The 10th Bhutan-Japan TTT was held. Three doctors presented the cases with pathological findings.

We reported our activities at the 115th Japan gastro-enterological endoscopy society Kanto champter.

We reported the project in Bhutan at the 37th Congress of Japan Association for International Health

Dr. Akira Sakaguchi who worked for 2 years in Bhutan JDWNR hospital published the present medical/ endoscopical situation in Bhutan in Gastroenterological endoscopy. Oct.　(Only Japanese)

The 9th Bhutan-Japan TTT was performed by ZOOM with help by Kyusyu University TEMDEC

The 2nd Laos-Japan internet train the trainer for the endoscopy was held between Mittaphab hospital cancer center and HIGAN Japan with the help from Kyusyu University TEMEDC. Our director and the professor in Fukuoka University Chikushi Hospital, Dr, Kenshi Yao gave the lecture.