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TCI: Common Cancer Questions

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#TurksandCaicos, February 6, 2018 – Providenciales – In observance of World Cancer Day marked on February 4, 2018, Oncology Specialist Nurse at Turks and Caicos Islands Hospital, Gemma Williams-Watson answered some common cancer questions.  For educational purposes, these questions and answers are simplified below.

  1. What is cancer?

Cancer is when cells in the body divide and grow in an uncontrolled manner. These cells then form lumps or tumors. Cancer can spread to other areas of the body and therefore early detection and treatment is essential to cure.

  1. What causes cancer?

We can’t say what causes cancer but we do know many risk factors or lifestyle choices that can increase your risk of getting cancer. By minimizing or eliminating these factors you can then decrease your risk.

For instance, we know smoking, lack of exercise and obesity, and a poor diet are all risk factors for cancer. We also know that if you have a strong family history of cancer it can increase your own risk. This is a risk that is uncontrollable so it is even more important to make a conscious effort to decrease your risks and attend regular screening.

  1. How is cancer diagnosed?

Different cancers are diagnosed in different ways, and therefore a range of screening techniques are recommended. Screening is designed to detect cancer at its earliest stage, and then further testing is done to understand the individual’s cancer in more detail.

Screening methods include mammograms, colonoscopies, pap smears and certain blood tests.

If a tumor is identified following a screening then further tests must be performed such as a tissue biopsy and scan to give the doctor additional information.

  1. How is cancer treated?

Treatment is specific to the type of cancer and the individual patient. Modes of treatment include surgery, chemotherapy, hormone therapy and radiotherapy, but not all patients will require all of these treatments.  The treatment plan is based on the individual patient and their clinical picture.  For example, how well the patient is and if he/she has any other health problems.  This information is reviewed along with lab reports and scans etc.  Treatment is tailored to an individual. This is why not all breast cancer patients will receive exactly the same treatment.  There are many different types of breast cancer and each requires a specific treatment plan.

Doctors around the world in the field of Oncology follow international treatment guidelines.  These guidelines direct the treatment plan; identify a particular type of surgery or specific drug regimen.  The treatment is not solely chosen by the doctor, the decision is directed by these international treatment guidelines.

Cancer treatment is now becoming more personalized due to gene and hormone profile testing, whereas before it was almost ‘one size fits all’. In some cancers these tests can help to identify exactly which drugs will help a particular patient’s type of cancer.

When a treatment decision is being made, many pieces of information must be assessed to build a clinical picture of the patient.

For instance, the scan report, lab report, blood tests and hormone receptors plus the patient’s medical history, current health status and personal preferences are all taken into account.  This clinical picture is then compared to the guidelines and a particular treatment plan is decided specific to the patient.

Some of these examples include: every breast cancer patient do not require a mastectomy; every breast cancer patient do not require radiotherapy; Some breast cancer patients will require hormone therapy after they have completed chemotherapy, and some patients will not require any hormone therapy.  It is very specific to the individual, which is why patients should not compare themselves to other patients, even if they appear to have the same diagnosis.

  1. What are the different types of Cancer?

There are more than 100 types of cancer, but some are more common than others. The most common cancers seen in the Turks and Caicos are breast, prostate and colorectal.

  1. Which type of cancer is most severe?

The majority of cancers, if detected in the early stages, can be treated effectively and are potentially curative.  Cancer that is diagnosed in an advanced stage, meaning when it has spread to other organs or parts of the body, makes cure less likely and sometimes not possible at all.  In these cases the focus of treatment then shifts from cure to controlling the spread of cancer and increasing a patient’s quality of life.  To say one cancer is worse than another is not really possible. All cancers are serious conditions and must be treated quickly to get the best results.

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  1. Can injuries cause cancer? 

No, there is no evidence to show that previous injuries can be a direct cause of cancer.

  1. Can stress cause cancer?

What we do know is that chronic stress or high levels of stress maintained for long periods of time can have an impact on your immune system.  For example, you may feel more exhausted and be more susceptible to coughs and colds.  We also know that high levels of stress can cause an imbalance in the body’s naturally produced hormones and that some cancers are hormone driven, so this means there is a possible link between the two, but we can’t state that stress directly causes cancer.

