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COVID deaths too high, Therapeutics Options too low; TCIG is not following Mother England

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By Deandrea Hamilton

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#TurksandCaicos, January 20, 2022 – Five medical treatments for Covid-19 patients are in use in the United Kingdom according to National Health Service, (NHS) yet Turks and Caicos has employed only one Covid-19 therapeutic and with the surge in new deaths due to the virus, it is a wonder if more can be done in this country to save lives.

Dexamethasone was approved by the NHS in June 2020, less than a month later, Turks and Caicos Hospitals began use of the therapeutic said to offer ground-breaking coronavirus treatment.

“Dexamethasone, an anti-inflammatory drug, has been immediately approved to treat all UK hospitalised COVID-19 patients requiring oxygen, including those on ventilators, from today.

The drug has been proven to reduce the risk of death significantly in COVID-19 patients on ventilation by as much as 35% and patients on oxygen by 20%, reducing the total 28-day mortality rate by 17%,” informed a media statement from the NHS on June 16, 2020.

Ever so quietly, and despite repeated media questions to the Ministry of Health about therapeutics, Dexamethasone was added to the Covid-19 response arsenal without a word.

The TCI Hospitals informed of its use late 2021, due to Magnetic Media questions on the issue.

However, that is where the list of therapeutics ends.  But not so for the UK, from whom Turks and Caicos is taking medical cues.

Four other therapies are employed in the United Kingdom in an effort to save lives; they are: Tocilizumab and sarilumab (for REHAB); Tocilizumab (for RECOVERY); Inhaled budesonide (for PRINCIPLE care) and Ronapreve (for RECOVERY).

No surprise the effort is varied and fervent as the UK sadly reports one of the highest death tolls to COVID in the world at 153,000 people lost to the virus.

By January 2021, the UK, which was also the first country to approve emergency use of the Covid-19 vaccines, added a new drug: Tocilizumab and sarilumab.

Tocilizumab and sarilumab is administered to the sickest Covid-19 patients, said the NHS.

“This is a significant finding which could have immediate implications for the sickest patients with COVID-19,” said Professor Anthony Gordon, Chair in Anaesthesia and Critical Care at Imperial College London and a Consultant in Intensive Care Medicine at Imperial College Healthcare NHS Trust.

“We found that among critically ill adult patients – those receiving breathing support in intensive care – treatment with these drugs can improve their chances of survival and recovery,” explained Professor Gordon. “At a time when hospitalisations and deaths from COVID-19 are soaring in the UK, it’s crucial we continue to identify effective treatments which can help to turn the tide against this disease.”

A month later, a recovery version of Tocilizumab came on stream.

The NHS, which ran studies on all of the drugs before introducing them for medical care to its residents reported that:  “Treatment with tocilizumab significantly reduced deaths: 596 (29%) of the patients in the tocilizumab group died within 28 days compared with 694 (33%) patients in the usual care group (rate ratio 0·86; [95% confidence interval [CI] 0·77 to 0·96]; p=0·007), an absolute difference of 4%. This means that for every 25 patients treated with tocilizumab, one additional life would be saved.”

By April 2021, the UK was offering a therapeutic which was administered to people presenting with COVID but not yet hospitalised for the virus.

Inhaled budesonide, was given before Covid-19 turned severe.

“This asthma drug shortens recovery time said the National Health Service.  The statement published on April 12, 2021 said, “Inhaled budesonide, a common corticosteroid, is the first widely available, inexpensive drug found to shorten recovery times in COVID-19 patients aged over 50 who are treated at home and in other community settings, reports the PRINCIPLE trial in 1,779 participants. The drug is now available to treat COVID-19 on a case-by-case basis in UK primary care.”

The final approved “effective treatment” listed on the UK Government’s website is Ronapreve, sanctioned as effective in September 2021.

It was geared to health care workers without coronavirus antibodies and those 12 to 49, who are considered immunocompromised.

Health and Social Care Secretary Sajid Javid said: “We have secured a brand new treatment for our most vulnerable patients in hospitals across the UK and I am thrilled it will be saving lives from as early as next week.

