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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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Bahama Brass Band Invitation Sparks Heritage Debate Ahead of TCI Constitutional Holiday

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Turks and Caicos, August 20, 2026 – The planned participation of the Bahama Brass Band in the Turks and Caicos Islands’ inaugural Constitutional Holiday celebrations on August 30 has sparked public debate over culture, heritage and the historical contributions of Turks and Caicos Islanders abroad.

Organizers defended the invitation, saying the band’s inclusion is intended to highlight the deep historical ties between the two countries and honor Turks and Caicos men who helped establish and develop the institution in Grand Bahama.

According to the organizers, the Bahama Brass Band began in 1955 in Pine Ridge, Freeport, with Turks and Caicos Islanders, including the late Deacon Reuben Hall Sr. of Middle Caicos and Jenkins Williams and Mervin Hendfield of North Caicos, among those who helped build its foundation. The band eventually grew to more than 50 men.

The organizers also pointed to the participation of Turks and Caicos men in The Bahamas’ Independence celebrations on July 10, 1973, arguing that their contributions became part of Bahamian history while maintaining strong connections to their homeland.

Supporters say bringing the band home represents an opportunity to honor those pioneers, showcase their regional influence and expose younger generations to an important part of Turks and Caicos history.

However, concerns raised publicly described the invitation as potentially disrespectful to local culture and heritage. Organizers acknowledged those concerns, apologizing to anyone who felt overlooked or offended, while maintaining that no disrespect was intended.

The committee said the event should ultimately unite rather than divide, presenting the band’s history as evidence of the reach and resilience of Turks and Caicos heritage.

PHOTO CREDIT: Bahamas Brass Band

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CBC Supports Opportunities for Young Bahamian Basketball Players

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NASSAU, Bahamas — Caribbean Bottling Company (CBC), local producers of Dasani products, proudly sponsored the fifth annual, Caribbean Hoopfest.

The tournament brings together Bahamian high school basketball teams and visiting teams from the United States for a competitive showcase at the Kendal G. L. Isaacs Gymnasium.  Following its inaugural year at the Kendal G. L. Isaacs gym and last year’s event at Loyola Hall, the tournament returned to the Kendal G. L. Isaacs gym this year.

During the weekend tournament, CBC kept athletes well hydrated with in-kind donations of Dasani Water, Powerade and Minute Maid Juices.

During the tournament’s final day, CBC provided additional support by offering Sprite No Sugar samples and inviting attendees to participate in its Spin the Wheel for a chance to win exciting prizes.

CBC was proud to support this incredible event, which provides young Bahamian athletes with valuable exposure to U.S. basketball scouts and coaches. This opportunity gives them the chance to earn scholarships, continue their education, and pursue their basketball careers in the United States.

Event organizer, Donald Francois shared his appreciation for CBC’s support.

“I want to express our sincere appreciation for Caribbean Bottling Company, who has been a tremendous supporter and an important part of the success of our program. Without CBC’s support, Caribbean Hoop Fest would not be able to function at the level it does today. And without Caribbean Hoop Fest, we would not have been able to provide the opportunities that have helped young Bahamian athletes gain exposure and pursue educational opportunities in the United States,” he expressed.

Since the program’s inception, several Bahamian student-athletes have been selected for scholarship opportunities, highlighting the tournament’s growing impact on the development and advancement of young basketball talent in The Bahamas.

They are: Kelvin McDowells – Guard, Wodson Antoine – Power Forward, Justin Lafleur – Guard and Sean John – Guard.

After another successful edition of the tournament, Francois shared what he hopes he and Caribbean Bottling Company can achieve in the future.

“Our vision is bigger than basketball. We want to use the platform of Caribbean Hoop Fest to educate, develop, and create opportunities for young people and their families throughout the Bahamas. With individuals and organizations committed to our mission, we believe we can continue to grow the program and make an even greater impact,” Francois said.

For more details on community support, events and new products visit Caribbean Bottling Company at www.cbcbahamas.com today.

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More Bahamians Accessing HIV, STI Care Through NHI

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NASSAU, Bahamas — More Bahamians are accessing HIV and sexually transmitted infection-related healthcare through National Health Insurance, a trend the NHI Authority says should be viewed positively.

NHIA stressed in an August 6 statement that its 2025 figures measure healthcare utilisation, not newly diagnosed infections. They include beneficiaries screened, treated, monitored or receiving follow-up care, including people diagnosed previously.

“Increased utilisation of these services should be viewed as a positive development,” NHIA said.

The Authority pointed to “greater enrolment and use of NHI, improved access to screening and testing, continued treatment and monitoring of existing conditions, and increased willingness to seek medical care.”

The development comes amid a mixed three-year HIV picture. New diagnoses rose from 130 in 2023 to 156 in 2024, before declining to 142 in 2025.

NHIA said increased utilisation demonstrates that more beneficiaries are accessing needed healthcare and actively managing their health, reinforcing the importance of screening, early diagnosis and continued treatment.

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