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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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The $3 Billion Handshake

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By Deandrea Hamilton | Editor

 

September 28, 2026 – Wall Street initially flinched at the $3-billion handshake. But in a matter of days, it was smoother sailing.

Perhaps the bigger Caribbean business story is not what Sandals Resorts International is getting from the deal. It is who is writing the cheque — and what that says about what Gordon “Butch” Stewart built.

As reports of Royal Caribbean Group’s Sandals deal circulated Tuesday, RCL shares plunged 6.14 percent from Monday’s $250.25 close to $234.89, on sharply elevated trading.

When the agreement became official Wednesday — approximately $3 billion for a 50 percent equity interest in Sandals and Beaches Resorts — shares slipped another 1.95 percent to $230.30 and touched $222.22 intraday. Investors were digesting both the size of the investment and committed debt financing secured through Morgan Stanley.

But by Thursday, RCL rebounded 3.77 percent, with shares continuing their recovery Friday to finish the week around $243. Analysts were also looking ahead: JPMorgan reportedly raised its RCL price target from $345 to $394, while Citi placed the company on a 90-day positive catalyst watch.

And just who is RCL?

Royal Caribbean Group is a global vacation giant, publicly traded on the New York Stock Exchange with a market value of roughly $65 billion. Its portfolio includes Royal Caribbean International, Celebrity Cruises and Silversea, alongside private destinations and an expanding vacation platform.

So when a company of that scale commits $3 billion for only half of Sandals and Beaches Resorts, the transaction puts a striking financial marker on one of the Caribbean’s greatest home-grown hospitality success stories.

The deal, expected to close in early 2027, creates a 50-50 partnership with the Stewart family and takes Royal Caribbean deeper into the all-inclusive resort business.

Butch Stewart started Sandals in Jamaica in 1981 believing a Caribbean company could compete with the world’s best.

Forty-five years later, one of the world’s biggest vacation companies is prepared to pay $3 billion just to own half of what he built.

Now that’s the handshake that does more than seal a deal — it cements a legacy.

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Caribbean News

Royal Caribbean Group and Sandals Resorts Announce Landmark Partnership to Accelerate Their Leading Vacation Experiences

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Royal Caribbean Group Investment to Advance Sandals and Beaches’ Growth and Broaden the Group’s Vacation Portfolio

Montego Bay, Jamaica and Miami, September 24, 2026 – Royal Caribbean Group (NYSE: RCL) and Sandals Resorts today announced the signing of an agreement to form a partnership in the all-inclusive resort space with a 50% investment from Royal Caribbean Group.  Building on Sandals and Beaches Resorts’ more than four decades of leadership in Caribbean hospitality, the joint venture will create new opportunities for continued resort growth while broadening the experiences across Royal Caribbean Group’s vacation platform.

The partnership brings together two of the travel industry’s most celebrated vacation companies, pairing Sandals and Beaches’ all-inclusive resort expertise with Royal Caribbean Group’s vacation platform, including industry-leading brands – Royal Caribbean, Celebrity Cruises and Silversea – a portfolio of private destinations, new river cruising offering, and an industry-first loyalty program. United in a shared history in the Caribbean and connected by a love for their communities, the companies will offer travelers an unparalleled collection of cruise, private destination and resort experiences, serving guests across more vacation occasions and establishing their undisputed leadership in Caribbean vacations.

The joint venture expands Royal Caribbean Group into an adjacent vacation category, growing its participation in the approximately $2 trillion global vacation market, and meets the growing global demand for Sandals and Beaches Resorts by accelerating their expansion. The partnership will include Sandals and Beaches’ collection of premier all-inclusive properties across the Caribbean, and the companies will explore opportunities to broaden distribution, deepen guest engagement, and make it easier for travelers to discover vacation experiences offered across both portfolios.

