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The Pan American Health Organization/World Health Organization (PAHO/WHO), in collaboration with the Centers for Disease Control and Prevention (CDC), assists the countries in the Americas implementing the Global School-based Student Health Survey (GSHS) since 2003. A core set of standardized questions help in comparing indicators across countries and monitoring health-related risk and protective behaviors, among students 13 to 15 years of age, grouped under the following categories: Alcohol Physical Activity Diet Protective Factors Drugs Sexual and Reproductive Health Hygiene Tobacco Mental Health Violence Unintentional Injuries The GSHS is part of a global surveillance system developed by the World Health Organization (WHO) in collaboration with UNICEF, UNESCO and UNAIDS, with technical assistance from the CDC.