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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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Energy Minister Delivers Electrifying Keynote Opening Address at CAREC 2026  

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NASSAU, The Bahamas – The Bahamas’ Minister of Energy, Utilities and Aviation, The Honourable JoBeth Coleby-Davis, delivered an electrifying address during the opening ceremony of the 2026 CARILEC Resilient/Renewable Energy Community (CAREC) Conference and Exhibition, being held October 18–22, 2026, at the British Colonial Hotel in Nassau, The Bahamas.

Under the theme “Empowering Progress: Strategic Policy and Planning for the Energy Transition,” the event draws more than 200 industry leaders, policymakers, regulators, and energy professionals committed to advancing practical strategies for sustainable and reliable Caribbean power systems through renewable energy and emerging technologies.

During her address, titled “The New Energy Era: Transforming Policy into Progress,” Minister Coleby-Davis reminded attendees that The Bahamas’ national motto, “Forward, Upward, Onward, Together,” aptly describes what the region’s energy transition demands.

“Empowering Progress speaks directly to our national motto. Not waiting for progress, but creating the conditions that allow progress to happen. Meaningful progress, however, does not occur by accident. It requires vision, sound policy, strategic planning, strong institutions, and the determination to turn decisions into results,” said Minister Coleby-Davis.

Participants acknowledged that small island developing states share similar pressures, compounded by geographical challenges, small electricity markets, ageing infrastructure, geopolitical influences, and the growing threat of severe weather.

Tasked with ushering in a new energy era across the islands while addressing the challenges posed by The Bahamas’ unique archipelagic composition, Minister Coleby-Davis said, “Every island needs a different answer, but the same logic. As an archipelagic nation, we must provide electricity across many islands, each with its own demand and infrastructure needs. Our strategy, therefore, must be national in direction, but responsive to individual communities.”

Restating her Ministry’s three core messages—that energy is an economic and security priority, technology must be viewed as a tool to support strong institutional leadership, and natural gas should be considered a bridge, not a destination—Minister Coleby-Davis reiterated that “progress must now be reflected in functioning infrastructure, effective institutions, and better electricity services: from policy commitments to coordinated implementation, and from fragmented investment decisions to long-term planning.”

Organised by CARILEC and co-hosted by Bahamas Power and Light (BPL) and Grand Bahama Power Company (GBPC), the annual Conference and Exhibition brings together the Caribbean energy community to advance practical solutions to the region’s most pressing energy challenges and accelerate progress towards more resilient, reliable, and sustainable power systems.

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Rosewood Exuma: A precedent-setting case for environmental law and future development in The Bahamas  

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By Eric Carey, ONE Consultants, former Executive Director of the Bahamas National Trust. 

We are facing an extraordinarily important moment in judicial history in The Bahamas as we await a decision on the trial of allegations in the Yntegra group’s Rosewood Exuma project.

As former Minister of the Environment, Romauld Ferreira, put it in the Supreme Court last week: “A lot is at stake…a  great deal of what will be considered in this case sets the stage for what’s to come for future development in the country.”

In the trial of the judicial review of government approvals given to Yntegra for their Rosewood Exuma resort this week, we’ve heard technical arguments about failure to make key environmental documents like Yntegra’s Environmental Impact Assessment and Environmental Management Plan available to the public, failure of key documents to assess some of the most controversial aspects of the project, an unlawful consultation process, and a failure to conduct further consultation following major changes to the development.

Lawyers for Turtlegrass described how there was a “salami slicing” of the project into chunks as a way to circumvent the approvals process and disguise its full impact from public scrutiny. Only certain portions came before the public and key stakeholders like Turtlegrass and Over Yonder Cay for scrutiny, while some of the most controversial aspects did not. This is particularly problematic given what is at stake – the dredging of a beautiful Exuma bay, the North Bay, to transform it into an industrial shipping channel, complete with an enormous seawall, dock, back-of-house facilities and other industrial infrastructure.

