LGBT+ Health and Wellbeing

Sexual health for lesbian and bisexual women

Women who have sex with other women can pass on or get STIs. Know how to protect yourself.

Women can catch STIs such as herpes, genital warts and chlamydia when exchanging bodily fluids.

Any one-on-one contact, such as oral sex or using the same hand when touching yourself and then your partner, can put you at risk. If 2 women are both menstruating they are at a higher risk, too.

Tips for safer sex between women

If you're using sex toys, use a new condom for each partner or between penetration of different body openings. Sex toys should be washed with soap and water between sessions. Find out more about cleaning sex toys.

Avoid oral sex if either of you has any cuts or sores in the mouth or on the lips, or use a dental dam. A dental dam is a latex or polyurethane (very thin, soft plastic) square, of about 15cm by 15cm, which you can use to cover the anus or female genitals during oral sex. It acts as a barrier to help prevent sexually transmitted infections passing from one person to another.

Some infections can be transmitted by hands, fingers and mutual vulval rubbing. Wash your hands before and after sex.

Wear latex gloves and use plenty of water-based lubricant for vaginal and anal fisting.

Tips for bisexual women on safer sex with men

If you have vaginal, anal or oral sex with a man, use a condom. When used correctly, condoms protect against unintended pregnancy and STIs. In addition to using condoms, find out about the form of contraception that suits you best.

If you think you could be at risk of unintended pregnancy, you have the option of using emergency contraception (the "morning after" pill or an IUD).

The emergency pill is available from some pharmacies, GPs, contraception (family planning) clinics and some sexual health clinics. The IUD is available from contraception clinics, some sexual health clinics and some GPs.

Symptoms of STIs in women

Genital herpes

This is caused by a virus, which can spread if you have vaginal, anal or oral sex, or share sex toys. It can also cause cold sores on the mouth and nose.

Symptoms include painful blisters and ulcers around the genital area, although some women may have no symptoms.

Antiviral tablets can help the healing process. Read more about genital herpes.

Genital warts

Women with genital warts do not need more regular smear tests than those without them. There are a variety of treatment options, including freezing and medicated creams. Read more about genital warts.

Trichomoniasis

Trichomoniasis can be passed between women during any sexual activity that involves the exchange of vaginal fluid.

Symptoms include a frothy discharge, pain when peeing, vulval soreness, and sometimes an unpleasant vaginal odour. Some women do not have any symptoms. It is treated with antibiotics.

Read more about trichomoniasis.

Chlamydia and gonorrhoea

These STIs are caused by bacteria, which can infect the cervix, rectum, throat and urethra. There may be a discharge, but usually there are no symptoms.

If the conditions are not treated, the bacteria may lead to an infection in the fallopian tubes and infertility.

Chlamydia and gonorrhoea can be passed between women through shared sex toys, hands, and by rubbing vulvas together. Treatment is with antibiotics.

Read more about chlamydia and gonorrhoea.

Syphilis

Syphilis is a bacterial infection that causes a painless ulcer, usually in the genital area. It will disappear on its own, but other symptoms may appear. These can include a rash on the body and swollen glands.

If it is not treated, syphilis can cause serious nerve and body organ damage later in life.

In its early stages, syphilis is extremely infectious and can be passed on by close skin contact during sex. Treatment is with antibiotic injections or tablets.

Read more about syphilis.

Keeping your vagina healthy

The vagina is self-cleansing, so there's no need to wash inside it (douching). Vaginal soreness and vulval irritation can be caused by overuse of perfumed soaps, bubble baths and shower gels.

After going to the toilet, always wipe from front to back (from vagina to anus).

Read about how to keep your vagina clean.

When to see a doctor about sexual health

If you have any of the symptoms above or are worried you may have an STI, speak to your GP or visit an STI clinic.

Getting tested regularly is a good idea to ensure you have a healthy sex life. NHS services are free.

Using sexual health clinics during coronavirus (COVID-19)

Call a sexual health clinic if you need help or advice. Only go to a clinic if you've been told to.

Find sexual health clinic contact details

Content provided by NHS.uk

Find information and advice on health conditions, symptoms, healthy living, medicines and how to get help.

Published on Tue, 27 Jul 2021 15:28:35 GMT
Modified on Fri, 18 Mar 2022 10:20:24 GMT

Sexual health for gay and bisexual men

Having unprotected penetrative sex is the most likely way to pass on a sexually transmitted infection (STI).

