back and try some more food from the flower and garden festival Of course that came on the opening day and we tried a lot But I wasn't able to get to everything I wanted to try because we flew to Disneyland We went to California adventure and we actually went to their food and wine festival the next day So we did back-to-back flower and garden and food and wine festival So there's a couple of things I missed out on and I figured today would be like part two It is currently 2 27 p.m. And both the virtual queue and lightning lanes are Still available for guardians of the galaxy cosmic rewind, so I'm gonna join the virtual queue might as well Let's see. Yeah, look at that. I'm all joined up ready to go It says it's a 345 minute wait So maybe we might not be able to ride that today, but I mean maybe if we're still here I can't pass up guardians of the galaxy It's very interesting to see how long Disney's gonna continue doing a virtual queue for guardians of the galaxy Once Tron opens up from what I've been told or what I've been hearing They are gonna do virtual queues for both Tron and guardians of the galaxy for a little bit But I don't see it lasting that much longer Of course, I had to grab my flower and garden festival passport But like I said, we already tried a lot of the food and if you guys want to watch those videos They're just a couple back and if you can't find them, I'll put a link in the description too They also started selling a power line candy here in Epcot in the creation shop They have like a taffy and it's called like power lines and I love a goofy movie and I love power line So I think we're gonna stop in there first and get it And here they are I found them hanging out by the register and I can't wait to actually try them Look at it stand out with power lines sour lime taffy.  I can't wait to try this sour lime taffy It's even cool because they say stand out with power lines really gets me excited. It's one of my all-time favorite Movie characters look at this. Oh, it's very green very very green.  Oh, I Like that. I like that a lot a nice little snack for only like two dollars and fifty cents I bought two of them and I'm gonna keep one in my pocket Hopefully it doesn't melt, but I like it I honestly bought two of them because I'm probably gonna keep this and never open it again I'm not gonna keep it in like as like a collectible which is crazy. I have way too much stuff, but that's the things I do The weather here in Florida is quite unpredictable on the opening day It was so hot out everybody got sunburned and then today it's so cold out Like I said, it's in the 60s and it's probably gonna get down to the 50s later on tonight And I didn't bring any pants. I Think we're gonna head straight on into a world showcase and start hitting up some of the flowering garden festival Boots there's a couple of things that I already have my eye on that I wasn't able to get last time So we're definitely gonna come through on those ones Blue Oyster Cult is actually playing here today at the Garden Rocks theater So I might actually want to catch that show too because you know everybody needs more cowbell in their life And I think the lineup that they have this year is phenomenal We just got to watch smash mount the other day and I didn't even know they were still making music One of the stands I wasn't able to get to on opening day was here in Mexico And they have a lot of great items that I'm really sad. I didn't get to try they got the taco vampiro Which is a very popular item. I think I might get that and then they also have a crystal margarita This looks actually really awesome, and I think I might get a little margarita and a little taco. I Don't normally miss out on the booth here in Mexico because it's one of my favorites But I think on opening day. There was a long line and I was gonna come back to it But I never got the chance to so today's like our chance to actually come back and get the things that we weren't able to get All right, here we go. I ended up getting the taco vampiro and then the crystal margarita This was $16 and this was $8 the reason this is $16 is because it comes at a collectible little glass here And I like that look at it a little souvenir All right, well here we go crystal margarita cheers with my fancy glass pinky up darling Whoa, whoa, that's strong. Oh, I like that a lot actually too because it has a strong taste up front But then you can really taste like the nice like orange in there orange and lime a lot This is a very good margarita. This is gonna sit good Now let's get to the taco and look at that Looks so good and it's got the nice little I think Monterey on the outside there I think that's the cheese that they use and we're gonna dive in We got a taco and we got a margarita. Oh, yeah The barbacoa inside this taco is seasoned so good I love it and then also I mentioned this drink actually, but it wasn't lime It was lemon so it has nice a little citrusy taste to it with a hint of tequila and That's actually a good combination Fire beware the hundred percent tequila Blanco will definitely creep up on you pretty fast Unless you kind of like that then you got yourself a good drink, but be careful. This definitely will creep up on you I like it though I'm definitely gonna be walking with this one, but we're making our way over near China and Maybe check out China or Germany both of those stands. I wasn't able to get to and I'm sure they've got great items this year. I Also wanted to point out my shirt I know Garfield isn't a Disney character, but I kind of felt like we're in a Garfield shirt today Roosevelt's just launched these and I think they're so awesome. I got a bunch of them I loved Garfield growing up So it's kind of cool to see a shirt, you know of him and then also oh my hat my duck Donald hat This is from shop LBV They also make the mouse Mickey red and black one that I wear all the time and I'll put both the links in the description In case you ever want to buy any of it One thing I've always wondered is why does Norway never have a festival booth? Like almost every single country except for Norway has a festival booth And I always wonder why I'm sure if I just Google it I can find out but it kind of caught my eye there So so far we came in we kind of went like this way and then over to Mexico I went to get something from China, but there wasn't anything I kind of liked so I think Germany is next for us Looks like in Germany, they've got potato pancakes with house-made applesauce Then they have a toasted pretzel bread topped with black forest ham and melted gruy cheese And the line is so long look at that another long line It doesn't matter if it's opening day or not still long lines, but I'm really in it for the potato pancakes today. I Also noticed they had two different potato pancakes to share They had one with the house-made applesauce and then they had another one that comes with caramelized onions and ham on it So I think I got them both. I mean you can never not have enough potato pancakes in my opinion Here is the first one and this one has the house-made applesauce And it looks like I got two of them and then the one with the ham and the onions I only got one, but I don't know what this water is at the bottom of it. You see that maybe it might be from the the topping of the Onions and ham. Maybe it's maybe it's ham juice, but I'm gonna try to hey, there we go. That's how we do it I fixed it right up I'm gonna try not making a mess, but I'm going with the applesauce one first. So here we go big bite It's very good. It's not like your traditional potato pancake because it has like a different texture to it and it has a different flavor too I'm not too sure, but I think they might grill them instead of fry them When I think of potato pancakes, I think of like the carnival or the local fair You know at the firehouse. They always make good potato pancakes there Now it's time to try the one with ham and onion and I didn't get sour cream I don't like sour cream that much. I much rather put applesauce on my potato pancakes and pork chops. So here we go This is good a little bit more savory because you got all the onion flavor and then the ham The other one you have the applesauce which will make it a little bit sweeter, but I think I'd go with applesauce Mainly because you get two of them two potato pancakes are better than one All right enough with the potato pancake business Even though I have to say I like the applesauce ones a little bit better and I double check and they do grill them They don't fry