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Overview of Diagnostic Imaging Services Post 2017 Hurricanes

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#Providenciales, February 7, 2019 – Turks and Caicos – Similar to other major service providers across the country, InterHealth Canada – Turks and Caicos Islands Hospital received significant damages during the hurricanes in September 2017.  These included latent damages to the electrical circuitry of medical equipment that only became apparent over time.  The total cost of repairing the damages to the hospital’s infrastructure and medical equipment is estimated to be USD$16 million.

The majority of the equipment in the hospital is highly sophisticated and extremely sensitive.  The environment of CT, MRI and Mammography machines require tight control over temperature and humidity.  An independent review of the Diagnostic Imaging infrastructure at Cheshire Hall Medical Centre was conducted by XRCT Limited, a physics consulting company based in Ontario.

The report stated: “In the wake of the storms, the lack of air conditioning lead to ambient air temperature and humidity conditions within the facility that were outside of the manufacturer requirements.  This created a severely hazardous environment for electronic components.  In addition, the restoration of power to the island created multiple daily power outages, surges and brownouts.  All of these conditions, when combined have led to premature component failure, significant increase in downtime and potentially shortened the expected lifecycle of the diagnostic imaging equipment.”

 

INTERIM CORRECTIVE MEASURES

Biomedical Engineers employed at the facility assisted by overseas specialists worked assiduously to resolve any emerging technical issues.  To date, all diagnostic imaging machines are fully operational.  The intermittent downtime experienced in previous months with CT and Mammography machines were minimal.  The MRI machine was operational, but with limitations on the type of radiological scans that could be performed at the time.

“Despite the high temperatures and lack of humidity control present in the facility, the records show the hospital continued to make every effort to operate the equipment under these extreme conditions in the interest of providing vital and medically necessary patient care,” stated XRCT Consultants in an official report.  These efforts sought to ensure the continuity of high-quality care and to minimize the number of patients who require treatment abroad.  Patients were categorized based on clinical priority and the equipment up-times were maximized by increasing the volume of radiological scans performed per day.

 

THE MAINTENANCE PROCESS

CT, MRI and Mammography machines generate significant heat while in use and at rest.  Therefore, operating temperatures within these areas are closely monitored, checked and reviewed regularly to ensure temperature and humidity is within the guidelines established by the manufacturer.  Any changes in these precise specifications can create the risk of overheating and damage to internal components.  Monitoring the relative humidity of MRI rooms is also crucial to avoid the risk of moisture damage to very delicate electronic components such as electronic expansion boards, cables, and connectors.

XRCT Limited also performed an extensive review of the service records for the Diagnostic Imaging department and stated: “Over the months/years preceding the storms in 2017, the service history for all the equipment was excellent.  In fact, with the exception of a few random downtime events and planned maintenance, the uptime of all clinical systems was quite good, in excess of 99%.”  Based on these expert findings, the technical issues experienced over previous months were evidently not attributed to inefficiencies in the maintenance or management processes established by InterHealth Canada, but were connected to acts of nature, beyond human control.

 

THE COMMUNICATION PROCESS

InterHealth Canada has continued to abide by the terms of the Project Agreement and meet the extensive reporting and service standards detailed in the contract.  As partners in health care, InterHealth Canada is contractually mandated to submit monthly reports to the Turks and Caicos Islands Government (TCIG) related to over 48 clinical key performance indicators, including Diagnostic Imaging services.  These key performance indicators seek to demonstrate how effectively the management company is achieving pre-established targets. InterHealth Canada fully supports and complies with these accountability mechanisms.

The TCI Government via the Contract Management Unit has been kept informed, at all times, where services have required expansion or, where challenges such as the 2017 hurricanes have caused damage to equipment, resulting in some delays to services.  Representatives of TCI Government’s Contract Management Unit and Fortis TCI also conducted a physical inspection of the UPS and surge protectors in the Diagnostic Imaging Department.

    

THE LIFE CYCLE PROGRAM

Managing the lifecycle of medical equipment from planning to purchase, installation, operation all the way through decommissioning and disposal helps medical institutions improve operational efficiency, enhance quality and reduce service-related cost.

