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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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Better Products, Safer Services Targeted Under National Quality Plan

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Government Advances Policy Aimed at Consumer Protection and Higher Business Standards

 

By Deandrea Hamilton

PROVIDENCIALES, Turks and Caicos Islands — Efforts to improve product quality, strengthen consumer protections and raise business standards across the Turks and Caicos Islands are moving into a new phase as government advances implementation of its National Quality Policy.

The Department of Trade, Industry and Fair Competition announced that a team of consultants spent a week in the Turks and Caicos Islands meeting with key public and private sector stakeholders as part of the policy’s implementation process.

Approved by Cabinet in October 2024, the National Quality Policy is designed to establish a national quality infrastructure that supports trade, protects consumers and improves the competitiveness of local businesses.

For consumers, the long-term goal is straightforward: greater confidence that products and services meet accepted standards for quality, safety and reliability.

For businesses, the initiative aims to encourage stronger quality management systems that can improve efficiency, build customer trust and create opportunities for expansion into regional and international markets.

During the May 25 to 29 mission, consultants met with representatives from the National Quality Council, Pelican Energy TCI, the Turks and Caicos Islands Airports Authority, the TCI Government Laboratory, the Turks and Caicos Hotel and Tourism Association and Turks Head Brewery.

According to the Department, the consultations were intended to assess existing quality-related systems, identify gaps and gather recommendations that will help shape the Territory’s national quality infrastructure.

“The policy serves as a strategic framework for establishing a national quality infrastructure in the Turks and Caicos Islands, aimed at improving quality standards, supporting trade, protecting consumers, and enhancing economic competitiveness,” the Department said in a statement.

Officials explained that stakeholder feedback will help determine what systems, standards and programmes are needed to strengthen quality assurance across various sectors of the economy.

The Department said the information gathered will guide the next stage of implementation and help ensure the policy delivers meaningful benefits throughout the Islands.

Among the initiatives expected to emerge from the process are a Quality Certification Programme and a series of educational workshops designed to help businesses understand and adopt quality standards.

A second round of stakeholder consultations is scheduled for June, allowing government and industry representatives to continue discussions and further assess priority areas identified during the initial mission.

Officials say the ultimate objective is to build a culture of quality that benefits consumers, businesses and the wider economy by encouraging higher standards, greater accountability and improved competitiveness.

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

 

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240 Migrants Interdicted in TCI Waters; Regiment says Mission Averted Potential Maritime Tragedy

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By Deandrea Hamilton

PROVIDENCIALES, Turks and Caicos Islands — Startling video released by U.S. Customs and Border Protection showing hundreds of suspected Haitian migrants crammed aboard an overloaded vessel has renewed concerns about the worsening migration crisis in the region and the increasing pressure being placed on the Turks and Caicos Islands.

The vessel, carrying 240 irregular migrants, was intercepted in Turks and Caicos waters on the night of May 31, in a joint operation involving the Turks and Caicos Islands Regiment, the Royal Turks and Caicos Islands Police Force, the TCI Border Force, the United States Coast Guard and U.S. Customs and Border Protection Air and Marine Operations.

Earlier reports from U.S. authorities revealed that the vessel was discovered in a dangerously overcrowded condition and was ultimately secured and escorted to shore by local marine officers.

Now, a newly released statement from the Turks and Caicos Islands Regiment sheds additional light on the operation and the risks involved.

According to the Regiment, Patrol Vessel James Fulford interdicted the vessel at approximately 9:33 p.m. within territorial waters before authorities determined the situation was far more serious than a routine migrant interception.

“Upon evaluating the migrant vessel, the Royal Turks and Caicos Islands Police Force immediately upgraded the operation to a critical incident, prioritizing Safety of Life at Sea protocols to avert a maritime disaster,” the statement explained.

The migrants were identified as 191 adult males, 44 adult females, one male minor and four female minors.

All 240 individuals were safely transferred to authorities for processing, health assessments and security screening.

Lieutenant Colonel Ennis Grant, Commanding Officer of the TCI Regiment, praised the coordinated response among local and international agencies.