  1. What are the risk factors for cancer?

Some risk factors include smoking, high alcohol intake, lack of exercise and obesity, and poor diet.  These risks can be managed and decreased by sensible life choices. Making the right choice and making a concerted effort to ‘live well’ is incredibly important for your own well-being.  Also, if you have a strong family history of cancer this can increase your own risk so regular screening and self checks are extremely important.

  1. Is cancer contagious?

No, cancer is not contagious. Cancer is formed due to a malfunction in cell growth; it is not passed on via bodily fluids or touch.

  1. Can cancer be prevented?

We’ve spoken about the risks and how to minimize your own cancer risk but unfortunately we are unable to completely prevent it which is why screening and early detection is so important.

  1. What are the side effects of cancer treatment?

There are different modes of treatment and each of these have their own possible side effects.  Chemotherapy alone has many different potential side effects but not all chemotherapies have the same ones. For instance, not all chemo drugs result in hair loss.  Radiotherapy, depending on where the patient’s cancer is located, will result in different side effects because the rays are being aimed at different parts of the body.  Before a patient begins any form of treatment, the side effects are discussed so they are able to make an informed decision about commencing treatment.

  1. Are the symptoms of cancer treatment severe?

All types of treatment have side effects so it is important that the advantages are weighed against the disadvantages before commencing any sort of treatment. It is also important to say that not all patients respond in the same way.  For instance, 100 patients with breast cancer could be given the same drug, but each patient will report a different side effect profile.  This is because we are all individuals and therefore, patients are all different in how they cope with different situations. Some patients do find the side effects difficult to deal with and when that happens we discuss all possible options available.

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  1. What happens when cancer goes into remission?

Complete remission means there is no sign of the cancer on physical examination, on a scan or in any other test. Some doctors may use the phrase ‘no evidence of disease’.  It is also important to say that remission and cure is not the same thing.

If the cancer is in remission it does not mean the cancer is cured. If the cancer does come back it is usually within 5 years of the original diagnosis.  After that 5 year period, if there is still no sign that the cancer has returned, some doctors may say that the patient is then cured.

  1. Can cancer be cured?

Yes, many cancers can be cured if they are diagnosed early.  This is why regular screening is so important.  When cancer spreads to other areas of the body it makes it very difficult and often impossible to cure.  If people attend screening regularly, tumors can be identified early – this gives the patient the best chance for a positive outcome.

  1. Is there a concern for cancer diagnosis in the TCI?

The hospital cancer registry collates data on all patients diagnosed by or referred to the hospital.  The trends formed by the data can then help plan care for the future.  From this data we found that in 2015 there was a large increase in the number of cancer diagnoses, but since then the annual number of cases diagnosed at the hospital have decreased.  In 2016, there was a drop in annual numbers compared to 2015, and again in 2017, there was a decline in the annual number of cases diagnosed compared to 2016.

The number of patients diagnosed with cancer feels high because it is such a small community and for many people these patients may be friends or even relatives so it is understandable that it feels very personal and close to home.

Cancer is certainly in the forefront of everyone’s mind which is good. Cancer is an extremely important disease to be actively aware of as it is increasing globally and we should be making a conscious effort to live healthy and get screening when recommended.

  1. Has there been a large number of deaths in the TCI due to cancer?

As we know, a number of patients passed away in 2017 that had been diagnosed with cancer and as a result of this, it was important to review the data about these patients.  Upon reviewing the data, some really important related factors were highlighted.

Some of the patients that passed away succumbed to other health issues rather than the cancer. So although the patients did have cancer, that is not why they passed away.

Some patients even at diagnosis have advanced cancer so cure becomes almost impossible.  In this group of patients, our aim is to ensure they feel as well possible for as long as possible.  We aim to minimize symptoms such as pain or nausea and continue to care for them based on their personal preferences and individual needs.

