A group of international organizations held a high-level meeting in Antigua Guatemala, Guatemala, to address transplantation as a key component in the comprehensive management of Chronic Kidney Disease (CKD) in the countries of the Central American Integration System (SICA).

The meeting was organized by Spain’s National Transplant Organization (ONT), the Pan American Health Organization (PAHO), and the Executive Secretariat of the Council of Ministers of Health of Central America and the Dominican Republic (SECOMISCA). It was conducted within the framework of the Triangular Cooperation Program of the Spanish Agency for International Development Cooperation (AECID) and endorsed by the Ibero-American Donation and Transplant Network/Council (RCIDT).

The purpose of the gathering was to promote kidney transplantation as a priority option for renal replacement therapy, given its superior cost-effectiveness and health outcomes compared with dialysis.

According to a joint press release, the participating organizations also sought to encourage political commitment to advance equitable access to kidney transplantation and to identify common priorities for regional cooperation.

During the event, institutions presented the current status of Chronic Kidney Disease (CKD) and access to kidney transplantation in SICA countries, as well as the 2019–2030 Regional Donation and Transplant Strategy (CD 57R11). The meeting also facilitated a regional political dialogue aimed at incorporating transplantation into the comprehensive management of CKD, with the goal of generating recommendations to ensure equitable and progressive access to renal replacement therapies.

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Additionally, the organizations explored opportunities to improve CKD registry systems, including transplantation data.

The meeting was convened in response to the growing burden of Chronic Kidney Disease across the World Health Organization (WHO) regions.

Argentine President Javier Milei marked the second anniversary of his victory in the November 19, 2023 presidential election on Wednesday, declaring that he has fulfilled “every campaign promise” even before reaching the halfway point of his term.

In a message posted on his official X account, Milei stated that his administration set out from day one to implement its political program without concessions. “We have dedicated ourselves to fulfilling every campaign promise, to the point that they were completed in less than two years, despite the entire status quo’s obstruction machine,” the president wrote.

Milei won the runoff election with 55.65% of the vote, defeating then–Economy Minister Sergio Massa, who received 44.35%. He officially took office on December 10, 2023, describing himself as the “first libertarian liberal president in the history of humanity.”

The head of state also highlighted the performance of his party, La Libertad Avanza (LLA), in the October 26 legislative elections, where it secured more than 40% of the votes. This result, he said, gives him the momentum to advance toward a new phase of “structural reforms.”

“We renew our commitment to all Argentines to implement all second-generation reforms so that, once and for all, we enter the path that will make Argentina great again,” Milei wrote, reaffirming his push for a deep transformation of the country’s economic model.

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During his presidential campaign, Milei pledged to drastically shrink the size of the state, carry out sweeping labor and tax reforms, and radically overhaul economic policy through a “fiscal shock” plan aimed at controlling inflation and achieving a budget surplus.

Haiti’s National Police (PNH) declared a state of maximum alert after the leader of the Viv Ansanm armed coalition, Jimmy Chérizier — known as “Barbecue” — urged the population to stay indoors amid the prospect of clashes with security forces carrying out an offensive against gang groups.

The threats came days after the PNH, the Haitian Armed Forces (FAD’H), and the Gang Suppression Force (GSF) launched a large-scale operation against the 400 Mawozo gang, which for years has controlled and kidnapped residents in Tabarre and Croix-des-Bouquets, north of the capital.

The police announced the suspension of all vacations and leave for officers “in order to mobilize all police personnel, with the goal of ensuring optimal security for the population and responding to any eventuality.” Authorities reported that operations will continue specifically in Croix-des-Bouquets, territory controlled by 400 Mawozo under the command of Lanmò Sanjou.

In recent days, security forces located and raided several hideouts used by criminal groups, managing to kill or force the retreat of gang members from strategic areas. Police Director General Vladimir Paraison visited the barracks of the units involved in the operations to express his “appreciation for the courage and commitment of the police in their relentless battles to restore order and uphold the law.”

Chérizier — for whom the United States has offered a $5 million reward — urged citizens on Sunday to remain in their homes so the gangs could confront police forces and “avoid becoming victims.”

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“The time has come, Haitian people, to unite to liberate this country,” he declared in a message shared on social media.