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Ministry of Health representatives attend SIDS Ministerial Conference on Non-Communicable Diseases and Mental Health

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#TurksandCaicos, June 29, 2023 – The Honorable Shaun Malcolm, Minister of Health and Human Services accompanied by Senior Health Officials from within the Ministry of Health, Ms. Renessa Williams Deputy Permanent Secretary, Dr. Alicia Malcolm, Director of the Department of Behavioral Health Services, Dr. Raven Saunders, Medical Officer within the Primary Health Care Department, and Mrs. Marah Smith, Head of Secretariat, recently attended the SIDS Ministerial Conference on NCDs and Mental Health, in Bridgetown, Barbados during the period 13th – 16th June 2023.

The meeting welcomed over thirty-two (32) Small Island Developing States, including Ministers of Health and other high-level delegates from the Caribbean Region, the Pacific Ocean and Indian Ocean Regions to discuss NCDs and Mental Health priorities, review progress and solutions to ongoing problems, and exploring opportunities to advance the fight against NCDs and mental health with equity in the SIDS.

On June 13th, 2023, the attendees of the conference were welcomed by Sen. Dr. Most Hon. Jerome Walcott, the Minister of Health and Wellness, of Barbados. Dr. Walcott was followed by remarks from the Director General of the WHO, Dr. Tedros Adhanom Ghebreyesus. The keynote speaker for the evening was Hon. Mia Amor Mottley, Prime Minister of Barbados.

Prime Minister Mottley stated in her address: “Bold action for our climate, good health, and well-being relies on redressing and reorganizing global financing to unlock billions in investment while making it less punishing for developing countries to pay their debts. Funding for climate change adaptation and mitigation in the most vulnerable countries is also key, with noncommunicable diseases and mental health accounted for.”

On June 15th, the 2023 Bridgetown Declaration on Noncommunicable Diseases (NCDs) and Mental Health was launched, to address some of the world’s deadliest diseases in Small Island Developing States (SIDS), which are especially at risk. SIDS are disproportionately impacted by NCDs – which cause 74% of all deaths globally – due to their reliance on imported food, commercial influences and the climate crisis. A new WHO report shows that 8 of the 15 countries with more than a 30% risk of premature death from cardiovascular disease, cancer, diabetes, or chronic respiratory disease are SIDS. The 10 countries with the highest obesity rates globally are all SIDS in the Pacific, where over 45% of adults live with obesity.

Mental health conditions are common in SIDS countries, affecting an estimated 15.2% of the population in the Caribbean and 11.2% of the population in the Pacific. People with mental health conditions face a higher risk of premature mortality, including from unaddressed physical health conditions and from suicide. Stigma, specialized staff shortages and the impact of climate change contribute to a challenging situation in SIDS that requires immediate attention.

The 2023 Bridgetown Declaration outlines bold steps to address the range of social, environmental, economic and commercial issues that lead to NCDs and mental health conditions. Developed through an inclusive process led ‘for’ and ‘by’ SIDS, the declaration highlights that NCDs and mental health conditions cannot be properly addressed without responding to the climate crisis.

Dr Tedros Adhanom Ghebreyesus, WHO Director-General stated in his address, “The challenges faced by Small Island Developing States are interconnected and multifaceted. Climate change, environmental degradation, social and economic inequalities, and the commercial determinants of health exacerbate the burden of NCDs and mental health conditions. Despite their limited resources and geographical constraints, these nations have shown remarkable resilience in the face of adversity. Together, we must forge a path that is based on equity, resilience, and sustainability. We must strengthen health systems, enhance prevention and early detection measures, and prioritize the integration of NCD and mental health services into primary health care.”

The Director-General also pledged that WHO would work to mobilize financial resources to develop climate-resilient, environmentally sustainable healthcare facilities in the SIDS. WHO will also continue to advocate for ‘loss and damage’ funding for climate change adaptation and mitigation investments in lower-income countries.

The conference showcased specific commitments by SIDS on NCDs and mental health, including improving access to mental health care in primary care facilities; updating tobacco control legislation to cover e-cigarettes and vaping; and reducing populations’ salt and sugar intake. These commitments align with WHO’s “best buys” – a set of cost-effective, evidence-based interventions to tackle NCDs.

The list of best buys was recently updated at the World Health Assembly in May to include secondary prevention for rheumatic fever, acute and long-term management of asthma and chronic obstructive pulmonary disease as well as several interventions for cervical, breast, colorectal, liver and childhood cancer, and the comprehensive treatment of cancer for those living with HIV.

SIDS countries have a track record of driving global decision-making, their Port of Spain and SAMOA pathway agreements paved the way for the first-ever UN political declaration on NCDs in 2018.

The conference and the Declaration will inform and shape forthcoming UN General Assembly High-Level Meetings on universal health coverage in September 2023 and on NCDs in 2025

The Minister of Health & Human Services, The Hon. Shaun Malcolm stated, “The Ministry of Health along with the Primary Health Care Department and Department of Behavioral Health Services will work assiduously towards achieving the goals set out in the 2023 Bridgetown Declaration in order to achieve our vision of a healthier nation.”

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What to Look for with Self-Checks at Home

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February is National Self- Check Month and family medicine physician at Cleveland Clinic, OH, John Hanicak, MD, highlights why at home self-checks are extremely important when it comes to not just early cancer detection but identifying other illnesses too and offers tips on what to look out for.

“Sometimes Ilook at them as sort of like your check engine light on the car, just like therewould be a red flashing light that tells you that there’s something wrong with acar and prompts you to bring that in and get serviced. Your body does the samething. It gives you warning signs tolook intothat symptom a little bit further,” said Hanicak.

