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TCI Hospitals Building Business Cases for ICU, Ophthalmology & Vascular; early estimates is over $10 Million needed

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By Dana Malcolm

Staff Writer

 

#TurksandCaicos, June 30, 2022 – An Intensive Care Unit is under active consideration for the Turks and Caicos however it will be a long and expensive process with an at least $10 million dollar price tag attached; the good news is the space is available and the Health Minister wants to cut the cheque.

“In our 2021-2024 strategic plan and with the group that we have through our contract management unit and our collaborations with NHIP; these are some of the services that we are looking at over the next three years to build a business case based on our data and their data to present to government with a proposal. Now we recognize that we have to take our time in presenting all of these proposals to Government because they are the ones funding it.”

Dr. Denise Braithwaite Tennant, CEO of InterHealth Canada explained the extreme complexity of planning and building an ICU in this British overseas territory.

“There are different levels to the ICU, there are ICUs that focus on medical, trauma, and high complexities such as open-heart surgeries and ecmo. So we recognize we have to have a starting point and we are building the business case for that and it’s the most complex one we’ve ever had to build… our aim is to start with a medical ICU so that we can reduce the number of persons going abroad for surgeries that we do here.”

The medical ICU is especially important because what has happened in the past and continues today is that residents with certain comorbidities are sent overseas for surgeries offered on the island.  While the surgery expertise exists in-country, post-surgery ICU care is not.

“Because of their patient complexity we’ve decided that it’s not safe to do it in the absence of an ICU,” Braithwaite-Tennant explained

Building a business case for an ICU is intricate and demands that planners identify the requisite staff, consider the infrastructural needs and introduce the proper operations program and many other factors.  These boxes must be checked even before the Government then weighs in on the proposal which they must agree to fund from the public purse.

Jamell Robinson, the TCI Minister of Health in that Tuesday press conference offered a simple, “Long time” when asked if he would be willing to support putting the money behind the development of an ICU and other areas itemized as priorities by the hospitals CEO.

Dr. Braithwaite-Tennant says there are two other high volume procedures putting a strain on taxpayers and Turks and Caicos should begin immediate work on addressing the deficiency in these clinical services.

“As a unit they may not be very expensive but because of the critical volumes that they generate they still end up causing NHIP a lot of money.”

These high volume services were named as surgical and medical Ophthalmology or eye care, which she describes as a “key driver in terms of volume” and vascular which is climbing in demand as the number of dialysis patients in the TCI is on the rise.

Despite the difficulties in crafting these plans, TCI Hospitals’ executives are assertively pushing for the in country services in ophthalmology, vascular and an ICU and have confirmed that by year end, the businesses cases will be handed over to Government for review.

“Thereafter it’s going to be a back and forth communication about it, group meetings explaining so they can fully understand and then comes the part of funding it.”

One good thing is that the physical building space already exists as the government had built the hospitals with expansion capacity.

“The ICU buildup is complex — thankfully the government of the Turks and Caicos Islands had the foresight to build expansion spaces. All it is now is a shell and we currently use it for storage but it has the fixtures in the walls to come forward.” she said.

Dr. Braithwaite-Tenant explained they were moving on these medical services proposals aggressively because they recognized that the current system is not sustainable.

“The project agreement did not necessarily envision it being used with an ICU component– but COVID forced that because there were times in the very beginning that no one wanted patients who had Covid-19.  No one.”

Which meant TCI islanders who tested positive for the virus prior to being medially evacuated, were denied medical care.  It placed Islanders in life threatening situations.

The idea that in five months, Turks and Caicos Islands Government could be holding the plan to build an Intensive Care Unit and to add specialists in eye and vascular care is heartening.  Residents have long been calling for the extension and the country is in a fantastic place, fiscally, to action and approve these significant upgrades.

The 40,000 residents and two million visitors will be able to rest easier with the assurance that specialized care is only minutes away; giving patients more precious life saving time which could mean the difference between life and death.

