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TCI Ministry of Health hosts 3-day Post Disaster Surveillance Workshop

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#Providenciales, February 4, 2019 – Turks and Caicos – The Ministry of Health, Agriculture, Sports and Human Services (MHASHS), in collaboration with the Pan American Health Organization (PAHO), hosted a 3 day “Post Disaster Surveillance Workshop” at the Atrium Resort Conference room in Providenciales (January 22nd – 24th, 2019).  The workshop was facilitated by Dr. Eldonna Boisson, Public Health advisor with PAHO. Dr Boisson possesses over 20 years of experience in infectious disease, epidemiology and field investigation. Participants consisted of 18 staff members from various MHASHS departments including the National Epidemiology and Research Unit, Environmental Health Department, Primary Health Care Department and National Public Health Laboratory.  The overall objective of the workshop was to strengthen technical knowledge and capacity for post disaster surveillance. Importantly, the workshop also aimed to develop standardized processes for data collection strategies and methodologies for disease surveillance post disaster in Turks and Caicos Islands.

The geographical location of Turks and Caicos Islands (TCI), coupled with its humidity and warm seas, make it vulnerable to tropical cyclones during the Atlantic hurricane season (June through November) of each year. Unfortunately, the threat of these natural phenomena was realized when several major storms made landfall in the TCI.  Hurricanes can leave a post disaster situation with many health implications, not the least of which is an increased risk of communicable diseases such as gastroenteritis (diarrhea and vomiting).  The conditions that promote gastroenteritis development include 1. Rain/flood water, which may be contaminated with bacteria and viruses, and which may infiltrate the public water supply. 2.  Power outages which may compromise the food supply and 3.  Displacement caused by the hurricane which may force living conditions that are amendable to the spread of disease. In addition, the risk of dengue an arboviral disease caused by the bite of an infected Aedes aegypti mosquito, is also heightened.  This is because flood water provides an environment that mosquito larva can live and grow.

The workshop represented a proactive approach on the part of MHASHS to ensuring that a properly functioning, robust surveillance system is available in the TCI in a post hurricane scenario.  When the surveillance process works as it should, it can serve as an early warning system that would trigger intervention/responses which can control the spread of disease.  As an important tool in a post disaster situation, the workshop also featured sessions on event based surveillance, an unstructured/non-standardized method of collecting information about health events that could be a serious risk to public health, and outbreak investigation.

For further information please contact the National Epidemiology and Research Unit on 338-3070/338-5066.

 

Release: TCIG

 

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Ministry of Health Welcomes Appointment of New NHIB Chief Executive Officer and Highlights Progress of Organisational Transformation

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Providenciales, Turks and Caicos Islands, 13 July 2026: The Ministry of Health is pleased to announce the recent appointment of Ralph Patrick as the new Chief Executive Officer of the National Health Insurance Board (NHIB).

The appointment marks an important milestone in NHIB’s ongoing transformation journey and comes as the organisation continues to implement a broad programme of stabilisation, improvement and reform under the examination process initiated in March 2025.

Over the past twelve months, NHIB has made significant progress in strengthening its financial management, operational controls, technology infrastructure and strategic planning. Through this work, the organisation has gained greater visibility over its finances, improved reporting capabilities, enhanced cybersecurity, strengthened governance arrangements and identified opportunities to improve both healthcare outcomes and value for money.

Minister of Health, Hon. Knowles, said:

“The appointment of a permanent Chief Executive Officer comes at a pivotal time for NHIB. Over the past year, significant effort has been invested in stabilising the organisation, improving transparency and building the foundations for long-term sustainability. We are grateful for the dedication of the NHIB team, the Interim leadership, Board members and our advisers who have helped drive this progress. The new CEO inherits an organisation with a clearer understanding of its challenges, stronger controls, better information and a solid platform from which to drive future improvements.

The Ministry is also advancing the recruitment of additional senior leadership positions to further strengthen NHIB’s executive capacity. Building a permanent and capable leadership team will be critical to sustaining momentum, enhancing accountability and supporting the delivery of long-term organisational and service improvements.”

The newly appointed CEO will work with the Board and stakeholders to build on the progress already achieved, helping to embed sustainable improvements, strengthen organisational capability and support the delivery of NHIB’s long-term strategic objectives.

The Ministry also thanks the Interim CEO, Dr. George, and the team at NHIB for their leadership, commitment and resilience during a period of significant change and transition.

