in vb you can either use the handles clause
Private Sub FileSystemWatcher1_Changed(ByVal sender As System.Object, ByVal e As System.IO.FileSystemEventArgs) Handles FileSystemWatcher1.Changed
End Sub
or the addhandler keyword
Private Sub Form1_Load(ByVal sender As System.Object, ByVal e As System.EventArgs) Handles MyBase.Load
AddHandler FileSystemWatcher1.Changed, AddressOf FileSystemWatcher1_Changed
End Sub