5 cards
Pan American Health Organization (n.) is health diplomacy, where the sanctions are adjectives.
Pan American Health Organization (n.) is a hemisphere's report card, graded by people the students never meet.
Pan American Health Organization (n.) is the referee nobody watches until it holds up a card.
Pan American Health Organization (n.) is the World Health Organization's branch office for a hemisphere that ignores it until it grades them.
Pan American Health Organization (n.) is the regional doctor whose only prescription is a strongly worded report.