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Launch- Hearing Screening: considerations for implementation - Shared screen with speaker view
Titus. Ibekwe
25:27
Hello Shelly and everyone, I am happy to be here.Titus
Neera Lalwani
25:42
Greetings to everyone from Mumbai, India!
Elora Gupta
25:43
Greetings
Joanne Petre Captioner
25:56
Captions link
Joanne Petre Captioner
25:58
https://www.streamtext.net/player?event=WHO-SDR
Michael Chowen
26:02
Hello Dr obanjungla
Theodore
26:06
Hello friends. Theodore from Madagascar
Patrick D'Haese
26:11
Greetings from Austria! Looking forward to this webinar!
Cosmas Mnyanyi/The Open University of Tanzania/ Tanzania
26:22
Hello, I am happy to join this meeting. Cosmas Mnyanyi from Tanzania
Chitra Chander, WHO
26:37
https://www.streamtext.net/player?event=WHO-SDR
Edgar Triay
27:14
Greetings from Gibraltar
Teresa Escorza Mexico
27:32
hello all, love from Mexico Tere from ScorzaICj,a.c.
Kathy Gates
27:32
Hello, Kathy Gates, USA, DoD Hearing Center of Excellence
Katrin Neumann
27:35
Hallo Patrick and Doctor Theodore, how nice to see you! Warm greetings Katrin
Richard Mwangi
27:42
Greetings From Doctors of Hearing Nairobi, Kenya
Gabriela Cintra Januário
27:52
Hello!! Greatings from Brazil!
Regina Presley
27:58
Greetings from USA Greater Baltimore Medical Center
Sr Grace Francis
27:58
HelloGrace Mkosamali gracemkosa@gmail.comFrom TANZANIA
anaclaudia
28:03
Greentings from Brazil!!!!!
Deborah Pinder
28:09
Hello everyone,
Chitra Chander, WHO
28:22
STREAMTEXT LINK https://www.streamtext.net/player?event=WHO-SDR
Shelly Chadha, WHO
28:39
Hello everyone! Welcome!
Adrian Davis
28:46
Hello everyone from Adrian Davis in England, now living in Stroud Glos
sue archbold
28:56
greetings to all from Sue A in Spain! a really important topic
Deborah Pinder
29:00
Greeting from Trinidad and Tobago. Debbie Pinder
Isaac Macharia
29:08
Hello all. Serah Ndegwa,Kenya
Elsie Otuo-Acheampong, UNIVERSITY OF GHANA, GHANA
29:20
Greetings from Ghana
Ronny Suwento
29:26
Hello everyone from Ronny Suwento. Greetings from Jakarta.
Luciana Resende
29:34
Hello, good morning, Luciana Resende, UFMG, Brazil
Nora Eliana Neustadt
29:35
Hello everyone from Argentina!
Sofia Discua
30:55
Good Morning, greetings from Honduras
Maria Francesca Moro
30:59
Hello from Italy :-)
Tinashe Nhokwara
31:00
Greetings, I am Tinashe from Zimbabwe
Kathleen Riley, DE, USA
31:07
Hello from Delaware, USA. I am the VP of Advocacy for Eductional Audiology asociation and really escited to
Katharina Pfortner CBM Nicaragua
33:12
good morning from Nicaragua
Elora Gupta
33:16
Greetings from Maryland, USA
Racheal Hapunda
33:33
Greetings from Racheal in Zambia
Patricia Castellanos
33:34
good morning from sunny Guatemala
Dumini de Silva
33:45
Greetings from Sri Lanka
Wendy Méndez
33:55
Good morning I froom Turrialba Cartago, Costa Rica
Valerie Salano
34:03
Greetings from Nyahururu, Kenya
melaniemonaghan
34:05
Greetings from Alberta, Canada
Vincent Huang
34:05
Greetings from Taiwan~
Julie Ma
34:10
Greetings from Taiwan.
Flávia Tavares
34:12
Good Morning from Brasil
Linda Hood
34:16
Greetings to everyone! From Nashville, Tennessee, USA
MAURO MENZIETTI
34:20
CIAO 👋 from Italy!!