Using a condom helps protect against HIV and lowers the risk of getting many other STIs.

A survey of gay and bisexual men by Stonewall revealed that 1 in 3 men had never had an HIV test, and 1 in 4 had never been tested for any STI.

Men who have sex with men (MSM) should have a check-up at least every 6 months at a sexual health or genitourinary medicine (GUM) clinic. This is important, as some STIs do not cause any symptoms.

Using sexual health clinics during coronavirus (COVID-19)

Call a sexual health clinic if you need help or advice. Only go to a clinic if you've been told to.

Find sexual health clinic contact details

Hepatitis A

Hepatitis A is a liver infection that's spread by a virus in poo.

The infection is usually spread in contaminated food or drink, or by poor hand-washing. However you can also get hepatitis A through sex, including oral-anal sex ("rimming") and giving oral sex after anal sex. MSM with multiple partners are particularly at risk.

Symptoms of hepatitis A can appear up to 8 weeks after sex and include tiredness and feeling sick (nausea).

Hepatitis A is not usually life-threatening and most people make a full recovery within a couple of months.

MSM can avoid getting hepatitis A by:

• washing hands after sex (bottom, groin and penis too by taking a shower, if you can)
• changing condoms between anal and oral sex
• using a barrier (such as a condom cut into a square) for rimming
• using latex or non-latex gloves for fingering or fisting
• not sharing sex toys
• asking about the hepatitis A vaccine at a sexual health or GUM clinic

If you think you might have hepatitis A, or have any questions, visit a sexual health or GUM clinic. The hepatitis A vaccine is available for people travelling to countries where the disease is common. Find out more about travel vaccinations.

Hepatitis B

Hepatitis B is a viral infection that causes inflammation of the liver. It does not usually cause obvious symptoms and may pass in a few months without treatment. However in some cases the infection can persist and cause serious liver disease, including cirrhosis and liver cancer.

Hepatitis B is spread through contact with the blood or body fluids of an infected person. MSM are at risk of hepatitis B but they can be protected by the hepatitis B vaccination.

Vaccination for MSM is available from sexual health clinics, genitourinary medicine (GUM) clinics or from GPs.

Read more about hepatitis B.

Hepatitis C

Hepatitis C is a viral infection that causes inflammation of the liver. It often does not cause any obvious symptoms at first, but it can lead to serious liver disease if left untreated.

It is spread through contact with the blood of an infected person. Men who are concerned they are at risk should consult their doctor or sexual health clinic.

Hepatitis C can be treated and is curable in many cases. Find your local hepatitis C support service.

Read more about hepatitis C.

Gonorrhoea

This bacterial infection causes stinging when you pee, or the feeling that you want to pee but are unable to. It's passed on through anal, oral or vaginal sex with an infected person.

Gonorrhoea is treated with antibiotics.

Read more about gonorrhoea.

Non-specific urethritis (NSU)

This is inflammation of the urethra (the tube that carries urine from the bladder out of the body) caused by bacteria. It is also called non-gonococcal urethritis (NGU) when the condition is not caused by gonorrhoea.

NSU is passed on in the same way as gonorrhoea and often has similar symptoms. It can also be caused by having lots of sex or masturbating a lot, which can make the urethra inflamed.

It can be treated with antibiotics.

Chlamydia

This is a bacterial infection of the urethra or bottom (rectum). It can also affect the throat, but this is less common. Chlamydia may cause a discharge, pain when you pee, or pain in the testicles. However, not everyone has symptoms.

It can be passed on during sex with an infected person in the same way as gonorrhoea. It's treated with antibiotics.

Read more about chlamydia.

Shigella

This is a bacterial infection of the intestine that causes severe diarrhoea and stomach cramps. It is often mistaken for food poisoning.

It can be passed on during sex, including anal-oral sex ("rimming") and giving oral sex after anal sex. It is spread very easily – all it takes is a tiny amount of infected poo getting into your mouth.

A person with shigella can be infectious for up to a month. It can be treated with antibiotics. Men who suspect they have shigella should visit a sexual health clinic or their GP to get tested.

Men can avoid getting shigella by washing their hands after sex (bottom, groin and penis too by taking a shower, if you can), and changing condoms between anal and oral sex.

