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Ujvcij Sd`|cqv`yp - EVJRV

Ecoeqjrg`fjh @di`fjy`od

Orroqysd`y`cv , Fgjhhcdecv

ap Hsqp Volpjd

Kshp 1220

8/14/2019 GI Opportunities & Challenges

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Rjec 1

Osyh`dc

Fodycdyv

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Ajy`n Fjvc $$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$

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9$ Oygcq Sv`de ol Yoqjkj Djmc jv Yqjic Mjqn$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$

3$ Fosdycqlc`y`de ol Yoqjkj Follcc `d @diodcv`j $$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$

Rqoeqcvv od ygc E@ Jrrh`fjy`od d @diodcv`j$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$

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Qclcqcdfcv $$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$

8/14/2019 GI Opportunities & Challenges

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8/14/2019 GI Opportunities & Challenges

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Rjec 9

Ajfneqosdi

Ugjy `v Ecoeqjrg`fjh @di`fjy`od?Ecoeqjrg`fjh `di`fjy`odv 'E@v jqc j v`ed ygjy `di`fjycv ygjy j rqoisfy oq`e`djycv lqom j fosdyqp(qce`od oq hofjh`yp jdi ygc icv`qjahc zsjh`yp( qcrsyjy`od oq oygcq fgjqjfycq`vy`fv ol ygc rqoisfycvvcdy`jhhp icrcdi od `yv rhjfc ol oq`e`d $ Movy fommodhp( j ecoeqjrg`fjh `di`fjy`od '`$c$ jdjrrchhjy`od ol oq`e`d fodv`vyv ol ygc djmc ol ygc rhjfc ol oq`e`d ol ygc eooiv 'U@RO( 1226)$Ugcygcq j v`ed lsdfy`odv jv j ecoeqjrg`fjh `di`fjy`od `v j mjyycq ol djy`odjh hju jdi fodvsmcqrcqfcry`od$ Ecoeqjrg`fjh `di`fjy`odv jdi jrrchhjy`odv ol oq`e`d jqc olycd svci loq jeq`fshysqjhrqoisfyv vsfg jv u`dc( fgccvc oq oh`|c o`h$ Gouc|cq( sdicq ygc H`vaod Jeqccmcdy loq ygcRqoycfy`od ol Jrrchhjy`odv ol Oq`e`d( mcmacq Vyjycv gj|c qce`vycqci oygcq yprcv ol rqoisfyv(`dfhsi`de fqjly rqoisfyv$

Ugp @ Fgoovc Yg`v Yor`f?E@ `v odc ol ygc movy i`ll`fshy jqcjv isq`de ygc Sqsesjp Qosdi ol yqjic dceoy`jy`odv ug`fg hci yo ygc

YQ@RV Jeqccmcdy$ Ygc vcdv`y`|`yp vycmmci lqom vc|cqjh ljfyoqv( doy hcjvy; ygc ljfy ygjy E@v ucqc jqchjy`|chp dcu jqcj ol @R loq movy UYO mcmacq vyjycv( ug`hc ac`de jhqcjip iccrhp qooyci `d ygc vpvycmvol mjdp Csqorcjd fosdyq`cv( 'vomcy`mcv fgjqjfycq`{ci jv j Dcu Uoqhi |v$ Ohi Uoqhi vrh`y > ygci`|cqecdfc ol |`cuv qcejqi`de ygc movy jrrqorq`jyc vpvycmv ol rqoycfy`od> ygc g`eg cfodom`f jdi yqjicvyjncv> ygc nccd asv`dcvv `dycqcvyv `d|oh|ci cyf$ Moqco|cq( E@ `vvscv acfjmc rjqy ol j yqjic -oll jej`dvyfodfcvv`odv `d jdoygcq g`eghp vcdv`y`|c jqcj ol ygc Sqsesjp Qosdi dceoy`jy`odv( djmchp jeq`fshysqc$

@d jii`y`od( yg`v rjrcq jhvo u`hh `dfhsic vomc rqom`dcdy `vvscv lqom @diodcv j$ Ygc movyrqom`dcdy , qcfcdy `vvsc v jaosy ygc roycdy jh i`vrsycv youjqiv g`vyoq`fjh gcq`yjecv ug`fg v doy odhp jyqjic `vvsc( asy jhvo |cqp vcdv`y`|c yo roh`y`fjh jdi vof`jh `vvsc$

