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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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CHTA President Praises Jamaica’s Hurricane Preparedness, Assures Ongoing Support

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KINGSTON, Jamaica– President of the Caribbean Hotel and Tourism Association (CHTA), Nicola Madden-Greig, has praised the strength of local and regional public-private sector partnerships, while congratulating tourism stakeholders across Jamaica for their strong level of preparedness in weathering the dangerous Category 4 Hurricane Beryl, which impacted the island this week.

“Jamaica was spared the worst of the hurricane and we have now returned to regular business operations,” said Madden-Greig, who rode out the storm at her office in Kingston. She reported that Sangster International Airport in Montego Bay and Ian Fleming International Airport in Ocho Rios opened today, while Norman Manley International Airport in Kingston will open on Friday, July 5, after minor repairs are completed.

“We have no reports of any guests being injured during the passage of the storm, and the majority of the hotels and the tourism industry in general have emerged unscathed,” Madden-Greig added.

However, she expressed concerns for the south coast of the island, where many local communities were impacted, along with several independent hotels and villa operations.

“We will be including these operators in our disaster relief efforts, particularly in the Treasure Beach, St. Elizabeth area,” she noted, explaining however that she had little doubt that this resilient community will rebound in the shortest possible time.

The trade association leader was encouraged with the reports emanating from the Cayman Islands, which confirmed no major impact on the sector there. “We are thankful to God for sparing us for the most part, and we are now resolved to getting our industry back on track, while serving communities (especially those in the Grenadines) who are in dire need at this time,” said Madden-Greig.

Individuals, businesses and organizations that want to contribute to regional hurricane relief efforts may make a monetary donation at www.chtaef.com.

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CARICOM raising profile and priority of its Migration Policy; curbing challenges ‘a tall order’

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Garfield Ekon

Staff Writer

 

The Caribbean Community (CARICOM) is committed to work with Member States and other stakeholders to implement a “forward-thinking regional migration policy,” according to its Assistant Secretary General, Alison Drayton.

Addressing the opening of a recent three-day workshop titled “Towards a Regional Approach to a Migration Policy in the Caribbean,” in Port-of-Spain, Trinidad and Tobago, she said it is evident that the Region has been facing, and will continue to face, various challenges that affect the lives and livelihoods of Caribbean citizens.

“Namely, due to Climate Change, which has amplified displacements and the need for persons to migrate from areas that threaten their livelihoods or limit their opportunities to prosper and provide for their families,” the ASG told the forum, adding that the Climate Change and natural disasters remain “key drivers of displacements in the Region.”

“With the frequency and magnitude of events likely to increase in the future, this has contributed to many regional States facing demographic decline, which has impacted their workforce, our younger population seeking job opportunities outside the Region, and many key sectors being negatively impacted,” she stated.

The CARICOM official underscored that tackling the challenges would be “a tall order,” hence the Regional body’s commitment that would help address various aspects of Regional migration and human mobility as determined by Member State priorities.

Lauding the Government of Trinidad and Tobago for hosting the workshop, and the and valuable technical contributions made by the United Nations (UN) Migration Group and financial contributions from the United States Department of State, the European Union, and the Inter-American Development Bank, she said  the their efforts have been significant.

The contribution made by International Organization for Migration (IOM), has advanced the policy, with provision of consultancies to coordinate the Community’s work through the Regional Approach to Migration Policy (RAMP) Steering Committee and development of the framework, she highlighted.

For Trinidad and Tobago’s National Security Minister, the Hon. Fitzgerald Hinds, his country is also committed to contributing to the development of a regional migration policy framework that reflects the priorities of the people of the Caribbean Community.

“As we embark on this journey together, let us harness the expertise, the insights and the experiences that we already have among us as we gather here today to shape the policy framework that is in front of us,” the Minister said, adding that the current migration realities “should prepare us for future challenges.”

The technical workshop brought together National Focal Points from the CARICOM Member States, and representatives of relevant regional and international organisations, building on IOM’s Migration Governance Indicator (MGI) assessments, and other consultations held with national Governments of CARICOM Member States in 2023.

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Government Earmarks $300M for Post-Hurricane Dengue Mitigation

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#Kingston, Jamaica, July 19, 2024 – The Government has earmarked $300 million to ramp up dengue mitigation activities, inclusive of fogging, treatment of mosquito breeding sites, removal of bulky waste and drain cleaning, in the aftermath of Hurricane Beryl.

Addressing the House of Representatives on Tuesday (July 16), Prime Minister, the Most Hon. Andrew Holness, said the funds have been allocated to the Ministry of Health and Wellness, which will spearhead vector-control activities over the next six weeks.

He further informed that the National Solid Waste Management Authority (NSWMA) and National Works Agency (NWA), “are technically involved in this dengue mitigation [exercise] by trying to clear the environmental conditions that would create the growth in the vector”.

Mr. Holness highlighted the potential for a significant increase in the dengue vector, the Aedes aegpyti mosquito, which breeds primarily in containers, consequent on  the hurricane’s passage.

“We know that many communities are being plagued by the increase in the mosquito population… and other vectors [such as] roaches, rats and flies. Therefore, the cleanup and removal and clearing of waterlogged areas is of critical importance,” he emphasised.

The Prime Minister noted that the hot summer conditions, along with rainfall, will further contribute to heightening the possibility of an increase in these vectors and the transmission of diseases.

As such, he appealed to Jamaicans to properly store water in covered containers and destroy mosquito breeding sites around their homes.

“I urge all homeowners who are storing water and… leaving the containers open, that an easy way to control the growth of the mosquito population in your households is to cover the containers,” Mr. Holness said.

He pointed out that the NSWMA will shortly announce a schedule for the removal of bulky waste from homes.

Prime Minister Holness further indicated that the NWA will be actively cleaning various gullies.

Dengue symptoms include fever, headache, and joint and muscle pains. These are often resolved through rest and adequate hydration along with the use of paracetamol to treat the accompanying fever.

 

Contact: Chris Patterson

Release: JIS

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