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Dear Editor: It’s time to break the stigma associated with mental health disorders in TCI

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#TurksandCaicos, February 25, 2022 – It’s time to break the stigma associated with mental health disorders in TCI.  Often times we tend to shy away from discussing the subject of mental illness, because it’s uncomfortable for some.

This subject is near and dear to my heart, not to mention I have a son and a sibling who struggles with mental illness.

I’m inclined to believe I’m not alone when it comes to the need for more discussion around this subject.

In all likelihood, mental illness is more prevalent among us then we want to believe and have probably touched a number of families within our communities in some form or fashion.

According to ADAA(Anxiety and Depression Association of America), nearly 450 million people worldwide are currently living with a mental illness, yet nearly two thirds of people with a known mental illness never seek or get treatment.

With the negative stigma around mental health in TCI, now imagine if a comprehensive study was done. The findings could be quite surprising especially with the rate per capita in such a small population.

For far to long, we have treated mental illness as taboo, largely in part due to shame and lack of proper understanding. Often time referring to such persons as crazy or lunatics.

Sadly, what it has done is pushed persons further underground, causing their illness to go undiagnosed for a longer period of time and not properly treated.

What’s also important to understand is the fact that in many cases, this illness may not be so obvious on the surface.

It’s not just limited to some of the homeless persons we may occasionally encounter on the streets. One can appear to be functioning fine and have it all together, but the reality is, they could be struggling internally.

There are various forms of mental disorders, such as severe depression, ADD, uncontrollable anxiety, phobias, certain individuals who are on the Autism Spectrum Disorder etc.

Studies have also shown that persons who suffer from such disorders, if untreated, it could also drive them to certain addictions, bing eating or suicidal thoughts.

It could also cause those individuals to lash out in different ways or resort to other cynical behaviors.

As outlined in the PNP manifesto under their commitment to Safety, Security and Justice, it’s high time our government finally acknowledged the need for more public awareness around this subject.

Henceforth, there is a lot of work that will need to be done to catch up with the rest of the world in terms of providing the necessary resources and mental health awareness programs.

With that being said, there are several things that will need to take place..starting with a comprehensive assessment of identifying those individuals. This will need to be a multifaceted approach, to include those on the frontline, better coordination of the departments involved with treatment, the prison system and social welfare programs.

These are all important steps we will have to take and confront, if we are serious about addressing mental illness.

For example, based on our population, do we have an adequate number of mental health counselors? How readily available are they in times of need?

Are we going into public schools and educating students on the availability of such programs? This could help to debunk the stigma of being called crazy or a lunatic.

The world as we know it is changing at a rapid pace and so is our lives.

As a result, we find ourselves devoting less and less time to internalize and deal with our emotions.

We have to look beyond our homes, go behind prison walls, in our schools, churches and on the streets to help identify and find ways to deal with these issues.

How many of our young men are locked behind bars because of undiagnosed and untreated mental illness? Are there adequate treatment facilities available to properly assist them or are they in the general prison population?

It’s imperative that we begin prioritizing mental health resources that address the underlying reasons for cynical behaviors.

Case in point: Over the years, I believe there are many students who have been identified with behavioral issues, are we taking a deeper dive or creating mandates around what types of disciplinary responses are appropriate when they act up?

In order for those students to get the attention that’s needed, educators will need instructional models that allow them to spend less time lecturing and more time in one on one discussions.

Albeit, there are lots of moving pieces when it comes to mental health, we must first start with recognizing and destigmatization of the basic diagnosis.

What is even more important to come to grips with in respect to our prison population, is the fact most of them are not serving life sentences. They will eventually be released into society with little help or monitoring.

Now what? if their diagnosis goes untreated, they will become a danger to themselves and to society as a whole.

Let’s start with overcoming this stigma of mental illness to avoid it from being repeated by the next generation. Therefore, the time to act is now!

 

Ed Forbes,

Concerned citizen of Grand Turk 

 

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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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Health

47,459 MEASLES CASES, 44 DEATHS ACROSS AMERICAS  

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WASHINGTON, D.C. — The Americas has recorded 47,459 confirmed measles cases and 44 deaths in 2026, the region’s highest case count in 22 years, prompting the Pan American Health Organization (PAHO) to urge stronger vaccination, surveillance and rapid outbreak response.

As of July 18, cases were already more than triple the 15,011 recorded during all of 2025. Guatemala, Mexico, the United States and Peru account for 95% of confirmed cases. Guatemala leads with 30,371 cases and 26 deaths, followed by Mexico with 12,255 cases and 17 deaths.

PAHO classifies the regional public health risk as very high, citing active outbreaks, immunity gaps, international travel and populations with inadequate vaccination coverage.

The organization says prevention starts with vaccination. Countries are being urged to achieve and maintain at least 95% coverage with two doses of measles-containing vaccine, particularly protecting children and under-vaccinated communities.

Measles spreads through the air when an infected person breathes, coughs or sneezes. Symptoms can include fever, cough, runny nose, red eyes and a rash.

PAHO is urging health authorities to detect suspected cases early and respond rapidly to stop transmission. Unvaccinated and under-vaccinated people, young children and communities with limited healthcare access face increased risk of severe illness and death.

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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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