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Monkey Pox name to be phased out recommends WHO

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By Deandrea Hamilton

Editor

 

November 29, 2022 – It’s a 52-year-old name which has run its course and in a year will be completely phased out, making way for its new, more politically correct and patient sensitive title: MPox.  The World Health Organization briefed the world of the shift in a media statement on Monday November 29; the renaming process described as “accelerated.”

“When the outbreak of monkeypox expanded earlier this year, racist and stigmatizing language online, in other settings and in some communities was observed and reported to WHO.  In several meetings, public and private, a number of individuals and countries raised concerns and asked WHO to propose a way forward to change the name.”

The World Health Organization has as part of its global health remit, to name or rename illnesses in consultation with its member states; some 45 countries weighed in on this particular change which factored in stigmatization and versatility.

“Various advisory bodies were heard during the consultation process, including experts from the medical and scientific and classification and statistics advisory committees which constituted of representatives from government authorities of 45 different countries.

The issue of the use of the new name in different languages was extensively discussed.  The preferred term mpox can be used in other languages.  If additional naming issues arise, these will be addressed via the same mechanism. Translations are usually discussed in formal collaboration with relevant government authorities and the related scientific societies.”

Although monkeyPox symptoms disappear on their own in a matter of weeks, for some the symptoms have led to medical complications and death.  Immuno-compromised children are listed as particularly vulnerable, so are newborn babies.

“Complications from monkeypox include secondary skin infections, pneumonia, confusion, and eye problems. More recent complications include proctitis (sores and swelling inside the rectum that cause pain) and pain or difficulty when urinating.  In the past, between 1% to 10% of people with monkeypox have died.  It is important to note that death rates in different settings may differ due to a number of factors, such as access to health care.  These figures may be an overestimate because surveillance for monkeypox has generally been limited in the past,” informed the CDCs website.

Dr Tedros Adhanom Ghebreyesus, Direcgtor-General, WHO in considering the advice from health experts specifically recommends:  “Adoption of the new synonym mpox in English for the disease; Mpox will become a preferred term, replacing monkeypox, after a transition period of one year.  This serves to mitigate the concerns raised by experts about confusion caused by a name change in the midst of a global outbreak.  It also gives time to complete the ICD update process and to update WHO publications;  The synonym mpox will be included in the ICD-10 online in the coming days.  It will be a part of the official 2023 release of ICD-11, which is the current global standard for health data, clinical documentation and statistical aggregation. The term “monkeypox” will remain a searchable term in ICD, to match historic information.”

As of November 28, there had been 81,188 cases of mpox recorded worldwide according to the US Centers for Disease Control (CDC).  Most alarming; over 80,000 of the cases have been recorded in locations not historically known to have monkeypox.  Some 110 countries have now recorded mpox, a staggering 103 of them are newly added to the list of nations where the disease has been detected.

The biggest explosion of cases is recorded in the United States; 29,288 people were confirmed with the disease and 14 people have died as a result of it.

Regionally, Cuba, Dominican Republic, Jamaica, The Bahamas, Aruba, Curacao, Barbados, Martinique, Guadeloupe, Bermuda and Guyana have confirmed mpox on their shores.

In the coming days, the new mpox name will be added to the International Classification of Diseases or ICD and will be used in communication from health bodies.  While the label: MonkeyPox will become a relic, it will continue to be used for at least another year.

“WHO will adopt the term mpox in its communications, and encourages others to follow these recommendations, to minimize any ongoing negative impact of the current name and from adoption of the new name,” it said in the statement posted at its website.

 

Photo credit:

Maurizio de Angelis/Science photo libraryMonkeypox virus, illustration. Monkeypox virus particles are composed of a DNA (deoxyribonucleic acid) genome surrounded by a protein coat and lipid envelope.

Health

Is It Bad To Sleep in a Bra?

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Head to bed in a bra to reduce breast pain, nipple irritation and stretch marks

 

When you think about sleeping in a bra, “comfort” probably isn’t the first word that comes to mind — it may not even make the Top 10. But is it bad to sleep with a bra on?

Breast surgical oncologist Margaret Thompson, MD, explains the upsides and downsides of wearing a bra while you snooze.

Should you sleep in a bra?

Several factors may affect your decision to wear a bra to bed, but Dr. Thompson emphasizes that the risk of breast cancer should not be one of them.

“There’s no evidence that wearing a bra while sleeping increases your risk for breast cancer,” she states. “It really comes down to comfort and personal preference.”

But there are also other health issues to consider. Dr. Thompson lays out the pros and cons of sleeping in a bra.

