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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

Bahamas News

Government is Moving to Protect the Rights of Older Persons

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NASSAU, The Bahamas — The Government is moving to protect the rights, privacy, independence, and dignity of older persons throughout the Commonwealth of The Bahamas.

The Hon. Dr. Michael Darville, Minister of Health and Wellness tabled The Older Persons Rights, Protections, Care and Support Bill (2026), in the House of Assembly on Wednesday, September 16, 2026.

“This is legislation whose time has come. It is rooted in a very simple thought that growing older must never mean becoming less valued, less visible, less protected or less entitled to dignity.

“Ageing is not somebody else’s issue. It is one of the few public policy matters that, if we are blessed with longevity, will eventually touch every one of us,” Dr. Darville said.

He noted that The Bahamas, like the world, is experiencing a clear demographic shift. According to the 2022 Census, the number of persons aged 65 years and older rose by 28.2 percent since 2010.

In The Government’s Blueprint for Progress, it made a commitment to strengthening protections for older persons. And, this Bill gives practical expression to that commitment. But there is also a wider context.

Furthermore, in 2025, the United Nations Human Rights Council established an Intergovernmental Working Group charged with developing a legally binding international instrument on the human rights of older persons. Its first substantive negotiating session was held in Geneva in July of this year.
In this vein, Dr. Darville said that The Bahamas brings this Bill at an important moment.

“While the international community is negotiating what a future global legal instrument should contain, The Bahamas is moving now with legislation that goes beyond a declaration of principles,” he said.

“This Bill recognizes older persons as rights-holders. But it also recognizes that rights written on paper mean little if there is no machinery to make them real.”

Provisions under the Bill establish in law the rights of older persons, including dignity, equality, privacy, autonomy, participation, financial self-management and access to healthcare and public services.

Secondly, it confronts abuse and abandonment, physical abuse, sexual abuse, psychological and emotional abuse, neglect and abandonment.

“These are expressly prohibited. For far too long older persons have been abandoned at hospitals with no recourse. This ends today,” Dr. Darville stated.

The Bill also permits anonymous reporting of suspected abuse and protects persons who make reports in good faith. Certain healthcare, social service, law enforcement and other professionals will have a statutory duty to report where
they reasonably suspect that an older person requires care and protection.

And thirdly, this Bill confronts an abuse that can sometimes remain hidden behind family relationships — financial exploitation, Dr. Darville said.

He added, “Taking an older person’s pension. Misusing their bankcard. Coercing them to transfer property. Manipulating a will. Using their National Insurance benefit for purposes other than their welfare. Preventing them from accessing their own money. These matters are specifically addressed in this legislation, with financial exploitation attracting serious penalties.”

The Bill is about support, by providing for the development of a National Older Persons Policy within 12 months, with priority given to a National Dementia Strategy.

“It promotes community nursing, home-based care and older persons’ day-care services, because where it is safe and appropriate, we should help our older persons remain independent, connected to their communities and supported in familiar surroundings,” Dr. Darville said.

The Bill further recognizes the tremendous responsibility carried by caregivers and provides for caregiver training and support, among other things. “It incorporates the needs of older persons into disaster preparedness, response, relief and recovery. And importantly, it rejects the idea that retirement means irrelevance,” Dr. Darville said.

 

By Lindsay Thompson
Bahamas Information Services

(BIS Photo/Ulric Woodside)

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Government Outlines New Healthcare Vision as Interhealth Exit Accelerates Reform  

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By Magnetic Media Newsroom

 

PROVIDENCIALES, Turks and Caicos Islands — The Turks and Caicos Islands Government says the breakdown of its relationship with InterHealth Canada presents an opportunity to reshape healthcare delivery, with plans to expand local medical services, strengthen primary care and reduce dependence on overseas treatment.

During a national briefing following InterHealth Canada’s notice terminating its hospital contract, Premier Charles Washington Misick acknowledged publicly for the first time that Government and InterHealth had been negotiating an exit from the arrangement for more than a year after what he described as an “irretrievably broken down” relationship.

Despite the contractual dispute, Misick and Health Minister Kyle Knowles stressed that healthcare services will continue uninterrupted during the transition.

“Allow us to do our job,” Knowles appealed, assuring residents that Government is actively managing the transition and safeguarding patient care.

The Premier outlined what amounts to a broader healthcare transformation built around four connected levels of care: strengthened community-based primary healthcare; expanded polyclinic services; enhanced hospital-based secondary care with greater specialist capacity; and overseas tertiary treatment only for cases that cannot be managed locally.

Among the proposals are the long-discussed establishment of intensive care units, expanded use of currently unfinished hospital space, recruitment of more resident specialist physicians and stronger contract management to oversee future healthcare agreements.

Knowles said the new polyclinic model will broaden services available outside the hospitals, including dentistry, ophthalmology, laboratory services, diagnostic imaging, gynaecology and preventative screening, helping to reduce pressure on emergency departments while improving early intervention.

Misick also acknowledged that while the hospital system significantly improved healthcare access after opening in 2010, Government believes further reform is necessary to improve affordability, sustainability and the range of services available within the Turks and Caicos Islands.

The briefing marked the Government’s most comprehensive explanation to date of its plans beyond the InterHealth contract, signalling that officials now see the transition as an opportunity to redesign healthcare delivery rather than simply replace one operator with another.

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Parnell Urges Premier to Step Aside, Proposes Bipartisan Board to Guide Healthcare Transition

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By Magnetic Media Newsroom

 

PROVIDENCIALES, Turks and Caicos Islands — Opposition Leader Douglas Parnell is calling on Premier Charles Washington Misick to step aside, arguing that the Government has failed to provide the leadership, transparency and public engagement needed as the Turks and Caicos Islands prepares for one of the most significant changes in its healthcare system.

Responding to Government statements following InterHealth Canada’s contract termination notice, Parnell said residents were only now learning officially that negotiations with the hospital operator had been underway for more than a year, despite several previous opportunities for Government to inform the public.

He questioned why no detailed explanation was provided during the State of the State Address, Budget Debate or recent healthcare announcements, including the opening of the new polyclinic.

Parnell argued that while the PDM supports reforming or replacing the existing hospital arrangement, the process must be transparent and centred on the public interest.

The Opposition Leader reminded residents that the PDM had challenged the InterHealth agreement while in government, pursuing arbitration and preparing further legal action over concerns about the contract before leaving office following the General Election.

To guide the next phase, Parnell proposed establishing a bipartisan Health Transition Board comprising Government and Opposition representatives to oversee the transition, monitor public accountability and manage the procurement process for any future healthcare provider.

He also outlined what the PDM believes should form the foundation of the next healthcare system, including guaranteed continuity of care, automatic employment protection for hospital workers, recruitment incentives for specialist physicians, expanded intensive care services, comprehensive mental health care, enhanced geriatric services and accelerated efforts to attract qualified Turks and Caicos Islanders in the medical profession back home.

Parnell also presented ten questions for Government covering outstanding payments, borrowing plans, legal implications, transition arrangements and the future structure of healthcare delivery.

He said the changes now unfolding require decisive leadership, openness and a carefully managed transition that places patients, healthcare workers and the long-term interests of the Turks and Caicos Islands first.

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