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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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Where to Draw the Line? TCI and Bahamas Advance Maritime Boundary Talks

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June 16, 2026 – Thirty-four years after formal negotiations began, Turks and Caicos Islands and The Bahamas are still working to define an agreed maritime boundary between the neighbouring archipelagos, a revelation emerging from a recent Turks and Caicos Cabinet summary which has brought renewed attention to a largely overlooked diplomatic and security issue.

A May 2026 Turks and Caicos Cabinet update suggests the long-running negotiations are continuing to advance.  In August 2023, Bahamas Foreign Affairs Minister Fred Mitchell said efforts to draw an exact maritime boundary had been slowed by the challenge of gathering the mapping and locational data required for the exercise.  The United Kingdom, which represents Turks and Caicos in the negotiations, has offered few details beyond confirming that both sides remain committed to maritime boundary delimitation talks.

The negotiations are not centred on a territorial dispute but rather on establishing a legally recognized maritime boundary under international law.  Such agreements help determine jurisdiction over fisheries, maritime resources, law enforcement activities, environmental protection and migration control in the waters between neighbouring countries.

While the discussions focus on the boundary between The Bahamas and Turks and Caicos, the exercise is part of a wider maritime delimitation effort — the process of formally marking and agreeing upon where one country’s waters end and another’s begin.  In comments to The Tribune in August 2023, Mitchell referenced similar boundary considerations involving the United States and Haiti, underscoring the broader regional importance of defining maritime jurisdictions in accordance with international law.

According to public statements from The Bahamas, formal negotiations between the two sides began in 1992 and were followed by technical discussions in 1996.  After years of little public activity, talks resumed in 2023 and have continued through a series of engagements involving legal, maritime, security and geographic information specialists.

The importance of maritime boundaries was underscored by former Bahamas Foreign Affairs Minister Brent Symonette during maritime boundary discussions between The Bahamas and the United States in 2009.  At the time, Symonette described clearly defined maritime borders as essential to national sovereignty, law enforcement, fisheries management, environmental protection and efforts to combat illegal migration.  He also argued that agreed boundaries provide legal certainty and strengthen cooperation between neighbouring countries.

The United Kingdom, which represents Turks and Caicos in the negotiations, has offered few public details beyond confirming its commitment to the process.  However, officials from the Foreign, Commonwealth and Development Office participated alongside TCI representatives during talks held in Nassau in August 2023.  The Turks and Caicos delegation included then Permanent Secretary Wesley Clerveaux, whose responsibilities included Marine Affairs.

At this stage, the TCI Cabinet has only publicly identified the area under discussion as being south of “Point 1.”  Information released by The Bahamas following a 2023 meeting indicates the negotiations concern waters between the southeastern Bahamas and the Turks and Caicos Islands.  While no map has been made public, the available information places the discussions south of Bahamian islands including Mayaguana and Great Inagua.  Exactly where the proposed boundary would meet the Turks and Caicos archipelago remains unclear from public records.

The latest Cabinet update offers no indication of when the negotiations may conclude.  However, after more than three decades of intermittent discussions, recent references by both governments suggest efforts to finally draw the line between the two jurisdictions are continuing.

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CDB Leadership Passes to Belize as Region Eyes New Financing Partnerships  

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By Deandrea Hamilton

 

The Bahamas, June 9, 2026 – The Caribbean Development Bank’s annual gathering may have concluded in The Bahamas, but attention is already turning to Belize as leadership of the institution’s Board of Governors officially changed hands.

At the close of the 56th Annual Meeting in Nassau, outgoing Chairman and CDB Governor for The Bahamas, Michael Halkitis, formally transferred the chairmanship to Belize’s Dr. Hon. Osmond Martinez, continuing the Bank’s tradition of rotating leadership among its regional shareholders.

The handover capped a week of discussions focused on financing development in an increasingly uncertain global environment and strengthening the Caribbean’s ability to withstand economic and climate-related shocks.

One of the meeting’s most closely watched conversations centered on how multilateral development banks can better support vulnerable Small Island Developing States.

