diff --git a/assets/Rethinking_Chagas_Report_21JUN2021-1_1704450708173_0.edn b/assets/Rethinking_Chagas_Report_21JUN2021-1_1704450708173_0.edn
index bbaedade..24dc7b63 100644
--- a/assets/Rethinking_Chagas_Report_21JUN2021-1_1704450708173_0.edn
+++ b/assets/Rethinking_Chagas_Report_21JUN2021-1_1704450708173_0.edn
@@ -205,5 +205,51 @@
                                    :height 1584}),
                           :page 3},
                :content {:text "Support efforts to strengthen and scale-up existing models of care in the US, through the use of Chagas disease trained patient-care navigators (promotoras), integration of disease-specific activities into both prenatal and primary care more broadly, and inclusion in efforts to improve the total health and well-being of affected communities."},
+               :properties {:color "yellow"}}
+              {:id #uuid "6597eb27-4d19-489e-971b-3ddd9ba9a6dd",
+               :page 3,
+               :position {:bounding {:x1 206.35447692871094,
+                                     :y1 1238.2294921875,
+                                     :x2 1079.967025756836,
+                                     :y2 1293.9146728515625,
+                                     :width 1224,
+                                     :height 1584},
+                          :rects ({:x1 206.35447692871094,
+                                   :y1 1238.2294921875,
+                                   :x2 1079.967025756836,
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+                                   :width 1224,
+                                   :height 1584}
+                                  {:x1 206.35447692871094,
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+                                   :x2 912.9641571044922,
+                                   :y2 1293.9146728515625,
+                                   :width 1224,
+                                   :height 1584}),
+                          :page 3},
+               :content {:text "Explore the development of new centers of excellence for diagnosis and treatment in other areas of the US with large immigrant communities from Latin America (such as Chicago)"},
+               :properties {:color "yellow"}}
+              {:id #uuid "6597eb2f-6e68-4b48-b4b2-52d1d6ff2fa0",
+               :page 3,
+               :position {:bounding {:x1 206.35447692871094,
+                                     :y1 1307.7674560546875,
+                                     :x2 1079.9869232177734,
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+                                     :width 1224,
+                                     :height 1584},
+                          :rects ({:x1 206.35447692871094,
+                                   :y1 1307.7674560546875,
+                                   :x2 1079.9869232177734,
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+                                   :width 1224,
+                                   :height 1584}
+                                  {:x1 206.35447692871094,
+                                   :y1 1336.5913696289062,
+                                   :x2 671.2911834716797,
+                                   :y2 1363.6123657226562,
+                                   :width 1224,
+                                   :height 1584}),
+                          :page 3},
+               :content {:text "Seek avenues to advocate for policies that will enhance scalability of these efforts and improve care for populations with or at high risk of Chagas disease"},
                :properties {:color "yellow"}}],
- :extra {:page 3}}
+ :extra {:page 4}}
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 e482411d..1c00a5b8 100644
--- a/pages/hls__Rethinking_Chagas_Report_21JUN2021-1_1704450708173_0.md
+++ b/pages/hls__Rethinking_Chagas_Report_21JUN2021-1_1704450708173_0.md
@@ -45,4 +45,9 @@ file-path:: ../assets/Rethinking_Chagas_Report_21JUN2021-1_1704450708173_0.pdf
   ls-type:: annotation
   hl-page:: 3
   hl-color:: yellow
-  id:: 6597eb27-4d19-489e-971b-3ddd9ba9a6dd
\ No newline at end of file
+  id:: 6597eb27-4d19-489e-971b-3ddd9ba9a6dd
+- Seek avenues to advocate for policies that will enhance scalability of these efforts and improve care for populations with or at high risk of Chagas disease
+  ls-type:: annotation
+  hl-page:: 3
+  hl-color:: yellow
+  id:: 6597eb2f-6e68-4b48-b4b2-52d1d6ff2fa0
\ No newline at end of file