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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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Director of Sports attends General Assembly American Sports Council – Cade 2023 

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#Cartagena, Colombia, 30th May 2023 – Director of Sports Jarrett Forbes, attended the General Assembly American Sports Council CADE 2023 held in Cartagena Colombia.  The three-day conference commenced on Wednesday, 3rd of May and continued through Friday 5th May, 2023.  Sports leaders from thirty-plus countries from across South America, Central America, North America and the Caribbean were represented.There were four meetings held during the three-day period: CONSUDE (Meeting for South America); CONCECADE (Meeting for Central America, Mexico and the Caribbean); CADE (meeting with South America, Central America and the Caribbean and North America) and Ibero – American Sports Council (Meeting with Spanish and Portuguese Speaking Countries in the Americas).Amongst the topics discussed were: best practices in hosting major games such as the Pan-American Games in Santiago Chile 2023 and its projected legacies; Transformation of Recreational Sports and Active Living through Active Management; Empowering our Athletes Beyond Medals; Differential approach in Sport, an approach towards an inclusive public policy; the commitment and social benefits of physical activity in schools; Para – Olympic sports; resumption of sports challenges post-pandemic and anti-doping in sports.  

The Director of Sport, Mr. Jarrett Forbes had the opportunity to meet with a number of sports leaders in the region representing the various governments as well as executive members of various sporting bodies and representatives from UNESCO and the World Anti-Doping Agency. 

Mr. Forbes stated, “I was very delighted that the Turks & Caicos Islands had participated in a sports assembly of this magnitude, consisting of sports leaders from the North American Region, Central & South American Regions, and the Caribbean. The topics and presentations were extremely beneficial for the TCI. Many countries shared their approach to utilizing sports to combat crime and violence while others saw the benefits of sports to reduce the sedentary lifestyle in their countries. The benefits of sports are so immense. Member countries expressed how sports improved their GDP; provided opportunities for sustainable growth and development; promoted peace and inclusion; and there was a common position amongst member countries to utilize sports as a tool for sustainable development and growth.” 

Concluding the General Assembly, a common position for the future of sports in the Americas was taken with a final declaration and bilateral agreements of the CADE Assembly 2023.  

 

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CARPHA Observes World No Tobacco Day, says Heart disease & Cancer due to TOBACCO leads to 47% of deaths

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May 30, 2023 – Tobacco use remains a major public health concern in the Caribbean Region. There is no safe level of exposure to tobacco smoke. The use of tobacco products in any form harms nearly every organ of the body, irrespective of whether it is smoked, smokeless, or electronic.  Of all the forms of tobacco use, most common in the Caribbean region is cigarette smoking.   Cigarette smoking is the number one risk factor for lung cancer. Using other tobacco products such as cigars or pipes also increases the risk for this disease.

Second-hand smoke exposure causes stroke, lung cancer, and coronary heart disease in adults; and acute respiratory infections and severe asthma in children. It is a preventable risk factor for non-communicable diseases (NCDs), which are the leading cause of death, disease and disability among Caribbean people.

This year, World No Tobacco Day focuses on Grow Food, Not Tobacco. This campaign advocates for ending tobacco cultivation and switching to more sustainable crops that improve food security and nutrition. The campaign observed annually on 31 May, also informs the public on the dangers of direct use, and exposure to tobacco.

In the Caribbean Region, non-communicable diseases (NCDs) are the leading cause of death and disability – 76.8% of the total deaths (non-Latin Caribbean, excluding Haiti) were due to NCDs in 2016. Cardiovascular diseases 30.8% and cancer 17.2% are the leading causes of death due to NCD, both linked to tobacco use. Many of these persons die in the prime of their lives before the age of 70 years old. The prevalence of smokers for overall tobacco products ranged from 57.2% prevalence (95%CI 48.4 to 65.4%) to 16.2% (95%CI 11.2 to 23.0%). According to the Report on Tobacco Control in the Region of the Americas (2018) Caribbean countries have the highest levels of tobacco experimentation before the age of 10.[1]

Dr. Joy St. John, Executive Director at the Caribbean Public Health Agency (CARPHA) “Smokeless does not mean harmless.  Nicotine in e-cigarettes is a highly addictive drug and can damage children’s developing brains.  Children and adolescents who use e-cigarettes at least double their chance of smoking cigarettes later in life.  Preventing tobacco product use among youth is therefore critical.  It is important that we educate children and adolescents about the harms of nicotine and tobacco product use. We must work to prevent future generations from seeing such products as “normal”.”

