UW–Madison Global Health Institute 2022-2023 Annual Report

Page 1

Annual Report One Health: The Wisconsin Idea in Global Action July 1, 2022-June 30, 2023

Dear Friends and Colleagues, Over the past year, I have been actively building and implementing the Global Health Institute’s (GHI) vision to develop a network of One Health Centers that moves research out of the lab into real-world settings. As you will see in this annual report, we are committed to doing this important and impactful work with key multisectoral partners and collaborators and invite you to learn more and join us. When I began this journey as GHI’s director in May 2022, I wanted to construct a One Healthfocused model and approach when addressing global health challenges and identify how UW– Madison could contribute to global health solutions that strengthen UW–Madison’s reach and status as a top research university and global health security leader. With the help of our vastly connected and diverse advisory committee, representing expert members from across UW–Madison’s 21 schools and colleges, we identified five strategic focus areas to guide research and educational opportunities within our growing One Health Center Network. The five areas include emerging and infectious diseases; climate and land use change; resource security: food, water and energy; social, cultural & economic equity; and human, animal and plant health.


Our interdisciplinary approach to One Health is at the foundation of our work and success. As witnessed during COVID-19, the health of humans, animals, and biosystems are connected. Multidisciplinary impact requires multidisciplinary and multisectoral solutions. That’s why all our research and educational opportunities include engagement from key partners and collaborators in academia, government, industry, non-government organizations, military, community members, and philanthropy. Since opening in 2018, our GHI One Health Center-Colombia (GHI-OHC-Colombia) has partnered with Universidad Nacional de Colombia, and then found additional partners with Colombia’s Ministerio de Ciencia, Tecnologia e Innovacion, and Abbott Labs. The GHI-OHC-Colombia serves as the innovative model for delivering tangible global health responsive results, while also providing research and education opportunities to develop the global health leaders of today and tomorrow. In 2022 – 2023, this model inspired GHI’s One Health Center Network growth, which now includes two additional sites including the GHI One Health Center-West Africa (launched spring 2023), and GHI One Health Center-India, which was announced in February during an 15-person UW delegation visit to India that was co-hosted by GHI Board Member Dr. Krishna Ella, and the UW Foundation & Alumni Association. To extend our impact further, we are in discussions to develop additional GHI One Health Center locations and look forward to sharing more information in the near future. Our collaborative reputation comes from offering integrated and multidisciplinary education programs, establishing inventive partnerships across sectors, and providing actionable steps for a healthier Wisconsin and world. We like to think of ourselves as innovation catalysts. This past year, we’ve built significant momentum and delivered impact to save lives, and improve diversity and international presence at UW, in Wisconsin, and beyond. I’m proud of the work we have accomplished in such a short period of time. But this is just the beginning, and we have more work to do in expanding the Wisconsin Idea worldwide. GHI continues to trailblaze a new path forward. We are grateful to our partners like you that enable GHI to achieve new heights as witnessed in this 2022 – 2023 impact report. Over the next year, I welcome you to visit our website, but also each one of our local One Health Centers, and attend our monthly Global Health Tuesday webinars, Annual Symposium (April 10, 2024), and other unique opportunities to get involved. Gracias, and On, Wisconsin!




At UW–Madison’s Global Health Institute, we are conveners proactively unifying talent and expertise through a multidisciplinary lens from academia, government, NGOs, health officials, and industry to tackle global health response and security issues through our collaborative and innovative One Health Center Network. Our mission is to embrace a global health ethic that fosters deeper understanding of the complex determinants of health and disease for people, animals, and ecosystems through a One Health model. By working locally and globally, we uniquely apply research and education both within and across disciplines, advancing health today and ensuring well-being for the future.


A proud member of UW–Madison’s rich research depth, which makes it a top-tier research university, the Global Health Institute proactively links UW– Madison’s multidisciplinary talent and expertise with academia, government, NGOs, health officials and industry partners to address global health issues and transform ideas into innovation. Using our five identified strategic focus areas as a guide for research, education, and capacity building, GHI promotes UW faculty research internationally and facilitates undergraduate, graduate, and post-doctoral programming, field courses and strategic exchanges to boost innovation and health for all through our collaborative and innovative One Health Center network.


