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Publication Research for Innovation in Health Systems - Improving the Management of Health Care Services for Patients with Multiple Chronic Conditions in Three Latin American Countries: Brazil, Colombia and Uruguay - Key Messages(Washington, DC: World Bank, 2024-06-24) World BankThe accelerated aging of the Brazilian population, alongside the gradual increase in the concomitant occurrence of multiple chronic diseases in the same individual, brings important challenges to the Brazilian National Health System (SUS). n Colombia, during 2012 - 2016, multimorbidity had a prevalence of 19.5 percent for all ages, according to data from the study carried out by the World Bank and the Ministry of Health and Social Protection. The investigation also showed an increase in the use and cost of health services associated with older age and the complexity of multimorbidity, in an aging population that shifts its epidemiological profile towards chronic diseases. The expenditure with patients with multimorbidity in Uruguay is high. Persons with five or more of diseases (Cardiovascular Disease, High Blood Pressure, Diabetes, Chronic Obstructive Pulmonary Disease and Degenerative Neurological Disease) represent 8.44 percent of the total patient population, but their care accounts for 42.07 percent of the total expenditure, and 50.48 percent of the expenditure on medications.Publication Adaptation of the Calculator of Social and Environmental Impacts from Small-Scale Gold Mining in the Amazon: Application in Frontier Regions between Brazil, Colombia and Peru(Washington, DC: World Bank, 2023-11-09) World BankOver the past decade, illegal gold extraction has increased significantly in the Amazon region, partly due to the high international prices of this mineral, the less stringent attitude of some countries in relation to the environment and the pursuit of immediate economic opportunities. Furthermore, this illicit activity is closely intertwined with other illegal practices, such as drug trafficking, human trafficking, and the trafficking of endangered species. This has repercussions not just for the region's ecological wealth, but also for the physical well-being of those safeguarding their lands and the health of communities living in proximity to the extraction zones due to the contamination of their rivers and, consequently, their primary sources of food, such as fish. Despite the international effort to recognize the socio-environmental repercussions of this activity, there are still gaps on this issue, mainly due to the economic losses that this activity represents.