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Hospitals open probe into graphic photos of American tourist

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By Dana Malcolm 

Staff Writer 

 

 

#TurksandCaicos, May 30, 2023 – An internal investigation has begun at the TCI Hospitals into how photos of a victim who lost her foot in a “reported Shark Attack” last week surfaced on social media as the possibility of legal action looms.

“The Turks and Caicos Islands Hospital is extremely concerned about the photos being circulated and have commenced an immediate investigation into the source of the photos,” they said in a statement to Magnetic Media.

The investigation will determine whether graphic photos of the injured woman came from within the TCI Hospital, it’s a slip up that if confirmed, could lead to a possible lawsuit.

Reports from official agencies confirmed that on Wednesday May 24th the young woman was carried from the waters of Grace Bay, where she was attacked.  Medics were awaiting the trauma patient at the Leeward Marina; those aiding the American tourist inform she was taken straight to shore and picked up in minutes by emergency workers. She was then taken swiftly to the Cheshire Hall Medical Centre before being airlifted some hours later.

Within hours, photos of the recent Yale University graduate who completely lost her foot, surfaced all over social media. The images were not only of her severed foot but the bloody stump appeared online.

It is believed a Caribbean Reef Shark mistook the young woman for prey and bit her as she snorkeled a popular reef near Providenciales.

However it is the behavior of people on land drawing concern about how much is too much and possible breaches in confidentiality.

In those photos, viewers can see several things:

  • An arm with blue gloves on holding the young woman’s severed foot over what appears to be a medical container of ice
  • Two sets of arms holding the severed body part while another photo is taken from a different angle and;
  • The young woman’s mutilated leg as hands reach to wrap in it medical gauze

Based on the photographs they had to have been taken with the knowledge of at least three people present, in addition at least one had to have been taken while the young woman lay bleeding on a gurney.  It’s not clear yet whether the confidentiality breach happened inside the medical centre.

Hospital officials are well aware of the gravity of the situation, when we questioned them on whether it was normal to take photos of patient;’ injuries they said

“This investigation is still ongoing.  There are times when it is appropriate for health and forensic professionals to take photos for plan of care and injury documentation, however, such photos are subject to strict professional ethics and patient confidentiality standards.”

Those professional standards likely do not include sharing images via social media or outside the hospital at all.  The photos have now been spread via whatsapp and posted on Facebook.

The young woman was medically evacuated to the US late on Wednesday night, we are told by the TCI Hospitals.

It is less clear if doctors abroad were able to reattach her foot.

Caribbean News

CARPHA Progresses to Eligibility for the First Disbursement of Pandemic Funding

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Following a landmark Public Signing Ceremony for the Pandemic Fund (PF) Technical Cooperation Agreement (“Reducing the Public Health Impact of Pandemics in the Caribbean through Prevention, Preparedness, and Response” [RG-T4387] Project) on December 14, 2023, in Trinidad, the Caribbean Public Health Agency (CARPHA) and the Inter-American Development Bank (IDB) continues to progress towards the start of implementation.

 CARPHA fulfilled the IDB’s nine conditions prior to first disbursement, achieving full eligibility on March 15, 2024, and is now eligible for the first disbursement. This milestone achievement in just 3 months after the signing speaks to the commitment of both CARPHA, the Executing Agency, and IDB, the Implementing Entity, toward the regional PF project with the objective of supporting the reduction of the public health impact of pandemics in the Caribbean by building pandemic prevention, preparedness and response (PPR) surveillance & early-warning systems (EWS), laboratory systems and workforce capacity, regionally at CARPHA and in countries.

Since the signing of the Technical Cooperation Agreement and as part of the conditions prior to first disbursement, CARPHA has achieved the following key outputs (i) the development of the PF Project Operations Manual, Multi-annual Execution Plan, Procurement Plan, Financial Plan, Procedure for CARPHA’s Financial Reporting System; (ii) vacancy announcements for two tranches of consultants with the subsequent hiring of five (Technical Coordinator, Financial Specialist, Procurement Specialist, Operations Officer and Project Operations Coordinator) and (iii) the establishment of the Project Execution Unit (PEU) and Project Execution Steering Committee (PESC). The dedicated PEU will be responsible for execution according to its planned timelines, which will be led by the Dr. Lisa Indar, the Project Director (CARPHA’s Director of Surveillance, Disease Prevention and Control Division).