In 2022-2023, our One Health Centers offered a framework to move research out of the lab into real-world settings. When results are translated into action, partners can immediately assess the social, cultural, political and environmental effects of each intervention. Through these partnerships with academia, governments and industry, UW students and trainees broaden their understanding of health and disease; researchers add depth and new dimensions to their projects, and the results benefit Wisconsin as well as the world.

COLOMBIA Three graduate students from within the School of Journalism and School of Veterinary Medicine’s Comparative Biomedical Sciences Program

GHI One Health Center-Colombia Team

Shortly after GHI Director Jorge Osorio came on board, the Colombia/Wisconsin One Health Consortium became GHI One Health Center-Colombia (OHC-Colombia) and is located in Medellin, Colombia. The OHC-Colombia’s director, Juan Pablo Hernandez-Ortiz, is a UW alumnus and professor in Materials and Minerals at Universidad Nacional de Colombia (UNAL). UNAL, which is ranked among the best universities in the region with nine campuses located in different regions of the country, is our partner. It has 58,000 students and is a leading research institution in Colombia. Abbott is also a partner, and supplied the OHC-Colombia with equipment to become a genomic lab and state-of-the-art BSL2 facility that can analyze a host of samples, from viruses to the whole human genome. OHC-Colombia is a member site in the Abbott Pandemic Defense Coalition and featured in their video series shared in March. Through funding from a Ministry of Science and TechnologyColombia grant, the OHC-Colombia site was able to begin work developing vaccines for neglected diseases including Zika, Chikungunya, and Yellow Fever. This also provided $1 million in funding to UW–Madison for research. Additional funding supported a number of educational opportunities within GHI’s five strategic focus areas at OHC-Colombia including: Two undergraduate students with majors in Biochemistry and Global Health, and Neurobiology and Spanish

Three Post-Doctoral positions, with both UW and UNAL faculty advisors, focusing on food security and sustainable agriculture, genomic approaches to study human soil-transmitted helminths and antibiotic resistance, and the use of medicinal plants and vector-borne diseases in the Amazons. Research program: Safe Passage Seeking Asylum in the U.S. From The Darién Gap, with UW-Madison Professors Sara McKinnon and Erin Barbato (see Research article). These partnerships allow GHI to provide UW faculty and students opportunities to expand their research internationally and serves as the model for additional GHI One Health Centers. Find more about OHC-Colombia here

INDIA On February 5, 2023, the University of Wisconsin–Madison Global Health Institute (GHI) and the Ella Foundation, founded by Dr. Krishna Ella and Mrs. Suchitra Ella, signed a bi-lateral agreement in New Delhi to establish the first ever “UW–Madison One Health Center” in Bangalore, India. The OHC-India will advance the development and production of new vaccines; and enable collaboration across disciplines and geographic boundaries, provide Indian students and researchers access to UW expertise and training, and build research capacity in India.

The signings were part of Badger Utsav, a GHI and Wisconsin Foundation & Alumni Association event which joined campus partners in India to celebrate Badgers Building a Better World. During GHI’s trip to India, the team led a UW-Madison delegation to India and facilitated multidisciplinary discussions with government, industry, and academic partners. The delegation met with India’s Minister of Health, Honorable Dr. Mansukh Mandaviya and Dr. C.N. Ashwath Narayan, Minister for Higher Education, IT&BT, Science and Technology and Skill Development, Government of Karnataka to discuss outreach opportunities in India to continue UW–Madison and GHI’s efforts of putting the Wisconsin Idea into global action. The delegation also visited BioVet, Ella Foods, and Bharat Biotech to learn more of their vaccine efforts, business operations, and continue conversations for future partnership opportunities. UW–Madison and GHI’s visit garnered an abundance of media hits, including but not limited to 30 articles, 2 videos, and 9 tweets from publishers and journalists in India. Find more about OHC-India here.

Jorge Osorio with Shri Mansukh L. Mandaviya, Minister of Health & Family Welfare

WEST AFRICA “GHI One Health CenterWest Africa will strengthen our capacity for detection, for identification, and for characterization of epidemic pathogens, and will enable our preparedness and effective response.”

