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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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Caught in the Net, Not Accused of Wrongdoing

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What the Attorney General must do now to protect Bahamian exports

Deandrea Hamilton | Editor

NASSAU, Bahamas — The United States’ decision to impose a 12.5 percent tariff on Bahamian exports is about more than higher costs for seafood, rum and other goods entering the American market. It is a warning that The Bahamas must move quickly to strengthen or clarify its legal framework governing forced labour and supply-chain enforcement.

The tariff, which takes effect July 24, is part of a sweeping U.S. trade action affecting 60 economies following a review by the Office of the U.S. Trade Representative (USTR). The review concluded that the listed countries have not adequately prohibited or enforced measures against goods linked to forced labour in global supply chains.

The action follows a recent U.S. Supreme Court ruling that invalidated an earlier series of Trump-era tariffs imposed under emergency powers. In response, the Trump administration shifted to a different legal authority—Section 301 of the Trade Act of 1974—using findings from a U.S. Trade Representative investigation into forced-labour compliance to support a new round of tariffs affecting 60 economies, including The Bahamas.

Importantly, the action does not accuse Bahamian businesses of using forced labour. Instead, it reflects the U.S. view that The Bahamas’ legal or enforcement framework does not yet meet the standard Washington expects.

That distinction matters.

The Attorney General’s Office now has the responsibility to lead the country’s legal response. That begins with determining precisely what concerns the U.S. Trade Representative identified, reviewing whether Bahamian law adequately addresses those concerns and, where necessary, recommending legislative or regulatory changes. If deficiencies exist, legal amendments and stronger enforcement could help position The Bahamas for removal from the tariff list.

The government may also seek formal discussions with U.S. officials while those reforms are undertaken, outlining a clear timetable for compliance and demonstrating that the country is committed to meeting international labour standards.

A Nassau Guardian front-page report on July 24 drew attention to the tariff action, prompting broader questions about why The Bahamas was included among the 60 economies affected by the U.S. trade measure and what steps are now needed to restore full confidence in the country’s trade framework.

For many Bahamians, the immediate concern will be the fisheries sector, one of the country’s largest export industries. Commercial shipments of lobster, conch, fish, crawfish and other products entering the United States could become more expensive because of the additional tariff, potentially affecting exporters’ competitiveness.

The broader lesson is that international trade increasingly depends not only on quality products, but also on strong business relationships and confidence in the legal systems that govern them.

For The Bahamas, this is less a finding of wrongdoing than a reminder that international credibility is earned through modern laws, effective enforcement and trusted partnerships. The challenge now is for the Attorney General’s Office to lead a swift legal review, identify any deficiencies and chart a clear path toward compliance so Bahamian exporters are not burdened any longer than necessary.

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What 45 Shell Casings and New Murder Charges May Mean for Three Officers in the Azario Major Case  

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By Deandrea Hamilton | Editor

NASSAU, Bahamas (July 16, 2026) — The allegation is as shocking as it is consequential. Prosecutors now contend Azario Major was struck by additional gunfire after he was already dead.  That conclusion has prompted the Director of Public Prosecutions to upgrade the case against three police officers from manslaughter to murder ahead of a judge-only trial.

According to court filings and the DPP’s review of the forensic evidence, prosecutors allege that additional rounds entered Major’s body after death, a finding they say fundamentally changed their assessment of the case and justified the more serious charge of murder.

Investigators recovered 45 spent shell casings at the scene of the Boxing Day 2021 fatal shooting of Azario Major, a striking piece of forensic evidence that has remained central to the case from its earliest days.

Major, 31, was fatally shot by police outside Woody’s Bar on Fire Trail Road on December 26, 2021. While police initially maintained the shooting was justified, the circumstances surrounding the incident were heavily scrutinized during a Coroner’s Court inquest, where jurors ultimately returned a verdict of homicide by manslaughter.

The officers later challenged that finding, but the Supreme Court upheld the Coroner’s Court ruling, paving the way for criminal proceedings. They were subsequently arraigned on manslaughter charges and pleaded not guilty.

The DPP’s decision to elevate the charges to murder significantly raises the legal stakes. Unlike manslaughter, which does not necessarily require proof of an intent to kill, a murder conviction requires prosecutors to establish the legal elements of the more serious offence beyond a reasonable doubt. The prosecution’s case is now expected to focus heavily on forensic evidence, ballistic analysis and the sequence of gunfire during the fatal encounter.

The case is also notable because it will proceed without a jury. Barring further delays, the trial is expected to open on September 14 before Justice Guillimina Archer-Minns in a judge-alone trial, where a single judge—not a jury—will decide the fate of the three accused officers.

The proceedings will determine not only whether the three officers are guilty or innocent of murder, but whether prosecutors’ extraordinary allegation—that Azario Major was struck by additional gunfire after he was already dead—can be proven in court.

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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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