a men and three womans gathering
2026

Health in the Americas

Prioritizing avertable disease burden to maximize impact
PAHO director Jarbas Barbosa da Silva Jr.
Jarbas Barbosa da Silva Jr. Director, PAHO

Foreword

Together, we have the opportunity to change the lives of millions

Le rapport


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Chapter 1
Progress and challenges in the Americas: The evolving landscape of health and equity in the Region

The Region of the Americas has made major health gains. People are living longer: life expectancy in 2023 reached 77.1 years, surpassing the pre-pandemic level of 76.7 years in 2019. People are also living healthier lives, although improvements in health have been slower than gains in longevity.

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health worker in a lab
02
Chapter 2
Beyond survival: Shifting patterns of disease and disability in the Americas

About 40% of health loss in the Americas could potentially be averted when compared with levels of health loss observed in better-performing countries globally. The gap is largest in countries with weaker health systems, lower incomes, and greater inequality.

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Chapter 3
Responding to the challenge: Country-led priority-setting for health action

Limited budgets make priority-setting more urgent. Country decisions about where to invest should be based on health needs and consider cost-effective interventions. Decisions should also be made transparent to the public and be updated regularly. 

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04
Chapter 4
Translating priorities into action: Stewardship and governance for health impact

Setting priorities is important, but sustaining impact requires effective stewardship and governance. Countries need strong leadership to build priorities into day-to-day health system operations, link them to funding decisions, and adapt them as circumstances change.

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health worker in a hospital
05
Chapter 5
Closing the gap: Action agenda for healthier lives in the Americas

Five key opportunities can guide country action

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À propos de Santé dans les Amériques

One of the core functions of the Pan American Health Organization (PAHO) is “monitoring the health situation and assessing health trends” in the countries and territories of the Region of the Americas. PAHO’s flagship publication Health in the Americas responds to this mandate, examining health conditions, trends, and challenges across the Region.