Courtney Michelle, and I am the Vice President of Longmont Sister Cities Association. And I would like to welcome you tonight to our annual meeting. Our bylaws dictate that we must have an annual meeting in the month of January. And so we use this opportunity to meet everybody and have some of the ambassadors introduce themselves. So I would like to say, Yoko Sou, Bienvenido, and Inna Dos. Welcome in the languages of our sister cities. Stick around, there's some business we have to take care of, and we're gonna have some trivia at the end.  And at the very end, we're gonna have a catered appetizer style food out in the hallway out there. So please stay. And on a more somber note, I would like to ask for a moment of silence for Ted Klein. He was the husband of Lee Klein, who was a past president of Sister Cities. And Ted was a great friend of LSEA. So if we would please take a moment to wish him on his way and wish Lee all the best. Okay, thank you very much. I would now like to introduce one of our elders, Sue Bolton. We have learned a lot from our new sister city, the Northern Rappahoe, that elders are our respected members of our group. And Sue is gonna tell us about the history of Sister Cities and listen, because one of the things she's gonna say is in the trivia tonight. I see a couple of other elders in the audience because Connie Forens and Jeannie Finley are also longtime members of Sister Cities board. It is, it's a good thing. But they also can correct me if I'm wrong. Anyway, Sister Cities International got started because President Eisenhower, after World War II, felt that if ordinary citizens could get together with ordinary citizens of another country, they could do more to promote world peace than perhaps government leaders. And so that was one of the people-to-people organizations that came out of President Eisenhower's idea. So it started way back in the 1950s, but Longmont didn't get involved with Sister Cities until about 1990. And at that time, we had been through a recession. Several of the business and civic leaders in town wanted to start some kind of organizational friendship with another country and have a Sister City. And so Bill Hosokawa, who was a very prominent newspaper man and author, helped Mr. Kanemoto and other people from Longmont start a relationship with Gino Japan. The formal signing for that one was in 1990 with our mayor, just before you, Leona Fred Wilson. Fred Wilson was the mayor at that time. But then Leona Stacker was the next mayor, and she realized that we really needed to have a year-round organization to organize the activities and the homestays and all that kind of thing because the mayor of Gino at that time wanted to have a student exchange as part of the program. So in 1991, he sent a group of students over and Leona's, by the way, Leona stand up just a minute so they'll know who you are in case anybody doesn't know. Leona Stacker was our mayor at that time. Leona realized that it was too much for the staff. The first year, her staff had to hustle around and get home stay arrangements and activities and everything for the students who were coming and they found families who had teenagers in the family and they set up the activities and everything but she realized that that was really too much to ask of her staff in addition to all their other duties and that we needed a citizen's group to do it. When Bill Carlson moved back to Longmont where he had grown up, he had experience with sister cities in Arizona and he also wanted to get involved in the community so he went to Leona and said what can I do in the community and she said take over this sister cities organization so he was our first president. And after the students came here in 1991, then the following summer, the kids from those families got to go in the first trip over to Japan and I was one of the chaperones for that excursion which was very, very educational. So for the first few years it was every other year we would send them to Japan and they would come here the following year. But after Bill Carlson took over the organization, the board decided that we really wanted to do an exchange both ways every year so we started that in 95, might have been 92. Anyway, we soon also had people on our board who said we really need to have another sister city, one that has Spanish-speaking people because we have a large Mexican-American population here and we need to have better relationships going in that direction. So Dan Benavides who was, he had been a city councilman, he was also a businessman and did a lot of importing. He set us up with Tsuda Guzman and pretty soon we started having student exchanges going both ways every year. They would go, we'd send kids to Chino, eight kids to Chino, eight kids to Tsuda Guzman for a 10-day homestay and then after that they would come here for a 10-day homestay with the families and we had lots of activities. It's been going great up until the pandemic and that kind of made it difficult to have any kind of exchange. But we're so happy that now we think we're going to be able to resume our exchanges and we're glad to see all of you here to participate in that. Thank you. Thank you very much, Sue. I would like to now ask Sam Safi to come up and we will elect the executive board every year. My job is the shortest portion of this meeting but by the way, I'm very impressed with your attendance so thank you in this call. It shows your support for us. We worked throughout the year so thank you. Thank you for attending. Do we have candidates for president, vice president, secretary, one of the more difficult jobs and the financial advisor or bookkeeper slash treasure, many things. Any candidates from the floor? I have names. Okay, so I suggest we elect Janice Rebem as president, Courtney Michelle as vice president, Mike Seton as secretary and Patricio, and for now it's the last one. Janice as the treasurer. All those who are in favor, please show by your right hand. More importantly, any opposed by the same side. Very well, thank you. Thank you very much. And if anyone would be interested in joining our board meetings, becoming on the executive board or anything like that, please start attending our meetings which are the second Thursday of every month in the room just down the hall from here and they're open to the public. Next, we will elect the rest of the board and I would like to have everyone stand if you would. Sue Bolton, Cherie Safie, Sam Safie, Margaret Worth, Atsuko Muse, Dai Kato, Kale Hubert and Karen Bandy. And Kale and Karen are new to our board. Thank you very much for helping us out and committing to next year to helping us with the first full exchange, hopefully, since the pandemic. Thank you. And Sam, you have one more job to come back up here for just a little bit. We have a financial treasurer's report. Sam was treasurer for last year. And so get ready, Patrice, you're next year, you'll be doing this for us. So we had a, first of all, I have brought all the receipts, the checkbook. Okay, so we had the total income of $67,637 or that we, our total expenses were $59,000, so we made $8,000 last year, after all our expenses. On the balance sheet report, we have, because we haven't had exchanges, so we have some equity, we have $85,511 as cash sitting in our bank. That's the report, the details are written here. You're welcome to examine them. And thank you. Thank you, Sam. All right, now we're gonna give a little review of 2022, what we were able to accomplish, even with very only one exchange. So with Japan, we tried to keep in touch with them a lot, so we did virtual tea parties. We had, Margaret, was it two, three? Two or three? So because of the time difference, we would have to do, they would do early in the morning and we would do an evening. We would all get on Zoom with our cup of tea and have a conversation. The very first one, we played some games, there were a couple of teachers on that call and so they helped us with those kinds of things because there's a language barrier with Japan, of course, and a little bit, how do you do Zoom and all that kind of thing. So we had a fun time doing that and kept in touch and talked about that we hope we will be able to go this year. So those were great fun. For Mexico, it was our 25th anniversary last year and so that is 25 years of sending kids and receiving kids to and from Mexico and our sister city there is Ciudad Guzman and it is south of Guadalajara and so some of you will be heading there this summer. And Mayor Peck went on that visit, that was in August, with also some members of the sister city committee and I heard it was a great time. I missed it unfortunately, but it was a blowout bash party and lots of gifts came home with us. There's an art piece that is going to be hung somewhere in the library soon and they also did the official transfer of a brush truck that was gifted to Mexico on the 20th anniversary five years ago and it just takes a while to get things across the border. So and a lot of paperwork and money and all kinds of stuff like that has to happen to send something over the border. So that was driven down by Janice this spring and we have a new friend in, I believe he's in Minneapolis who is from Ciudad Guzman. He's a fireman in Minneapolis and he is helping us do these kinds of things and work on translation and equipment and stuff like that. So that arrived there and they are very thankful for it. It is already in use and the truck that we gifted them 15 years ago is still in use as well.  