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CARPHA Updates Region on World Diabetes Day 2021

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November 16, 2021 – “Diabetes causes death and disability.  Complications from diabetes can lead to heart attack, stroke, blindness, kidney failure and lower limb amputation.  This disease can adversely affect both the quality and length of your life, and screening for diabetes should be part of your routine health checks,” stated CARPHA Executive Director Dr. Joy St. John in observance of World Diabetes Day 2021.

Diabetes is one of the most common non-communicable diseases (NCDs).  According to the IDF Diabetes Atlas, North America and the Caribbean are ranked 4th in the world with an age-adjusted comparative diabetes prevalence in adults 20-79 years of age of 11.1 %.  Projected prevalence in 2030 and 2045 are 12.3% and 13.0% respectively.[1]   In 2019, the country in the Americas with the highest age-standardised mortality (excluding chronic kidney disease) due to diabetes was Guyana with 82.6 deaths per 100, 000 population. Several Caribbean countries were in the top ten and include 3rd Trinidad and Tobago, and 4th Haiti at 69.6 and 68.2 per 100,000, respectively. (PAHO 2019)[2]

The COVID-19 pandemic has disrupted services for the prevention and treatment of NCDs, affecting global efforts to control diabetes. Persons living with diabetes are at a higher risk of developing severe COVID-19 symptoms and are among the most impacted by the pandemic.

It is important that our health systems make every effort to meet the health care needs of people living with and affected by NCDs.  CARPHA encourages Member States to strengthen their systems to ensure support and care are accessible to all persons with diabetes, and the availability and equitable distribution of essential medicines and insulin.

The Caribbean Public Health Agency (CARPHA) provides technical support to Member States to improve access to care for persons living with diabetes and minimise the impact of the disease.  Raising the Bar: CARPHA Guidelines on the Management of Diabetes in primary care and COVID-19, a five-part webinar series hosted by CARPHA in 2020, aimed to disseminate the standard of care for diabetes, and provide an update on diabetes clinical management and COVID-19 infection.

Available, quality-assured, affordable medicines and technologies are part of a major strategy for reducing the burden of NCDs, such as diabetes.  The Agency continues to assess the quality of medications available in the Region through testing and analysis, surveillance and regulation, and promoting pharmacovigilance of medicines for diabetes management.

The Agency, in collaboration with the Organisation of Eastern Caribbean States (OECS) updated the CARPHA Guidelines on the Management of Diabetes in Primary Care in the Caribbean. These guidelines offer instructions on care for persons with diabetes (PwD), and are intended to support, strengthen and standardise the management of diabetes and improve outcomes in care of diabetes in Member States. CARPHA has also hosted training for health professionals to support the implementation of these guidelines in their respective countries.

Type 2 diabetes is the most common form of the disease and can be prevented. The effects can be avoided or delayed with diet, physical activity, medication and regular screening and treatment for complications.  Cultural norms which steer people away from healthy lifestyles within the Caribbean are a major contributing factor.  It is important for persons to place their health before personal preferences.

If you are at risk of Type 2 diabetes, lifestyle changes can help prevent the onset of Type 2 diabetes. This includes:

  • Avoiding tobacco use
  • Eating a healthy diet which includes at least 5 servings of fruits and vegetables each day and reduce intake of fats and sugars
  • Remaining physically active – at least 30 minutes of regular moderate-intensity physical activity on most weekdays (for adults); and 60 minutes moderate to vigorous physical activity everyday (for children)
  • Maintaininga normal body weight

With the right treatment and care, persons living with diabetes can live a healthy life.  For those already affected, the good news is that you are in control, and can prevent complications from diabetes by

  • taking your medication as instructed by a health care provider
  • having regular screening and treatment for complications
  • practicing a healthy lifestyle.

World Diabetes Day is observed annually on 14 November.  The theme for 2021 to 2023 is Access to Diabetes Care.

