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Cleveland Clinic Florida Surgeon ‘Weight-loss surgery long-term effects most significant in younger to middle age populations’

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#Bahamas, October 13, 2017 – Nassau – For anyone who has ever stepped on a scale and wished they hadn’t, the prospect of going under a gentle knife and coming out thinner seems almost too good to be true. And for many, it has made a difference in their lives they say they only dreamed about.   But bariatric surgery – the clinical name for weight loss surgery – involves other lifestyle changes and while it is likely to have long-term benefits for those who are willing to make such changes, it is not a panacea for all.   So says Dr. Emanuele Lo Menzo, bariatric surgeon, Associate Professor of Surgery and Director of the Department of Research at Cleveland Clinic Florida.

Dr. Lo Menzo was in The Bahamas last week to address medical professionals during the annual Research Day symposium organized by the University of the West Indies School of Clinical Medicine and Research.   In keeping with the theme of this year’s event, “Weight Challenges in The Bahamas, Are We the Biggest Losers?” the South Florida doctor who has performed more than 1,000 surgeries was very clear – as glamorous as it seems to go from obese to slender without all the hard work of eating right and exercising for extended periods of time, weight loss surgery is not for everyone.   It is more effective with younger to middle age patients, less so with extremely obese, older patients, he said, quoting a 7-year study by the Veterans Administration that resulted in the senior citizen findings.

Responsible surgeons will only perform bariatric surgery in non-critical cases when patients demonstrate that they are willing to make the other lifestyle adjustments necessary.   Most notably, he told practitioners, bariatric surgery, which works by reducing the size of the stomach either by removing a portion of it or by placing a gastric band around it, is about far more than glamour.   The surgery can greatly improve overall health and boost longevity.

“Long-term studies show the procedures cause significant long-term loss of weight, recovery from diabetes, improvement in cardiovascular risk factors and a mortality reduction from 40% to 23%.   However, a study in Veterans Affairs patients has found no survival benefit associated with bariatric surgery among older, severely obese people when compared with usual care, at least out to seven years,” said Dr. Lo Menzo, author of more than 85 peer-reviewed manuscripts, 25 book chapters and over 200 abstracts.

Bahamas Photographer

Bahamas Photographer – Audience at Medical Conference

The U.S. National Institutes of Health recommends bariatric surgery, he said, for people with a body mass index (BMI) of at least 40 unless the individual is suffering from diabetes in which case the BMI ratio indicating surgery recommended could be reduced to 35.   That figure is undergoing consideration of even further reduction in cases where other life-threatening conditions exist.

Medical professionals like Dr. Lo Menzo are increasingly concerned about the impact of obesity on non-communicable, preventable diseases like diabetes and cardiovascular conditions including heart disease, stroke and hypertension.    Some cases of kidney disease and cancer may also be linked to obesity.

According to Dr. Duane Sands, Minister of Health, 79.2% of the Bahamian population is either overweight or obese. And Dr. Robin Roberts, the Director of the University of the West Indies School of Clinical Medicine and Research, believes there is no weightier issue facing the future of The Bahamas.

“No health care malady presents a greater burden in our population than obesity,” Dr. Roberts said in his Research Day remarks.

Obesity is no longer considered “someone’s fault,” but is recognized as a disease just as alcoholism and drug addiction are, said Dr. Lo Menzo.   The one piece of advice he wanted medical practitioners to take with them – when recommending bariatric surgery, refer patients to those surgeons and institutions with extensive and well-documented experience.   TV news reports have alerted viewers to what can happen and does happen all too often when someone searching for a quick fix, better body takes a chance with an unqualified person.

Cleveland Clinic Florida with more than 240 doctors representing over 40 specialties is the highest- ranking medical facility in Broward County with two of its specialties earning highest ranking nationally.   It is a favourite among Bahamians who make up the largest number of persons seeking medical services at the Weston, Florida facility from anywhere in the region.

