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CARPHA Meets with Regional Stakeholders to Discuss Post Market Surveillance for Medicines

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#Kingston, March 15, 2019 – Jamaica – It is the right of all Caribbean people to have access to healthcare services, including essential quality medicines and pharmaceutical products they can trust.  Poor quality and falsified medicines if left unchecked, can reverse progress the Region has made in its fight against diseases.  

“We live in a world where medicines are being developed and consumed at an increasingly higher rate; and there are increased findings of substandard and falsified medicines reported to global monitoring systems. We cannot have that proliferated in the Caribbean. Manufacturers are seizing the opportunity to import and flood markets in countries where medicines are of short supply or where the regulatory systems for medicines are weak.  Thanks to CARPHA Medicines Quality Control and Surveillance Department (MQCSD) and its efforts to implement a “proactive, risk-based, planned sampling programme” for the post market surveillance of medicines, we are in a position to guard against this,” stated Dr the Honourable Christopher Tufton, Minister of Health, Jamaica. 

Minister Tufton was speaking at the opening of the CARPHA Meeting on Post Market Surveillance and the Caribbean Pharmaceutical Policy which is taking place from 12 – 13 March at the conference room of the MQCSD in Kingston, Jamaica.  

He went on to say “The importance of the CARPHA MQCSD, as the only accredited medicines quality control laboratory in the English-speaking Caribbean, cannot be over stated.  It is to the MQCSD that we now look to implement a Post Marketing Surveillance (PMS) strategy, that is, among other things, to provide test results that confirm the good quality of medicines or otherwise identify problems with them; and provide test results that give the opportunity for national medicines regulatory authorities to evaluate and make decisions on the actual quality of products used in country.”

In closing, Minister Tufton stated “The systematic and emergency monitoring of medicines by CARPHA MQCSD through its PMS strategy, has the support of the Ministry of Health – recognising that its success is dependent on nurtured collaboration among Member States and key stakeholders, and on it being adequately resourced.”  Other speakers at the opening ceremony were Dr Virginia Asin-Oostburg, Director, Surveillance, Disease Prevention and Control, CARPHA; Mrs. Jesse Schutt-Aine, Sub-regional Program Coordinator, Caribbean, PAHO/ WHO; and Dr Rudolph Cummings, Programme Manager, Health Sector Development, CARICOM Secretariat.

In her welcome and opening remarks, Dr Virginia Asin-Oostburg, Director, Surveillance, Disease Prevention and Control stated “This is the first meeting CARPHA is hosting with key regional partners of the Post Market Surveillance (PMS) programme that is organised by CARPHA’s Medicines Quality Control and Surveillance Department.  We see this as an important milestone for CARPHA and its Member States.  Since Jamaica is host country to CARPHA MQCSD, it is more than fitting to experience this milestone with our host.   We consider this meeting, a milestone in repositioning what used to be the Drug Testing Laboratory and rebranding the laboratory as the Medicine Quality Control and Surveillance Department that also offers a surveillance programme to our Member States to actively monitor the safety of registered drugs.  PMS is a programme developed by MQCSD that will further shape and form in collaboration with our partners and colleagues from Member States.”

The importance of the CARPHA MQCSD as the only ISO/ IEC 17025 accredited medicines quality control laboratory in the English-speaking Caribbean, cannot be over-emphasized.  The department has embarked on a post market surveillance programme for medicines, which seeks to monitor the quality of selected medicines circulating in the pharmaceutical markets of participating CARPHA Member States.  This will ensure that Member States have access to information which can be utilized to develop evidence-based approaches such as issuing of alerts, implementing risk reduction strategies and overall management of national public health risks.

Given the limited resources and other challenges facing small island developing states such as CARICOM countries, the responsibilities related to regulatory systems are difficult to carry out single-handedly or individually.   In collaboration with other partners such as PAHO/WHO, CARPHA MQCSD will function as a critical part of a robust mechanism for regulating medicines in CARICOM. 

Mrs. Jesse Schutt-Aine, Sub-regional Program Coordinator, Caribbean, PAHO/ WHO stated “PAHO is happy to be working with CARICOM and CARPHA and Member States on this initiative.  Strong regulatory systems are the foundation for strong health systems.  A strong health system is what’s needed for universal health, and universal health is essential for the attainment of the sustainable development goals.  PAHO has been working on these issues for many years supporting the development of the Caribbean Pharmaceutical Policy, as well as a roadmap for a regional regulatory platform.  More recently PAHO has been working closely with CARICOM and CARPHA and Member States to advance the Caribbean Regulatory Systems – the regional regulatory system that is managed by CARPHA.  Ms. Schutt-Aine acknowledged “CARPHA as a regional public health platform that is transforming its drug testing laboratory into something that can enhance post market surveillance in the Region through risk based sampling of products in Caribbean markets.”   

