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The BMJ’s regional advisory board will give this important region a louder voice In recent decades, Latin America has made important contributions to global health. Although substantial economic and social inequalities and political instability continue to adversely affect population health, the region is developing knowledge, health policies, and experience that deserve wider recognition. Contributions include Latin America’s efforts in social medicine, especially in social security and nutrition1; national public policies that have become a world reference, such as the compulsory licensi...

Sharon Straus and colleagues argue that residents, families, and staff in long term care homes in Canada were failed by governments during the pandemic and need coordinated efforts across federal, provincial, and territorial governments to safeguard these populations ### Key messages People living and working in long term care homes (LTCHs) (box 1) in Canada—mostly older adults—were disproportionately affected by covid-19.1 LTCH residents accounted for 3% of covid cases in Canada and 43% of related deaths by December 2021, among the highest proportion of LTCH covid-19 deaths worldwide.12 ...

Keisha Bentley-Edwards and colleagues argue that systemic racism and economic inequality are at the root of disparity in covid-19 outcomes and suggest how to distribute resources more equitably. The story of covid-19 in the United States is one of many systemic failures to protect its residents from preventable illness and death. Racist stereotypes about disease susceptibility1 were subsequently discredited by the data.2 Covid-19 brought the US to a sobering standoff with race, a social construct that through systemic racism materializes as disparate outcomes (box 1).3 Once testing became ava...

Katherine LeMasters and Lauren Brinkley-Rubinstein raise concerns about the lack of sustained change in prison health transparency after covid-19 and implications for future public health crises People in the jails and prisons across the United States are often housed in abysmal and unlawful conditions that have dire consequences for health.1 From poorly designed built environments (eg, lack of air conditioning, overcrowded dorms) to stressful and unpredictable living quarters, to a lack of quality and timely healthcare, time spent in incarceration worsens peoples’ health.23 In fact, the Ame...

Michelle Mello and colleagues argue that state legal reforms have generally exacerbated rather than improved weaknesses in US emergency powers revealed by covid-19, jeopardizing future responses Covid-19 related mortality in the US was higher than in every western European country.1 Compared with its closest neighbour, Canada, also a federated country with a decentralised health system, the US fared far worse.2 With over 1.1 million dead at the end of 2023,3 leaders and academics have begun a painful postmortem. What went wrong, and what can be done to make authorities in the US better equippe...