Press Release: DPA News

 

 

 

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Bahamas News

Inspired Abroad, Proudly Bahamian

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DEAR EDITOR,

Sometimes the best ideas come from experiences far away from home.

It was while I was living in Europe that I saw how excited people were about England’s iconic double-decker buses. It was a symbol of culture – and visitors looked forward to the ride as an experience in itself rather than just a method of transportation.

That sparked a thought: What if we brought that same excitement to The Bahamas, but made it uniquely Bahamian?

In November 2024, that thought became 2 Storeys Tours. I wanted visitors to see Nassau in a way they had not been able to before. That meant they could come straight off a cruise ship and onto a double-decker to see what makes our country what it is – to see our beautiful waters and to discover what makes us Bahamian.

We wanted to create something memorable, something visitors would associate with their Bahamian vacation, just as people associate double-decker buses with England.

The bus may catch your attention, but The Bahamas is what makes the experience unforgettable.

We also believe tourism should create opportunities for Bahamians.

We started less than five years ago with one very used double decker bus.

Now thanks to cruise ship business, we have quadrupled the size of our little fleet. We now have four shiny new red and blue buses, so we can say Welcome Ashore in style.

Depending on the season, between 70 and 80 percent of our business is cruise-passenger driven. Even during the slower season for hotels, the cruise ships arrive filled with people looking to explore historic Nassau and we are giving them the closest to a bird’s eye view as they can get. And they love it.

Turning an idea into a functioning business has been an exciting journey, but certainly not without challenges. From planning and preparation to finally seeing our buses on the road, the experience has taught us patience, perseverance, and the importance of believing in a vision.

We are proud of how far we’ve come, and even more excited about what lies ahead.

Building partnerships helped us to get to where we are today – building them further will take us to where we can reach tomorrow.

Our ambition is to make 2 Storeys Tours a recognised and trusted name in Bahamian tourism. We want to continue improving our tours, developing new experiences, embracing environmentally responsible tourism, and building meaningful relationships – and eventually take the 2 Storeys Tours experience beyond Nassau to other islands.

Above all, we want to build something that lasts.

Looking back, it’s incredible to think that an observation while living in Europe could lead to a business right here at home.

What began as an idea became a business with a purpose, and we’re only getting started.

Our inspiration came from abroad. Our passion comes from home. And our future is proudly Bahamian.

 

By: KEEVON MAYNARD

President, 2 Storeys Tours

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Bahamas News

Federal Investigation into Florida Turnpike Tragedy that Killed Three Children of Bahamian Mother

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NTSB examining roadside assistance driver’s actions, SUV speed and seat belt use after six people perish in fiery collision

ORLANDO, FLORIDA — October 29, 2026 — Federal investigators have joined the investigation into a horrific Florida Turnpike collision that claimed six lives, including all three children of a Bahamian mother, as questions intensify over what caused the deadly crash.

The United States National Transportation Safety Board (NTSB) has confirmed that it is opening an investigation into the October 23 accident, which occurred around 9:31 p.m. near mile marker 252 in Orange County.

The agency’s involvement brings federal scrutiny to a tragedy that has devastated several families and prompted an extraordinary outpouring of sympathy and disbelief.

Among those killed were siblings Charles Milton, Jakara Milton and Dalvena Green, the three adult children of Marshall Clarke-Milton and her husband, Charles Milton Sr.

The siblings were traveling with three others to Universal Orlando’s Halloween Horror Nights, reportedly on their first trip together.

They never arrived.

FEDERAL INVESTIGATORS EXAMINE WHAT WENT WRONG

The NTSB confirmed to FOX 35 Orlando that its investigation will examine the training and performance of the roadside assistance driver, the actions of the SUV driver, including speed, and whether the occupants were wearing seat belts.

The agency investigates serious transportation accidents to identify safety failures and recommend measures that could prevent similar tragedies.

Its involvement does not establish wrongdoing by either driver.

The Florida Highway Patrol is conducting a separate investigation into the collision.

