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New Agenda for the Americas in Mental Health Announced by PAHO 

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By Rashaed Esson

Staff writer

 

June 18, 2023 – As mental health continue to experience an elevated profile as a global health priority, PAHO reports, “A New Agenda for Mental Health in the Region of the Americas,” was launched on June 9th, 2023, and it highlights recommendations to better address mental health in the Americas following the COVID-19 pandemic which has worsened mental health issues.

The report comes following the establishment of the High-Level Commission on Mental Health and COVID-19, in May of 2022, which comprised 17 experts from Government, civil society, academia as well as those with lived experience of mental health conditions.

Their job was to give guidance to PAHO and its Member States on how to advance mental health in the Region during and after the pandemic.

The report provides countries with ten recommendations to improve mental health care and they are:

  • Elevate mental health at the national and supranational levels.
  • Integrate mental health into all policies.
  • Increase the quantity and improve the quality of financing for mental health.
  • Ensure the human rights of people living with mental health conditions.
  • Promote and protect mental health across the life course.
  • Improve and expand community-based mental health services and care.
  • Strengthen suicide prevention.
  • Adopt a gender transformative approach to mental health.
  • Address racism and racial discrimination as a key determinant of mental health.
  • Improve mental health data and research.

In light of this, Dr. Jarbas Barbosa  Director of the PAN American Health Organization (PAHO) called leaders and decision makers to take action, making sure mental health is placed at the top of political agendas and woven into all sectors and policies to better address the growing issue especially after the pandemic.

PAHO expressed that even though mental health has historically been a significant source of disability and mortality in the Americas, responsible for almost one-third of all years lived with a disability, the pandemic increased the risk factors including, grief and loss, unemployment and financial insecurity, and this was emphasized by Barbosa speaking at the launch. He maintained that COVID-19 severely impacted the mental health of the population of the Americas; hence the importance of the recommendations in the report.

In addition to the increase in mental health issues, the preponderance of those with a condition do not receive the necessary care whether that be therapy or medication.

PAHO reports that in 2020 more than 80 percent of those with a severe mental health condition, psychosis included, did not receive treatment.

This partly due to a lack of access to services to help with mental health and Barbosa expressed this is due to a variety of factors before the pandemic including: “low investment, only 3% of countries’ health budgets are allocated to mental health; a reliance on long-stay hospitalization when the majority of mental health problems can be resolved in the community; a chronic shortage of trained mental health personnel; and reduced access to services for those living in vulnerable situations.”

Considering the report as well as the facts highlighted, investing in mental health is key to bring about the best result in mitigating its impact on people of the Americas, and Dr. Epsy Campbell Barr, Chair of the Commission and former Vice-President of Costa Rica, spoke to this saying, “Investing in mental health is crucial to promote equitable and sustainable human development for all to live with well-being and dignity,” further fingering that mental health is a public issue, not private, which requires urgent and immediate attention.

In continuation, Dr. Nestor Mendez, Co-Chair of the Commission and Assistant Director General of the Organization of American States, expressed that mental health is now in their hands, that is the leaders in the region, to change how they approach handling it.

PAHO made reference to mental health statistics throughout the Americas, further highlighting the importance of addressing it in the best way possible.

Some of the statistics say:

  • In 2020, during the COVID-19 pandemic, major depressive disorders increased by 35 percent  and anxiety disorders by 32 percent .
  • 65 percent of countries reported disruptions to essential mental health and substance use services in 2020. This number has decreased to 14 percent  in early 2023.
  • 8 our of 10 individuals with a severe mental health condition do not receive treatment
  • Suicide claims the lives of nearly 100,000 people each year.
  • The regional age-adjusted suicide rate increased by 17 percent between 2000 – 2019.
  • Depressive and anxiety disorders are the third and fourth leading causes of disability.

Mental health should not be taken lightly and should be treated like any other illness as it is in fact an illness and is just as dangerous as visually physically conditions.

