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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

Islanders Benefit from Free Dental Care Through Sandals Foundation, Great Shape, and TCI Gov’t Partnership

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PROVIDENCIALES, Turks and Caicos Islands – Approximately 1,400 residents of the Turks and Caicos Islands (TCI) benefited from comprehensive, state-of-the-art dental care through a recently concluded 1000 Smiles dental clinic, initiative spearheaded by Great Shape! Inc. in partnership with the Sandals Foundation, Beaches Turks & Caicos and the Ministry of Health and Human Services.

Hosted at the Church of God of Prophecy in Five Cays, Providenciales, the initiative provided a wide range of essential dental services at no cost to beneficiaries. These included dental examinations, professional cleanings, fillings, extractions, X-rays, sealants and other necessary treatments, helping to address oral health needs while improving access to quality dental care within the local community.

Now in its fifth year in the Turks and Caicos Islands, the programme continues to demonstrate the value of sustained public-private partnerships in expanding access to essential healthcare. The growing reach of the initiative reflects residents’ continued support and confidence in the philanthropic commitment of the Sandals Foundation, the charitable arm of Sandals Resorts International, its partnership with the Government of the Turks and Caicos Islands and Great Shape! Inc.

A team of 77 dental professionals participated in this year’s clinic, delivering services with efficiency, professionalism and a shared commitment to improving the oral health and wellbeing of residents.

Beyond the provision of direct dental treatment, the initiative also placed significant emphasis on preventive care and education, recognising the importance of establishing good oral hygiene practices from an early age.

Through Great Shape! Inc.’s dental education programme, teams visited schools across the Turks and Caicos Islands, reaching a total of 4,320 students with practical information and guidance on maintaining good oral health. Participating institutions included Thelma Lightbourne Primary School, BEST Institute, Community Christian School, Ashley Learning Centre, Preparing Little Minds, Richmond Hill Preparatory School, Ianthe Pratt Primary School, Maranatha Academy, Elite School, Holy Family School, Oseta Jolly Primary School, Enid Capron Primary School, Provo Christian Academy, Shining Stars Preparatory School and Mills Institute.

During school visits, students and teachers participated in interactive educational sessions that highlighted the importance of proper brushing techniques, flossing and consistent oral hygiene practices. The sessions were designed to build awareness, encourage healthy habits and reinforce the importance of preventive dental care.

Deryk Meany, General Manager of Beaches Turks and Caicos, was elated to see the turnout of families, noting that increasing access to healthcare services is a key component of the philanthropic organization’s work in improving the lives of the region’s people.

“We are beyond pleased to see the expansion of the 1000 Smiles dental programme in Turks and Caicos Islands. Healthy people make healthy communities and as an organization committed to nation building, we are fully committed to doing what we can to invest in the long- term development of the region’s health sector and services,” Mr. Meany stated.

The continued implementation of the 1000 Smiles dental clinic initiative has been strengthened through a Memorandum of Understanding with the Government of the Turks and Caicos Islands in collaboration with the Sandals Foundation, to facilitate the provision of free dental care to residents during the month of October.

The programme underscores the importance of collaborative partnerships in addressing community healthcare needs, particularly in areas where access to affordable dental services may be a challenge. By combining clinical services with educational outreach, the initiative delivers both immediate assistance and longer-term benefits through increased awareness and prevention.

Great Shape! Inc.’s 1000 Smiles project has established a significant regional presence, providing free dental services to thousands of beneficiaries across Jamaica, Saint Lucia, Grenada, the Turks and Caicos Islands, Antigua, Barbados and The Bahamas.

Through initiatives such as 1000 Smiles, the Sandals Foundation and its partners continue to demonstrate a commitment to strengthening communities, supporting healthier futures and making a meaningful difference in the lives of Caribbean people.

Photo captions: All photographs were taken at the clinic site except the dental group at Beaches.

(Members of the Great Shape dental team attending to patients at the recent dental clinic staged in the Turks and Caicos Islands.)

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Health

Cleveland Clinic First in Ohio to Perform Robotic Nipple-Sparing Mastectomy  

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Health system is among only a handful in the U.S. to offer the minimally invasive robotic procedure Cleveland Clinic is among the first hospitals in the country – and the first in Ohio – to perform a robotic nipple-sparing mastectomy procedure, following recent clearance by the U.S. Food and Drug Administration.

Stephanie Valente, D.O., and a surgical team recently performed the first robotic nipple-sparing mastectomy with immediate breast cancer reconstruction at Cleveland Clinic Fairview Hospital. The procedure offers a new minimally invasive approach to breast cancer surgery and risk-reducing mastectomy for patients at elevated risk.

This milestone places Cleveland Clinic among a select group of centers nationwide offering the advanced technology and brings one of the newest innovations in breast cancer surgery to patients in Northeast Ohio.

“This robotic approach offers greater precision through a much smaller incision, which can mean less visible scarring and faster recovery,” said Dr. Valente, director of the Cleveland Clinic Breast Surgery Fellowship Program and director of the West Region Multidisciplinary Breast Program. “Compared with the traditional procedure, which requires a larger incision, this approach can improve cosmetic outcomes, preserve the skin and nipple, and support a more natural appearance after surgery.”

