100mill
U.S. adults are now living with diabetes or prediabetes
600,000
people are killed by tobacco-caused disease
60%
North Americans live where air pollution is at unhealthy levels
Members of The Union North America Region
The Union is divided into seven regions to provide a platform for addressing lung health and related issues from a regional perspective. This structure offers members opportunities to network with colleagues who face the same regional challenges and contributes to The Union's deep understanding of local issues.
The Union North America Region consists of organisational and individual members
American Friends of The Union
Created in 2023, The American Friends fights for the eradication of tuberculosis and other lung diseases, primarily through support of The Union.
The charity was established by Union members, including a former President and Board members.

Held in February 2020, the 24th Annual Conference of The Union North America Region is a three-day scientific conference organised by Union members, which brings together hundred experts of national and international renown to discuss regional perspectives on global health issues including TB, lung health and related topics.
Professor Guy Marks, President of The Union, welcomed delegates to the first day of the conference.
Union news from the North America Region
Compliance with intermittent preventive malaria treatment in pregnancy at a tertiary hospital in Sierra Leone
In this article, part of the TB, HIV and Malaria Series to be published in the Q2 issue of PHA, the authors examine uptake of intermittent preventive treatment in pregnancy in Sierra Leone, showing low compliance with the recommended minimum of three doses, largely associated with insufficient antenatal care contacts.
Mapping Malaria Hotspots through Spatial and Spatio-Temporal Analysis in Sierra Leone, 2021-2024
In this article part of the TB, HIV and Malaria Series to be published in the Q2 issue of PHA, the authors analyse the spatial and temporal distribution of malaria in Sierra Leone, identifying persistent hotspots and no significant association with rainfall. The findings highlight the need for targeted, subnational interventions to address persistent hotspots.
Parenteral artesunate compliance and hospital outcomes in children under-five with suspected severe malaria in Sierra Leone
In this article, part of the TB, HIV and Malaria Series to be published in the Q2 issue of PHA, the authors assess adherence to national severe malaria management guidelines in children under five in Sierra Leone and its association with hospital outcomes, highlighting suboptimal artesunate dosing and related adverse outcomes.