Bahamas News
Prevalence of Non-Communicable Diseases in the Caribbean Exacerbating Pandemic’s Impact and Hindering Sustainable Development
Alicia Bárcena, Executive Secretary of ECLAC, and Camillo Gonsalves, Minister of Finance, Economic Planning and Information Technology of Saint Vincent and the Grenadines, led a seminar on this issue prior to the 20th meeting of the Monitoring Committee of the Caribbean Development and Cooperation Committee
November 5, 2021 – The high prevalence of non-communicable diseases in the Caribbean – such as high blood pressure, diabetes and cancer – is exacerbating the impact of the COVID-19 pandemic and hindering the subregion’s progress towards achieving sustainable development due to their multiple health, economic and social consequences, according to the authorities, representatives of international organizations and specialists participating today in a virtual event organized by the Economic Commission for Latin America and the Caribbean (ECLAC) prior to the Twentieth meeting of the Monitoring Committee of the Caribbean Development and Cooperation Committee (CDCC), to be held on Friday, November 5.
The Seminar on non-communicable diseases and their impact on sustainable development in the Caribbean was inaugurated by Alicia Bárcena, Executive Secretary of ECLAC, and Camillo Gonsalves, Minister of Finance, Economic Planning and Information Technology of Saint Vincent and the Grenadines. The moderator was Diane Quarless, Director of ECLAC’s Subregional Headquarters for the Caribbean, located in Port-of-Spain.
“Not only does the COVID-19 pandemic continue to rage in the Caribbean,” Alicia Bárcena affirmed upon emphasizing that it is “one of the subregions of the world with the highest prevalence of non-communicable diseases (NCDs).”
Data from the World Health Organization (WHO) shows that NCDs are the main cause of death in the subregion’s countries, ranging from 57% in Haiti to 83% in Barbados, she stated. In each Caribbean country, more than half of all deaths annually can be attributed to non-communicable diseases, which also contribute significantly to disability, ECLAC’s Executive Secretary warned.
The pandemic has aggravated the risks that people with non-communicable diseases face: not only do they continue to be at greater risk of dying or suffering severe illness from COVID-19 infection, they also have been affected by interruptions in health care due to services being overburdened, Bárcena explained.
In this context, the high-level United Nations representative called for accelerating vaccination efforts. The rate of full vaccination in the Caribbean amounts to 35.2%, with great heterogeneity between countries. This percentage, she indicated, is below the global rate (39.0%) and that of Latin America (47.5%).
“The entire region of Latin America and the Caribbean should strengthen production, distribution and access to medicines and vaccines. To achieve this, on September 18, ECLAC presented the Plan for self-sufficiency in health matters requested by the Community of Latin American and Caribbean States (CELAC). We are moving from design to implementation of the plan, with focal points in all the countries and various meetings planned for the coming months. We hope the Caribbean will join us,” Bárcena stated.
In his remarks, Minister Camillo Gonsalves of Saint Vincent and the Grenadines expressed appreciation for the opportunity to address the problem of non-communicable diseases at a time when all Caribbean countries are fighting the pandemic and many of their ministers and leaders are talking about climate change and the subregion’s future in the framework of the 26th Conference of the Parties to the United Nations Framework Convention on Climate Change (COP 26).
“Non-communicable diseases are responsible for 6 of the 10 main causes of death in the subregion” and they entail a heavy economic cost for governments, due to high health expenditures, as well as for people, Minister Gonsalves said. NCDs have a disproportionate impact on people living in poverty, which means that addressing them constitutes a development challenge for the Caribbean, which is also true for other phenomena such as climate change, he noted.
“Non-communicable diseases are within our control, they are preventable,” the Minister acknowledged, affirming that current policies are not effective because they are not sufficiently focused on prevention, nor do they include cross-sector and coordinated approaches.
The seminar’s first panel featured remarks by Kenneth George, Chief Medical Officer of Barbados; Fitzroy Henry, Professor at the College of Health Sciences of the University of Technology of Jamaica; Kavita Singh, Senior Research Scientist at the Public Health Foundation of India; and Francis Morey, Deputy Director of Health Services of Belize; while Simon Anderson, Professor and Director of the George Alleyne Chronic Disease Research Center at The University of the West Indies, Cave Hill Campus Barbados, acted as moderator. Subsequently, Joy St. John, Executive Director of the Caribbean Public Health Agency, led a discussion.
Participating in the second and final panel were Anselm Hennis, Director of the Department of Noncommunicable Diseases and Mental Health at the Pan American Health Organization (PAHO/WHO); Rachel Nugent, Vice President of Global Noncommunicable Diseases at RTI International; Stanley Lalta, from the Centre for Health Economics of The University of the West Indies, St. Augustine Campus, Trinidad and Tobago; and Rosa Sandoval, Coordinator of the Economics of NCDs Team at PAHO. Acting as moderator was Abdullahi Abdulkadri, an official at ECLAC’s Subregional Headquarters for the Caribbean.
The specialists called on governments to invest in a comprehensive approach to NCDs, with a focus on strengthening primary care and preventing risk factors such as an unsuitable diet, physical inactivity and tobacco and alcohol abuse. They also urged for taking growing mental health problems into consideration.
At the close of the event, Alicia Bárcena summed up what had been discussed, delivering 10 messages. First, she said, COVID-19 was a wake-up call about the importance of addressing non-communicable diseases. Because care and treatment for NCDs were reduced during the pandemic, it is urgently necessary to support the efforts of health services with innovations in telemedicine and other solutions, she sustained. She also posed the need to utilize all available tools to foster healthy lifestyles, strengthen primary health care and community-based programs, and promote food security, nutrition-sensitive social protection and support for farmers.