During the procedure, surgeons use a 3D camera and robotic instruments inserted through a small incision of one inch, typically hidden along the side of the breast rather than across the underside, to remove breast tissue while preserving the nipple, areola and skin. The robotic platform, the da Vinci SP Surgical System, provides enhanced visualization and precision while minimizing disruption to the overlying skin.

Robotic surgery gives the surgeon better visualization of the operative field in what is typically a technically challenging procedure. This enhanced view can improve nerve identification and preservation, reduce blood loss and allow surgeons to perform the same oncologic operation through a one-inch incision rather than the traditional five-inch open incision.

The robotic approach removes the same breast tissue as a conventional mastectomy, while changing how the surgeon accesses the breast. For some patients, breast reconstruction can be performed during the same operation.

This approach is designed to reduce scarring, enhance cosmetic outcomes, preserve the natural skin envelope and nipple, improve sensation and accelerate recovery. For some patients, the less visible incision may also support confidence and body image after surgery. The procedure further expands Cleveland Clinic’s minimally invasive breast surgery options, which include endoscopic nipple-sparing mastectomy.

“As a field, we haven’t had many new options for patients with breast surgery for a decade now, so we are pleased to now have these minimally invasive procedures available for our patients,” said Dr. Valente. “Innovations like this support a more patient-centered experience as they allow us to address both the physical and emotional realities of breast cancer.”

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Bahamas News

Walk for the Cure Every Saturday This October  

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Nassau, Bahamas, 1 October 2026 – Every Saturday this month, communities across The Bahamas will take steps in support of cancer patients and survivors as CIBC Caribbean’s Walk for the Cure returns to New Providence, Abaco, Eleuthera, and Grand Bahama.

CIBC Caribbean Head of Country, Terrance Gibson, said, “Each Saturday in October represents another community coming together, another opportunity to raise awareness and, most importantly, more support for the organizations that are doing this work every day.”

The month of activities begins this Saturday, October 3, in New Providence, with participants gathering at the Goodman’s Bay Corporate Centre for a 6:30am start.

CIBC Caribbean Walk Champion, Antionette Fox, said the series of walks gives communities across the country an opportunity to contribute to a cause that directly supports Bahamian cancer organizations.

“Every Saturday for the month of October, there will be a walk that you can participate in to contribute towards this worthy cause,” Fox said.

In New Providence, the morning will extend beyond the walk itself, with Zumba, wellness activities, informational vendors, and opportunities for participants to connect with organizations working directly with cancer patients and survivors.

Gennie Dean Caring and Sharing Cancer Support Group President Duquesa Dean said participants do not have to complete the full route to be part of the morning.

“Just come out…there is something for everyone, come for the community,” Dean said. “There’s a survivor ceremony, so come and participate and celebrate the people who have gone through cancer and are here as evidence that you could live after a cancer diagnosis.”

The Gennie Dean Caring and Sharing Cancer Support Group is one of eight cancer organizations in The Bahamas that benefit from funds raised through Walk for the Cure. The others are the Sister Sister Breast Cancer Support Groups of New Providence and Grand Bahama, Cancer Society of The Bahamas, the Cancer Societies of Abaco, Eleuthera, and Grand Bahama, and the Cancer Association of Grand Bahama.

Dean explained that CIBC Caribbean covers the cost of staging WFTC, allowing donations raised to support the work of beneficiary organizations.

For her organization, that assistance translates into tangible support for people navigating cancer, including food assistance, financial aid, prosthetic breasts, and mastectomy bras, as well as programs such as Step Into Wellness, which promotes movement and healthy living among cancer patients and survivors.

Corporate partners are also helping to strengthen this year’s effort. Bamboo Shack has joined the initiative as a gold sponsor, with representative Ghandi Pinder sharing that the cause has a personal significance for her.

Pinder recalled shaving her hair in solidarity with her sister after she was diagnosed with an aggressive form of breast cancer and began losing her hair during chemotherapy.

“We see you, we’re here with you, we’re in it with you,” Pinder said of Bamboo Shack’s message to those affected by cancer.

She also encouraged more of Corporate Bahamas to support initiatives that directly impact the communities they serve.

“At Bamboo Shack, we always say a better Bahamas begins with you… Together, we can make a difference,” she said.

Registration for Walk for the Cure is $30 for adults and $15 for children and can be completed at any CIBC Caribbean branch. CIBC Caribbean clients can also donate through online banking.

The New Providence Walk begins promptly at 6:30am on Saturday, October 3, at the Goodman’s Bay Corporate Centre, followed by Walk for the Cure events in other islands each Saturday throughout October. The Grand Bahama WFTC event will be held on October 10 and the Abaco and Eleuthera WFTC events will occur on October 17 and October 24 respectively.

Gibson added, “Some will walk for themselves, some in celebration of a survivor, and others in memory of someone they have lost. Whatever brings you to Walk for the Cure, every person who shows up becomes part of a much bigger expression of support for those affected by cancer.”

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