So in the US there are codes. You have to have a fire hydrant every so often so the fire trucks can reach it to put out a fire. Well, that is not the case in Mexico and so the fire truck that we or a pumper truck that we no longer needed is still in use there and doing good work and they have stickers all over it. They have our logo. They have the sister cities logo. They're very proud of it and then this year's city council also gifted another fire truck, a full-size fire truck to the city of Ciudad Guzman and that is fire truck number H, I believe is the name of that and it was involved in the 2013 floods and so it has a story. It was also before that, before Longmont had it, I think it was at the Indy 500 and so there was a video somewhere out there with that truck putting out a car fire after a wreck on that car race. So we are working now on when that will be going down there. So we're getting better at getting trucks across the border to Mexico and getting driven down all the way to Guzman. So we hope that will happen sometime this spring. We are also, we were visited by two Mexican firefighters who came up here to see the truck that we are going to give to them and they did some training with our firefighters as well and the first time they flew was from Guadalajara to Denver and then they got a special surprise where a city staff member, Marika Unger, took them up in her little plane at the airport and that was their second flight ever and so they got to fly around. They also got to see snow, be in snow for the first time. There is some snow visible sometimes from Guzman on the volcano out there and they made snow angels. So they had a really good time in the snow. One of them said he would love to come back and go skiing and the other one was like, all right, then we had our first full Arapaho exchange, the first bilateral exchange. So a couple of years ago, 2019, we had some of the Arapaho kids come down here for just a few days but we did not go up there. So this summer was our first time to have the bilateral exchange where we went up there for a week and then some of their kids came down here for a week. So it was very successful. I think everybody learned something. We'll hear from some of the kids who went on that trip in just a little bit and the documentary about our relationship with the Northern Arapaho was also released this year by a city-funded through the Longmont Public Media. And that was about 45 minutes and I believe there's a link on our Facebook page. And hopefully it's on our website as well. If you have some time, watch it, it's really moving. I don't think there was a dry eye in the Longmont Museum when it was shown and we had a full house watching it. We also had in November a couple of other films because of Native American Heritage Month. So we had some guests from our friends at the Northern Arapaho come down. So for the documentary, we had a panel discussion after that and that is also on a separate clip there and we showed True Grit, which is about a Northern Arapaho rider and they do Indian relay races. If you have never been to the Indian relay races, they do a circuit like the rodeo and they ride bareback on moving horses. I mean, they jump on these things, grab them by the main and go up there. Sue, Janice and I went in 2021 but there was a documentary done about a female rider who is from the Northern Arapaho and her story and that was very moving as well. And then Denver 7 News got really interested in our exchange and I'm gonna play a clip, it's about two and a half minutes of a news story that aired back in November about that. Jenny's in it and Aidan's in it and one of our Northern Arapaho students as well. So let's cue that up. In World War II, sister cities have brought cultures together worldwide. As Denver 7's Patrick Breyes shows us, one front rain city is focused on repairing a relationship right here at home. Culture is rooted in our DNA. Culture is something that can be connecting. It connects us with our past, helps us embrace the present and guides us toward the future. I feel like when you actually start to look at people's differences and embrace them for that, that's when we're really getting towards, you know, being culturally competent and really like a path towards equity. In 2021, the Northern Arapaho tribe from the Wind River Reservation in Wyoming became Longmont's third sister city. In doing so, it established the first sister city relationship between a sovereign tribal nation and a U.S. city. The word that I've always used for it, it's been friendship. The partnership allows eighth through 11th graders from Colorado to visit the reservation in Wyoming and for kids from the reservation to make their way down to Colorado. I think this relationship really was an attempt to start trying to correct those mistakes that my people made. That is where Aiden and Marley come into this story. They were all part of the first student exchange with the Northern Arapaho this past summer. It's important because some people that are like me that have never been around a different culture, it's important to not look at them any differently and be open to learning about them. Aiden is a freshman at Erie High School. He says his teacher encouraged him to join the program. Thinking about the reservation, what is like the first thing that comes to mind to you? It's probably like, oh, they're probably not too technical, technology advanced or stuff like that. They're just us. There is literally no difference between me and them. Aiden says this trip allowed him space to recognize the harm done to native people for generations. They're trying to get their culture back after centuries of it trying to be demolished. Marley is part of the Northern Arapaho tribe and lives on the Wind River Reservation. Following the week-long trip to Longmont, Marley and the teens from the reservation spent a week here in Colorado. We kind of toured through the city of Denver. One of my favorite parts of it was looking at these buildings that had graffiti on them.  We were looking at art. And we're all blinding really well. We all made friends very easily. Two weeks of cultural immersion revealed lessons these students will remember for a lifetime. Even though we spent two weeks together, we made a family out of it. It is part of our past that we did kind of get stripped of all of our culture and language. But as me now, I'm wanting to not take it out on everybody. Just by looking at their skin color, I wouldn't want to take it out on them. And has created a partnership aimed at bringing cultures together for years to come. Patrick Perez, number seven. I feel like that's a great idea, but there we go. Okay, we're back on. So that was pretty cool. We made Denver news. I mean, wow. And at our inaugural, at the September in 21 was the time that we came together. And the president of International Sister Cities came and talked to that. So when we first proposed this to Sister Cities International, they discouraged just a little from doing this. And we said, you know, we're gonna do it anyway. And we did it. So a lot of people tried it, had not succeeded and we did. So there are probably many reasons for that. Timing might be one of them, but we're making it happen. And our only goal is to be friends, just like Jenny said, and that a lot of people have ideas about what this could be and we're just out to make new friends. All right. So some of the other things we did last year, we attended a couple of festivals. We were at the first Longmont Juneteenth Festival. We had a great booth there and handed out stickers and magnets and got a lot of attention and tried to get some people interested in our program to know about it. So we also went to Rhythm on the River in July down at Rogers Grove. And that was a lot of fun. I think there was actually one of the MCs for some of the music there and we had a good time. Then we attended Unity in the Community, which is a city and chamber of commerce joint festival and had a booth there and also at Dia de los Muertos. So we hope to do more this year. And if you would like to help us, you don't have to join the board to help us out. We love our friends of LSEA. And so we have a lot of former members, we have a lot of people who can't commit to that monthly meeting and those subcommittees that we all have to do a lot of work for. And if you can't and you just wanna help us out, some of those festivals are a great way to do that because we need people to staff that and have people at the table, walking around, sending people to our table and to the people who know about all the details of our program and get the word out. All right, so 2023, we're looking forward to an exchange and so one thing there is the group we work with at the Northern Rappahoe is called 477 and that is their youth organization group and they have just texted us today asking about a blanket drive. So we still have not organized the details of that at all. If anyone is interested in helping us make that happen, gathering blankets for some of the students and families of our friends up there at the Wind River Reservation, please speak to me afterwards. I think it might also be a great project for some of the ambassadors, but I haven't talked to any of the chaperones about that. So that's just a be in your bonnet to let's do some good out there. All right, for several years we have been working on an art in public places project and Nicole has been helping a lot with that and that is finally coming to fruition this year. So we have, there has been a chosen piece of art. It's gonna be a gazebo like thing and it's going to be up at Macintosh Lake, Flanders Park on the north side. So from that is you're gonna be able to see Long's Peak in the mountains. So that is gonna commemorate our relationship with Ciudad Guzman and that will be installed sometime this summer and hopefully be there definitely will be able to have like a ribbon cutting at the exchange we hope. And so one thing coming up on January 31st from 5.30 to 6.30 p.m. at the museum, I believe will be a review of the color palette. So if any of the board members or other members of the community are interested in looking at that then you will need to RSVP. I'll send an email out to the board or try to put it on our Facebook page so that you could attend that. So unfortunately I don't have pictures of it but it's a really cool gazebo with seating. We wanted a gathering type place and one of the themes we have with Mexico is the butterfly because the butterflies migrate to and from and they transform as they do. And so we see our ambassadors transform as they go through this program. And so the gazebo is covered in cut out butterflies that then are placed on the outside of it. It's really beautiful and we hope all you will be there. I'll send out another invite through the MailChimp is what most of you all heard about this. So I'll send out an invite for when we do the unveiling of that. All right. On February 18th at 10 a.m. at the museum, Nyall Bior who is from Sudan but she's a teacher here. We'll be discussing her book, Changing Your Blues to Blue Skies. I believe it's a memoir about her immigration and migration on her trip to get over to the United States. So that's something of interest in February for Black Heritage Month. All right. Also not planned yet but happening sometime is a visit by the mayor of Ciudad Guzman. His name is Alejandro Baragán. We are still working on the dates for that.  