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New rapid antigen tests poised to transform COVID-19 response in the Americas says PAHO

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PAHO conducting pilot studies in four countries to help make the most of these new diagnostics. Millions of these tests will be made available to countries of the Region at an accessible price via PAHO’s Strategic Fund  

Washington D.C. – STATEMENT from October 14, 2020 (PAHO) – The new affordable, reliable antigen diagnostic tests recently approved by WHO that can be performed anywhere are set to transform the region’s COVID-19 response by allowing health workers to carry out accurate, rapid testing, even in remote communities, Pan American Health Organization (PAHO) Director Carissa F Etienne, said today. 

Unlike previous rapid, antibody tests, which can show when someone has had COVID-19 but often give a negative result during the early stages of infection, the new rapid, antigen tests are much more accurate in determining if someone is currently infected.  

“By providing results quickly, the new test empowers frontline health workers to better manage cases by isolating patients to prevent further spread and to begin treatment immediately,” Etienne said in a press briefing. “If distributed widely, this new test will transform our COVID response.”   

Etienne said the diagnostic tests will be particularly useful in hard to reach areas without easy access to a laboratory, which have been disproportionally impacted by the pandemic.  

PAHO’s Strategic Fund

“Today, PAHO can provide access to hundreds of thousands of these tests via PAHO’s Strategic Fund, with millions more expected in the coming weeks,” said Etienne.  

The Strategic Fund is a regional technical cooperation mechanism for pooled procurement of essential medicines and supplies and is a central component of PAHO’s strategy to move towards Universal Health.  

A pilot study is also currently being conducted by PAHO in Ecuador, El Salvador, Mexico and Suriname.  “With support from WHO, we will be providing these diagnostic tests free of cost as we keep a close eye on how they’re used. The data collected via this study will help countries within and outside of our region make the most of these new diagnostics,” Etienne said.  

In the meantime, PAHO has also begun helping countries implement new testing protocols so that health workers know how to use the new diagnostics and report their results.  

The PAHO Director urged countries to “bring these new tests to the hospitals and health clinics on the frontlines of our fight against the virus. But it’s important to remember that no single innovation is a panacea,” she said.  

COVID-19 update in the Americas 

More than 18 million COVID-19 cases and more than 590,000 deaths have been reported and “The state of the pandemic in the Americas remains complex,” Etienne said. Canada is facing a second wave, cases in Argentina continue to accelerate, the Caribbean is seeing a high number of cases, and in many countries, the pandemic has also moved to less populated areas, she noted.  

“Since the pandemic began more than nine months ago, we have known that to beat this virus, we must transform our public health response. We need public health measures to prevent community transmission; fast, accurate and affordable diagnostic tests to determine when someone has been infected with COVID 19; new medicines to help COVID patients get better and, ultimately, a safe and effective vaccine,” Etienne said.  

PCR diagnostic tests, which are highly accurate and must be conducted in lab settings remain the gold standard for testing, but delays in getting results mean that people run the risk of infecting others while they await results, she noted. “The new tests will 

enable primary healthcare workers, whether they’re working in the middle of the Amazon, or in an urban center, to diagnose and care for patients immediately, stopping further infections in their tracks. And that is the gamechanger,” Etienne said.   

She added that “it remains critical to stay the course in every aspect of our COVID response. We must continue to adhere to public health measures to prevent the spread of the virus. We must continue to test and isolate cases and trace their contacts to prevent new infections. And we must continue to let data underpin our actions to prevent any new cases from spreading out of control.” 

Innovations must reach the people who need them most, and “To capitalize on the power of this new diagnostic, countries must make them available and accessible to everyone – regardless of who they are or where they live – to bring us closer to our promise for health for all,” Etienne said. The tests form part of the WHO Access to COVID-19 Tools (ACT) Accelerator to develop, procure and distribute critical new tools to fight the pandemic 

Press Release, Contact:
Leticia Linn
Sebastian Oliel
Ashley Baldwin
Daniel Epstein

mediateam@paho.org

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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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Caribbean News

Returning Haitians Could Be the Answer Haiti Has Been Praying For  

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Deandrea Hamilton | Editor

What if we rejected the notion that Haitians flourish best only when they are outside of Haiti? What if the next great Haitian success story is not another exodus, but a hearty homecoming? For years, the conversation has been steered toward ushering Haitians out of Haiti. Having witnessed the indomitability of the Haitian people, I feel compelled to point out that a U.S. Supreme Court decision may force us to see what has been staring us in the face all along: the solution may be hundreds of thousands of Haitians themselves.

