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Ministry of Health representatives attended the Caribbean Public Health Agency (CARPHA) 26th Executive Board Meeting in Belize

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#TurksandCaicos, April 17, 2023 – Honourable Shaun Malcolm, Minister of Health and Human Services accompanied by Permanent Secretary Health, Mrs. Desiree Lewis, and Executive Administrator (Ag) Mrs. Garde Jones, attended the Caribbean Public Health Agency (CARPHA) 26th Executive Board Meeting- March 15, 2023 – Placencia, Belize.

The meeting welcomed several top health authorities, including Caribbean Ministers of Health and other high-level delegates to discuss CARPHA’s health priorities, review progress and solutions to ongoing problems, and exploring opportunities to advance universal health care with equity in the region of the Americas.

The objectives of the meeting were:

  • To receive administrative and technical updates regarding the operations of the CARPHA;
  • To review and approve policy initiatives undertaken by the CARPHA; and
  • To provide advice to support the smooth management of CARPHA.

The agenda included:

  • Review of Performance of Annual Work Plan 2022
  • Corporate services update
  • Financial update

  • Corporate initiatives (Roll-back Malaria (RBM) and Enterprise Risk Management (ERM))

  • Status of current evaluation of CARPHA

  • Surveillance Disease Prevention & Control (SDPC)Technical update
  • Status of COVID-19 and other health security concerns

  • Technical update of other SDPC work, including progress with the Integrated Surveillance

Strategy (ISS)

  • Update on Routine Immunization support to CARPHA Member States (CMS)
  • The Pandemic Fund
  • CARPHA’s application to Pandemic Fund
  • Research Study – potential resurgence in the Caribbean
  • Status of Headquarters Agreements

The 26th Meeting of the Executive Board of the CARPHA was convened to:

  • Support the creation of a Regional Rapid Response/Deployment network, under the umbrella of the Caribbean Regional Field Epidemiology and Laboratory Training Program (CR-FELTP), as a key intervention contributing towards regional health security.
  • Advocate and Support Health Information, Communicable Disease surveillance and Emergency Response (HCE) in equipping Member States with the tools and knowledge to strengthen surveillance systems, respond to and prepare for health emergencies, and provide evidence for use in disease prevention and effective policy making, with specific focus on the primary data source level, such as at the health centers, hospitals and environmental offices.
  • Strengthen the Caribbean Regulatory System to support access to quality assured medicines and vaccines, their appropriate use, and the monitoring of their safety and quality.
  • Support the expansion of Medicines Quality Control and Surveillance Department’s (MQCSD) risk-based post market surveillance programme for medicine testing to assure the quality of medicines used in the region.
  • Encourage the adoption of CARPHA’s guidelines for strengthened arboviral disease surveillance efforts in CMS inclusive of greater indices of suspicion, wider testing of suspected cases and adequate responses including integrated vector management strategies; and
  • Support Chronic Disease and Injury (CDI) efforts to create enabling environments in CARPHA Member States to reduce the burden of non-communicable diseases through the Caribbean Moves initiatives.
  • Advocate for resources to enable increased testing of respiratory and environmental samples at CARPHA Medical Microbiology Laboratory (CMML) and Environmental Health and Sustainable Development (EHSD) respectively.
  • Promote partnerships with public and private tourism stakeholders including the cruise sector for implementing Tourism and Health Program (THP) to improve healthy and safe tourism.
  • Advocate and provide support for resources for continued implementation of CARPHA’s comprehensive package of public health work to improve health in the region.

The Minister commenting on his first attendance to the CARPHA Board meeting, advised that it was very informative and provided an opportunity for him to obtain a better understanding, and clearer picture of CARPHA (Who they are and What they do).

He further noted that continued collaboration with CARPHA is critical to the Ministry’s ongoing efforts to improve health outcomes within our beloved Turks and Caicos Islands.

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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

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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Government

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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