“This mission underscores the efficacy of our multi-agency partnerships. The rapid transition of this operation from a standard interdiction task to a high-priority Safety of Life at Sea intervention demonstrates the professionalism and readiness of our joint forces. By working in seamless tandem with our U.S. partners, we successfully prevented a potential maritime tragedy.”

The incident highlights the continuing humanitarian and security challenges facing the Turks and Caicos Islands as instability, gang violence and economic hardship continue to drive migration from Haiti.

While much larger nations often dominate regional migration discussions, the latest interdiction demonstrates the outsized role the Turks and Caicos Islands continues to play on the front line of Caribbean migration enforcement.

The Regiment said it remains committed to securing the country’s maritime borders through persistent surveillance and strong inter-agency cooperation.

The interception is among the largest migrant landings recorded in the Turks and Caicos Islands this year and serves as another reminder of the dangerous journeys many Haitians continue to undertake in search of safety and opportunity.

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

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How Misick Fell Short of The UN’s Worst Corruption Standard

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Judge Cites Kofi Annan, But Finds No Evidence Defendants Caused the Wider Harm Described by the Former UN Chief

 

By Deandrea Hamilton

Turks and Caicos, June 9, 2026 – One week after former Premier Michael Misick, former Cabinet minister McAllister Hanchell and attorney Thomas “Chal” Misick began serving prison sentences in the Turks and Caicos Islands’ landmark corruption case, attention is turning to a significant distinction made by Justice Rajendra Narine during sentencing.

In imposing prison terms on May 29, the judge agreed that corruption is a serious offence capable of causing profound societal harm. Yet he also found that there was no evidence the three convicted men caused the sweeping consequences described in one of the world’s most famous condemnations of corruption.

The quotation came from former United Nations Secretary-General Kofi Annan, who famously wrote:

“Corruption is an insidious plague that has a wide range of corrosive effects on societies. It undermines democracy and the rule of law, leads to violations of human rights, distorts markets, erodes the quality of life and allows organized crime, terrorism and other threats to human security to flourish.”

Annan further observed:

“This evil phenomenon is found in all countries — big and small, rich and poor — but it is in the developing world that its effects are most destructive.”

Justice Narine acknowledged the quotation but drew an important distinction between the broad consequences of corruption described by Annan and the evidence presented during the trial.

“The court agrees that there is no evidence in this case that the offending parties actually caused or contributed to any of the harmful consequences described in the quotation,” Narine said.

The finding did not spare the defendants from prison.

The judge made clear that the offences remained serious enough to warrant immediate custodial sentences.

“This case was about an abuse of public trust for the sake of personal gain,” Narine stated.

“The conduct of the defendants caused a constitutional crisis and reputational harm to the territory.”

He added that the public interest demanded punishment and deterrence.

“The public interest requires that the sentence must reflect society’s abhorrence of the criminal conduct and the sentence should be such that like-minded potential offenders would be deterred from similar conduct.”

Narine also rejected suggestions that the absence of direct victims diminished the seriousness of the offences, noting that corruption often harms institutions and public confidence rather than identifiable individuals.

At the same time, the court accepted several mitigating factors advanced by the defence.

“The court is aware of the age, middle age of the offenders, that the immediate custodial sentences would have a traumatic effect on the families, understanding the emotional distress involved,” Narine said.

He also agreed that rehabilitation was not a major concern.

“The court agrees with the defence counsel that there is a low risk of reoffending and that the objective of rehabilitation is not a significant factor in this case.”

Those considerations, combined with the extraordinary delay in bringing the matter to conclusion and the defendants’ previous good character, contributed to substantial reductions from the starting points the judge initially considered.

Michael Misick ultimately received an effective sentence of four years and 26 days on three bribery convictions. Hanchell was sentenced to three years on two bribery counts, while Chal Misick received four years on four money laundering convictions.

The legal saga, however, is far from over.

All three men remain in custody while awaiting a June 17 hearing on applications for bail pending appeal. In addition, confiscation proceedings — which could determine what assets or funds may be recoverable by the Crown — are still to come.

For now, the court’s message appears clear: while the conduct warranted prison and public condemnation, Justice Narine was not prepared to conclude that the defendants’ actions produced the full range of societal devastation described in Annan’s warning about corruption.

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

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