Artificial intelligence for Amazonian health: validation is the price of entry

At the AI as Catalyst meeting in Manaus (July 28–29, 2026; https://ia-como-catalisadora-manaus.netlify.app), participants ran a simple exercise. Working in teams, they wrote about ten clinical cases and put each one to widely used general-purpose chatbots twice: first in standard medical terminology, then in the terms and expressions a patient from the Amazon might use, with the same clinical facts, but carried by local language. The register of the answers changed with the framing, and so did their technical depth; more consequentially, the models inferred conditions from how the patient spoke rather than from what the case described.

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Publication Details

Journal
The Lancet Regional Health - Americas
Published
2026-09-05
DOI
https://doi.org/10.1016/j.lana.2026.101627
Primary Topic
Artificial Intelligence in Healthcare and Education
Type
article
Field-Weighted Citation Impact
0.00

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article

Artificial intelligence for Amazonian health: validation is the price of entry

Leo Celi, Luis Nakayama, Michella Lasmar, Gustavo Monnerat et al.
The Lancet Regional Health - Americas
Artificial Intelligence in Healthcare and Education
article

Artificial intelligence for Amazonian health: validation is the price of entry

Leo Celi, Luis Nakayama, Michella Lasmar, Gustavo Monnerat, Matheus Serrao
article en

Abstract

At the AI as Catalyst meeting in Manaus (July 28–29, 2026; https://ia-como-catalisadora-manaus.netlify.app), participants ran a simple exercise. Working in teams, they wrote about ten clinical cases and put each one to widely used general-purpose chatbots twice: first in standard medical terminology, then in the terms and expressions a patient from the Amazon might use, with the same clinical facts, but carried by local language. The register of the answers changed with the framing, and so did their technical depth; more consequentially, the models inferred conditions from how the patient spoke rather than from what the case described.

The Lancet Regional Health - AmericasVol. 62
Harvard University (US), Universidade de São Paulo (BR), Regional Health (US), Brazilian Society of Computational and Applied Mathematics (BR), Universidade do Estado do Amazonas (BR), Massachusetts Institute of Technology (US), Universidade Federal de São Paulo (BR)
Massachusetts Institute of Technology
Openalex Percentile: Top 14%
Artificial Intelligence in Healthcare and Education
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Artificial intelligence for Amazonian health: validation is the price of entry — Leo Celi, Luis Nakayama, et al. · The Lancet Regional Health - Americas (2026) | TGRS Research Map | TGRS