Connect with us

Health

Opposition Leader has advice for TCIG now that Delta variant landed

Published

on

#TurksandCaicos, August 20, 2021

We should Be Concerned about the Delta Variant

After a year and a half, we are still in the pandemic. It is the survival of the fittest between humans and the coronavirus Variants. We are racing to herd immunity, to get more people vaccinated and to get more effective antiviral medications.

We are seeing people dismiss COVID as a just another common cold, and even worse not wearing masks in public places or social distancing. We are also seeing a lack of compliance to the established COVID-19 protocols. We are seeing most safety protocols being abandoned and persons going back to business as usual pre-COVID. We are seeing persons, some who are vaccinated, travelling to cities with high rates of new COVID-19 cases and returning back home to the Turks and Caicos Islands without knowing their COVID status.

With new cases now emerging daily in the TCI the situation could deteriorate very rapidly. We should not allow the flood gates to be wide open. We as a country cannot ease up our efforts at this time, and should not stop fighting until the virus has been defeated. We have to do whatever it takes to battle this unseen enemy.

Therefore, we should be very concerned about the newer, faster transmitting, Delta Variant (B16172). This Variant seems to be the prevalent strain circulating in the TCI at the moment, and has been seen to be two times more infectious than the original G-Variant. Recent reports from the UK indicate that the Delta Variant is infecting younger people more than the original variant, and that the symptoms are different.

With the original variant infected persons would present with symptoms of high fever, muscle pains, cough, severe chest pain etc., but with the Delta Variant, many infected persons are presenting with symptoms of stuffy or running nose, sneezing, sore throat, and mild headaches. Younger people usually show little or no symptoms, and are less likely to get tested, hence not knowing their COVID status and possible spreading the virus more.

Additionally, scientific data sources are now showing that vaccinated persons with a good immune system may also become infected and show little or mild symptoms, and not get tested, and possibly spread the virus to susceptible individuals.

Viruses have one goal, that is to make more copies of themselves (to multiply), and since they can’t do it on their own, they use us (a host). They infect our body cells and use them to make copies of themselves. They replicate themselves many times, making millions of copies of themselves, but eventually it makes a mistake. The mistake is referred to as a mutation, and it changes the instructions for making the virus. That slightly altered virus is a Variant. Mutations in viruses happen all the time, producing new variants. Most of the time these mutations are insignificant or make the virus weaker, and they naturally disappear. But sometimes a series of mutations makes the virus stronger, and gives it an edge over its host. These advantages include giving the viruses the ability to bind to the human cells better, and the ability to enter the cells easier, making the virus more transmissible, allowing it to become the dominant strain in many places around the world.

It is important to remember that mutations are random errors, but the longer a virus is around, and the more people it infects, the more it will change, and the more those changes accumulate, the more chance the virus has to evolve into a more dangerous variant.

The Delta Variant which is the most recent addition to this list of dangerous Variants, is described as a “Double Mutant”, whose mutations seems to make it more transmissible, as it binds to the cell receptors better than other variants, thus blocking those other variants from binding. Its mutations also made it more easy to infect people who have had COVID-19. This means this Variant has a greater change to evade our body’s natural immune response.

Scientific Data has shown that the immune response we get from vaccines are stronger than what we get from a natural response to the virus. Therefore, we would see some persons who previously contracted COVID-19 becoming re-infected, and there would be persons who have taken the vaccine becoming infected with COVID-19 (breakthrough cases). But the difference being seen is that the effect on vaccinated individuals is less severe with possibly no symptoms and are less likely to be admitted to the hospital.

The virus has evolved, and will continue to produce variants, some which may give it an advantage. So if we want to prevent the possibility of a deadlier, and more transmissible strain from developing, we need to stop the Virus.

The Pandemic is not over, even if it feels that way to some of us. The virus has mutated to become more transmissible. Now is not the time for the Turks and Caicos, nor the rest of the world to let its guard down.

The Delta Variant is now presenting as the prevalent variant in a number of countries, and certainly it is now present in the Turks & Caicos. The more we test the more we pick up on silent cases in our communities.

We are now better equipped to respond to the pandemic, and our ability to test is now so much better. Our hospital capacity is now much better to deal with COVID patients, including the availability of oxygen generation.

The New PNP Government must now do its part and insure that our Health Care System stays adequately staffed with the necessary health professionals to care for our hospitalized individuals, and that the right complement of health workers is employed to respond to Outbreaks and Pandemics, that is, having trained staff to perform Surveillance and Monitoring activities, Compliance activities, Testing and research, quarantining, vaccinating, community work, and School Health.

Additionally, the new PNP Government needs to make the tough, and sometimes unpopular decision to ensure that the right policies and guidelines are put in place for the mitigation of further spread of Variants, and for protecting our country and our people.

We should never just focus on what we are seeing today, but must always try to keep a few steps ahead of the virus, by looking at what future advances and abilities are needed. The Government should be looking at what are the technologies and enhancements we could make based on the lessons we have learned, and making the containment, monitoring, and reduction in spread of COVID Variant, and other new viruses much better the next time around.

 

Hon. Edwin A. Astwood

Leader of the Opposition

Health

Dengue cases rising in Region 

Published

on

Dana Malcolm 
Staff Writer 

As of March 26, 2024, over 3.5 million cases of dengue and more than 1,000 deaths have been reported in the region, now, both the US Centres for Disease Control (CDC) and the Pan-American Health Organization (PAHO), are ringing alarm bells about the outbreak as cases swell to record highs.

PAHO on March 28 called for collective action in the region to fight back the growing wave of infections.

“This is cause for concern, as it represents three times more cases than those reported for the same period in 2023, a record year with more than 4.5 million cases reported in the region,” Jarbas Barbosa, PAHO Director said during a press briefing.

For now cases are concentrated in three main countries: Brazil, Paraguay and Argentina which account for nearly all of them, around 92 percent, but infections are on the rise regionally.

According to Barbosa, Caribbean countries must still be vigilant as data is beginning to show increases in areas like Barbados. That is paired with concerns from PAHO that some countries may not be equipped to handle the surge.

Nearly $500,000 was allocated in the 2023 2024 budget to the environmental health department under The Turks and Caicos Ministry of Health and Human Services to help with dengue which had been listed as a public nuisance.

Last year in the Turks and Caicos Islands, only a few rounds of fogging were completed. According to data from the Appropriations Committee around 10% of communities were fogged on schedule. Explaining the low number, representatives of the Environmental Health Department (EHD) maintained that fogging was not the primary defense against mosquito breeding locally.

”Fogging should actually be a last resort, there are preventative measures such as the treatment of swamps, and inspection of residential areas and communities for breeding sites.”

Representatives admitted though that they were still hampered by a lack of resources.

The country declared an outbreak in late 2024. Now there is an ongoing public education campaign to make residents aware of what they need to do to keep their homes safe and free from mosquitoes in addition

The Turks and Caicos Islands EHD also says they have been provided with money to help with garbage disposal in their battle against the vector borne disease.

The Ministry has also contracted entomologists to research what kind of mosquitoes live in the country and how to tackle them.

Continue Reading

Health

31 Turks & Caicos Medical Professionals, Trained in Trauma care

Published

on

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.

Continue Reading

Caribbean News

Dengue surges in Argentina; Repellent shortage reported

Published

on

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.

Continue Reading

FIND US ON FACEBOOK

TRENDING