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CARPHA Supports Breastfeeding as a Long-Term Strategy for a More Productive and Healthier Region

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August 5, 2022 – Exclusive breastfeeding for 6 months benefits the infant, mother, family, community, country and environment,” states Dr. Joy St. John, Executive Director at the Caribbean Public Health Agency (CARPHA).  “Therefore, breastfeeding is recognised as an effective strategy in achieving regional and global goals on health, nutrition, food security, economic growth and environmental sustainability.

The World Health Organization (WHO) and United Nations Children’s Fund (UNICEF) recommend that breastfeeding be initiated within 1 hour of birth, continued exclusively for the first 6 months of life, and that nutritionally-adequate and safe complementary (solid) foods be introduced at 6 months together with continued breastfeeding up to 2 years of age or beyond[1].

Early initiation of breastfeeding is critical to newborn survival, reducing their risk of morbidity and mortality[2]. Breastmilk provides optimal nutrition for infants for their physical and mental growth and development, along with antibodies to prevent and mitigate childhood illnesses[3].

Breastfeeding reduces the risk of over-nutrition (overweight and obesity) and non-communicable diseases (NCDs) for both mother and child. Infants that are breastfed longer, have 13% lower risk of overweight and obesity and 35% lower risk of type 2 diabetes[4]. Women who breastfeed have reduced risks of postpartum overweight and obesity, 32% lower risk of type 2 diabetes, 37% lower risk of ovarian cancer and 26% lower risk of breast cancer4.

In Latin America and the Caribbean, many infants and young children do not meet the WHO and UNICEF recommendations for breastfeeding and ultimately lose out on its many benefits. Only 54% of infants initiate breastfeeding within 1 hour of birth; 37% breastfeed exclusively for the first 6 months of life which is below the global rate (44%); and between 31%-55% of children continue to receive breastmilk up to 2 years of age2.

Breastfeeding, more so when occurring exclusively, allows for healthier mothers and children who can in turn contribute meaningfully to the community and society at large. There is a reduced tax burden on communities and governments to ensure children are properly fed. Additionally, more funding is made available for community and national development. Reports indicate that the total global economic losses of not breastfeeding are estimated to be US$341.3 billion[5].

Breastfeeding is a naturally renewable resource that is environmentally sustainable as it does not require the use of natural resources (not even water!), provides no waste for accumulation in landfills (no packaging or disposal), and it does not pollute the environment[6].

Breastfeeding also contributes to infant and household food security[7]. Infants who are breastfed exclusively, require no other source of nutrition and are less likely to get sick thereby lessening the financial burden on the family. This allows for nutritious foods to be bought for other members of the family. This is especially important during times of economic crises, such as those experienced during the COVID-19 pandemic, where many households face unemployment and loss of income. The pandemic has proven to be a global threat to breastfeeding. Two recent studies in Western countries reported a decline in early initiation, exclusive and continued breastfeeding rates due to the pandemic, with one major contributing factor being a loss in support for mothers[8],[9].

Breastfeeding is particularly effective against infectious diseases because it strengthens the immune system by transferring antibodies from the mother to the child.   Mother to child transmission of SARS-CoV-2 through breastmilk has not been found to occur. The WHO and UNICEF recommendations on initiation and continuation of breastfeeding infants and young children also apply to mothers with suspected or confirmed coronavirus disease as the benefits far outweigh any potential risks[10]. Mothers with suspected or confirmed COVID-19 are encouraged to practice respiratory hygiene (wearing a mask when breastfeeding), hand hygiene (frequent hand washing, including before and after touching the baby), and routinely clean and disinfect surfaces[11]. If the mother is too unwell to breastfeed, she can be supported to feed expressed breastmilk or to relactate (re-introduce breastfeeding after a period of cessation).

This year’s theme for World Breastfeeding Week “Step up for Breastfeeding – Educate and Support” is aligned with thematic area 1 of the WBW-Sustainable Development Goals 2030 campaign which highlights the links between breastfeeding and good nutrition, food security and reduction of inequalities. It will focus on strengthening the capacity of actors that have to protect, promote and support breastfeeding across different levels of society.

