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PAHO calls for expanded access to cancer care

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Cancer is the second leading cause of death in the Americas

 

February 9, 2022 – On World Cancer Day this February 4, the Pan American Health Organization (PAHO) calls for an increase in cancer treatment and prevention services  to reduce new cases of the disease. If no action is taken, cases could increase by nearly 60% by 2040.

“Close the care gap” is the theme of this year’s World Cancer Day, organized by the Union for International Cancer Control (UICC). The day is an opportunity to unite people in the fight against the global cancer epidemic.

Cancer is the second leading cause of death in the Americas, after cardiovascular disease. According to estimates by the Global Cancer Observatory (Globocan), in 2020, 4 million people were diagnosed with cancer 1.4 million died. If no action is taken, more than 6.2 million people are expected to be diagnosed with cancer by 2040.

“The pandemic has caused many obstacles, but we cannot go backwards in the fight against cancer,” said PAHO Director Carissa F. Etienne. “Access to health services make it possible to detect cancer early and treat it effectively,” she said.

Globally, non-emergency services, including cancer screening and diagnosis, were severely affected by restrictions and closures, as well as by the diversion of resources to manage the COVID-19 pandemic. This is expected to increase existing inequalities in cancer care.

In the Americas, moreover, significant inequalities in access to cancer care existed before the pandemic, leading to poor health outcomes. While in North America the survival rate for children with cancer exceeds 80%, in Central America and the Caribbean it is 45%.

These inequities also exist in access to cervical cancer screening, prevention and treatment. Screening coverage for cervical cancer varies from 7% to 89% in the region and mortality rates range from 2 deaths per 100,000 women in Canada to 19 deaths per 100,000 in Paraguay.

Cancer is preventable

Between 30-50% of cancer cases can be prevented through vaccination (against hepatitis B and papillomaviruses) and by reducing the prevalence of known risk factors, such as tobacco use (which causes 25% of cancer deaths), Diets that are  deficient in fruits and vegetables and high in red and processed meat; alcohol consumption; physical inactivity; overweight and obesity, and exposure to carcinogens in the workplace are also risk factors.

“Accelerating prevention is key to avoid new cases,” stressed PAHO’s Director of Noncommunicable Diseases and Mental Health, Anselm Hennis. “And for that prevention to be effective it must be based on government-wide approaches, with legislation, regulation and fiscal policies combined with activities to change individual and community behavior,” he added.

PAHO/WHO is promoting three global campaigns in the Americas that seek to address the cancer burden. These initiatives aim to prevent and treat cervical cancer, increase childhood cancer survival, and prevent breast cancer, the most common cancer in women.

Cancer in the Americas – 2020*

  • 57% of cases and 47% of deaths occurred in people aged 69 years or younger.

  • The types of cancer most frequently diagnosed in men are: prostate (28.6%), lung (11.7%), colorectal (10.2%) and bladder (5.9%).

  • The most frequently diagnosed cancers in women are: breast (30.7%), lung (10.3%), colorectal (9.6%) and uterine (6.4%).

  • The types of cancer with the highest mortality rates in men are: lung (20.6%), prostate (14.5%), colorectal (10.6%), pancreatic (7%) and liver (6.6%).

  • The cancers causing the highest number of deaths in women are: lung (18.4%), breast (17.5%), colorectal (10.6%) and pancreatic (7.2%).

  • Almost 500,000 new cases of breast cancer and more than 100,000 deaths from breast cancer were registered in the region.

  • 74,410 women were diagnosed with cervical cancer in the Americas and 37,925 lost their lives.

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Bahamas News

Caught in the Net, Not Accused of Wrongdoing

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What the Attorney General must do now to protect Bahamian exports

Deandrea Hamilton | Editor

NASSAU, Bahamas — The United States’ decision to impose a 12.5 percent tariff on Bahamian exports is about more than higher costs for seafood, rum and other goods entering the American market. It is a warning that The Bahamas must move quickly to strengthen or clarify its legal framework governing forced labour and supply-chain enforcement.

The tariff, which takes effect July 24, is part of a sweeping U.S. trade action affecting 60 economies following a review by the Office of the U.S. Trade Representative (USTR). The review concluded that the listed countries have not adequately prohibited or enforced measures against goods linked to forced labour in global supply chains.

The action follows a recent U.S. Supreme Court ruling that invalidated an earlier series of Trump-era tariffs imposed under emergency powers. In response, the Trump administration shifted to a different legal authority—Section 301 of the Trade Act of 1974—using findings from a U.S. Trade Representative investigation into forced-labour compliance to support a new round of tariffs affecting 60 economies, including The Bahamas.

Importantly, the action does not accuse Bahamian businesses of using forced labour. Instead, it reflects the U.S. view that The Bahamas’ legal or enforcement framework does not yet meet the standard Washington expects.

That distinction matters.

The Attorney General’s Office now has the responsibility to lead the country’s legal response. That begins with determining precisely what concerns the U.S. Trade Representative identified, reviewing whether Bahamian law adequately addresses those concerns and, where necessary, recommending legislative or regulatory changes. If deficiencies exist, legal amendments and stronger enforcement could help position The Bahamas for removal from the tariff list.

The government may also seek formal discussions with U.S. officials while those reforms are undertaken, outlining a clear timetable for compliance and demonstrating that the country is committed to meeting international labour standards.

A Nassau Guardian front-page report on July 24 drew attention to the tariff action, prompting broader questions about why The Bahamas was included among the 60 economies affected by the U.S. trade measure and what steps are now needed to restore full confidence in the country’s trade framework.