Dinukshi Ileperuma
34:22
Greetings from Sri Lanka
Ekaterini Prokopiou
34:22
Hello from Cyprus
Tala Nazzal
34:43
Hello, I am Tala Nazzal, Audiologist and Speech-Language-Pathologist and a lecturer at An-Najah National University, Palestine
Ileana Zelaya
34:59
Greetings from Tegucigalpa, Honduras
Mariola Śliwińska-Kowalska
35:06
Greetings from Poland
CLEMENCE CHIDZIVA
35:15
Greetings from Zim. Dr C
Sonia Azzopardi Axiak
35:25
Greetings from Malta
Promise Okonkwo
35:25
Hi everyone. Greetings to you all. Promise from Nigeria
Titus. Ibekwe
35:38
Congratulations Shelly, WHO and Global Ear Champions. Prof. Titus Ibekwe ( Abuja-Nigeria)
Chitra Chander, WHO
36:41
World report on hearing is available here https://www.who.int/publications/i/item/world-report-on-hearing
Rajiv Karn
37:40
thank you
Peter Böttcher
38:09
Hi, this is Peter Böttcher (PATH MEDICAL, Germany), Coordinator of several international Screening Programs.Congratulations for this launch!
Kathleen Riley, DE, USA
38:47
Will we have access to these slides? I would like to look back at this data for teaching purposes as well as writing advocacy documents
Deon Ceronio
41:27
Would it be possible to receive the recording?
Chitra Chander, WHO
41:32
Hearing screening: considerations for implementation is available here https://www.who.int/publications/i/item/9789240032767
Edgar Triay
42:58
fantastic
Rajiv Karn
43:45
Congratulations very useful information
SNIGDHA SARKAR
44:01
Hello Christine, Greetings!
Titus. Ibekwe
46:18
question:Hi Shelly,Are there access to grants for propagating the systematic Hearing screening especially in developing countries? could you share?Titus Ibekwe ( Nigeria)
Elora Gupta
49:27
Can the proposed approaches (for adults) be applicable to the upcoming US FDA OTC Hearing Aid Rule that will require prospective buyers to 'Self-Identify'?
Sandra Eisner
54:57
are there questionnaired used for screening?
Sandra Eisner
55:04
questionnaires*
Sandra Eisner
55:33
for families
Betzabe Butron (PAHO/WHO)
55:38
What would be the screening method for rural areas or poor settings where technology is not an option?
Cosmas Mnyanyi/The Open University of Tanzania/ Tanzania
55:53
In developing countries in case of human resources, we need to consider school teachers. How do you find it? How can teachers be involved in screening especially in a school setting.
Kimberley Marriott-Blake
56:10
Are there any training opportunities for capacity building of personnel to ensure that qualified staff are supporting the screening activities?
Abdulrahim Alshehri
56:31
What is the acceptable rate of refer patient from 1st screening
Abdulrahim Alshehri
56:34
?
Elsie Otuo-Acheampong, UNIVERSITY OF GHANA, GHANA
57:03
I am in a developing country where
Kathleen Riley, DE, USA
57:14
Infants and children with significant disabilities are often not able to participate in behavioral (distraction) testing . Currently there are >400 disorders/diseases with hearing loss as a component. It is important to be testing these children with physiological testing
dr. shaikha
57:17
screening method for A . neuropathy
Edgar Triay
57:23
In Gibraltar newborn screening was introduced only 5 years ago. Before heavily relied on distraction screening on 24 months. Currently there is no school screening.
Ronny Suwento
57:52
Christine , how is the position of Targeted NHS, besides Universal NHS?
Janett Fernandes
01:00:09
Hi. I’m audiologist in Cape Verde. We don’t have yet the newborn hearing screening. We have just an equipment in the central hospital, Titan. Which screening method do you suggest?
Georges Savy
01:00:47
HI
Mohammad Shamim Ansari
01:00:49
I am in opinion that physiology and function are n
Guita Movallali
01:01:01
Hi everybody
Carolina Pardal
01:01:37
Upcoming webinars: https://www.who.int/news-room/events/detail/2021/09/15/default-calendar/launch-of-hearing-screening-considerations-for-recommendations
Adrian Davis
01:02:02
I would really endorse what Christie said, that one way of starting with technology is to target NICU babies who have about 10 times more children with hearing loss.
Valerie Salano
01:02:07
In the low resource settings, one of the reasons of reduced uptake for screening might be due to not having intervention options readily accessible.
Mohammad Shamim Ansari
01:02:43
I am in opinion that physiology and function are not same. Hence relying on only on physiological test may not be idea.