In 2008, the Caribbean Community (CARICOM) endorsed the recommendation to ban smoking in public spaces.  Later, in 2012, CARICOM regulated a standard for labelling retail packages of tobacco products with health warnings. Caribbean civil society organisations (CSOs), working in collaboration with local governments and international partners, have led the charge in fighting for significant gains in tobacco control in the Caribbean region.

Dr. Heather Armstrong, Head, Chronic Disease and Injury: “At CARPHA, we believe that reducing the harm caused by tobacco use requires a collective approach, where government, civil society, and the individual play a critical role. CARPHA promotes the prevention of tobacco use in all forms and commitment to the WHO FCTC. The focus on tobacco control deals with the youth of the Region.   Children and adolescents who use e-cigarettes at least double their chance of smoking cigarettes later in life.”

The Chronic Diseases and Injury Department of CARPHA provides leadership, strategic direction, coordinates and implements technical cooperation activities directed towards the prevention and control of NCDs in CARPHA Member States. CARPHA’s message for prevention of tobacco product use has spread across its Member States.

In 2018, CARPHA in partnership with the University of the West Indies (UWI), Global Health Diplomacy Program at the University of Toronto, the Pan American Health Organization (PAHO), and the Healthy Caribbean Coalition evaluated the Port of Spain Declaration to learn which mandates helped to prevent and control NCDs. Taxation, smoke-free public places mandate, and mandatory labelling of tobacco products are some of the leading policies making the biggest impact on reduction of tobacco use in the Caribbean regions.

CARPHA urges Member States to work together to prevent and reduce the use of all forms of tobacco products, and scale-up efforts to implement their commitments under the WHO Framework Convention on Tobacco Control (FCTC).  By doing so, the negative impact of smoking and its consequences on the health of our people, especially the younger generation, and the tremendous burden on the economies of the countries in our Region, will greatly be reduced.

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ROYAL CARIBBEAN PUBLISHES FIRST PUBLIC CONSULTATION REPORT FOR ROYAL BEACH CLUB AT PARADISE ISLAND

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Updates to the Proposed Development Will be Discussed at a Supplemental Public Consultation 

on Thursday, June 8, at Queen’s College

 

 

#NASSAU, BAHAMAS, May 25, 2023 – Royal Caribbean International has published the first public consultation report for the development of its Royal Beach Club at Paradise Island as part of the stringent assessment required by The Bahamas’ Department of Environmental Planning and Protection (DEPP). The report addresses questions received throughout the public consultation process, during and following the public consultation meeting held in September 2021, covering topics from environmental impact to economic opportunity created by the new development.

The government of The Bahamas and Royal Caribbean agreed to postpone the publication of the report while the economic proposal for the development was under renegotiation, which concluded earlier this year. Publication of the the report follows an approval-in-principle by the National Economic Council, subject to appropriate due diligence.

After discussions with DEPP and noting the company has reduced the site plan from 20 acres to 17 acres, the cruise line, in conjunction with DEPP,  has scheduled a supplemental public consultation to be held on Thursday, June 8, 2023, at 6:30 p.m. EDT at Queen’s College to discuss the existing Environmental Impact Assessment (submitted to DEPP in December 2020) and share updates to the proposed development. The additional consultation will provide the public the opportunity to comment and ask questions about the project.

“Royal Caribbean has made six key environmental commitments in the development and operation of the Royal Beach Club at Paradise Island that exceed nearly all similar land-based development projects. These include: zero waste-to-landfill, achieving 100% renewable energy production by 2030, best-in-class wastewater treatment, no dredging, protecting and enhancing the surrounding habitats, and local environmental monitoring during construction and operation,” said Jay Schneider, Chief Product Innovation Officer, Royal Caribbean International. “We value the engagement of the community and look forward to sharing these details, among others, at the upcoming supplemental public consultation.”

Further details on the project can be found at www.RoyalBeachClubParadiseIsland.com.

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