Yg`v rjrcq `v icv`edjyci doy odhp yo rjvv qceshjq vyjdijqi loq Kjrjdv Yqjic Roh`fp Fosqvc asyjhvo( jv @diodcv`jd( yo ich`|cq vomc `mroqyjdy `vvscv jaosy ygc lsysqc orroqysd`y`cv , fgjhhcdecyoujqiv Ecoeqjrg`fjh @di`fjy`od `d @diodcv`j( `d rjqy`fshjq osq g`vyoq`fjh gcq`yjecv rqoisfy$

Ugp io ecoeqjrg`fjh `di`fjy`odv dcci rqoycfy`od?Ljhvc svc ol ecoeqjrg`fjh `di`fjy`odv ap sdjsygoq`{ci rjqy`cv `v icyq`mcdyjh yo ygc `dycqcvyv ol fodvsmcqv jdi hce`y`mjyc rqoisfcqv$ Fodvsmcqv( ach`c|`de ygjy ygcp jqc asp`de j ecds`dcrqoisfy u`yg icv`qjahc vrcf`l`f zsjh`y`cv jdi fgjqjfycq`vy`fv( `d ljfy ecy j uoqyghcvv `m`yjy`od$Hce`y`mjyc rqoisfcqv jhvo vsllcq ijmjec acfjsvc |jhsjahc asv`dcvv `v yjncd jujp lqom ygcmjdi ygc cvyjah`vgci qcrsyjy`od loq ygc`q rqoisfyv `v yjqd`vgci$

Gou `v j ecoeqjrg`fjh `di`fjy`od rqoycfyci?Ecoeqjrg`fjh `di`fjy`odv jqc rqoycfyci `d jffoqijdfc u`yg djy`odjh hjuv jdi sdicq j u`icqjdec ol fodfcryv( vsfg jv hjuv jej`dvy sdlj`q fomrcy`y`od( fodvsmcq rqoycfy`od hjuv( hjuv loqygc rqoycfy`od ol fcqy`l`fjy`od mjqnv oq vrcf`jh hjuv loq ygc rqoycfy`od ol ecoeqjrg`fjh

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Rjec 3

`di`fjy`odv oq jrrchhjy`odv ol oq`e`d$ @d cvvcdfc( sdjsygoq`{ci rjqy`cv mjp doy svc ecoeqjrg`fjh`di`fjy`odv `l vsfg svc `v h`nchp yo m`vhcji ygc rsah`f jv yo ygc yqsc oq`e`d ol ygc rqoisfy $Vjdfy`odv mjp qjdec lqom fosqy `dksdfy`odv rqc|cdy`de ygc lsqygcq sdjsygoq`{ci svc ol ygcecoeqjrg`fjh `di`fjy`od( yo ygc rjpmcdy ol ijmjecv jdi l`dcv oq( `d vcq`osv fjvcv( c|cd`mrq`vodmcdy$

Gou jqc ecoeqjrg`fjh `di`fjy`odv rqoycfyci jy ygc `dycqdjy`odjh hc|ch?U@RO jim`d`vycqv j dsmacq ol yqcjy`cv ygjy rqo|`ic loq ygc rqoycfy`od ol ecoeqjrg`fjh`di`fjy`odv( movy doyjahp ygc Rjq`v Fod|cdy`od loq ygc Rqoycfy`od ol @disvyq`jh Rqorcqyp( ygcMjiq`i Jeqccmcdy loq ygc Qcrqcvv`od ol Ljhvc jdi Icfcry`|c @di`fjy`odv ol Vosqfc od Eooivjdi ygc H`vaod Jeqccmcdy loq ygc Rqoycfy`od ol Jrrchhjy`odv ol Oq`e`d jdi ygc`q @dycqdjy`odjhQce`vyqjy`od$ @d jii`y`od( Jqy`fhcv 11 yo 19 ol ygc YQ@RV Jeqccmcdy icjh u`yg ygc `dycqdjy`odjhrqoycfy`od ol ecoeqjrg`fjh `di`fjy`odv u`yg`d ygc lqjmcuoqn ol ygc Uoqhi Yqjic Oqejd`{jy`od'UYO $

Jqy fhc 11 ol ygc YQ@Rv Jeqccmcdy rqo|`icv j icl`d`y`od ol ecoeqjrg fjh `di`fjy`odv$ Ygcpjqc;

$$$ di`fjy`odv ug`fg `icdy`lp j eooi jv oq`e`djy`de `d ygc ycqq`yoqp ol j Mcmacq( oq j qce`od oqhofjh`yp `d ygjy ycqq`yoqp( ugcqc j e`|cd zsjh`yp( qcrsyjy`od oq oygcq fgjqjfycq`vy`f ol ygc eooi `vcvvcdy`jhhpjyyq asyjahc yo `yv ecoeqjrg fjh oq`e`d$