Using latex or non-latex gloves for fingering or fisting offers protection. And do not share sex toys or douching equipment.

You'll find more information on shigella in this leaflet.

Genital herpes

Genital herpes is a viral infection. Symptoms can include painful blisters and ulcers on or around the penis or bottom (anus), although some men have no symptoms.

The virus stays in the body and can cause outbreaks of blisters.

Genital herpes can be passed on through oral sex with someone who has a cold sore around or in their mouth, or by skin-to-skin genital contact with someone who has genital herpes.

Antiviral tablets and creams from a GP or sexual health clinic can help the symptoms.

Read more about genital herpes.

Syphilis

Syphilis is a bacterial infection that causes a painless ulcer, usually in the genital area. The ulcer will disappear on its own but other symptoms may appear, such as a rash on the body and swollen glands.

In its early stages, syphilis is very infectious and can be passed on by close skin contact during sex. If you do not treat it, the infection can eventually spread to the brain or other parts of the body and cause serious, long-term problems.

Treatment is with antibiotic injections or tablets.

Read more about syphilis.

Genital warts

This is a common viral infection caused by the human papillomavirus (HPV). It appears a few weeks or months after sex with an infected person. It can cause pinhead-size growths, mostly on or around the head of the penis but also in and around the bottom (anus).

The sooner warts are treated, the easier they are to manage. You cannot treat genital warts with the same type of cream you use for warts on other parts of your body. A doctor will freeze them or prescribe a cream to remove them.

You can reduce your risk of getting genital warts by getting the HPV vaccine.

MSM up to and including the age of 45 become eligible for free HPV vaccination on the NHS when they visit a sexual health or HIV clinic in England.

Ask the doctor or nurse at the clinic for more details.

Find out more about HPV vaccination for MSM.

Read more about genital warts.

Pubic lice

Public lice (also known as "crabs") are small, parasitic insects that live in body hair.

They are very small (only 2mm), so they can be difficult to see, although their tiny dark eggs can be seen stuck to hair.

Pubic lice prefer the pubic hair around your testicles and bottom but may also be found in body hair. They are not found on your scalp.

The lice are spread through close bodily contact with an infected person. They can also be spread by sharing clothes, towels or bedding, but this is rare. Symptoms include itching or a rash.

Treatment can be done at home with lotions or creams bought from a pharmacy (no prescription is needed).

Read more about pubic lice.

Scabies

This is an infection caused by tiny mites that burrow under the skin. It causes intense itching for most people (though some hardly notice it).

Itching usually starts 2 or more weeks after sex with an infected person. You can also get scabies from sharing beds and towels, but this is less common.

Treatment is similar to treating pubic lice, although you may continue to itch for a few weeks after the mites have been removed.

Read more about scabies.

Get tested

If you have any of the symptoms above or are worried you may have an STI, speak to your GP or visit a sexual health or GUM clinic.

Getting tested regularly is a good way to ensure you have a healthy sex life. NHS services are free.

Content provided by NHS.uk

Find information and advice on health conditions, symptoms, healthy living, medicines and how to get help.

Published on Tue, 27 Jul 2021 16:46:26 GMT
Modified on Thu, 20 Jan 2022 16:34:06 GMT

Mental health support if you're lesbian, gay, bisexual or trans

Mental health problems such as depression or self-harm can affect any of us, but they're more common among people who are lesbian, gay, bisexual and trans (LGBT).

This may be linked to LGBT people's experience of discrimination, homophobia or transphobia, bullying, social isolation, or rejection because of their sexuality.

Other things, such as their age, religion, where they live, and their ethnicity can add extra complications to an already difficult situation.

How talking therapy can help

It might not be easy, but getting help with issues you're struggling to deal with on your own is one of the most important things you can do.

Talking with a therapist who's trained to work with LGBT people may help with issues such as:

• difficulty accepting your sexual orientation
• coping with other people's reactions to your sexuality
• feeling your body does not reflect your true gender (gender dysphoria)
• transitioning
• low self-esteem
• self-harm
• suicidal thoughts
• depression
• coping with bullying and discrimination
• anger, isolation or rejection from family, friends or your community
• fear of violence

Read about different types of talking therapy and how they can help.

When to get help

Do not suffer in silence. You should get help as soon as you feel you need it. It's never too late to get help, no matter how big or small your problems might seem.

