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Diabetes Mellitus Fifth Leading Cause of Death in The Bahamas

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#Nassau, November 20, 2018 – Bahamas – Minister of Health, Dr. the Hon. Duane Sands said Diabetes mellitus is a devastating and costly chronic, non-communicable disease, which is now the fifth leading cause of death in The Bahamas.

“We have seen the prevalence of diabetes increase from 6.7 per cent to 9.2 per cent in 2005 now to epidemic proportions of 13.6 per cent in 2017,” Dr. Sands said at the Bahamas Podiatric Medical Association 2018 Conference, ‘New Hope for Diabetic Feet,’ at The University of The Bahamas, Friday, November 16, 2018.

He added that in The Bahamas, 37.9 deaths per 100,000 persons are due to diabetes.

The Health Minister said foot complications are the source of major patient suffering, high emotion and financial costs to the individual and healthcare system.  He said the frequency and severity of foot problems vary from region to region, largely because of difference in socio-economic conditions, type of footwear, and standards of foot care.  Foot ulcers are the most prevalent problem, with a yearly incidence of around two – four per cent and a lifetime incidence between 15 and 25 per cent.

Dr. Sands explained that the most important factors underlying the development of foot ulcers are peripheral sensory neuropathy, foot deformities related to motor neuropathy, minor foot trauma, and peripheral artery disease.

“Once the skin is ulcerated, it is susceptible to becoming infected, an urgent medical problem that can result in amputation or even death.  Only two thirds of foot ulcers eventually heal, and up to 40 per cent can recur and 28 per cent may result in some forms of lower extremity amputation.”

He noted that every year, more than one million people with diabetes lose at least a part of their leg, translating to a lower limb being lost to diabetes, every 20 seconds somewhere in the world.

The Health Minister said the five-year death rate following a diabetic foot ulcer or amputation is 50 per cent and higher than in persons with prostate cancer and breast cancer.  Prevention of foot ulcers is of paramount importance and has long been recognized as a priority.

He explained that a large number of diabetics are experiencing lower extremity complications therefore the practice of podiatry medicine should be intertwined with their care.

“A multidisciplinary team approach is most effective in providing care and encouraging compliance and reinforcement of foot care practices by all specialties in the diabetes care team.  It has been shown that establishing multidisciplinary foot care teams are associated with a drop in the number of diabetes related to lower extremity amputations.”

Dr. Sands added that podiatric medical care is a vital and increasingly valued addition to this multidisciplinary team.

He said the American Diabetes Association’s position statement of Prevention Foot Care in People with Diabetes, recommends that all persons with diabetes receive at least one foot examination annually.  The Health Minister said the Department of Public Health, Diabetes Management Protocol also mandates that every diabetic receive at least an annual comprehensive lower extremity examination.

 

By Llonella Gilbert

Photo Caption: Minister of Health, Dr. the Hon. Duane Sands presents on the incidence of diabetes and its effects, November 16, 2018 at University of The Bahamas.  

 

(BIS Photo/Patrick Hanna)

 

 

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Bahamas News

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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Bahamas’ Ghana Teacher Plan Draws Fire as Both Nations Face Shortages

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By Deandrea Hamilton | Editor

NASSAU, Bahamas (July 14, 2026) — The Bahamas Government says it needs the 300 teachers being sourced from Ghana to help close a critical staffing gap, even as criticism mounts over unresolved employment matters reportedly affecting approximately 2,000 Bahamas Union of Teachers members and as Ghana itself struggles with a massive shortage in the profession.

Deputy Prime Minister and Minister of Education, Science and Technology Chester Cooper said the shortage has been worsened by retirements, expiring contracts and the expansion of specialized subjects, including special education, technology, financial literacy, digital literacy and entrepreneurship.

Cooper said the Government has established a multi-agency task force and is attempting to attract recently retired teachers, new graduates and educators who previously left the profession.

“In keeping with government policy, Bahamians will be given first priority to fill all vacancies,” Cooper said.

However, the optics surrounding the decision are sketchy at best, with the BUT pressing the Government to settle long-standing matters affecting its members while Ghana grapples with a teacher shortage estimated at no fewer than 50,000 educators.

Ghana’s Minister of Education, Haruna Iddrisu, recently disclosed that the country needs between 50,000 and 90,000 additional teachers to adequately staff its schools.

UNICEF’s 2026 Teachers for All: Ghana report confirms that Ghana is not only experiencing an overall teacher shortage but also serious inequalities in how available teachers are distributed. It found that rural and underserved schools are particularly affected, while Ghana’s primary teacher workforce fell by more than 25 percent—from 131,094 in 2019–2020 to 93,818 in 2022–2023—as student enrolment increased.

The report stated:

“Not only is there a teacher shortage in Ghana, but inefficiencies also exist in the current distribution of available teachers.”

That finding raises questions about why a country with such a significant domestic deficit is prepared to facilitate the overseas recruitment of hundreds of educators.

Meanwhile, BUT President Belinda Wilson has argued that the Bahamian Government has substantial unfinished business with the teachers already serving in the public system.

According to Wilson, approximately 2,000 educators are awaiting the conclusion of salary negotiations, while hundreds reportedly have unresolved matters involving confirmations, salary reassessments, promotions, rental allowances, examination marking fees, disturbance allowances, hardship payments and coaching allowances.

The union has also complained that it was not properly consulted before the proposed recruitment became public and has demanded details about the qualifications, subjects, deployment locations and employment conditions being considered for the Ghanaian teachers.

The debate is also unfolding as the University of The Bahamas has produced approximately 219 education graduates over the past three years—76 in 2024, more than 60 in 2025 and 73 in 2026.

Cooper maintains that overseas recruitment is intended only to fill positions that cannot immediately be occupied by qualified Bahamians.

“For decades, we have benefitted from strategic international recruitment of educators from partner nations,” he said. “We emphasize that such recruitment is intended only to address vacancies that cannot be immediately filled by qualified Bahamians.”

Still, the questions remain: why are outstanding matters affecting thousands of Bahamian teachers unresolved, and why is The Bahamas sourcing educators from a country that acknowledges it is tens of thousands of teachers short itself?

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