Caribbean News
CARPHA Speaks to the Region on World Hypertension Day 2023
Port of Spain, Trinidad and Tobago. 16 May 2023. “Hypertension, also known as high blood pressure, is the number one risk factor for illness and premature death from cardiovascular disease, and one of the most common non-communicable diseases (NCDs) in the Caribbean region. This disease may go undetected, thus getting your blood pressure checked frequently is especially important, so that timely treatment including lifestyle changes and/or medication can be started to reduce progression to complications,” remarked Dr. Joy St. John, Executive Director of the Caribbean Public Health Agency (CARPHA), in observance of World Hypertension Day.
The non-Latin Caribbean has the greatest mortality rate from cardiovascular disease (418 per 100,000 inhabitants).
A study that examined 10-year mortality trends in 20 English and Dutch speaking Caribbean countries/territories, discovered that cardiovascular disease accounted for most deaths (13-25%) with Montserrat, Bermuda and Trinidad and Tobago having the highest percentages[1]. In the adult population aged 30-79, the regional age-standardized prevalence of hypertension was 35.4% in 2019. It was more substantial in men (37.6%) compared to women (33.3%). Furthermore, the top 20% of countries in the world with the highest prevalence included countries in the Caribbean with Dominica (47.7%) having the highest prevalence and Belize with the lowest prevalence (38%) (Pan American Health Organization, 2021).
Uncontrolled blood pressure can cause serious health problems such as heart failure, stroke, damage to the kidneys and the back of the eye. Although blood pressure usually increases with age, hypertension is preventable and treatable. According to the World Health Organization, although hypertension is an easy condition to diagnose and treat, globally about 46% of adults remain unaware that they have this condition.[2]
The risk factors contributing to hypertension are similar to those of other major chronic NCDs such as cancer and
diabetes. Behavioural and lifestyle-related factors – eating too much salt, being overweight and not getting enough exercise, excessive use of alcohol and smoking of tobacco – can put people at a higher risk for developing high blood pressure.
“While there is no cure for hypertension, making lifestyle changes can greatly enhance your quality of life and reduce your risk of developing heart disease and stroke,” stated Dr. Heather Armstrong, Head of Chronic Disease, and Injury at CARPHA. She stressed the importance of maintaining a healthy lifestyle at all ages. “That means reducing your salt intake, eating a healthier diet rich in fruits and vegetables, getting enough exercise and maintaining a healthy body weight for your height and age, and avoid the harmful use of alcohol.”
In the Region, Caribbean governments and other stakeholders are working towards achieving a 25% decline in the prevalence of hypertension by 2025 and premature mortality by a third by 2030.
Through combined and coordinated efforts, CARPHA is committed to continuing its work to increase awareness of the dangers of high blood pressure and to address the risk factors associated with the disease. CARPHA’s work in Integrated Disease Management includes the publication and implementation of clinical guidelines to support the diagnosis, management and care of diabetes and hypertension, disease conditions which are major risk factors for the development of cardiovascular diseases. With the support of the French Development Agency (L’Agence Française de Développement-AFD), CARPHA is spearheading the revision of a clinical guideline for the management of hypertension in primary care in the Caribbean.
Additionally, CARPHA has developed a Regional Framework for Reduction of Sodium in Caribbean populations, a major risk factor for hypertension that aims to Change the food environment, Educate the population, strengthen system capacity, and Assess progress (CESA). Salt awareness programs, webinars and messaging systems have been put into place to further educate and support CARPHA Member States.
World Hypertension Day is observed annually on May 17th. This year’s theme is Measure Your Blood Pressure Accurately, Control It, Live Longer. The objective is to raise awareness, promote hypertension detection and encourage citizens of all countries to prevent and control this silent killer.
By Deandrea Hamilton | Magnetic Media
October 14, 2025 – It’s being called political theatre — but for citizens, constitutional watchdogs, and democracy advocates across the Caribbean, it feels far more serious. Within a single week, two national parliaments — in Trinidad and Tobago and St. Kitts and Nevis — descended into turmoil as opposition members stormed out in protest, accusing their Speakers of bias, overreach, and abuse of parliamentary procedure.
For observers, the walkouts signal a deeper problem: erosion of trust in the very institutions meant to safeguard democracy. When Speakers are viewed as political enforcers instead of neutral referees, parliaments stop functioning as chambers of debate and start performing as stages for power and spectacle — with citizens left wondering who, if anyone, is still accountable.
October 6: St. Kitts Parliament Erupts
The first walkout erupted in Basseterre on October 6, 2025, when Dr. Timothy Harris, former Prime Minister and now Opposition Leader,
led his team out of the St. Kitts and Nevis National Assembly in a protest that stunned the chamber.