The UK is leading the world in identifying and rolling out life-saving medicines, particularly for COVID-19, and we will continue our vital work to find the best treatments available to save lives and protect the NHS.

Ronapreve is the first neutralising antibody medicine specifically designed to treat COVID-19 to be authorised by the Medicines and Healthcare products Regulatory Agency (MHRA) for use in the UK.”

Given the Turks and Caicos, as a UK Overseas Territory has been extraordinarily supported from the onset of the pandemic by the United Kingdom, it is unclear why only one of five options, approved by Mother England has been activated locally.

While all messages from the NHS reveal a zeal to have as many possible options for the people of the UK in the fight against COVID-19.  Turks and Caicos seems stuck and lacking the motivation  it needs to offer more life-saving treatments to the people – vaccinated or unvaccinated – of the territory.

Perhaps the knowledge of the cold corpses of six beloved people from January 2022 deaths due to COVID, including a special needs young woman, may get the government spending public money on the other drugs and treatments, which give Covid-19 patients an extra fighting chance at life.

 

 

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Caribbean News

From Pathways to Investment: Tackling the US $6 Billion Food Challenge for the Caribbean

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By Kenroy Roach

The Caribbean’s food systems challenge is fast evolving into a broader development challenge.

Despite decades of policy attention and investment, the region remains one of the most food import-dependent in the world, spending over US$6 billion annually. At the same time, countries continue to grapple with food insecurity, high rates of diet-related non-communicable diseases, climate vulnerability, and exposure to external shocks that can disrupt supply chains and drive up food prices almost overnight.

For Small Island Developing States (SIDS), food security has shifted from an agriculture focus alone, it’s about economic resilience, health, climate resilience and sustainable growth.

Recognizing this reality, Caribbean governments have elevated food systems transformation as a regional priority through the CARICOM 25 x 25 Plus Five Agenda, which seeks to reduce food import dependence while strengthening domestic production, regional trade, and resilience. Across Barbados and the Eastern Caribbean, governments have also developed National Food Systems Pathways that identify the investments, partnerships, and policy reforms needed to transform food systems and accelerate progress toward the Sustainable Development Goals (SDGs).

Yet one challenge has remained persistent: financing.

In the face of high levels of public debt and limited fiscal space, while public investment remains critical, Caribbean governments simply cannot shoulder the financing burden alone. Transforming food systems at scale requires mobilizing far greater private capital, alongside development finance and public resources.

This was the rationale behind the recent convened in Barbados.

The Forum brought together governments, investors, international financial institutions, private sector leaders, regional organizations, and the United Nations around a simple proposition: food systems should be viewed not only as a development priority, but also as an investable asset class.

A distinguishing feature of the innovative gathering was its focus on attracting private investment—particularly private equity, impact investment, and blended finance solutions capable of supporting businesses and infrastructure across food value chains. By helping enterprises access growth capital and connecting investors with scalable opportunities, the initiative sought to unlock financing that complements public investment rather than adding to already constrained public balance sheets.

A key outcome was the launch of a regional Deal Book comprising approximately US$320 million in investment opportunities across seven countries, spanning agriculture, fisheries, agro-processing, logistics, and strategic food systems infrastructure. The Deal Book created a practical bridge between capital seeking opportunities and opportunities seeking capital, while enabling direct engagement between governments, enterprises, and investors.

The results were encouraging.

Across four sector-focused deal rooms, participants explored investment-ready and near-investment-ready opportunities and discussed blended finance private equity, risk-sharing, and partnerships to advance projects toward implementation.

The Forum highlighted a shift in perspective: food systems are now seen as strategic drivers of economic diversification, resilience, competitiveness, and growth. Investments across production, processing, logistics, and distribution can strengthen regional supply chains, create new businesses, generate jobs, and reduce vulnerability to external shocks.

For the United Nations, this experience reinforced an important lesson.

Transforming food systems requires more than the technical expertise of individual agencies. It requires integrated solutions that connect agriculture, nutrition, health, climate resilience, trade, private sector development, and financing.

This is where the Resident Coordinator System plays a critical role.