them. So that must be the way they do it in Germany It's time to move along and make our way over to America so that we can try to watch the American adventure Wow, it's really crazy that Italy is the only boot that doesn't have a line and they also have the most amount of people Working it like they have four different cast registers the Germany line I just got out of only had two cast registers and line was long and a lot of people were waiting But Italy has nothing and I looked at the menu. They do have like a chocolate hazelnut pudding cook with like cookie crumble I think that's the only thing I'd be interested in getting so I think we're just gonna skip over this It is nice to see Italy lowering their prices though Because in the past they used to have nothing below ten dollars on that menu, but it definitely come down a little bit As we make our way to America you can see the line is forming for blue oyster cold a lot of fans here I don't know when the showtime is oh five o'clock. So they got an hour. So wait They got to wait an hour just to see them Now it's time to make our way into the American adventure and I love coming to this show It's the theater is actually up a floor because all of the animatronics are down below and they raise up to the stage And it's really awesome If you love audio animatronics and large stage props then you're probably gonna love this show They come up from the stage like from the bottom and it's really cool because this building also holds club 33 Like they have club 33 and then they also had the theater in there and it's really cool some of the best production value I think I've ever seen it. It's not just screens and I'm not too sure if I can film in it If not, I have some stock footage and I'll add a couple of clips in there But if you get the chance to come check it out it is 30 minutes, but it's worth it especially if you love history The best thing about this theater is it's upstairs.    I like to be up close. I like being front row ish Thomas it is difficult to make 13 o'clock chime at the same time But we must carefully Justify the separation and dr. Franklin while you slept soundly through the meeting this afternoon We did manage to justify separation We hold these truths to be self-evident that all men are created equal That they are endowed by their creator with certain Inalienable rights that among these are life Liberty and the pursuit of happiness I shall spend another night up here there be not a ration amongst us now we can forage for hickriness Well the English overindulged in our Philadelphia's fine food and drink It is a strange war we shoulder George Washington Congress sleeps warmly in York at the British the British party in Philadelphia You're gonna ruin my birthday. No, no Nothing gonna ruin today We're all together That's what counts Now you go ahead. Mr. Brady. All right, everybody Oh real still Back in the heat of Franklin's Philadelphia again We're a hundred years old today It came a long way in that first century Well, mr. Twain, what do you think of our America now? I think the founding fathers never dreamed of an America like this Of course not. I Love that show so much. I'm so happy. I got to actually finally watch it Like I said usually close around seven I always miss it, but I got to I got to enjoy it today and now we're gonna move along even though now I'm all rested up.  It's a good way to get out of the heat and also relax a little bit Now we got to keep moving along and I want to make my way over to Morocco They have one of the desserts there from the flowering garden festival that I really wanted to try but I couldn't last time So today's my redemption When it comes to the Morocco pavilion here, I always miss it because it's inside It's not an outdoor like stand or booth and sometimes I just walk right past it But inside the tangerine cafe. They have grilled kebabs They have a hummus trio and then they've got the orange blossom chiffon cake and that is what I came here today to get And it's only five dollars. So we're gonna go get it. Doesn't it look so pretty? All right, here it is the orange chiffon cake and we got some pistachios there and it looks so pretty doesn't it? We're gonna dive in I'm sitting here next to the transportation the friendship landing and I'm excited to try it. It looks really good It's a beautiful view. We've got a beautiful cake a little breeze and I'm gonna cut right on in here I'm not even sure how I cut into this Because there's multiple ingredients I want to get a little bit of everything in one bite So I figured maybe just like right down the side here. Oh boy. I think I've already made a mistake here No, wait, let me let me do it this side. There we go. Okay. All right. There we go Now that's a true bite one bite right there You guys know I'd like to get a little bit of everything in one bite. So here we go Hmm That is really such a unique flavor. I like it so much. It's fruity. It's nutty. It's earthy It's really really good. That's what it is. I Just ran into my friends Jim and Kathy and they had this and they gave it to me.  Let me know in the comments what you guys think. I mean right now. It's cold out I don't mind so much wear on the hat My problem is usually when it comes to summertime because when it gets hotter out sometimes the fridora is they're not the best Especially in the heat. So let me know maybe I'll bring it back if enough for you guys say something When I did say I was gonna stop wearing the fridora, I didn't mean like forever I wanted to bring it out, you know for like, you know occasions Maybe even special occasions because it is a fancy hat But you know what am I breaking it out and making an appearance within the next couple of days? And now we've made our way back out to the front of the park We did a whole lap whole lap around world showcase. I love that. We got Bambi over here and Thumper I haven't really got to point out much of the topiaries, but I've been looking at them They were so pretty to look at and I also like smelling all the flowers Unfortunately our boarding group wasn't called in time And I have to start making my way out of the park because I have movie tickets to go see Shazam too Which I'm excited to see Shazam and it still says we have a hundred and five minute wait So we're not gonna be able to ride Guardians of the Galaxy and instead I'm gonna give you the second best ride here at Epcot Good old figment. Look at that. We're ready to journey into imagination I had to stop and see my good old friend my good buddy old pal figment I'll probably bring you guys along with me as I go see Shazam too I mean not in the movie theater because you can't film inside the movie theater But I'm gonna go watch it down at Disney Springs And I always like showing a AMC down there because I think it's one of the best movie theaters Especially at the Dolby theater That's why I always try to watch the movies as soon as they come out because they only show the new movies in that theater So I always rush to get there as soon as possible But before we make our you know exit down to Disney Springs Gotta stop in at least get one ride in and figment's a good five minute wait.  Yeah Their sight sound Chicken You've got it wrong doc. It's not about listening with your ears. It's about listening with your imagination Now I've completely lost my train of thought Chocolate cinnamon vanilla coffee cookies right here all the amazing flavors on this ride, but yet We always get scum I even want the grass or the jasmine or the orange Yeah Oh You can never go wrong with the journey into imagination I love that ride. I love being able to just sit back relax and smell the skunk. It's the best On my way out. I notice this sign over here where they're giving 40 off select ebkot 40th anniversary celebration items 40 off for the 40th and look at all this stuff.  