Pros: Why sleeping in a bra might be good for you

Should you wear a bra to bed? There are some benefits, especially if you’re recovering from surgery or breastfeeding.

Lessens breast pain

Having the support of a bra day and night may help relieve breast pain (mastalgia). That’s good news, because up to 70% of women in the United States deal with it at some point in their lives.

Common causes include:

  • Hormonal changes, which often occur as part of your menstrual cycle
  • Locally advanced breast cancer, including inflammatory breast cancer
  • Lactation (producing milk), which may cause your breasts to ache
  • Large breasts, which may strain breast ligaments and tissue
  • Recent surgery related to your heart or breasts
  • Underwires, especially if your bras are too tight

“When somebody reports breast pain, one of the first things we ask is whether they wear an underwire bra,” shares Dr. Thompson. “It can dig into your skin or breast tissue, leaving you sore and tender.”

A soft sleep bra can keep your breasts from shifting and causing discomfort while you snooze.

Protects lactating breasts

If you’re breastfeeding, you know all too well that your mammary glands don’t care if you’re trying to rest. Swollen or full breasts can be painful, especially as you move during sleep or change positions. Wearing a clean and supportive bra while sleeping:

  • Holds nursing pads in place
  • Keeps nipples dry and free from bacteria
  • Reduces nipple chafing
  • Supports the structure of your breasts

Make sure your sleep bra is supportive, but not too tight. Wearing a bra that’s too tight while breastfeeding can lower your milk production and possibly lead to clogged milk ducts and mastitis — inflammation of the breast tissue.

Prevents fungal infections

Everyone loves to be warm and cozy in bed. But do you know what else loves a warm environment? Fungus.

“There’s a lot of skin-on-skin contact underneath your breasts, especially if you have larger breasts,” notes Dr. Thompson. “If you’re also covered in blankets and sweating, it becomes a perfect environment for fungal or yeast infections.”

Wearing a bra to bed helps absorb moisture beneath your breasts and reduce friction. A camisole with a built-in shelf bra can also help.

Reduces nipple irritation

Friction is a common reason for nipple pain — ask any avid runner. You may not be running a marathon in your sleep, but your nipples can still get sore from rubbing against:

  • Tight shirts, especially if they’re textured or have a graphic design that can be felt inside the shirt
  • The fabric of your pajama top or sheets
  • A sleep bra that’s too loose

Wearing a sleep bra can limit movement, easing nipple irritation.

Helps with recovery after surgery

It’s important to keep your breasts compressed after certain surgeries involving your chest. Restricting breast movement helps protect stitches and incisions. The added compression can also:

  • Decrease fluid collection
  • Minimize pain
  • Hold gauze and drains in place

“Most cardiac and breast surgeons want you to wear a bra for some time after surgery, even while sleeping,” emphasizes Dr. Thompson. “Always follow their advice.”

Diminishes stretch marks

Stretch marks on breasts are common, especially if your breasts change size during pregnancy. Bras support your skin’s structure, which helps prevent stretch marks.

“There’s no proof that wearing a bra at any time of day will decrease breast sagginess,” Dr. Thompson clarifies. “But it may help decrease stretch marks.”

Cons: Why it’s bad to sleep with a bra on

Looking for a reason to sleep without strapping on a bra? Dr. Thompson points out a few potential disadvantages of sleeping in a bra.

Causes skin irritation and infection

A sleep bra can protect your skin from irritation and infection. But it can also cause those issues if it has an underwire or it’s:

  • Dirty
  • Too tight
  • Too loose

Restricts circulation

“Bras that are too tight or contain underwires may cause you to wake up with some discomfort,” reiterates Dr. Thompson. “They can restrict your circulation while you sleep.”

Nobody wants to wake up to find that their bra left angry red indents in its wake. That’s why selection is key.

Tips for wearing a bra to bed

If you decide to sleep in a bra, choose one that’s comfortable and fits well — not too tight, not too loose. And be sure to replace your bras every six to 12 months, or whenever your breast size changes. Measure yourself or ask the fitter at your lingerie store or undergarments department for help finding the right size.

For the best experience with your sleep bra, Dr. Thompson recommends that you:

  • Choose a gentle fabric. Avoid lace or scratchy fabrics that may be rough on your nipples. Choose a natural material like cotton or something silky and soft.
  • Consider a shelf bra. Some camisoles and tank tops have a built-in shelf bra that may help you feel supported while sleeping.
  • Skip the underwire. Underwire can restrict circulation and cause pain while you sleep.
  • Wear a clean bra. Don’t wear a bra you’ve worn all day, and wash your sleep bras regularly — after every two or three wears.

