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PDM Administration announces budget increase for primary health care, goal to reduce overseas medical bills

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Photo by Magnetic Media

#Providenciales, Turks and Caicos Islands – Thursday April 26, 2018 – The National Health Insurance Plan needs a phenomenal solution to heal its multi-million dollar shortages, and the PDM Administration says it intends to finance the plan it believes will deliver the health care system from its $4 million annual shortfall.

The plan, according to Government will be multi-pronged but will chiefly focus on reducing the expenditure of TAP or Treatment Abroad Program and secondary care at the TCI Hopsitals – combined the two categories account for 86 per cent of monies spent on health care.

Health Minister, Edwin Astwood said more money is coming, and its direction is shifting.

“My Government is prioritising the strengthening of primary health care through a number of initiatives, including an increase in budgetary provisions being made to recruit additional staff in this new financial year, which includes two additional medical officers, registered nurses and physiotherapists.” 

Already, explained the Minister on Monday, there are a greater number of services being offered at the InterHealth Canada managed, TCI Hospitals.  Still, government is aiming to make a significant dent in the 51% of revenue which is spent at the hospitals.

“A strong primary health care system is an essential component to any health care system and investment in this area has been lacking in the past.  However, my Government has seen it fit to prioritise primary health care once again in order to improve universal access to quality health care for all residents of the Turks and Caicos Islands,” said Hon. Astwood at the press conference held at the Office of the Premier in Provo.

Government talked about partnerships with healthy lifestyle centers in the country and announced a breakthrough for public health.

“…the operation of a mobile clinic, which will be the first time ever in the Turks and Caicos islands…” the Minister of Health, Human Services, Sports and Agriculture added, “…we are partnering with local, non-governmental organizations in order to educate the general public about healthy lifestyle practices, including the implementation of well balanced diets and regular exercise.” 

The initiatives are aimed at prevention and ensuring earlier detection of the lifestyle diseases which are not only claiming lives, but diminishing national productivity.

“It is hoped that with an emphasis on healthy lifestyles and prevention and control of non communicable diseases such as hypertension, diabetes, heart disease and cancer, we would realize a reduction in premature deaths and disabilities which may result from these conditions.”

The announcement of this more assertive action to shift the mindset of people to want to be healthier, subsequently making the nation, wealthier due to a reduction in medical costs, was delivered by Minister Edwin Astwood, who also explained another shift; where sports was added to his health portfolio.

“We look forward to a greater synergy in promoting physical activities at schools and throughout the country.  The school nutrition program has been approved in principle, by Cabinet, and is focused on health, nutrition and well being for our children.  In addition, the Department of Agriculture has been promoting its ‘Eat what you Grow and Grow what you Eat’ initiatives in our schools and communities…”

There is a review of the TAP, which absorbs 35% of medical costs paid by the National Health Insurance Plan and Government.  Minister Astwood said a submission is due for presentation at Cabinet in June 2018.  

“This will ensure that the provision for treatment that will fall outside the scope of the current National Health Insurance ordinance is reviewed as well as reviewing the mechanisms and procedures for clients requiring rehabilitation not available locally.”

The review will also consider higher cost clinical cases, the offer in the benefits package of the NHIP , the sustainability of the Treatment Abroad Program (TAP) and specialty treatment, especially for those struggling to lose weight.

Minister Edwin Astwood, who was joined by the Permanent Secretary for the ministry, Desiree Lewis said the results of the NHIP Actuarial Report, due to be completed in May will under gird the findings in the TAP Review.

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Education

Education Minister announces Platinum Partnerships for internet and tablet program amidst COVID surge

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By Shaniek Smith

Staff Writer

 

#TurksandCaicos, January 15, 2022 – Schools did not resume in person learning in the Turks and Caicos on January 4, instead it was back to virtual classes for 7,400 children in the British overseas territory due to an omicron-driven surge in Covid-19 infections.

It was announced on the New Year’s Day holiday for TCI, January 3 in a press conference hosted by Rachel Taylor, the Minister of Education, and attended by Jamell Robinson, Minister of Health and supported by Premier Washington Misick, who was also at the live event.

In a promised update, parents got the not-so-good-news, virtual classes would resume at least until the end of January due to the surge and staff shortages being experienced.  Turks and Caicos, up to Thursday January 14 had over 800 active cases, five new deaths and a 600 per cent increase in hospitalisations.  The Minister said the decision was in the interest of safety.

The Minister also promised to get devices and internet to students in order for them to participate in learning during this virtual-only season.  The press conference on January 13, welcomed partners Flow, Digicel and the Pine Cay Project.

In her address, chair of the Pine Cay Project, Marie Landel, said that an urgent call from Dr. Carlton Mills, a member of their board of trustees revealed that about 750 students would be without internet connection and devices.

The Pine Cay Project responded to that information and has agreed to pay for internet for 30 days students, with its partner in the initiative, DigicelTCI.  It is an $18,000 investment in education continuity for hundreds of children.

“We had strong discussions on what we should do with the money that we collect every year, so yesterday we agreed to the funding in emergency situation of 300 internet connections and devices that are going to help the students in need, and we’re very proud to be able to act quickly,” Landel expressed.

Additionally, the Marketing Manager at Digicel TCI, Mr Drexler Smith, said Digicel has partnered with the Ministry of Education to provide about 1,000 tablets for public schools. Smith added that 75 MiFi devices valued at 7,000 dollars were provided; they come with free data services for up to three months for students in need.