Christine Yoshinaga-Itano, USA, University of Colorado, Boulder
01:03:18
The decisions about which equipment is a complex one. OAE technology has a higher refer rate, also identifies more children with milder hearing loss while AABR has lower refer rates at the first screen even when the infants are only hours old, while OAE is more dependent upon the age of the child at the time of screening. So the decisions depend also on personnel resources, how difficult or easy it is to do follow-up screens. There are a number of efficacious procedures using all technologies or combining technologies. I would be happy to discuss this further with you. You can contact me at Christie.Yoshi@colorado.edu
Elsie Otuo-Acheampong, UNIVERSITY OF GHANA, GHANA
01:03:33
I am in a developing country where there is no universal infant hearing screening. Audiologist are few and there is lack of equipment. Some facilities practice targeted hearing screening. Do you suggest specific research to examine what is being done already? Also, what research do you suggest can be carried out to formulate a national framework for newborn hearing screening in my country?
Kathleen Riley, DE, USA
01:04:17
Agreed...behavioral is a gold standard when possible. However, physiological testing can be a powerful and early tool for those who cannot participate in behavioral testing
Cindy Husson Brown
01:05:18
Well said Kathi!
Christine Yoshinaga-Itano, USA, University of Colorado, Boulder
01:05:50
Yes, I agree that intervention availability is lacking in many places across the globe. Many professionals and programs in places in the world with well-developed programs have provided support to help countries develop their intervention programs. There are a number of very successful models of intervention development. It is extremely important to have a system of services. Newborn hearing screening will not be successful without efficacious diagnostic evaluation and competent intervention services. With intervention, we have had high success in training para-professionals from within communities to deliver services.
Nora Eliana Neustadt
01:06:45
Christine a pleasure to see you again !, Nora Neustadt from Argentina
Shelly Chadha, WHO
01:08:30
@Kathleen, as I mentioned we will share these. Please also feel free to look at the World report on hearing and related information materials where all teh data are summarised. https://www.who.int/teams/noncommunicable-diseases/sensory-functions-disability-and-rehabilitation/highlighting-priorities-for-ear-and-hearing-care
Christine Yoshinaga-Itano, USA, University of Colorado, Boulder
01:08:35
At the newborn level, it is not possible to rely on behavioral results and the only screening processes with high sensitivity, specificity and positive/negative predictive value are physiological. It is very important to always observe behavioral responses and that is included at the time of audiologic diagnostic evaluation of infants to diagnose hearing loss. The physiological techniques have a high level of accuracy but should be validated with behavioral testing as soon as possible, typically at 6 months of age.
Mohammad Shamim Ansari
01:08:43
I am in opinion that physiology and function are not same. Hence relying on only on physiological test may not be an good idea. we must also perform behavioral test/examination to complement and supplement the physiological test findings
Ronny Suwento
01:08:54
To Christine Has a special protocol been developed for infants with progressive hearing loss which is often not detected by the NHS. thank you. Ronny Suwento-Jakarta
Carolina Pardal
01:10:27
If epidemiological info on prevalence of ear and hearing not available, how about screening a few schools and draw a target group/sample for screening strategy?
Katrin Neumann
01:15:48
To De Wet: In the Bamford et al. (2007) HTA Report, the incremental yield of a school screening was not large enough to recomment it for UK considerung the effects of newborn hearing screening and later spontaneous referals of children by parents, physicians, and others. Do you have enough evidence for the effectiveness of a school screening or would you say that it depends on the presence and effectiveness of a newborn hearing screening or on regional factors? Warm regards Katrin
Janett Fernandes
01:17:13
Do WHO has some programs to help developing hearing screening for developing countries?
Rajiv Karn_Nepal
01:18:00
Very write question Janett as in Nepal also hearing care is neglected issues
Kimberley Marriott-Blake
01:18:12
Are there any WHO certified trainings that would provided a standardized training for persons who could be engaged in screening?
Melissa Cravo
01:18:23
I understand that each country has different resources and must adapt but I would like to know if there are different levels of standards in your recommendations. Thank you. Melissa Cravo (Audiologist, Portugal)
Kathy Pichora-Fuller, ICRA
01:18:45
Thinking of the possibility of reducing stigma to age & HL, could you imagine a system where children and adults are screened within the same system (locations, staff, public health education etc)?
Ricardo De Hoyos
01:18:45
For digit+noise audiometry(hear WHO app)the result can vary by the type of earphone,what are the mínimum characteritics of it?