You could benefit from a talking therapy if you:

• feel tired or lack energy
• feel tearful
• shut yourself away from people
• no longer want to do things you used to enjoy
• use alcohol or drugs to help you cope with your feelings
• harm yourself or have thoughts about self-harming
• think about suicide

If you're struggling to cope right now, contact Samaritans:

• call 116 123 (open 24 hours, every day)
• email jo@samaritans.org

Samaritans offers a safe place for you to talk about whatever's on your mind, at any time.

Where to get help

Speak to a GP

Consider talking to a GP. They'll know what help is available locally and can help you decide which treatment is best for you.

When discussing your situation, try to be as honest as possible with the GP so they can suggest the best type of support for you.

Support organisations

These organisations offer mental health advice, support and services for LGBT people.

Gendered Intelligence
The organisation runs youth groups in London, Leeds and Bristol for trans, non-binary and questioning young people. It also runs a peer-led support group in London for people aged 18 to 30.

Imaan is a charity that supports lesbian, gay, bisexual, trans, queer or questioning (LGBTQ) Muslims, providing an online forum where people can share experiences and ask for help.

This membership organisation work to support LGBT+ organisations and projects around the country. Use the site's Member's Directory to find local mental health services.

The LGBT Foundation
on offers information, advice, and support services, including a Talking Therapies Programme to LGBT people.

London Friend offers support groups and services, such as counselling and drug and alcohol support, to LGBT people in and around London.

Get information about mental health support for people who are lesbian, gay, bisexual, trans, intersex, non-binary, queer or questioning (LGBTIQ).

Pink Therapy has an online directory of therapists who work with people who are lesbian, gay, bisexual, transgender, intersex and queer or questioning (LGBTIQ), and people who are gender- and sexual-diverse (GSD).

Stonewall
Find LGBT mental health services near you using Stonewall's "What's in my area?" search box.

Switchboard LGBT+ Helpline
Switchboard provides a listening service for LGBT+ people over the phone, via email and online chat. It can provide you with contact details of an LGBT-friendly therapist.

Content provided by NHS.uk

Find information and advice on health conditions, symptoms, healthy living, medicines and how to get help.

Published on Tue, 27 Jul 2021 10:11:51 GMT
Modified on Thu, 20 Jan 2022 16:33:47 GMT

GYRO: LGBTQ+ Youth

GYRO is a collection of youth groups (separated by age) for young people who identify themselves as LGBTQ+ or who are questioning their sexuality or gender identity.

If you are a child or young person in crisis, you can call the crisis care line 24 hours a day, seven days a week on 0151 293 3577 but you should only present to Accident Emergency Department if you need medical treatment or are struggling to keep yourself safe in the immediate moment.

GYRO is a collection of youth groups (separated by age) for young people who identify themselves as: Lesbian, Gay, Bisexual or Trans*, or who are Questioning their sexuality or gender identity (LGBTQ+) We also have a sibling group ‘THE* (Trans* Health Education) Action Youth’ which specifically supports young people around gender identity.

The group provides age-specific weekly (afternoon/evening) drop-ins, where young people can attend to socialise, meet other like-minded people, take part in informal group activities and receive 1-1 support.

Do you work with other family members?

In most cases young people self-refer, and some do so without the knowledge of their family or carers as they may not be open about being LGBTQ+. We occasionally have contact with parents or carers with the young persons consent, or in an emergency, we will say we are calling from YPAS so as not to put a young person at further risk by ‘outing’ them. Sometimes a parent/carer needs some advice and staff will do their best to assist.

Do you have appointments outside working hours?

Yes, 1-1 appointments can be made with anyone who would like to know more about the service and /or would like to engage with the groups.

There is also the possibility to work 1 to 1 with a young person with the Information, Advice and Guidance (LGBTQ+) worker on practical support around coming out or reaching a goal or exploring terminology. This service may be more suitable for young people who find it difficult to engage in groups or have a specific need they want to meet.

Where do you see young people?

The GYRO drop-in groups take place at YPAS’ Liverpool city-centre location:
36 Bolton Street, L3 5LX (It’s between the Adelphi Hotel and Lime Street station)

Do you take referrals directly from children/young people, parents/carers?

Yes – YPAS takes self-referrals, which means making your own referral direct to YPAS.

A young person can just turn up to the appropriate group when it is open, no referral required.