The purchase of capital equipment is covered under a life-cycle program, which is a reserve fund established under the contract between TCI Government and InterHealth Canada for equipment replacement.  The decision to purchase equipment involves several key considerations.  These include: Equipment Specifications and Suitability, Procurement and Logistics, Available Financial Resources, Prospects for Maintenance, Repair and Life expectancy.

InterHealth Canada has filed a short term and long-term recovery plan with TCI Government and are actively considering replacement possibilities for key modalities in diagnostic imaging. Negotiations are also underway with the insurance companies relative to the damages ensued.

 

Release: InterHealth Canada

 

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Durliat Delivers Bronze as TCI Swim Team Earns Hero’s Welcome

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PHOTOS COURTESY OF THE TCI SPORTS COMMISSION

 

Turks and Caicos, April 14, 2026 – The Turks and Caicos Islands is celebrating a proud moment in aquatics, led by standout swimmer Luc Durliat, who secured the country’s lone medal at the 2026 CARIFTA Aquatics Championships in Martinique.

Durliat captured bronze in the Boys 11–12 200m Butterfly, clocking an impressive 2:39.33 after advancing through multiple rounds, showcasing both endurance and composure in the pool. His performance stood out in a highly competitive field and signaled growing strength in the territory’s aquatics programme.

The Turks and Caicos Islands Swimming Federation praised the young athlete’s achievement, stating:

“Congratulations to Luc Durliat on winning bronze in the Boys 11–12 200m Butterfly at the CARIFTA Aquatics Championships 2026, proudly representing the Turks and Caicos Islands National Team. Your hard work, determination, and strong performance in the pool have made Turks and Caicos proud.”

Durliat’s medal came amid a broader showing of progress by Team TCI, with several swimmers delivering personal best performances throughout the competition. Among them were Isaac Farley, Anaiah Alleyne, Kian Jules, Ezekiel Martin and Rishith Gururaja, all of whom posted significant improvements, underscoring the team’s upward trajectory.

Minister of Education, Youth, Sports and Culture Rachel Marshall Taylor also commended the team’s efforts, highlighting Durliat’s resilience and the wider gains in the sport.

“In the pool, Luc Durliat showcased resilience and competitive spirit, earning a bronze medal in the 200m Butterfly… His performance stands as a testament to the growth and promise of aquatics in the Turks and Caicos Islands,” she said.

The team returned home to a celebratory reception organized by the Turks and Caicos Islands Sports Commission, beginning with an airport welcome at the Providenciales International Airport, followed by a motorcade and press conference.

The homecoming not only honored Durliat’s podium finish but also recognized a team that continues to build momentum on the regional stage—proving that while the medal count may be small, the impact is growing.

Developed by Deandrea Hamilton • with ChatGPT (AI) • edited by Magnetic Media.

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Multi-Agency Enforcement Action Conducted at Caicos Lodge

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Providenciales, Turks and Caicos Islands, 14 April 2026The Informal Settlements Unit (ISU), in coordination with the Planning Department and key partner agencies, conducted a multi-agency enforcement exercise on Thursday, April 9, 2026, at Block and Parcel 60802/49 and 60802/65, located in the Caicos Lodge area.

The operation was led by the Planning Department, with coordination by the ISU and support from the Royal Turks and Caicos Islands Police Force, the TCI Border Force, Pelican Energy TCI, and DevCon Power Supply. All agencies worked collaboratively to ensure the exercise was carried out in a safe, orderly, and controlled manner.

The enforcement action followed a structured and lawful process in accordance with the Physical Planning framework of the Turks and Caicos Islands. A total of fifty (50) unauthorized structures were removed during the exercise.

Section 45 Enforcement Notices were first issued on the affected parcels on December 11 2024, identifying unauthorized structures in illegal occupation. This was followed by the issuance of Warning Notices on March 26 2026, which clearly advised occupants that they were in breach of planning and land use regulations and provided a 14-day period to remove the structures voluntarily. Despite these notices and the time afforded for compliance, the unauthorized structures remained in place.

The Government wishes to emphasize that the structures removed were unauthorized developments, constructed without the required planning approvals and in breach of established building and land use regulations.