The introduction of the new surveillance programme will allow CARPHA MQCSD laboratory to monitor medicines such as those used for the control of non-communicable diseases and other medicines. This programme is aligned with CARICOM’s strategy of advancing initiatives for health and wellness by ensuring access to safe, reliable medicines thereby improving the quality of life of the Region. The Caribbean region will have access to information to undertake evidence-based approaches to enable warning, risk reduction and management of national public health risks.

Speaking at the opening, Dr Rudolph Cummings, Programme Manager, Health Sector Development, CARICOM Secretariat said, “The Medicines Quality Control and Surveillance Department needs to be complemented for the tremendous work that it has done to prepare for this meeting and in positioning itself to support the efforts require for a successful regional pharmacovigilance program.”

Access to healthcare and essential quality medicines and pharmaceutical products is critical for the Caribbean population’s well-being and optimal health.  Through dossier evaluation and pre-marketing quality control of generic medicines for the purpose of registration, some countries are ensuring that quality medicines are on the market.

At the closing of the opening ceremony, Ms. Sonia Thomas-Gordon, Acting Head/Senior Chemist, CARPHA MQCSD, in her vote of thanks, acknowledged the commitment and endorsement by partners and participants to the MQCSD post surveillance programme.   She said “Post market is a small component of pharmacovigilance, and the laboratory component is important.  What we are trying to do is be proactive and monitor those medicines that are on the market. Most Member States do not have capacity to monitor and we are hoping to bridge the gap to have one central area, where medicines come to us for testing and we issue the results.”

The 2-day meeting will seek to sensitize CARICOM’s Technical Advisory Committee on Pharmaceutical Policy (TECHPHARM) and Caribbean Regulatory Systems (CRS) focal points on MQCSD’s post market surveillance program with a view to strengthen regional integration and partnerships for sustainable development of the programme.  The meeting will also aim to reaffirm the role of TECHPHARM in regional PMS and as a Technical Advisory Committee (TAC) to MQCSD.  Also, down for discussion are the acknowledgement and endorsement of MQCSD’s PMS Strategy and Field Guide.

More information about the CARPHA MQCSD can found http://carpha.org/MQCSD.

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Seven Days. Seven Nations. One Storm — Hurricane Melissa

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A week of wind, water, and heartbreak

 

From Haiti’s hillsides to Bermuda’s reefs, seven Caribbean nations have been battered, bruised, and forever marked by Hurricane Melissa — a storm that tested not only the region’s infrastructure but its unshakable spirit of unity.

Saturday–Sunday, October 25–26 – The First Strike: Hispaniola

Before the storm even earned its name, torrential rain and flash floods swept across Haiti and the Dominican Republic, claiming lives and tearing through rural communities.

In southern Haiti, rivers burst their banks, swallowing roads and homes; 23 people were confirmed dead by Sunday evening. Across the border, one death was reported in the Dominican Republic as swollen rivers cut off villages in Barahona and Pedernales.

By nightfall, the tropical system had strengthened — and the Caribbean knew it was facing something historic.

Monday, October 27 – Evacuations and Airlifts

In The Bahamas, Prime Minister Philip Davis issued a mandatory evacuation for the MICAL Islands — Mayaguana, Inagua, Crooked Island, Acklins, Long Cay, and Ragged Island.

Bahamasair added extra flights as the nation braced for what forecasters warned could become the strongest storm in nearly two decades.

Meanwhile, Jamaica, Turks & Caicos, and Cuba activated their national emergency operations centers.

Tuesday, October 28 – Jamaica and Haiti Hit Hard

By afternoon, Hurricane Melissa made landfall near St Elizabeth, Jamaica, as a Category 5 hurricane — winds of 185 mph, central pressure 892 mb, the lowest ever recorded so close to the island.

Roads collapsed, bridges washed away, and Black River Hospital lost its roof. Power failed for 72 percent of the island.

BOJ TV footage shows split asphalt, sparking lines, and flooded communities abandoned for safety.

Initially four were reported dead, that grew to seven deaths and heavy damage in 170 communities; Andrew Holness, Jamaican Prime Minister calling it “a national test of resilience.”

Haiti, still recovering from the weekend’s flooding, was hit again as outer bands dumped more rain on Les Cayes and Jacmel, deepening the humanitarian crisis.

Wednesday, October 29 – Crossing to Cuba

Weakened slightly to Category 4 (145 mph), Melissa tracked north-northeast at 8 mph, hammering eastern Cuba with hurricane-force winds

and mudslides. Over 15 000 people were evacuated from Santiago de Cuba and Holguín.

In Turks & Caicos, the Regiment deployed to Grand Turk, Salt Cay, South, North and Middle Caicos, preparing shelters and securing public buildings.

Thursday, October 30 – The Bahamas and the All Clear

Melissa’s speed increased, sparing the northern Caribbean its worst.