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PDM Alleges Governor ‘Bias’, Opposes One-Year Extension    

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PROVIDENCIALES, Turks and Caicos Islands — People’s Democratic Movement (PDM) Leader Douglas Parnell is urging the United Kingdom not to extend Governor Dileeni Daniel-Selvaratnam’s tenure, alleging that a pattern of decisions and omissions has demonstrated “bias” in the exercise of her constitutional responsibilities.

Speaking during a nationally streamed address from PDM Headquarters on Friday evening, Parnell said his party’s National Executive Committee had carefully reviewed the Governor’s performance and concluded that she should leave office when her current term expires.

“We believe she should depart the Turks and Caicos Islands and not be given an extension,” Parnell declared. “The Governor must not be extended for another year.”

The Governor was appointed on June 29, 2023, to a four-year term. Parnell claimed that during the June 25 sitting of the House of Assembly, Government members confirmed to the Leader of the Opposition that efforts were underway to secure a one-year extension.

Parnell outlined what he described as six reasons for opposing any renewal of the Governor’s appointment.

Foremost among them, he said, was her refusal to commission an independent review of the Royal Turks and Caicos Islands Police Force promotion process after such a request was made by the Opposition.

He also criticized what he described as delays in making constitutional appointments, citing the appointment of Dudley Been to the Integrity Commission.

“His appointment was held up for over six months,” Parnell alleged, arguing that constitutional appointments should be made in a timely manner.

The Opposition Leader further accused the Governor of neglecting the Office of the Governor in Grand Turk, saying she spends only “a small fraction” of her time there. He suggested that if the United Kingdom no longer intends to occupy Waterloo, the historic waterfront property should be transferred to the Turks and Caicos Islands Government for redevelopment, either as an official Premier’s Office and residence or as a beachfront hotel investment for Islanders.

Parnell also criticized the absence of a Boundaries Commission following the General Election, saying one should already have been established given the prospect of constitutional changes.

He further argued that constitutional discussions with UK Minister Stephen Doughty should have included the Leader of the Opposition.

“That failure demonstrates bias,” Parnell said, adding that he was also concerned by what he described as the selective leaking of sensitive information that, in his view, could only have originated from the Governor’s Office, the Premier’s Office or the Civil Service.

The Governor has not publicly responded to the allegations made by Parnell during his address.

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Government Takes Case to Washington After U.S. Keeps TCI at Level 2  

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PROVIDENCIALES, Turks and Caicos Islands — The Turks and Caicos Islands is taking its case for an improved United States travel advisory all the way to Washington, enlisting the British Embassy as the Government argues that the destination’s dramatic reduction in violent crime deserves greater recognition.

The objective is clear: convince the United States that current security conditions justify moving the Turks and Caicos Islands from Level 2 — Exercise Increased Caution to the more favourable Level 1 — Exercise Normal Precautions.

Acting Governor Her Excellency Anya Williams confirmed that the Governor’s Office is “working with the British Embassy in Washington to ensure that the internal security situation in the Turks and Caicos Islands is accurately represented in U.S. travel advisories.”

That carefully worded statement signals that the matter has moved beyond local reassurance and into diplomatic channels. The Government is effectively taking its evidence to Washington after the latest State Department review maintained Level 2 because of crime, particularly in Providenciales, and cited potentially limited police resources for investigations.

Premier Charles Washington Misick says the statistics demonstrate meaningful progress. Murders are reportedly down 40 percent, while serious sexual offences have fallen 33 percent year over year. He also pointed to increased investment in border security, intelligence-led policing, crime prevention and law enforcement.

Tourism Minister Zhavargo Jolly added that the territory welcomed 203,587 stayover visitors during the first quarter, more than 10,500 above the corresponding 2025 period, with March alone approaching 80,000 arrivals.

The combined argument is unmistakable: crime is falling, visitor numbers are rising and hundreds of thousands continue to enjoy the destination safely—so why has the rating not improved?

This is also not the first time TCI has challenged an American assessment.

During the COVID-19 pandemic, then Health Minister Erwin “Jay” Saunders publicly objected after the U.S. Centers for Disease Control and Prevention lowered TCI only from Level 4 to Level 3. Calling the assessment disproportionate and potentially arbitrary, Saunders said he would contact the CDC directly and demand clarity about the criteria being used.

TCI was subsequently classified by the CDC at Level 1 — Low Risk, with the territory promoting its strong vaccination programme, low positivity rate and stringent visitor protocols.

That history will likely encourage the Government as it begins this latest fight—tongue firmly in cheek—with Washington.

This time, however, the issue is not a temporary health emergency. It is the international safety reputation of a tourism-dependent country. The Government hopes its falling crime figures, strong visitor performance and diplomatic engagement through the United Kingdom will persuade U.S. authorities that Turks and Caicos has earned a better rating.

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