Another key point to make is that cancer cells are very clever and often stop responding to cancer treatment especially if the patient has an aggressive cancer or they have had a lot of previous cancer treatment.  Medical science is providing us with new treatment possibilities every day through research and drug trials, but unfortunately even medical science cannot always offer the cure or answer we would hope for.

We are very lucky in the Turks and Caicos because we have virtually unlimited access to medications whether it’s chemotherapy or supportive treatments.  This allows us to offer multiple treatments if these are what the patient require.  Some patients do decline treatment due to personal beliefs or concerns; some make a decision between the family that acute medical treatment is not what suits them or their wishes.  In these cases, we continue support the patient and offer other forms of assistance and care wherever we can.

Release: interHealth Canada

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Beaches Turks and Caicos Showcases and Supports Local Creativity

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September 12, 2025                                                                                

 

PROVIDENCIALES, Turks & Caicos Islands – The Turks and Caicos Islands are home to a wealth of creativity, from artisans and craft vendors to musicians and performers. Beaches Turks and Caicos, the Caribbean’s leading all-inclusive family resort, has pledged its continued support for these individuals by providing meaningful platforms for them to share their skills and stories with guests from around the world.

The resort’s commitment is most evident in its weekly Cultural Night showcase, where visitors are immersed in the vibrant traditions of the islands. Guests enjoy live performances which feature local music genres such as ripsaw, while artisans display and sell handmade creations. This event not only enriches the guest experience but also strengthens economic opportunities for local entrepreneurs.

Entertainment Division Manager Garett Bailey emphasized the significance of Cultural Night, “we want to showcase everything the Turks and Caicos Islands culture has to offer. Our goal is for guests to leave with a deeper appreciation of the island’s art, music and traditions, while giving local talent the opportunity to share their creativity with visitors from across the globe.”

Beyond Cultural Night, Beaches Turks and Caicos also welcomes local craft vendors onto the resort every Wednesday and Friday where they are offered a direct space to market their goods. Guests have easy access to the Turks and Caicos Cultural Marketplace, where they can purchase authentic local arts and crafts.

Managing Director, James McAnally, highlighted how these initiatives reflect the resort’s broader mission, “we are committed to celebrating and sharing the vibrant culture of these islands with our guests. By showcasing local artistry and music, we not only provide entertainment but also help sustain and grow the creative industries of the Turks and Caicos Islands. From our cultural showcases to nightly live music, we are proud to create authentic connections between our guests and the people of these islands.”

Local musician Keon Hall, who frequently performs at the resort, expressed gratitude for the ongoing partnership, “being able to share my music with Beaches’ guests has created lasting relationships. Some visitors return year after year and request songs from previous performances. This partnership continues to celebrate what we do and strengthens the bond between local artists and the resort.”

The resort’s support of local artisans and entertainers extends beyond business opportunity; it is about preserving heritage and sharing stories. Guests take home more than souvenirs; they leave with experiences that deepen their understanding of Turks and Caicos’ culture and history.

Public Relations Manager, Orville Morgan, noted the importance of this commitment, “for many visitors, these interactions represent their first genuine connection to the Turks and Caicos Islands. From artisans and musicians to farmers and transport operators, our local talent helps shape every guest experience. At Beaches, we are proud to give them the stage to share their stories and their heritage.”

Beaches Turks & Caicos remains dedicated to developing cultural connections and supporting the artisans, musicians and entrepreneurs whose creativity makes the Turks and Caicos Islands unique. Each guest experience is an opportunity to celebrate and sustain the spirit of the islands.

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Caribbean News

“Barbecue” is Cooked! US Turns Over 11 Million Haitians into Potential Informants with $5 Million Bounty

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August 12, 2025

The United States just set fire to the underworld in Haiti — and this time, the smoke might finally flush out the man many call the most feared in the Caribbean.

On Tuesday, the U.S. government slapped a $5 million bounty on the head of Jimmy “Barbecue” Chérizier, the ex-police officer turned gang boss accused of orchestrating massacres, torching neighborhoods, and strangling Haiti’s capital into chaos. This isn’t just a headline — it’s a full-blown game-changer.