Rajiv Karn_Nepal
01:19:09
We are doing hearing screening in school integrating with eye
Sr Grace Francis
01:19:59
What do you recommend on screening of children aged 12-17? ( Especially those who did not access screening at an earlier age?)
Cosmas Mnyanyi/The Open University of Tanzania/ Tanzania
01:20:40
Are there possibilities for collaboration to establish cross-border knowledge on audiology. Issues are that developing countries do not have human resources. Training materials are not available. The question of Universal hearing is important to be addressed. Issues is to what extent the developing countries can be supported at least to have some courses to develop the capacity for hearing screening, especially in schools.
Jane Barratt - International Federation on Ageing
01:20:53
@Kathy interesting concept (intergenerational screening) that may also combat ageism (in the UN Decade of Healthy Ageing)
National Programme for Prevention and Control of Deafness NPPCD,Kollam
01:20:54
Any standardized questionnaires available for school screening
Chitra Chander, WHO
01:21:09
hearWHO app https://www.who.int/health-topics/hearing-loss/hearwho
Kathleen Riley, DE, USA
01:21:30
I think noise induced loss in teens is rising and we need to continue school screenings
Kathleen Riley, DE, USA
01:22:13
At least here in USA where most kids are using media devices with ear pieces for many hours each day
Christine Yoshinaga-Itano, USA, University of Colorado, Boulder
01:22:52
Although hearing loss can progress in the first three years of life, our data indicates that most of that progression has an identified cause, such as pharmaceuticals or disease. Much of progression of our identified newborn population has occurred after 3 years of age between 3 and 7 years of age. Frequent hearing evaluations of identified children is important. For acquired hearing loss, if the loss is significant it is likely to be identified more quickly, but the milder the hearing loss the more likely it would be missed without universal hearing screening between 3 to 5 years or early school-age. When genetic screening can be combined with universal newborn hearing screening, children without hearing loss at birth who have later acquired hearing loss due to genetic causes and those with newborn hearing loss who have progressed due to genetic causes have been identified.
De Wet Swanepoel
01:23:33
@ricardo de hoyo the digits-in-noise test results do not depend on the type of headphones used and that is also what makes it such a good low cost tool
De Wet Swanepoel
01:24:26
Sr Grace Francis - for kids 12-17 the Sweep audiometry is recommended with potential use of the digits in noise test too
Mariola Śliwińska-Kowalska
01:26:31
In Poland we used the whisper testing in school-age children. What is the applicability of this test nowadays?
Christine Yoshinaga-Itano, USA, University of Colorado, Boulder
01:27:17
The refer rates for hearing screening in the NICU is dependent on the age of the child at screening. the prevalence of bilateral congenital hearing loss is 10 times higher in the NICU than in the well baby nursery. There is also a higher probability of auditory neuropathy in the NICU. Though most refer rates from the NICU are typically higher than the Well baby nursery at discharge, it is possible to lower refer rates to the 4% referral to diagnostic audiologic evaluation.
Shelly Chadha, WHO
01:29:35
@St Grace Francis, at the moment we do not have the required evidence to recommend systematic universal screening in 12-17 year old children. I agree that this is a group at risk especially due to safe listening and we encourage that hearing checks be regularly made but we do not propose screening programs for this age group
Christine Yoshinaga-Itano, USA, University of Colorado, Boulder
01:29:56
There is a committee from the Global Coalition for Hearing Health that has developed some guidance for countries/programs at different levels of development. The report is under an internal review but should be available soon.
Janett Fernandes
01:30:04
Sorry, but I need to leave nowGood work for everyone
Sr Grace Francis
01:31:00
Thanks
Shelly Chadha, WHO
01:31:12
Thanks Janett
Tika Ram Adhikari
01:31:41
…older adults can perceive hearing difficulty and they can come to.hospital. If they clinically can hear, why should we screen . Of course it makes sence in children who cannot report gearing loss
Azadeh Madiseh
01:34:34
‘Who can screen’ Why the older adults themselves are excluded fromthe screening team? If they are provided with reliable and effective tools.
Kathy Pichora-Fuller, ICRA
01:34:50
@Tika - unacknowledged and unaddressed hearing problems in aging are known to increase risk for social isolation and cognitive decline — it is also well known that over 65 years of age self-report will under-estimate HL measured audiometrically…. there is often confusion in the diagnosis of problems that do not sort out the contributions of hearing, vision, cognition so it is a key part of person-centered integrated care and health promotion for healthy aging…. etc.