Bárcena further contended that it is critical to achieve greater equity in access to essential medicines, reduced waiting times and reduced out-of-pocket payment burdens for people, while also expanding partnerships with academic institutions in the Caribbean and reinforcing inter-agency collaboration. The idea of using taxes on unhealthy products is also generating interest and should be carefully weighed using a sound socioeconomic analysis, she added.
To procure a resilient post-pandemic recovery, Caribbean countries need a healthy and productive workforce, the Commission’s Executive Secretary stressed. The GDP of the Caribbean dropped by 7.7% in 2020 as a result of the pandemic, compounding the high rates of indebtedness faced by the subregion’s countries. ECLAC estimates that in 2021, the Caribbean’s GDP will only grow by 4.1%.
“By taking an economic approach to the analysis of the NCD problem, we hope that policies aimed at promoting health and preventing disease will not only be cost-effective but that they may also be cost-saving, thereby making government health expenditures more effective,” Bárcena emphasized. This is a problem for society as a whole, which must be addressed beyond the health field. “Interventions on non-communicable diseases are within our reach. You can count on ECLAC.”
Bahamas News
National Reference Lab being restored and strengthened to ensure quality and reliability of health data and early warnings of health threats
By Betty Vedrine
Bahamas information Services
NASSAU, The Bahamas — The Royal Bahamas Defence Force (RBDF) has new leadership. Commander Dr. Raymond King, with 38 years of RBDF service, passed the baton to Captain Floyd P. Moxey during an official ceremony held at the Royal Bahamas Defence Force Coral Harbour Base on Thursday, May 8, 2025. Captain Moxey assumed the position of ninth Commander Defence Force.
In attendance were Governor General, Her Excellency the Most Hon. Dame Cynthia Pratt; Prime Minister and Minister of Finance, the Hon. Philip Davis; Minister of National Security, the Hon. Wayne Munroe; cabinet ministers, senators, justices and senior government officials.
Prime Minister Davis thanked Commodore King for his long service and said that Commodore King has been an outstanding contributor to
the nation and wished him well in his future endeavors. He commended Commodore King for leading the nation through several crises, including Hurricane Dorian, unrest in Haiti, and the COVID-19 Pandemic.
He welcomed Captain Moxey and said that he epitomized the essence of what a public servant should be.
“Captain Moxey is, in many ways, what public service ought to look like — not glamorous, not boastful, but honest, professional, thoughtful,” said Mr. Davis. “He started out as a marine mechanic in Mangrove Cay, Andros, worked his way up across 40 years of service, mastering technical operations, legal frameworks, and the complex workings of a national security policy.” The Prime Minister said that history was also being made as for the first time ever, the new Commander will be supported by two deputies, both of whom are females.
Outgoing Commander King thanked his staff, colleagues and family for their support over the course of his career. “As I exit the highest office in this distinguished military, I do so with a sense of pride in the work that we have accomplished together,” he said, describing his leadership style as defined by professionalism, fairness, and service to the public.” Delivering a personal tribute was his wife, retired Force Chief Petty Officer Fredricka King, who serenaded him with the hit, “Never Enough” from The Greatest Showman musical.
Commander Moxey noted his work began immediately with addressing the fleet, which is currently running at just 65 percent capacity — far below the 85 percent target.
“Our operations must be intelligence-driven and forward-looking,” he said. To this end, he pledged to boost patrol rotations, set up small boat stations in key locations, and ensure personnel are well-supported and mission-ready.
Plans were also announced to introduce a family support event and expand welfare programmes. An anonymous feedback system, he said, will give marines and staff a safe channel to raise concerns, reinforcing internal transparency and trust.
“To strengthen capabilities, the RBDF will pursue long-term maintenance contracts, adopt a predictive supply model, and invest in training
for pilots, mechanics, and unmanned aerial vehicle operators.” He confirmed that four new safe boats will soon be commissioned, stationed alongside coastal radar systems to expand surveillance coverage.
“The growing instability in Haiti, where gang violence and political turmoil have displaced tens of thousands, has pushed regional governments — including The Bahamas — to bolster border controls and intelligence operations.” Consequently, Commodore Moxey said the RBDF will deepen partnerships with regional allies like the Turks and Caicos Islands, focusing on intelligence sharing and formal agreements to better manage migrant activity.
He added that a new entry of 150 personnel in May will help address manpower needs.
Commodore Moxey is a distinguished Bahamian military professional and legal expert, with over four decades of experience in various agencies including the Royal Bahamas Defence Force, the Office of the Attorney General, and the Ministry of National Security.
Born in Mangrove Cay, Andros, he joined the RBDF in January 1982. He earned a Bachelor of Laws (LLB Hons.) in 2008 from the University of Wolverhampton and a Certificate of Legal Education from the Eugene Dupuch Law School in May 2011. Four months later, he was called to the Bahamas Bar and was subsequently seconded to the Office of the Attorney General.
In 2017, Commodore Moxey returned to the RBDF and became Staff Officer, Legal Affairs. In October 2021, he was appointed Legal Counsel to the Ministry of National Security. He is an active member of Saint Francis Xavier Cathedral. Married to Theresa Sturrup, Commodore Moxey is the proud father of three children — Marcus, Maurice and Theresa, and a proud grandparent.
The ceremony also included Medal Presentations, Three Cheers/Gun Salute for the outgoing Commander and Inaugural Salute to the incoming Commander, the Presentation of Sword and Commander Defence Force Pennant, and a March Past. The RBDF Band provided entertainment.
A reception followed on the grounds.
(BIS Photos/Letisha Henderson)
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