The Bahamas Airport Authority closed 13 airports from Mayaguana to Exuma International; none reported casualties, though infrastructure suffered.

In Turks & Caicos, the all-clear came early Thursday after minimal impact.  Premier Washington Misick expressed gratitude and pledged support for neighbors:

“We must act — not only with words, but with compassion and deeds.”

Friday, October 31 – Counting the Cost

By Friday, Melissa had weakened to Category 3 (120 mph) north of Cuba.

The Bahamas Department of Meteorology issued its final alert, lifting warnings for the southern islands.

Regional toll:

  • Haiti: 23 dead, thousands displaced.
  • Jamaica: 7 dead, 170 communities damaged; 72% without electricity
  • Cuba: 2 dead, 15, 000 evacuated.
  • Dominican Republic: 1 dead, flooding in southwest.
  • Bahamas: 0 dead, minor infrastructure damage and flooding in southeast.
  • Turks & Caicos: minimal to no impact.

Relief and Reconnection

The Cayman Islands became the first government to touch down in Jamaica post-storm. Premier Juliana O’Connor-Connolly led a contingent bringing a plane-load of essentials and pledged US $1.2 million in aid.

Reggae icon Shaggy arrived on a private jet with friends, delivering food, medical kits, and hygiene supplies.

Meanwhile, Starlink and FLOW Jamaica activated emergency satellite internet across Jamaica providing free connectivity through November.

From overseas, U.S. President Donald Trump, speaking during his Asia tour, announced that American search-and-rescue teams and disaster aid will support the region.

“They can depend on U.S. assistance as they recover from this historic storm,” he said.

Faith, Funds, and False Websites

The Government of Jamaica and the Sandals Foundation have both launched verified donation portals for recovery. Officials are warning against fake crowdfunding pages posing as relief sites and urging donors to use only official channels.

A Seventh Nation in the Crosshairs – Bermuda

As Hurricane Melissa left the Caribbean basin, Bermuda found itself next in line.

Forecasts indicated the storm would pass just west of the island late Thursday into Friday, likely as a Category 1 to 2 hurricane with sustained winds near 105 mph.

Though far weaker than when it ravaged Jamaica, officials issued a hurricane warning, urging residents to secure property and expect tropical-storm conditions.

By all appearances Bermuda is heeding the warnings

The Human Response

Across the Caribbean, solidarity surged.

The Global Empowerment Mission (GEM) in Miami began airlifting relief supplies, while churches, civic groups, and businesses in The Bahamas and Turks & Caicos organized drives for displaced families.

“Your dedication gave our islands the strength to face the storm,” Premier Misick said. “Together, as one Caribbean family, we will rise stronger.”

Resilience in the Wake

Melissa’s winds may have faded, but her impact endures. Engineers are inspecting bridges, hillsides, and water systems; volunteers are clearing debris and distributing aid in communities still cut off.

From Haiti’s ravaged river valleys to Jamaica’s sugar towns, from Cuba’s eastern hills to The Bahamas’ salt ponds and Bermuda’s reefs, the region once again stands at the crossroads of ruin and renewal — and leans, as always, toward hope and a faithful God

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Haitian Pushback Halts Controversial Constitution Rewrite — What’s Next?

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Deandrea Hamilton | Editor

 

Haitian media, legal scholars and civic voices did what bullets and barricades couldn’t: they stopped a sweeping constitutional overhaul widely branded as anti-democratic.  Editorials and analyses tore into proposals to abolish the Senate, scrap the prime minister, shift to one-round presidential elections, expand presidential power, and open high office to dual-nationals—a package critics said would hard-wire dominance into the executive at a moment of near-lawless insecurity.

The Venice Commission—Europe’s top constitutional advisory body—didn’t mince words either. In a formal opinion requested by Haiti’s provisional electoral authorities, it pressed for clear legal safeguards and credible conditions before any referendum, including measures to prevent gang interference in the electoral process—an implicit rebuke of pushing a foundational rewrite amid a security collapse.

Facing that drumbeat, Haiti’s Transitional Presidential Council has now formally ended the constitutional-reform initiative. The decision, taken at a Council of Ministers meeting at the National Palace, effectively aborts the rewrite track that has haunted Haiti since the Moïse and Henry eras.

So what now? Per the Miami Herald, the pivot is back to basics: security first, elections next. That means stabilizing Port-au-Prince enough to run a vote, rebuilding the electoral timetable, and empowering the provisional electoral machinery—none of which is simple when gangs control vast chunks of the capital and state authority remains fragile. Recent headlines underline the risk: gunfire has disrupted top-level government meetings, a visceral reminder that constitutional theory means little without territorial control.

