To cite: PeacockChambers E, Silverstein M. Arch Dis Child 2015;100 (Suppl 1):s74–s75. In the past 15 years, North America made significant advances towards the Millennium Development Goal (MDG) targets despite a crippling and global financial crisis beginning in 2008. The three countries making up North America—Canada, the USA and Mexico—aspired to reach MDGs under strikingly different politica...