Kathleen Riley, DE, USA
01:34:53
Assist with access to technology...HL impacts relationships, jobs, etc.. also increased occurrence of dementia in adults with hearing loss; many adults with HL are unemployed or underemployed
Dalia Tsimpida, UK, The University of Manchester
01:34:55
@Tika Ram Adhikari: the problem is that many older adults have unacknowledged hearing loss and may report that they have good hearing - see findings from https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2769843 where I and my colleagues used data from the EnglishLongitudinal Study of Aging and found that self-report measures of hearing had limitedefficacy and underscored the importance of establishing an effective and sustainedstrategy for hearing screening.
Shelly Chadha, WHO
01:35:06
@ Dr Tikaram, research shows that older people with hearing loss commonly wait up to 7-10 years to get their hearing checked and then to seek the care they require. This delay contributes to cognitive decline and limits teh eventual benefit of hearing devices and rehabilitation. It is for this reason that screening is important. I refer you to the World report on hearing chapter on older adult hearing screening
Kathleen Riley, DE, USA
01:36:37
IDA Institute has some great modules for person centered care for those of you who want to learn more or refresh your selves. I make my graduate students complete these modules
Tika Ram Adhikari
01:36:43
thanks alot
Ruth Warick
01:37:19
For Carrie, what role do you see for the family doctor in hearing screening of older adults?
Sr Grace Francis
01:37:20
Please share the UDA module with gracemkosa@gmail.com
Sr Grace Francis
01:37:31
IDA Module
Carolina Pardal
01:38:01
Please share IDA modules.
Betzabe Butron (PAHO/WHO)
01:38:27
In reference to hearing screening as part of the annual check up during adulthood, is it recommended?
Kathleen Riley, DE, USA
01:39:09
idainstitute.com the modules are under the Learning Hall tab. Many cool resources on this site
Deborah Pinder
01:39:16
Trinidad and Tobago started universal primary school hearing screening and vision screening in 2005 which has been reasonably effective. NHS was introduced in one public hospital in 2019 and there are several challenges with the programme. These include the high referral rates for 1st screen combined with early discharge from hospital so unbale to capture for re screen. Also babies lost to follow-up. We are about to develop a pilot for community screening for adults and we are looking forward to using the WHO handbook to assist us with this. Thank you.
Sakhile Nkosi
01:39:26
For those who want to explore the IDA INSTITUTE PCC modules and tools, please visit the following sitr
Sakhile Nkosi
01:39:30
https://idainstitute.com/ida_community/learning_hall/
Sr Grace Francis AMUCTA Tanzania
01:41:10
Thank you
Yuka Sumi
01:42:13
WHO Integrated Care for Older People (ICOPE) handbook is available here https://www.who.int/publications/i/item/WHO-FWC-ALC-19.1 I am glad to see the common narrative to support integrated care for older people. (Yuka SUMI, Ageing and Health unit)
robbert ensink
01:42:39
is there any recommandations or thoughts in the WHO manual for those children aged that 1 to 3 in LMIC that have low acces to hearing screening and ENt care and are still not attending schools since there mostly no screening moments to see them. Vaccination usually ends at 1 yr
Lidia Best
01:43:57
Thank you for the link
Tika Ram Adhikari
01:45:12
we have done preety well in neonatal screening amd elderly health program screening. In adult i agree education and counselling is a good start, however, children need early intervention with aids. Thats where we are failing
Lidia Best
01:45:57
Adults also need hearing aids and this is where we are failing across all countries
Peter Böttcher
01:46:03
Is there any chapter about the role of Tracking, especially in NHS and School Screening in the handbook?
Patti-Jo Sullivan
01:47:24
Audiology resources are high for that age group, and our referrals are high for that group regarding developmental delays (e.g. speech concerns).
Wendy Méndez
01:47:41
I am Costa Rica, in its moments work screening in Hospital William Allem the children´s new born, up to 4 years - old., with the help of TANU AND LAUGHTER PROGRAM
Edgar Triay
01:49:31
I know of a case that from diagnosis to issuing a hearing aid took 10 years for one particular child. This happened because the only audiologist in the GHA was not paedratic trained.