According to the preliminary police account, a Road Ranger roadside assistance truck had been parked in the highway median before its driver received instructions to assist a disabled box truck on the opposite shoulder.

As the Road Ranger moved across the northbound lanes, it collided with a 2023 Chevrolet Traverse carrying six adults.

Both vehicles left the roadway and caught fire.

All six occupants of the SUV died at the scene. The Road Ranger driver survived with minor injuries.

MOTHER CHALLENGES EARLY ACCOUNT

Witnesses reportedly told investigators that the SUV was traveling at high speed without its headlights illuminated.

However, those observations have not been established as the definitive cause of the collision.

Clarke-Milton has challenged suggestions that her children or their companions were responsible, urging investigators to examine the evidence before reaching conclusions.

She wants investigators to establish the SUV’s actual speed and determine whether its headlights were operating.

The family’s concerns underscore the importance of the continuing investigations, particularly given the movement of the roadside assistance vehicle across active highway lanes.

ALL THREE CHILDREN LOST

For Clarke-Milton, the investigation unfolds against an almost incomprehensible personal tragedy.

She lost all three of her children simultaneously.

In an emotional interview with FOX 35 Orlando, the grieving mother described the terrible feeling that overcame her when she could not reach them.

“My heart sank,” she said, recalling the moment she feared her children were involved.

The siblings were among six people whose lives ended during what should have been an enjoyable evening together.

The other victims included Timothy Williams and Shawn Palmer. A sixth person’s identity had not been publicly confirmed in the latest reports reviewed.

The family’s heartbreak has resonated across The Bahamas and beyond, with expressions of sympathy accompanying calls for answers.

SEARCH FOR ANSWERS CONTINUES

The Florida Highway Patrol has indicated that a crash report is expected within approximately ten days of the accident.

The NTSB’s investigation will examine broader transportation safety concerns, including the operation of roadside assistance vehicles and the circumstances surrounding the collision.

For the grieving families, the findings cannot reverse the tragedy.

But they may establish what happened on that stretch of Florida’s Turnpike and whether anything could have prevented six people from losing their lives.

For one Bahamian mother, the loss is especially devastating.

Three children left for an evening of entertainment. Not one came home.

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Bahamas Issues Cybersecurity Alert Over Akira Ransomware Threat

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Nassau, The Bahamas, October 22, 2026 — The National Computer Incident Response Team of The Bahamas (CIRT-BS) has issued a cybersecurity advisory warning businesses, government institutions and other organisations about the growing threat posed by Akira ransomware, a cybercriminal operation capable of stealing sensitive information, disrupting networks and demanding ransom payments.

Active since March 2023, Akira operates through a Ransomware-as-a-Service model, with affiliates exploiting weaknesses in computer networks to gain unauthorised access.

Once inside, attackers can steal confidential data, disable recovery systems and encrypt files, preventing organisations from accessing critical information.

Particularly concerning is Akira’s use of double extortion, threatening to publish stolen information unless victims pay. Some attacks involve data theft without encryption.

The October 22 advisory identifies vulnerabilities involving Cisco and SonicWall firewalls, VPN services, Microsoft Remote Desktop Protocol, Veeam backup systems and outdated Windows and Linux operating systems. VMware ESXi and Nutanix AHV environments are also potential targets.

Attackers may exploit unpatched software, stolen login credentials and inadequately secured remote-access applications, including AnyDesk and RustDesk.

Warning signs include unexpected administrator accounts, unusual remote logins, unauthorised software installations, suspicious backup activity, mass file changes and ransom notes.

CIRT-BS recommends immediate security updates, multifactor authentication, restricted remote access, stronger network monitoring and secure backups maintained separately from operational systems.

Organisations should also remove unnecessary internet exposure of remote desktop services, limit administrative privileges and regularly test backup restoration.

The advisory does not identify any confirmed Akira attack against a Bahamian organisation but highlights vulnerabilities that could expose institutions to serious financial and operational disruption.

Cybersecurity incidents can be reported to CIRT-BS at soc@cirt.bs or through its official website.

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