Caribbean News

Seven Days. Seven Nations. One Storm — Hurricane Melissa

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A week of wind, water, and heartbreak

 

From Haiti’s hillsides to Bermuda’s reefs, seven Caribbean nations have been battered, bruised, and forever marked by Hurricane Melissa — a storm that tested not only the region’s infrastructure but its unshakable spirit of unity.

Saturday–Sunday, October 25–26 – The First Strike: Hispaniola

Before the storm even earned its name, torrential rain and flash floods swept across Haiti and the Dominican Republic, claiming lives and tearing through rural communities.

In southern Haiti, rivers burst their banks, swallowing roads and homes; 23 people were confirmed dead by Sunday evening. Across the border, one death was reported in the Dominican Republic as swollen rivers cut off villages in Barahona and Pedernales.

By nightfall, the tropical system had strengthened — and the Caribbean knew it was facing something historic.

Monday, October 27 – Evacuations and Airlifts

In The Bahamas, Prime Minister Philip Davis issued a mandatory evacuation for the MICAL Islands — Mayaguana, Inagua, Crooked Island, Acklins, Long Cay, and Ragged Island.

Bahamasair added extra flights as the nation braced for what forecasters warned could become the strongest storm in nearly two decades.

Meanwhile, Jamaica, Turks & Caicos, and Cuba activated their national emergency operations centers.

Tuesday, October 28 – Jamaica and Haiti Hit Hard

By afternoon, Hurricane Melissa made landfall near St Elizabeth, Jamaica, as a Category 5 hurricane — winds of 185 mph, central pressure 892 mb, the lowest ever recorded so close to the island.

Roads collapsed, bridges washed away, and Black River Hospital lost its roof. Power failed for 72 percent of the island.

BOJ TV footage shows split asphalt, sparking lines, and flooded communities abandoned for safety.

Initially four were reported dead, that grew to seven deaths and heavy damage in 170 communities; Andrew Holness, Jamaican Prime Minister calling it “a national test of resilience.”

Haiti, still recovering from the weekend’s flooding, was hit again as outer bands dumped more rain on Les Cayes and Jacmel, deepening the humanitarian crisis.

Wednesday, October 29 – Crossing to Cuba

Weakened slightly to Category 4 (145 mph), Melissa tracked north-northeast at 8 mph, hammering eastern Cuba with hurricane-force winds

and mudslides. Over 15 000 people were evacuated from Santiago de Cuba and Holguín.

In Turks & Caicos, the Regiment deployed to Grand Turk, Salt Cay, South, North and Middle Caicos, preparing shelters and securing public buildings.

Thursday, October 30 – The Bahamas and the All Clear

Melissa’s speed increased, sparing the northern Caribbean its worst.

The Bahamas Airport Authority closed 13 airports from Mayaguana to Exuma International; none reported casualties, though infrastructure suffered.

In Turks & Caicos, the all-clear came early Thursday after minimal impact.  Premier Washington Misick expressed gratitude and pledged support for neighbors:

“We must act — not only with words, but with compassion and deeds.”

Friday, October 31 – Counting the Cost

By Friday, Melissa had weakened to Category 3 (120 mph) north of Cuba.

The Bahamas Department of Meteorology issued its final alert, lifting warnings for the southern islands.

Regional toll:

  • Haiti: 23 dead, thousands displaced.
  • Jamaica: 7 dead, 170 communities damaged; 72% without electricity
  • Cuba: 2 dead, 15, 000 evacuated.
  • Dominican Republic: 1 dead, flooding in southwest.
  • Bahamas: 0 dead, minor infrastructure damage and flooding in southeast.
  • Turks & Caicos: minimal to no impact.

Relief and Reconnection

The Cayman Islands became the first government to touch down in Jamaica post-storm. Premier Juliana O’Connor-Connolly led a contingent bringing a plane-load of essentials and pledged US $1.2 million in aid.

Reggae icon Shaggy arrived on a private jet with friends, delivering food, medical kits, and hygiene supplies.

Meanwhile, Starlink and FLOW Jamaica activated emergency satellite internet across Jamaica providing free connectivity through November.

From overseas, U.S. President Donald Trump, speaking during his Asia tour, announced that American search-and-rescue teams and disaster aid will support the region.