GHI One Health Center-West Africa Team

The GHI One Health Center-West Africa (OHC-West Africa) opened summer 2023 in Sierra Leone, and is under the leadership and direction of Alhaji N’Jai, who is a UW-Madison alumnus and honorary research fellow in the Department of Pathobiological Sciences at UW-Madison. He has an extensive global health background and experience working with UW–Madison Professors Yoshihiro Kawaoka and Peter Halfmann in the Department of Pathobiological Sciences in the School of Veterinary Medicine on Ebola research. OHC-West Africa is a collaboration between GHI, the University of Sierra Leone, Directorate Health Securitites & Emergencies at Ministry of Health and Sanitation, Project 1808/Koinadugu College, Abbott Pandemic Defense Coalition, and several local hospitals. The launch signified the start of the Sierra Leone Abbott Pandemic Defense Coaltion Acute Febrile Illness Surveillance and Diagnostic research work with five major hospital sentinel sites in Freetown. The location of OHC-West Africa provides GHI with an opportunity to expand on UW–Madison’s footprint in Africa. Sierra Leone was especially impacted during the 2014 Ebola crisis, which compounded by food insecurity, clean water access, and climate change, and is a hotbed for infectious disease and outbreaks. “In Sierra Leone, we do have a lot of issues where people suffer from acute febrile illnesses that sometimes go undiagnosed for a lifetime,” said Alhaji N’jai.

GHI continues to look for collaborations in Africa and is in discussions to expand research and educational opportunities in Liberia, Malawi, and South Africa. In May 2023, GHI Director Jorge Osorio went to South Africa with Wisconsin Alumni Research Foundation CEO Erik Iverson and UW–Madison Department of Biochemistry Chair Brian Fox to meet with the South African Medical Research Council to discuss ways GHI and UW–Madison can enhance their public health and vaccine development efforts. Find out more about OHC-West Africa here.

RESEARCH Oropouche Fever

In October 2022, the collaboration between the One-Health Genomic Laboratory of the National University of Colombia, Abbott’s Pandemic Defense Coalition and UW–Madison Global Health Institute (GHI) found Oropouche fever virus to be an important cause of febrile illness in several regions of Colombia. These findings were shared in a paper in Emerging Microbes & Infections, and highlight the importance of ongoing disease surveillance and collaborative infectious disease research to support public health. Oropouche fever is a tropical viral infection transmitted to humans by biting midges and mosquitoes and causes denguelike symptoms, including high fever, headache, rash and joint pain. It has been found in other parts of South and Central America and can spread quickly, with the potential of epidemic outbreaks. Over 2019-2022, fever studies were set up at clinics and

hospitals at four sites in Colombia to monitor emerging pathogens. The study included 2,967 samples from patients who observed cases of acute febrile illness (AFI) without an identified infectious cause at sites in Leticia, Villavicencio, Cúcuta, and Cali. After testing for multiple pathogens and conducting genomic sequencing, the collaboration of scientists discovered the presence of the Oropouche virus. “The scientific collaboration on the Oropouche study showcases strategic value and mission of the Abbott Pandemic Defense Coalition. We are actively working across our global network with researchers from Colombia, Africa, Asia to detect, identify and monitor known and little-known pathogens and rapidly respond with scientific insights so that viral threats can be addressed and mitigated to help prevent future pandemics,” said Dr. Gavin Cloherty, head of infectious disease research and the Coalition at Abbott. Abbott launched the Pandemic Defense Coalition in 2021. The Coalition is a firstof-its-kind, 15-member global scientific and public health partnership actively hunting, discovering and researching new and known viral threats around the world to prevent the next pandemic. Both the GHI One Health Centers in Colombia and West Africa are members of this coalition. Find more about this story here.

RESEARCH Mansonellosis

“When researchers work with emerging infectious diseases, they need to go where the pathogens are.” — Jorge Osorio

Mansonellosis is a disease most people have never hear of, but it affects more than 100 million people worldwide. When Mostafa Zamanian, a University of Wisconsin-Madison researcher and assistant professor in Pathobiological Sciences in the School of Veterinary Medicine, wanted to know more—from the prevalence of the disease to how it affects the immune system to developing treatments—the Colombia/Wisconsin One Health Consortium (now called GHI One Health Center-Colombia) connected him to the resources he needed.

Zamanian looks at the clinical consequences of mansonellonosis and how it affects susceptibility to other infectious diseases. He’s also working with local entomologists to map the insects responsible for spreading it. “I think it’s important we help bring more scientific attention to understudied and neglected diseases outside of our borders,” said Zamanian.