We all form part of the warm chain of support of breastfeeding – whether we are from or represent governments, health systems, workplaces or communities – and have a shared responsibility to protect, promote and support breastfeeding. Let us all inform, anchor, engage and galvanise action to protect and support breastfeeding. A whole-of-society approach is needed to facilitate the development and implementation of regional breastfeeding policies and creating a breastfeeding-friendly environment.

This is in keeping with the Caribbean Public Health Agency’s (CARPHA) life course approach for the prevention of NCDs of which breastfeeding is a key factor.  CARPHA supports breastfeeding as a long-term strategy for a more productive and healthier Region and encourages mothers and families to see breastfeeding as the optimal feeding method for infants.

CARPHA has led training in the WHO/UNICEF 40 Hour Breastfeeding Counselling Course; and training of Health Professionals in the 20-Hour Course for Baby Friendly Hospital Initiative as well as implementation and certification.  The Agency has also supported Member States with the development of National Infant and Young Child Feeding Policies, Hospital Breastfeeding Policies and developed guidelines for anyone involved in the care and management of newborns, and pregnant or lactating women suspected of or confirmed to be infected with the COVID-19 virus.

CARPHA calls upon its member states to take a whole of society approach and implement and reinforce the International Code of Marketing of Breast-milk Substitutes and the Ten Steps to Successful Breastfeeding. By protecting and supporting breastfeeding, we are also protecting human rights and taking important steps towards achieving the Sustainable Development Goals, leaving no one behind in the post pandemic world.

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Fighting the fungus foe of the beloved banana

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How Venezuelan farmers are learning to grow and live with a devastating plant disease

 

In the fields of Venezuela, where the banana has been for generations a symbol of sustenance and tradition, a shadow fell across the land. In 2023, Venezuela’s National Institute of Integral Agricultural Health (INSAI) declared a phytosanitary emergency: the fungus Fusarium Tropical Race 4 (TR4) (Fusarium oxysporum f. sp. cubense tropical race 4; syn. Fusarium odoratissimum) had arrived in producing areas in the states of Aragua, Carabobo and Cojedes.

This fungus, considered a devastating disease of banana and plantain (Musaceae) trees, can remain in the soil for more than two decades, threatening production and the lives of those who depend on it.

In the state of Aragua in the north of the country, the Renacer community had been growing bananas and plantains on 20 hectares since 2018. Then Fusarium arrived.

“When the disease hit, the entire plantation began to deteriorate. We refused to ‘die’ with the trees because that was our livelihood. The visits of INSAI confirmed that we had to chop down the banana trees. I cried a lot because I had worked with my banana trees for years,” recalls woman farmer, Lesbia Margarita García, with a broken voice.

In response, INSAI implemented measures to eliminate the affected plantations and improve the soil health by changing to other crops that allow agricultural production to recover. The Food and Agriculture Organization of the United Nations (FAO) offered assistance by providing corn seeds, tools, biosecurity inputs and training, with teams of experts helping farmers to start again.

“Planting corn, thanks to the INSAI-FAO programme, gave us a harvest that benefited everyone. We have been improving the soil,” says Lesbia Margarita with a smile. “Now we rotate crops, observe soil health and have learned how to use natural fertilizers. Expert assistance has been key.”

The pilot project works directly with affected producers in high-risk areas, promoting alternative crops such as cereals and vegetables, delivering inputs and tools to mitigate damage and applying biosecurity measures for safe and effective containment.

“Beyond the corn received, we have already planted cassava, chili peppers, beans and pumpkin. We hope that by the end of the year [2025] we will be diversified and that each season we will have something to sell. These lands do not give up,” says Lesbia Margarita with conviction.

The Renacer community is beginning to see fruits. Their products are reaching local markets, generating income and rebuilding their livelihoods.

Key actions to manage Fusarium TR4 are ongoing, including regular monitoring, continuous training, inter‑institutional coordination, updates to the national plan, information campaigns and producer impact assessments. INSAI is sustaining regulatory, surveillance measures and training —with FAO support—as part of a comprehensive long‑term strategy.