That kind of cash — offered under the State Department’s Transnational Organized Crime Rewards Program — is enough to turn the country’s entire population, more than 11 million people, into potential informants overnight. Add the millions in the Haitian diaspora, and Chérizier isn’t just wanted. He’s surrounded.

The Number That Changes Everything

Five million U.S. dollars today equals about 655 million Haitian Gourdes. In a country where many scrape by on less than $5 a day, that’s not just life-changing — it’s life-defining. It’s enough to rebuild homes, put generations through school, or buy a one-way ticket far from the gunfire.

In a place where trust is scarce and survival is everything, that figure is more than tempting — it’s irresistible. For Chérizier, it means every friend could be a future informant, and every loyalist might be calculating the cost of staying loyal.

‘We Will Find Them’ — Jeanine Pirro, U.S. Attorney

Jeanine “Judge Jeanine” Pirro, the U.S. Attorney, set the tone with fire in her voice.                                                                                                                                          “This indictment is the first of its kind,” she announced. “Jimmy Chérizier, also known as ‘Barbecue,’ is a notorious gang leader from Haiti who has orchestrated and committed various acts of violence against Haitians, including the 2018 La Saline attack in which approximately 71 people were killed. He both planned and participated in that massacre.

“Anyone who is giving money to ‘Barbecue’ cannot say, ‘I didn’t know.’ They will be prosecuted, and we will find them. They are supporting an individual who is committing human rights abuses, and we will not look the other way.”

Pirro wasn’t just going after Chérizier. She was sending a warning to the Haitian diaspora accused of feeding his war chest from abroad: the days of claiming ignorance are over.

‘No Safe Haven’ — Darren Cox, FBI

Then came Darren Cox, Deputy Assistant Director of the FBI, delivering the muscle of America’s most powerful investigative force.                                                                                                                                                                                                                “There is no safe haven for Chérizier and his network,” Cox declared. “We are closing every link, every cell.”                                                                                                                                                                                                                                                   Since January, he said, the FBI has arrested three Top Ten fugitives, taken more than 19,000 criminals off the streets, and seized thousands of tons of narcotics — enough to save millions of lives across the U.S.

The FBI’s Miami and Houston offices have already bagged one of Chérizier’s Viv Ansanm associates inside the United States without firing a shot. “These efforts are a deliberate and coordinated plan,” Cox said, “to protect our communities and confront escalating threats from terrorist organizations like Viv Ansanm.”

‘Three-Year Investigation’ — Ivan Arvelo, HSI

Ivan Arvelo, Assistant Director of Homeland Security Investigations, brought the receipts.                                                                                                                                                                                                                                                                    “This is the result of a three-year investigation into Chérizier’s procurement networks, cash pipelines, and operational financing that violates sanctions,” he explained.                                                                                                                                                     Arvelo described 400 structures destroyed, entire communities erased, and a gang exploiting U.S. dollars, technology, and immigration loopholes to keep its killing machine running. “We tracked how Americans unwittingly bankrolled brutality,” he said — proof that the net is tightening both inside Haiti and abroad.

‘The Worst of the Worst’ — Chris Lambert, State Department

Chris Lambert, representing the State Department’s International Affairs division, gave the political bottom line.

“Mass violence in Haiti must end,” Lambert said. “The instability resulting from Chérizier’s actions fuels illegal migration, regional instability, and transnational crime. We will continue to apply every tool available — including our rewards programs — to stop the spread of unchecked violence, especially to target the worst of the worst criminal leaders threatening the people of our hemisphere.”

Lambert confirmed what many have long known: Chérizier is not just a gang leader. He commands Viv Ansanm, officially designated in May as a Foreign Terrorist Organization. In the eyes of the U.S., that makes him not just Haiti’s problem — but everyone’s.

Why Haitians May Not Resist

In Haiti, money talks — loudly. And when you put 655 million Gourdes on the table, it shouts.

That’s the kind of figure that turns casual acquaintances into informants and makes even the most hardened loyalist wonder if the payout is worth more than the risk. It’s not a matter of “if” word gets out, it’s a matter of “who will be first to collect.”