And so we'll have some events around that whether it will be at the exchange or at a separate time we don't yet. And then we hope to visit the Wind River Reservation with the board and members of city staff and city council. So that is in the works but not yet set as well in our plans. And then of course the exchanges with Mexico, Northern Rappahoe and Japan. Now we sent out a notice about Japan. They are not going to be sending students here this year unfortunately. But they have a meeting in two days on the 21st where they are going to try to get together and get a good convincing argument that they are gonna receive us. So we still do not know that for sure whether that will happen. So everybody keep your fingers crossed that they can convince that to happen. You know, there's multiple reasons why this is still going on and we don't need to go into those. So we hope that will happen and we're going to continue our planning with the thought that it's going to happen, all right? Okay, so now what I would like to do is ask any ambassadors from prior to 222. So any more, you know, not last year, we're gonna do that in a minute. Can you come up? Can you come up? Can you come up at anybody who's been on any exchange prior to last year? And I would like you to introduce yourself, tell us where you went and give us a little, you know, what was your best memory or experience that happened on the exchange? Yes, I'm going first. My name is Margaret Worth. I went to Chino, Japan in 2019 and what else am I supposed to say? Just my experience, basically, yeah. It was a life-changing experience. It was very wonderful. It really got me thinking about how, you know, as was just said in the little news clip that we're all the same, you know, even though Japan is so far away from the US, and culturally we're very different. We speak different languages and eat different foods, but we're all the same people deep down and that's the main takeaway that I got from that. And it's like, you can say that as much as you want, but you're never really gonna feel that until you experience it yourself. So I think that's the really special thing about going on these exchanges is getting to experience that and know that for yourself. And it was just really cool to see Japan. I love the culture. The food was delicious and my host family was awesome, so it was a great experience. And I'm grateful to Sister Cities and I've been on the board ever since. Hello, I'm Jordan Bagley. I went to Chino, Japan in 2018. Yeah, that sounds right, I think. And I was part of the group where the Arapa came down the first time before COVID. Kind of ruined that a little bit, but my experience in Chino was really good. Met a lot of good people, ate really good food, went cool places. I mean, it's Japan, it's pretty cool. But I don't know, going there, doing everything, just the things that we did was really fun. Those two days in Tokyo were really fun, but being with my host family and actually doing stuff with them that includes setting off fireworks at two in the morning was awesome. It was really cool. Apparently they sell those at their supermarket all the time. That's good to know. But it was really cool to do that and just hang out with everyone. And personally, I've gone up to the Wyoming a lot, and I've been up on the reservation quite a bit. I've talked to the Crawford and everyone, and they tell good stories. They make good food, and everyone's really nice, and we still talk to them all the time. So everyone's cool there. They're good people, and it's a good experience to have. I mean, they're our neighbors. Why not know them? This makes things better. Thank you very much. Thank you both. Thanks for coming tonight. All right, all of you who went last summer to the Wind River Reservation, could you please come up? Hey, everybody take a deep breath. All right, just say your name, where you go to school, and one memory, and you can talk a little more if you like. Tell us what you thought of the exchange. Hi, I'm Estella. I go to Niwot High School, and I did the Wind River Repo Exchange, and like, a memory for me was the powwow in going and just getting to experience their amazing culture, and seeing how they live, how it's different, how it's very similar, because again, like Aiden said, we're all human, and we all share the same experiences. I think that was really awesome. And bonding with everybody, creating a family together, I think that was pretty cool. My name is Alexander, I go to Schellen High School, and one of my favorite things from the Northern Appalachian Exchange was, one, the food, because it's really good. And two, was the Sundance. It was just like, it was an experience that you won't get anywhere else. It's just completely different, and it changes you. And yeah, what Estella said, I'd learn how similar we are, and what we have in, like, how we're different. Hi, my name's Natalie Heinze. I go to NYWAT, and everything Estella and Alex said was amazing, but I really liked all the car rides, because that's, I say this every time when people laugh, but that's where I got to know everybody. That's where I got to learn things about people, and we made a lot of memories on this bus, go to, or bad, the back of the seat, I'm looking. My name is Mauro, I go to Erie High School, and I think we would play like UNO, and make each other's hotel rooms, it was really fun. And I also liked meeting new people, and just trying their food, which was awesome. Hello, my name is Aiden. You already saw me up on the screen. I go to Erie High School, and probably a couple of my favorite things were definitely the food. I really wish the aunties would come down again, so they could make me more fry bread. I ate a lot up there for sure. Paolo was really fun for sure, and then I also got to meet a lot of new people in a lot of different ways that I didn't know I was gonna be able to experience in my life, so it was really cool. Thank you very much, and inaugural exchange, I mean, that's gonna be, this is the first, right? Okay, y'all can go ahead and sit down. Some of you are gonna come back up in a minute though, right? Okay, so how about who is going to Japan, chaperones and ambassadors? Can you please come up and introduce yourself? He's back, he's back, all right. All right, we'll start with you. Name, please, where you teach, where you go to school, and what you're looking forward to most? Hello everyone, my name is Francisco Sandoval. I'm a teacher at Scotland High School. It's, let's see, I was supposed to go to Mexico, and then COVID kinda messed that one up, so I'm super excited to be able to travel with students, to mix my two passions of traveling along with teaching. I don't know, I think it's gonna be a great time, so I'm super excited to be traveling with this group. I know we're missing a couple, but we are, I mean, I'm super excited. My name is Alexander, I go to Scotland High School. I'm a freshman, what I'm really looking forward to is I've never been on a plane before, so I'm excited for that. I hear the food is really good, and just overall going to a different country and meeting new people. That's one thing I really like is meeting new people, because they always have different perspectives, and there's, like, you can learn so much just from looking at the world through a different person's view. I'm Alexi, I also go to Longmont High School, and I'm excited to learn the differences of the cultures in a different way than just from an outside point of view, and actually being there and experiencing everything of what they do similarly and differently. Hi, I'm Katherine, and I go to Iowa High School, and one thing I'm looking forward to is going to a new country and sharing our cultures with each other, and also eating the food, because I've heard it's really delicious. Hi, I'm also Katherine. I'll be the second chaperone for the trip to Japan this summer. I'll echo what Francisco said. I'm very excited. I am most looking forward to the homestay and really getting to spend some time with a family locally, and like everybody else, the food is, I think, gonna be a lot of fun to experiment with, so I'm very excited. Okay, how about those who are going to Mexico? Please come up wherever it doesn't matter. It's okay. We'll have a chaperone start, though, yeah. Go Kingdom, yeah, yeah. Hey, everyone, I'm Cale Hubert. I teach English as a second language, primarily at Front Range Community College. I'm very excited and happy to be here, honored to be here. I guess I'm excited most to experience new things with a new set of friends and confidants, so. Thank you, my name's Sean O'Leary, and I am a sophomore at Iowa High School, and I'm probably most excited to stay at someone else's house and just like experience the way of life. Hola, me llamo Greta Stoch, y estoy un estudiante de segundo curso in Iowa High School. Hi, my name is Greta Stoch. I'm a sophomore in Iowa High School, and I'm most excited to meet my host family and spend time with someone and practice Spanish and try new things, experience a new place. Hi, I'm Kenna Kaminsky. I'm a sophomore at Longmont High School, and I'm really excited to experience a new culture and try new foods. Hi, I'm Laura Orner. I'm a junior at Longmont High School, and I'm excited to meet a lot of new people. Hi, again, I'm Natalie Heinze. I'm a freshman at Longmont, and I went high school. I'm looking forward to staying with the host family because I've never really stayed with different people. Hola, me llamo Harper Beamer. I'm a junior at Iowa High School, and I'm most excited to be immersed in the culture through the homestay. Hola, mi nombre es Miranda. Yo soy de Puerto Rico. No sé, no sé qué decir. Pero estoy bien nerviosa, pero también bien contenta porque es algo nuevo. Hi, my name is Miranda. I'm from Puerto Rico. I don't really have much to say. I am a little bit nervous, but I am super excited to learn about a different country and different cultures. I already have two cultures in my system, so it's so nice to always learn more. Hi, guys. My name is Aiden Magna Grull. I'm a freshman at Erie High School, and I'm honestly, once again, really excited about the food because you already know. It's going to be a real good update. And then I'm really excited to be able to, just experience what it's going to be like to live down there. It'll be my first time going international, so I'm really excited for that. Hi, everyone. I'm Rachel. I'm the other chaperone for the trip. I work for the city of Longmont. I do communications and help facilitate things like this with the news channels. Not this one in particular, but... I'm excited. I've been to other parts of Mexico before, but never Jalisco, never Guadalajara area, so to see how those are different and the food. And I think Miranda, everyone would be lying if they said they weren't a little nervous, so you're good. Thank you, Mexico 23.  