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TCI: Oxygen Generator System installation starts this week

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#TurksandCaicos, March 8, 2021 – InterHealth Canada-Turks and Caicos Islands Hospital in partnership with the Turks and Caicos Islands Government, continues to monitor and manage various critical resources that can affect the hospital’s capacity during the COVID-19 national response. These include the availability of hospital beds, personal protective equipment (PPE), human resources, and oxygen.

The installation of an oxygen generator system at the Turks and Caicos Islands Hospital is scheduled to commence this week. The project seeks to provide the hospital with the equipment to independently produce medical-grade oxygen and reduce the reliance on overseas suppliers.

The system design and layout process are underway, and the overall project is expected to span 10 to 12 weeks.

8 March International women’s day illustration

A duplex MDOCS 200 VSA oxygen generation system will be installed at both the Cheshire Hall Medical Centre on Providenciales and Cockburn Town Medical Centre on Grand Turk. During the installation process, the hospital can utilize an emergency provision to rapidly install an oxygen generator module if there are supply-chain difficulties encountered with the shipment of oxygen cylinders.

COVID-19 is a respiratory virus, and due to the nature of the disease, the virus can affect the lungs and impair a patient’s ability to intake sufficient oxygen. Therefore, oxygen is the mainstay of clinical therapy for patients admitted with severe COVID-19 disease, and for these reasons, piped oxygen demands are naturally higher during the pandemic.

The supply and consumption rate of oxygen is actively monitored in conjunction with the patient admission and discharge trends. Oxygen supply levels can fluctuate daily based on patient care needs and the length of inpatient stay for COVID-19 patients. Oxygen cylinders are ordered on a rotation cycle, and approximately 100 or more cylinders arrive from overseas every week to bolster supply levels. Liquid oxygen cylinders are also used, which provides the health care facility with an even higher storage capacity.

The project is government-funded, and InterHealth Canada, the hospital’s private health care management company, is specifically responsible for the coordination and logistics onsite. A robust phase of quality assurance checks was completed to ensure the requisite standards and technical specifications were met before the installation contract.

Deputy Premier and Minister of Health, Agriculture and Human Services, Honorable Erwin Jay Saunders, stated: “The Ministry of Health (MOH) has been working closely with TCI Hospital since the start of the COVID-19 pandemic to ensure that capacity was built at the hospitals to respond to this public health emergency, being the only secondary care facilities in the TCI. A joint plan of work was undertaken and funded by the TCIG and included the uplift of additional beds at both sites, including furniture, procurement of biomedical equipment and consumables for these beds, procurement of personal protective equipment (PPE), facilitating additional clinical staffing from Cuba as well as the development of a capacity to generate oxygen within the TCI for the first time.

Previously, the TCI has relied on the importation of medical-grade oxygen for use in the hospital and clinics. The oxygen generators were purchased and are in-country, and works are underway to install and commission these generators.

This initiative will be sustainable in allowing the hospitals to generate oxygen in the country during the pandemic and beyond and no longer rely on external sources. We are excited about this development and the partnership which has led to this point and look forward to the implementation of these devices as a part of the ongoing COVID-19 response.”

Chief Executive Officer at TCI Hospital, Dr. Denise Braithwaite-Tennant, stated: “This represents a tremendous achievement in our pandemic and disaster resiliency. The genesis of this project came about as a result of a task force commissioned in the early months of the pandemic.

The task force was led by PS Desiree Lewis, supported by specialist advisors from the UK and members of the hospital and team health. During the ensuing months, we conducted robust data analysis and scenario planning, and the outcomes are the hospital and system developments that are progressively being implemented by various project leads. It was also important that the oxygen generating capacity be present at both the Providenciales and Grand Turk facilities, which seek to build redundancy and resiliency. This is especially important when one considers that each facility for periods has to operate without the support of its sister facility during a disaster.

