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Problems in Health Care Delivery

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#TurksandCaicos, September 1, 2022 – I am very concerned about the lack of clinical services being made available to our citizens at both the Cockburn Town hospital, Grand Turk, and the Cheshire Hall Hospital, Providenciales. And when I investigated what clinical services are accessible in Grand Turk, it is extremely far less than being offered at Cheshire Hall.

A number of patients have brought to my attention the difficulty in getting an appointment to be seen, and many have expressed the feeling of being neglected. And as we all know that with health matters timing is everything. Early detection and early interventions almost always save lives and prevent future life-threatening complications.

During my time as Health Services Manager and before that as Laboratory Director, it had always been the target to have both Health Services locations properly equipped and staffed to tackle the citizens’ health needs. Both locations had identical equipment, and identical complement of staff, with a few variations in numbers. Grand Turk Location handled Salt Cay and South Caicos, and Providenciales location handled North and Middle Caicos.

When I was the Minister of Health, much progress was being made in the reestablishing of old community clinics, e.g.; the town clinic location in Grand Turk, and also returning Myrtle Rigby Health Complex location back to a health care facility for our people. The goal was, and still is, to have regular weekly specialist clinics with other needed services for all islands. Additionally, to have all community clinics equipped with basic laboratory testing abilities and imaging capabilities, i.e., blood electrolytes, red and white blood cell counts, glucose and cholesterol testing, blood nitrogen levels, urinalysis, and are equipped with portable x-ray abilities.  These technologies reveal extremely important and timely information on a person’s health status.

We all have to demand more from our health services providers, demand more accessibility, demand more diagnostic competency, demand more high dependency units, demand the availability of Intensive care capability (ICU), demand more attracting and retaining highly skilled personnel, demand increasing salaries of our health personnel. Hence, our people need to demand a high-performing health care system, “A Good Health System.”

A Peoples’ Democratic Movement government will recommence the work of enhancing our Health system to one that we all can be truly proud of, one which we have the most trust and assurance in.

So, what is the “good” health system that the PDM wants to develop for our people? A good system will be one that is organized in a way to ensure timely access to the highest attainable standard of care to all its citizens; one that has the right programs managed by competent well-paid professionals; one in which clinics provide constant preventive and curative care for the most common conditions, and primary health care in facilities or in the community where people live. A good health system under a PDM Government would ensure that our on-island hospitals deliver high-quality secondary or tertiary levels of care to increase the likelihood of desired health outcomes.

A PDM government is committed to continuing the work we started of ensuring our health services are:

  • Effective – providing evidence-based healthcare services to those who need them;
  • Safe – avoiding harm to people for whom the care is intended; and
  • People-centred – providing care that responds to individual preferences, needs and values.

To realize the benefits of quality health care, a PDM Government will also ensure that our health services are:

  • Timely – reducing waiting times and sometimes harmful delays;
  • Equitable – providing care that does not vary in quality on account of constituency/Island location, and socio-economic status, ethnicity;
  • Integrated – providing care that makes available the full range of health services throughout the life course, i.e. from newborn to old age.
  • Efficient – maximizing the benefit of available resources and avoiding waste.

From many personal testimonies from our citizens, it can be concluded that current health system is not serving our people well. We the PDM are confident that we can deliver the health care system that our citizens need and deserve.

 

Hon Edwin A. Astwood 

Leader of The Opposition

Health

TCI Hospital Celebrates Successful “Heart Strong TCI” Initiative During Heart Month

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(Providenciales – Monday, March 2, 2026) TCI Hospital proudly announces the successful achievement of its Heart Strong TCI initiative, a comprehensive Heart Month campaign focused on raising awareness and strengthening cardiovascular disease prevention efforts across the Turks and Caicos Islands.

Heart disease remains the leading cause of death in the Turks and Caicos Islands, highlighting the critical need for sustained public education, risk-factor reduction, and early intervention. The Heart Strong TCI initiative was designed to actively engage the community through education, outreach, and physical activity.

Key Activities Included:

Educational Training Sessions

Healthcare professionals conducted structured sessions addressing hypertension, diabetes, cholesterol management, nutrition, exercise, smoking cessation, and the early warning signs of heart disease.

House Call Talk Show Feature

A dedicated Heart Month episode of the hospital’s House Call program provided expert discussion on cardiovascular risk factors and prevention strategies, empowering viewers with practical, evidence-based guidance.

Red Fridays Awareness Campaign

Throughout the month, staff wore red every Friday to increase visibility around heart disease awareness and reinforce the campaign’s message within the community.

Heart Strong 5K Walk/Run

In collaboration with the Rotary Club, TCI Hospital hosted a community-wide 5K walk/run to promote physical activity as a cornerstone of heart health. The walk/run also provided an opportunity for community screening.