Bahamas News

UN Reports Ebola Outbreak Expands in DRC; Bahamas Monitors Two Recent Arrivals

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The Bahamas, May 29, 2026 – The Ebola outbreak in the Democratic Republic of the Congo (DRC) continues to expand, with United Nations officials now warning that the disease has spread across multiple eastern provinces and become the third-largest Ebola outbreak on record.

According to the UN Office for the Coordination of Humanitarian Affairs (OCHA), as of May 26 the outbreak had reached 13 health zones in Ituri, North Kivu and South Kivu provinces. More than 1,000 suspected cases have been reported, including 121 confirmed infections and 17 deaths. Six healthcare workers are among those who have died.

The United Nations says humanitarian teams remain actively engaged in treatment, surveillance, community outreach and disease containment efforts. However, the response is being complicated by insecurity, population movement and restrictions affecting the delivery of supplies and personnel.

While the outbreak remains confined to Africa, authorities in The Bahamas recently activated emergency health protocols after two men who had spent time in the Democratic Republic of the Congo arrived at Lynden Pindling International Airport aboard a British Airways flight.

The Ministry of Health confirmed the travelers were isolated after presenting low-grade fevers upon arrival on May 22. Officials later reported that the fevers subsided and neither individual displayed symptoms consistent with Ebola Virus Disease.

The two men, identified as a British national residing in Australia and a French national, were transferred to the Modular Unit at Princess Margaret Hospital for continued monitoring.

Health officials emphasized that there are currently no confirmed Ebola cases in The Bahamas and assessed the risk to the public as low.

Still, the growing outbreak overseas has prompted increased vigilance. Health Minister Dr. Michael Darville said the government is reviewing whether additional travel measures may be necessary for countries affected by the outbreak.

The United Nations this week announced up to US$60 million in emergency funding to support the Ebola response in the Democratic Republic of the Congo and neighboring countries, warning that rapid action remains critical to preventing further spread.

Angle by Deandrea Hamilton. Built with ChatGPT (AI). Magnetic Media — CAPTURING LIFE.

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Turks & Caicos Islands Hospital Celebrates International Emergency Medicine Day 2026

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May 27, 2026 – Today, Turks & Caicos Islands Hospital, InterHealth Canada proudly joins the global healthcare community in observing International Emergency Medicine Day, recognizing and celebrating the extraordinary dedication, courage, and compassion of emergency healthcare professionals who stand on the frontlines of patient care every single day.

International Emergency Medicine Day is observed annually on May 27 to promote professional, competent, and timely emergency medical care for all people around the world. Emergency medicine professionals provide lifesaving care for patients facing critical illnesses and injuries, often during the most difficult and uncertain moments of their lives.

At the heart of every emergency department is a team of highly skilled and committed professionals, physicians, nurses, support staff, and allied healthcare professionals who work tirelessly together to save lives and provide hope when it is needed most.
Emergency medicine focuses on the rapid assessment and treatment of life-threatening conditions such as heart attacks, strokes, cardiac arrest, trauma, respiratory failure, severe bleeding, and sepsis. Emergency teams care for patients of all ages and backgrounds, ensuring that patients receive timely and effective care according to the urgency of their condition through the triage system.

As the safety net of the hospital, the Emergency Department operates 24 hours a day, seven days a week, serving patients during natural disasters, humanitarian crises, and daily medical emergencies. The demanding nature of emergency care requires teamwork, resilience, professionalism, and compassion.

“Today we recognize and celebrate the incredible individuals who dedicate themselves to emergency medicine,” said Dr Monnique-Chadee Waite, Head of the Emergency Department. “Our emergency team is there during some of the toughest moments in people’s lives. Their commitment, expertise, and compassion make a difference every single day. Teamwork truly makes the dream work, and we deeply appreciate every member of our department.”

Shantell Gardiner, Nurse Manager of the Emergency Department, highlighted the dedication of the nursing team and support staff. “Emergency nursing requires strength, compassion, quick thinking, and teamwork. Every day our nurses and support teams provide comfort and care to patients and families during stressful and emotional situations. I am incredibly proud of the dedication and professionalism our team demonstrates every single shift. We appreciate each and every member of our Emergency Department family for the vital role they play in saving lives.”

