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TCI: From 11 to 30 COVID cases in a week

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#TurksandCaicos, July 20 2021 – One week ago, Turks and Caicos was at 11 active cases of the Coronavirus. Today, that figure has nearly tripled with 30 active cases and most of these new infections are guests to the country.

Nine new cases were recorded over the weekend; at least seven were tourists. When TCI was at 21 active cases on Friday; one person who caught the virus worked at the airport, one worked at a bank, three were from the Civil Service and 12 were tourists.

When the health minister, E. Jay Saunders held a press conference on Friday he informed that 40 per cent were male, 60 per cent female; most of the 21 infected were from the age group of 20 to 59, 75 per cent and the large majority had no idea they had Covid-19 because they were non symptomatic. 

While it may have been a bit more reassuring to hear – at that time – that most of those infected were in the tourist category; it was still concerning to learn that three people caught Covid-19 because they were in contact with an infected person. 

The other five cases were community spread; people whom the Department of Epidemiology could find no link to the current cases. 

Hon Saunders, Deputy Premier said there is concern though Health is neither panicked or surprised as the July 1 softening of restrictions allowed people to come together in party environments, which would naturally result in a spike. 

All of the new Covid-19 cases are charted for the island of Providenciales. 

Party Responsibly; Roll Back could be Rapped Back!

The current relaxed restrictions are not written in stone; residents could see the roll back, rapped back if cases were to begin an exponential boom. 

Deputy Premier E. Jay Saunders, who is also the Minister of Health on Friday assured there would be no change to the current curfew (which is set at 1 a.m.) or business operation hours, (which is midnight) and capacity rule (which is 70 per cent) if residents looked at Covid-19 control as a partnership and helped to keep numbers of infections down. 

The Minister is asking people to be responsible amidst the pandemic and there is still a pandemic going on. 

Cases are surging globally, again particularly as a result of the Delta variant which is 60 per cent more infectious.  Turks and Caicos, said Saunders has not seen the Delta variant.  What Turks and Caicos will see, however, is a departure of the Cuban medical brigade by the end of July and the hospital is now trying to find ways to fill the personnel gap this group leaving will create.

Currently, no one has had to be hospitalised for Covid-19 among the 30 new infections recorded.  Turks and Caicos’ daily increase remains in the single digits but if that were to change to double digits and grow to 30 to 50 cases active; then more stern restrictions will be re-introduced, promised the Minister.

Health Department needs boost; Contract Tracing not done on Tourist infections

At least three tourist families make up the cases of Covid-19 which have been recorded among guests to the Turks and Caicos Islands.  Such an unusual occurrence is this,  it has many asking questions including whether or not the guests were vaccinated and whether these guests were exposed to the coronavirus at the same resort or at the same event or while enjoying the same service. 

The latter fact is unknown, and in speaking with E. Jay Saunders the Minister of Health, Deputy Premier he revealed that the health team is concerned.  He also said, the fact that he is unable to report what is ground zero for these cases, exposes a defect.  That defect, is the Epidemiology Department must be better resourced so that it can carry out its contact tracing activities more vigorously.

Saunders says he is prepared to make the investment to improve the capacity of Epidemiology. 

So, at this stage… it is unclear if the three guest families are connected in any way, which could explain the anomaly.  None of the infected in this recent rash of new infections are break-out cases, which means the people now appearing as new infections for Turks and Caicos are all unvaccinated, said Hon Saunders.   

Health

31 Turks & Caicos Medical Professionals, Trained in Trauma care

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Dana Malcolm 
Staff Writer 

In a first for the Turks and Caicos and one that some would describe as particularly important, over three dozen healthcare professionals were upskilled in emergency trauma care via Advanced Trauma Life Support (ATLS) certification.

Trauma Care in emergency medicine usually refers to treating patients who are critically ill or have severe injuries and need to be quickly stabilized like gunshot wounds, damaged limbs, crush injuries, and stab wounds.

