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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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Caribbean News

Pres Ali declares three days of national mourning following MV Barima tragedy July 21, 2026

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His Excellency Dr Mohamed Irfaan Ali has declared three days of national mourning following the tragic loss of lives in the M.V. Barima incident, as the nation continues to grieve alongside the families and communities affected.

The period of national mourning will be observed from Wednesday, July 22, through Friday, July 24, 2026, in honour of the victims of the tragedy. During this time, the National Flag will be flown at half-mast on all Government buildings and other appropriate locations across the country.

As part of the observances, Wednesday, July 22, has been designated a National Day of Prayer. A National Day of Prayer and Remembrance will be held at the Kingston Seawall in Georgetown, bringing together citizens in solidarity to honour the lives lost and offer support to grieving families.

The programme of remembrance will continue with a Night of Reflection and Prayer in Port Kaituma on Thursday, July 23, followed by another observance in Mabaruma on Friday, July 24.

The government is also encouraging religious organisations, civic groups and citizens throughout Guyana to organise candlelight vigils and moments of prayer during the three days as the nation collectively reflects on the tragedy and pays tribute to the victims. The declaration of national mourning underscores the government’s commitment to standing with the bereaved families and affected communities as Guyana mourns one of the country’s most heartbreaking maritime tragedies.

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Bahamas News

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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Caribbean News

From Pathways to Investment: Tackling the US $6 Billion Food Challenge for the Caribbean

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By Kenroy Roach

The Caribbean’s food systems challenge is fast evolving into a broader development challenge.

Despite decades of policy attention and investment, the region remains one of the most food import-dependent in the world, spending over US$6 billion annually. At the same time, countries continue to grapple with food insecurity, high rates of diet-related non-communicable diseases, climate vulnerability, and exposure to external shocks that can disrupt supply chains and drive up food prices almost overnight.

For Small Island Developing States (SIDS), food security has shifted from an agriculture focus alone, it’s about economic resilience, health, climate resilience and sustainable growth.

Recognizing this reality, Caribbean governments have elevated food systems transformation as a regional priority through the CARICOM 25 x 25 Plus Five Agenda, which seeks to reduce food import dependence while strengthening domestic production, regional trade, and resilience. Across Barbados and the Eastern Caribbean, governments have also developed National Food Systems Pathways that identify the investments, partnerships, and policy reforms needed to transform food systems and accelerate progress toward the Sustainable Development Goals (SDGs).

Yet one challenge has remained persistent: financing.

In the face of high levels of public debt and limited fiscal space, while public investment remains critical, Caribbean governments simply cannot shoulder the financing burden alone. Transforming food systems at scale requires mobilizing far greater private capital, alongside development finance and public resources.

This was the rationale behind the recent convened in Barbados.

The Forum brought together governments, investors, international financial institutions, private sector leaders, regional organizations, and the United Nations around a simple proposition: food systems should be viewed not only as a development priority, but also as an investable asset class.

A distinguishing feature of the innovative gathering was its focus on attracting private investment—particularly private equity, impact investment, and blended finance solutions capable of supporting businesses and infrastructure across food value chains. By helping enterprises access growth capital and connecting investors with scalable opportunities, the initiative sought to unlock financing that complements public investment rather than adding to already constrained public balance sheets.

A key outcome was the launch of a regional Deal Book comprising approximately US$320 million in investment opportunities across seven countries, spanning agriculture, fisheries, agro-processing, logistics, and strategic food systems infrastructure. The Deal Book created a practical bridge between capital seeking opportunities and opportunities seeking capital, while enabling direct engagement between governments, enterprises, and investors.

The results were encouraging.

Across four sector-focused deal rooms, participants explored investment-ready and near-investment-ready opportunities and discussed blended finance private equity, risk-sharing, and partnerships to advance projects toward implementation.

The Forum highlighted a shift in perspective: food systems are now seen as strategic drivers of economic diversification, resilience, competitiveness, and growth. Investments across production, processing, logistics, and distribution can strengthen regional supply chains, create new businesses, generate jobs, and reduce vulnerability to external shocks.

For the United Nations, this experience reinforced an important lesson.

Transforming food systems requires more than the technical expertise of individual agencies. It requires integrated solutions that connect agriculture, nutrition, health, climate resilience, trade, private sector development, and financing.

This is where the Resident Coordinator System plays a critical role.

Across Barbados and the Eastern Caribbean, the Resident Coordinator Office has united UN system capabilities around a common food systems agenda. Working with FAO, WFP, the UN Food Systems Coordination Hub, and other partners, the RCO has helped align policy support, technical expertise, partnerships, and financing with nationally identified priorities.

The Forum demonstrated this integrated approach by convening governments, investors, development finance institutions, private sector actors, and UN agencies around a common objective. It showcased the UN’s comparative advantage as a trusted broker capable of connecting development priorities with investment opportunities.

The Forum’s success will be measured not by dialogue generated, but by investments mobilized, businesses expanded, and progress made toward resilient, competitive Caribbean food systems across the Caribbean.

Its most important outcome may therefore be what comes next.

The work starts now.

Kenroy Roach is Head of the UN Resident Coordinator Office for Barbados and the Eastern Caribbean

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