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Accepted for/Published in: JMIR Public Health and Surveillance

Date Submitted: Nov 25, 2025
Open Peer Review Period: Dec 1, 2025 - Jan 26, 2026
Date Accepted: Dec 29, 2025
(closed for review but you can still tweet)

The final, peer-reviewed published version of this preprint can be found here:

Bias-Mitigated AI as a Foundation for Resilient and Effective Health Systems

Barbosa da Silva J Jr, Birminghamm M, Rivière Cinnamond A, Boisson E, Valdez ML, Garcia Saiso S, Souza JP, Marti M, Leah-Marie Richards LM, Guzman J, Nelson J, Pesce K, Haddad AE, Fitzgerald J, Bascolo E, Dagostino M

Bias-Mitigated AI as a Foundation for Resilient and Effective Health Systems

JMIR Public Health Surveill 2026;12:e88457

DOI: 10.2196/88457

PMID: 41730169

PMCID: 12928680

Bias-Mitigated AI as a Foundation for Resilient and Effective Health Systems

  • Jarbas Barbosa da Silva Jr; 
  • Maureen Birminghamm; 
  • Ana Rivière Cinnamond; 
  • Eldona Boisson; 
  • Mary Lou Valdez; 
  • Sebastian Garcia Saiso; 
  • Joao Paulo Souza; 
  • Myrna Marti; 
  • Leah-Marie Leah-Marie Richards; 
  • Javier Guzman; 
  • Jennifer Nelson; 
  • Karina Pesce; 
  • Ana Estela Haddad; 
  • James Fitzgerald; 
  • Ernesto Bascolo; 
  • Marcelo Dagostino

ABSTRACT

Artificial intelligence (AI) is rapidly reshaping the landscape of health, from clinical diagnostics and disease surveillance to the prediction of individual health risks. Yet, its immense promise will only materialize if the tools we deploy work for everyone. When algorithms are trained on incomplete or biased datasets, they risk embedding historical health disparities and can replicate patterns of uneven data representation that limit accuracy and generalizability across population groups (1). Addressing algorithmic bias should be treated as a health quality standard, comparable in importance to safety and efficacy evaluations, ensuring consistent performance across all segments of the population. This editorial aims to inform both policymakers and technical experts, offering a framework that bridges scientific rigor with practical, regionally grounded governance models.


 Citation

Please cite as:

Barbosa da Silva J Jr, Birminghamm M, Rivière Cinnamond A, Boisson E, Valdez ML, Garcia Saiso S, Souza JP, Marti M, Leah-Marie Richards LM, Guzman J, Nelson J, Pesce K, Haddad AE, Fitzgerald J, Bascolo E, Dagostino M

Bias-Mitigated AI as a Foundation for Resilient and Effective Health Systems

JMIR Public Health Surveill 2026;12:e88457

DOI: 10.2196/88457

PMID: 41730169

PMCID: 12928680

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© The authors. All rights reserved. This is a privileged document currently under peer-review/community review (or an accepted/rejected manuscript). Authors have provided JMIR Publications with an exclusive license to publish this preprint on it's website for review and ahead-of-print citation purposes only. While the final peer-reviewed paper may be licensed under a cc-by license on publication, at this stage authors and publisher expressively prohibit redistribution of this draft paper other than for review purposes.