diff --git a/assets/Rethinking_Chagas_Report_21JUN2021-1_1704450708173_0.edn b/assets/Rethinking_Chagas_Report_21JUN2021-1_1704450708173_0.edn
index 0820bbe7..2980610b 100644
--- a/assets/Rethinking_Chagas_Report_21JUN2021-1_1704450708173_0.edn
+++ b/assets/Rethinking_Chagas_Report_21JUN2021-1_1704450708173_0.edn
@@ -95,5 +95,34 @@
                                    :height 1584}),
                           :page 3},
                :content {:text "many aspects of the US efforts to improve care for Chagas disease are similar to those in other non-endemic countries such as Spain or non-endemic regions within Latin America including urban areas"},
+               :properties {:color "yellow"}}
+              {:id #uuid "6597e0a3-136f-488b-b188-8ab23c690214",
+               :page 3,
+               :position {:bounding {:x1 143.93692016601562,
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+                                     :width 1224,
+                                     :height 1584},
+                          :rects ({:x1 143.93692016601562,
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+                                   :width 1224,
+                                   :height 1584}
+                                  {:x1 143.93692016601562,
+                                   :y1 712.4957542419434,
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+                          :page 3},
+               :content {:text "community health workers or patient care navigators ( promotores de salud) are one important element of successfully ensuring that patients traverse the entire continuum of care and are not lost to follow-up at the stage of evaluation or treatment"},
                :properties {:color "yellow"}}],
  :extra {:page 3}}
diff --git a/pages/hls__Rethinking_Chagas_Report_21JUN2021-1_1704450708173_0.md b/pages/hls__Rethinking_Chagas_Report_21JUN2021-1_1704450708173_0.md
index 9decc139..e4c760c9 100644
--- a/pages/hls__Rethinking_Chagas_Report_21JUN2021-1_1704450708173_0.md
+++ b/pages/hls__Rethinking_Chagas_Report_21JUN2021-1_1704450708173_0.md
@@ -20,4 +20,9 @@ file-path:: ../assets/Rethinking_Chagas_Report_21JUN2021-1_1704450708173_0.pdf
   ls-type:: annotation
   hl-page:: 3
   hl-color:: yellow
-  id:: 6597dcc6-5622-4080-9a39-016d74731f49
\ No newline at end of file
+  id:: 6597dcc6-5622-4080-9a39-016d74731f49
+- community health workers or patient care navigators ( promotores de salud) are one important element of successfully ensuring that patients traverse the entire continuum of care and are not lost to follow-up at the stage of evaluation or treatment
+  ls-type:: annotation
+  hl-page:: 3
+  hl-color:: yellow
+  id:: 6597e0a3-136f-488b-b188-8ab23c690214
\ No newline at end of file