So if you have a cast member or an annual pass holder You can stack that on top of the 40% even the lounge flies are still here Wow Well, now I think it's time to start making our way out how to stop and say Buy to spaceship Earth. Oh and a monorail Ooh, look at that. I love it when this happens. I didn't time that. I mean, I didn't mean to do that on purpose It was just good timing. But look at that monorail orange going by but yeah, and also the nice topi areas over here Take a look at this I just walked out of the park and I looked down on my phone and you'll never believe it look at this My group was called and sorry bonnie. I missed your phone call and your text I miss a lot of things. I'm not too good at keeping up because I I allow it all to pile in here And then I end up with like a whole bunch. It just goes on and on and on so Sorry bon but I could have rode guardians. I was just a couple minutes late Okay, now this is gonna be even funnier But you know how I said sorry bonnie I didn't answer your call But she was actually calling me to tell me that my boarding group was called for guardians of galaxy because We're on the my disney experience app together and she gets the notifications on her phone And she's in pettifanian. She thought it was funny. Sometimes she does that like so if I mobile order something Um, uh, like she'll get the notification on her phone too And she'll be like your food's ready and stuff like that and joke around But it was kind of funnier if I would have answered her call. I probably would have stayed in the park On my way out. I noticed this sign. I know that they changed the parking icons Like it's not one or it's not like journey or discover it's actually characters But I've never seen this sign before where they put earth tram earth lots and space lots I don't think they have a space tram because we're in space and not every disney park has trams back yet But it's really interesting. I like the epcot logo how they're actually incorporating and everything And I like the epcot font like especially the e I'm not too sure how I feel about wall-e and you know go more and stuff like that as the icons I mean epcot I can see but I would like to see a little more. You know some other characters Definitely wall-e and evie. They're good, but I don't know about rocket and gamora Where's my gracy girl Where is she Gracie Let me see that face show us your smile show it to us. Yes, there it is. Oh Give me that smile. Give me that He Got an extra treat today. Gracie really was smiling there I love the way dalmatian smile because like they show their teeth a little bit But it looks like they're like angry and like they're growling, but that's how they smile and it's so cute.  I missed you. I miss you so much Yes, yes, look at that All right, I just got done taking Gracie for her evening stroll It was a nice little night, but remember I was telling you it gets cold out and it got a lot colder out So on my way to disney springs. I decided to switch out my outfit. I'm wearing my nice Cake castle hoodie that I got and that's time to go see shazam.  So we'll see we'll take it as it goes I'm also wearing my pink lacroix Uh shorts to match my castle hoodie. Actually, I look pretty good. I like pink. Maybe I should start wearing it more What do you guys think I like it? I think it's a nice combo And we have made it to disney springs We have a couple of minutes before the movie. So I was thinking about getting something to eat I got two places on my mind. I got pizza ponte for maybe a slice And then also I got chef art smith's homecoming. You know, maybe grab some of that delicious chicken dumpling soup I think I'm gonna walk over to chef art smith's and see if I can do a walk-up or sit at the bar If that's the case, I would rather that but I do love me some pizza ponte That's usually what I get before I go see a movie and I don't want to break tradition, but I do love me some soup And would you look at that? They actually had first come first serve at the bar and doesn't seem like there's anybody sitting there So I'm first My two favorite restaurants here at disney springs are definitely boat house and here at chef art smith's And I cannot wait to dive into that chicken and dumpling soup, which I show you you guys will see why it's so so good Here is a look at the menu. They've got adi maize chicken and dumpling soup. I love getting this They don't have it like as a cup. So you have to get the full thing and it's $14 So I think I'm gonna get that and then also for my entree. I'm gonna get the char grilled chicken Nice that I had this before it's excellent chicken and I know A lot of people say how can you come to homecoming and not get the fried chicken? I'm actually getting the char grilled chicken because I really do like it It comes with roasted potatoes and vegetables and then this nice sweet potato mash They also have a lot of good moonshine here. They got a moonshine margarita. They got a sweet tea shine They've got blue hooch. They've got rumshine punch and strawberry lemonade But I decided not getting just myself a nice little on old palmer And here it is the chicken and dumpling soup look at this Oh, it is so good The broth or like the the the dumplings everything I just I honestly I dream about this soup sometimes I get like a craving for it So I'm glad we got to try it today Good soup All right, now it's time for the main event.  Doesn't this look good? Look, it's you know a lot of the entrees get slept on here. It's not just all about the fried chicken One of the things I like most about this Is probably the vegetables the carrots and the zucchini. It's all so good But I've never had the sweet potato mash I've only ever gotten with the brunswick stew, but I figured since I had dumpling soup I don't need stew so we're gonna dive in here and see what this is like Oh, look at that look at that Okay, all right, okay All right first time trying this That is amazing I'm going back in Wow, I need to cut up some of that chicken and then swab it with that sweet potato mash. That is so good We're gonna take some of this chicken then we're just gonna go balook just like that Just like that That was too good. I'm throwing in the towel throwing in the towel.  It was good though. I couldn't finish the sweet potato like mash That was way too much. I ate my veggies and my chicken. Of course I had my chicken and dumpling soup But uh, yeah chef art smith still uh taking that number like I can't even put a number one or two on it They're just my favorite two and that's it. It's it's gonna be like that for a while never had a bad meal here Even though ant man and quantum mania has been out for a while It's still the major like focal point for the advertisements down here at amc Also, look they got spotlights up there, but we're gonna head in I'm so excited. I love coming here I love going to the movies too. That's just the best thing ever They've got some hot food here Let's see. We've got some pretzels We've got some chicken tendies We've got some gourmet popcorn Some nachos some pizza a lot of stuff The pretzel and drink combination is more expensive than my meal at chef art smith Oh and some mozzarella sticks sitting here too It's not just the fancy old popcorn. I got the good stuff I'm definitely not going to be getting any snacks right now because I am full It's time to head in and find our seat and get comfy Here is the dobby cinema at amc that I was talking about I love coming into this theater And I love how it always has like a little show over here I'm excited to watch this movie And I can hear my voice already getting dampened We got the nicer climbing seats They go all the way back All the way back Here we go I'm going down That's not a mic shock And if I'm lucky nobody's gonna sit next to me so I can put this up and then I got a couch to lay on Look at that And with that, I think we are done here today. I love Shazam too I thought it was a great movie at the end the storyline got a little bit messy, but it was funny It was action packed. I think it was better than black atom In fact, I think it was better than most of the marvel phase four and five films that already came out Like I really really enjoyed it. I hope they keep that character because I thought it was awesome I love number one and now I love number two And yeah, I think we're all done here today It was a great day got to share it all with you Epcot to disney springs and now I get to go home and just call tonight So I hope you guys enjoyed the video. I enjoyed making it. We'll see you next time Bye


Hey guys, this is rich from rich TV live I want to show you One of the beautiful villas that I'm actually looking to purchase here in the Cayman Islands Might be a little bit over budget, but a man can dream this place is Pretty impressive. Let me give you guys a tour So obviously it's gated with full security large property Amazing amount of parking Looks nice, right? But wait till you actually see what it looks like inside That's where it gets really impressive The ocean, are you kidding me? The kitchen is fabulous Oh Oh, so they're renting it all the time That's interesting Look at this unbelievable room Hey buddy Nice room My goodness Amazing For the kids, look at this This place is fabulous Oh, stackable washer dryers Two stackable washer dryer sets The kitchen is enormous Renovations in this room But look at the size of this bedroom It's enormous Just amazing So well decorated It sinks