Digicel has also created a special education plan for e-learning with specific zero-rated sites and applications. The company partnered with Pine Cay and other private entities in this regard. Various schools and educational facilities in South Caicos, Five Cays, and Providenciales have benefitted from laptops, data plans, MiFi’s, and e-learning kits.

Marketing Executive Flow TCI, Darron Hilaire, also shared the contributions Flow made to the education sector since the pandemic.

“Within the last three years, Flow TCI, through our charitable foundation, would have donated $130,000 worth of ICT equipment to 2 schools respectively in Grand Turk and in Providenciales for the outfitting of the new computer labs to help facilitate the ministry’s vision to foster an efficient e-learning environment for students,” he said.

Mr. Hilaire added that within the first year of the pandemic, Flow responded to requests from the Ministry to increase the bandwidth to public schools in the TCI. Hilaire said Flow home internet speed doubles automatically at no cost to its customers in early July.

He said that within the last 60 days, Flow TCI announced a recent donation of $25,000 dollars to two schools in North Caicos and one in Providenciales. The donation was in aid of increasing connectivity and infrastructural upgrades.

“As we come to the end of this phase of the project, our objective is to look at doing the same for other schools in the second phase of the projects to further arm our schools with the access to technology to provide the best quality education to students,” Hilaire added.

Amanyara Resort, not present at the press event, was said to be working on additional laptops for hundreds of children despite having already donated to several schools in Providenciales.

Minister Rachel Taylor and her team, including Eugene Grant, ICT Education Officer at the Ministry of Education and Mark Garland, Deputy Director of Education thanked the donors; they were labelled Platinum Partners by the Minister.

 

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Health

Government apologizes to Churches for NEW Covid-19 Testing rule

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#TurksandCaicos, January 15, 2022 – The TCI Government is apologizing for including the Church in a new raft of restrictions which mandates unvaccinated congregants be tested in order to be allowed to attend church events however, there is no change in the rule.  The rule is now delayed start for another two weeks following an announcement issued by the Ministry of Health on Thursday evening.

The apology came from Premier Washington Misick in a statement late Wednesday, where he apologized for bunching the church in with restaurants, lounges, bars and discotheques which also have to follow the regulation.

Church pastors speaking with Magnetic Media expressed shock at the announcement which was revealed, on Tuesday, as a cabinet approved decision which also includes mandatory testing for the unvaccinated to attend funerals.

While there has been no official statement from the Turks and Caicos Islands Christian Council or the Pastors Fraternity it was clear that some of the church community seemed prepared to stand firmly against the measure.

The Premier has promised that there will be consultation going forward; beckoning to Churches to comply with the temporary rule which he said would help to curb the latest surge of COVID-19 cases.

 

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Health

Cruising & Caring for Health and Wealth

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By Dana Malcolm

Staff Writer

 

#TurksandCaicos, January 15, 2022 – As the cruising industry in Grand Turk continues to get back into full swing with an anticipated four cruises or more per week, Turks and Caicos Islanders who work in the industry will again be interacting with thousands of foreign nationals on a weekly basis.

Normally this would be a cause for celebration and it is, but with the world in the throes of the COVID-19 pandemic and especially in light of the newest variant, the rules have changed.

As researchers find more information in regards to Omicron it is becoming increasingly clear that while the variant may be slightly milder than others its transmissibility is a major treat to populations, economies and health systems everywhere.

The following are tips that will help balance TCI tourism workers’ income and their safety, or as government often puts it, “lives and livelihoods”.

 

Prior Preparation.

Masks have become a part of life since the beginning of the pandemic, some wear them for safety, others because they are mandated. Nearly all of us have experienced that ‘oh no’ moment when we realize we’ve left our mask behind, it’s a funny anecdote to represent our new normal in theory.

In reality it can be dangerous, life threatening even, to be without protective measures especially for vendors who interact with international visitors all day long.

This means prior preparation is key. Outfit your stall with masks and the recommended cleaning agents, have extras on hand so you never get caught without. If possible put the required distance between your own stall and your neighbors. If possible create dividers for yourself and tourists that will allow you to interact safely. Place reminders in the form of signs around your stall so guests are not tempted to flout safety measures.

 

In the Moment

Cruise days can be hectic, there are so many people and so little time but as you rush to make your sales or braid hair it is important to keep safety protocols in mind.

Always maintain social distancing between yourself and guests, this is especially important in high volume situations like this as guests can be asymptomatic.

If you operate a business that will not allow you to do so e.g. hair braiding, keep your mask on at all times and insist that your guests do so as well.

Limit the amount of guests allowed in your space at once.

Establish rigorous and frequent cleaning protocols, as guests move around in their excitement they may forget to sanitize. Clean surfaces regularly with the recommended products to prevent lingering traces of anything dangerous.

 

Aftercare

When guests have departed and it’s time to close up shop don’t skip any steps that could undo a successful day of safe practices.

Wash your money, it may seem strange but bills are made from durable paper that is not susceptible to tearing or water-wear. Washing your bills and coins gently will not hurt them but will protect you from any lingering viruses. Clean regularly touched areas and items. Get tested regularly, that way if you do get infected you will be in the know early. If you feel ill, immediately self-isolate and test to confirm if you have COVID or not. Deep clean your stall regularly, disinfecting as many areas as you can.

Covid-19 has forced us into a new normal but Turks and Caicos Islanders are resilient, it is possible to balance safety and profit, remember to wash your hands and obey all the protocols so the TCI can come out of this Pandemic with as little losses as possible.

 

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