All right, and those who are going up to the Wind River Reservation in Wyoming, please come up. And I'll be a chaperone this year. Both of my daughters, I have two daughters, 18 and 20, both of them have done the exchange to Mexico and Japan, and it was absolutely wonderful for them. So if you have any questions, what it's like to go or for students to stay in your home, come and see me afterwards. And I think I learned a different or an interesting perspective because I was an exchange student about 30 something years ago, and I stayed in the Netherlands for 10 months with Rotary. And I was telling the students at our first meeting, it was a very unique exchange to kind of get your head around because there wasn't computers and there wasn't cell phones. So it was a lot of snail mail writing. So I'm looking forward to seeing this group change and grow. Hello everybody, my name is Jenny Diaz-Leon. I am a community coordinator for the city of Longmont's Children, Youth and Family Division, so the Longmont Youth Center. I'm so excited to be part of this again. I have been participating with sister cities. I think since 2017, I was supposed to go on a trip to Mexico along with Patricio and the rest of the crew, but I wasn't able to because I was in the process of getting my citizenship. But then the year after, I was very excited to get involved with the Northern Arapaho exchange, connecting with the people. And like I said in the video, making friendships is the very first piece of that. And then that transforms into family. So I'm very excited to see this new cohort of students traveling. And if I could share my favorite memory from the trip last year, it was connecting with the students and hearing the reflections about the different experiences that they were having. So I look forward to having those moments with you all as well. Thank you. Hi, I'm Henry Stoch. I'm a senior at Nahuat High School. And I really look forward to seeing a culture that I've kind of lived close to my whole life, but I've never experienced. So I'm excited for that. Richie, I'm a junior at Longmont High School. I'm most excited to meet new people and see a new culture. I'm Molly Riddle. I'm a sophomore at Silver Creek. And I'm excited to experience a new culture and see all these new perspectives, as everyone's mentioned. Hi, my name is Taryn McDermid, and I am a junior at Nahuat High School. And basically like everyone said, I'm really just excited to meet all of these new people and kind of experience this culture that again, I've lived next to my whole life. I know my family has lived next to for a long, long time, but I've just never been able to see or appreciate and so I'm really excited to be able to have that opportunity. Hi, my name is, oh, sorry. Paloma Delgado. And I'm probably most excited to be an exchange student. I have an exchange student myself and it seemed really fun. My name's Hailey Donahue. I'm a freshman at Silver Creek. I think I'm really excited to learn about the culture because I've visited a lot of places or even lived in places that have a different culture. And I've never got to really learn about different cultures in America, really only in foreign countries. So I'm super excited for that. Hello, my name's Sayara Kyleback. I'm a freshman at Silver Creek High School and I'm most excited for learning about culture too and meeting new people, especially the host family as well as eating delicious food. Hi, I'm Bridget Dermotty. I'm a freshman at Silver Creek High School again. And I'm most excited for traveling and art, seeing all the art. Hi, my name's Patricio Riannis. Patricio Riannis, I am a teacher over at Erie Middle School. And I also work for an organization called Together. They used to be called the Tension Homes. I've been doing that for about 10 years or the Youth Homeless Runaway Shelter. And you know, as I reflect on this time with Northern Arapaho and our relationship, I'm reminded of the first time our executive director at Together said, hey, you know, we really want to build a housing first project for homeless youth in Boulder, Colorado, that will go up downtown and will be there for years and years to come. It actually, on the contract, it said, for 100 years, it is only gonna be used to house homeless youth. And I was part of a group of people that really fought hard for that when we're in front of places like this speaking to it. And when we finally accomplished it, I've seen that brick and mortar there. I've stood in there. I have known many youth that have been housed and are housed in there.  And as I connect that with Sister Cities and the group of people up here, the group of people in attendance that are really trying to build this new relationship, it's been so nice to be a part of something that's so much greater than what you are and something that'll last longer than when we get old and when we are beyond what we're doing in our lives. That there'll still be folks getting to share this beautiful relationship, this beautiful friendship. Thank you very much. Oh, everybody's so excited to go. I mean, what an experience. I myself was a Rotary Exchange student like Karen to Norway in 1990 and it changed my life. It changed what I decided to study at school. It changed the trajectory of almost everything that I experienced and I have a really good friend there. I'm the godmother of two of her children and her oldest who is 30 this year is having her baby and I'm gonna go to the baptism in August or September. So there's generations come from these kinds of things and I've also found these are short trips as an exchange but when I was first a chaperone in 2007, two or three of the ambassadors that went on my trip to Mexico went on to do a year study abroad because it helps you know you can do it, right? Like it might be scary, you might be nervous if you haven't traveled a lot and it shows you that everybody we are all the same and there's just the differences or this little bitty bit and those are the gems that make it make everything really, really fun. Alrighty, so on the back table where Leona is sitting, there is a, I put up about 20 pieces of paper and it's for the Ray Anderton Memorial Scholarship. Ray was a board member with us and when he passed his wife wanted to set up a scholarship to help kids who might need a little help with their travel expenses. As we know Japan, that plane ticket could be quite pricey. So this scholarship is used to help with your travel. It will be a judged competition. There will be five winners and the entries are due on March 31st. All this is on that flyer. So pick one up on the way out. The amount will be $500 or the cost of transportation if it turns out to be less than $500 and all that will go towards your travel. The theme is hidden gems of Longmont. That can be a photo project, a video, an essay, a dance or any other creative idea. So come up with something fun. You must send it to lscaorg at gmail.com by the entry date, which is March 31st. And if it's not possible to send it, if it's a performance for example, then you just need to describe it and send it to that email address, okay? And then we will have the judging happen in April and the winners will be announced. So pick up a piece of paper right at that back table. Leona has them, Bernie, right there, they're right up there. Pick one of those up. Everybody get creative and get some money to help you with your travel. Okay, I said at the beginning we do a little trivia. Were you paying attention to Masu gave her speech because some of it's gonna be in here. And you know, we've never done this before. We just thought we'd do something fun. So just yell out or if it gets a little crazy, I'll have you raise your hands, but we'll see. Okay, so first one is, what do all of our sister cities have in common? All right, good food, she said. Now I knew there would be multiple answers to this. I only have two really, but anything else? Mountains, they all have mountains, yes they do. Now, do you consider a volcano a mountain?  