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World Kidney Day marked in TCI with Kidney Screening Day

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By Deandrea Hamilton and Dana Malcolm
Editorial Staff

 

 

#TurksandCaicos, March 9, 2023 – The absence of health check-ups has led to a high instance of KIDNEY DISEASE in the Turks and Caicos Islands, now the Ministry of Health in partnership with the TCI Hospitals is running an intervention program aimed at getting residents ‘in the know’ about the health of their kidneys.

Ahead of World Kidney Day, which is on Thursday March 9 residents of the Turks and Caicos were invited to check up on their kidneys for earlier detection of damage or risk.

Because the statistics are so alarming, the TCI Hospitals in collaboration with the TCI Ministry of Health and Human Services will host a free kidney disease prevention drive in Providenciales, today Tuesday, March 7th where you can get your kidneys screened free by doctors at the government’s Mobile Clinic.

The program opened from 10 a.m. to 4 p.m. in Butterfield Square in down town, Providenciales.

In Turks and Caicos, there is cause for concern when it comes to kidneys. The organs which are responsible for: removing waste products from our bodies; removing drugs from our bodies; balancing our body’s fluids; releasing hormones that regulate blood pressure; producing vitamin D which promotes strong, healthy bones and the kidneys manage the production of red blood cells.

“Up to 50% of persons starting dialysis were not previously being monitored by a Nephrologist. It is therefore important that high-risk individuals check their kidney function on a regular basis. High-risk persons include those with diabetes, hypertension, heart disease and those with kidney disease in their families,” said Vancelee Forbes, Nephrologist (Kidney Specialist) at the TCI Hospitals.

Dr. Forbes revealed that there are currently 60 individuals with renal failure receiving dialysis across both sites at Cheshire Hall Medical in Providenciales and Cockburn Town, Medical in Grand Turk. However, it is the nearly 300 other residents who were unaware of chronic kidney disease which raised red flags; only detected when these hundreds sought care at clinics across the country.

Renal failure means the kidneys cannot clean the blood on their own any longer and affected individuals require hours of dialysis weekly to stay alive. Chronic kidney disease which has very few symptoms until it is in the late stages can cause this. It can occur over months or years with early detection increasing patients’ survival chances.

Dr. Forbes shared with Magnetic Media the workings of their Hemodialysis Unit.

“Persons requiring dialysis are managed in dialysis clinics. Services include hemodialysis and peritoneal dialysis. These persons require a living donor.” The doctor said, “Additional support services include access to a dietician, physiotherapy as needed, psychology and psychiatry services as needed.”

And locally, transplant surgeries are not possible but donors are welcomed. Dr. Forbes said a UK overseas territory programme allows for the procedure.

“A TCI resident received a kidney from a relative via the programme. Currently, we need healthy people who are willing to donate one of their kidneys,” the specialist implored.

Patients with chronic kidney disease who are not on dialysis are treated in the Renal and Internal Medicine clinics but, for the TCI Hospitals, the aim is to catch these issues early before they balloon into complete renal system failure.

These partners in health agree that the Free Clinic is a good first step.

Bahamas News

Prime Minister Davis: Cannabis Reform Compendium 2024 ‘a long time coming’

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NASSAU, The Bahamas – Prime Minister and Minister of Finance the Hon. Philip Davis said on July 15, 2024, that he spoke in support of the compendium of Bills to legalise the use of cannabis for medical and religious purposes, to decriminalise the possession of small amounts of cannabis, and to “regulate the cultivation, sale and use of cannabis and related products within our borders and to promote the health and safety of our people.”

“This has been a long time coming,” Prime Minister Davis said, during his Contribution to the Cannabis Reform Compendium 2024 Debate in the House of Assembly.

“For years, Bahamians have called for an administration to have the courage to step up and take this issue on in a decisive and responsible manner,” he added.  “While many other countries, including nations within our region like Jamaica, Trinidad & Tobago, Antigua & Barbuda and Barbados, have taken steps toward decriminalisation and legalisation for medical use, Bahamians were left wondering when it would be our turn to modernise our local approach to cannabis.”

Prime Minister Davis noted that the national dialogue had been ongoing for the better part of a decade.

“Many people thought change was imminent when the Marijuana Commission began its work in October 2018, under the previous administration,” he said.  “These efforts culminated in a preliminary report delivered in January 2020 and a final report delivered in August 2021.”

He added:  “The Commission cited a wide range of in-person discussions and public opinion research, noting that there appeared to be widespread public support for the legalisation of cannabis for medical purposes.  There was also healthy support for decriminalisation and an appetite for a strong regulatory and enforcement framework to ensure high standards for this new industry.”

Prime Minister Davis pointed out that the recommendations of the Commission called for legalisation for medical use, decriminalisation for small amounts, legalisation for use as a religious sacrament for members of the Rastafarian community, as well as strict regulations to ensure the quality and safety of the local cannabis product.

“In the PLP’s Blueprint for Change, we committed to developing a comprehensive regulatory framework for growing, harvesting, and exporting cannabis to create opportunities for Bahamians,” he said.

“The approach we developed to legislating and regulating Cannabis was informed by widespread research and consultation,” Prime Minister Davis added.  “It was partially based on the CARICOM Regional Commission on Marijuana’s research and findings, as well as the approaches of other jurisdictions like Jamaica, Barbados, and Canada, where Cannabis has been legalised and regulated.”

He said that his Government’s goal was to ensure that it developed the most fair, balanced, and effective legislative and regulatory mechanisms, which would allow The Bahamas to reap economic and health benefits while promoting law and order and keeping its people safe through the introduction of stringent standards.