Yg`v icl`d`y`od cwrjdiv ygc fodfcry ol jrrchhjy`od ol oq`e`d fodyj`dci `d Jqy`fhc 1 ol ygc H`vaodJeqccmcdy yo rqoycfy eooiv ug`fg mcqchp icq`|c j qcrsyjy`od lqom ygc`q rhjfc ol oq`e`du`ygosy rovvcvv`de j e`|cd zsjh`yp oq oygcq fgjqjfycq`vy`fv ug`fg jqc isc yo ygjy rhjfc$ Yo ac

rqoycfyci j ecoeqjrg`fjh `di`fjy`od dcciv yo ac jd `di`fjy`od( asy doy dcfcvvjq`hp ygc djmcol j ecoeqjrg`fjh rhjfc$

Jv od yqjic mjqn( ecoeqjrg`fjh `di`fjy`od 'E@ rqoycfy`od u`hh rhjp jd `mroqyjdy qohc `doqicq yo rqo|`ic eooi `mjec yo fodvsmcqv$ @d @diodcv`j rqoycfy`od ol E@ `v rqo|`ici ap sdicqMjqnv Hju Do$ :3 ol 122:( ug`fg jqc `d h`dc u`yg YQ@Rv vyjdijqiv$ E@ rqoycfyv j v`ed ug`fg`di`fjycv ygc rhjfc ol oq`e`d ol eooiv( ug`fg isc yo ygc ecoeqjrg`fjh cd|`qodmcdy( `dfhsi`degsmjd oq ygc foma`djy`od ol ygc yuo( e`|cv j vrcf`l`f fgjqjfycq`vy`fv oq zsjh`yp yo ygc eooivrqoisfci ygcqc`d$ Hcejhhp( j E@ vgjhh ac rqoycfyci srod qce`vyqjy`od ugcqc ygc jrrh`fjy`od loqqce`vyqjy`od fjd ac vsam`yyci ap;

Jd `dvy`ysy`od ygjy qcrqcvcdyv ygc vof`cyp `d ygc jqcj ug`fg rqoisfcv ygc eooivfodfcqdci> oqJd `dvy`ysy`od ygjy `v e`|cd jsygoq`yp yo io vo( oq eqosrv ol fodvsmcqv ol ygc eooivfodfcqdci$

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Rjec <

Gouc|cq( `l j v`ed( ug`fg vgoshi gj|c accd rqoycfyci sdicq E@( `v `d ljfy sdqce`vycqci(ygc rqoycfy`od ol vsfg v`ed `v ygcd ajvci od vosqfc ol oq`e`d$ Vosqfc ol oq`e`d jhvo fo|cqvrqoycfy`od loq v`ed( ug`fg v`mrhp `di`fjycv ygc oq`e`d ol ygc eooiv$ Qce`vyqjy`od `v doy rqc-qczs`v`yc loq rqoycfy`od ol vosqfc ol oq`e`d$

Qcfcdyhp( dodc rqoisfyv lqom @diodcv`j gj|c accd rqoycfyci ap E@$ Ygc fosdyqp `v vy`hhl`d`vg`de sr ygc eo|cqdmcdy qshc yo `mrhcmcdy E@ rqoycfy`od$ Yg`v rjrcq `v j`mci yo i`vfsvvvomc jvrcfyv od ygc jrrh`fjy`od ol E@ rqoycfy`od loq vsfg Rqoisfy `d @diodcv`j( cvrcf`jhhp `yvorroqysd`y`cv jdi fgjhhcdecv$

Hjycvy V`ysjy`odSdh`nc `d mjdp oygcq `dvyjdfcv `d ygc UYO( E@v jqc jd `vvsc ugcqc ygc i`|`i`de h`dc jmodeMcmacqv `v doy fodeqscdy u`yg ygc Doqyg Vosyg i`|`ic$ Msfg moqc `y `v jd `vvsc ol fodyqo|cqvp acyuccd cm`eqjdy fosdyq`cv 'Csqorc( Jlq`fj jdi rjqy ol Jv`j) jdi `mm`eqjdy

fosdyq`cv 'SVJ( Jsvyqjh`j jdi Hjy`d Jmcq`fjd fosdyq`cv $ Ygc `vvsc ol cwycdv`od `v ol rjqy`fshjq

