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Cardiology Services with innovative technology now available at TCI Hospital

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#Providenciales, March 12, 2019 – Turks and Caicos – Turks and Caicos Islands Hospital officially announced the commencement of Cardiology services under the Visiting Consultant Program during a press conference on Friday 8th March 2019. The new development will provide in-country access to Cardiology medical care that was previously only available under the Treatment Abroad Program (TAP). 

Under the Visiting Consultant Program, medical expertise from all-over the world in various specialties visit the island on a periodic basis to deliver services in outpatient clinics and operative procedures, which are not permanently available in-country.

Visiting Consultant Cardiologist, Himanshu Shukla, M.D. will deliver adult cardiology non-invasive programs, specifically, echocardiography rhythm monitoring and consultations at a tertiary care level. Based on statistics, Cardiology and Ophthalmology are the two most frequently required medical services under the Treatment Abroad Program (TAP). Hence, the introduction of on-shore Cardiology services will provide high quality and comprehensive care to patients, which reduces government expenditure and the need for patients to travel abroad. 

Patients who require Cardiology services will be identified by TCI Hospital’s Internal Medicine Physician to ensure the referral is clinically necessary and to promote best use of resources. The service will be delivered on a quarterly basis with clinics ranging from 7-10 days based on patient volumes.

An innovative technology has been introduced under the program as an alternative to the a traditional Holter monitor that measures and records a patient’s heart activity (ECG). The stick-on Zio patch empowers patients to maintain a clean, uninterrupted signal with minimal effort or disruption to their lifestyle. The miniature device also gives the assurance of reliable data with a clear and comprehensive look into a patient’s heart rhythm over longer periods for more appropriate diagnosis. There are also no wires to manage, batteries to charge or leads to reconnect. Cindy Durham, a cardiology patient and nurse at the hospital was used to demonstrate the technology. 

The inaugural visiting consultant cardiology clinic was held last week with overwhelming positive feedback from patients. Dr. Shukla stressed that the technology is also more customized to the patient population, suitable for local climatic conditions, more cost- effective and has minimal hardware. A portal ultrasound has also been used during the consultant visits, which is another innovative expansion to the hospital’s current capacity.

During the press conference, Dr Shukla also stated that building a cardiology program is advantageous to the country. Based on population demographics and steady growth, persons may experience a cardiology issue at some point. It is an unfortunate, but a realistic statistic. An increase in diabetes and renal health-related conditions across the community can precipitate heart related issues for persons. Therefore, appropriate screening, management and counselling for patients early in the process is invaluable. Dr Shukla also believes the transition and growth of the program will be successful in the long-term since the infrastructure and platform has already been provided.

Chief Executive Officer of InterHealth Canada – TCI Hospital, Daniel Carriere stated: “It is great that we can bring this type of talent to the Turks and Caicos Islands. Dr. Shukla’s credentials, experience and qualifications are impeccable and we are very fortunate to have a person of this caliber providing services. This is another example of bringing services close to home, which is always great for the patient and their families. We are always open and willing to work with Ministry of Health – TCI Government in exploring avenues that will ease the burden on government budgets. We recognize that health care is expensive by nature, and anything that the organization can do to lessen the cost and continue to improve services for our patients is something we are interested in doing.”

Chief of Medical Services of InterHealth Canada – TCI Hospital, Dr. Denise Braithwaite-Tennant stated: “Cardiovascular disease is prevalent in the Turks and Caicos Islands. It is very important for us to support primary health care in preventive measures to reduce the impact on secondary and tertiary care interventions. The Zio technology is new to the country, and Dr. Shukla has also graciously funded 10 Zio patches for local patients at the onset. We are very appreciative of health care providers who view their expertise as a means of delivering a philanthropic service, as opposed to strictly focusing on the bottom line. The introduction of pediatric patients to the cardiology program requires the creation of a business case, which is currently under creation. Our next iteration is to include pediatric patients. Dr. Shukla’s first clinic visit was held on Providenciales due to patient numbers, but this does not eliminate the prospects for future visits to Grand Turk.” 

Minister of Health, Agriculture, Sports and Human Services, Honorable Edwin Astwood stated: “The launch of the program is very pleasing to all of us. We have heard that Cardiac and Heart Disease are the number one complaint in the Turks and Caicos Islands. To be able to better monitor and control these diseases can go a far way in dealing with the local population… It was also fitting to see the process that is taking place, whereby we are moving one step closer to the ideal situation that we envisioned this facility to be. The introduction of the program is very commendable as we are moving in the right direction. We are extremely happy to see this state-of-the-art technology being introduced in the Turks and Caicos Islands…”

Interim Chief Executive Officer of the National Health Insurance Board, Dr Terese Maitland stated:” To date the majority of patients who require cardiology tests and procedures, ranging from non-urgent to life-threatening emergencies, are treated outside of the TCI under the auspices of the Treatment Abroad Program, which is managed by the National Health Insurance Plan. Indeed, cardiology-related referrals, rank second in the total number and accounts for approximately 12% of treatment abroad referrals and a substantially larger percentage in terms of cost. Today officially marks the on-boarding of some of these services. This is expected to provide TCI residents with in country access to a broader range of cardiology related medical procedures…NHIP is excited about this endeavor, which is anticipated to be more accessible to a broader cross-section of our valuable clients and beneficiaries, facilitate prevention and early detection whilst simultaneously being cost effective and allowing us to stretch our health care dollars…”

TCI Government (TCIG) Acting Contract Performance Manager, Florinda Talbot delivered remarks on behalf of the Government’s Contract Management Unit, which oversees the partnership agreement between TCIG and InterHealth Canada. Talbot stated that the introduction of cardiology services supports both standards and service development of the hospital.

