A Commonwealth centenary observance
Give 100
A people-led centenary observance, across 100 cities in 100 days, culminating in one founding act through which a permanent institution is established.
Give 100 is a public observance conducted in institutional form. It marks the centenary of Queen Elizabeth II not through ceremony alone, but through a founding act: the establishment of the Institute of Preemptology and its Queen Elizabeth II Centre for Cervical Cancer Elimination. The observance is the means. The institution is the consequence. The Sovereign Shield supplies the founding capital that makes it permanent.
Three functions, one founding purpose
Give 100 operates through three structural functions: an observance that marks the centenary, a founding act that establishes a permanent institution, and a stewardship structure that holds what is built in trust for the populations it will serve.
The Observance
A people-led centenary observance, conducted across 100 Commonwealth cities over 100 days. The observance is the public expression of the founding: distributed, civic, and structured around a single institutional objective.
The Founding
The Founding is the act through which the Institute of Preemptology is formally constituted. It occurs once, in Toronto, on 21 September 2026 (the International Day of Peace).
The Stewardship
The founding capital is held in independent fiduciary custody. The institutions are governed by physician-trustees accountable to their mandate. Stewardship is the structure that ensures the founding holds.
A centenary rendered in institutional form
Queen Elizabeth II gave a lifetime to duty, continuity, and service across the Commonwealth. Her centenary calls for a response shaped by those qualities — disciplined, useful, and built to last.
Give 100 treats the centenary as a mandate to found: permanent institutional capacity befitting a life of that consequence. What the centenary occasions, the institution outlasts.
For over seventy years, the Queen practised a consistent logic: acting before crisis, sustaining institutions before urgency, and shaping outcomes before fracture. The Institute of Preemptology now gives clinical form to that logic. She marked longevity — sending a message to every centenarian — and the Institute now works to make that longevity common.
The centenary, honoured in her own spirit, does not just look back. It builds what endures.
The highest form of remembrance is creation.
One permanent institution
The founding act establishes one institute and its flagship centre. Both are named here in full, as they will appear in the founding registry.
The Institute of Preemptology
The Institute of Preemptology is the world’s first institution dedicated exclusively to the prevention of disease. Its mandate is to develop the discipline of preemptology, train its practitioners, generate its evidence base, and organise prevention as a defined, accountable field of medicine — with a protected mandate and individual physician accountability for a defined population.
The Queen Elizabeth II Centre for Cervical Cancer Elimination
The Queen Elizabeth II Centre for Cervical Cancer Elimination is the Institute’s flagship programme: a focused institutional drive to eliminate a cancer that is preventable, detectable, and still too often fatal where prevention systems are absent. The Centre gives the founding moral clarity, operational focus, and immediate human consequence.
The initiative capitalises a defined institutional build. The institution is founded once, in Toronto, on 21 September 2026.
Prevention is not absent. It is fragmented.
Modern health systems do not lack prevention. They disperse it across specialties, programmes, departments, and public-health structures — which means responsibility is diluted even where good intentions are present.
The result is familiar: late detection, fragmented pathways, preventable suffering, and a burden that falls heaviest on people with the least time, money, and institutional access.
Preemptology is the institutional correction. It gives prevention a defined home, a dedicated logic, and a professional identity organised around acting before disease becomes crisis. The Institute assigns to prevention the single-point accountability existing systems have never structurally provided.
A defined discipline
A defined field with training, standards, methods, and accountability for outcomes within a defined population.
A protected mandate
Prevention is the sole, protected function of the preemptologist.
A scalable model
The Institute exists to prove, refine, and extend a prevention system designed to be deployed far beyond its first site.
The first flagship because the case is clear
The Institute of Preemptology is built for whole-person prevention. Within that mandate, one disease is given emphasis. Cervical cancer is the Institute’s flagship work because it is fully preventable, operationally tractable, and structurally diagnostic of health-system failure. This is a disease the world already knows how to prevent, screen for, and treat early — yet it continues to kill at scale precisely where prevention is not institutionally owned.
The initiative begins where the ethical case is strongest: with a cancer that should not still be claiming lives for want of organised prevention. The Queen Elizabeth II Centre for Cervical Cancer Elimination demonstrates what becomes possible when prevention is given permanent structure, a defined mandate, and measurable accountability.
Cervical cancer persists, in part, because the women it kills are overlooked. The Queen’s reign made women visible. The Centre’s royal name is alignment: a visible promise that preventable deaths in women end here.
Three dates structure the observance
The centenary of Queen Elizabeth II’s birth. City Champions and Beacons named in 100 Commonwealth cities; mayoral invitations issued; other communications on the observance commence.
On the official Birthday of the Sovereign, Give 100 opens across the Commonwealth at 10:00 local time. Sydney leads the ignition; the observance rolls westward across all 100 cities over 24 hours.
On the International Day of Peace, the 100 Founding LAMPs convene in Toronto and the $100 million Sovereign Shield closes — converting the momentum of the observance into one permanent institution.
Born in a centenary year. Moved through 100 days. Concluded as a founding.
Champions, cities, and a single institutional objective
Give 100 proceeds through cities. Each participating city, led by its three designated champions, organises locally across the 100 days, culminating in the Century convening which mirrors The Founding in Toronto on 21 September 2026.
Each city’s participation is led by three Champions — crown, town and gown. The Civic Champion hosts; the Corporate Champion convenes; the Academic Champion frames. The role is catalytic, not merely ceremonial. Champions carry the founding logic of the initiative into their cities and may lend their insight to the process identifying the philanthropists who will constitute the founding roll.
Prospective Lead Anchor Municipal Philanthropists — LAMPs — may be nominated through the city process, from which the 100 Founding LAMPs are curated for the Founding Roll and the Toronto Founding.
The initiative is distributed by city, but unified by one founding objective.
An initiative concludes. An institution remains.
This centenary tribute serves a defining and enduring purpose: the establishment of a distinct medical discipline and institution dedicated entirely to prevention, and within it, a Centre honouring the Queen through the elimination of cervical cancer — a wholly preventable disease that claims the lives of 1,000 women each day. The Sovereign Shield closes. The institution it creates remains open to shield lives.
Commonwealth-wide in scope. Foundational in purpose. Preventive in consequence.