“For nearly 60 years, we’ve reimagined what a vacation can be, constantly expanding the ways we inspire our guests to explore, connect and create lifelong memories,” said Jason Liberty, Chairman and CEO, Royal Caribbean Group. “We have been building a vacation platform that brings joy to millions of people around the world and creates meaningful relationships that last with our guests. Our partnership with Sandals and Beaches Resorts is an important next step on that journey – bringing together two iconic leading vacation companies to further strengthen and grow one of the most admired resort portfolios in the world. The Stewart family has created powerful and beloved brands, and we are honored to build on that legacy. Together, we see tremendous opportunity to expand the reach of Sandals and Beaches Resorts and continue turning the vacation of a lifetime into a lifetime of vacations.”

“My father, Gordon ‘Butch’ Stewart, founded Sandals Resorts with the belief that a company built in the Caribbean could stand on the world stage alongside the most respected names in hospitality. Today is proof of how far that vision can go,” said Adam Stewart, Executive Chairman of Sandals Resorts and Beaches Resorts. “This partnership is the natural next step in building on that conviction. It gives us the ability to grow faster with a partner that shares our values of exceptional hospitality, long-term investment, and the power of enduring brands. Together, we will introduce more guests to Sandals and Beaches Resorts while creating even more extraordinary experiences for those who have made our resorts part of their lives for decades.” Stewart added, “As we continue to grow, we will remain true to what has always defined us: delivering authentic vacations that exceed expectations while creating opportunities for our team members, travel advisor partners and the communities we call home. The future has never been brighter, and I know this moment would make my father incredibly proud.”

The joint venture will be governed by a board under the shared leadership of Stewart and Liberty. Stewart will maintain a leadership role in guiding the company’s long-term strategic growth as Executive Chairman of Sandals and Beaches Resorts. Existing reservations, loyalty programs, resort operations and cruise operations will continue as usual, with the partnership bringing additional resources to support future opportunities.

Under the terms of the agreement, Royal Caribbean Group will acquire a 50% equity interest in Sandals and Beaches Resorts for approximately $3 billion, representing a forward EBITDA multiple of approximately 10x.  Royal Caribbean Group has secured committed debt financing from Morgan Stanley to fund the investment.  The transaction is expected to close in early 2027, subject to customary approvals and closing conditions, and is expected to be accretive to earnings next year.

BofA Securities and PJT Partners acted as financial advisors, and Latham & Watkins and Jones Day acted as legal advisors to the Sandals Group. Perella Weinberg Partners and Morgan Stanley acted as financial advisors and Kirkland & Ellis LLP acted as legal advisor to Royal Caribbean Group.

PHOTO CAPTION: Jason Liberty, Chairman and CEO of Royal Caribbean Group, and Adam Stewart, Executive Chairman of Sandals Resorts, mark the signing of an agreement to form a landmark partnership that expands Royal Caribbean Group into the all-inclusive resort space and supports the future growth of Sandals and Beaches Resorts. The signing took place at Royal Caribbean Group’s new headquarters in Miami, with the city’s skyline in the background.

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Caribbean News

Royal Caribbean Signs US$3-Billion Deal for Half of Sandals and Beaches

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The Caribbean tourism deal first reported as a possibility on Tuesday is now a signed agreement. Royal Caribbean Group plans to pay approximately US$3 billion for a 50% stake in Sandals and Beaches Resorts, putting the value of the business at about US$6 billion. The purchase is expected to close in early 2027, subject to approvals.

Founded in Jamaica by the late Gordon “Butch” Stewart in 1981, the resort business has a presence across nine Caribbean destinations, including Jamaica, The Bahamas and Turks and Caicos. Sandals has described its workforce as nearly 20,000 people, most of them Caribbean nationals.

“My father, Gordon ‘Butch’ Stewart, founded Sandals Resorts with the belief that a company built in the Caribbean could stand on the world stage alongside the most respected names in hospitality,” said Adam Stewart in the announcement carried by PR Newswire. He will remain executive chairman, while the Stewart family retains a stake. The companies say existing reservations and resort operations will continue as usual.

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