Press Release: InterHealth Canada

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CARICOM – A Regional Club With Benefits; Turks & Caicos Wants In

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Turks and Caicos, March 18, 2026 – Public reaction across the Turks and Caicos Islands was immediate and, in some cases, heated after the Government confirmed in the House of Assembly on Friday, March 13, that it is exploring a move from Associate Member to full member of the Caribbean Community (CARICOM).

The announcement, delivered by Acting Premier and Minister of Immigration and Border Services Jamell Robinson, sparked strong concern among residents, particularly over fears that full membership could require the territory to accept free movement of labour or weaken its immigration controls.

Social media commentary over the weekend questioned why there had been no public consultation and whether the move signaled a shift in the country’s political direction.

However, a review of the official statement and follow-up remarks made by Robinson this week shows the proposal is not sudden, is not final, and would require approval from all fifteen CARICOM member states before the Turks and Caicos Islands could become a full member.

NOT A NEW IDEA

In his ministerial statement to Parliament, Robinson confirmed that discussions about full membership have been taking place within regional forums for some time.

“As an Associate Member of CARICOM, the Turks and Caicos Islands also participated in caucus meetings and discussions among Overseas Territories and Associate Members regarding regional cooperation and the continued advancement toward full membership within the CARICOM Community,” he told the House.

He added that full membership would allow the territory to engage more directly in decisions affecting the region.

“Full membership in CARICOM would present meaningful opportunities for the Turks and Caicos Islands. It would strengthen our ability to engage more fully in regional decision-making… and ensure that the Turks and Caicos Islands is better positioned to benefit from collective advocacy and coordinated action on issues of common concern.”

The idea of deeper integration is not new. Since the return of elected government in 2012, successive administrations have promoted stronger ties with CARICOM.

Former Premier Dr. Rufus Ewing regularly attended Heads of Government meetings and spoke openly about the importance of regional cooperation, even suggesting that long-term political development for the territory would likely place it closer to the Caribbean than to Britain.

Premier Sharlene Cartwright-Robinson also maintained active participation in CARICOM during her term, focusing on security cooperation, economic recovery, and regional partnerships, though her administration did not pursue full membership.

Under the current administration, Premier Charles Washington Misick has repeatedly said stronger regional integration is necessary for economic stability, security cooperation, and food supply resilience.

FREE MOVEMENT FEARS ADDRESSED

Much of the public backlash centered on the belief that full membership would force the Turks and Caicos Islands to accept the CARICOM free movement of labour provisions.

Speaking Monday to Cheryl Forman, host of First Edition on Radio Turks and Caicos, Robinson said that is not the position being taken by the Government.

“We’re looking for full membership, and just to be clear right off the bat, the Turks and Caicos is not looking to sign on to the free movement of labour portion of the Revised Treaty of Chaguaramas,” he said.

He noted that other British Overseas Territories and even some CARICOM members have negotiated exemptions.

“Just like Bermuda, just like the BVI… The Bahamas did not sign off on that portion. Free movement across the region does not even exist in the way people think. It applies only to certain skills and professions.”

Robinson stressed that any agreement would be negotiated and would not remove the territory’s ability to control immigration.

“The full membership process isn’t going to be a case where we lose our ability to determine our immigration and labour policies. Those are things that will form part of our negotiated position.”

WHY GOVERNMENT WANTS FULL MEMBERSHIP

Robinson outlined several reasons the administration believes deeper integration could benefit the territory.

One argument is that Associate Members can participate in discussions but do not have voting power.

“You can think of it as being part of a club. As an associate member, you don’t get all the benefits. You can sit in the room, but you don’t always have a final say in decisions that may impact you.”

He also said regional partnerships have already proven critical in national security.

“If it were not for the ability of our Premier to pick up the phone and speak to Prime Minister Davis in The Bahamas and Prime Minister Holness in Jamaica, our crime situation would be completely different,” Robinson said, referring to the deployment of tactical officers from both countries to assist local police operations.

He added that closer ties could also help reduce the cost of living through regional trade.

“In some cases, the very same products we import from the United States originate in the Caribbean, go to the US to be repackaged, and then come back to us. If we can trade more directly within the region, that could help bring down prices.”

Robinson also pointed to discussions within CARICOM about improving regional shipping, food production, and transportation links, including plans for Guyana to become a major agricultural supplier for the region.

