Jeff Hartman1, Antony Duttine2. 1. Assistant professor, Department of Family Medicine and Community Health, University of Wisconsin School of Medicine and Public Health, 4120 Medical Sciences Center, 1300 University Ave., Madison, WI 53706, United State of America; Fulbright Scholar 2020, University of Belize, Belmopan, Belize. Electronic address: Jahartman@wisc.edu. 2. Advisor, disability and rehabilitation, Pan American Health Organization/World Health Organization, United State of America.