Funded by a 2020 GHI Seed Grant, Zamanian’s initial findings indicated about half of the people in primarily Indigenous villages in the Colombian Amazon are infected with Mansonella parasites that are transmitted by insects.

Working with the GHI One Health Center Colombia also gave Zamanian his first opportunity to see the effects of parasitic diseases firsthand. “We came in with an initial set of questions, based on what we knew,” Zamanian says. “As we worked with people based in the region for the last couple years, the conversations have led us down completely new roads and to other questions that may be important. Scientists who work there can tell you about local conditions and new ways of looking at them.

“This would not be possible without the coordination of the scientists based in Colombia who helped coordinate complex studies, are involved in pursuing the scientific questions we have, and driving the questions we should have,” says Zamanian. “Much of the analysis is being carried out in Colombia and some samples have been transferred to Madison. It’s a true two-way collaboration.” Find more about this story here. GHI One Health Center-Colombia Team with researchers on Amazon River

RESEARCH Safe Passage Seeking Asylum in the U.S. From The Darién Gap In June 2023, the Office of the Vice Chancellor for Research and Graduate Education announced their Research Forward Initiative Funding recipients and the “Safe Passage in the Darién Gap” project, led by Sara McKinnon, UW–Madison professor in the Department of Communication Arts, was selected. Associate Clinical Professor of Law, Erin Barbato and GHI Director, Jorge Osorio serve as co-principal investigators. This three-year, cross-disciplinary project reflects the Initiative’s call for high-risk, high-impact, and transformative research, and tries to understand how to make migration safer for asylum seekers as they cross the treacherous Darién Gap between Colombia and Panama to claim asylum in the United States. The research team is creating evidence-based interventions which can be expanded and replicated throughout the Americas in migration crisis zones to help migrants make informed decisions about the journey based on their health, identities, and the likelihood of receiving asylum in the United States. Project goals include creating a transnational network of both legal and health clinics from the Darien Gap to the US-Mexico border and developing trusted information and programs for network members to share with migrants so

they may make informed decision about the asylum-seeing journey and process. Interventions include health screenings and check-ups with medical experts to assess risks along the journey; consultations with legal experts to assess the likelihood of receiving asylum in the United States and information about other options for asylum; and communication campaigns targeting different migrant experiences about the realities of the journey, the US asylum process, and other asylum options. Additional legal communication components include regular webinars with legal clinics at Colombian Universities sharing information about US laws, policy changes, and common asylum profiles and creating mobile legal clinics where UW Madison law students will provide individual consultations to migrants in collaboration with Colombia legal clinics. Public health components include augmenting access to useful rapid tests, vector-borne emergent tropical disease surveillance, and information about health issues along the journey. The One Health Center-Colombia provides significant assistance with local contacts and logistics in Colombia, as well as opportunities to network with stakeholders and audiences work on migration and health. Find more about the project here.

RESEARCH Health Clinic Electrification “We‘re going to design our system in a way that honors the interconnection between nature, traditional medicine, and Western medicine.” — Rebecca Alcock

The Clinic Electrification Project aims to create a free, open-source toolkit any NGO or rural healthcare clinic can use to optimally size a renewable energy network, or microgrid, for their area. Within this toolkit, there are three steps:

General and Scientific Director, Juan Carlos Dib from the Tropical Health Foundation, who maintains years-long relationships with the Indigenous communities in Northern Colombia.

1. Predict what the electrical loads will be for a rural clinic that has never had access to electricity 2. Choose the best size for a renewable energy system at the clinic by using the load profile 3. Determine how well the clinic will be able to hold up to future issues (e.g., natural disasters, climate change) by performing a simulation of different scenarios

Rather than imposing her team’s ideas upon the Indigenous peoples, she works with them to understand the region and prioritize their relationships and ideologies. Alcock hopes to honor and augment the existing systems of healthcare in the Tezhumke community, and she reiterates that engaging with their ideas, efforts, and practices is her utmost priority.

