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Respiratory Protection Program Training, including ‘Train the Trainers’ for Mask Fit-Testing, Turks and Caicos Islands

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#TurksandCaicos, March 1, 2023 – The Ministry of Health and Human Services in collaboration with the Pan American Health Organization (PAHO) and the UK Health Security Agency, conducted a two day “Respiratory Protection Programme, Training of Trainers for mask fit testing” workshop, for twelve (12) health care professionals from both the public and private sector. This event was held at the Atrium Resort, Providenciales, Turks and Caicos Islands, 26 – 27 January, 2023

The objectives of the training workshop were to:

  1. Build Infection Prevention and Control (IPC) capacity within the TCI by conducting a training programme for Infection Preventionist and Occupational Health staff in line with international safety standards.
  2. Train health care and other front line workers to be able to undertake fit testing of respirator masks and to be confident to cascade training to other staff members where needed.
  3. Increase knowledge and training capacity around respiratory hazard identification, the controls that can be implemented and the safe use of personal respiratory equipment including donning and doffing (putting on and taking off), alternative respirators, maintenance and decontamination.
  4. Introduce the Respiratory Protection Programme Manual for use in healthcare settings.
  5. Provide the tools and knowledge to develop and implement a local Respiratory Protection Programme.

The COVID-19 pandemic has played a major role in heightening our awareness of the risk of respiratory diseases and the effects of these diseases on our health, economy and society. It has provided the opportunity for the health care sector to strengthen their Infection Prevention and Control (IPC) Programmes in order to avert or control the introduction of other infectious diseases which can become a public health emergency. As a country, our health work force is small, it is therefore of paramount importance that we employ all means necessary to ensure the safety of our health professionals and population at large. It is against this background that the Pan American Health Organization (PAHO) in collaboration with UK Health Security Agency (UKHSA) are supporting the Turks and Caicos Islands (TCI) to strengthen the implementation of its IPC program.

PAHO in their concept note stated that “In order to effectively prevent disease transmission via the airborne and droplet route of spread, healthcare facilities require the capacity to understand and implement the key elements of a respiratory protection program, including the necessary infrastructure, human and material resources that support the program, along with the appropriate guidance on how best to implement the program successfully.”

In order to build an effective and sustainable respiratory protection program, it is critical that the proper respiratory protection equipment is selected in the right quantities and proper guidance on technical standards is developed and adhered to. Fit testing procedures and protocols for training healthcare workers in their use, how to introduce them into health facilities and finally, how to monitor their implementation and use should be developed and implemented within all health care facilities.

The Turks and Caicos Islands (TCI) is the first English speaking Caribbean country to be trained under this initiative and also to benefit from face-to-face training.

Mrs. Jackurlyn Sutton, Chief Nursing Officer, Ministry of Health and Human Services and the National IPC Focal Point stated that “this training of trainers workshop is one of many initiatives supported by PAHO. The participants are now equipped with the requisite knowledge and skills to build capacity by training other colleagues in the healthcare system. Previously in 2021, PAHO assisted the TCI by conducting assessments on five (5) of our healthcare facilities in relation to IPC. We had been anticipating this training in mask fit- testing to take place in 2022, however, due to the high demand for fit-testing kits, we had to delay this until this year. We are also grateful to UK Health Agency for supplying the TCI with the kits in order to make this training workshop a reality”.

Our future plans for IPC in the TCI is to plan for and implement the recommendations made during the health facilities assessment; such as the development, sensitization and implementation of our national IPC Policy and conducting of ongoing IPC training and refreshers for health and other front line staff in proper hand washing procedures and “donning and doffing” of personal protective equipment (PPE). This is to ensure that health care and other frontline personnel, follow the correct procedures when putting on and taking off these PPE’s, a very essential technique to ensure that they are properly protected from the COVID-19 virus and other emerging and re-emerging respiratory infections.

The Ministry of Health and Human Services extends sincere thanks to PAHO Consultants, Mr. Jose Espino, Mrs. Kathryn Johnston, Ms. and to Mrs. Janice Toplass, UK Overseas Territories Programme Global Operations, UKHSA for their commitment to the successful completion of this training initiative.

