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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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Nassau Cruise Port Marks Sixth Anniversary with Exciting New Additions for Visitors and The community

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[Nassau, Bahamas, October 8, 2025] Nassau Cruise Port (NCP) proudly celebrates its sixth corporate anniversary by unveiling a series of transformative additions that further enhance the guest and community experience. The anniversary comes at a pivotal moment in the growth of the port, with the opening of a new swimming pool, an expanded marina, and a state-of-the-art ferry terminal that will support transfers to the Royal Beach Club, which is currently under construction on Paradise Island.

Since its $300 million redevelopment, Nassau Cruise Port – the largest transit cruise port in the world – has welcomed millions of visitors and become one of the most vibrant cruise destinations in the world. This anniversary not only reflects its commitment to delivering world-class facilities, but also its dedication to creating meaningful connections between visitors and the Bahamian community.

“This milestone represents much more than the passage of time,” said Mike Maura, Jr., CEO and Director of Nassau Cruise Port. “It reflects our promise to continually elevate the guest experience, contribute to the local economy, and provide opportunities for Bahamians. During our first year (2019) of operating the Nassau Cruise Port, Nassau welcomed approximately. 3.85 million cruise guests, and 2025 will see well over 6 million cruise visitors visit Nassau. Our focus on driving cruise tourism and the $350 million investment in our downtown waterfront is a testament to our vision of making Nassau a premier cruise and leisure destination.”

The new pool offers a refreshing retreat for visitors enjoying Nassau’s waterfront, while the expanded marina will accommodate additional yachts, boosting tourism and local commerce. The ferry terminal expansion enhances passenger flow and supports convenient, seamless transfers to the Royal Beach Club, strengthening Nassau’s position as a hub for Caribbean cruising and leisure.

As part of its anniversary celebrations, NCP will host a series of internal and external activities to celebrate its team and to highlight its ongoing investments in the Bahamian economy, including job creation, local vendor opportunities, and cultural showcases at the port.

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Next U.S. Ambassador?  Walker Pledges Business-Driven Approach as U.S. Looks to Counter China in The Bahamas

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Deandrea Hamilton | Editor

 

The Bahamas, September 16, 2025 – For the first time since 2011, the United States is on the cusp of sending an ambassador to The Bahamas — and the nominee, former football star turned entrepreneur Herschel Walker, is promising to bring his business instincts to the diplomatic table.

Speaking before the Senate Foreign Relations Committee last week, Walker underscored that his background in food-service companies and small business leadership has prepared him to think practically about investment. “I know how to run a business, how to create jobs, how to make payroll. Those lessons translate into building relationships and building trust,” Walker said.

Walker, who was nominated by President Trump in December 2024, faced the Senate Foreign Relations Committee on September 11. As of now, he has not yet been confirmed; his nomination remains under review, pending a committee vote before it can move to the full Senate. If approved, he would become the first U.S. ambassador to The Bahamas since 2011.

For years, U.S. officials have stressed security and counternarcotics cooperation with The Bahamas, including through “Operation Bahamas, Turks and Caicos.” But in areas like infrastructure, medical care, and long-term investment, Washington has often been absent.

Hospitals and clinics remain under-resourced, and hurricane recovery has been slow in many islands. Chinese state-backed firms, by contrast, have shown up with financing packages and construction deals — a presence that has raised alarms on Capitol Hill.

“Only 50 miles off our shore, The Bahamas is too important for us to ignore,” warned Senate Foreign Relations Committee leaders during Walker’s hearing. They called China’s inroads “strategic, not charitable,” suggesting Beijing’s long game is about ports, proximity, and political leverage.

Walker positioned himself as a nontraditional but pragmatic envoy. He argued that his business career, rooted in private sector success, equips him to champion American investment in The Bahamas.

He pledged to:

  • Promote U.S. companies interested in medical and infrastructure projects.
  • Support an environment that encourages American investors to see The Bahamas as more than just a beach destination.
  • Highlight opportunities for partnerships that improve public services, healthcare, and resilience against hurricanes.

“I’ve built businesses. I know what it takes to attract investors and create opportunity. That is exactly what I intend to bring to our relationship with The Bahamas,” Walker said.

The Bahamas is not just a tourist paradise. It’s a frontline state in migration, drug interdiction, and hurricane response. More than six million U.S. visitors travel there annually, making stability and safety a U.S. domestic concern as much as a foreign policy one.

And yet, with the ambassador post vacant for 14 years, the U.S. has often looked detached — opening space for China’s ambitious Belt and Road agenda. The fear is that infrastructure deals signed today could give Beijing leverage in the region tomorrow.                                                                                                                                                                                                                Walker’s confirmation would symbolize a course correction, signaling Washington’s intent to re-engage not only in security but in the economic future of The Bahamas.                                                                                                                                                                                                                    Not everyone is convinced Herschel Walker is the right man for the job. His nomination revived controversies from his 2022 Senate run, including past allegations, public gaffes, and doubts about whether he has the diplomatic polish the post demands. Some senators and analysts questioned whether celebrity and business experience were enough for a role requiring nuance in foreign policy and geopolitics.