The project leads for the oxygen generator implementation are Ms. Florinda Talbot, MOH Contract Manager, and Martín Dawtry, our facilities General Manager and strongly supported by the AG Chambers. The project leads have all worked passionately with both the hospital and MOH teams to bring this new and potentially life-saving technology to the Islands and continue to do so as the contractor progresses the installation. It is through a collaborative and visionary relationship with the Turks and Caicos Islands Government that great successes are achieved for the community.” 

Chief of Medical Services at TCI Hospital, Dr. Dawn Perry-Ewing, stated: “The upscaling of TCI Hospital’s capacity to deliver care to patients during this pandemic makes the nation’s healthcare system even more resilient. This project is the result of a collaboration between the TCI Government and TCI Hospital. The welcomed arrival of the generators gives our operating team a wider margin of comfort as we can consistently provide a higher standard of care to our patients.”

Contract Manager at the TCI Government Contract Management Unit, Florinda Talbot, stated: “Hospitals all over the world realize that onsite oxygen generation provides a highly reliable and economical solution for their oxygen requirement. This includes directly supplying oxygen to the hospital’s in-house supply lines, filling cylinders to provide backup or supply for over-peak demands. I am elated to see that the TCI Hospital has arrived at this stage.”

General Manager of Facilities at TCI Hospital, Martin Dawtry, stated: “This is a great partnership initiative, which allows the health care facility to generate its medical grade oxygen, not only for this current pandemic but for future resilience. We will also have the ability to produce medical-grade oxygen to fill our cylinders to support oxygen needs for community clinics across the islands. The installation works will add to our existing long list of resources implemented at TCI hospital to improve patient care during this pandemic and support additional capacity.” 

Bahamas News

More Bahamians Accessing HIV, STI Care Through NHI

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NASSAU, Bahamas — More Bahamians are accessing HIV and sexually transmitted infection-related healthcare through National Health Insurance, a trend the NHI Authority says should be viewed positively.

NHIA stressed in an August 6 statement that its 2025 figures measure healthcare utilisation, not newly diagnosed infections. They include beneficiaries screened, treated, monitored or receiving follow-up care, including people diagnosed previously.

“Increased utilisation of these services should be viewed as a positive development,” NHIA said.

The Authority pointed to “greater enrolment and use of NHI, improved access to screening and testing, continued treatment and monitoring of existing conditions, and increased willingness to seek medical care.”

The development comes amid a mixed three-year HIV picture. New diagnoses rose from 130 in 2023 to 156 in 2024, before declining to 142 in 2025.

NHIA said increased utilisation demonstrates that more beneficiaries are accessing needed healthcare and actively managing their health, reinforcing the importance of screening, early diagnosis and continued treatment.

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47,459 MEASLES CASES, 44 DEATHS ACROSS AMERICAS  

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WASHINGTON, D.C. — The Americas has recorded 47,459 confirmed measles cases and 44 deaths in 2026, the region’s highest case count in 22 years, prompting the Pan American Health Organization (PAHO) to urge stronger vaccination, surveillance and rapid outbreak response.

As of July 18, cases were already more than triple the 15,011 recorded during all of 2025. Guatemala, Mexico, the United States and Peru account for 95% of confirmed cases. Guatemala leads with 30,371 cases and 26 deaths, followed by Mexico with 12,255 cases and 17 deaths.

PAHO classifies the regional public health risk as very high, citing active outbreaks, immunity gaps, international travel and populations with inadequate vaccination coverage.

The organization says prevention starts with vaccination. Countries are being urged to achieve and maintain at least 95% coverage with two doses of measles-containing vaccine, particularly protecting children and under-vaccinated communities.

Measles spreads through the air when an infected person breathes, coughs or sneezes. Symptoms can include fever, cough, runny nose, red eyes and a rash.

PAHO is urging health authorities to detect suspected cases early and respond rapidly to stop transmission. Unvaccinated and under-vaccinated people, young children and communities with limited healthcare access face increased risk of severe illness and death.

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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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