The flashpoint came as the Speaker moved to approve more than three years’ worth of unratified parliamentary minutes in one sitting — covering 27 meetings and three national budgets — without individual review or debate.
Dr. Harris called the move “a flagrant breach of the Constitution and parliamentary tradition,” warning that the practice undermines transparency and accountability. “No serious parliament can go years without approving a single set of minutes,” he said after exiting the chamber.
The Speaker defended the decision as administrative housekeeping, but critics were unconvinced, branding the move a “world record disgrace.” The opposition’s walkout triggered renewed calls for the Speaker’s resignation and sparked a wider public discussion about record-keeping, accountability, and respect for parliamentary norms in St. Kitts and Nevis.
October 10: Trinidad Opposition Follows Suit
Four days later, on October 10, 2025, the Opposition United National Congress (UNC) in Trinidad and Tobago staged its own walkout from the House of Representatives in Port of Spain.
The UNC accused the Speaker of partisan bias, claiming she had repeatedly blocked urgent questions, ignored points of order, and allowed government members to breach standing orders without consequence.
“The Speaker has failed in her duty to act impartially,” the Opposition declared in a statement. “Parliament is not the property of any political party or Presiding Officer.”
The dramatic exit was seen as a culmination of months of rising tension and frustration, with opposition MPs arguing that parliamentary rules were being selectively applied to silence dissenting voices.
Political analyst Dr. Marcia Ferdinand described the twin walkouts as “a warning sign that parliamentary democracy in the Caribbean is teetering on the edge of performative politics.”
“When chairs become political shields rather than constitutional referees,” she said, “democracy becomes theatre, not governance.”
A Pattern Emerging
While St. Kitts and Trinidad are very different political environments, both incidents point to the same regional fault line: the perception that Speakers — the guardians of parliamentary order — are no longer impartial.
In Westminster-style systems like those across the Caribbean, the Speaker’s authority depends not on power but on public confidence in fairness. Once that credibility erodes, parliamentary control collapses into confrontation.
Governance experts say the implications are serious: eroded trust between government and opposition, declining public confidence in state institutions, and growing voter cynicism that “rules” are flexible tools of political advantage.
Why It Matters
Parliamentary walkouts are not new in the Caribbean, but what makes these recent events different is their frequency and intensity — and
the regional echo they’ve created. Social media has amplified images of lawmakers storming out, with citizens from Barbados to Belize questioning whether the same erosion of decorum could be happening in their own legislatures.
Analysts warn that if this perception takes hold, it risks diminishing the moral authority of parliamentary democracy itself.
“Once opposition MPs believe the rules are rigged, and once citizens believe Parliament is just performance,” said one Caribbean governance researcher, “you’ve lost the most valuable currency in democracy — trust.”
Restoring Balance
Political reformers across the region are calling for tighter Standing Order enforcement, independent parliamentary service commissions, and training to strengthen Speaker neutrality. Civil society leaders say the public must also play its part by demanding transparency and refusing to normalize partisan manipulation of parliamentary procedure.
Whether these twin walkouts become catalysts for reform — or simply another episode of Caribbean political theatre — will depend on what happens next inside those chambers.
For now, democracy watchers agree on one thing: when opposition leaders feel the only way to be heard is to walk out, the entire democratic house — not just its Speaker — is in danger of collapse.
Angle by Deandrea Hamilton. Built with ChatGPT (AI). Magnetic Media — CAPTURING LIFE.
Caribbean News
Sandals Resorts and Beaches Resorts celebrate a night of wins, and take home a total of 16 titles at the 32nd Annual World Travel Awards
-
Uncategorized5 days agoISU Supports Successful Multiagency Demolition Exercise in Blue Hills
-
TCI News3 days agoFrontier Airlines’ Arrival to Turks & Caicos Marks a Game-Changing Connection
-
TCI News5 days agoInvest Turks and Caicos Unveils Categories for The MSMES “A Celebration of Excellence”
-
USA3 days agoNarco-Terrorist Take Down by US Gutting Caribbean Gang-Crime
-
TCI News4 days agoBeaches Turks and Caicos Celebrates TCI National Heritage Day with investment in youth and culture
-
world news4 days ago80% of the World’s Poor Face Climate Hazards — UNDP Sounds Alarm
-
TCI News3 days agoTurks & Caicos Police Commissioner Urges Students to “Awaken Their Sleeping Giants”
-
Education6 days agoBeaches Turks & Caicos Invests in Youth Development