Across Barbados and the Eastern Caribbean, the Resident Coordinator Office has united UN system capabilities around a common food systems agenda. Working with FAO, WFP, the UN Food Systems Coordination Hub, and other partners, the RCO has helped align policy support, technical expertise, partnerships, and financing with nationally identified priorities.

The Forum demonstrated this integrated approach by convening governments, investors, development finance institutions, private sector actors, and UN agencies around a common objective. It showcased the UN’s comparative advantage as a trusted broker capable of connecting development priorities with investment opportunities.

The Forum’s success will be measured not by dialogue generated, but by investments mobilized, businesses expanded, and progress made toward resilient, competitive Caribbean food systems across the Caribbean.

Its most important outcome may therefore be what comes next.

The work starts now.

Kenroy Roach is Head of the UN Resident Coordinator Office for Barbados and the Eastern Caribbean

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Health

Turks & Caicos Hotel and Tourism Association Secures Landmark Health Insurance Partnership for Tourism Workforce  

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Providenciales, Turks and Caicos Islands, June 30, 2026 – The Turks & Caicos Hotel and Tourism Association (TCHTA) has secured a landmark partnership with Caribbean Health Insurance (CHI), a product of Bee Insurance Corp, giving tourism businesses across the destination access to health coverage of up to USD 500,000 per employee.

The official signing ceremony, hosted by Beaches Turks and Caicos, capped months of work led by the TCHTA Membership Committee to identify a reputable provider capable of helping to fill a critical coverage gap in the hospitality sector.

The launch also marks a timely and significant private-sector solution to a growing healthcare coverage concern following the Government’s recent announcement that work permit holders would no longer have access to the NHIB Treatment Abroad Program – a change that left many employees across the tourism sector, and beyond it, without the usual pathway to specialized medical care outside the Turks and Caicos Islands.

TCHTA President James McAnally said the agreement is a critical step in supporting the people who power the country’s leading industry.

“Our industry depends on people, and when something as important as access to care is affected, we have a responsibility to seek practical solutions,” said McAnally. “This partnership with Caribbean Health Insurance gives our members a comprehensive and affordable option for their teams. It is also an example of the role the TCHTA plays in advocating, responding, and creating avenues that support the sustainability of our sector.”

The Caribbean Health Insurance plan offers two tiers, CORAL and PEARL Elite, providing coverage of USD 300,000 and USD 500,000 respectively, with the PEARL plan including air ambulance service. Both grant policyholders access to a growing network of hospitals and specialists in the Dominican Republic and Colombia, with Jamaica expected to join the network later this year. Coverage includes telemedicine, bilingual patient support, and features a zero-deductible structure.

“We have developed Caribbean Health Insurance specifically for our region. At Caribbean Health Holdings, we are deeply committed to supporting the people and businesses of the Turks and Caicos Islands by expanding access to high-quality and affordable healthcare solutions,” said Sergio Madinabeitia Arango, Executive Director of CHI.

“Our medical network connects members to trusted centers of medical excellence across the Caribbean and Latin America, including leading providers in the Dominican Republic, Colombia, Jamaica, and we keep expanding. This regional approach ensures that world-class care is more accessible, more efficient, and closer to home.”

On the partnership with the TCHTA, Arango shared, “Our partnership with the TCHTA represents an important step in advancing health security for one of the country’s most vital industries. Together, we are helping create stronger healthcare access for employers, employees, and their families, while supporting the long-term wellbeing of the Turks and Caicos community.”

The initiative was spearheaded by the TCHTA Membership Committee, chaired by Snjezana Andrews. Ahead of the signing, the Committee hosted a public virtual presentation, connecting employers and employees to CHI representatives to learn more about the coverage options, ask questions, and better understand the enrollment process.

“This initiative speaks directly to the purpose of the Membership Committee,” said Andrews. “Our role is to listen to our members, understand where the gaps exist, and help identify practical solutions that bring real value. We are proud to offer members an option that responds to a clear need and allows them to better support their teams.”

In 2025, the Membership Committee identified health insurance options as a priority member benefit and key goal for the Association’s current term, noting that smaller tourism providers were often challenged to access traditional group coverage on their own. The Government’s announcement regarding changes to treatment abroad access added urgency to that work and broadened its relevance across the sector.