Prime Minister Davis added:  “Once we felt that we had an adequate draft, we released the draft bills publicly, and we held a number of stakeholder consultation sessions, led by the Attorney General’s Office, in which we sat down with major stakeholder groups like healthcare providers, leaders of our church community, advocates for legalisation, leaders of the Rastafarian community – some of whom I see here today, as well as those who had concerns about the impact of legalisation and decriminalisation on the proliferation of usage. These varied opinions were taken into account and adjustments were made to achieve the most practical and effective approach that would work best for the Bahamian people.”

He pointed out that his Government also paid close attention to ongoing research on the issue – the most recent of which, he noted, was a survey conducted nationally by Public Domain in 2023, which indicated that 61% of the population supported the legalisation of cannabis for medical usage.

“It was clear that the times had changed, and it was time for our laws to change as well,” Prime Minister Davis stated.

He continued:  “We’ve been hard at work since 2021. We knew this was not a process we could rush. There was a recognised need for carefulness and due diligence, but there was also a need to ensure that this new legislative and regulatory regime could be introduced and implemented within this term.  We could not simply kick the can down the road for our next term the way other administrations did.  No, we could not delay these changes – not when so many people had waited for years for real action to be taken.

“Today, the wait is over.”

Prime Minister Davis noted that his Government was taking action on behalf of all of the people who simply wanted the ability to legally consume medical cannabis to help them with their medical conditions.

“There are people with children suffering from epilepsy who have been praying for this moment,” he said.  “There are people with glaucoma who want the opportunity to potentially alleviate their condition with a cost-effective and natural treatment.”

Prime Minister Davis added that there were people living with auto-immune conditions, chronic pain, anxiety, depression, and other ailments who were “waiting not-so-patiently for this day.”

“We are taking action for the many men and women living with criminal records for carrying small amounts of cannabis, and the many others who will be spared criminal records as a result of decriminalization,” he said.

Prime Minister Davis stated that, as a society, his Government realised that the old approach taken against Cannabis in the War on Drugs in the 1980s and 90s did not necessarily reflect the current reality.

“Too many livelihoods have been lost because of a joint,” he said.  “Too many lives have been handicapped and potentials lost.”

He added that when he was saying that, it was not his intent to excuse those who choose to break the law.

“After all, the law is the law; it must be respected and upheld,” Prime Minister Davis stated.  “But we also recognise that the law is not static, it is dynamic. And the interpretation of the law and how it serves the greater good of society can change over time.  I am confident that many lives will be changed for the better as a result of the criminal records that will be expunged.”

“Through these reforms, we are upholding the rule of law, making it clear that if you are seeking to supply others with cannabis illegally or engage in other unlicenced and illegal activities, you will be held accountable,” he added.  “Everyone is welcome to participate within the legal and regulatory framework and only within that framework.

“Of course, as a part of this reform process, we are also taking action to recognise the rights and freedoms of Rastafarians to use Cannabis as a sacrament because it should not be against the law for our brothers and sisters of the Rastafarian faith to practice their religion.”

PHOTO CAPTION

Prime Minister and Minister of Finance the Hon. Philip Davis speaks, on July 15, 2024, during his Contribution to the Cannabis Reform Compendium 2024 Debate in the House of Assembly.    (BIS Photos/Ulric Woodside)

 

Release: BIS

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Government

Proposed Amendments for Business Licensing in TCI heard at June 4 Cabinet Meeting  

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#TurksandCaicos, July 19, 2024 – Her Excellency the Acting Governor Anya Williams chaired the 17th meeting of the Cabinet on Tuesday June 4th, 2024, at the Office of the Premier on the island of Providenciales.

All members of Cabinet were present with the exception of Governor H.E. Dileeni Daniel-Selvaratnam, Attorney General Hon. Rhondalee Knowles and the Ministers of Home Affairs and Public Safety and Utilities.  Ms. Yaa McCartney attended in the capacity of Acting Attorney General.

At this meeting Cabinet:

  1. Received a presentation from the Ministry of Finance on the proposed amendments to Business Licensing which was being put forward as a result of the consultations that had taken place and agreed next steps.

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Government

TCI Cabinet hears NHIP Change Management Plan in Meeting held April 24, 2024  

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#TurksandCaicos, July 19, 2024 – Her Excellency the Governor Dileeni Daniel-Selvaratnam chaired the 12th meeting of the Cabinet on Wednesday April 24, 2024, at the Office of the Premier on the island of Providenciales.

All members were present with the exception of the Ministers of Education, Tourism, Border Control and Public Safety who were away from the islands on official duties.

At this meeting Cabinet:

  1. Received a presentation from the National Health Insurance Plan Consultants on the organizations Change Management Program.
  2. Noted an information paper on the work of the Economic Substance Consultancy which was undertaken to provide services to the Financial Transactions Information Exchange Unit (FTIE) in regard to the previous blacklisting of the Turks and Caicos Islands which has since the engagement of this consultancy been reversed.
  3. Approved the reinstatement of the Grand Lucayan MOU for an additional six months from the execution date of the previously approved MOU.
  4. Approved the settlement of a Claim Against Government in line with a ruling of the Court.
  5. Approved the grant of a license for the beach nourishment and installation of four groins lying seaward of parcels 60703/253-263, 330, 331-342 situated at Cheshire Hall for the protection of the shoreline of the said parcels.

Further information on these matters will be provided by Ministers in due course.

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