As thousands of Haitians in the United States prepare for the end of Temporary Protected Status (TPS)—a humanitarian programme created under U.S. law as a temporary protection, not a permanent immigration pathway—the conversation should extend beyond American immigration policy. It should turn to Haiti’s future.

History offers perspective. An estimated 20,000 to 30,000 Haitian revolutionaries defeated Napoleon’s forces and secured independence in 1804, making Haiti the first Black republic and the second independent nation in the Western Hemisphere. Now imagine the force of more than 300,000 Haitians returning with skills, discipline and experience gained in the world’s largest economy.

Add to that, Haiti is itself sending a clear message: the country needs its people.

I found a report from the Armed Forces of Haiti (FAd’H) which recently announced that 17,722 applicants came forward in just 11 days during its latest recruitment campaign. A second recruitment phase is planned and will specifically target professionals in law, engineering, medicine and other technical fields, as the country works to strengthen institutions, restore security and prepare for the future.

Coincidentally—or perhaps providentially—many of the Haitians now facing the end of TPS are not returning empty-handed. They include thousands of nursing assistants, caregivers, mechanics, delivery drivers, warehouse workers, agricultural workers, hotel employees, cooks, retail workers, security officers, landscapers, school assistants and property managers. They are returning with years of experience gained inside the world’s largest economy. They have learned trades, embraced innovation, worked within structured systems, met professional standards and developed the practical skills every successful nation depends upon.

These are not simply returning migrants.  They may be the human capital Haiti needs most.

For generations, Haitians have become experts at surviving and thriving in other lands. They have endured political upheaval, natural disasters, poverty, insecurity and displacement with extraordinary resilience. But survival and escape  cannot build their nation. At some point, survival must give way to rebuilding. And hope for home must command action. It requires people willing to invest not only in their families, but in the future of the country itself.

For decades, the Haitian diaspora has faithfully sustained families through remittances. That generosity has been indispensable. But rebuilding Haiti will require something remittances alone cannot provide. It will require human capital—teachers in classrooms, nurses in clinics, engineers on construction sites, entrepreneurs creating jobs, police protecting communities, judges strengthening the rule of law, and citizens committed to rebuilding the institutions that hold a nation together.

Anyone who has spent time in Haiti knows it is far more than the headlines. It is a nation of breathtaking mountains, secret waterfalls, fertile valleys and rice paddies. It is a land of remarkable creativity, deep faith, natural entrepreneurs, rich culture and resilient people. It is the oldest republic in Latin America and the Caribbean and the first Black republic in the modern world. Above all, it is a country worth fighting for.

Perhaps the fight itself now needs to change.

For too long, the world has defined Haiti by its crises. Haitians know it by its promise. The next fight should not simply be to survive, but to rebuild—to inject a new generation of skilled workers, professionals and entrepreneurs into a nation that desperately needs their mental muscle, their experience and their vision.

Returning home will not be easy, but what if returning became rewarding and the contribution of these thousands of Haitians became the catalyst for transforming or reforming the nation they call home?

No country can export its builders forever and expect to become stronger. Haiti has spent decades sharing its greatest resource with the world—its people. Perhaps the next chapter in Haiti’s remarkable story is not another exodus, but this very homecoming.

The next chapter of Haiti’s story should not be written at an airport departure gate, nor should it be framed only as horror for those whose TPS protections are ending. The real test now is whether advocates, attorneys, governments and the wider Caribbean do more than wave goodbye. We must help more than 330,000 Haitians find their footing, settle back in, put their skills to work and build the Haiti that generations of Haitians have always deserved.

Research & Development supported by ChatGPT AI

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