Andrews says the partnership is not just a win for TCHTA members, but for any organization in the Turks and Caicos Islands that values its employees and wants to strengthen the benefits available to them, adding, “In a competitive labour market, access to meaningful health coverage is key to attracting, supporting, and retaining good talent.”

Honourable Kyle Knowles, Minister of Health and Human Services, attended the signing ceremony and welcomed the opportunity for continued collaboration around healthcare access and coverage options for residents and workers in the Turks and Caicos Islands.

“This new program provides an additional layer of security for employees in the tourism and hospitality sector by expanding access to private health insurance coverage, including the opportunity for eligible migrant workers and their families to access overseas medical treatment when needed. That is a powerful and compassionate development. It recognizes that while our local healthcare system offers quality care and continues to improve, there are times when specialized treatment abroad may be necessary.

This initiative is a significant advancement that complements the healthcare services already available locally, while strengthening the safety net for those who serve in one of our most vital economic sectors. It reflects a practical and forward-looking approach to expanding healthcare access, enhancing employee welfare, and supporting the long-term sustainability of our tourism and hospitality industry.”

As part of its commitment to the Turks and Caicos Islands, Caribbean Health Insurance will establish a local office at The Hub in Grace Bay. Led by veteran local insurance executive Craig Archibald, the office will provide the public with an in-country point of contact for information, assistance and service.

The TCHTA also confirmed that a second coverage option, offering access to care within the United States, is being finalized with local provider, CSC Insurance Brokers Ltd. Further details will be shared once that agreement is complete.

“This is bigger than a single agreement. It’s about making sure our members and their teams have real options when it comes to something as fundamental as healthcare,” said Stacy Cox, TCHTA CEO. “We encourage every local organization, member or not, to reach out and explore what this partnership can offer their teams and families.”

Interested businesses can contact the Turks & Caicos Hotel and Tourism Association at info@turksandcaicoshta.com or 649.332.5787 to learn more about TCHTA membership and the CHI health insurance option.

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Health

TCHTA Swoops In After Policy Change, Restores Access to Overseas Medical Care  

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PROVIDENCIALES, Turks and Caicos Islands — When the need arose to protect hundreds—more likely thousands—of the workers who power the Turks and Caicos Islands’ leading industry, the Turks and Caicos Hotel and Tourism Association (TCHTA) again demonstrated that its role extends well beyond promoting tourism or enhancing the visitor experience. It is also about advocating for, and responding to, the needs of the people behind the industry.

Four months after the Turks and Caicos Islands Government revised eligibility for the Overseas Medical Treatment Programme, leaving work permit holders outside the publicly funded treatment abroad system, the Association has stepped in with a solution —a practical alternative that restores access to overseas medical care.

The Government announced in February that only Turks and Caicos Islands British Overseas Territory Citizens and Status Card holders residing in the territory would remain eligible for Government-funded overseas treatment. At the time, officials also said continued investments in specialist services, diagnostic capacity and clinical infrastructure would reduce the need for overseas referrals and improve access to care at home.

Recognizing the implications of the policy change for tourism employers and employees alike, the TCHTA spent months working to secure another pathway to overseas medical care.  In a media release, which Magnetic Media has published in full, the Association announced the commendable remedy.

We know that those efforts culminated last week in a landmark partnership with Caribbean Health Insurance (CHI), providing member businesses with two coverage options—CORAL, offering benefits of up to US$300,000, and PEARL Elite, providing up to US$500,000, including air ambulance services. A signing ceremony was held at Beaches Turks and Caicos Resort.

The plans connect employees with hospitals and specialists in the Dominican Republic and Colombia, with Jamaica expected to join the provider network later this year.

The Association says its work is not finished. A second insurance partnership with CSC Insurance Brokers Ltd. is nearing completion and will give participating employers and employees access to healthcare providers in the United States.

For an industry built on people, the initiative represents far more than another insurance product. It restores a pathway to overseas medical care for a workforce whose access to Government-funded treatment abroad changed earlier this year, reinforcing the TCHTA’s reputation for finding practical solutions when its members need them most.

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