Bottom line: Haitian journalists and public intellectuals helped slam the brakes on a high-stakes centralization of power that lacked legitimacy and safe conditions. International constitutional experts added weight, and the transition authorities finally conceded reality. Now the fight shifts to making an election possible—clean rolls, secure polling, and credible oversight—under circumstances that are still hostile to democracy. If the state can’t guarantee basic safety, any ballot is theater. If it can, shelving the rewrite may prove the first real step back toward consent of the governed.

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Political Theatre? Caribbean Parliamentarians Walk Out on House Speaker

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By Deandrea Hamilton | Magnetic Media

 

October 14, 2025 – It’s being called political theatre — but for citizens, constitutional watchdogs, and democracy advocates across the Caribbean, it feels far more serious. Within a single week, two national parliaments — in Trinidad and Tobago and St. Kitts and Nevis — descended into turmoil as opposition members stormed out in protest, accusing their Speakers of bias, overreach, and abuse of parliamentary procedure.

For observers, the walkouts signal a deeper problem: erosion of trust in the very institutions meant to safeguard democracy. When Speakers are viewed as political enforcers instead of neutral referees, parliaments stop functioning as chambers of debate and start performing as stages for power and spectacle — with citizens left wondering who, if anyone, is still accountable.

October 6: St. Kitts Parliament Erupts

The first walkout erupted in Basseterre on October 6, 2025, when Dr. Timothy Harris, former Prime Minister and now Opposition Leader, led his team out of the St. Kitts and Nevis National Assembly in a protest that stunned the chamber.

The flashpoint came as the Speaker moved to approve more than three years’ worth of unratified parliamentary minutes in one sitting — covering 27 meetings and three national budgets — without individual review or debate.

Dr. Harris called the move “a flagrant breach of the Constitution and parliamentary tradition,” warning that the practice undermines transparency and accountability. “No serious parliament can go years without approving a single set of minutes,” he said after exiting the chamber.

The Speaker defended the decision as administrative housekeeping, but critics were unconvinced, branding the move a “world record disgrace.” The opposition’s walkout triggered renewed calls for the Speaker’s resignation and sparked a wider public discussion about record-keeping, accountability, and respect for parliamentary norms in St. Kitts and Nevis.

October 10: Trinidad Opposition Follows Suit

Four days later, on October 10, 2025, the Opposition United National Congress (UNC) in Trinidad and Tobago staged its own walkout from the House of Representatives in Port of Spain.

The UNC accused the Speaker of partisan bias, claiming she had repeatedly blocked urgent questions, ignored points of order, and allowed government members to breach standing orders without consequence.

“The Speaker has failed in her duty to act impartially,” the Opposition declared in a statement. “Parliament is not the property of any political party or Presiding Officer.”

The dramatic exit was seen as a culmination of months of rising tension and frustration, with opposition MPs arguing that parliamentary rules were being selectively applied to silence dissenting voices.

Political analyst Dr. Marcia Ferdinand described the twin walkouts as “a warning sign that parliamentary democracy in the Caribbean is teetering on the edge of performative politics.”

“When chairs become political shields rather than constitutional referees,” she said, “democracy becomes theatre, not governance.”

A Pattern Emerging

While St. Kitts and Trinidad are very different political environments, both incidents point to the same regional fault line: the perception that Speakers — the guardians of parliamentary order — are no longer impartial.

In Westminster-style systems like those across the Caribbean, the Speaker’s authority depends not on power but on public confidence in fairness. Once that credibility erodes, parliamentary control collapses into confrontation.

Governance experts say the implications are serious: eroded trust between government and opposition, declining public confidence in state institutions, and growing voter cynicism that “rules” are flexible tools of political advantage.

Why It Matters

Parliamentary walkouts are not new in the Caribbean, but what makes these recent events different is their frequency and intensity — and the regional echo they’ve created. Social media has amplified images of lawmakers storming out, with citizens from Barbados to Belize questioning whether the same erosion of decorum could be happening in their own legislatures.

Analysts warn that if this perception takes hold, it risks diminishing the moral authority of parliamentary democracy itself.

“Once opposition MPs believe the rules are rigged, and once citizens believe Parliament is just performance,” said one Caribbean governance researcher, “you’ve lost the most valuable currency in democracy — trust.”

Restoring Balance

Political reformers across the region are calling for tighter Standing Order enforcement, independent parliamentary service commissions, and training to strengthen Speaker neutrality. Civil society leaders say the public must also play its part by demanding transparency and refusing to normalize partisan manipulation of parliamentary procedure.

Whether these twin walkouts become catalysts for reform — or simply another episode of Caribbean political theatre — will depend on what happens next inside those chambers.

For now, democracy watchers agree on one thing: when opposition leaders feel the only way to be heard is to walk out, the entire democratic house — not just its Speaker — is in danger of collapse.

 

Angle by Deandrea Hamilton. Built with ChatGPT (AI). Magnetic Media — CAPTURING LIFE.

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