So, good afternoon, I'm Philip Burgess and myself, Petrus Kangae and Nick Bear, would like to present some highlights of our research collaboration through the Liverpool-Blantyre link. This has been a strong international research collaboration. I've listed some of the highlights of our research in the recent past on this slide and now I'd like to hand over to Nick who's going to take you through in a little bit more detail some of the studies we've performed recently. So, yeah, I'm just going to talk about a study of cost-effectiveness of screening for diabetic retinopathy and laser treatment which we did in Blantyre and this is part of the Malawi diabetic retinopathy study but we thought it was important to demonstrate that this model of screening and looking for patients with diabetic retinopathy and treating with laser was cost-effective because of the rapid increase in people with diabetes in sub-Saharan Africa. Essentially, we found that it was cost-effective, 400 US dollars per quality adjusted life year and that meets a WHO definition of cost-effectiveness which is linked to GDP and so for Malawi is low but it still was cost-effective and that's great because it shows this is a useful and cost-effective approach to managing diabetic retinopathy in sub-Saharan Africa. And another area of research has been involved in this YouTube it's some of you be less familiar with which is malaria retinopathy. Yeah, so we've been researching malaria retinopathy in Blantyre for many years and showing that it's diagnostic for a child in coma with a parastemia even though parastemia is common in the population and it also has prognostic information the worst the malaria retinopathy the higher the risk of death from seromolaria but it's quite difficult to visualize particularly for a physician with a direct ophthalmoscope you can see the hemorrhages but you can't see other features well because they're too peripheral or too subtle and you really need an indirect ophthalmoscope to see it well. So we are developing automated grading so that physicians can access the information from the malaria retinopathy using a low-cost fundus camera and we're in the process of optimizing the image analysis at that time with our collaborating US company VisionQuest who are developing the software for that. And as well as academic achievements it's important for us to demonstrate impact of our research we're focusing on the case of diabetic retinopathy we've increasingly be able to develop links and relationships with the Malawi and governments of the Malawi Ministry of Health to affect changes in policy we're really delighted to see that through hopefully with the help of international collaborations including ours but also importantly the Scotland Longway link that screening and referral systems for diabetic retinopathy are now operating successfully in the central hospitals in Lanthire and the Longway and there's a strong training pipeline coming through overseen by Petrus Kangi and in partnership with the German groups and other international collaboration developing training ophthalmologists and future research leaders in Malawi. We've also developed excellent relationships with the Diabetes Association of Malawi and got our message out to the public through events that involve national newspaper coverage. So Nick's now going to talk a bit about the shared learning that we've been able to achieve so mutual benefits for both individuals and institutions. Yes so we've really found particularly in the sphere of diabetic retinopathy that the service provision has grown out of research projects the research projects provide sustained funding at the beginning to get clinics going and then as the demand has grown so services have grown and taken over from them and research projects provide a kind of mutually beneficial goal for both parties we know this is in a great collaboration working together and allowed career development for both sides of the link. Thanks very much so that's just hopefully a few of the highlights from our strong international partnership we've developed and we're looking forward to continuing over the in the future and myself Nick or Petros would be happy to answer answer questions on Friday about that. Thank you very much. Thank you. We have some of the great things that are happening you know to do with tackling the issue of diabetic retinopathy you know the shared learning the enhanced partnerships we we've also you know had quite a lot about you know the continued networking that is coming out from there and of course just to put everyone in perspective of what the diabetic retinopathy network is all about we are just going to go into the next presentation that is going to give us an overview of the DRR network links and of course just to give everyone an understanding of what the network is all about. In a previous session this morning we had about the retinoplastoma network and I am now going to give an overview of a second network the diabetic retinopathy network the VNET which also came about as an extension of the vision 2020 links program. As we heard earlier the original remit of the vision 2020 links program was to establish training partnerships with the objective to improve the quality and the quantity of ICAR services in Africa. The links have since become a platform for other programs and for the networks and the vision 2020 links program started in 2004 and now has 30 UK link partnerships 17 of them with African countries. In 2013 we realized that over 20 of the links had chosen as their priority condition to train either pediatric ophthalmology or diabetic retinopathy and there was a clear pattern that these two issues were becoming quite relevant in the strategic plans of many links. So the DRNET as a network was then set up in 2014 and it was based on existing link partnerships that were already working towards improving diabetic retinopathy services. Forming a network allowed all these links to meet together to share learning to grow and eventually to also extend to 23 links over the five years with Pacific and Caribbean countries joining in. In many cases the DRNET services in some of the countries were either non-existent or they were rudimentary or they had treatment services but they were looking to establish a better way of screening people with diabetes. The links through the UK partners were able to tap into the experience of the national diabetic eye screening program in the UK which screens over two million people per year in the UK. This program has one of the world's highest coverage for the air screening at national level. Just like the individual links the networks are also about teamwork and both interprofessional multidisciplinary teams and in diabetic retinopathy the team is really essential. This team approach includes the obvious professions that we need for the air screening and treatment like the screener graders, the nurses or the ophthalmologist but just as important are the data technicians, the endocrinologist, the managers and even Ministry of Health officials. And these applies both to the teams from the UK and the teams from Africa, the Caribbean or the Pacific Islands. So when the network was formed the first meeting was used to agree a target and a way forward for action. And it was agreed that every link in that network would treat at least one person a week more for the first five years of the network. And we calculated this would equate to saving 37,500 blind years. This was done through different ways. There were more than 92 training, reciprocal training visits where the teams from Africa came to the UK from the Caribbean to the UK and also the UK teams went to the direct training in the country. We also had four large international workshops where all the link partners were invited. More than 90 ophthalmologists were trained in laser treatment across the network. And we have more than 80 screener graders being qualified with the international eight month qualification for screening and grading run by the Gloucester group in the UK. This is an online qualification. This original target that was to treat about 3,750 extra patients collectively as a network was actually doubled and more than 8,000 patients were treated and approximately 8,000 years of side saved. As a collective the