diff --git a/assets/Rethinking_Chagas_Report_21JUN2021-1_1704450708173_0.edn b/assets/Rethinking_Chagas_Report_21JUN2021-1_1704450708173_0.edn
index 2980610b..204846b0 100644
--- a/assets/Rethinking_Chagas_Report_21JUN2021-1_1704450708173_0.edn
+++ b/assets/Rethinking_Chagas_Report_21JUN2021-1_1704450708173_0.edn
@@ -124,5 +124,34 @@
                                    :height 1584}),
                           :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"}}
+              {:id #uuid "6597eadb-77f5-454a-94b0-1c93ee8d9882",
+               :page 3,
+               :position {:bounding {:x1 143.93692016601562,
+                                     :y1 741.3310813903809,
+                                     :x2 1072.1341552734375,
+                                     :y2 826.0112571716309,
+                                     :width 1224,
+                                     :height 1584},
+                          :rects ({:x1 895.9241333007812,
+                                   :y1 741.3310813903809,
+                                   :x2 1072.1341552734375,
+                                   :y2 768.3520164489746,
+                                   :width 1224,
+                                   :height 1584}
+                                  {:x1 143.93692016601562,
+                                   :y1 770.1549339294434,
+                                   :x2 1072.082275390625,
+                                   :y2 797.1759300231934,
+                                   :width 1224,
+                                   :height 1584}
+                                  {:x1 143.93692016601562,
+                                   :y1 798.9902610778809,
+                                   :x2 480.7635192871094,
+                                   :y2 826.0112571716309,
+                                   :width 1224,
+                                   :height 1584}),
+                          :page 3},
+               :content {:text " integrating Chagas efforts into the existing care infrastructure and operational procedures, such as including Chagas in newborn screening and prenatal care"},
                :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 e4c760c9..9008a1c9 100644
--- a/pages/hls__Rethinking_Chagas_Report_21JUN2021-1_1704450708173_0.md
+++ b/pages/hls__Rethinking_Chagas_Report_21JUN2021-1_1704450708173_0.md
@@ -25,4 +25,9 @@ file-path:: ../assets/Rethinking_Chagas_Report_21JUN2021-1_1704450708173_0.pdf
   ls-type:: annotation
   hl-page:: 3
   hl-color:: yellow
-  id:: 6597e0a3-136f-488b-b188-8ab23c690214
\ No newline at end of file
+  id:: 6597e0a3-136f-488b-b188-8ab23c690214
+- integrating Chagas efforts into the existing care infrastructure and operational procedures, such as including Chagas in newborn screening and prenatal care
+  ls-type:: annotation
+  hl-page:: 3
+  hl-color:: yellow
+  id:: 6597eadb-77f5-454a-94b0-1c93ee8d9882
\ No newline at end of file