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CARPHA Speaks to the Region on World Hypertension Day 2023

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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.

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Bahamas News

RBDF Operation Strengthens Maritime Security Amidst Regional Turmoil

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Defence Headquarters, 17 MAR. ’24: A joint operation between the Royal Bahamas Defence Force (RBDF) and the Royal Bahamas Police Force (RBPF) led to the apprehension of 50 Haitian migrants approximately 5 nautical miles west of Bell Island on Saturday, March 16th.

The operation was initiated following the initial sighting of a sailing vessel, believed to be of Haitian origin, 8 miles southwest of Staniel Cay in the Exumas. RBDF swiftly deployed air and surface assets stationed at Matthew Town Inagua, supported by Police officials in Staniel Cay who verified the sighting. The migrants were intercepted by RBDF personnel stationed at the Land and Sea Park, Wardrick Wells Exuma, and subsequently handed over to the safe boat crew. They are currently under apprehension pending further investigation, with the imminent arrival of HMBS Rolly Gray.

In response to the ongoing instability in Haiti, Commodore Raymond King has announced the implementation of a strategic blockade in the southern Bahamas. This initiative includes the deployment of six surface vessels, one aircraft, and 120 highly skilled RBDF personnel. Patrol operations will be concentrated in critical areas such as the northern coast of Haiti, the Old Bahama Channel, and the Windward Passage, with the aim of deterring unauthorized entry attempts and preserving maritime security in the region.

The effectiveness of these decisive measures is evident, with recent apprehensions totaling 247 individuals by the RBDF. Commodore Raymond E. King emphasizes the commitment to bolstering maritime security through collaborative efforts with regional partners and local law enforcement agencies.

The Royal Bahamas Defence Force remains committed to safeguarding the nation’s borders and territorial integrity, working collaboratively with regional partners.

(For further information please contact the RBDF Public Relations Department or visit our website: www.rbdf.gov.bs, follow us on Facebook, Twitter and view our Youtube channel)

-rbdf-

#GuardOurHeritage

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Caribbean News

Wildfire Guyana, STAY ALERT

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Rashaed Esson

Staff Writer 

A wildfire in Guyana claimed the life of a 93 year old man on Tuesday March 12th and Guyanese people are now being urged to take precautions against these unpredictable phenomena.

The Guyana Fire Service reported that the fire seemingly started on an open farmland near the Parakies Village Community (the main road) located in the North West District, where the victim, Alexander Josephine, resided. 

Josephine was caught in the fire while working on his farm. Reports say he left home early at around 9 am to tend to his farm and later at about 1 pm, his family unfortunately received news he was injured during the fire and sadly died from his injuries.

Emergency officials arrived at the scene to find him lifeless and covered in burns. He was pronounced deceased after being transported to the Kumaka District Hospital.

A post-mortem examination will be performed on the deceased and an investigation into the causes of the fire is being conducted. 

The fire service, in providing tips to Guyanese on how to defend against forest fires, advised that they dig trenches around their homes to direct the fires elsewhere, specifically chosen areas where it can be burned out. And, people are told to not burn garbage or grass outdoors as this is a recipe for wildfires. 

They also recommend that people stay alert and  have evacuation plans in place in case they fall victim to these fires at home.

Additionally, the fire service informs that wildfires are common during the dry season and that they have been fighting wildfires and large grass fires over the past two months.

Wildfires have become a major issue globally.last year, 2023, Maui Hawaii suffered what was dubbed, one of the worst wildfires in the US since 1871. Many people lost their lives; loved ones, family and friends, and many were displaced as their homes were destroyed. 

The World Resources Institute in an August 2023 article says recent data reveals that wildfires are becoming more widespread, worsened by climate change, “burning nearly twice as much tree cover today as they did 20 years ago.”

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Caribbean News

GOV’T LOOKING TO EXPAND JAMAICAEYE

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KINGSTON, March 7 (JIS):

The National Security Ministry is looking to expand the national closed-circuit television (CCTV) surveillance programme ‘JamaicaEye’.

Portfolio Minister, Hon. Dr. Horace Chang, made the disclosure at the Standing Finance Committee meeting at Gordon House on Thursday (March 7).

JamaicaEye falls under Plan Secure Jamaica, which is geared towards creating a safe, secure, cohesive and just society, thereby providing an environment for increased and sustained growth and prosperity.

“JamaicaEye… we are expanding, but it has some challenges with the private sector. The security issue is that most of our connection, especially in the residential areas, are what we call the variable internet protocol (IP), and it is difficult to connect variable IP to the central system,” he pointed out.

Dr. Chang said that while it a cheaper system to use “and companies have used that in all the residential communities, it is posing as a challenge”.

“We are having discussion to see how we can overcome that, and the technical teams involved are looking at how we can… get that part of the programme going. In the meantime, we are expanding across the country, and we also ensure that the legal side of it is clear to the residents,” he indicated.

Jamaicans interested in connecting to JamaicaEye can register online at https://jamaicaeye.gov.jm/.

To participate, persons should have camera systems that are outside the home or business and face a public space; that can be connected to the Internet; have an IP-based system, preferably, although persons with older cameras will not be excluded; and have a resolution of two megapixels or higher.

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