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Breakthrough cases from abroad lead local spike, still Vaxxed Residents get a pass on testing before coming Home

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By Deandrea Hamilton

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#TurksandCaicos, December 31, 2021 – Most of the active Covid-19 cases recorded in December in the Turks and Caicos are tourists, who are also fully vaccinated; this means they are breakthrough infections.  Still the Turks and Caicos Islands Government in its new raft of entry requirements has stopped short of ensuring everyone who enters or re-enters the territory is negative for the coronavirus, by exempting residents and citizens who are fully vaccinated from a process, it maintains keeps the nation safe.

“Remember though, the visitors are testing far more than we are, since for many a negative test or proof of recovery is a requirement for travel.  It could be, that we are finding more in this group, only because we are looking more in this group.  The truth is, it is difficult for us to know exactly what is happening within our residential population because we are not testing.  So far, only 90 tests have been conducted in December through the community outreach programme.

Testing as many people as possible is another strategy we can use in the fight against Covid-19,” said the Dr. Shandey Malcolm, National Epidemiologist during a national health update on Thursday December 30.

Though government states testing is a strategy, the need for it excludes the returning resident who is vaccinated; begging the question why is this demographic omitted from the essential screening.

The Premier, when he addressed the nation in the health update explained that vaccinated residents, because they have taken the vaccine, get preferential treatment which allows them to return home positive for COVID or not.

Jamell Robinson, TCI’s Health Minister said government is still weighing the benefit and risk of not testing all returning residents.

“We’re monitoring, watch the numbers, watch the hospitalisations, see how things are going, seeing how our resources are being deployed… we’ve decided at this point, December 30th that that’s not the route we are going at this point.  But if we deem it is absolutely necessary to make that call, we will.  But again, we are still doing some more research, and getting some more data to back up how much more we’re going to benefit from going that route.”

What is clear is the dwindled efficacy of vaccines caused by both the Delta and Omicron strains of the Coronavirus has increasingly materialized breakthrough infections, which has resulted in countries around the world requiring full vaccination or quality testing and upon entry or re-entry.

As it stands now, guests who test positive for Covid-19 must remain in Turks and Caicos until they can prove full recovery from the coronavirus.

According to Dr. Malcolm, 63 per cent of the 184 cases recorded up to December 30th in the Turks and Caicos were among vaccinated guests to the country.  The positives for Covid-19 were picked up when the visitors were taking Rapid Antigen Tests, a mandatory requirement for re-entry to their homeland.

However, Turks and Caicos is headed into a fourth month where vaccinated residents of the islands do not have to test prior to returning home, even though the likelihood of exposure is high.

On December 24th, 41 new Covid-19 cases were detected in Turks and Caicos, highest figure in 10-months.  At this time, the National Public Health Laboratory is functioning at a significantly slower pace due to equipment failure, said a Ministry of Health notice.

Record setting numbers are also charted in the United States, Canada and the United Kingdom; popular haunts for Turks and Caicos Islanders.    The new rule, announced by Minister Robinson tightens measures for Tourists and Non-Vaccinated residents only.  It requires a negative test result for everyone travelling who is two years old and over.  The regulation takes effect January 14, 2022.

This altered travel entry requirement increases the cost and stress of travel for those who fall into the category, because more tests will be required per group.  The PCR test is also more expensive and has a longer processing period. The change also comes at a time when there is increased pressure on testing centers in source tourism markets, with the “tsunami” of infections due to the Omicron variant of the disease.

The rule has no impact on the vaccinated citizen or resident however, who despite having had to test in order to exit the TCI into hotspot cities and countries which are overrun with the Omicron and Delta variants, can come home infected or not, because no one would know, especially if they are asymptomatic.

“You will notice subliminally that those persons who have not been vaccinated, Turks and Caicos Islanders who go abroad will be required a test before they come back home. If you are vaccinated and ‘boosterised’ you will not be prepared to take that test. For those persons who are not vaccinated, you are still required to be quarantined for fourteen days,” said the Premier who pointed to the rewards for being vaccinated and the penalties or stiffer regulations which kick in, once you’re not.

“People who have followed the protocol and who have been vaccinated, who’ve responded to the appeal to be vaccinated we don’t want to put additional burden on them, inconvenience them, and cause them money in the likelihood they may be positive then it’s a tremendous level of expense for them to have to be quarantined or remain in a foreign country.”

This scenario is sympathetic only to the vaccinated resident and desserts the unvaccinated resident and citizen, because they have opted not to be vaccinated for the coronavirus.

The rule also makes Turks and Caicos Islands, one of the only places in the world where a negative for COVID is not required from everyone entering the borders and so far, the TCI Government is okay with this blazing disparity of rules, which is a significant danger to public health.

A change in the inequitable rule is not off the table.  But the Government is taking a gamble with public health and admittedly feels a need to reward those who have taken the vaccine and penalize or alienate those who have not.

 

 

 

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Health

Is It Bad To Sleep in a Bra?