And so they have a mountain too. Anything else? What else do they have in common? Well, possibly, I don't know about that. There could be more, so with the mountains, what else is there usually when there's mountains around? They're at elevation. So I got some facts for you here for trivia. I won't make you guess the numbers. So Chino is the lowest at 801 meters, which is 2628 feet, and their city hall is the highest city hall location in Japan. I didn't know that, learned that today when I was putting together my list of trivia. Okay, Cedar Guzman is 1,507 meters, which is 4,944 feet. The Wind River, now I don't know where on the Wind River they are because that's a big place, but Wikipedia says that they are 1,762 meters, which is 5781, but if you include some of the mountains that are probably on the reservation, they're probably the highest, and they are anyway. So in Longmont, of course, we are at 1519 meters, which is 4,984 feet. So we're all at elevations, we all can see some mountains from town. All right, next question. What is the difference between Arapahoe with an E and Arapahoe without an E? Close, very close, yep. So, more general, maybe. I had to ask, I asked them myself, I was like, I see it spelled different ways. So with the E is the place, and without the E is the people. So when you see Arapahoe Road, Arapahoe County, Arapahoe, everything that's named around here for them, it's usually with an E, but the people don't have an E. All right, and here's some from, if you were paying attention, you might win prizes I don't have to give out. What former businessman and city council member was responsible for introducing us to Ciudad Guzmán? Dan Benavida is very good. Now they might have cheated because they knew from before they paid attention. All right, which former US president stated to, started the people to people movement resulting in the formation of Sister Cities International? We have a hand, okay, we'll try that. Eisenhower, very good. And which former Longmont mayor encouraged the formation of a citizen group called Longmont Sister Cities Association in 1995. Oh, and she's here with us. She's, thank you very much for playing. All right, we are a little ahead of schedule and we are gonna have some food, but they are hopefully arriving soon and gonna set up. So what I would like to do is have parents stick around in this room with the chaperones maybe, and talk about fundraising ideas. Does anyone wanna help? You wanna share some that we've done before? Anyone wanna come up and share some fundraising ideas?  So the parents help organize the fundraising events. So you wanna share?  Just because we are live streaming by the way and they can only see up here. So in the exchange that I did get to go to before the reservation was to Japan and our cohort organized a fundraiser at Fuzzy's Tacos and what they did is they had a dessert that they would be able to go around and offer to the tables. All of the money that was raised through that was given to the group. So it was wonderful. It was a really good way of bonding and getting to know each other and our leadership styles as well. And it was a great way to get our sister cities community together to be able to support these kinds of programs. I remember that one cookies. The cookies were really good. Anyone else have some ideas they wanna share or thoughts we've done before? Sam, you get one more job. Come up here and tell a little bit about that. We did car wash for several years and it worked very well. We sold tickets for $10 and we didn't pay the car wash people any because they gave us the car wash for free. So that we made a couple thousand dollars that one day. The restaurants where they pay you 5%, 10% of the revenue at the end of the evening has not worked out. I remember being cold on Main Street for hours and hours and 10 people showed up and I did all the hours. So don't do that. One thing I can put a plug for sister cities association and that is King's Super you can choose when you get their cards, if you have their cards then the 5% of the profit goes toward or a portion of the profit, I don't know exactly what percentage, but the portion of it goes to the people that you choose. They have a list of 200 non-profits and one of them is sister cities. So if you do grocery anyway, you might as well choose sister cities. So a portion of what you buy, the points that you get, the portion of it, you get your points that you also contribute to sister cities and let me put my glasses on and I'll tell you how much we made last year out of that. Just from the board alone. That means my wife buys a lot. Gift card, $322. So just the board alone, we made some money. Again, it doesn't go, it's not for your trip, but it's good for sister cities. Where's Sherry? Sherry, are you here? Any other ideas? And former. Thank you. Yeah, we did Pizza Palace Fundraisers and it was through Old Chicago. We don't have an Old Chicago here anymore but you can still use those gift cards. You'd have to go to an Old Chicago and get it but it's a $10 gift card and I think we paid $5 for each of them and then it's worth a $25 pizza and they can be used anywhere around the country and they don't expire. So I was a shop around in 2016 and I stockpiled them and I literally just used my last Old Chicago gift card like a month ago. So they don't expire. Just so we're, you know, everybody can hear you. We got a token in the mic so because we have, we might have our friends from Japan. I sent it to them. Our friends from the Northern Arapaho and Mexico and some other Long Island people who couldn't make it are watching us live right now. Don't be nervous. I'm a little nervous. Mainly because my high school daughter is sitting here and she's like, yeah, exactly. My name's Michael Beamer. I own Aspen Mental Health Group but that's my domestic job. My overseas job is I'm a member of Disaster Zones and I've been doing that for 20 years and the question I get asked the most whether it's a student, like an intern or it's a doctor or nurse with doctors beyond borders is how do we raise money? And so when you said that I was like, well maybe I should say something.   And so one of the things that people have said over the years that they're really successful is tell them what you wanna learn. Create like a bullet point list and actually talk to them directly. Not social media, not texting. Text to coordinate a meeting, have coffee with them and say this is what I'm looking for. I'm looking for five people to cover this specific amount and add about 15 or 20% to it if you think there's gonna be things that are unforeseen costs just in case. And then when you're over, I've been to Japan, I've been to Mexico. You can still anywhere in the world get postcards very, very cheap. Get a postcard. Say thank you and tell them a little bit about your trip. The follow-up is actually more important to the fundraising than the introduction because that way they're included. And this way, the first time I went overseas was with People to People International. I was 15 years old and a freshman. And back then you spent three months and I was in Russia and the Ukraine. And I remember, I forgot all about the postcards because how long people have been doing this. And I rushed and got a bunch for like three cents apiece. But still I'm in touch with people that supported me when I was 15 and now I'm not. And so 20 years later, that one trip that Russia has allowed me to continue to meet. You're off to a great start. Thank you, thank you very much. All right, that's a great idea. Do you wanna come up and tell us something? Some ideas? Come on up. Like your sweatshirt or dinosaurs. Hi, my name's Hailey Donahue. An idea I've seen is called a calendar buyout. So kids, basically every kid gets to choose their own month or like a month. It can be the same month as someone else. And you send it to your family and friends or you post it on social media and you ask for someone to sponsor one month, one day of the month. So if someone chooses, hey, I'm gonna sponsor day one. They donate one dollar and it goes on. So every day of the month, so like if you choose a month that has 31 days, if someone sponsors day 31 they're gonna pay you 31 dollars. And so kids can choose their own month. They can choose a month that's special to them or you could choose a month.  But every person can only sponsor one day. So if you have someone who's like, hey, I wanna sponsor day seven and someone else is already sponsoring day seven, they can choose a different day or they can double up on the day. Some new stuff we haven't heard before. Anyone else wanna share? Picture grandma says Sam. That's always a good option. All right, looks like the food is being set up out there. So if parents do wanna discuss some of those ideas together, please stay in here a little bit or why don't you just hang out a minute. Let me go check on all that. Start mingling among yourselves if you like and I'll see when we're ready to eat. Thank you very much for coming. Thank you for attending. Thank you for supporting our program and we'll catch up. And if you have any questions for any of the board members, just let us know.


Good morning everyone here in the room and on the live stream and welcome to this press conference on the future of health as a global challenge. You're joining this press conference at the annual meeting of the World Economic Forum 2016 which you might have taken the hint from the subtle branding in our back. The forum is very excited about this press conference because we're launching today the global challenge future of health. So far the forum had nine global challenges so areas where we believe that public-private cooperation can produce beneficial results and we're adding today and officially launching here today the 10th global challenge the future of health. And I'm joined today by a fantastic panel. I'll start with the introductions right from the end of the panel. We're joined by Mark Sosman who's the president for global policy advocacy and country programs at the Bill and Melinda Gates Foundation. Thank you for joining us. Right next to him we have Omar Ishrak the chairman and chief executive officer of Metronik. Right in the middle we have Franz van Houten who's the CEO and chairman of Royal Philips and next to him we have Arif Nagvi the founder and group chief executive of the Abraash group based in the United Arab Emirates and last but definitely not least we're joined by my colleague Arnaud Bernal who's the head of global health and healthcare industries at the World Economic Forum who will also be responsible for this global challenge at the World Economic Forum. And without further ado Arnaud tell us what is this global challenge about why is the forum active in the field of health. Yes thank you Giorgio. So about the challenge which we will be launching officially today and in effect in practice with our potential global challenge partners and potential trustees on Friday at one o'clock. About the challenge this is a