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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.” 

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Environmental Health Department Offers Tips for Preventing Rodent Infestations  

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Turks and Caicos, September 14, 2024 – The Environmental Health Department is calling on all residents and community members to take proactive steps to prevent rodent infestations in their homes and neighbourhoods. Rodents, such as rats and mice, are not only a nuisance but can also spread serious diseases and cause property damage. By following a few simple guidelines, we can work together to keep our community healthy and safe.

Here are some key steps residents can take to prevent rodent problems:

  1. Keep Areas Clean and Clutter-Free:Rodents thrive in cluttered environments. Regularly remove piles of trash, leaves, and debris from your yard. Pay attention to overgrown vegetation and make sure to trim it back, as it can provide hiding spots for rodents. Also, clean up fallen fruits from trees, which can attract rodents seeking food.
  2. Store Food Properly:Keep food items in sealed containers and ensure garbage bins have tight-fitting lids. Rodents are attracted to easily accessible food, so reducing food sources is essential.
  3. Eliminate Water Sources:Fix any leaks and remove standing water around your property. Rodents need water to survive, so by eliminating these water sources, you make your home less inviting to them.
  4. Seal Entry Points:Inspect your home for holes or cracks in walls, doors, windows, and foundations. Seal these openings to prevent rodents from finding their way inside. Even small gaps can be entry points, so thorough inspection and repair are necessary.

The Environmental Health Department urges residents to remain vigilant and report any signs of rodent activity. Common indicators include droppings, gnaw marks, and scratching noises. If you suspect a rodent infestation, contact a pest control professional or the Environmental Health Department for assistance.

By taking these simple steps, including maintaining tidy yards, managing food and water sources, and sealing potential entry points, residents can protect their homes and communities from rodent infestations.

For more information on rodent prevention or to report a rodent problem, please contact the Environmental Health Department at (649) 338-2143/2144. Let’s work together to create a healthier, safer community!

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The Ministry of Health and Human Services Warns Public About Heat-Related Illnesses Amid Rising Temperatures

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Turks and Caicos, September 13, 2024 – With the summer heat intensifying, the Ministry of Health and Human Services is urging the public to take precautions against heat-related illnesses, which can pose serious health risks. Heat-related illnesses include conditions such as heat stroke, heat exhaustion, heat cramps, and heat rash. Vulnerable populations, such as young children, the elderly, and those with chronic medical conditions, are at increased risk.

Understanding Heat-Related Illnesses:

  1. Heat Stroke: A life-threatening condition where the body’s temperature rises above 103°F. Symptoms include confusion, hot and dry skin, rapid pulse, and loss of consciousness.
  2. Heat Exhaustion: Symptoms include heavy sweating, weakness, dizziness, nausea, and fainting. It can lead to heat stroke if not addressed promptly.
  3. Heat Cramps: Painful muscle spasms usually occurring in the legs or abdomen, often due to heavy sweating and loss of salt and water.
  4. Heat Rash: Skin irritation caused by excessive sweating, presenting as red clusters of small blisters.

 Prevention Tips

  1. Stay Hydrated: Drink plenty of fluids, especially water. Limit alcohol and caffeine, which can dehydrate you.
  2. Stay Cool: Spend time in air-conditioned environments.
  3. Dress Appropriately: Wear lightweight, light-coloured, and loose-fitting clothing. Use hats and sunscreen when outdoors.
  4. Limit Outdoor Activities: Limit strenuous activities during the hottest parts of the day, typically between 10 a.m. and 4 p.m. Plan outdoor events for the cooler morning or evening hours. Take frequent breaks in the shade or indoors if you must be outside.
  5. Check on Vulnerable Individuals: Ensure that family members, friends, and neighbours, especially those who are elderly or have health conditions, are staying cool and hydrated.