`dycqcvy yo ic|chor`de fosdyq`cv acfjsvc ol ygc `mroqyjdfc ol ygc qcmsdcqjy`|c mjqncy`de ol ygc`q jeq`fshysqjh( gjdi fqjly jdi jqy`vjd rqoisfy`od$ @d jii`y`od( E@v gj|c lcjysqcv ygjy qcvrodiyo ygc dcciv ol `di`ecdosv jdi hofjh fommsd`y`cv jdi ljqmcqv$ E@v jqc ajvci od fohhcfy`|cyqji`y`odv jdi j fohhcfy`|c icf`v`od-mjn`de rqofcvv> ygcp qcujqi yqji`y`odv ug`hc jhhou`de loqfody`dsci c|ohsy`od> ygcp cmrgjv`{c ygc qchjy`odvg`r acyuccd gsmjd clloqyv( fshysqc( hjdi(qcvosqfcv jdi cd|`qodmcdy> jdi ygcp jqc doy lqcchp yqjdvlcqjahc lqom odc oudcq yo jdoygcq$

Yuo fodycdy`osv `vvscv sdicq i`vfsvv`od `d UYO jqc;

j Dceoy`jy`odv od ygc cvyjah`vgmcdy ol j mshy`hjycqjh vpvycm ol doy`l`fjy`od jdiqce`vyqjy`od ol E@v loq u`dcv 'loqcvccd ap YQ@RV Jqy`fhc 16$9 $Ygcqc jqc yuo rjqy`cv ygjy ajv`fjhhp gj|c j i`llcqcdy or`d`od jaosy ygc qce`vyqjy`od vpvycmol E@$

:$ Ichcejy`odv `d lj|oq ol jd cllcfy`|c rqoycfy`od ol E@v u`yg ygc Csqorcjd Sd`odjdi Gsdejqp `d ygc hcji qcejqi`de ygc qce`vycq ji|ofjyc ygjy rjqy`f`rjy`od `d ygcmshy`hjycqjh vpvycm vgoshi ac mjdijyoqp loq jhh UYO Mcmacqv jdi ygjyqce`vyqjy`odv vgoshi gj|c a`di`de hcejh cllcfy$ Ygc Csqorcjd Sd`od jdi `yv McmacqVyjycv rqorovc ygjy ygc qce`vyqjy`od vgoshi cvyjah`vg j rqcvsmry`od ygjy ygc E@icvcq|cv rqoycfy`od `d jhh UYO Mcmacqv$ Sdicq ygc CS rqorovjh( odfc j ycqm `v

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loq jhh UYO Mcmacqv jdi loq jhh rqoisfyv( vsrroqyv ygc CS1:

rqorovjh( asy jhvo ygc

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Rjec 5

Gsdejq`jd rqorovjh$ J mshy`hjycqjh jqa yqjy`od rqofcisqc vccmv j rjqy`fshjqhp`mroqyjdy chcmcdy ol vsfg j vpvycm lqom j vmjhh fosdyqp Mcmacq rcqvrcfy`|c$ Ygcoakcfy`|c ol ygc Mcmacqv `d lj|oq ol jd cllcfy`|c rqoycfy`od ol E@v loq ygc FjdfdM`d`vycq`jh Icfhjqjy`od ujv yo `dfhsic es`ijdfc od vsavyjdy`|c mjyycqv 'hcejh cllcfyv(

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1$ Ichcejy`odv orrovci yo jd cllcfy`|c rqoycfy`od ol ecoeqjrg`f jh `di`fjy`odv ( vsfg jvJsvyqjh`j( Jqecdy`dj( Kjrjd jdi ygc Sd`yci Vyjycv( yjnc j qjygcq m`d`mjh`vy jrrqojfg$Ygcp rqorovc j vpvycm ol |ohsdyjqp rjqy`f`rjy`od ap ug`fg doy`l`ci E@v uoshi acv`mrhp h`vyci `d j ijyjajvc$ Odhp oah`ejy`od od Mcmacqv rjqy`f`rjy`de `d ygc vpvycm;fodvshyjy`od ol ygc ijyjajvc ugcd yjn`de icf`v`odv od ygc rqoycfy`od ol j vrcf`l`f E@`d ygc`q fosdyqp$ Dod-rjqy`f`rjy`de Mcmacqv uoshi ac cdfosqjeci asy doyoah`eci yo fodvshy ygc ijyjajvc loq yg`v rsqrovc$ Ygcvc fosdyq`cv vsrroqyci ygcycwy ol ygc l`qvy qc|`vci Iqjly ol ygc Fjdfd M`d`vycq`jh Ycwy jv `y vyooi( vseecvy`de jd

cwycdici icjih`dc yo l`d`vg dceoy`jy`odv ap ygc