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Advanced Life Support System at Health City saves visitor’s life

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Cayman Islands, August 28, 2017 – A family vacation in a tropical paradise turned into a life or death situation for Surjeet Kaur when an unexpected viral infection became a critical health emergency.

Advanced life support technology at Health City Cayman Islands, a tertiary care hospital located in East End, Grand Cayman, saved her life.   Health City is the only medical center in the Caribbean region offering the life-saving service, called extracorporeal membrane oxygenation (ECMO).

A stomach virus resulted in myocarditis for Kaur, who was visiting her son in the Cayman Islands from India.   Myocarditis is an inflammation of the heart muscle caused by various infections or drug toxicity.   In severe cases this can lead to heart failure and death.

Kaur was ill for five days with the viral illness, and initially on admission to a local primary care hospital her organs were showing good functionality.   However, her condition deteriorated significantly and quickly less than 24 hours later.

Her son, Simranjit Singh, who lives and works in the Cayman Islands, received a call from the hospital at 2 a.m. saying his mother was in critical condition.

Rushed by ambulance to Health City Cayman Islands, Mrs. Kaur was placed on ECMO life support, which allowed her heart to heal so she could recover.

By this time her blood pressure was dangerously low and other organs, especially her kidney and liver, started showing signs of failure.   Her failing heart would not have sustained her without life support.

The ECMO procedure involves channeling the patient’s blood into a roller pump that serves as the patient’s “heart” throughout treatment.   The ECMO machine is connected to a patient through plastic tubes (cannula) placed in large veins and arteries in the legs, neck or chest.   The pump sends blood through an oxygenator, which serves as an artificial lung, infusing the blood with oxygen and removing carbon dioxide and returning it to the patient.   During ECMO treatment, the patient’s heart continues to beat, but its work is made easier because the ECMO machine does much of the pumping.

Dr. Binoy Chattuparambil, Chief Cardiac Surgeon and Director of the ECMO program at Health City, explained the need for this procedure in Mrs. Kaur’s situation:  “We chose ECMO as it is less complicated and quick to institute.   With informed consent from her husband and family, ECMO was instituted through a vein in the groin.   She required very intense monitoring and treatment in the ICU for next few days, but the heart slowly and steadily showed signs of improvement and she was taken off ECMO.   An echocardiogram showed that the heart had recovered completely without any signs of damage. She went home with a strong and healthy heart and functional organs.”

During extracorporeal membrane oxygenation, the patient is the focus of a highly coordinated medical team and receives round-the-clock care while on the “heart lung machine”.    The length of time a patient remains on therapy depends on the diagnosis and the patient’s individual response.

An ECMO machine can help save a patient’s life, but it does not treat the patient’s disease or injury.   The machine simply provides support for a patient while the health care team works on treating the underlying disease or injury (such as an infection) or until organs for transplant become available.

Singh reported with great relief that his mother responded well to ECMO treatment.

“The treatment was successful. After 48 to 60 hours, she was out of danger … we were very thankful that she survived the treatment,” he said.

Dr. Chattuparambil noted that ECMO treatment is a team process and requires an experienced team of doctors and medical professionals.

“Health City Cayman Islands has a very strong, expert and experienced team of doctors, perfusion scientists and nurses who have managed many patients on ECMO and saved their lives.   The hospital has two ECMO machines, one of them is the most advanced design called CARDIOHELP which, being very small and compact, can be used to transport patients via road or by air,” he explained.

Dr. Binoy, as he is called, made note of the exceptional ECMO outcomes at Health City.

“During the last two and half years we have treated eight critically ill patients with ECMO, both children and adults.   With a survival rate of 90 per cent, our positive results are far better than the global average published by the ELSO (Extracorporeal Life Support Organization) registry, located in the United States,” he said.

Kaur’s family had words of thanks and praise for the entire Health City Team following her treatment.

Singh said: “We as a family want to thank Health City and all of the doctors here.   Along with the doctors, we want to thank the finance and admin team, as well as the hospitality staff.   They have been tremendous this last two weeks.   They have given us all the support we required. We have been away from our family back home, and they have come forward to be our family and treated us as a family member.   I have never seen such compassion and hospitality anywhere in the world as I have seen at Health City, so from the bottom of our hearts we wanted to thank Health City and all the staff for cooperating with us and giving us support at the time that we needed it.”

In addition to Dr. Binoy Chattuparambil, the ECMO team at Health City Cayman Islands includes cardiac surgeon Dr. Sumit Modi; Dr. Dhruva Krishnan and his team of anesthesiologists and intensivists; Perfusion scientists Lessley Christudos and Ravindra Deshpande; and Mevin Varghese and his team of Intensive Care Unit (ICU) nurses.