 

Photos of Facilitators and Participants engaged in Mask Fit-Test Training

Government

GOVERNMENT BUILDS CAPACITY, NO TALK OF INDEPENDENCE YET

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Turks and Caicos, March 18, 2026 – Despite securing significant constitutional reforms within the past year — including new powers that allow for a national referendum — Premier Charles Washington Misick made no mention of independence or any vote on the country’s political future during his 2026 State of the State Address, signalling what appears to be a continued strategy of building institutional strength before raising the question with the electorate.

The absence of any reference to a referendum stood out, particularly after the Turks and Caicos Islands successfully negotiated constitutional changes with the United Kingdom that expanded the authority of elected leaders and modernised the structure of Government.

Those reforms, which took effect last year, increased the size of Parliament, allowed for more Cabinet ministers, extended the life of a government from four to five years, and strengthened the role of elected officials in domestic affairs. The amendments also included provisions allowing for a referendum to be held on matters of national importance, a change widely viewed as giving the territory greater flexibility in determining its future political direction.

In his address, the Premier spoke of the reforms as moving the country toward “fuller self-government,” noting that the changes deliver a fully elected Parliament, widen delegated responsibility in external affairs and give elected leadership clearer authority and accountability to the people.

However, while the speech emphasised sovereignty, national security and stronger local institutions, it stopped short of any suggestion that the Government intends to call a referendum on independence or any other change in constitutional status.

Instead, the tone of the address suggested a focus on strengthening systems at home before considering further political steps.

The Premier outlined plans to expand the Police Force, strengthen the Border Force, increase the role of the Turks and Caicos Islands Regiment, modernise government through digital transformation, and improve immigration control through biometric border technology — all measures he said are necessary to secure the country’s future.

He also pointed to economic stability, infrastructure development and expanded investment as priorities, repeatedly framing the Government’s approach as one of building a stronger and more secure nation before taking on larger challenges.

The 2024 constitutional amendments, agreed between the Turks and Caicos Islands Government and the United Kingdom, formally expanded the number of elected members in the House of Assembly, increased the number of Ministers who may serve in Cabinet, extended the Parliamentary term to five years, strengthened Cabinet authority in domestic matters, and introduced provisions allowing for a referendum to be held on issues of national importance. The changes also widened delegated responsibility to local leaders in key areas of governance, marking one of the most significant steps toward greater self-government in recent decades.

The constitutional reforms achieved last year were seen by many observers as laying the groundwork for greater autonomy, and potentially future debate on independence, but the latest State of the State suggests the Government is moving cautiously.

For now, the message from the Premier appears clear: before any question of political status is put to the people, the country must first strengthen its institutions, its economy and its capacity to govern itself.

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

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$6M Digital Transformation Drive to expand E-Government, National ID and Biometric Borders

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Turks and Caicos – A $6 million digital transformation programme launched after the 2024 government cyber breach is now driving a major push toward e-government in the Turks and Caicos Islands, with new systems planned for online payments, national digital identification and biometric border controls.

In his 2026 State of the State Address, Premier Charles Washington Misick said weaknesses exposed by the cyber-attack made it clear that government technology systems must be modernised to improve security, efficiency and public service delivery.

The Premier said the three-year digital agenda includes stronger network security, a redesigned government data system, new identity management tools and the creation of a National Security Operations Centre to monitor threats.

He told the country that modernising government services through digital transformation and e-governance is no longer optional but necessary for transparency, accountability and national progress.

One of the centrepieces of the plan is the National Digital ID Programme, which the Government says will modernise civil registration, establish a national population register and make it easier for residents to access public services while strengthening national security and election integrity.

The Premier also pointed to early success with the new E-Pay system, reporting that more than $1 million in government payments had already been made online within days of its launch in February, reducing long lines, paperwork and processing delays while improving transparency in public transactions.

Digital transformation is also extending to the country’s borders.

The Government confirmed that a multi-million-dollar Digital Borders Programme will introduce biometric screening and automated E-Gate technology at ports of entry, allowing citizens and low-risk travellers to move more quickly through immigration while giving authorities real-time access to identity and status information.

The move aligns with wider security standards being implemented across British Overseas Territories, where upgraded border technology is being introduced to strengthen immigration control and improve passenger processing.

Officials say the changes are part of a broader effort to create a more modern, secure and efficient public service, with additional digital systems planned across government departments over the next several years.