network increased the screening capacity by 88% in these countries and as a total the treatment increased by 47%. Another of the aspects that was a key work of the network was to include Ministry of Health officials and policy makers in the teams. And this often catalyzed the work of the individual country teams to produce national guidelines. For example the Kenya DR guidelines, Uganda, Tanzania, Zambia and others that are underway like in the Caribbean, Malawi or Ghana. And the value of developing appropriate guidelines for diabetic prognopathy that are context specific and implemented ensures quality across the programs. I'm going to leave it here and we are going to hear now from several of these links. The Malawi and Fife link in Scotland. The link between Zambia and Frimley Park Hospital in the UK. The link in Calabar, Nigeria with Wolverhampton and the link with St Lucia in the Caribbean and Frimley Park. And each of them are going to present their experiences with the program and the partnership, their achievements and the way forward for the future. Thank you. Thank you. So the first of these presentations coming is the St Lucia Frimley Park link and we're going to hear from that team now. The diabetic retinopathy program is funded by the Queen Elizabeth Diamond Jubilee Trust through a two-year grant held at the International Center for Eye Health at the London School of Hygiene and Tropical Medicine. The Vision 2020 links program is an initiative to give eye institutions in low and middle income countries the skills and resources to develop high quality eye care services for the populations they serve. The diabetic retinopathy program was launched on February 5th 2018 in St Lucia. St Lucia, a small developing Caribbean country with an incidence of diabetes of 11.5% did not have the capacity for diabetic retinopathy on Ireland. Patients who required that service traveled overseas at very high costs to them. Many patients who did not have the funds to seek care sadly went blind. This program has given us the human resource capacity to provide services to our patients integrated into our primary care services and free of charge. The program consisted of training of health care workers within the primary care system to include nurses, health aides, consultants of terminologies to provide the service. The provision of equipment to support the service, health education support and technical support and monitoring. The program has been implemented by training our public health officers to ensure sustainability. One of the highlights of the program was the many opportunities for human resource development. It commenced with the workshop for the steering committee for the planning of the national program. The biomedical engineer, the screeners, the graders and oftalmologists, they were also trained in 2017. In May 2020, the Vision 2020 exchange was facilitated with Frimley Park Hospital. Frimley Park Hospital's team was also instrumental in training in country our screeners and graders. The screeners and graders also participated in the certificate of higher education in diabetic retinopathy screening with the Gloucestershire Royal Hospital online course. Under the diabetic retinopathy program, screening services were made available in the north of the island and also in the south. The treatment services was also developed at one of our wellness centers with a well-established referral system for care. As of April 2020, a total of 2,855 patients have been screened and 328 patients have received laser treatment. As we continue to strengthen the national diabetic retinopathy program in St. Lucia, we aspire to expand screening services to other communities in crystal numbers being screened and treated and to continue training new screeners and graders to ensure sustainability. Hi, I'm Professor Geetha Menon and with the team from Frimley Park Hospital, we were a part of the link that actually went to St. Lucia to develop diabetic retinopathy screening in the island. The team along with me went to then through reciprocal visits so we went to the island and we also had the team from St. Lucia come to visit Frimley and what we did was develop a really good competency-based screening, a training program for screening the graders and screeners in St. Lucia. We also trained the ophthalmologist in laser treatment and I think that the best bit of this link has been the fact that through the link we were actually able to get the Ministry of Health in St. Lucia to be involved right from the beginning. The Ministry actually therefore owned the program. They made sure that they had enough screeners and graders trained within the program and now we actually have a very good screening program for diabetic patients across the whole island. We've also had the additional advantage that they've had laser treatment available for all the patients which is meant that this program actually has the highest treatment rate as well. I still remember going to the island for the first time to teach screening and grading and the patients that came on that particular day, there was quite a lot of patients with proliferative diabetic retinopathy. Setting up the screening program here has meant that we were able to save a lot of patients from going blind. Good day, my name is Dara Bhut. I'm the consultant of Talmology St. Lucia with the diabetic retinopathy screening and treatment program. The other team members include screeners, graders and optometrists, a family nurse practitioner, HMIS team and various stakeholders from the Ministry of Health. The collaboration with the Vision 2020 links partnership has been very beneficial to us especially in boosting our human resource development. So far we have 13 fully qualified screeners and graders with the program. We have screened over 2800 patients. We have lasered over 300 patients and now St Lucia can effectively treat and manage diabetic retinopathy. Thank you and we're looking forward to continue collaboration with the Vision 2020 links partnership. The partnership with the Vision 2020 links program in St Lucia has been amazing. It has facilitated the development of our primary healthcare team to support the establishment of our own diabetic retinopathy program in St Lucia with screening services, grading and laser services to all of our diabetic patients. These services are provided free of charge to all our patients. The collaboration has been extremely useful as it has reduced blindness due to diabetic retinopathy in St Lucia. Thank you very much to the teams in St Lucia and Frimli for the presentation which is very very interesting and thorough. We're going to move on to another team that also works in diabetic retinopathy as part of a link and that is the Calabar in Nigeria with Wilbur Hampton in the UK link and we'll hear from them. Good afternoon. Thank you for asking the Calabar-Wilbur Hampton Vision 2020 link to present today. I am Nick Price, the links UK coordinator at the Royal Wilbur Hampton NHS Trust. And I am Afil Iban, I have a links Nigeria Coordination Council since I have University of Calabar to do more for you. The link Memorandum of Understanding was signed off in 2014. We are grateful for the support, the Vision 2020 links program and the senior management of both institutions have given us throughout the two three-year activity plans. Four priorities for training had been identified and have been undertaken. Medical retina in particular diabetic retinopathy, glaucoma, pediatric ophthalmology and leadership skills. Although training many other spheres such as biomedical engineering, optometry, nursing and clinical governance have also featured in the partnership. In Calabar we are particularly fortunate to have the driving force of Professor Dennis Nkanga who leads the diabetic retinopathy service. In cooperation with the Lagos group and with the support of the Vision 2020 links program progress is being made towards establishing a national diabetic retinopathy screening program. Prof, over to you. Thank you Nick. The Calabar Diabetic Retinopathy Screening and Treatment Service commenced in January 2015. It is a facility-based call recall annual screening program. Every patient with diabetes 12 years and above is invited for screening. The links program has given priority to the training of staff both for screening and treatment. The service is delivered by a multi-disciplinary team from the Lyons UCTH Diabetes Center, a one-stop service point for diabetes care. One of the major priorities of our team has been raising