For many Bahamians, the immediate concern will be the fisheries sector, one of the country’s largest export industries. Commercial shipments of lobster, conch, fish, crawfish and other products entering the United States could become more expensive because of the additional tariff, potentially affecting exporters’ competitiveness.

The broader lesson is that international trade increasingly depends not only on quality products, but also on strong business relationships and confidence in the legal systems that govern them.

For The Bahamas, this is less a finding of wrongdoing than a reminder that international credibility is earned through modern laws, effective enforcement and trusted partnerships. The challenge now is for the Attorney General’s Office to lead a swift legal review, identify any deficiencies and chart a clear path toward compliance so Bahamian exporters are not burdened any longer than necessary.

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What 45 Shell Casings and New Murder Charges May Mean for Three Officers in the Azario Major Case  

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By Deandrea Hamilton | Editor

NASSAU, Bahamas (July 16, 2026) — The allegation is as shocking as it is consequential. Prosecutors now contend Azario Major was struck by additional gunfire after he was already dead.  That conclusion has prompted the Director of Public Prosecutions to upgrade the case against three police officers from manslaughter to murder ahead of a judge-only trial.

According to court filings and the DPP’s review of the forensic evidence, prosecutors allege that additional rounds entered Major’s body after death, a finding they say fundamentally changed their assessment of the case and justified the more serious charge of murder.

Investigators recovered 45 spent shell casings at the scene of the Boxing Day 2021 fatal shooting of Azario Major, a striking piece of forensic evidence that has remained central to the case from its earliest days.

Major, 31, was fatally shot by police outside Woody’s Bar on Fire Trail Road on December 26, 2021. While police initially maintained the shooting was justified, the circumstances surrounding the incident were heavily scrutinized during a Coroner’s Court inquest, where jurors ultimately returned a verdict of homicide by manslaughter.

The officers later challenged that finding, but the Supreme Court upheld the Coroner’s Court ruling, paving the way for criminal proceedings. They were subsequently arraigned on manslaughter charges and pleaded not guilty.

The DPP’s decision to elevate the charges to murder significantly raises the legal stakes. Unlike manslaughter, which does not necessarily require proof of an intent to kill, a murder conviction requires prosecutors to establish the legal elements of the more serious offence beyond a reasonable doubt. The prosecution’s case is now expected to focus heavily on forensic evidence, ballistic analysis and the sequence of gunfire during the fatal encounter.

The case is also notable because it will proceed without a jury. Barring further delays, the trial is expected to open on September 14 before Justice Guillimina Archer-Minns in a judge-alone trial, where a single judge—not a jury—will decide the fate of the three accused officers.

The proceedings will determine not only whether the three officers are guilty or innocent of murder, but whether prosecutors’ extraordinary allegation—that Azario Major was struck by additional gunfire after he was already dead—can be proven in court.

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CARICOM Targets Affordability as Bahamas, TCI Continue to Feel the Pinch  

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By Deandrea Hamilton

 

Cheaper shipping. Lower energy costs. Better access to healthcare. Stronger consumer protections.

Those are among the measures CARICOM Heads of Government believe could finally begin reducing the stubbornly high cost of living for millions of people across the Caribbean.

Meeting in Saint Lucia, regional leaders agreed that making life more affordable must become one of the Community’s highest priorities. Their emerging strategy includes reducing freight costs through a regional ferry service, accelerating renewable energy projects to lessen dependence on imported fuel, expanding regional healthcare partnerships, strengthening consumer protection, and encouraging governments to adopt successful cost-of-living measures already being implemented across the Caribbean.

“Our discussions over the past four days were guided by one central objective – ensuring that CARICOM delivers results that people can see and feel in their everyday lives,” CARICOM Chairman and Saint Lucia Prime Minister Philip J. Pierre said.

Few places may welcome that relief more than The Bahamas and the Turks and Caicos Islands.

Although inflation has moderated in both countries from the sharp increases experienced following the pandemic, the cost of living remains stubbornly high. Families continue to complain about grocery bills that stretch household budgets, rising housing costs, expensive electricity, healthcare expenses and fuel prices that remain among the highest in the region.

Governments have responded.

In The Bahamas, successive reductions in Value Added Tax on selected goods and other targeted tax measures have sought to ease pressure on consumers. In the Turks and Caicos Islands, the Government this weekend opens applications for its $500 Cost of Living Relief Programme, acknowledging that many households continue to struggle despite the country’s economic success.

Yet affordability remains elusive.

The contradiction is difficult to ignore.

The Turks and Caicos Islands continues to post one of the region’s strongest tourism-driven economies, with robust investment, record visitor spending and sustained construction activity. The Bahamas has also strengthened its economic position, earning improved sovereign credit ratings as tourism, government revenues and fiscal performance continue to recover.

Yet those encouraging economic indicators have not translated into noticeably lower household expenses.

The reason is largely structural.

Both The Bahamas and the Turks and Caicos Islands produce relatively little of what they consume. Food, fuel, medicines, vehicles, building materials and countless household essentials are imported. Both countries also record significant trade deficits, illustrating their dependence on overseas suppliers. Every increase in global shipping costs, fuel prices or supply chain disruptions is eventually reflected in supermarket prices, utility bills and the cost of everyday living.

That is why CARICOM’s agenda matters.

If regional leaders succeed in lowering freight costs through an inter-island ferry network, expanding renewable energy, improving regional cargo movement, strengthening consumer protections and making healthcare more accessible through cooperation, the benefits could extend far beyond government balance sheets.

For Bahamians and Turks and Caicos Islanders, success will not be measured by another tourism record or another credit rating upgrade. It will be measured at the supermarket checkout, on the monthly electricity bill, at the gas pump and in the simple ability to afford a better quality of life.

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