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TCRF Reports Successful Trial in Treating Stony Coral Tissue Loss Disease

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#TurksandCaicos, April 8, 2021 – Stony Coral Tissue Loss Disease (SCTLD) is a highly deadly, fast moving disease that affects approximately 30 species of hard corals on the reefs of the TCI.  First observed on the reefs of South Caicos and West Caicos in early 2019, the disease spread quickly to reefs off NW Point, Grace Bay and continues to spread eastward past Pine Cay recently being observed on the reefs off North, Middle and East Caicos.

Scientists in Florida have been dealing with this disease since 2014 and through extensive research identified the antibiotic, amoxicillin, mixed with a specially developed, proprietary ointment base was the most effective option for stopping the progression of this disease.  The antibiotic paste is pressed into the coral tissue at the edge of a disease lesion.  The ointment base expands in sea water to fill the ridges and valleys of the coral skeleton slowly releasing the antibiotic into the coral tissue and minimizing the amount of antibiotic leaching into sea water. 

This is an incredibly labour-intensive, time-consuming and expensive way to deal with the disease but with Florida still seeing infection spread 7 years later, doing nothing is not an option. This disease has the power to severely reduce the populations of live stony coral cover. A recent paper from the School for Field Studies on South Caicos reports an approximate 60% reduction in live coral coverage since the disease outbreak in early 2019[1]. In 2020 TCRF were granted a permit by the TCI Government to test this treatment to determine its effectiveness on TCI reefs and to watch for any untoward effects on the marine environment.  TCRF began trials of the antibiotic treatment and recently completed and filed its final report of those treatment trials with DECR.

The treatment trials were conducted at six locations around the TCI – 3 on the reefs of Providenciales, 2 on those of Grand Turk and 1 on the reefs of Salt Cay. With up to 8 months of monitoring on 122 assessed colonies we are seeing a 93% success rate. Most of the control colonies that were not treated died within a few days or weeks, some of them continue to display slow disease progression. Species specific efficacy ranged from 50% to 100% with most species seeing 67%++ efficacy. To this date no untoward effects have been observed – fish would occasionally nibble on the ointment during treatment, but seemed to ignore it after the first nibble. There are more studies on this happening regionally and TCRF hope to help the studies in any capacity that we can.

“We are very excited to see such a high efficacy rate for our treatment program,” said Alizée Zimmermann, Executive Director of the TCRF.  “Our results are consistent to slightly better than seen in other parts of the Caribbean where this treatment is being used.  It is now considered to be the standard of care for treating SCTLD by the scientists studying the disease.”

These results are very encouraging and the Department of Environment and Coastal Resources has recently granted TCRF a research permit to expand the treatment effort.  The treatment effort with the antibiotic ointment will continue and will target large colonies.  They will be tagged with special tags instructing any divers observing these colonies to take photos of the colony and send them to TCRF at SCTLD@tcreef.org.  This will assist in our ongoing monitoring effort of the treatment program. The goal with the expanded treatment effort is to target and save old, reproductive colonies of the most susceptible species so as to preserve the reef’s genetic diversity and ability to repopulate.

In addition, TCRF is teaming up with Ocean Alchemists, the company that developed the special ointment base for the amoxicillin, to test a new, non-antibiotic treatment.  This treatment option utilizes a proprietary formulation of naturally occurring products and it is impregnated into hemp rope which is then applied around the edge of a lesion.  TCRF will be comparing the effectiveness of this new treatment option to the current standard of care, the amoxicillin ointment.  Testing of the new treatment should begin within the next month.

“None of us want to use antibiotics in the marine environment, but the alternative would result in the loss of many decades to hundreds of years old coral colonies on the reefs that protect our islands from storm surge and wave action,” said Mrs. Zimmermann. “So we are excited to be involved in conducting research on potential alternative therapies that don’t involve antibiotics.”

About TCRF

Founded in 2010, the Turks & Caicos Reef Fund is the only active environmental advocacy organization in the TCI. It is an organization that provides funding for education, research and conservation programs to individuals, organizations and agencies that help to preserve and protect the environment of the Turks & Caicos Islands. Our goal is to have at least 85% of all funds raised through voluntary contributions from divers and snorkelers visiting the Turks & Caicos Islands directed to the Fund’s programs.