If 1:1 support is needed a referral can be put in via YPAS clinical admin or electronically via http://www.ypas.org.uk/make-a-referral/ and a referral can be made by a parent/carer/professional/ appropriate adult. Consent must be obtained from the young person to have the referral made

What kinds of things do you help with?

We offer information, advice and guidance (1:1 support) on a range of issues relevant to LGBTQ+ young people in particular, including coming out, bullying, sexual and emotional concerns, mental health and well-being, trans specific issues. If additional support is required e.g. counselling, we will refer them within YPAS or onto other organisations. GYRO also operates as a safe social space for young LGBTQ+ people to be themselves without fear of persecution. The groups are alcohol and drug-free and always have experienced staff working on them.

GYRO also offers fun activities such as drama, music, games, art, creating zines etc. They also take part in Liverpool Pride each year and attend other external LGBTQ+ youth activities around the country.

If more specific support around gender is needed we have experienced and knowledgeable staff who run a group THE* (Trans* Health Education) Action Youth on a Wednesday afternoon. They can also offer 1 to 1 Information, Advice and Guidance regarding gender identity issues such as accessing appropriate health care.

What will happen at the first appointment?

For gyro drop-in: Most young people self-refer by attending the drop-in. When they access they will receive an induction including some paperwork and an explanation of how the group works and what it can offer. They will be asked if there are any particular issues they may want support with and if they are receiving any support elsewhere.

If the appointment is for IAG: The worker will have to do an initial assessment which may take up to 1.5 hours. This will involve collecting some personal information and finding out how the staff member and young person can work together to achieve some goals.

What will happen after that?

Young people will be informed about the drop-in opening times and planned activities they may take part in.

For IAG: future appointments may be made to continue working on goals on a 1-1 basis.

Content provided by Liverpool CAHMS.

The Liverpool CAMHS offer aims to promote the mental health, emotional and wellbeing of all children, young people and their families/carers.

Published on Tue, 27 Jul 2021 10:28:16 GMT
Modified on Thu, 20 Jan 2022 16:35:25 GMT

COVID-19 Vaccination

We are keen to ensure that LGBT people feel as informed and supported as possible in accessing a COVID-19 vaccination.

With this in mind, we have:

• Worked with healthcare providers to ensure they understand the concerns that LGBT people may have
• Conducted a survey to find out your views and concerns about the COVID-19 vaccines
• Held an online Q&A event with Dr Michael Brady and Dr Luke Wookey on the 12 March, hosted by Reeta Loi

Our survey showed lots of support and enthusiasm for the vaccination. However, we are aware that some LGBT people may have concerns and we want to address those so that you can receive the vaccination confidently and safely.

Here are the main questions identified in our survey:

Will the vaccination interact with my hormone replacement treatment (HRT)?
If you are trans and are on HRT, there is no scientific reason to suggest that the vaccination could interact in any way with your HRT medication. There is also no reason to suggest it could impact on your hormone levels.

Will the vaccination interact with my HIV medication such as ART?
There is no scientific reason to suggest that the vaccination could interact in any way with your HIV medication. If you are living with HIV, it’s encouraged that you get a COVID-19 vaccination. There is no evidence that the vaccine will interact with ART, PrEP or PEP.

For clinical guidance relating to HIV medication and the COVID-19 vaccination, go to page 16 of the government’s Green Book:

Click here for up to date information and advice about HIV and COVID-19 from British HIV Association (BHIVA)

Will the vaccination interact with my PrEP or PEP medication?
There is no scientific reason to suggest that the COVID-19 vaccines could interact in any way with PrEP.

It’s encouraged that you have a vaccination when it is offered to you, and continue to take PrEP in the same way that you normally do, and PEP if you need it.

If you have any further questions about the vaccination, please contact your GP who should be able to answer these. If you do not have a GP, and would like support to find an LGBT-inclusive GP, please contact our Pride in Practice team at pip@lgbt.foundation

LGBT Foundation Presents: COVID-19 Vaccination Q&A with Dr Michael Brady and Dr Luke Wookey. hosted by Reeta Loi

Hate crime - Citizens Advice Liverpool

At Citizens Advice Liverpool we provide specialised support for victims of LGBTQ+ Hate Crime across Merseyside.