Critics argued that The Bahamas, sitting just 50 miles from Florida and facing intense Chinese interest, deserves a seasoned diplomat rather than a political ally.

Walker confronted those doubts head-on. “People have underestimated me all my life — in academics, athletics, and business,” he told the Senate Foreign Relations Committee. “And I have always proven them wrong, through discipline, determination, and by outworking everyone.”

He admitted he had never served as an ambassador but countered that his career prepared him in other ways: building businesses, managing payrolls, and connecting with people from all walks of life. He framed his business background as a strength, promising to use it to encourage U.S. investment in healthcare, infrastructure, and hurricane resilience projects in The Bahamas.

Rather than sparring with critics, Walker leaned on confidence and persistence: “I know how to build trust and find common ground. That’s what this relationship needs.”

If confirmed, Walker would have to balance his role as diplomat with expectations of being a commercial cheerleader for U.S. firms. His emphasis on entrepreneurship suggests a willingness to push U.S. businesses toward opportunities in healthcare, ports, and post-storm reconstruction — areas where Bahamians say they need the most support.

For Bahamian officials, the question will be whether Washington is prepared to back words with financing. U.S. private sector dollars, paired with aid and development partnerships, could help shift the tide against Chinese influence.

For Walker, the test will be whether his business acumen can translate into diplomatic wins — giving Bahamians alternatives to Beijing, while deepening the U.S. role in the Caribbean.

Analysis: If Walker delivers, this appointment could mark a turning point: a U.S. strategy that recognizes that in the Caribbean, investment is diplomacy.

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Bahamas News

Conflicting Reports as Grand Bahama Awaits Its New Airport: What to Believe?

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Deandrea Hamilton | Editor

 

September 16, 2025 – Grand Bahama’s wait for a modern international airport has taken another dramatic turn. Just days after reports surfaced that the $200 million redevelopment had collapsed because partners failed to secure financing, the government is now insisting the project is alive and well — with funding in the “final stages” and construction on the horizon.

Earlier This Week: Airport Deal in Dire Straits

The week began with grim headlines. Deputy Prime Minister and Aviation Minister Chester Cooper confirmed that private partners in the much-heralded consortium had not produced financing. “Regrettably, the funding had not happened,” he admitted, sparking widespread fears the deal had crumbled.

Those admissions triggered a storm of skepticism in Freeport. Back in February, the government had declared the airport deal “finalized,” naming Aerodrome Ltd., Manchester Airport Group, and BHM UK as partners. They promised demolition within 30 days, designs in 45 days, and a new terminal by year’s end. But now, more than four months later, not a single milestone has been delivered.

For residents and business leaders, the collapse narrative confirmed their worst fears: that Grand Bahama was once again being strung along with empty promises. Long-stay tourism — the kind that sustains hotels, restaurants, taxis, and shops — depends on a functioning airport. Without it, the island’s economy remains hobbled.

Today: Government Pushes Back

But late Thursday, the government issued a forceful rebuttal. “The redevelopment of Grand Bahama’s International Airport remains a central priority for this administration and is key to the island’s economic renewal,” the statement read. Officials stressed that they are “in the final stages of securing funding and concluding agreements on airport management.”

The statement went further, clarifying the role of Manchester Airport Group, the UK’s largest airport manager. MAG, it said, was never meant to provide financing but remains a core partner in shaping the airport’s development and management. Bahamian contractors, the government insisted, are part of the team tasked with delivering the facility. “Our focus is on results,” the release concluded. “Grand Bahama will have the airport it needs to grow, attract investment, and strengthen its role as a gateway to The Bahamas.”

Who Should Grand Bahama Believe?

The conflicting narratives — one of a deal in “dire straits,” the other of a project in “final stages” — have left Grand Bahama residents struggling to know what to believe. Is the airport project truly on life support, or is the government simply playing its hand close until funding details are nailed down?

Skeptics point out that this is hardly the first time the airport has been declared a priority only to see little follow-through. Promises in 2023, in February 2025, and again in summer 2025 all failed to produce visible progress. Each missed deadline has chipped away at public trust.

Supporters of the government counter that large infrastructure projects are inherently complex, with legal negotiations and financing arrangements often dragging longer than planned. They argue that the continued involvement of Manchester Airport Group is evidence the project is still credible.

The Bigger Picture

Grand Bahama’s airport troubles are intertwined with the stalled $120 million Grand Lucayan hotel sale, which also remains without visible progress 129 days after it was announced. Business leaders insist both projects must move together if the island is to see real recovery. A luxury resort without a modern airport is as unviable as an airport without hotel rooms to fill.

For now, the people of Grand Bahama are left in limbo. This week they were told the airport deal had failed. Today, they’re being told it’s moving forward. The only certainty is that, nearly a year after the latest round of promises, not a single crane has touched the sky.

As one resident put it: “We don’t need more statements. We need to see bulldozers.”

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