“They can depend on U.S. assistance as they recover from this historic storm,” he said.

Faith, Funds, and False Websites

The Government of Jamaica and the Sandals Foundation have both launched verified donation portals for recovery. Officials are warning against fake crowdfunding pages posing as relief sites and urging donors to use only official channels.

A Seventh Nation in the Crosshairs – Bermuda

As Hurricane Melissa left the Caribbean basin, Bermuda found itself next in line.

Forecasts indicated the storm would pass just west of the island late Thursday into Friday, likely as a Category 1 to 2 hurricane with sustained winds near 105 mph.

Though far weaker than when it ravaged Jamaica, officials issued a hurricane warning, urging residents to secure property and expect tropical-storm conditions.

By all appearances Bermuda is heeding the warnings

The Human Response

Across the Caribbean, solidarity surged.

The Global Empowerment Mission (GEM) in Miami began airlifting relief supplies, while churches, civic groups, and businesses in The Bahamas and Turks & Caicos organized drives for displaced families.

“Your dedication gave our islands the strength to face the storm,” Premier Misick said. “Together, as one Caribbean family, we will rise stronger.”

Resilience in the Wake

Melissa’s winds may have faded, but her impact endures. Engineers are inspecting bridges, hillsides, and water systems; volunteers are clearing debris and distributing aid in communities still cut off.

From Haiti’s ravaged river valleys to Jamaica’s sugar towns, from Cuba’s eastern hills to The Bahamas’ salt ponds and Bermuda’s reefs, the region once again stands at the crossroads of ruin and renewal — and leans, as always, toward hope and a faithful God

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Caribbean News

Haitian Pushback Halts Controversial Constitution Rewrite — What’s Next?

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Deandrea Hamilton | Editor

 

Haitian media, legal scholars and civic voices did what bullets and barricades couldn’t: they stopped a sweeping constitutional overhaul widely branded as anti-democratic.  Editorials and analyses tore into proposals to abolish the Senate, scrap the prime minister, shift to one-round presidential elections, expand presidential power, and open high office to dual-nationals—a package critics said would hard-wire dominance into the executive at a moment of near-lawless insecurity.

The Venice Commission—Europe’s top constitutional advisory body—didn’t mince words either. In a formal opinion requested by Haiti’s provisional electoral authorities, it pressed for clear legal safeguards and credible conditions before any referendum, including measures to prevent gang interference in the electoral process—an implicit rebuke of pushing a foundational rewrite amid a security collapse.

Facing that drumbeat, Haiti’s Transitional Presidential Council has now formally ended the constitutional-reform initiative. The decision, taken at a Council of Ministers meeting at the National Palace, effectively aborts the rewrite track that has haunted Haiti since the Moïse and Henry eras.

So what now? Per the Miami Herald, the pivot is back to basics: security first, elections next. That means stabilizing Port-au-Prince enough to run a vote, rebuilding the electoral timetable, and empowering the provisional electoral machinery—none of which is simple when gangs control vast chunks of the capital and state authority remains fragile. Recent headlines underline the risk: gunfire has disrupted top-level government meetings, a visceral reminder that constitutional theory means little without territorial control.

Bottom line: Haitian journalists and public intellectuals helped slam the brakes on a high-stakes centralization of power that lacked legitimacy and safe conditions. International constitutional experts added weight, and the transition authorities finally conceded reality. Now the fight shifts to making an election possible—clean rolls, secure polling, and credible oversight—under circumstances that are still hostile to democracy. If the state can’t guarantee basic safety, any ballot is theater. If it can, shelving the rewrite may prove the first real step back toward consent of the governed.

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Caribbean News

Political Theatre? Caribbean Parliamentarians Walk Out on House Speaker

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By Deandrea Hamilton | Magnetic Media

 

October 14, 2025 – It’s being called political theatre — but for citizens, constitutional watchdogs, and democracy advocates across the Caribbean, it feels far more serious. Within a single week, two national parliaments — in Trinidad and Tobago and St. Kitts and Nevis — descended into turmoil as opposition members stormed out in protest, accusing their Speakers of bias, overreach, and abuse of parliamentary procedure.