 CARPHA, as the lead regional public health agency and an expression of Caribbean Cooperation in Health is mandated by its Inter-Governmental Agreement (IGA) to support its 26 CARPHA Member States (CMS) in bolstering national systems and coordinating regional response to public health threats. The Agency works closely with regional and international agencies and uses regional mechanisms, surveillance systems, and networks for coordinating its public health response work.

In July 2023, the PF Governing Board announced that CARPHA’s regional entity proposal, entitled ‘Reducing the Public Health Impact of Pandemics in the Caribbean through Strengthened Integrated Early Warning Surveillance, Laboratory Systems and Workforce Development’ was successfully selected for the first round of financing. It was one of only 19 proposals selected from over 300 submissions and the only regional project. The three priority areas in the proposal are: (i) Comprehensive disease surveillance and EWS, (ii) Laboratory systems and (iii) Human resources and public health and community workforce capacity.

This project is expected to begin implementation in March 2024, starting off with a blended onboarding session. A Stakeholder Meeting with countries is tentatively planned for July 2024.

CARPHA remains dedicated to working together with the IDB, CARPHA Member States and the Pandemic Fund to successfully implement the regional proposal geared toward reducing the public health impact of pandemics in the Caribbean.

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Health

Ministry of Health and Human Services Launched Electronic Patient Care Report (Ambpro)

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The Ministry of Health and Human Services proudly announces the successful launch of the Electronic Patient Care Report (ePCR), marking a historic milestone in emergency healthcare services. The official unveiling ceremony took place on March 12, 2024 at the Atrium conference room.

In attendance were distinguished dignitaries, including  Deputy Premier and Minister of Physical Planning and Infrastructure Development, Honourable Jamell Robinson; Minister of Health and Human Services, Honourable Shaun D. Malcolm; Minister of Tourism, Environment, Maritime, Culture, Heritage and Religious Affairs, Honourable Josephine Connolly; Minister of Education, Youth, Sports and Library Services, Honourable Rachel Taylor; the Minister of Immigration and Border Services, Honourable Arlington Musgrove; and the Permanent Secretary of Health, Mrs Desiree Lewis, who recognized the significance of the ePCR system in promoting public health and safety. Their presence underscored the government’s unwavering commitment to investing in healthcare infrastructure and technological advancements to better serve the needs of the population. Thus reaffirming their support for initiatives aimed at improving emergency healthcare services and strengthening the National Emergency Medical Service’s capabilities.

During the launch event, the Minister of Health and Human Services highlighted the transformative impact of the ePCR system on patient care and emergency response efforts. Emphasizing the importance of innovation in healthcare, the Minister expressed gratitude to the dedicated team of professionals who contributed to the development and implementation of the ground breaking technology. The Deputy Premier praised the collaborative efforts of all stakeholders involved in the development and implementation of the ePCR system, affirming its potential to revolutionize emergency medical services especially the pre-hospital management of citizens and visitors across the country.

The Director of Emergency Medical Services, Mr. Andy Brijmohansingh, spoke passionately about the importance of embracing technology to advance patient care. “The introduction of the Electronic Patient Care Report marks a new chapter in our commitment to providing high-quality emergency medical services,” said Mr Brijmohansingh. “This innovative system empowers our teams with the tools they need to deliver swift and effective care, while ensuring that patient information is accurately captured and securely shared.”

The Electronic Patient Care Report (ePCR) represents a significant advancement in the National Ambulance Service’s mission to deliver efficient and high-quality emergency medical care to citizens across the nation. Developed with cutting-edge technology and meticulous attention to detail, the ePCR system streamlines the documentation process, enhances communication, and ensures the seamless transfer of patient information between emergency responders and healthcare facilities.

The launch of the Electronic Patient Care Report marks a new chapter in the evolution of emergency medical services, promising enhanced efficiency, accuracy, and patient outcomes. With its implementation, the National Emergency Medical Services reaffirms its dedication to providing timely and effective care to individuals in their time of need.

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Caribbean News

Haiti Food Insecurity Rising

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Rashaed Esson

Staff Writer

 

#Haiti#FoodInsecurity, March 25th, 2024 Half of Haiti’s population or nearly 5 million people are classified as food insecure for the period March to June 2024, a projected 50 percent increase up from 45 percent from August 2023 to February 2024. This is according to the Haitian Government in a March 23rd report, as informed by an update from an IPC1 analysis. The factors contributing to the continued decrease in food security, the report says, include the increase of the food basket by 22 percent as of February 2024 and the worsening Violence which disrupts food supply chains.

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