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90% of strokes are avoidable with a few lifestyle changes!

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Cleveland Clinic Expert Shares Six Simple Steps to Prevent Vast Majority of Strokes

 

 According to the World Stroke Organization (WSO), stroke is the leading cause of disability worldwide. The WSO says one in four people will have a stroke in their lifetimes, and each year over 12 million people worldwide have strokes. However, it adds that 90% of strokes are preventable by addressing a small number of risk factors that are responsible for most strokes. In The Bahamas, on average 224 people (or 9.56%) die annually from strokes.

Here, Andrew Russman, DO, Medical Director of Cleveland Clinic’s Comprehensive Stroke Center and a vascular neurology specialist, offers advice on how to reduce stroke risk by better managing existing health conditions and also through implementing lifestyle changes. “These tips are interrelated as most of the lifestyle changes mentioned also play a role in improving management of hypertension, high cholesterol and diabetes, which all increase stroke risk,” Dr. Russman points out.

  1. Reduce hypertension

                        Uncontrolled hypertension – that is, blood pressure that is consistently above 130/80 – is the single most important modifiable risk factor in stroke worldwide, says Dr. Russman.

                        Aside from medication, an important step in reducing blood pressure is to reduce salt intake, which Dr. Russman says is good advice even if you don’t have high blood pressure. “We recommend consuming no more than 2g of salt per day.  I advise my patients to check food labels and nutritional websites for sodium levels as their intake is usually far higher than they realize,” he adds.

  1. Be wary of diabetes

                        It is important to be tested for diabetes, and if diagnosed, to manage the condition well, says Dr. Russman. He explains that diabetes causes narrowing of small, medium and large blood vessels in the body, including vessels of the eyes, kidney, heart and brain. Owing to this, diabetes can contribute to a variety of vascular, cardiovascular and cerebrovascular problems including stroke. In addition, for patients who have survived a stroke, the risk of having a second is three times higher in those patients whose diabetes is not controlled.

                        Dr. Russman says that as part of their treatment plan, people with diabetes should have their condition monitored through HbA1C tests, which provide a three-month snapshot of their blood sugar control. “We recommend that these individuals aim for an HbA1C result of 7.0 or less. Taking prescribed medication correctly, watching their diet, exercising regularly, and following their healthcare provider’s recommendations will help them achieve this.”

  1. Address atrial fibrillation

                        The WSO says atrial fibrillation is associated with one in four strokes, and Dr. Russman says these strokes tend to be more severe and disabling than strokes associated with other risk factors.

                        “Atrial fibrillation is a heart rhythm condition characterized by very rapid heartbeats that don’t allow the top left chamber of the heart – the left atrium – to contract normally. Instead, it fibrillates and flutters so blood is not ejected normally from the chamber,” he says.  “Anytime blood is stagnant for too long, it can form a blood clot that can travel elsewhere in the body. This clot could cause a stroke by blocking a blood vessel in the brain, depriving that part of the brain of the oxygen and nutrients it needs.”

                        Dr. Russman says atrial fibrillation is the most common acquired heart rhythm disorder in older adults, and its associated risk is strongly related to age. “The older you are, the more at risk you are of acquiring the condition, but also the higher the risk of stroke associated with the condition,” he says. “It is estimated that up to half of all patients with a heart rhythm condition are not aware of it. However, once diagnosed, atrial fibrillation can be treated with a blood-thinning medication. These do carry some risks, but the benefits far outweigh these in the vast majority of patients.”

  1. Manage cholesterol levels

                        In addition to reducing high levels of low-density lipoprotein (LDL) or ‘bad’ cholesterol                         through diet, for example, by avoiding saturated fat, individuals might be prescribed statin medications that reduce future risk of heart attacks and strokes.  Dr. Russman says these medications, particularly rosuvastatin and atorvastatin, may benefit patients beyond simply reducing cholesterol levels in that they also appear to reduce inflammation and stabilize plaque build-up in blood vessels.

  1. Stop smoking

                        “Any type of smoking is associated with increased risk of cardiovascular disease and stroke, and is strongly associated with accelerated hardening of the arteries and narrowing of blood vessels in the brain, heart and elsewhere,” says Dr. Russman. “We therefore strongly recommend everyone completely stop any form of nicotine ingestion to significantly reduce their long-term risk for a multitude of diseases.”

  1. Adopt a healthy lifestyle

                        Dr. Russman recommends following an eating plan that is low in saturated fats and sodium, and to avoid alcohol and excessive caffeine consumption. Regular physical activity is also important as it can reduce the risk of stroke directly, but also indirectly as it helps to lower high blood pressure and blood sugar levels. Exercise can also help to reduce stress, as can other activities such as meditation or deep breathing, which is important as stress causes the body to release chemicals that can increase blood pressure, affect hormones and raise blood sugar levels, says Dr. Russman.

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CTO’s Sustainable Tourism Conference Presents Dynamic Study Tours to Promote Sustainable Practices

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The Caribbean Sustainable Tourism Conference (STC 2024), slated for April 22-24, 2024 in Grenada, will feature a series of exclusive study tours aligned with the conference theme, The 5 Ps – People, Planet, Prosperity, Purpose and Partnership. These tours have been thoughtfully curated to offer participants an enriching and unique opportunity to delve into innovative sustainability practices and glean insights intended to catalyze transformative action for a more resilient and sustainable Caribbean.

STC 2024 is jointly hosted by the Caribbean Tourism Organization in collaboration with the Government of Grenada, through the Grenada Tourism Authority, and will welcome a wide range of participants, including government officials, tourism professionals, environmentalists, members of the media and researchers.