recognition that as much as we have a very very strong healthcare industry community we think that the healthcare industry community in public private partnerships in collaboration with the public sector and the civil society has to focus on access to care and value-based healthcare so meaning that when we talk about the 7 trillion of healthcare spending globally of which we think 30 percent is being wasted for outcomes that are in a way insufficient this is where our healthcare industries need to work very closely with policy makers to create incentives to make better delivery of care care delivery healthcare. Now what about health that's some things that we want to address as a complement to our industry program and that's where we create this additional community of partners and trustees because we believe the health challenge can be addressed only as a cross sector initiative way beyond the healthcare sector think about healthy nutrients think about mobility think about exercise think about designing cities that are prone to aging gracefully at home that's all the areas that the global challenge will address that's talking about keeping individually individuals healthy in the first place so that they don't have to actually utilize those highly expensive healthcare systems that's all about health health at the level of the individual health as a way to actually enjoy healthy lifestyles and age gracefully and also health at the level of populations always in the field of prevention again think about the pandemics think about resistance to antibiotics think about everything we have seen and we have learned from the Ebola crisis those populations are currently exposed to major global health security risks and that's also an area that's going to be covered as part of the global challenge so in summary you know we have seen decades of improvement in healthcare and we have seen decades of improvement in the way populations are seeing longevity increase now but no we are almost at a turning point where all this progress is at risk of being destroyed in a way all this progress is at risk because of non-communicable diseases because of 34 million people dying annually from non-communicable diseases many of them could have been saved with healthy lifestyles we'll see re-emergence of some diseases polio being one of them we'll see risks of pandemics and we see also the role of the World Economic Forum as a catalyst to public private partnership as an instrument to actually make sure that populations can stay healthy in the first place and we have proof points this is not new we have done that in the past I mean think when Gavi was formed in 2001 think when the actually the global fund was presented in Davos in 2002 those are the type of things we want to do again with partners as we connect with the policy makers and we'll talk a lot about that in the next few days. Thank you Arnaud, Arif from a non-experts perspective you're probably the most surprising candidate on this panel because the Abraaj fund is not one of the usual suspects but you're still very involved in the global challenge so tell us how can private capital contribute to solving and to countering this global health challenge? Thank you well I'm very proud that I'm on this panel and having this conversation because contrary to what you may think the Abraaj group actually is very involved in health care and has been since inception so we've invested over a billion dollars in close to 30 companies across the last 10 years in this sector all the while learning and all the while understanding what it takes to make health care efficient and health care accessible and affordable to the vast band of humanity that occupies what a lot of people call the emerging markets we call the global growth markets because these are the markets where the world is going to experience significant economic growth in the decades to come two-thirds of global consumption is going to come from there two-thirds of the middle classes reside there and urbanization which is a big trend across the world is actually more prevalent in those markets than anywhere else but if that is going to be realized if that promise is going to be realized then one of the most critical things that we have to address is the lack of high quality health care which in effect is actually a deterrent to all of that growth as well so when we looked at the opportunity that private capital can play in pulling together a very effective response to what often is a failing on the part of governments across those markets what we realize is that private equity which traditionally has not been known to invest in longer term and longer gestation projects we decided to look at adaptation of the model what I like to call private equity 3.0 and that is if you like a very strong emphasis on partnership capital on alliances and what do I mean by that so obviously there's a dual purpose the first is to make money for investors and to provide a return on capital but equally importantly when we refer to partnership capital what I'm talking about is the people on this panel and people around the world that have different elements to contribute to helping making health care is sustainable and a viable option available to more and more people and so the Abraaj group has worked very hard over the years to pull together these alliances to pull together for example our global health care fund in which you know the Bill and Melinda Gates Foundation Phillips Metronics are key value-add partners and each of us has a role to play in the development of having affordable health care available to our to our marketplace but equally importantly the capital that we deploy is then used to build alliances in other words if we were to invest as we just have all of us collectively into India's fifth largest hospital business which is called care which operates in second and third tier cities across India and there you have a cadre of doctors and health care technicians that are actually world class and if we can use that expertise in that training and apply it across Africa everybody is a winner if we can apply learnings in one area into another everybody's a winner so this alliance based approach is actually going to work very effectively in health care and we hope that all of us have a role to play in making more and more people aware of that thank you very much a leaf France the theme of the of the annual meeting this year is the fourth industrial revolution and it definitely affects the health sector as well Phillips is at the forefront at looking what is happening there if the individuals take more control of their health through technology how will it affect the how will it affect your sector yeah that's indeed a trend and very important so let me expand a little bit and then come back to your point if we look at the world was growing population an aging population a world with more chronic disease where actually health care is already close to nine trillion US dollars and even so not everybody has access and not all those dollars are well spent and have the right outcomes and much of that spend is in fact targeted towards acute and episodic care and if you're a little bit blunt and it means it's it's reactive it waits until a patient is truly sick and and therefore we are in a crisis as a health industry we need to reinvent ourselves in how we deliver health and not just health care we see health as the investments as the economic driver of the future it makes people happy but you can no longer just look at health care in a way it's traditionally being delivered so we talk about a concept called the health continuum where you can see what does have to happen to keep healthy people healthy what can you do to prevent disease to happen or to to aggravate and how can you do diagnostics that's first time right how can you do treatment that is first time right therefore taking the waste out of the system and how can you help people to live with chronic disease in an acceptable manner while keeping a good life I probably outside of the four walls of the hospitals but in the comfort of their own community and home and big data and the industry and the fourth industrialization and give us huge tools to do that I think it is very exciting provided that we also allow ourselves to reinvent how we engage with patients with consumers and we feel that consumers will have to take more accountability of their own health and data will play a big role in that by providing a closed loop data and environment where consumers are given feedback on their health where they can measure monitor and motivate to take lifestyle changes we think that we can change the paradigm this is often referred to as population health and big data but we need to be cautious because population health when it is only about analytics is not a solution in the end we need to touch people's lives and that's where every consumer is an individual and every doctor will have an individual relationship with the patient and in our view population health will have to evolve towards impacting people's lives and enabling them to stay healthy to do preventative care to be diagnosed first-time right to have treatment that is hopefully minimally invasive first-time right and allows you to go back to your community and support you to live as chronic disease so I I believe that the internet big data sensor technology it will be able to connect care providers and consumers in a new way giving consumers more accountability of their health changing the economics I'm very hopeful that that's possible but we also need to be realistic that there are quite a few hurdles to overcome money streams may have to be redirected to new ways of extending care incentives may maybe have to be changed so that we all act in an outcome based economic model where we only are rewarded if actually lives are improved and patients do recover so I envisage the need for a collaboration between governments insurance care providers industry finance so that we reinvent over the next let's say five years maybe 10 how care is delivered and the health continuum I think will give us a good framework to do so thank you