awareness, collaboration within the community and advocacy. We have worked together with primary care physicians, community pharmacists, laboratory scientists, nurses, the State Primary Healthcare Development Agency to create awareness of the program within the community. The statistics is shown in the next slide. So far we have registered about 37% of the people living with diabetes in our city. Screening rates are still low because we have an ophthalmologist sitting down to do sleep-lamp examination once in a week on these patients. We believe that when we deploy photographic screening the numbers will increase even more. We have worked together with our colleagues in Lagos and the Lagos University Teaching Hospital to agree on unified screening protocol, unified treatment guidelines. We have worked with the ophthalmology society to raise awareness on diabetic retinopathy. Last year the National Diabetic Retinopathy Steering Group met. With the leadership of Dr. Ocala in the Federal Ministry of Health, we are in a state ready for the National Steakholders Meeting. Every other aspect of our ophthalmology service has been affected by the links and that has been shown in this slide. Back to you Nick. Thank you Prof. Of course there should be mutual benefits to a partnership. Comments made by members of this team after a visit to Calibre show how partnerships can be a win-win deal. I value more our spectacular NHS and how lucky we are to work in this environment. I improved on my ability to deliver lectures and facilitate workshops. It taught me to repair equipment with limited spare parts to get the equipment working. It increased my awareness of prevalent conditions in different countries and focus on preventative high care. So a final word from Matthew. Thank you Nick. We have come a long way since 2014 in this partnership. All we have shared today will not have been possible without all the institutions and individuals listed on this slide. We are grateful to everyone of the people who have been a part of this journey. We have benefited immensely from this partnership and we therefore would strongly recommend partnerships. We'd like to say a big thank you to everyone. Thank you. Robert you're muted. I hope I'm back on now. Okay yeah so I was just saying I mean we can see that some of the challenges that we are you know highlighted in the morning when Elaine Foster presented and highlighted some of the key challenges that we need to to address as we continue to work and improve high care services through these links programs we are already on the road to actually making or addressing some of these challenges and of course we continue to celebrate some of the great outcomes from these partnerships and without wasting much time I would like to introduce the next link which is the Malawi and five feet link and they are going to give us a highlight of some of the key achievements in the in the past few years. Okay I'm from Fife in Scotland and we're twins with La Longwe and Joseph from Sosa has been a key part of developing these services but unfortunately there's some technical issues we think can't join me today to give this presentation. So La Longwe's in the central region and I first went there in 2014 and Joseph showed me around the eye hospital here and his main concern about diabetic eye disease was that patients didn't come to the eye hospital unless they had symptoms by which time it was often far too late to help them. Just across the road is the diabetes clinic and we had a visit there so here all the patients waiting to be seen the most impressive thing for me was the patient education that's delivered by nurses every morning before the clinic however this diabetes education talk didn't include anything about the importance of eye screening in diabetes eye care in general eye diabetes care. So we decided that education was probably the best way to start off a diabetic eye service in Malawi and since 2014 we have been running courses involving lectures small groups patient examinations and we have now taught over 200 healthcare professionals including optometrists, ophthalmic clinical offices and nurses to screen for diabetic eye disease what to refer and how to teach patients how to manage their diabetes as well because quite often their contact with the eye healthcare professional can be a very important one for for education as well. In 2015 we had a visitor that's Sophie Castle of Wessex who's a patron of the Queen Elizabeth Dunn Holden Jubilee Trust and she's the Queen's representative and she came to visit us and this is her she spent probably about an hour and Joseph will tell you all the builds up to that took many days but she spent about an hour with us and here she is chatting to a patient you can see the delegates here and they're holding their arc lights which is the ophthalmoscope and that costs about five to ten pounds and it's provided to all of our delegates so that they can use that for direct ophthalmoscopy and it's been kind of instrumental to us being able to deliver this. So Sophie came for about an hour as I said and then afterwards when we finished the course we had a look on news websites to see what they said about her visit so and most of it was really about her hair clip and her shoes and not very much about the projects that she's been to visit but that's how it is. The highlight of the course for me is Olive here she's a very experienced diabetes nurse and she gives a talk to delegates with Moira who's a patient representative and they talk about how to give advice to patients with diabetes regarding food, foot care the highlight for most of us is her she acts out as an impotence scenario which is unforgettable really and I also enjoy how innovative everyone has to be with diabetes in Malawi this is how you keep your insulin cold if you don't have a fridge. Hasn't all just been in Malawi there've been visits to Fife as well here Dorothy and Eric receiving the Topcom camera that was donated to them when they came for their visit and then here's Eric behind the wheel in Malawi using it and that's been really good for diabetic ice screening in the Longway and this is another two visitors to Fife unfortunately they chose the moment when the beast from the east was just arriving you can see the snow just starting in the background they assured me when they arrived but they were very used to cold because they come from the north of Malawi however I don't think they wish to experience anything like that nor do we really especially when you think this is our fourth the fourth day of our three day course and these are the shores of Lake Malawi I'm sure they were dreaming of that while we were battling through the snow it's a big team effort so we have created this across the whole of Malawi have the same screening criterias and teach everybody across the whole you'll see that the map of Malawi here everybody puts in where they come from they come from the very top of Malawi along from extreme south as well so and there's a big team effort and it now involves lots of registrars from the UK and from Malawi as well as the consultants three consultants from the northern central and southern regions of Malawi and it's been a privilege for me to be part of that thank you in the next presentation we're going to listen to professor Gita Menon from the Frimley Park as well as Dr Mu Mamlengah who is the national Ikea coordinator for Zambia as they share insights on the Zambia Frimley Park link that started way back in 2011. Hi I'm professor Gita Menon and me myself with the team from Frimley Park Hospital in Saree developed a link with Kitwi Central Hospital through the Vision 2020 links program and this is special to me because this was our first link that from we had we've had many more links after this Kitwi Central Hospital wanted us to actually look at developing diabetic retinopathy screening because lots of the patients coming to that hospital at that time were going blind because of diabetes so we set up a competency-based training program to train screeners and graders in the hospital as well as train them for laser treatment through the Kitwi Central Hospital the National Eye Coordinator was keen that we actually roll this program out through the whole of Zambia and also managed to get some support from the Ministry of Health. This has meant that we managed to get equipment in the form of funder's cameras in laser machines and OCT machines in five of the main central hospitals in Zambia. Like I said this link is special to me and