Dr. Hanicak saidself-checks are going to be a little different for everyone. 

However, in general, he recommends looking for anything that may seem abnormal, such asunexplained weight loss,blood in your urine, bumps and bruisesthat won’t heal,and changes in bowel habits. 

For example, if you suddenly start going to the bathroom a lot more than you used to, that could bea signof something more serious. 

He also suggestsdoing regular skin checksanddocumentingany molesor spotsthat start to look different. 

“Realize that you are your own person.There’s nobody else in the world exactly like you.You’ve got your own set ofideas, your own family history and your own genetics.Know what is normal for you, and when that changes, that’s the kind of thing thatwe would be interested in talking about,” said Dr. Hanicak. 

Dr. Hanicaknotes that self-checks are not meant to replace cancer screenings, as those are just as important to keep up with. 

Press Release: Cleveland Clinic

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Bruce Willis’ Brave Gift to Dementia Research – And His now Quiet Link to Turks & Caicos

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December 4, 2025 – Hollywood legend Bruce Willis – arguably the most famous former home owner in Turks and Caicos Islands – is facing the most difficult role of his life and turning it into one last act of service.

Willis, 70, retired from acting in 2022 after his family revealed he had been diagnosed with aphasia. The following year, specialists confirmed he is living with frontotemporal dementia (FTD), a degenerative brain disease that attacks language, behaviour and personality.

In recent interviews and appearances, his wife Emma Heming Willis has said Bruce is “surrounded by love and care” and that the family is learning to find joy in new ways, even as the disease progresses.

Now, Heming Willis has gone further.  In her 2025 memoir The Unexpected Journey, she writes that the family has decided Bruce’s brain will be donated to science after his death to advance research into FTD.  That decision has been highlighted in recent coverage by futurist and science outlets, which describe it as a carefully considered step after months of watching a still-physically-strong man steadily lose speech, reading and independence.

Neurologists have long stressed how rare donated brain tissue is for FTD, and how essential it is to understanding which proteins, mutations and mechanisms are actually driving the disease.  The Willis family’s choice means the brain that powered some of cinema’s most iconic characters could one day help researchers diagnose the condition earlier and design better treatments – even if it cannot help Bruce himself.

For Turks and Caicos, the story lands close to home.  For nearly two decades Willis owned “The Residence” on exclusive Parrot Cay – a 7.3-acre, Asian-inspired beachfront compound with a five-bedroom main house, two guest villas and a yoga pavilion.  He and Emma listed the estate in March 2019 for US$33 million; it sold a few months later for about US$27 million, one of the biggest residential deals in TCI history.

So, while Bruce Willis no longer has a physical address in Turks and Caicos, his connection to these islands remains part of his global story – a story now shifting from blockbuster fame to medical legacy, as his family turns private heartbreak into a public contribution that could change what we know about dementia.

Developed by Deandrea Hamilton • with ChatGPT (AI) • edited by Magnetic Media.

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From 54 New Cases in July to Zero in August: TCI’s COVID Turnaround

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Deandrea Hamilton | Editor

Turks and Caicos, September 6, 2025 – COVID-19 fears in the Turks and Caicos Islands that once had residents on edge are now giving way to a sense of relief. The Ministry of Health and Human Services reports a dramatic reversal: from dozens of new cases in July to zero cases and zero hospitalizations today.

Between August 17 and 23, 2025, officials confirmed no new cases, no hospitalizations, and no new deaths. Just two recoveries were recorded, bringing the national recovery tally to 6,866. The total confirmed cases since 2020 stand at 6,922, with deaths unchanged at 41. Health officials say August has been relatively quiet overall, with 19 new cases and recoveries recorded for the month — a fraction of what the islands faced just weeks earlier.

The contrast could not be sharper. The most concerning bulletin came in mid-July, when the Ministry reported 54 new cases in a single week. Ten were fresh positives, while the other 44 came from a backlog of April samples. At that time, two new hospitalizations were recorded, and the islands mourned one additional COVID-related death, bringing the total to 41. It was a sobering reminder that the virus was still circulating, pushing recoveries to 6,845 and raising the cumulative case count to 6,910. The July spike stirred fear among residents and renewed calls for vigilance, as community spread and delayed lab results painted a worrying picture.

Fast forward to late August, and the numbers tell a very different story. Not only are new cases negligible, but the hospitals are reporting no COVID-19 patients at all. Officials say testing continues across a wide range of categories, and the Ministry urges the public to stay cautious: wash hands, wear masks in crowded spaces, protect the vulnerable, and get vaccinated. But the tone now is one of optimism.

Since the pandemic began in 2020, Turks and Caicos has recorded nearly 7,000 cases in total, with 6,866 recoveries and 41 deaths. The islands’ small population means every case has felt significant, and surges like July’s were especially unsettling. But today’s figures suggest the country has reached a new stage: COVID-19 is no longer the disruptive force it was. The Ministry credits continued public vigilance and the accessibility of free testing and vaccines at government clinics. While the numbers are cause for celebration, health leaders are careful not to declare the fight over. The Ministry’s latest bulletin reminds residents to maintain hygienic practices, follow self-isolation guidelines if infected, and ensure vaccinations are up to date.

The pandemic may not be entirely behind the Turks and Caicos, but compared to the frightening figures of July, the near-zero landscape of August offers a powerful sign of hope.

The Ministry released the bulletin on September 2, confirming that for the week of August 17–23, no new cases, hospitalizations, or deaths were recorded — a sharp contrast to the surge just weeks earlier.

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