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Explore a critical examination of child sexual abuse imagery (CSAI) distribution on the Internet in this 17-minute conference talk from USENIX Enigma 2019. Delve into the first longitudinal measurement study conducted in collaboration with the National Center for Missing and Exploited Children (NCMEC), analyzing metadata from 23.4 million CSAI incidents over two decades. Gain key insights into the evolution of CSAI content distribution, understanding how Internet technologies have accelerated its creation and dissemination. Examine the pressing challenges faced by NCMEC and law enforcement in manual review capabilities, and discover promising directions to address the steady increase of CSAI content. Learn about search challenges and style transfer techniques in the context of combating this critical issue.