What is 4He from H II regions? What needs to be done to better understand the systematic errors?

Here we summarize the discussion that took place after the presentation of papers discussing measurement of abundances from emission lines in H II regions. A cosmological test using 4He is harder than those using the other light elements due to the small dynamic range over which He/H varies for cosmologically interesting parameters. A precision of much better than 1% is needed. This precision challenges both observations and theory. Several of the major uncertainties were identified and methods of improving the accuracy were described.