It is unfortunate that it has had to come to this – an expensive judicial review process that calls out the government for falling down on its duties to protect the environment and follow the law – but it is important and the broader implications should not be overlooked. When Justice Leif Farquharson rules on this case, he’ll set a precedent that could echo in The Bahamas for years to come, one that answers the question: are the 2019 environmental laws that Ferreira took to parliament after many years of advocacy by environmentalists toothless tigers that are just for decoration – or are they capable of protecting the environment that we all depend on and the rights of those affected by projects to have a genuine say in them?

What is curious is that at the same time as these points are being raised in court as part of the judicial review, we are seeing personal attacks about Bob Coughlin – the person spearheading this legal action and test of environmental laws – by online trolls. Coughlin, an Exuma resident for almost a decade, has long been established as an environmental advocate and a passionate philanthropist – one who has donated almost $4 million to causes in The Bahamas since 2018, including millions to the organisation I once led, the Bahamas National Trust.

For reasons one can only speculate about, these trolls have been trying to make out all sorts of absurd things: that his legal action in support of environmental protection is a petty dispute born out of fears of competition. That Coughlin no longer even wants to pursue his eco-tourism project, when the reality is that he was forced to put it on hold because of the destructive environmental plans that are in dispute. That he is the only one who has an issue with this Rosewood Exuma resort, when in fact, neighbouring resort, Over Yonder Cay – one of the top rated resorts in the Caribbean – as well as the Save Exuma Alliance – consisting of most of the local islands and businesses in the Exuma area, and thousands of petition signers have expressed their concern with the project – over 9,000 to date. Most ironically, they claim, wrongly, that Coughlin received crown land for personal use, when in fact it is Yntegra who received crown land while having no development track record, when Coughlin instead bought his lease on Sampson Cay from a private owner.

The timing of these claims, in the week of the trial, suggest a patronising and cynical attempt to distract from the gravity of the case being heard, what it represents, and how important this decision is. With their simplistic, jingoistic and factually-dubious references to crown land, white foreigners, and the like – it’s not hard to imagine that those involved are engaged in a ploy to push the buttons of Bahamians who they apparently believe can be too easily distracted into ignoring the real issue here: that the government, has – in the words of those in the Supreme Court this week – “run roughshod” over environmental laws with its approvals for Yntegra’s Rosewood Exuma project and that this is truly a landmark case and the decision will have a long-lasting impact on future development. This is at a time when foreign direct investment (FDI) inflows into the Bahamian economy are forecast to increase by as much as two thirds over the next two years, according to the Inter-American Development Bank (IDB).

So I call on my fellow Bahamians to stay focused. This is not a story about one man – it is a story about the future we want for our country and whether we are willing to sacrifice our ability to demand environmental accountability in all developments moving forward. There is too much at stake to be thrown off the track by trolls.

As Ferreira says of the judicial review that now awaits Justice Leif Farquharson’s judgement: “This is the first set of litigation, serious litigation, that takes a deep dive into the Environmental Planning and Protection Act and the environmental impact assessment regulations…There’s a lot at stake here.”

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Monument Supports Hands for Hunger With Paradise Plates Debut  

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NASSAU, Bahamas — Caribbean Wines & Spirits (CWS), The Bahamas’ leading wine and spirits distributor, proudly supported Paradise Plates, Hands for Hunger annual fundraiser with a flavorful offering of its newest product, Monument Beverage Co.

Monument, which launched this July and is available across six major islands, made its Paradise Plates debut. Guests enjoyed three bold flavors: Peach Passion, Ginger-Lime and Melon Fizz as they socialized throughout the evening.

Monument brand ambassadors engaged guests with knowledge on the ready-to-drink beverage’s unique taste and look. Many attendees were delighted to learn that Monument is 100% Bahamian-made and owned and enjoyed seeing the various national landmarks on the packaging.

The booth was adorned with vibrant brand colors, striped arches, tropical florals and a photo worthy backdrop featuring Monument cans filled with florals cascading down the wall.

At the end of the event, the entire Monument inventory had finished, making Monument’s Paradise Plates debut a huge success.

For more details on Caribbean Wines & Spirits, new products and specials, visit www.cwsbahamas.com today.

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