For observers, the walkouts signal a deeper problem: erosion of trust in the very institutions meant to safeguard democracy. When Speakers are viewed as political enforcers instead of neutral referees, parliaments stop functioning as chambers of debate and start performing as stages for power and spectacle — with citizens left wondering who, if anyone, is still accountable.

October 6: St. Kitts Parliament Erupts

The first walkout erupted in Basseterre on October 6, 2025, when Dr. Timothy Harris, former Prime Minister and now Opposition Leader, led his team out of the St. Kitts and Nevis National Assembly in a protest that stunned the chamber.

The flashpoint came as the Speaker moved to approve more than three years’ worth of unratified parliamentary minutes in one sitting — covering 27 meetings and three national budgets — without individual review or debate.

Dr. Harris called the move “a flagrant breach of the Constitution and parliamentary tradition,” warning that the practice undermines transparency and accountability. “No serious parliament can go years without approving a single set of minutes,” he said after exiting the chamber.

The Speaker defended the decision as administrative housekeeping, but critics were unconvinced, branding the move a “world record disgrace.” The opposition’s walkout triggered renewed calls for the Speaker’s resignation and sparked a wider public discussion about record-keeping, accountability, and respect for parliamentary norms in St. Kitts and Nevis.

October 10: Trinidad Opposition Follows Suit

Four days later, on October 10, 2025, the Opposition United National Congress (UNC) in Trinidad and Tobago staged its own walkout from the House of Representatives in Port of Spain.

The UNC accused the Speaker of partisan bias, claiming she had repeatedly blocked urgent questions, ignored points of order, and allowed government members to breach standing orders without consequence.

“The Speaker has failed in her duty to act impartially,” the Opposition declared in a statement. “Parliament is not the property of any political party or Presiding Officer.”

The dramatic exit was seen as a culmination of months of rising tension and frustration, with opposition MPs arguing that parliamentary rules were being selectively applied to silence dissenting voices.

Political analyst Dr. Marcia Ferdinand described the twin walkouts as “a warning sign that parliamentary democracy in the Caribbean is teetering on the edge of performative politics.”

“When chairs become political shields rather than constitutional referees,” she said, “democracy becomes theatre, not governance.”

A Pattern Emerging

While St. Kitts and Trinidad are very different political environments, both incidents point to the same regional fault line: the perception that Speakers — the guardians of parliamentary order — are no longer impartial.

In Westminster-style systems like those across the Caribbean, the Speaker’s authority depends not on power but on public confidence in fairness. Once that credibility erodes, parliamentary control collapses into confrontation.

Governance experts say the implications are serious: eroded trust between government and opposition, declining public confidence in state institutions, and growing voter cynicism that “rules” are flexible tools of political advantage.

Why It Matters

Parliamentary walkouts are not new in the Caribbean, but what makes these recent events different is their frequency and intensity — and the regional echo they’ve created. Social media has amplified images of lawmakers storming out, with citizens from Barbados to Belize questioning whether the same erosion of decorum could be happening in their own legislatures.

Analysts warn that if this perception takes hold, it risks diminishing the moral authority of parliamentary democracy itself.

“Once opposition MPs believe the rules are rigged, and once citizens believe Parliament is just performance,” said one Caribbean governance researcher, “you’ve lost the most valuable currency in democracy — trust.”

Restoring Balance

Political reformers across the region are calling for tighter Standing Order enforcement, independent parliamentary service commissions, and training to strengthen Speaker neutrality. Civil society leaders say the public must also play its part by demanding transparency and refusing to normalize partisan manipulation of parliamentary procedure.

Whether these twin walkouts become catalysts for reform — or simply another episode of Caribbean political theatre — will depend on what happens next inside those chambers.

For now, democracy watchers agree on one thing: when opposition leaders feel the only way to be heard is to walk out, the entire democratic house — not just its Speaker — is in danger of collapse.

 

Angle by Deandrea Hamilton. Built with ChatGPT (AI). Magnetic Media — CAPTURING LIFE.

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