Rebecca Alcock, a Ph.D. student in the Department of Industrial and Systems Engineering (ISyE) at the University of Wisconsin–Madison, is passionate about taking health systems engineering across the world. With funding from GHI’s Planetary Health Scholars Program, she was able to kickstart the Clinic Electrification Project and grow it into something amazing. Tezhumke, Colombia was chosen for this project because of its unique affordances. GHI Director, Jorge Osorio connected Alcock to Colombia through

One of the many successes from Alcock’s Tezhumke trip was the installation of two lightbulbs in the local health post. Before, Tezhumke healthcare providers would have to hold a flashlight or wear a headlamp while they worked, which would either rid them of one hand or bombard them with swarms of bugs. Now, health post workers are almost worry-free. Pending funding, Alcock seeks to launch the pilot program in Tezhumke next spring or summer. This would start from scratch, providing the health post with solar power, battery storage, better e-mobility and, most importantly, access to lighting, refrigeration and electric stoves. Find more about this story here.

Photo courtesy of Rebecca Alcock

35 % SYMPOSIUM HIGHLIGHTS the action or activity of

GHI Director Jorge Osorio’s keynote, “One Planet, One Health,” gathering information about consumers' needs highlighted interdisciplinary approaches to global health research and preferences. The wide array of global health projets highlighted the need for cross collaboration in global health work. Moderator & panelists explored the dimensions of One Health in their work and included Jim Conway, Ann Evensen and Girma Tefera (School of Medicine & Public Health), Lyric Bartholomay (School of Veterinary Medicine), Caludia Irene Calderon (College of Agricuture & Life Sciences) and Giri Venkataramanan (College of Engineering).

Poster Presentations NEARLY 30 OVER 350 Attendees in person & virtually

ADVANCEMENT DEVELOPING PARTNERSHIPS With the uniqueness of UW–Madison’s 21 schools, GHI is advancing partnerships across campus to tap into the rich expertise that Wisconsin has to offer public health locally, regionally, nationally, and globally.

GHI India Delegation, February 2023

ACADEMIA GHI collaborated with regional universities and co-hosted and participated in regional, national, and international consortia. At GHI, collaborations and partnerships are at the core of what we do and we’re devoted to partnerships that complement our One Health vision across disciplines and sectors. Developing strategic plans for advancement priorities begins with relationship building. At GHI, collaboration and partnerships are at the core of what we do. In 2022-2023, GHI has been dedicated to connecting with academia, government, industry, and communities in mutually beneficial relationships to broaden the understanding of health and disease, share lessons learned, spark new questions, and address critical global challenges across disciplines.

Colombia/Latin America: • Universidad Nacional De Colombia • University of Antioquia • University of Guadalajara

India: • Dayanard Sagar • SS Institute of Medical Sciences & Research Centre • Visvesvaraya Technological University

Africa: • Koinadugu College • University of Sierra Leone

ADVANCEMENT GOVERNMENTS GHI created new partnerships and relationships with Ministries of Health, Science and Technology at One Health Center global locations, while raising the visibility of UW–Madison’s global health efforts with city, state, and federal policymakers in the United States.

Colombia: Ministry of Science, Technology and Innovation US Ambassador to Colombia

India: Indian Council of Agriculture Research Indian Council of Medical Research National Institute of High Security Animal Diseases Minister of Health Honorable Dr. Mansukh Mandaviya Dr. C.N. Ashwath Narayan, Minister for Higher Education, IT&BT, Science, Technology & Skill Development, Government of Karnataka

Africa: Ministry of Health Sierra Leone National Public Health Institute of Liberia South African Medical Research Center

USA: Jorge Osorio and Calyn Ostrowski visited Washington, D.C., in July, 2022, to give lawmakers and congressional staff an overview of GHI’s mission to improve health for Wisconsin and the world. Discussions involved One Health Center expansions to West Africa and India, and One Health Centers’ scientific training and research through disease surveillance and pathogen discovery; which will advance global security and strengthen pandemicready workforce capacity across industries, ultimately carrying the Wisconsin Idea to the world. Find more about Partners & Collaborators here.

National Public Health Institute of Liberia visit GHI, June 2023

INDUSTRY Collaborations with industry leaders allows GHI to provide invaluable research and internship opportunities which promote testing of products, ideas and innovations in a controlled setting with real-world results in a timely manner; access to networks of critical thinkers who promote creative problem solving; and internship experiences to provide deeper understanding of global health needs.