with the reciprocal visits that we've had it has meant that this program has taken off really well and this is a trailblazer as far as diabetic retinopathy screening and treatment is concerned in Zambia. So thank you so much of course we've just had a highlight from the from Professor Kate Minon on the Zambia Frimley link and building on from that we also want to get perspectives on that link from the Zambian side and of course joining me is the representative from the Ministry of Health Zambia who I'll ask to introduce themselves. Hello everyone how are you? It's nice to participate in this program. Kanguamle Ngamumama, my name is from Lusaka Zambia representing the Ministry of Health. I'm the National Health Coordinator I've had the chance to work with Professor Gita Minon on the link between the Frimley Park Hospital there and now the Frimley Park NHS Trust I think with Zambia. Thank you so much Dr Mooma for that. Of course building on what Professor Minon has said can you just tell us a little bit more the background of the Zambia Frimley link how did this link come up and when did it start in Zambia? Yeah so the link started in December 2010 it was initially between the Kittway Teaching Hospital iDepartment that time and the Frimley Park Hospital and so as you may be aware the Kittway Teaching Hospital iDepartment is now there is now a hospital it's now called the Kittway Teaching iHospital. So that link started with the two institutions and they collaborated for about three years that's when we got to know about it as the Ministry of Health and by then there was a study that had been done on the copper belt on the diabetic retinopathy. It was to do with the prevalence of diabetic retinopathy in the copper belt problem so so we got to know about it and the results were quite alarming. It is at that point that we decided that we needed this program to come to Lusaka and from there it gets to the to all parts of the country. Okay so talking about the Zambia Frimley link program so how was the program delivered how was it implemented and are you also maybe just share with us some of the key highlights in terms of the activities that were implemented under this particular link? Yeah so this program had particular areas of interest which we had to do with the service the human resource capacity building in terms of training and also research and also community involvement of the program. There was also an element of advocacy and indeed the link or collaboration between the KiTwe Teaching Eye Hospital and the Frimley Park NHS Trust. Okay talking a little bit more about the link I mean it's like a lot of activities that were done and right can you just highlight you mentioned that a lot of partners a lot of medical people involved in this just give us examples of the key staff and the key partners that you worked with in the implementation of all these programs. Yes thank you so much Bob for that question. Yeah so we had to collaborate with the other medical personnel who were the physicians, the nutritionists, the nurses who are non-othermic nurses. We had to collaborate with the Zambia Ophthalmological Society, the Zambia Diabetic Association and indeed the Zambia Medical Association. So we brought in a lot of stakeholders in order for us to be able to deliver the program and achieve the objectives of the program. Yeah and you mentioned that I mean the program was started initially in KiTwe and then it came to Lusaka and then you scaled it up. Just how widespread was the program, the Zambia DRS program implemented in Zambia? Yeah so when we came to Lusaka we started the program at the Investiging Hospitals Eye Hospital and then from there we went to the southern part of Zambia that is the Livingston Central Hospital. We went to the western part of Zambia at Lewanika General Hospital, the eastern part of Zambia that is the Jebada Central Hospital. And we had indeed scaled it up to the northern parts of the country that is Mansa and Kasama General Hospitals. Thank you, thank you Dr. Mooma for giving us an overview of the Zambia and Frimli Ling and this is all for this session. We're going to have now our participant Paul and I am not sure if we are keeping the questions for later or we should be addressing some of the questions now. I can see that there are a couple of questions in the in the chat. The end I think if that's okay. Perfect, right. So we've been hearing lots of good ideas about how sharing of material can be helping, how the partnerships work really well within the links and we want to ensure that everyone who's on the call here today actually gets the opportunity to contribute as well. So we've set up the participant polls, we've done a couple already this morning, we've got two more this afternoon and for all these polls the idea is that you can then get a feel of firstly who else there is around at the conference but also you'll be able to give your opinions about various things as well which will help us take the whole links program forward in the future. So we'll go into the first poll if we could just take that please Graham. So we want to know a little bit more about you. So what is your role? So you can start choosing the most appropriate button. So you're either an ophthalmologist, as a consultant lecturer, professor, independent practitioner, you may be a trainee or some other ophthalmic professional from nurses, clinical officers, optometrists, orthoptists, healthcare workers and then there are people outside the clinical sphere whether that be Ministry of Health, Government, Research Management, Admin, Finance, Health Promotion, Medical Students, Student Nurses. We want to know what you all are. So if you can manage to find the best button to press and when these bar charts seem to be growing no further I will then share the results with you. So maybe Robert you'll be able to share that. Let's end the poll now. Robert would you like to give us your comments on what the poll has shown? Yeah ideally I think we have a lot of ophthalmologists about 54 percent as expected which is a which is a good thing and also we have a lot of ophthalmologists who are in training, accounting for about 18 percent and ophthalmic professionals and it's good to also note that we have a good representation of other people, allied workers, I like to call them who are connected to ophthalmology. So really I think it's quite a balanced representation and we have quite a good mix of people who are participating in this meeting which is a which is a great thing. Great so let's go into the second question. So the second question where this really leads into next session. So we've been hearing a lot about clinical work at present but also the importance of all those other generic skills as well. So what type of additional training would you most like to have? Is it clinical skills training or surgical or skills type of simulation? Training the trainers or training in leadership and research? So you're still all clicking the buttons so we'll just give you a bit more time to do that. Right that seems to be slowing down so we'll end the poll. Maybe Kova you'd like to give us your views. Yes so this is this is quite interesting and we can see that about 43 percent of the I think about half of those present voted would like more training in leadership and or research followed by training the trainers and surgical skills simulation similarly and then clinical. So it does give a little bit of an idea of the sort of a scope of what a link can do and we heard earlier on that there have been links that have focused on leadership training and Claire Inkster had talked a little bit this morning about her work on that we also heard for example from the Malawi and Liverpool link that the one of the key areas for them was research so you know those are all things that are within the the remit of what link strategic plans can have and is very interesting to to see. Great well thank you very much Kova so we'll we will be having another poll at the end of the next session and also at the end of that session we'll be having small group discussions as well as going back to a whole group discussion so with those small group discussions we'll explain a little more about how those work at the time but for the large group discussion we would like some questions raised from the floor so if you've got any questions that you'd like to put into the chat use the chat everyone to submit those questions and then we'll be able to answer those a bit later on so thank you that's the end of the polls.