About Health City Cayman Islands

Health City Cayman Islands, the vision of renowned heart surgeon and humanitarian Dr. Devi Shetty, is supported by two major health-care organizations, Narayana Health and the U.S.-based Ascension, which is America’s largest faith-based and nonprofit health system, providing the highest quality care to all, with special attention to those who are poor and vulnerable.    Health City, only the second hospital in the Caribbean to receive the Joint Commission International’s “hospital accreditation”, provides compassionate, high-quality, affordable health-care services in a world-class, comfortable, patient-centered environment. Offering health care to local, regional and international patients, Health City Cayman Islands delivers excellence in adult and pediatric cardiology, cardiac surgery, cardiac electrophysiology, medical oncology, orthopedics, sports medicine, pediatric endocrinology, gastrointestinal and bariatric surgery, neurology, interventional neurology and neuro-diagnostics, neurosurgery, minimally invasive spine surgery, gynecology, urology, colorectal surgery, dental, sleep lab and pulmonology services.

For further information, visit www.healthcitycaymanislands.com.

Release: Health City Cayman Islands

 

 

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Caribbean News

Pres Ali declares three days of national mourning following MV Barima tragedy July 21, 2026

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His Excellency Dr Mohamed Irfaan Ali has declared three days of national mourning following the tragic loss of lives in the M.V. Barima incident, as the nation continues to grieve alongside the families and communities affected.

The period of national mourning will be observed from Wednesday, July 22, through Friday, July 24, 2026, in honour of the victims of the tragedy. During this time, the National Flag will be flown at half-mast on all Government buildings and other appropriate locations across the country.

As part of the observances, Wednesday, July 22, has been designated a National Day of Prayer. A National Day of Prayer and Remembrance will be held at the Kingston Seawall in Georgetown, bringing together citizens in solidarity to honour the lives lost and offer support to grieving families.

The programme of remembrance will continue with a Night of Reflection and Prayer in Port Kaituma on Thursday, July 23, followed by another observance in Mabaruma on Friday, July 24.

The government is also encouraging religious organisations, civic groups and citizens throughout Guyana to organise candlelight vigils and moments of prayer during the three days as the nation collectively reflects on the tragedy and pays tribute to the victims. The declaration of national mourning underscores the government’s commitment to standing with the bereaved families and affected communities as Guyana mourns one of the country’s most heartbreaking maritime tragedies.

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Bahamas News

CARICOM Targets Affordability as Bahamas, TCI Continue to Feel the Pinch  

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By Deandrea Hamilton

 

Cheaper shipping. Lower energy costs. Better access to healthcare. Stronger consumer protections.

Those are among the measures CARICOM Heads of Government believe could finally begin reducing the stubbornly high cost of living for millions of people across the Caribbean.

Meeting in Saint Lucia, regional leaders agreed that making life more affordable must become one of the Community’s highest priorities. Their emerging strategy includes reducing freight costs through a regional ferry service, accelerating renewable energy projects to lessen dependence on imported fuel, expanding regional healthcare partnerships, strengthening consumer protection, and encouraging governments to adopt successful cost-of-living measures already being implemented across the Caribbean.

“Our discussions over the past four days were guided by one central objective – ensuring that CARICOM delivers results that people can see and feel in their everyday lives,” CARICOM Chairman and Saint Lucia Prime Minister Philip J. Pierre said.

Few places may welcome that relief more than The Bahamas and the Turks and Caicos Islands.

Although inflation has moderated in both countries from the sharp increases experienced following the pandemic, the cost of living remains stubbornly high. Families continue to complain about grocery bills that stretch household budgets, rising housing costs, expensive electricity, healthcare expenses and fuel prices that remain among the highest in the region.

Governments have responded.

In The Bahamas, successive reductions in Value Added Tax on selected goods and other targeted tax measures have sought to ease pressure on consumers. In the Turks and Caicos Islands, the Government this weekend opens applications for its $500 Cost of Living Relief Programme, acknowledging that many households continue to struggle despite the country’s economic success.

Yet affordability remains elusive.

The contradiction is difficult to ignore.

The Turks and Caicos Islands continues to post one of the region’s strongest tourism-driven economies, with robust investment, record visitor spending and sustained construction activity. The Bahamas has also strengthened its economic position, earning improved sovereign credit ratings as tourism, government revenues and fiscal performance continue to recover.

Yet those encouraging economic indicators have not translated into noticeably lower household expenses.

The reason is largely structural.