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Head to bed in a bra to reduce breast pain, nipple irritation and stretch marks

 

When you think about sleeping in a bra, “comfort” probably isn’t the first word that comes to mind — it may not even make the Top 10. But is it bad to sleep with a bra on?

Breast surgical oncologist Margaret Thompson, MD, explains the upsides and downsides of wearing a bra while you snooze.

Should you sleep in a bra?

Several factors may affect your decision to wear a bra to bed, but Dr. Thompson emphasizes that the risk of breast cancer should not be one of them.

“There’s no evidence that wearing a bra while sleeping increases your risk for breast cancer,” she states. “It really comes down to comfort and personal preference.”

But there are also other health issues to consider. Dr. Thompson lays out the pros and cons of sleeping in a bra.

Pros: Why sleeping in a bra might be good for you

Should you wear a bra to bed? There are some benefits, especially if you’re recovering from surgery or breastfeeding.

Lessens breast pain

Having the support of a bra day and night may help relieve breast pain (mastalgia). That’s good news, because up to 70% of women in the United States deal with it at some point in their lives.

Common causes include:

  • Hormonal changes, which often occur as part of your menstrual cycle
  • Locally advanced breast cancer, including inflammatory breast cancer
  • Lactation (producing milk), which may cause your breasts to ache
  • Large breasts, which may strain breast ligaments and tissue
  • Recent surgery related to your heart or breasts
  • Underwires, especially if your bras are too tight

“When somebody reports breast pain, one of the first things we ask is whether they wear an underwire bra,” shares Dr. Thompson. “It can dig into your skin or breast tissue, leaving you sore and tender.”

A soft sleep bra can keep your breasts from shifting and causing discomfort while you snooze.

Protects lactating breasts

If you’re breastfeeding, you know all too well that your mammary glands don’t care if you’re trying to rest. Swollen or full breasts can be painful, especially as you move during sleep or change positions. Wearing a clean and supportive bra while sleeping:

  • Holds nursing pads in place
  • Keeps nipples dry and free from bacteria
  • Reduces nipple chafing
  • Supports the structure of your breasts

Make sure your sleep bra is supportive, but not too tight. Wearing a bra that’s too tight while breastfeeding can lower your milk production and possibly lead to clogged milk ducts and mastitis — inflammation of the breast tissue.

Prevents fungal infections

Everyone loves to be warm and cozy in bed. But do you know what else loves a warm environment? Fungus.

“There’s a lot of skin-on-skin contact underneath your breasts, especially if you have larger breasts,” notes Dr. Thompson. “If you’re also covered in blankets and sweating, it becomes a perfect environment for fungal or yeast infections.”

Wearing a bra to bed helps absorb moisture beneath your breasts and reduce friction. A camisole with a built-in shelf bra can also help.

Reduces nipple irritation

Friction is a common reason for nipple pain — ask any avid runner. You may not be running a marathon in your sleep, but your nipples can still get sore from rubbing against:

  • Tight shirts, especially if they’re textured or have a graphic design that can be felt inside the shirt
  • The fabric of your pajama top or sheets
  • A sleep bra that’s too loose

Wearing a sleep bra can limit movement, easing nipple irritation.

Helps with recovery after surgery

It’s important to keep your breasts compressed after certain surgeries involving your chest. Restricting breast movement helps protect stitches and incisions. The added compression can also:

  • Decrease fluid collection
  • Minimize pain
  • Hold gauze and drains in place

“Most cardiac and breast surgeons want you to wear a bra for some time after surgery, even while sleeping,” emphasizes Dr. Thompson. “Always follow their advice.”

Diminishes stretch marks

Stretch marks on breasts are common, especially if your breasts change size during pregnancy. Bras support your skin’s structure, which helps prevent stretch marks.

“There’s no proof that wearing a bra at any time of day will decrease breast sagginess,” Dr. Thompson clarifies. “But it may help decrease stretch marks.”

Cons: Why it’s bad to sleep with a bra on

Looking for a reason to sleep without strapping on a bra? Dr. Thompson points out a few potential disadvantages of sleeping in a bra.

Causes skin irritation and infection

A sleep bra can protect your skin from irritation and infection. But it can also cause those issues if it has an underwire or it’s:

  • Dirty
  • Too tight
  • Too loose

Restricts circulation

“Bras that are too tight or contain underwires may cause you to wake up with some discomfort,” reiterates Dr. Thompson. “They can restrict your circulation while you sleep.”

Nobody wants to wake up to find that their bra left angry red indents in its wake. That’s why selection is key.

Tips for wearing a bra to bed

If you decide to sleep in a bra, choose one that’s comfortable and fits well — not too tight, not too loose. And be sure to replace your bras every six to 12 months, or whenever your breast size changes. Measure yourself or ask the fitter at your lingerie store or undergarments department for help finding the right size.