Kathy Pichora-Fuller, ICRA
01:50:13
In a few hours I am doing a lunch and learn webinar for geriatricians. They invited me. They have Canadian guidelines recommending hearing screening as part of dementia risk management. They want to know how to join in hearing screening. I really hope we can make progress in this sort of inter-professional care. We should not under-estimate the need and interest that is present now. Please check out https://www.ifa2021.ngo/hearing-in-later-life-convention/
Katrin Neumann
01:50:20
I guess the handbook missed an important issue: hearing screening for people with intellectual disability; prevalence of permanent hearing loss about 25%, mostly undetected and untreated. We now try to implement such a screening universally in Germany Katrin Neumann
Titus. Ibekwe
01:50:36
question:Hi Shelly,Are there access to grants for propagating the systematic Hearing screening especially in developing countries? could you share?Titus Ibekwe ( Nigeria)
Edgar Triay
01:50:39
Katrin I agree
Titus. Ibekwe
01:52:13
Any Tele-health model for universal screening?
Chitra Chander, WHO
01:52:18
You can find more about the World Hearing Forum here https://www.who.int/activities/promoting-world-hearing-forum
Christine Yoshinaga-Itano, USA, University of Colorado, Boulder
01:53:41
Because universal newborn hearing screening is ongoing depending upon the volume of births, I have not seen tele-health for the screening program itself - but for training the professionals who provide screening - that is definitely possible. I have seen the tele-health more with support for diagnostic audiologic evaluations to diagnose hearing loss and for rehabilitative interventions
Lenovo Tab M10
01:54:02
Costa Rica have a screening program for newborns implemented, but we need to improve the screening for other age groups.
Devangi Dalal
01:55:02
Thank you WHO for encouraging us to be better. We will try our best to spread the message for better hearing health care.
Ann-marie Sant
01:55:41
Thank you everyone! Very interesting indeed!
Guita Movallali
01:55:46
Thank you Dr.Chadha and WHO team and the presentators
Carolina Pardal
01:55:52
Thank you very much team WHO for these guidelines.
Ekaterini Prokopiou
01:55:59
thank you very much
Sanne Clerckx (Artevelde University College, Belgium)
01:56:00
Thanks everyone!
Dr obangjungla
01:56:05
Thank you
Yuka Sumi
01:56:07
Congratulations Shelly, your team, and experts!
melaniemonaghan
01:56:16
Thank you, that was awesome!
Neera Lalwani
01:56:20
Thank you for all the information!
Patricia Castellanos
01:56:20
Thanks Shelly!!!!! excelente webinar!!!!
Tika Ram Adhikari
01:56:33
great webinar
Teresa Escorza Mexico
01:56:33
thank you, see you all
Dumini de Silva
01:56:34
Thank you so much
Valerie Salano
01:56:36
Thank you. That was a fantastic webinar.
Antonio Pedrero, Spanish Acoustical Society (Spain)
01:56:48
Congratulations and greetings from Spain
Luciana Resende
01:56:50
Thank you!
Katharina Pfortner CBM Nicaragua
01:56:53
thank you best wishes and good health for everyone
Regina Presley
01:56:54
Thank you for a valuable session!
IRMA CARVAJALINO
01:56:54
thank you for sharing this important information
Adriana Lacerda, Université de Montréal
01:56:55
Thanks Shelly! Excellent Webinar!
Sonia Azzopardi Axiak
01:56:56
Thank you!
Vincent Huang
01:56:56
Thanks Shelly~
anaclaudia
01:56:57
Thank you for all. We love the presentation>
Carolina Pardal
01:56:58
Upcoming webinars: https://www.who.int/news-room/events/detail/2021/09/15/default-calendar/launch-of-hearing-screening-considerations-for-recommendations
Kathy Gates
01:57:04
Thank you!
chris allan
01:57:05
thank you for this session
Deborah Pinder
01:57:05
Thank you for a very interesting and informative meeting.
Ekaterine Tortladze
01:57:06
Thank you, excellent webinar
MAURO MENZIETTI
01:57:08
Super!!
Julie Ma
01:57:14
Thank you very much
Cindy Husson Brown
01:57:14
thank you
Nora Eliana Neustadt
01:57:15
Thank you !
Inderjit Singh
01:57:18
Thanks
Lilian Mokoh
01:57:18
thanks
Rolanda Gil
01:57:23
Thank you a lot from Costa Rica, excellent motive to continue working.
Georges Savy
01:57:24
Thank you all from G SAVY
June Coward-Fearon
01:57:25
thanks