Dr Dawn Perry-Ewing, Chief of Medical Services, added, “Emergency medicine professionals are among the most vital frontline caregivers in healthcare. Their ability to respond quickly, work collaboratively, and remain calm under pressure saves countless lives. We thank them for their unwavering dedication and for continuously striving to provide safe, competent, and compassionate care to every patient.”

Dr Denise Braithwaite-Tennant, Chief Executive Officer, also expressed gratitude to the department. “On this International Emergency Medicine Day, we extend our sincere appreciation to our emergency teams for their extraordinary service and sacrifice. They represent the very best of healthcare, courage, teamwork, professionalism, and humanity. We thank them for standing ready every day and night to care for our community when it matters most.”

The Turks & Caicos Islands Hospital also acknowledges the importance of maintaining a safe and respectful environment within Emergency Departments. Emergency Departments follow a system called Triage, where patients are treated according to the severity and urgency of their condition rather than arrival time. Supporting emergency healthcare workers and respecting the triage process helps medical teams provide safer, faster, and more compassionate care to all patients.
Today and every day, the Turks & Caicos Islands Hospital, InterHealth Canada salutes its Emergency Department team for their dedication, resilience, and lifesaving work.

Teamwork makes the dream work and we appreciate you.

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Grand Turk Residents Fear Norovirus-Linked Cruise as Health Ministry Approves Docking

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Turks and Caicos, May 22, 2026 – Residents in Grand Turk raised concerns last week after a cruise ship previously linked to a major norovirus outbreak was cleared to dock in the Turks and Caicos Islands days after passengers were reportedly denied disembarkation in The Bahamas over health fears.

According to the US Centers for Disease Control and Prevention, the outbreak sickened 115 people — including 102 passengers and 13 crew members — during a voyage which ran from April 28 to May 11. The illnesses involved symptoms commonly associated with norovirus, including vomiting and diarrhea.

The outbreak became public on May 7 and quickly triggered concern across the region.

Authorities in Nassau reportedly refused to allow passengers off the vessel because of public health concerns connected to the outbreak.

That decision later fueled anxiety among some Turks and Caicos residents when the ship proceeded to Grand Turk on May 15.

Residents’ concerns were not without cause.

Norovirus is a highly contagious viral illness often associated with cruise ships, hotels, schools and other environments where large groups of people share close quarters. The virus primarily causes sudden vomiting, diarrhea, stomach cramps and nausea, and spreads rapidly through contaminated food, water, surfaces and person-to-person contact.

According to the US Centers for Disease Control and Prevention, most healthy people recover within one to three days, but norovirus can become serious — and occasionally fatal — for elderly individuals, young children and people with weakened immune systems because of severe dehydration. While the overall fatality rate is considered very low, the CDC estimates norovirus contributes to hundreds of deaths annually in the United States, mainly among vulnerable populations.

The Turks and Caicos Ministry of Health and Human Services had said in a press statement on May 15, it believed the risks had been effectively neutralized before the vessel arrived in Grand Turk.

In a statement issued Thursday, the Ministry said the ship had already returned to Florida, where passengers disembarked and “comprehensive sanitization and deep-cleaning procedures were completed” before operations resumed.

The Ministry also stressed that its Public Health Team maintained “close and continuous communication” with the ship’s medical personnel, Carnival Cruise Line officials and stakeholders at the Grand Turk Cruise Centre before approving the docking.

Routine inspections and standard port health procedures were also carried out, according to officials.

The Ministry further reassured the public that there were “currently no public health concerns” associated with the vessel’s arrival.

Still, the situation once again highlighted the delicate balancing act Caribbean nations face between protecting public health and sustaining tourism economies heavily dependent on cruise arrivals.

Officials are now encouraging vendors, taxi operators, tour companies and businesses to continue practicing strong sanitation and hygiene measures as an added precaution.

Residents were also reminded that frequent handwashing remains one of the most effective ways to prevent the spread of norovirus and other infectious illnesses.

Angle by Deandrea Hamilton. Built with ChatGPT (AI). Magnetic Media — CAPTURING LIFE.

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