Digital Health Education Campaign

To expand its reach, TCI Hospital also shared ongoing heart health education tips and prevention messages across its social media platforms, including Facebook, LinkedIn, and Instagram. These posts provided actionable guidance on diet, exercise, blood pressure control, and lifestyle modification, and encouraging community members to learn CPR.

Heart Strong TCI: A Continuous Commitment

While Heart Month has officially ended, Heart Strong TCI represents an ongoing institutional commitment to cardiovascular disease prevention and awareness. TCI Hospital will continue to prioritize:

  • Community-based education initiatives
  • Preventative screening and early detection programs
  • Lifestyle and wellness promotion
  • Strategic partnerships that advance public health outcomes

“Heart Strong TCI is not limited to a single month,” CEO, Dr. Denise Braithwaite-Tennant.  “Cardiovascular disease prevention requires sustained effort. We remain committed to promoting healthy hearts across the Turks and Caicos Islands year-round.”

For more information about cardiovascular health services or upcoming screening initiatives, please contact TCI Hospital at 649-941-2800 in Providenciales, 649-941-2900 in Grand Turk or email us at info@interhealthcanada.tc

About TCI Hospital

TCI Hospital is dedicated to delivering high-quality healthcare services to the people of the Turks and Caicos Islands, with a strong emphasis on prevention, education, and community wellness.

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Health

What to Look for with Self-Checks at Home

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February is National Self- Check Month and family medicine physician at Cleveland Clinic, OH, John Hanicak, MD, highlights why at home self-checks are extremely important when it comes to not just early cancer detection but identifying other illnesses too and offers tips on what to look out for.

“Sometimes Ilook at them as sort of like your check engine light on the car, just like therewould be a red flashing light that tells you that there’s something wrong with acar and prompts you to bring that in and get serviced. Your body does the samething. It gives you warning signs tolook intothat symptom a little bit further,” said Hanicak.

Dr. Hanicak saidself-checks are going to be a little different for everyone. 

However, in general, he recommends looking for anything that may seem abnormal, such asunexplained weight loss,blood in your urine, bumps and bruisesthat won’t heal,and changes in bowel habits. 

For example, if you suddenly start going to the bathroom a lot more than you used to, that could bea signof something more serious. 

He also suggestsdoing regular skin checksanddocumentingany molesor spotsthat start to look different. 

“Realize that you are your own person.There’s nobody else in the world exactly like you.You’ve got your own set ofideas, your own family history and your own genetics.Know what is normal for you, and when that changes, that’s the kind of thing thatwe would be interested in talking about,” said Dr. Hanicak. 

Dr. Hanicaknotes that self-checks are not meant to replace cancer screenings, as those are just as important to keep up with. 

Press Release: Cleveland Clinic

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Bruce Willis’ Brave Gift to Dementia Research – And His now Quiet Link to Turks & Caicos

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December 4, 2025 – Hollywood legend Bruce Willis – arguably the most famous former home owner in Turks and Caicos Islands – is facing the most difficult role of his life and turning it into one last act of service.

Willis, 70, retired from acting in 2022 after his family revealed he had been diagnosed with aphasia. The following year, specialists confirmed he is living with frontotemporal dementia (FTD), a degenerative brain disease that attacks language, behaviour and personality.

In recent interviews and appearances, his wife Emma Heming Willis has said Bruce is “surrounded by love and care” and that the family is learning to find joy in new ways, even as the disease progresses.

Now, Heming Willis has gone further.  In her 2025 memoir The Unexpected Journey, she writes that the family has decided Bruce’s brain will be donated to science after his death to advance research into FTD.  That decision has been highlighted in recent coverage by futurist and science outlets, which describe it as a carefully considered step after months of watching a still-physically-strong man steadily lose speech, reading and independence.

Neurologists have long stressed how rare donated brain tissue is for FTD, and how essential it is to understanding which proteins, mutations and mechanisms are actually driving the disease.  The Willis family’s choice means the brain that powered some of cinema’s most iconic characters could one day help researchers diagnose the condition earlier and design better treatments – even if it cannot help Bruce himself.

For Turks and Caicos, the story lands close to home.  For nearly two decades Willis owned “The Residence” on exclusive Parrot Cay – a 7.3-acre, Asian-inspired beachfront compound with a five-bedroom main house, two guest villas and a yoga pavilion.  He and Emma listed the estate in March 2019 for US$33 million; it sold a few months later for about US$27 million, one of the biggest residential deals in TCI history.

So, while Bruce Willis no longer has a physical address in Turks and Caicos, his connection to these islands remains part of his global story – a story now shifting from blockbuster fame to medical legacy, as his family turns private heartbreak into a public contribution that could change what we know about dementia.

Developed by Deandrea Hamilton • with ChatGPT (AI) • edited by Magnetic Media.

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