For grieving families, it’s a chance at justice. For the desperate, it’s a chance at survival. For Haiti as a whole, it’s hope — wrapped in the most dangerous of temptations.

An Answer to Prayers

For years, Haiti’s headlines have been a scroll of horrors — kidnappings, executions, burned neighborhoods, bodies in the streets. Chérizier’s name has been attached to too many of them.

This move by the U.S. isn’t just strategy. It’s personal. It’s a signal to every Haitian — at home or abroad — that the days of impunity could be ending.

I’ll admit it: when I heard the news, I danced, I sang, and I nearly cried. Not because $5 million is a lot of money, but because of what it means — the possibility, at last, of stopping the man accused of helping turn Haiti into hell on earth.

Four officials, four angles, one mission: Pirro’s fire, Cox’s grit, Arvelo’s precision, Lambert’s conviction. Together, they’ve put the heat on “Barbecue” like never before.

BBQ is cooked. The only question now is: which one of over 11 million potential informants will serve him up?

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Africa

What If Caribbean Dollars Flowed to Africa? A Trade Revolution Within Reach

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By Deandrea Hamilton | Editor

 

What would happen if the Caribbean started spending more with Africa?

That question is no longer hypothetical. It’s the vision behind a growing movement that sees the Caribbean not just as a neighbor of the Americas, but as a key partner in the rise of a “Global Africa.” With shared history, deep cultural ties, and emerging trade frameworks, experts say the potential is enormous—if the will to act finally matches the passion of the speeches.

Billions on the Table

Today, trade between Africa and the Caribbean sits at just over US $729 million annually. But the International Trade Centre (ITC) and Afreximbank project that number could balloon to US $1.8 billion per year by 2028—more than doubling in just a few years.

This boost is expected to come not just from commodities, but increasingly from services, particularly in transport, travel, food exports, and creative industries. Two-thirds of that growth, according to analysts, could come from services alone—sectors where the Caribbean is eager to expand. (afreximbank.com).

Meanwhile, Africa’s consumer and business spending is forecasted to skyrocket to US $6.66 trillion by 2030, driven by a population boom and rising middle class.

The Case for a New Trade Axis

The Caribbean imports 80% of its food, but many of those goods can be sourced from African markets. What we offer in return? World-class logistics, tourism know-how, financial services, and proximity to the U.S. market. It’s a natural fit—one that is currently underdeveloped.

The recent call by Grenadian Prime Minister Dickon Mitchell for a “Global Africa Commission” underscores this urgency. He urged stakeholders at the Afreximbank Trade Expo to stop the cycle of empty talk and get to work: building shipping routes, finalizing trade agreements, and boosting knowledge of what each region actually has to offer.

“We will not leave here with another communiqué,” Mitchell continued. “We will leave here with a commitment to act, to build together, to trade together, to succeed together and rise together.”                                                                                                                                                                                                   The statement underscored a central theme of the summit — that both Africa and the Caribbean can no longer afford to admire the idea of unity; they must operationalize it.Pilot platforms like the Pan-African Payment and Settlement System (PAPSS) are already simplifying how cross-border payments work between African countries—and could extend to Caribbean partners. The system removes the need for U.S. dollars in trade between African nations, creating space for sovereign empowerment.

What’s the Hold-Up?

Let’s be blunt: political will, slow bureaucracies, and lack of coordination are stalling real action. Despite a decade of “Africa–Caribbean unity” talk, less than 3% of CARICOM trade currently involves the African continent. That fact continues to undermine these brave speeches and ambitious notions.

Where Caribbean Consumers Fit In

Caribbean consumers—especially the younger, tech-savvy generation—are already looking for affordable, ethical, and culturally relevant goods. African markets offer exactly that. Redirecting even a fraction of spending toward African-made clothing, beauty products, tech tools, or agro-processed foods could start a real trade revolution.

Bottom Line

If the political leaders won’t build the bridge fast enough, maybe Caribbean consumers will. The money is there. The interest is rising. Now it’s time to turn the “Global Africa” vision into a real economic shift—one shopping cart at a time.

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