Bottom line? If you choose to sleep in a bra, you want one that’s supportive and comfortable. If it interferes with your sleep, it’s not the right fit.

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Health

Turks and Caicos Islands Hospital Celebrates Successful Completion of 2026 Summer READY Programme

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Providenciales, Turks and Caicos Islands – August 18, 2026 – Turks and Caicos Islands Hospital is pleased to announce the successful completion of its Summer READY Programme, a two-week internship initiative designed to provide high school students in Forms 3-5 with hands-on exposure to the healthcare environment and an opportunity to explore careers within the sector.

The programme, organised and hosted by the Training and Education Department, welcomed students into various clinical departments, where they gained first-hand insight into the day-to-day operations of a healthcare facility and learned directly from healthcare professionals.

Throughout the two-week internship, students were exposed to different aspects of patient care and clinical operations while developing important workplace competencies, including communication, teamwork, professionalism, punctuality and responsibility. The experience was designed to complement classroom learning while helping students make more informed decisions about their future education and career pathways.

Vernessa Forbes, Training and Education Manager, said the Summer READY Programme reflects the hospital’s commitment to developing young people and creating meaningful opportunities for them to explore the healthcare profession.

“Summer READY is about giving our young people an opportunity to experience healthcare beyond what they may have seen or learned in the classroom. Over the two weeks, our students were able to interact with healthcare professionals, observe different clinical environments and gain a better understanding of the dedication and teamwork required to care for our patients. We were impressed by their enthusiasm, curiosity and willingness to learn, and we hope this experience has inspired them to consider the many rewarding careers available in healthcare.”

By rotating through and gaining exposure to various clinical departments, students were also able to see that healthcare extends beyond the roles most commonly associated with a hospital. The programme introduced them to the range of skills, disciplines and professionals that work together to deliver safe, compassionate and high-quality patient care.

Dr. Denise Braithwaite-Tennant, Chief Executive Officer, said the hospital has an important role to play in building the human capacity needed to support the future development and sustainability of healthcare in the Turks and Caicos Islands.

“As a hospital, our responsibility extends beyond providing healthcare services today; we also have an important role in helping to develop the people who will deliver and lead healthcare tomorrow. Human capacity building is essential to the long-term sustainability of our health system, and programmes such as Summer READY allow us to introduce young people to healthcare careers early, nurture their interests and help them understand the educational and professional pathways available to them.

By opening our clinical environment to students and providing mentorship and practical exposure, we are helping to build a pipeline of future nurses, physicians, allied health professionals and other healthcare workers. We want our young people to see that there is a place for their talents within the health sector and, importantly, that they can build rewarding careers while contributing to the health and development of the Turks and Caicos Islands. We are proud to play our part in investing in the next generation and strengthening our country’s future healthcare workforce.”

The programme concluded with the presentation of certificates of completion to the students, recognizing their successful participation and commitment throughout the two-week internship.

Turks and Caicos Islands Hospital congratulates all of the students who successfully completed the Summer Ready Programme and extends its appreciation to the clinical teams, supervisors and staff members who provided mentorship, guidance and practical learning opportunities throughout the programme.

Through the Summer READY Programme and its wider education, training, internship and professional development initiatives, Turks and Caicos Islands Hospital remains committed to supporting national human capacity development. By partnering with educational institutions, government agencies and other stakeholders, and by providing mentorship and practical learning opportunities within the healthcare environment, the Hospital aims to strengthen the pipeline of skilled healthcare professionals needed to meet the evolving health needs of the Turks and Caicos Islands.

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Bahamas News

More Bahamians Accessing HIV, STI Care Through NHI

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NASSAU, Bahamas — More Bahamians are accessing HIV and sexually transmitted infection-related healthcare through National Health Insurance, a trend the NHI Authority says should be viewed positively.

NHIA stressed in an August 6 statement that its 2025 figures measure healthcare utilisation, not newly diagnosed infections. They include beneficiaries screened, treated, monitored or receiving follow-up care, including people diagnosed previously.

“Increased utilisation of these services should be viewed as a positive development,” NHIA said.

The Authority pointed to “greater enrolment and use of NHI, improved access to screening and testing, continued treatment and monitoring of existing conditions, and increased willingness to seek medical care.”

The development comes amid a mixed three-year HIV picture. New diagnoses rose from 130 in 2023 to 156 in 2024, before declining to 142 in 2025.

NHIA said increased utilisation demonstrates that more beneficiaries are accessing needed healthcare and actively managing their health, reinforcing the importance of screening, early diagnosis and continued treatment.

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