Expanding team-based care for hypertension and cardiovascular risk management with HEARTS in the Americas

Cardiovascular diseases remain the leading cause of premature morbidity and mortality globally, with hypertension as their main modifiable risk factor. In Latin America and the Caribbean, hypertension affects more than 30% of adults, yet control rates remain alarmingly low. The HEARTS in the Americas Initiative, led by the Pan American Health Organization, promotes a model of team-based care to enhance risk management for hypertension and cardiovascular diseases within primary health care.

Independent assessment of the WHO Skin Neglected Tropical Diseases application for leprosy detection

Objectives

To independently evaluate the World Health Organization (WHO) Skin Neglected Tropical Diseases (NTDs) application, focusing on the diagnostic performance of its underlying artificial intelligence model for leprosy detection. The primary objective was to determine the proportion of images in which leprosy appeared among the model’s Top-5 diagnostic predictions. The secondary objective was to qualitatively analyze diagnostic error patterns. 

The commensurability of public health indicators – and the unresolved question of the incommensurable

This article critically examines commensurability in public health – that is, the possibility of comparing phenomena according to a common standard, using indicators – as well as the scope and limits of such comparability when it is mistaken for complete understanding. It proposes a brief audit framework for constructing and interpreting indicators when commensurability is partial, using the maternal mortality ratio (MMR) as an example.

HEARTS Pharmacy: A framework for integrating pharmacists in hypertension and cardiovascular disease risk management in primary care

HEARTS Pharmacy, a project within the HEARTS in the Americas Initiative, provides a framework to integrate pharmacists into primary health care. Pharmacists are highly respected in health care but face challenges, such as limited scope of practice, regulatory barriers, and insufficient recognition, compounded by social norms that hinder their full potential. This paper presents compelling evidence that pharmacist-led interventions improve blood pressure control, lower cardiovascular risk, and reduce health care costs.

Hotspot-based integrated serosurveillance of neglected tropical diseases, malaria, and vaccine-preventable diseases in urban Guyana

Objective

To assess exposure to lymphatic filariasis (LF), other neglected tropical diseases (NTDs), and malaria, as well as seroprotection against vaccine-preventable diseases (VPDs), using a hotspot-based integrated serosurveillance approach in urban areas of Guyana. 

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