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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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Bahamian Man Extradited to Florida on Cocaine Trafficking Charges

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USA, April 23, 2026 – A Bahamian man has been extradited to the United States to face serious drug charges stemming from alleged offences committed several years ago.

Lernis Cornish Jr. was handed over to U.S. authorities on April 17, 2026, following extradition proceedings in The Bahamas. The case was heard before Chief Magistrate Roberto Reckley, who ordered that Cornish be surrendered to American officials. Cornish did not challenge the order.

He has since been transferred to Florida, where he is expected to face trial in connection with alleged drug-related activity dating back23 to 2020.

According to reports, Cornish is accused of possession of cocaine with intent to supply and conspiracy to possess cocaine with intent to supply. Related U.S. law enforcement notices also indicate that the matter is being pursued in Collier County, Florida, where authorities have listed charges including trafficking in cocaine and conspiracy to traffic cocaine, involving quantities of 400 grams or more.

The case now falls under the jurisdiction of the Florida court system, where prosecutors are expected to advance the matter through pre-trial proceedings ahead of any potential trial.

Extradition from The Bahamas to the United States is governed by bilateral treaty arrangements, allowing individuals accused of serious offences to be transferred to face justice in the requesting country once a Bahamian court is satisfied that legal requirements have been met.

Cornish’s extradition marks the continuation of a multi-year case, moving it from preliminary proceedings in The Bahamas into the U.S. judicial system, where the allegations will now be tested in court.

Angle by Deandrea Hamilton. Built with ChatGPT (AI). Magnetic Media — CAPTURING LIFE.

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New Manifestos Released as Bahamas Heads to Historic May 12 Vote

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The Bahamas, April 14, 2026 – With the 2026 Bahamian general election set for May 12, the country’s major political parties have now formally placed their plans before the electorate, offering competing visions for governance, growth and relief.

The governing Progressive Liberal Party (PLP), led by Philip Davis, launched its “Blueprint for Progress 2026” on April 8, 2026, outlining a 46-page plan focused on long-term development and systems reform. The document places heavy emphasis on energy transition, digital government, workforce training and food security, positioning the party as one seeking continuity following its first term. The full plan is publicly available online through official PLP platforms for voters to review.

Just days later, on Sunday, April 12, the opposition Free National Movement (FNM), under Michael Pintard, unveiled its 2026 Manifesto at a major event in Nassau. Spanning 54 pages, the document centers on cost-of-living relief, tax reform, healthcare expansion and housing, offering what the party describes as a more immediate response to economic pressures facing Bahamian families. The FNM has also made its manifesto accessible online.

Beyond the two major parties, the Coalition of Independents (COI) had already entered the policy space earlier, formally unveiling its long-range Vision 2030 framework on Saturday, March 1, 2025, at the Fusion Superplex in Nassau during a packed national launch led by party leader Lincoln Bain. That framework has since been complemented by a 100-day action plan released in late March/early April 2026, adding a short-term policy layer to its long-range proposals.

These policy rollouts come as the country prepares for a pivotal vote, with the Parliamentary Registration Department confirming a voters’ register of approximately 203,000 eligible voters, one of the largest in the nation’s history. Key dates are now set, with Nomination Day on April 16, followed by advance polls on April 30, ahead of General Election Day on May 12.

With platforms now in the public domain and the timeline locked in, the focus shifts squarely to the electorate—who must now weigh the promises, examine the plans and decide the country’s direction at the polls.

Angle by Deandrea Hamilton. Built with ChatGPT (AI). Magnetic Media — CAPTURING LIFE.

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From Concept to Approval: What a 2019 Water Security Plan Now Means for Bahamians

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The Bahamas, April 14, 2026 – At its core, the $65 million water security project is designed to strengthen the reliability, safety and resilience of the water supply across The Bahamas.

If implemented as planned, the investment is expected to improve water quality, reduce contamination risks and support public health, while increasing supply reliability and limiting service disruptions during droughts or system failures. The project also aims to expand and upgrade infrastructure, including wellfields, pumping stations and storage capacity, and to protect freshwater resources from saltwater intrusion—an increasing threat for low-lying islands. In practical terms, that could mean cleaner, more consistent and more dependable access to water for residents across the country.

The project was first conceptualised in 2019 under the previous administration, when a proposal was submitted to the Green Climate Fund to strengthen the resilience of the country’s water systems. That early work came just months before Hurricane Dorian exposed the vulnerability of national infrastructure, including critical water and sanitation systems, particularly in the northern Bahamas.

The initial phase focused on developing the concept, identifying priority areas and engaging regional and international partners, including the Caribbean Development Bank, to support the design and preparation of a full funding proposal.

Following the change in government in 2021, the project advanced into its most technical and demanding stages. The current administration oversaw the completion of key requirements, including feasibility studies, environmental and social assessments, and detailed financing negotiations with international partners—steps necessary to move the proposal from concept to approval.

That multi-year process has now culminated in approval of a $65 million financing package, combining grant funding with concessional loans to support long-term upgrades to the country’s water infrastructure.

While the project brings significant international support, it is not entirely free money. The package is structured as a blended financing arrangement, combining grant funding with concessional loans—meaning a portion of the funding will ultimately need to be repaid. Based on information released by the Caribbean Development Bank, approximately $25 million of the total package is tied to loan financing, with the remaining portion provided as grant support.

Concessional loans typically carry more favourable terms than commercial borrowing, including lower interest rates and longer repayment periods. However, they still represent debt obligations that will be borne over time.

Notably, detailed terms of the loan components—including interest rates, repayment schedules and any associated conditions—were not disclosed in the initial announcement issued by the Office of the Prime Minister (Bahamas). Those details are expected to be outlined in formal financing agreements, but have not yet been made public.

For Bahamians, the project represents both investment and obligation. While the grant funding provides a significant boost to infrastructure development, the loan component adds to the country’s long-term financial commitments—making transparency around terms and implementation timelines especially important.

While the approval marks a significant milestone, the timeline for delivery remains a critical factor. Based on information available from project partners, implementation is not expected to begin immediately. The initiative is anticipated to move into its execution phase later in 2026, following finalisation of financing agreements and completion of preparatory requirements.

From there, the project is projected to unfold over several years, with estimates suggesting a multi-year implementation period of up to seven years to fully deliver the planned upgrades to water infrastructure across The Bahamas.

This means that while the funding has now been approved, the benefits will be realised gradually rather than all at once. A definitive completion date has not been publicly outlined, and detailed timelines tied to specific islands or phases of work have yet to be disclosed.

For Bahamians, the question now shifts from approval to execution—when funds are drawn down, when construction begins, and how consistently the project moves from plan to delivery.

Angle by Deandrea Hamilton. Built with ChatGPT (AI). Magnetic Media — CAPTURING LIFE.

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