Existing Partnerships: Abbott Pandemic Defense Coalition (ILUSA) Bharat Biotech (India) BioVet (India) Danaher (MA-USA & India) GHI & WSB Global Programs GHI & International Internships Program Illumina Vax Thera (Colombia)

Wisconsin Congressman Mark Pocan, Calyn Ostrowski, and Jorge Osorio


Jorge Osorio, GHI Director Staff are responsible for coordinating the day-to-day operations of the Institute, including managing office and budget operations, identifying partnership and funding opportunities, planning events, directing communications, and supporting leadership and GHI initiatives.

Kendall Buehl, Communications Intern

John Chan, Associate Research Professor

Calyn Ostrowski, Associate Director, Strategic Partnerships and Development

Katie Newcomb, Communications Director

Aslesha Shakya, Accountant

Karl Ciuoderis, Global Virus Network Visiting Scholar (startIng Fall 2023)

Khushi Tanna, Administrative Intern


Sumudu Atapattu, Law School

Richard Keller, School of Medicine and Public

Lyric Bartholomay, School of Veterinary Medicine


Paul Block, Engineering

Nancy Kendall, School of Education

Dominique Brossard, College of Agricultural and

Karen Kopacek, School of Pharmacy

Life Sciences

Jennifer Kushner, College of Agricultural and Life

Bruce Christensen, Veterinary Medicine


Katie Collins, School of Nursing

Carolyn (Carey) McAndrews, College of Letters and

James Conway, School of Medicine and Public



Maria Moreno, College of Letters and Science

Todd Courtenay, College of Agricultural and Life

Gregory Nemet, La Follette School of Public Affairs


Susan Paskewitz, College of Agricultural and Life

Lori DiPrete Brown, School of Human Ecology


Amie Eisfeld, School of Veterinary Medicine

Jonathan Patz, Nelson Institute for Environmental

Johanna Elfenbein, School of Veterinary Medicine


Kevin Eliceiri, School of Medicine and Public Health

Wilmara Salgado Pabón, School of Veterinary

Shelby Ellison, College of Agricultural and Life



Leigh Senderowicz, College of Letters and Science

Ann Evensen, School of Medicine and Public Health

Ajay Sethi, School of Medicine and Public Health

Sundaram Gunasekaran, College of Engineering,

Kurt Sladky, School of Veterinary Medicine


Marulasiddappa Suresh, School of Veterinary

Jeff Hartman, School of Medicine and Public



Janis Tupesis, School of Medicine and Public Health

Joel Hill, School of Medicine and Public Health

Alberto Vargas, Latin American, Caribbean and

Jessica Hite, School of Veterinary Medicine

Iberian Studies Program

Li-Ching Ho, School of Education

Giri Venkataramanan, College of Engineering

Krishnapuram Karthikeyan, College of Agricultural

Claire Wendland, College of Letters and Science

and Life Sciences

Mostafa Zamanian, School of Veterinary Medicine

BOARD OF VISITORS The Global Health Institute Board of Visitors brings together alumni, donors and friends as trusted advisors to the GHI team. Members are charged with increasing awareness and visibility of the Institute and furthering connections with current and prospective donors. Their input and guidance informs communications and engagement strategies, and they are asked to share information about the high quality of GHI’s programs and how they can be sustained. We thank our board for their continued commitment to GHI and to improving global health.

Ann Behrmann Krishna Ella Suchitra Ella Luxme Hariharan John Holton Erik Iverson Steve Landry John E. Lange Elisabeth Patton Linda Vakunta Mary Wilson Caroline Zellmer

COLLABORATE One Health calls for collaboration between human healthcare providers, entomologists, engineers, sociologists, dairy and nutrition experts, climate scientists, public health practitioners and more.

At GHI, we believe in the Wisconsin Idea and understand solutions to global health issues begins with investing in local conversations. Introducing healthy, sustainable food choices. Discovering new viruses before they make the jump from animals to humans. Protecting water sources. Contributing to a safer and more equitable world for all.

Addressing the determinants of health and disease; learning from communities and colleagues; sharing knowledge; and finding solutions. This is the Wisconsin Idea in global action. This is GHI.

One Health is the idea human, animal and plant health are tied together, and we must see them as a whole.

VISIT & CONTACT US ghi.wisc.edu

GHI Board Member Krishna Ella and Jorge Osorio at GHI OHC-India partnership signing

1050 Medical Sciences Center 1300 University Avenue Madison, WI 53706


Issuu converts static files into: digital portfolios, online yearbooks, online catalogs, digital photo albums and more. Sign up and create your flipbook.