Anyone wishing to donate or assist the TCRF in any way can contact them through their website, www.TCReef.org. Scuba divers visiting the islands are encouraged to make a $10 donation through the purchase of a dive tag that can be attached to their dive gear to show their support. Snorkelers visiting the islands can show their support through the $5 purchase of a pink or blue silicone wristband. Visitors can also support TCRF by purchasing a $40 spf50 rash guard designed each year by a different local artist. A complete list of outlets for TCRF merchandise can be found on the organization’s website.

Caribbean News

Migration Is No Longer Just About Borders

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What Caribbean migration dialogues reveal about the region’s future

 

By Patrice Quesada, Coordinator, IOM Caribbean

Migration has become one of the defining issues shaping the Caribbean’s future—not simply because people are moving, but because our economies, labour markets, populations and climate realities are changing.

Over the past several weeks, I have participated in migration discussions at the global, regional and national levels. While each conversation was different, they all pointed to the same conclusion: the Caribbean is beginning to recognize migration not only as a border issue, but as a development issue.

The challenge now is moving from dialogue to action.

From Global Commitments to Caribbean Solutions

That shift was evident during the International Migration Review Forum held at the United Nations in New York, where Caribbean participation was particularly strong. Delegations from ten Caribbean countries, including ministerial representatives from Barbados and Belize, reinforced the region’s growing commitment to shaping international migration policy.

Two messages emerged clearly.

First, migration governance must be grounded in each country’s realities and supported by concrete national commitments. Second, migration cannot be viewed in isolation. It is closely linked to labour markets, demographic change, climate vulnerability and long-term development planning.

Every Caribbean Country Has Its Own Story

Across the region, governments are approaching migration through different lenses.

In Saint Lucia, the launch of the country’s draft migration policy reflected concerns about declining birth rates, labour shortages and continued emigration. The discussions recognised that labour needs, diaspora engagement, remittances, return migration and protection must all work together within one national strategy.

Jamaica demonstrated how migration planning can begin at the local level, with Clarendon becoming the country’s first parish to integrate migration considerations into its long-term development strategy.

Guyana, meanwhile, is managing migration in the context of rapid economic growth, balancing increased labour demand with worker protections and orderly migration systems.

Barbados has also begun incorporating migration into broader population planning as it addresses demographic decline and an ageing population.

The Bahamas has focused on disaster preparedness, bringing together government agencies to strengthen national plans for managing inter-island and cross-border movement during emergencies while safeguarding the rights and dignity of displaced people.

Different countries face different challenges—but all are recognising migration as an essential part of national planning.

The Caribbean’s Greatest Untapped Asset

One message resurfaced repeatedly throughout these discussions.

The Caribbean diaspora should no longer be viewed simply as a source of remittances.

Across the region, citizens living abroad continue to contribute through investment, entrepreneurship, professional expertise, advocacy and, in many cases, by returning home with new skills and experience.

The opportunity now is to engage the diaspora more deliberately as a strategic development partner.

Turning Dialogue into Action

Technical discussions held throughout May demonstrated that governments are beginning to move beyond policy conversations.

CARICOM, supported by the International Labour Organization and the Inter-American Development Bank, convened regional labour migration specialists to explore how migration can help address workforce shortages while ensuring fair recruitment and decent working conditions.

Together, these initiatives suggest the Caribbean is entering a new phase—one where migration is no longer viewed simply as movement across borders, but as a tool for economic resilience, demographic planning and sustainable development.

The conversations have begun.

The next challenge is ensuring they lead to meaningful action.

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Health

Cleveland Clinic Completes Its First Robotic Lung Transplant in US

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Cleveland Clinic staff performing their first U.S. robotic lung transplant surgery

Health system is one of only a handful in the world able to perform the complex robotic procedure

In May 2026, surgeons at Cleveland Clinic successfully completed the health system’s first robotic lung transplant in the United States, marking a significant advancement in minimally invasive organ transplants. Cleveland Clinic is among only a small number of centers worldwide offering this surgical approach and was the first in Ohio to complete this type of procedure. Robotic lung transplants have rarely been performed because they require advanced robotic capabilities and a skilled surgical team.