In 1976 following a plane crash involving a surgeon and his children who experienced substandard trauma care, the first ATLS course was created. It attempts to provide basic training for medical professionals when dealing with acute trauma cases where there is little staff on hand. In fact ATLS is supposed to work with as little as a single doctor and nurse team working together to stop the most critical injuries first, ensuring a better chance of survival.

This is particularly useful for the Turks and Caicos with its small hospitals and limited staff. Health officials admitted this, highlighting what they describe as ‘the pressing need for such training, particularly due to physician shortage, isolated communities in family islands and other barriers to accessing this critical training.’

Recognizing the need, the Hamilton Education Foundation jumped into action, and in collaboration with Massachusetts General Hospital and the American College of Surgeons conducted a Hybrid Advanced Trauma Life Support (ATLS) Demo for 31 doctors in the Turks and Caicos Islands on May 22nd and 23rd, 2024.

Led by Professor Susan Briggs,the foundation describes the course as historic in that it’s the first-ever done outside the United States and says it is;“Crucial for enhancing the quality of healthcare delivery and saving lives in the face of increasing intentional and unintentional injuries.”

With the rise in gunshot injuries in the country, seen through police data since 2020 many residents might be inclined to agree.

While admitting it was difficult to measure if ATLS reduced mortality, a 2016 article published in the National Library of Medicine describes the courses as “very useful from an educational point of view. It significantly increased knowledge, and improved practical skills and the critical decision making process in managing multiple trauma patients”

Rufus Ewing, Former Premier and Executive Chairman of the Hamilton Education Foundation, said, “This initiative aligns with our mission to enhance medical education and improve access to quality healthcare services in the Turks and Caicos Islands.”

The training received broad brush support from the Ministry of Health, TCI Hospital and private sector.

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Caribbean News

Dengue surges in Argentina; Repellent shortage reported

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Rashaed Esson

Staff Writer 

 

#Argentina, April 15, 2024 – Argentina is currently facing a shortage in mosquito repellents, a severely unfortunate development for the nation as it is now fighting a surge in dengue cases, in-line with PAHO predictions that the region will face its worst dengue season on record.

The mosquito repellent shortage was reportedly noticed in March 2024 and Argentina, according to the Ministry of Health, recorded over 163,000 cases with deaths in all age groups, more common for those over 80 years old.

The situation is widespread across Argentina as indicated by supermarkets putting on display “no repellent” signs.

Places where repellents are still available,  online spaces especially, are selling them at high prices.

As to the reason behind the shortage, BBC reports that it was told by one of the production companies (for repellents), that a forecast error was at fault and that manufacturing took months.  Additionally, mirroring this,  Mario Russo reports a supply and demand problem.

The Government is making efforts to have this sorted as soon as possible, but Argentinians, reports say, are not so hopeful as hundreds of thousands have already been infected.

Preventative measures such as repellents are crucial for Argeniniand who reply heavily on them, as they await the dengue vaccine which is already developed, but still In its early stages of distribution.

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Caribbean News

Yellow Fever Outbreak in Region and Beyond, Travellers Warned

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Rashaed Esson

Staff Writer 

 

#YellowFever#Caribbean, April 10, 2024 – Reports say there is an outbreak of Yellow fever in the Caribbean according to the Department of Health and official government advice website, Travel Health Pro, and travelers are being warned to be vigilant. The authorities say the outbreak is also in parts of Africa, and Central and South America.

Guyana and Peru so far have seen two cases. Brazil reports the disease in monkeys, an indication that it is spreading across the ccounty. Colombia has seen 3 cases.

In South America, between January 1 and March 18 2024, there have been seven confirmed cases, four fatal.

Yellow fever is spread by mosquitoes, Aedes aegypti (Linnaeus) and can cause potentially fatal hemorrhagic illness. Fortunately, it can be prevented with vaccination and so the World Health Organisation (WHO) is advising people ages nine months and older, traveling to the affected areas, to get vaccinated.

 

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