This valuable addition to the conference will allow participants to visit various sites and interact with local communities, gaining firsthand knowledge of best practices in sustainable tourism management, conservation efforts, and community engagement. 

Study Tour Options:

  • The Underwater Sculpture Park/Grand Anse Artificial Reef Tour: Led by Aquanauts Grenada, guests dive into the intricate ecosystem of the Underwater Sculpture Park and Grand Anse Artificial Reef and learn about sustainable practices aimed at protecting and preserving these vital marine habitats.
  • Grand Etang Nature Tour: Dr. Guido Marcelle, an esteemed botanist, guides participants through the lush rainforests surrounding Grand Etang Lake to explore Grenada’s rich biodiversity and gain valuable insights into rainforest conservation efforts.
  • The Rasta Roots Expedition: Immersive Journey into Rastafari Culture and Lands: Led by Ras Ginga, an elder of the Nyahbinghi Tribe, guests experience the Rastafari culture firsthand, learning about organic living practices and farming practices of Grenada’s Rastafari community, complete with a taste of local culinary delights.
  • Mt. Parnassus Plantation and Cocoa Pod Botanicals: Experts Michael Jessamy and Tricia Simon guide participants through the cocoa and spice plantation, uncovering innovative applications of these crops in cosmetics and health products.

The conference’s diverse program, comprising presentations, panel discussions, workshops, study tours and networking opportunities, aims to foster collaboration and facilitate knowledge sharing to advance sustainable tourism in the Caribbean region.

Event sponsors and partners include interCaribbean Airways; Royal Caribbean International; Silversands Grenada; Six Senses La Sagesse, Grenada’s newest resort; and LINK Strategic Partners, an international strategic communications and community engagement consulting firm with offices across the U.S. and in Manchester, England.

 Visit caribbeanstc.com for further information about the conference and registration details. To learn more about the Grenada Tourism Authority, visit puregrenada.com.

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RTCIPF Observes World Down Syndrome Day

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On March 21st, 2024, the Royal Turks and Caicos Islands Police Force joined the international, regional and local communities in observing World Down Syndrome Day. 

Officers showed their support by wearing brightly coloured and mismatched socks to raise awareness. 

The head of the Safeguarding and Public Protection Unit, Assistant Superintendent of Police Grantley Williams, Training Manager Mrs Odessa Forbes and Media Relations Officer Denyse Renne visited the SNAP Centre and interacted with the students.

In a message to the TCI community, the RTCIPF noted that stereotypes perpetuate stigma and hinder inclusion, preventing individuals from reaching their full potential. 

Instead, the RTCIPF calls for individuals to foster an environment of acceptance and support where everyone is valued for who they are. 

By breaking down barriers and challenging misconceptions, we can create a more inclusive society where individuals with Down Syndrome are empowered to live fulfilling lives and contribute meaningfully to their communities and, by extension, the TCI. 

As law enforcement officers, we must protect and serve all members of society, regardless of their abilities. 

Let’s work together to ensure that individuals with Down Syndrome are treated with dignity and respect and that their rights are upheld.

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CARICOM speaks out on Climate Change, looking to May meeting to amplify call for Climate Funding

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March 3, 2024

 

The Caribbean Community (CARICOM) remains on the frontlines of global climate crisis, an issue the Region has been aggressively advocating on for the past thirty years. Despite the many commitments and promises of international partners, the window of opportunity to limit global warming to 1.5 degrees Celsius above pre-industrial levels is rapidly closing.

Heads of Government are concerned that while COP 28 was widely regarded as a historic event, with the completion of the first global stocktake (GST), on progress in achievement of the Paris Agreement goals, the outcomes of GST show that emissions of greenhouse gases continue to rise and the nationally determined contributions (NDCs) of Parties will not keep global temperatures below the 1.5 degree goal enshrined in the Paris Agreement.

Heads of Government also expressed concern to be heading to COP 29 where a New Finance Goal will be articulated to replace the 100bn goal, which has not yet been met, even as developing countries require trillions to deal with the escalating impacts of climate change. Developed country parties have not provided enough finance at scale, technology and capacity building support required to help developing countries tackle their pressing needs to build their resilience, especially in adapting to the adverse and increasingly catastrophic impacts of climate change. The clear absence of definitive timelines for action and quantitative commitments for scaling up of investments, and particularly adaptation finance emerging out of COP 28, cause great concern to our Region.

The Conference noted that Small Island Developing States (SIDS), recognized as the most vulnerable group of countries and a special case for sustainable development, have been facing strong push back against the recognition of their special circumstances especially in the context of climate finance. There is limited international support for special allocations for SIDS within financing arrangements and available climate finance from international and private sources is limited, expensive and too onerous to access.

In light of the preceding, Heads of Government called for CARICOM to take a strategic, unified and coordinated approach to ensure that the Region remains influential in the climate and development arena through engagements with key partners and advocacy groups.

They called for renewed focus by the Region to advocate for inclusion of forests, nature-based solutions and blue carbon into market mechanisms with the aim of articulating clear regional positions and strategies.

Heads of Government reiterated the call for improved readiness programmes, simplified approval procedures, a change to the criteria for determining access to low-cost finance, and for the adoption of programmatic approaches to address the bottlenecks in accessing finance.

The Region reiterates its support for the Bridgetown Initiative’s call to expand capital adequacy of international financial institutions.

Heads recognized that the Fourth International Conference on Small Island Developing States, scheduled to be held in Antigua and Barbuda, 27 – 30 May 2024, will be an inflection point for many of these discussions to be articulated. As such, the Region remains committed to participating in the Conference at the highest level.

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