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Prevalence of Non-Communicable Diseases in the Caribbean Exacerbating Pandemic’s Impact and Hindering Sustainable Development

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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.”

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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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