For the best experience with your sleep bra, Dr. Thompson recommends that you:

  • Choose a gentle fabric. Avoid lace or scratchy fabrics that may be rough on your nipples. Choose a natural material like cotton or something silky and soft.
  • Consider a shelf bra. Some camisoles and tank tops have a built-in shelf bra that may help you feel supported while sleeping.
  • Skip the underwire. Underwire can restrict circulation and cause pain while you sleep.
  • Wear a clean bra. Don’t wear a bra you’ve worn all day, and wash your sleep bras regularly — after every two or three wears.

Bottom line? If you choose to sleep in a bra, you want one that’s supportive and comfortable. If it interferes with your sleep, it’s not the right fit.

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Health

Turks and Caicos Islands Hospital Celebrates Successful Completion of 2026 Summer READY Programme

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Providenciales, Turks and Caicos Islands – August 18, 2026 – Turks and Caicos Islands Hospital is pleased to announce the successful completion of its Summer READY Programme, a two-week internship initiative designed to provide high school students in Forms 3-5 with hands-on exposure to the healthcare environment and an opportunity to explore careers within the sector.

The programme, organised and hosted by the Training and Education Department, welcomed students into various clinical departments, where they gained first-hand insight into the day-to-day operations of a healthcare facility and learned directly from healthcare professionals.

Throughout the two-week internship, students were exposed to different aspects of patient care and clinical operations while developing important workplace competencies, including communication, teamwork, professionalism, punctuality and responsibility. The experience was designed to complement classroom learning while helping students make more informed decisions about their future education and career pathways.

Vernessa Forbes, Training and Education Manager, said the Summer READY Programme reflects the hospital’s commitment to developing young people and creating meaningful opportunities for them to explore the healthcare profession.

“Summer READY is about giving our young people an opportunity to experience healthcare beyond what they may have seen or learned in the classroom. Over the two weeks, our students were able to interact with healthcare professionals, observe different clinical environments and gain a better understanding of the dedication and teamwork required to care for our patients. We were impressed by their enthusiasm, curiosity and willingness to learn, and we hope this experience has inspired them to consider the many rewarding careers available in healthcare.”

By rotating through and gaining exposure to various clinical departments, students were also able to see that healthcare extends beyond the roles most commonly associated with a hospital. The programme introduced them to the range of skills, disciplines and professionals that work together to deliver safe, compassionate and high-quality patient care.

Dr. Denise Braithwaite-Tennant, Chief Executive Officer, said the hospital has an important role to play in building the human capacity needed to support the future development and sustainability of healthcare in the Turks and Caicos Islands.

“As a hospital, our responsibility extends beyond providing healthcare services today; we also have an important role in helping to develop the people who will deliver and lead healthcare tomorrow. Human capacity building is essential to the long-term sustainability of our health system, and programmes such as Summer READY allow us to introduce young people to healthcare careers early, nurture their interests and help them understand the educational and professional pathways available to them.

By opening our clinical environment to students and providing mentorship and practical exposure, we are helping to build a pipeline of future nurses, physicians, allied health professionals and other healthcare workers. We want our young people to see that there is a place for their talents within the health sector and, importantly, that they can build rewarding careers while contributing to the health and development of the Turks and Caicos Islands. We are proud to play our part in investing in the next generation and strengthening our country’s future healthcare workforce.”

The programme concluded with the presentation of certificates of completion to the students, recognizing their successful participation and commitment throughout the two-week internship.

Turks and Caicos Islands Hospital congratulates all of the students who successfully completed the Summer Ready Programme and extends its appreciation to the clinical teams, supervisors and staff members who provided mentorship, guidance and practical learning opportunities throughout the programme.

Through the Summer READY Programme and its wider education, training, internship and professional development initiatives, Turks and Caicos Islands Hospital remains committed to supporting national human capacity development. By partnering with educational institutions, government agencies and other stakeholders, and by providing mentorship and practical learning opportunities within the healthcare environment, the Hospital aims to strengthen the pipeline of skilled healthcare professionals needed to meet the evolving health needs of the Turks and Caicos Islands.

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Bahamas News

More Bahamians Accessing HIV, STI Care Through NHI

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NASSAU, Bahamas — More Bahamians are accessing HIV and sexually transmitted infection-related healthcare through National Health Insurance, a trend the NHI Authority says should be viewed positively.

NHIA stressed in an August 6 statement that its 2025 figures measure healthcare utilisation, not newly diagnosed infections. They include beneficiaries screened, treated, monitored or receiving follow-up care, including people diagnosed previously.

“Increased utilisation of these services should be viewed as a positive development,” NHIA said.

The Authority pointed to “greater enrolment and use of NHI, improved access to screening and testing, continued treatment and monitoring of existing conditions, and increased willingness to seek medical care.”

The development comes amid a mixed three-year HIV picture. New diagnoses rose from 130 in 2023 to 156 in 2024, before declining to 142 in 2025.

NHIA said increased utilisation demonstrates that more beneficiaries are accessing needed healthcare and actively managing their health, reinforcing the importance of screening, early diagnosis and continued treatment.

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