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

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2,846 Jobs in the Pipeline; TCI with $430 Million Cash

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Turks and Caicos, November 7, 2025 – A record 2,846 new jobs are on the horizon for the Turks and Caicos Islands — a staggering figure that underscores the scale of economic momentum now coursing through the country. The announcement came yesterday as Premier and Minister of Finance, Investment and Trade, Hon. Charles Washington Misick, presented his mid-year report in the House of Assembly.

“Let me repeat, 1.27 billion dollars in development agreements for major projects have been executed,” the Premier told lawmakers. “From these projects we will create one thousand and twenty-three new rooms and two thousand eight hundred and forty-six permanent jobs for the economy.”

In a population of barely 45,000, that number is seismic. It speaks to both the opportunity and the tension of the moment — prosperity that will stretch local capacity and, inevitably, deepen reliance on foreign labour.

$1.27 Billion in Fresh Investments Fueling Growth

The employment surge is being driven by $1.27 billion in new development agreements brokered by Invest TCI between April and September 2025. The investment list is stacked with big-ticket names:

  • Hadley Investments Limited – $1.2 billion
  • The Bight by Dream Hotel – $65.5 million
  • Retreat Development Limited – $7.3 million
  • Amethyst Development Ltd. – $6.8 million

Collectively, these projects will bring 1,023 new rooms online and ignite activity across multiple islands. The Premier noted that 27 development agreements valued at just over $3 billion remain active — 22 in Providencialestwo each in Grand Turk and South Caicos, and one on Ambergris Cay.

Six new foreign direct investment (FDI) projects valued at $755 million have already started between April and September 2025, spread across four islands. Another four domestic investment proposals, worth $407.9 million, have been received for new luxury resorts, townhomes, and mixed-use spaces.

“Tourism continues to be the lifeblood of our economy,” Misick said. “But the pace of investment has been nothing short of vigorous, signaling strong investor confidence and a very promising future.”

The Labour Equation: Prosperity Meets Pressure

For all the celebration, there’s a flip side — the people needed to make this boom possible. The Premier acknowledged the growing reliance on expatriate labour and the strain that comes with it.

Work permit fees brought in $22.6 million during the first six months of the fiscal year — $1.9 million above estimates and $2.7 million higher than last year. Most of those work permits, the Premier confirmed, are tied to tourism and construction, sectors now running at full throttle.

“As construction and allied business activity has increased, so too has the number of work permits,” he said. The message was unvarnished: the more the economy expands, the greater the need for imported hands to build, serve, and sustain it.

It’s a bittersweet reality for a country whose citizens are ambitious but few. The challenge now — and the political test — will be whether the government can pair this expansion with deeper training, education, and local participation so that Turks and Caicos Islanders fill more of these high-value roles in the years ahead.

A Government Flush with Cash

If the development pipeline paints a picture of the future, the balance sheets show the country’s strength right now. The Premier reported that cash flow increased by $63.7 million in the first six months of the fiscal year.

At the end of the 2024/25 financial year, the government’s cash balance stood at $366.3 million — but by the end of September 2025, that figure had climbed to a commanding $430 million.

Of that total, $242.9 million sits in the Consolidated Fund for day-to-day operations, and $88.5 million is available in the Development Fund for project implementation — up sharply from $51.5 million in March.

It’s a level of fiscal cushion that few small island states can claim — one that gives the TCI a rare degree of resilience and maneuverability at a time when global markets are volatile.

A $1.7 Billion Economy — and Climbing

The Premier’s mid-year report confirmed that TCI’s economy now stands at $1.7 billion, with per capita income just over $34,000, among the highest in the Caribbean. Economic growth was a strong 6.5% in 2024, and global ratings agency Standard & Poor’s upgraded the country’s credit rating to A-, citing “sound fiscal management” and cash reserves nearing 30% of GDP.

Still, Misick cautioned against complacency, warning of tariff volatilityinflationary pressures, and U.S. stock market swings that could cool retiree travel — a major visitor segment. “These are realities we cannot ignore,” he said. “But neither will we be complacent. My government is responding proactively — intensifying marketing efforts, introducing targeted promotions, and pursuing new partnerships.”

The Bottom Line

The Turks and Caicos economy is running hot — billions in projects, thousands of jobs, and a government flush with cash. But with that heat comes a balancing act: managing rapid expansion while ensuring Islanders remain at the center of the story.

Because a boom means little if it doesn’t lift the people who call these islands home.

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

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