At the global level, FAO supports awareness raising, capacity building and international collaboration in the fight against Fusarium TR4 by facilitating the World Banana Forum and its Global Network on TR4.

“The objective is for countries to strengthen their operational and technical capacity, articulating actions between the public sector, the private sector and family farmers,” says Raixa Llauger, FAO Agriculture Officer in Mesoamerica. “FAO and local partners have promoted this approach in Venezuela.”

As an essential part of the activities, a comprehensive training programme was developed with activities that taught farmers how to identify the disease contain it and protect crops. In addition, FAO has distributed laboratory equipment, biosecurity tools and a multispectral drone to INSAI. Drones are an efficient and cost‑effective tool for phytosanitary surveillance, offering rapid, high‑resolution monitoring and early detection of plant pests and diseases.

Overall, the project strengthened biosecurity measures against the Fusarium fungus through the adoption of the National Action Plan and the establishment of partnerships with national and international institutions. In addition, the pilot initiative supporting smallholder farmers in key production areas and a nationwide awareness campaign with broad outreach improved surveillance, diagnosis and phytosanitary response capacities across the country.

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Widow’s Testimony Recounts Night Haiti President Was Killed

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MIAMI, Florida — Emotional testimony from Martine Moïse, the widow of assassinated Haitian President Jovenel Moïse, has given jurors in a U.S. federal courtroom a chilling account of the night gunmen stormed the presidential residence and killed the country’s leader.

Martine Moïse took the stand this week in Miami as part of the ongoing trial of several men accused of helping plan and finance the July 7, 2021 assassination, a crime that plunged Haiti into political crisis and remains only partially solved.

She told the court that armed men forced their way into the president’s private home in the hills above Port-au-Prince during the early morning hours, firing multiple shots at her husband while she lay beside him. She testified that she was also wounded in the attack and survived by pretending to be dead until the gunmen left the room.

According to prosecutors, the plot involved a group of foreign mercenaries, including former Colombian soldiers, along with Haitian and Haitian-American suspects. Investigators say some of the men believed the mission was to detain the president, but the operation turned into an assassination.

The Miami trial is focusing on the alleged role of South Florida businessmen and others accused of organizing or financing the plan, part of a wider international investigation that has stretched across several countries.

More than four years after the killing, the question of who ultimately ordered the assassination remains unanswered, with suspects still in custody in both Haiti and the United States as the case continues to unfold.

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

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Jamaica Joins Afreximbank Agreement, Strengthening Africa–Caribbean Partnership

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CARIBBEAN — Jamaica has become the 13th CARICOM member state to accede to the African Export-Import Bank Establishment Agreement, further strengthening economic ties between Africa and the Caribbean.

The development was confirmed during the 50th CARICOM Heads of Government Meeting, where an Afreximbank delegation led by George Elombi and Kanayo Awani met with Jamaica’s Prime Minister Andrew Holness to advance cooperation.

Prime Minister Holness thanked the bank for its support following Jamaica’s recent hurricane, noting that Afreximbank financing helped restore critical infrastructure including water, electricity, sewage systems and roads, while also assisting reconstruction efforts aimed at building stronger resilience to future disasters.

The meeting also focused on broader development opportunities tied to Jamaica’s membership in the agreement. Discussions included rebuilding and modernising infrastructure such as railways, hospitals and other public facilities, while strengthening regional transportation and trade networks to improve the movement of people and goods across the Caribbean.

Afreximbank has been expanding its presence in the Caribbean as part of its strategy to connect Africa with the region often referred to as “Global Africa.” The bank has already committed billions of dollars in financing and trade support to Caribbean economies in recent years, including funding for infrastructure, trade facilitation and private sector investment.

By joining the agreement, Jamaica gains expanded access to Afreximbank’s financial instruments, technical support and trade networks designed to promote commerce between Africa and CARICOM states.

Regional leaders say the growing partnership could unlock new opportunities in areas such as trade, logistics, tourism, manufacturing and cultural exchange, strengthening economic cooperation between the two regions with deep historical and diaspora ties.

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

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