00499     2200181   4500001002100000008003900021035002000060245007000080260001500150300002300165020001500188084002000203082001400223650003800237990001400275990001400289990001400303INLIS000000000005877                                   N    a0010-0317005875  aLocal health systems in the Americas : An ongoing social strategy  bPAHOc1993  avi, 26 hlm.c25 cm  a9275120536  a362.109 7 Pan l  a362.109 7  ahealth systems planspublic health  a085999212  a085999212  a085999212