Planning regulations exist to ensure that all developments meet minimum standards for safety and structural integrity. Unauthorized settlements, regardless of appearance, often lack these safeguards and can pose serious risks to occupants and the wider community.

The enforcement of these regulations is therefore not only a legal obligation, but a necessary measure to protect lives, property, and public health.

The Turks and Caicos Islands Government remains fully aware of the housing challenges currently facing the country. However, unlawful development cannot be allowed to proliferate in a manner that compromises safety, undermines planning systems, and infringes on property rights.

All persons undertaking construction or occupation of land must do so in accordance with the law, including obtaining the necessary planning approvals.

The Government will continue to work collaboratively across agencies to:

  •  Uphold planning and development regulations
  •    Protect private and public lands
  •  Prevent the expansion of unsafe and informal settlements
  •  Advance long-term solutions for sustainable community development

This exercise represents part of an ongoing commitment to ensuring that development within the Turks and Caicos Islands is lawful, safe, and aligned with national standards.

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What Planning Board Meeting Exposes about Housing Development in Providenciales

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Turks and Caicos, April 14, 2026 – Planning data from the March 31, 2026 Physical Planning Board meeting points to a clear and consequential trend in Providenciales: a steady rise in approvals for multi-unit residential developments, reflecting growing demand for rental housing on the island.

Applications reviewed at the meeting include apartment buildings ranging from small two-unit structures to larger developments with up to 15 units, along with extensions to existing buildings to add additional floors and living space. The pattern is consistent across multiple submissions—developers are no longer focusing primarily on single-family homes, but instead are maximizing land use to accommodate more residents per parcel.

This shift signals more than just a change in construction style; it reflects mounting pressure within the housing market. Providenciales has been experiencing sustained population growth, driven by economic opportunity, migration and labour demand, all of which are placing strain on available housing stock. As a result, rental inventory has tightened, with many residents facing limited options and rising costs.

In that context, the Planning Board’s approvals suggest that the market is responding—perhaps not through a coordinated housing policy, but through private development adapting to demand. Multi-unit dwellings, apartment complexes and building expansions are emerging as practical solutions to increase housing availability in a setting where land is finite and demand continues to climb.

At the same time, the data reveals that not all proposed developments are moving forward without delay. Several applications, including larger-scale residential projects, were deferred, indicating that regulatory review remains active and that some proposals require further scrutiny or modification before approval. This points to a balancing act between facilitating growth and maintaining planning standards.

What emerges from the meeting is a picture of an island adjusting in real time. Housing development is becoming denser, more vertical and more responsive to immediate needs, as opposed to long-term master planning.

For residents, the implications are significant. Increased rental units could help ease the current shortage, but questions remain about affordability, infrastructure capacity and whether the pace of development can keep up with demand.

In the end, the Planning Board data offers a grounded look at how Providenciales is evolving—not through announcements, but through approvals that reveal where the pressure truly lies.

Beyond housing, the meeting also revealed a mix of supporting and stalled developments shaping the wider growth picture. Among the notable approvals were a warehouse and distribution centre, pointing to expanding commercial and logistics needs, and a boat ramp in Providenciales, signalling continued investment in marine access infrastructure.

At the same time, several applications were deferred, including proposals for solar farms and larger-scale residential developments, suggesting that while demand is strong, not all projects are advancing at the same pace. The combination of approvals and deferrals highlights a development environment that is active but still navigating regulatory checks, infrastructure readiness and planning requirements.

The 786th Ordinary Meeting of the Physical Planning Board was held on March 31, 2026, in Providenciales, with participation both in person and via video conference. Acting Chairman Trent Dickenson presided over the session, joined by members Dondre Brooks and Terrell Gardiner, along with ex-officio members Dainer Lightbourne from Planning and Jamall Blair from the Department of Environment and Coastal Resources. Supporting the Board were key technical staff, including Deputy Director of Planning Toriano Williams, Assistant Director and Secretary Reginald Charles, and Land Use Planner Britney Simmons, reflecting a full complement of planning and environmental oversight at the sitting.

Developed by Deandrea Hamilton • with ChatGPT (AI) • edited by Magnetic Media.

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