friends Omar let me let me jump to you directly from there I sense a let's say cautious optimism from France and there's there's work to be done do you share that that sense what's your perspective from metronic well let me actually start with where France finished in the sense that you know there has to be a realization between all parties that we're all on the same team and I think you know both RF and France mentioned the need for collaboration and and for that we need joint accountability for results and get rewarded for those results and anything short of that first creates mistrust and second potentially creates waste because you're building up things that are not connected properly and an efficiency is not built in so so that that's that's important now the other thing that I would say is that as you try to approach this problem of both health as defined and health care in emerging markets an alignment of structure you know that we look at three things that are essential one is awareness awareness amongst patients awareness amongst physicians the second is training of physicians at different levels all the way up there the referral chain to the actual treatment in post acute care and the third is building of infrastructure and the problem is so big in the sense that the geographies are so massive and there's so many people involved at different levels of the economic pyramid that's important to focus geographically in certain areas and build out all of those pieces the awareness the training the infrastructure so that you can have maximum impact on a population otherwise you might build all of these but you you just don't have the time to cover everybody and so you're expecting to see a result like decades later because until then all the infrastructure is not complete and so by doing it in geographic pockets and then scaling it I think is an approach that we would encourage you know governments to do to kind of adopt but also you know other other partners that we may have the final point I'll make is the connection between health and health care if you like in in our nose definition of health and health care although we fundamentally believe that the interface with the health care system for a healthy person versus a person has already been diagnosed is fundamentally different the expectations of a healthy person is not to fall ill the expectations of a person who's already ill is to get better and so the interface is different the expectations are different however there is something that that is somewhat in common which is prevention the difference being for a healthy person is primary prevention for a sick person it's a in fact secondary prevention in that you do the treatment and then you don't want them to get ill but the way you approach them is obviously different because in one case you know the condition the other case you're trying to prevent any condition however you know there's a lot of money short-term benefit to be had by addressing sick people today because you're saving immediate cost and by funding out post acute care home care social understanding which you may have commonality in both types of prevention one can perhaps enhance the investments in primary prevention so it's important to know the distinction and it's because they are different but it's also important to understand where their commonalities and how do you then utilize that commonality to to drive better efficiency in delivering care for all in whatever state they're in thank you Omar Mark you've been listening to two three gentlemen from the private sector you're representing the largest philanthropic organization with the Bill and Gates Foundation Bill and Melinda Gates Foundation what's your perspective from from your sector what are the key steps to to to face this global challenge of health and where do you agree and disagree especially with your speakers here well I think from our perspective I mean you began by mentioning some of the great initiatives that have been launched here at WEF in previous years which include the Gavi and the Global Fund to fight HIV TB and malaria both of which we were very involved in at the inception and I think those have proven kind of models of where grant managers can come together and incentivize the industry but they're more on the production and provision side of things in terms of providing the vaccines getting them out into into the field and so on what we've been talking about here on the panel and what makes us so excited to be a partner with everyone here on the Abaraj growth markets health fund is a potential for really revolutionizing maybe a little strong but that's certainly our hope in the medium term of how we look at some of the service provision going on in many of these markets and the ways you can leverage productively the private sector to markets that would include poor people in urban markets be financially sustainable and really have a ripple effect within those markets in terms of quality indicators impact strengthening the huge sort of human resource systems around health care and so I think what you've heard from my fellow panelists here about you the very specific and real opportunities we have in the space right now that we're actually acting upon as is our example in India and our hope is that this is both a really strong end in itself that will improve both quality and quantity and availability of health care in these markets but something that will really show the potential for how these markets can spread into where there is really massively growing demand in these urban centers across Africa and Asia right now so we're very optimistic about where this is headed thank you mark and before I open the floor for questions oh my you briefly touched on it we have about 40 50 heads of state here coming to Davos and about 300 ministers now imagine I'm I'm the good fairy and you have a wish to the public sector to support facing that that global challenge what would that be well the first thing is to really buy into the theme that we talked about that you know believe that we're all in the same team I think frankly there has to be trust between the private and the public sector and and that we're all trying to to achieve the same purpose of providing better care at all or cost to more people so I think that that's a starting point and the the second thing that I would say is just repeating what I said earlier is that is that focus on pockets and complete the chain rather than try to build out for everything because I think that that's just takes too long before you see any results thank you every from the financing angle what's what's your wish list there so you know what I do have to say is that I often see governments going down a route or a path that the private sector often finds incomprehensible and we can't work out quite why they're doing something but in health care I have to say that I feel governments around the world are very focused on making a difference coming together and seeing and looking always for the innovative solution and I think what we have certainly experienced in this fund the the Abraj Global Health Fund that we are putting together is that not only has the private sector taken the lead in the initiative in providing middle middle income solutions in urban environments that can actually trickle down and trickle up and different aspects of the private sector as you see on this panel but we also have received a lot of support from development finance institutions across the United States and Europe so that coming together is actually telling me that governments are alert are awake and I instructing their financial institutions and arms to work with the private sector to come up with solutions I'm very optimistic that sooner rather than later and you know France sort of put it in the context of a five to ten year horizon as part of his continuum and I actually feel that the ten years that this one will be in place should have outcomes that are going to be quite radical across Africa and the subcontinent very good thank you Francie want to add to that yeah I think we need to make a distinction between developing markets and mature markets as to what we ask those ministers and heads of states I think for mature markets we really need to tear down the silos between sources of funding policy and care provisioning and redistribute on how we connect with patients and consumers on on managing their their health because there is enough money overall it's just not it's still extended on a volume basis and I think if we together take the waste out then it should be sufficient to get people access and a better healthy life for the emerging markets it's it's more challenging there again we should collaborate but we need also to take the fragmentation out part of the urbanization challenge is because health care is only available in urban areas and what we have seen also in the Ebola crisis is the lack of infrastructure is a problem when it comes to making the community healthy and so the vaccination programs are great but if augmented with a rural health infrastructure such as our brides also is is keen and sees as a viable business model and what we have pioneered among others in Kenya with community life centers where you actually create a economically viable model for a community with clean energy with clean water and a doctor and a nurse and the education system connected to a nearby city you start creating a viable community where that attracts economic life and improves the health so you need to be contextual and different solutions for different areas and as many panelists said collaboration is the key and that will get to breakthroughs so thank you friends it's very easy for me to ask what what the wish list is you will be the one who will have to work on the multi-stakeholder effort there so you have the chance to yeah I mean the wish list is very clear is to work with partners as it was discussed in the in the panel today I would like to reflect on what Omar you were suggesting before there is in a way a massive amount of money being spent seven eight nine trillion maybe probably right being spent globally on health