If someone shows signs of heat-related illness:

  1. Move them to a cooler environment
  2. Apply cool, wet cloths to their body or have them take a cool bath.
  3. Offer sips of water if they are conscious.
  4. Call 911 immediately if you suspect heat stroke.

The Minister of Health and Human Services, Honourable Shaun D. Malcolm, commented, “We want to ensure that everyone stays safe during these extreme heat conditions. By taking simple preventive measures, we can reduce the risk of heat-related illnesses. Our goal is to inform and protect the community, especially our most vulnerable members.

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Ministry of Health and Human Services Reports Outbreak of Gastroenteritis in Grand Turk  

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Turks and Caicos, September 12, 2024 – The Ministry of Health and Human Services (MoHHS) reports an outbreak of gastroenteritis affecting the island of Grand Turk. Gastroenteritis (GE), which causes diarrhoea and or vomiting,  can be triggered by viral or bacterial infections resulting in inflammation of the stomach and intestines. These infections can spread easily from person to person by direct contact, contact with contaminated food or water, or contact with contaminated surfaces/objects. Some people (usually the very young or elderly) are very vulnerable and may require hospital admission due to dehydration. It is, therefore, essential to drink plenty of fluids during the illness to avoid dehydration.

The public health team has been actively responding since initial reports and, to date, has done a number of inspections and provided advice. A number of school-aged children from various schools, along with their close contacts have been affected. The Ministry of Education has been apprised of the situation, and the MoHHS is working closely with its education partners to mitigate further spread.

Gastroenteritis can commonly occur in school and nursery settings and may be caused by viruses such as norovirus or, more rarely, by food poisoning. Symptoms commonly include:

  • vomiting (often sudden in onset)
  • diarrhoea
  • both diarrhoea and vomiting
  • tiredness
  • fever
  • nausea (feeling sick)
  • aching muscles
  • stomach pain
  • headache

 Symptoms may begin one to two days after infection and typically resolve in one to three days.

 Recommendations:

  1. Practising proper hand hygiene at all timesis essential to prevent the spread of GE and other communicable diseases.

Children should be supervised and encouraged to wash their hands before eating, drinking, and after using the toilet.

Hand washing with liquid soap and warm water should be done frequently for at least 20 seconds.

Paper towels should be used for drying hands, and a wastepaper bin should be provided for disposal.

Persons looking after ill loved ones should pay particular attention to proper hand hygiene to prevent getting sick.

Alcohol gel can be used in addition to soap and water.

  1. Handle and prepare food safely. Before preparing and eating your food:

Carefully wash fruits and vegetables well.

Clean and sanitise kitchen utensils, cutting boards, counters, and surfaces routinely.

  1. Practice proper cleaning and disinfection, particularly of frequently touched surfaces.

Surfaces and touch points (taps, toilet flush handles, door handles, light switches) should be cleaned and disinfected with a bleach-based cleaner.

Use detergents and bleach solutions in accordance with the manufacturer’s instructions to clean these surfaces regularly.

  1. If you or your child is sick, you should not go to school/work and not return until at least 48 hours after the symptoms have resolved without medication.
  2. Ensure that you or your child is properly hydrated.Avoid dehydration by offering an oral rehydration solution gradually.
  3. Seek medical attentionif your child:
  • Becomes unusually drowsy
  • Vomits frequently or vomits blood
  • Has bloody diarrhoea
  • Shows signs of dehydration, such as dry mouth and skin, marked thirst, sunken eyes, or crying without tears. In an infant, be alert to the soft spot on the top of the head becoming sunken and to diapers that remain dry for more than three hours
  • Is an infant and has a fever
  • Is older than three months of age and has a fever of 102 Fahrenheit (39 degrees Celsius) or more

The Ministry of Health and Human Services will continue heightened surveillance for gastroenteritis and take necessary actions to mitigate against further cases.

For additional information, please call 649-338-5469 or visit the Ministry of Health and Human Services Facebook page at https://www.facebook.com/tciministryofhealth/.

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