Grenada has reached a significant milestone in its battle against noncommunicable diseases (NCDs) by achieving the national scaleup of the PAHO HEARTS initiative. NCDs, which accounted for over 80% of deaths in Grenada in 2019, remain a pressing public health challenge. Cardiovascular diseases dominate the leading causes of mortality, with hypertension and diabetes contributing significantly to chronic illness. Risk factors such as obesity and physical inactivity persist at alarming levels.