 

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Bahamas News

Bahama Brass Band Invitation Sparks Heritage Debate Ahead of TCI Constitutional Holiday

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Turks and Caicos, August 20, 2026 – The planned participation of the Bahama Brass Band in the Turks and Caicos Islands’ inaugural Constitutional Holiday celebrations on August 30 has sparked public debate over culture, heritage and the historical contributions of Turks and Caicos Islanders abroad.

Organizers defended the invitation, saying the band’s inclusion is intended to highlight the deep historical ties between the two countries and honor Turks and Caicos men who helped establish and develop the institution in Grand Bahama.

According to the organizers, the Bahama Brass Band began in 1955 in Pine Ridge, Freeport, with Turks and Caicos Islanders, including the late Deacon Reuben Hall Sr. of Middle Caicos and Jenkins Williams and Mervin Hendfield of North Caicos, among those who helped build its foundation. The band eventually grew to more than 50 men.

The organizers also pointed to the participation of Turks and Caicos men in The Bahamas’ Independence celebrations on July 10, 1973, arguing that their contributions became part of Bahamian history while maintaining strong connections to their homeland.

Supporters say bringing the band home represents an opportunity to honor those pioneers, showcase their regional influence and expose younger generations to an important part of Turks and Caicos history.

However, concerns raised publicly described the invitation as potentially disrespectful to local culture and heritage. Organizers acknowledged those concerns, apologizing to anyone who felt overlooked or offended, while maintaining that no disrespect was intended.

The committee said the event should ultimately unite rather than divide, presenting the band’s history as evidence of the reach and resilience of Turks and Caicos heritage.

PHOTO CREDIT: Bahamas Brass Band

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Bahamas News

CBC Supports Opportunities for Young Bahamian Basketball Players

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NASSAU, Bahamas — Caribbean Bottling Company (CBC), local producers of Dasani products, proudly sponsored the fifth annual, Caribbean Hoopfest.

The tournament brings together Bahamian high school basketball teams and visiting teams from the United States for a competitive showcase at the Kendal G. L. Isaacs Gymnasium.  Following its inaugural year at the Kendal G. L. Isaacs gym and last year’s event at Loyola Hall, the tournament returned to the Kendal G. L. Isaacs gym this year.

During the weekend tournament, CBC kept athletes well hydrated with in-kind donations of Dasani Water, Powerade and Minute Maid Juices.

During the tournament’s final day, CBC provided additional support by offering Sprite No Sugar samples and inviting attendees to participate in its Spin the Wheel for a chance to win exciting prizes.

CBC was proud to support this incredible event, which provides young Bahamian athletes with valuable exposure to U.S. basketball scouts and coaches. This opportunity gives them the chance to earn scholarships, continue their education, and pursue their basketball careers in the United States.

Event organizer, Donald Francois shared his appreciation for CBC’s support.

“I want to express our sincere appreciation for Caribbean Bottling Company, who has been a tremendous supporter and an important part of the success of our program. Without CBC’s support, Caribbean Hoop Fest would not be able to function at the level it does today. And without Caribbean Hoop Fest, we would not have been able to provide the opportunities that have helped young Bahamian athletes gain exposure and pursue educational opportunities in the United States,” he expressed.

Since the program’s inception, several Bahamian student-athletes have been selected for scholarship opportunities, highlighting the tournament’s growing impact on the development and advancement of young basketball talent in The Bahamas.

They are: Kelvin McDowells – Guard, Wodson Antoine – Power Forward, Justin Lafleur – Guard and Sean John – Guard.

After another successful edition of the tournament, Francois shared what he hopes he and Caribbean Bottling Company can achieve in the future.

“Our vision is bigger than basketball. We want to use the platform of Caribbean Hoop Fest to educate, develop, and create opportunities for young people and their families throughout the Bahamas. With individuals and organizations committed to our mission, we believe we can continue to grow the program and make an even greater impact,” Francois said.

For more details on community support, events and new products visit Caribbean Bottling Company at www.cbcbahamas.com today.

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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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