During the President’s Chat, titled Financing the Future: MDB Strategies for Uncertain Times, CDB President Daniel Best joined leaders from the OPEC Fund, the Central American Bank for Economic Integration and the Fund for Responding to Loss and Damage to discuss expanding development finance and building resilience.

OPEC Fund President Dr. Abdulhamid Alkhalifa emphasized that development institutions must move beyond responding to crises and instead help countries prepare for them.

“The real test is whether we can help countries move from strategy to implementation, and from implementation to results,” Alkhalifa said.

The discussions reflected a growing regional push for innovative financing solutions as Caribbean nations continue to confront climate vulnerability, infrastructure demands and economic uncertainty.

Beyond discussions on financing and resilience, the Annual Meeting also featured youth engagement activities, including the Youth FIRE Forum, where young Caribbean leaders participated in conversations about innovation, entrepreneurship, leadership and the future of regional development. Senior government officials, development professionals and youth delegates exchanged ideas on the challenges and opportunities facing the next generation, reinforcing a recurring message throughout the conference: that investments made today must ultimately improve opportunities for Caribbean youth tomorrow.

That theme was echoed by Bahamas Prime Minister Philip Davis, who used the opening ceremony to challenge regional leaders to invest in future generations.

“We must invest in the one asset that no agency can ever downgrade, and that no storm can ever wash away: the mind of a Caribbean child,” Davis told delegates.

With Belize now assuming the chairmanship, regional leaders say the focus remains on transforming ideas discussed in Nassau into tangible results for Caribbean people.

Angle by Deandrea Hamilton. Built with ChatGPT (AI). Magnetic Media — CAPTURING LIFE.

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New GPS Evidence Prompts Fresh Search for Missing American Woman in Abaco

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ABACO, BAHAMAS — Nearly two months after American sailor Lynette Hooker vanished in waters off Abaco, investigators are preparing to conduct a new search based on GPS and navigation data that reportedly challenges the account originally provided by her husband.

The case, which first drew international attention in early April, began when Brian Hooker told authorities that his wife was swept away after falling from an inflatable dinghy during rough conditions in waters near Elbow Cay.

Initial search efforts involving Bahamian and U.S. authorities covered extensive areas of the Sea of Abaco but failed to locate the missing Michigan woman.

Now, according to multiple U.S. media reports, investigators have obtained electronic navigation and GPS data that appears to place the couple’s dinghy in a different location from where searchers initially concentrated their efforts.

The new information has prompted authorities to reopen search operations and seek permission for divers to examine a more targeted area of the Sea of Abaco.

Unlike the broad search that followed Hooker’s disappearance, the renewed effort is expected to focus on a relatively shallow section of water, reportedly about 25 feet deep. Investigators believe the location may offer a better opportunity to recover evidence and potentially answer lingering questions surrounding the disappearance.

The latest development marks a significant shift in the investigation.

What began as a maritime search-and-rescue operation has evolved into a complex multinational investigation involving Bahamian authorities, the United States Coast Guard and the Federal Bureau of Investigation.

Brian Hooker was detained and questioned by Bahamian authorities following his wife’s disappearance but was later released without charges. While investigators have never publicly accused him of a crime, reports indicate he remains a person of interest as authorities continue to examine the circumstances surrounding the case.

Hooker has repeatedly denied any wrongdoing and has maintained that his wife accidentally fell overboard.

The investigation has intensified in recent weeks. U.S. authorities have reportedly seized the couple’s sailboat, Soulmate, transporting the vessel to Florida for forensic examination. Investigators are said to be reviewing onboard electronics, digital records and other potential evidence as part of the ongoing inquiry.

The case has also attracted attention from Lynette Hooker’s family, who have continued to press for answers and support efforts to locate her.

The renewed search comes after Brian Hooker returned to the United States following the disappearance. Reports indicate he cited family reasons, including concerns about his mother’s health, for leaving The Bahamas.

For investigators, however, the focus now appears fixed on the newly identified search area and the electronic evidence that led them there.

Whether the latest operation produces answers remains to be seen. But nearly eight weeks after Lynette Hooker disappeared in the waters of Abaco, authorities believe new technology and new information may finally provide a clearer picture of what happened that night.

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