Gregory Jones, MD, a thoracic surgeon at Cleveland Clinic’s Heart Vascular and Thoracic Institute, led the surgical team for the single lung transplant procedure, which also included Kenneth McCurry, MD, a cardiothoracic surgeon and surgical director of lung transplantation and enterprise director of transplantation.

“This achievement reflects the collaboration and innovation across our transplant and surgical teams,” said Dr McCurry. “As these technologies continue to evolve, they will play an increasingly important role in improving patient outcomes and advancing the future of transplantation. Indeed, our kidney and liver transplant programs in Ohio have also been at the forefront of robotic organ transplantation with great success.”

In a traditional lung transplant, surgeons commonly gain access to the chest by dividing the breastbone or ribs to access the lungs. This is often associated with significant pain, which can prolong recovery. In a robotic lung transplant, surgeons use small incisions and robotic instruments and 3D visualisation to perform the procedure with a less invasive approach. This approach is designed to help reduce postoperative pain, shorten hospital stays, and accelerate recovery.

“This milestone reflects an important step forward in how we approach lung transplantation,” said Dr Jones. “It builds on our experience with both robotic surgery and transplant care and adds another option for some patients who may benefit from a minimally invasive approach.”

Robotic surgery has transformed many types of cardio-thoracic procedures over the past decade. By bringing this technology to lung transplantation, Cleveland Clinic is expanding access to advanced, minimally invasive transplant care.

The surgery was performed on a man in his 70s with pulmonary fibrosis, a progressive lung disease that causes scarring of the lungs and can make breathing increasingly difficult. Following the transplant, he was discharged from the hospital and is recovering well.

Cleveland Clinic’s Lung Transplant Program is a national leader in advanced lung transplant care, having performed more than 2,500 transplants since 1990. In 2025, Cleveland Clinic performed 146 lung transplants in the U.S. The program is known for its expertise in caring for complex transplant patients, many of whom have been turned down elsewhere, and for advancing new approaches in transplant care.

In addition to the US, Cleveland Clinic is also a leader globally in transplantation. A team at Cleveland Clinic Abu Dhabi performed the enterprise’s first robotic lung transplant last year. It was also the first procedure of its kind performed in the Gulf region.

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Caribbean News

Caribbean Urged to Rethink Tourism as Travel Patterns Shift

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Deandrea Hamilton | Editor

The Caribbean’s tourism industry has mastered the busy season. Now, a new report says the region’s biggest opportunity lies in transforming the months it has long considered its slowest.

The latest Amadeus Travel Insights Report, produced in partnership with the Caribbean Hotel and Tourism Association (CHTA), urges Caribbean destinations to strengthen marketing efforts and forge closer partnerships with airlines to stimulate demand during the traditionally quieter months of September and October.

The report comes despite a strong performance by the region, with international visitor arrivals climbing by approximately 30 percent over recent years. Researchers caution, however, that continued growth cannot be taken for granted simply because demand remains strong during peak travel periods.

Instead, the study points to a persistent seasonal challenge.

While Caribbean destinations continue to attract robust visitor numbers during the winter travel season, arrivals typically flatten once the calendar turns to late summer and early autumn. Those months coincide with the height of the Atlantic hurricane season—a reality that has long influenced travel decisions and presents a challenge largely beyond the control of tourism-dependent economies.

The report suggests the solution lies in changing traveller behaviour rather than simply waiting for demand to return.

That means targeted promotions, strategic airline partnerships, expanded route development and marketing campaigns designed specifically to encourage off-season travel.

There is another encouraging finding for the Caribbean.

According to the report, airfares to Caribbean destinations remain broadly competitive with those to South America, giving the region a valuable advantage as travellers continue searching for affordable international getaways.

For tourism leaders, that pricing competitiveness provides an opportunity to attract visitors who increasingly weigh value alongside destination appeal when planning holidays.

The challenge now is convincing travellers that the Caribbean offers compelling experiences beyond its traditional high season.

Whatever strategy emerges, the report suggests success will depend on balancing innovation with reality. September and October will always bring heightened weather risks, but with stronger airline partnerships, creative marketing and attractive pricing, the region could unlock new opportunities during months that have historically been among its quietest.

For a tourism industry built on resilience, the next frontier may not be attracting more visitors—but attracting them at a different time of year.

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