care and this is an area where unfortunately the incentives exist they are simply flawed they are volume-based and that's what we need to address as part of our industry agenda now the global challenge which is about health this is an area where incentives simply don't exist this is where public-private cooperation need to happen because frankly speaking if if you ask if you ask anyone where are the incentives to create vaccines for the next pathogen I'll break okay what are the incentives to actually keep populations healthy in the first place or help people manage the lifestyle to prevent diabetes what do they invent the the primary care physician is not making a penny for prevention so what what are those incentives and I think that's where the global challenge will absolutely focus those incentives realigning incentives in public private collaboration so that health can be addressed in the first place thank you Arnold and mindful of the time we might have time for one or two questions can I see a show of hands and if you could state your name and organization for the sake of our online audience sure my name is David Seroto with International Business Times this is to the whole panel there's a debate going on in the United States right now about different kinds of health care delivery systems whether it should stick with the presidents Obamacare so called Obamacare or a single-payer system I'm just curious as you look at both the United States and other other countries which kinds of systems do you believe work best should the United States be thinking about a single-payer system should other countries be thinking about a single-payer system or should they be thinking about a different model thank you David I can take a crack at that and again without getting too opinionated about the subject that the point I'll make is that you know the term single-payer is a bit of a red herring I think the real issue in health care is the move as Arnold pointed out is a successful move from fee for service to value-based and you know the UK is so to speak a single-payer system but they're a fee per service system and I think there's inefficiencies in that care delivery and so I think the nature of the payment and who holds it whether it's one entity or divided into several entities is really a secondary point and you know the politicians can decide how they want to do that but the the the usage of how a pair actually provides the funding is what's important and that has to move towards a value-based system if it moves towards a value-based system you gonna save cost and improve outcomes that's the whole point and you know depending on the nature of the country and its politics you can decide how you do it but that's the important point the most successful countries in the world simultaneously work on a supply and the demand side right supply side avoiding the wrong incentives or the perverse inventives that makes it volume-based rather incentives to take waste out and come to better outcomes but also the demand side and this is where earlier we spoke about you know keeping healthy people healthy doing early prevention doing population health providing feedback to consumers on what their lifestyle may have as consequences and and the the the internet of things is going to make that possible and we often use the expression you know you measure you manage and you motivate and if you do that on a constant basis nobody wants to get sick right so it is having the right dialogue with consumers that and that will influence the demand side right so we need to do both simultaneously and it doesn't have to do with a single-payer system or not it has to do with optimizing the ecosystem together and tweak it a bit and I think accountable care is certainly part of it but also accountable care can exist in many forms thank you the question is also developed markets luxury because when you look across the markets that we're talking about in global growth markets in the so-called emerging markets you have to remember that we're even talking about putting in place health care where it doesn't exist so the question of paying for it is a much more of a secondary down-the-road issue so for example when you take Lagos or you take Karachi or Calcutta you would be amazed at the fact that even the baseline of proper health care does not exist so our job is actually to put that in place to put in the tertiary care to put in a network of an ecosystem that can reflect the ability to pay and then we'll talk about the issues of how to pay thank you very much do we have more questions yes for the lady in the front here please microphone is coming thank you good morning my name is Harriet I work for Channel television Lagos Nigeria my question is for you Arif we talked about using private equity or capital to fund the health care could you repeat it you talked about using private capital and equity to fund them health care providers but in a situation where we see global stock markets are plummeting even in Nigeria our stock market has fallen in the last 10 days to about about by about 2 trillion Naira so we're looking at such such a way of raising capital for the health care providers what would you say is the most practical way to do it so I think I won't call it a luxury but certainly a comfort that we have is that we have committed capital in place to invest in places like Lagos where we're very active in developing the model that we are talking about right now the other thing that you have to remember is partnership capital of the nature that private equity represents in what I call PE 3.0 is very much a long-term provision of capital so we're not that affected by fluctuations in the stock market we're not that affected by immediate sentiment of negativity for us the reality is that we will be investing now and it will be a five and ten year cycle that will reap that we will reap our rewards not today or tomorrow reflected in high evaluations but over a continuum as Francis over a period of time where the fact that we put these services in play and the fact that we enable provision of health care to reach people who don't currently have it the rewards are actually financial and otherwise of a longer-term nature so I'm not uncomfortable about what's happening in the world today if anything the real estate on which we'll build hospitals will become cheaper thank you very much I was just moments ago the good ferry now have to be the bad cop and and close this press conference because we're already running over time but it's it's obvious that this is a very important discussion and and many questions do we do we work done thank you all for joining thank you for joining the live stream and and a particular thank you to my whole town thank you


Hello everybody! This video is about how to fix damaged or deleted system files in Windows 10. It can happen because of their incorrect use by the operating system, because of hardware failures or system errors, as well as because of malware activity. There are several ways to fix system files in Windows 10. The first method is to use the command sfc-scannow in the command prompt started by the administrator. To do it, right-click on the start button and click on Command Prompt Administrator. Then click Yes. Then type in the command sfc-scannow, press Enter and wait for the process to be completed. The disadvantage of this method is that Windows 10 may be unable to correct some of the found damaged files because they are being used by the system. Now in my case, the scanning is over and Windows has found no integrity violations. Unlike the first method, the second one doesn't have such disadvantage. To use it, start the command prompt in Windows 10 recovery mode. You can go to the recovery mode with the help of a previously created recovery drive or flash drive wherein the second screen you need to select system recovery, and then click on Restart in the system blocking window while holding down the Shift key. I will use the last variant. To do it, go to the Start menu, click on Use a Recount and then Exit. In the system blocking window, click on Power and then on Restart while holding down the Shift key. In the recovery mode, click on Trouble Shoot, Advanced Options, Command Prompt. If you are using a recovery drive or a boot disk or a flash drive to get into the recovery mode, you will not be required to enter username and password. If you are using the same method as I am, then you will have to enter the administrator's password. Click on the user account and enter the password. When in the recovery mode, you cannot just enter the command SFCScan now because the drive letter for the disk containing the operating system could be changed. To know what drive letters are there at the moment, enter the Command Disk part. Press Enter and follow it by List Volume. Press Enter. Now we are interested in the following drives. The system reserved disk containing the bootloader. In my case, this is Drive D. And the drive with Windows operating system. In my case, this is Drive C. After we have learned it, type in the command Exit, Enter. And then the following command SFCScan now of BootDir equals D of Windir equals C Windows and press Enter. In this case, damaged system files are found and fixed. In some cases, this process can take up quite a long time. It may seem to you that the command prompt is frozen and doesn't respond, but you are wrong. In my case, after the scanning is complete, we can see the report that no damaged system files have been found. The third method. Open the command prompt as Administrator and enter the following command. Dison Online Cleanup Image Scan Health With the key Scan Health, system files will be checked for errors and the corresponding report will be shown. Or, you can enter the key Restore Health, which runs both the scanning and automatic correction of errors. Press Enter and wait. It may seem to you that the command prompt is frozen and doesn't respond, but you are wrong. The process can take up from 15 minutes to over an hour. Thank you for your attention and good luck. If you liked this video, click the Like button below and subscribe to our channel to see more.