NOT A GUARANTEE

Despite the public debate, Robinson emphasized that full membership is not automatic.

Any application must be negotiated and approved by all CARICOM member states, meaning the Turks and Caicos Islands cannot simply decide to join on its own terms.

That reality, he said, is why the Government is still developing its negotiating position, including work on population policy, immigration strategy, and labour planning before any final step is taken.

The debate now unfolding across the territory reflects more than a policy proposal.

It highlights a deeper question that has existed for more than a decade — whether the future of the Turks and Caicos Islands lies primarily with the United Kingdom, or increasingly with the Caribbean region to which it is geographically, economically, and culturally connected.

For now, full CARICOM membership remains only a possibility — but one that has clearly stirred strong emotions in a country still deciding how far regional integration should go.

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

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Women In Uniform Honoured as Governor Hosts International Women’s Day Event in TCI  

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Turks and Caicos, March 18, 2026 – Women serving across the Turks and Caicos Islands’ national security agencies were honoured during a special International Women’s Day observance hosted by Governor Dileeni Daniel-Selvaratnam, highlighting the growing role of women in law enforcement, defence and border protection.

The Governor hosted the second annual Women in Uniform Brunch, bringing together female officers from the Royal Turks and Caicos Islands Police Force, the Turks and Caicos Islands Regiment, Border Force and His Majesty’s Prison Service for a morning of recognition, reflection and inspiration.

Delivering the keynote address was Vice Admiral Antonette Wemyss-Gorman, Chief of Defence Staff of the Jamaica Defence Force, who is widely regarded as one of the region’s most accomplished military leaders and one of the first women in the world to head a national armed force.

Her address focused on leadership, discipline and the importance of resilience in uniformed service, encouraging women to pursue advancement in fields traditionally dominated by men. Attendees responded with a standing ovation, as the Vice Admiral spoke about the responsibility of women in security services to lead with courage, professionalism and integrity.

The event formed part of the Turks and Caicos Islands’ observance of International Women’s Day 2026, celebrated globally under the theme of advancing equality, strengthening opportunity and recognising the contributions of women in every sector of society.

Governor Daniel-Selvaratnam said the service of women in uniform plays a critical role in strengthening institutions, protecting communities and building public trust, noting that their leadership continues to inspire the next generation of officers across the territory.

In addition to the keynote address, participants attended presentations on financial empowerment and personal wellbeing, aimed at encouraging women in service to invest in their personal development alongside their professional responsibilities.

Several officers were also recognised for outstanding contributions.
Assistant Superintendent of Prisons Meshelle Jennings received the Selfless Service Award, while Police Sergeant Desiree Hunt-Forbes was honoured for building community trust.
Turks and Caicos Islands Regiment Marine Kentoya Parker received the Integrity in Leadership Award, and Senior Border Force Officer Marylee Wilson and Prison Officer Aloida Henry were both recognised for resilient service.

Officials said the event reflects a continued commitment to supporting women across the territory’s security services, at a time when regional cooperation and strong leadership remain essential to maintaining safety and stability.

 

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

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Statistics Authority Highlights Trade Data as Turks & Caicos Records $227M in Imports for Q4 2025  

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Turks and Caicos, March 18, 2026 – The Turks and Caicos Islands Statistics Authority is highlighting the importance of reliable economic data following the release of its latest Trade Statistics Bulletin, which shows the country recorded approximately $227 million in imports during the fourth quarter of 2025.

The detailed report provides a clear breakdown of where goods entering the Turks and Caicos Islands are coming from, the types of products being imported, and the revenue generated from trade-related activity. The figures offer valuable insight into the level of economic activity across the country and the continued demand driven by tourism, construction, and consumer spending.

According to the bulletin, the United States remained by far the largest supplier of goods, accounting for more than $200 million in imports during the quarter. This represents the majority of all goods entering the Turks and Caicos Islands and reflects the territory’s long-standing dependence on U.S. markets for food, fuel, machinery, building materials, and consumer products.

The Dominican Republic was the second largest source of imports, supplying just over $4.1 million in goods, while The Bahamas ranked third, with approximately $1.8 million in imports recorded for the period. The report also noted increasing trade with countries such as China, Panama, Switzerland, Poland, and India, showing that businesses continue to expand their supply networks beyond traditional partners.

In terms of the types of goods being imported, the bulletin shows strong activity in categories such as food and live animals, mineral fuels, manufactured goods, machinery and transport equipment, and chemicals, all of which are essential to supporting the tourism industry, infrastructure development, and everyday life in the islands.

The report also tracks revenue collected from international trade, including fuel tax, customs processing fees, and motor vehicle licensing, providing another measure of economic performance during the quarter.

Officials say the quarterly Trade Statistics Bulletin is an important tool for government, businesses, and the public, offering accurate information presented through clear tables, charts, and graphics that make complex data easier to understand.

For a small, import-dependent economy like the Turks and Caicos Islands, access to reliable statistics remains critical. By continuing to publish detailed trade reports, the Statistics Authority helps ensure that decisions about growth, investment, and development are based on sound information.

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