Our Hate crime support worker provides individuals with tailored support after experiencing an LGBTQ+ hate crime, (a hate crime in relation to their sexual orientation or gender identity) and can make referrals to other CAL services to provide practical advice in areas such as housing, debt, benefits and employment. The specialised LGBTQ+ hate crime worker can also provide information to help individuals access social support, such as activities or groups in their area.

Citizens Advice Liverpool provide support for victims of LGBTQ+ Hate Crime/Incidents across Merseyside.

We can offer advice on practical issues; such as housing, debt, benefits and employment and provide social support; exploring your interests to find activities and groups in your area to build on your social support network.

We can help you to make a report to the police if you wish, understand your rights, liaise with organisations on your behalf, and help you to access specialist support services such as counselling.

Every victim responds differently to acts of hate, some people prefer to deal with issues by themselves and others will seek out support.

We want to help you feel safe, empowered, better able to cope with everyday life and ultimately take steps towards improving your health and wellbeing. If we can help you do that then please get in touch.

lgbthatecrime@caliverpool.org.uk
or 0151 522 1400 ext 5006

Victim Care Merseyside is a package of support put in place by Merseyside's Police and Crime Commissioner Emily Spurrell, designed to make sure victims of crime get the right support to help them cope and recover. Take a look at this short video to find out more.

If you have been a victim of a hate crime because of your race, religion or disability please get in touch and we can refer you to our partners at Anthony Walker Foundation or DAISY UK for a specialist support.

How can I report a Hate Crime or Incident?

Stop Hate UK offer a confidential 24/7 Hate Crime reporting service around the UK. You can report whether you are a victim of Hate Crime, you have witnessed an incident that you believe to be a Hate Crime or you are a third party to an incident that could be a Hate Crime - you can even report anonymously if you wish.

Call Stop Hate UK on 0800 138 1625 or report online here www.stophateuk.org/talk/

Report anonymously through Crimestoppers

You can also report a hate crime through your neighbourhood police team by calling 101

In an emergency always contact 999

All local Citizens Advice offices across Merseyside act as Third Party Reporting centres, to help you report any incidents of hate or abuse.

For race and religion related hate crime, contact:

Anthony Walker Foundation
info@anthonywalkerfoundation.com
0151 237 3974
You can also report a hate crime to one of our partner agencies.

For disability related hate crime, contact:

Daisy Inclusive UK
Phone: 0151 261 0309

What are hate incidents and hate crimes?

Hate incidents and hate crimes are acts of violence or hostility directed at people because of who they are or who someone thinks they are. For example, you may have been verbally abused by someone in the street because you’re disabled or someone thought you were gay.

The police and Crown Prosecution Service have agreed a common definition of hate incidents. They say something is a hate incident if the victim or anyone else thinks it was motivated by hostility or prejudice based on one of the following things:

• disability
• race
• religion
• transgender identity
• sexual orientation.

This means that if you believe something is a hate incident it should be recorded as such by the person you are reporting it too. All police forces record hate incidents based on these five personal characteristics.

Anyone can be the victim of a hate incident. For example, you may have been targeted because someone thought you were gay even though you’re not, or because you have a disabled child.

When a hate incident becomes a criminal offence, it’s known as a hate crime.

What is an LGBTQ+ Hate Crime or Incident?

If someone has been violent or hostile towards you because of your sexual orientation or gender identity, this is known as a homophobic or transphobic hate incident. Hate incidents can happen anywhere. Sometimes you may know the person who attacked you, but often hate incidents are carried out by strangers.

There are no specific homophobic or transphobic hate crimes, any criminal offence can be a hate crime if the offender targeted you because of their prejudice or hostility against LGBTQ+ people.

Homophobic and transphobic hate incidents can take many forms including:

• verbal and physical abuse
• physical violence
• unwanted sexual contact
• teasing
• bullying
• threatening behaviour
• online abuse
• damage to property

It can be a one-off incident or part of an ongoing campaign of harassment or intimidation. Hate incidents are not only carried out by strangers. It could be carried out by a carer, a neighbour, a teacher or someone you consider a friend.

For further information please click here

Content provided by Citizens Advice Liverpool.

Citizens Advice Liverpool provides free, confidential and impartial advice to people who live and work in the city.

Published on Tue, 27 Jul 2021 11:32:02 GMT
Modified on Thu, 20 Jan 2022 16:36:11 GMT