Both The Bahamas and the Turks and Caicos Islands produce relatively little of what they consume. Food, fuel, medicines, vehicles, building materials and countless household essentials are imported. Both countries also record significant trade deficits, illustrating their dependence on overseas suppliers. Every increase in global shipping costs, fuel prices or supply chain disruptions is eventually reflected in supermarket prices, utility bills and the cost of everyday living.

That is why CARICOM’s agenda matters.

If regional leaders succeed in lowering freight costs through an inter-island ferry network, expanding renewable energy, improving regional cargo movement, strengthening consumer protections and making healthcare more accessible through cooperation, the benefits could extend far beyond government balance sheets.

For Bahamians and Turks and Caicos Islanders, success will not be measured by another tourism record or another credit rating upgrade. It will be measured at the supermarket checkout, on the monthly electricity bill, at the gas pump and in the simple ability to afford a better quality of life.

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Caribbean News

From Pathways to Investment: Tackling the US $6 Billion Food Challenge for the Caribbean

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By Kenroy Roach

The Caribbean’s food systems challenge is fast evolving into a broader development challenge.

Despite decades of policy attention and investment, the region remains one of the most food import-dependent in the world, spending over US$6 billion annually. At the same time, countries continue to grapple with food insecurity, high rates of diet-related non-communicable diseases, climate vulnerability, and exposure to external shocks that can disrupt supply chains and drive up food prices almost overnight.

For Small Island Developing States (SIDS), food security has shifted from an agriculture focus alone, it’s about economic resilience, health, climate resilience and sustainable growth.

Recognizing this reality, Caribbean governments have elevated food systems transformation as a regional priority through the CARICOM 25 x 25 Plus Five Agenda, which seeks to reduce food import dependence while strengthening domestic production, regional trade, and resilience. Across Barbados and the Eastern Caribbean, governments have also developed National Food Systems Pathways that identify the investments, partnerships, and policy reforms needed to transform food systems and accelerate progress toward the Sustainable Development Goals (SDGs).

Yet one challenge has remained persistent: financing.

In the face of high levels of public debt and limited fiscal space, while public investment remains critical, Caribbean governments simply cannot shoulder the financing burden alone. Transforming food systems at scale requires mobilizing far greater private capital, alongside development finance and public resources.

This was the rationale behind the recent convened in Barbados.

The Forum brought together governments, investors, international financial institutions, private sector leaders, regional organizations, and the United Nations around a simple proposition: food systems should be viewed not only as a development priority, but also as an investable asset class.

A distinguishing feature of the innovative gathering was its focus on attracting private investment—particularly private equity, impact investment, and blended finance solutions capable of supporting businesses and infrastructure across food value chains. By helping enterprises access growth capital and connecting investors with scalable opportunities, the initiative sought to unlock financing that complements public investment rather than adding to already constrained public balance sheets.

A key outcome was the launch of a regional Deal Book comprising approximately US$320 million in investment opportunities across seven countries, spanning agriculture, fisheries, agro-processing, logistics, and strategic food systems infrastructure. The Deal Book created a practical bridge between capital seeking opportunities and opportunities seeking capital, while enabling direct engagement between governments, enterprises, and investors.

The results were encouraging.

Across four sector-focused deal rooms, participants explored investment-ready and near-investment-ready opportunities and discussed blended finance private equity, risk-sharing, and partnerships to advance projects toward implementation.

The Forum highlighted a shift in perspective: food systems are now seen as strategic drivers of economic diversification, resilience, competitiveness, and growth. Investments across production, processing, logistics, and distribution can strengthen regional supply chains, create new businesses, generate jobs, and reduce vulnerability to external shocks.

For the United Nations, this experience reinforced an important lesson.

Transforming food systems requires more than the technical expertise of individual agencies. It requires integrated solutions that connect agriculture, nutrition, health, climate resilience, trade, private sector development, and financing.

This is where the Resident Coordinator System plays a critical role.

Across Barbados and the Eastern Caribbean, the Resident Coordinator Office has united UN system capabilities around a common food systems agenda. Working with FAO, WFP, the UN Food Systems Coordination Hub, and other partners, the RCO has helped align policy support, technical expertise, partnerships, and financing with nationally identified priorities.

The Forum demonstrated this integrated approach by convening governments, investors, development finance institutions, private sector actors, and UN agencies around a common objective. It showcased the UN’s comparative advantage as a trusted broker capable of connecting development priorities with investment opportunities.

The Forum’s success will be measured not by dialogue generated, but by investments mobilized, businesses expanded, and progress made toward resilient, competitive Caribbean food systems across the Caribbean.

Its most important outcome may therefore be what comes next.

The work starts now.

Kenroy Roach is Head of the UN Resident Coordinator Office for Barbados and the Eastern Caribbean

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