YouTube I'm my name is Mike man. Welcome to the channel 3sb.co man be a part of something yourself.   Yeah, it's crazy See we got a little bit of squats probably try to go heavy backs a little stiff I actually slept I slept in for the first time probably in ten years I slept till like eight o'clock and then Pull catch a little pump in the back a little bit of biceps Let's do what we get into people like call it lazy and meme it but like if you're taking two to three minute breaks Like what else are you gonna do? You gotta sit down. Yeah, we got a bench at like every station in here on purpose like why wouldn't you?  That's not it What should we do?  It could be sick. I don't know. It's just a thought kids Yeah, so like a training frequency the main things we manipulate when we're training I guess there's four ish Exercise selection, which is like variations or what exercise you choose to do The volume which is like sets times reps times weight a lot of people just make it like on the internet They just talk about like anything being high reps high volume That's not necessarily the case because like ten sets of three is still pretty high volume The other ones intensity like how close to failure or how close to your one rep max Do we go how hard the movement is doesn't necessarily mean that you're fucking screaming at the bar and sniffing ammonia That's just like emotional intensity. We're talking about training strategies And then the other one's frequency how often do you train or how often do you do a lift?  Yeah, like if you were fit enough Training seven days is the best now most people don't have Probably the genetics and the lifestyle to do that don't the transformation pick that throw on Instagram all of this Was done with just bare minimum. It's training three to four days a week. That's it I would say the average power lifters probably four to five times a week You can get a lot a lot of strength the average bodybuilders probably more like five to six times a week Because they have to pay a little bit more attention to calves and arms and stuff like that So they just have a little bit more exercises. They have to get done And I would say the average weight lifter not only do they train five to seven days a week a lot of times They have multiple sessions involved. What should you expand I hate and love this question The sad truth is that there's way too many factors to have an expectation Genetics training age sports background how you're eating how you're sleeping, right? What you should probably Know is coming after your training. Is that any kind of linear progression, right? So you've never trained before you start benching you're gonna be able to add five or ten pounds every single week Squat deadlift overhead all that once a year training in that's probably gonna disappear So this basic, you know starting strength five by five three by five and adding weight is gonna go away Things are gonna get a lot more difficult You should have gotten stronger if you took before and afters you should build some muscle Noticeable muscle in a year if you're eating protein and training you also have to know that yeah now It's gonna be time to like we talked about the last question kind of probably mess with that volume frequency You don't have to know it just find a program guys then training commas a bunch of free ones Follow one of those a little bit more frequency and a little bit more volume It's probably gonna be needed for you to continue to progress.  That's just how the humans are made Yeah, I mean it's not that crazy.  It's just how it is. It's the beauty that makes humans We're all the same.  I mean he thought he thought I was like 18 He thought I was one of the boys Look at me, man I know you have Botox or nothing, but back in the day When I only worked at home I've always kind of worked for myself, but I want to only work that home I'd eat a burrito at like 11 11 30 and then train at one or two every single day, and it felt great Now we train around noon in here.  I had a protein bar nothing and then I'll go eat a big meal after this So yeah, a lot of its personal preference whatever helps you mentally whatever helps your stomach Yeah So if you didn't dig in we're squatting every day I'm in the gym and you should probably go back to the first video where I go into a little bit of history and what we're doing But like we just talked about when you manipulate variations and you manipulate volume intensity and frequency It's gonna be nearly impossible to have volume intensity and frequency all very high We get a just these dials so right now since my frequency is very high how often I'm squatting my intensity is high I'm getting close to one rep maxes or 85 and above percent my volume's got to go way down So I'm basically just doing one to two working sets just top singles or doubles every day Keep it as simple time than all the new homies gyms, you know corrupted in Alphaland. I have not been We'll probably try to go within the year obviously putting the blood sort in tears of not only visually creating this but physically building this gym than my number one gym Barbara Brigade is literally a second home Barton Geo or our blood family to me and I know these are like YouTube ones But like the truth is like these are the actual homies the other ones untamed strength Alan thralls one of my favorite guys Let alone in the industry, but on the planet. We used to train together every single day for years Love Alan. Those are those are the three go-tos until we go and tour corrupted in Alphaland Power build shout out to Colin C.T. Whitney man Philadelphia stand up I might have gone a little harsh in our last video on some of these new newbie lifters And a lot of that depends on where you live, right? Sacramento for those that don't know it's not sunny L.A. We're seven hours north of L.A. basically summer's tend to be 80 85 is the coldest day you're gonna get in the summer, right? We're talking 90s hundreds very often Maybe it's cuz I was raised, you know, my first strength condition coach was like a bodybuilding warehouse style gym We trained out with a bunch of football cats and after that as you guys know super training and barb-rubber gate and the places I've been I like working out in the heat I think it feels good on my joints feels good on my mentals as long as you stay hydrated.  It's probably impossible to do You'd probably die summer times right now. What are we at? 93 degrees Noon honest like a man a little bit of sweat never hurt nobody Ladies and gentlemen, man brand new videos every Tuesday Thursday. Be sure to subscribe with this thing a thumbs up again Santa Clara Powerfest Expo August 13th. I'll see y'all there our meet September 10th and 11th open gym for everybody on the 10th The meat is open to spectators just small entry fee I'm selling like everyone to find me man. Be a part of something bigger yourself. We'll catch the next one


Good afternoon, my name is Richard Neeringham with the City of Columbia Police Department Code Enforcement and this afternoon I'm going to talk to you about outdoor placement. As you can see to my left, we have a tire and a piece of vinyl siding. Outdoor placement also covers any kind of furniture, appliances, mattresses, anything that really belongs in the house that should not be outside. A lot of what we run into is that you'll find these items on porches, especially let's say for example office chairs that have fabric or couches that are fabric. They're not allowed on the porch because they could be a harborage for rats and other pests and vermin. So anything that is a wicker based and material that's allowed outside that is made for outside is most ideal to have on the porch. But in this case, we have a tire and once again the vinyl siding, these items do not belong on the porch or the side of the road. Solid waste will not pick up your tires so you have to dispose of them on your own. But if you have any other items that is considered outdoor placement next to the curb during the solid waste regularly scheduled pick up days, they will come by and take care of it for you. But in the meantime, be a neighbor, do your part and take care of your own refuse.