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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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National Museum’s ‘Open the Gates’ ceremony – “a new epoch in our national story,” said the Prime Minister

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By ERIC ROSE

Bahamas Information Services

 

 

NASSAU, The Bahamas – During his Official Remarks at the National Museum Of The Bahamas ‘Open The Gates’ Reception on the grounds of Collins House, on January 31, 2025, Prime Minister and Minister of Finance, the Hon. Philip Davis noted that, in 1929, a hurricane devastated the premises.

“The wooden structure which once stood proudly atop this gentle slope was wiped out entirely,” he said.  “A new building eventually took its place, which traded hands from the original owner Ralph Collins to St. Andrews School, before being acquired by the Government of The Bahamas, some time in the 1970s.”

He added:  “That fateful storm struck almost a century ago, and yet today we find ourselves facing similar circumstances.  As climate change increasingly threatens our island chain, safeguarding cultural heritage must continue to be an integral component of our adaptation and mitigation strategies.  In my eyes, the National Museum of The Bahamas will be a key part of this effort, as will the Antiquities Monuments, and Museums Corporation (AMMC) more broadly.”

Among the Parliamentarians present for the event were Minister of Education and Technical & Vocational Training the Hon. Glenys Hanna-Martin; Minister of Housing and Urban Development the Hon. Keith Bell; Minister of Agriculture and Marine Resources the Hon. Jomo Campbell; and Parliamentary Secretary in the Ministry of Economic Affairs Wayde Watson.

Hosting the ceremony was AMMC Chair, Rosel Moxey, AMMC officials and staff.

Prime Minister Davis stated that launching a National Museum in the midst of a climate crisis, which disproportionately impacted small island states, like The Bahamas, was “a powerful message to the world”.

“Tonight, we declare: We are here.  We declare that we are proud of who we are; and we declare that our children will know the legacy they stand on,” he said.

“Friends, as we celebrate a bold and joyous step forward for our people, our culture, and our country, let us also recognise the shoulders we stand on,” Prime Minister Davis added.

He noted that “we have come a long way indeed”.

“From transforming the Clifton Plantation into a heritage park, to rebuilding the Pompey Museum following multiple fires, to the maintenance and restoration of historic sites and buildings like Fort Charlotte and Balcony House, we have made impressive strides as a people in preserving and celebrating our heritage,” Prime Minister pointed out.

He added:  “Of course, these achievements are by no means confined to our nation’s capital.  The AMMC is to be commended for the management of two heritage museums in the Family Islands:  The Long Island Museum and the San Salvador Museum.

“This evening, in launching the National Museum of The Bahamas, we are not only taking a stand for cultural heritage on the island of New Providence, but throughout our entire archipelago.”

Prime Minister Davis asked those in attendance to imagine a future where each major Bahamian island benefited from a dedicated space to celebrate “their unique contributions to our shared heritage”.

“I know in my heart that we need a museum for heritage crafts in Andros, for Cat Island rake ‘n’ scrape, for Abaconian boat building, and much, much more,” he said.  “We have so much to preserve, celebrate, and take pride in as Bahamians.”

He added:  “A National Museum is a crucial means of recognising who we are, where we come from, and what we have achieved, together.  It is not simply a storage facility for artefacts.  It is a site for education, an opportunity for reckoning and reconciliation, and a crucible for cultural expression.  It will also be a springboard for [the] orange economy and its ventures, as well as a significant driver in our wider efforts to revitalise downtown Nassau.”

Prime Minister Davis noted that the AMMC marked its silver jubilee September 2024, and he could only imagine what the next 25 years will hold.

“I look forward to the innovations, breakthroughs, and most importantly, the fruitful partnerships that will take shape in the years and decades to come — be they with private donors who demonstrate a deep commitment to our cultural sector, or public institutions across the region keen on sharing resources, capacity, and cutting-edge insights,” he said.  “My friends, tonight we stand on the cusp of a new epoch in our national story.”

“As we move ahead with the establishment of the National Museum of The Bahamas, let us embrace a collaborative, climate-resilient, and culturally-alert approach to preserving our heritage,” he added.

“I salute the AMMC once again for taking the helm of heritage work in the Commonwealth of the Bahamas.  I want to thank you, and may God bless all of you.”

PHOTO CAPTION

Prime Minister and Minister of Finance, the Hon. Philip Davis speaks during his Official Remarks at the National Museum Of The Bahamas ‘Open The Gates’ Reception on the grounds of Collins House, on January 31, 2025.  AMMC Chair, Rosel Moxey, AMMC officials and staff hosted the ceremonies.  Parliamentarians present for the event included: Minister of Education and Technical & Vocational Training the Hon. Glenys Hanna-Martin; Minister of Housing and Urban Development the Hon. Keith Bell; Minister of Agriculture and Marine Resources the Hon. Jomo Campbell; and Parliamentary Secretary in the Ministry of Economic Affairs Wayde Watson.

(BIS Photos/Eric Rose.  Drone Photography Courtesy of Eric Rose)

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New Mental Health Programmes to be rolled out at His Majesty’s Prison

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Providenciales, Turks and Caicos Islands – Friday, 19 January 2025: The vast majority of people who come into custodial settings have vulnerabilities and often complex mental health needs. In a recent global analysis, which reviewed major studies into prison health in more than 50 high, medium and low-income countries, findings indicated higher rates of depression (11.4%) and PTSD (post-traumatic stress disorder) (9.8%) than in the general population. In addition, nearly one in four (23.8%) had an alcohol use disorder and 38.9 per cent had a drug use disorder on entry to prison. Findings such as these highlight the need to boost mental health support in prisons. As such, the Department of Behavioural Health Services in collaboration with the Rehabilitation Unit is pleased to announce the roll out of a number of key programs that will help prisoners cope better with life in the prison environment and to make positive changes to improve their mental well-being. The programs that will be rolled out this year include:

Life After Life: Reclaiming Purpose

The Life After Life programme is an 8-week therapeutic initiative designed for inmates serving life sentences. It is intended to help them reevaluate their identity, values, and self-worth. Through guided self-reflection, emotional resilience training, and value clarification exercises, participants will explore their past choices and find ways to create meaning and purpose within their circumstances. The program fosters accountability, empathy, and personal growth while equipping participants with tools to build positive relationships and leave a lasting, positive legacy. By the end, inmates will gain a renewed sense of self and a commitment to living with integrity and purpose despite their life sentence.

Pathways to Accountability: A Guide for Positive Change

This 8-week therapeutic program is designed to address sex-offending behaviour by fostering self-awareness, accountability, and empathy while equipping participants with the tools for rehabilitation and reintegration into society. The program combines psychoeducation, group discussions, and practical skill-building to explore offending cycles, emotional regulation, healthy relationships, and relapse prevention. Participants are guided to reflect on their actions’ impact, develop empathy for victims, and identify triggers and coping strategies to prevent reoffending. Emphasis is placed on building resilience, overcoming stigma, and creating personalised plans for sustained change. By the program’s conclusion, individuals are better prepared for reintegration and maintaining a safer, healthier lifestyle.

“I Can Recover”

I Can Recover is also an 8-week substance abuse program targeted at harmful or dependent drug or alcohol users whose misuse of substances places them at significant high risk of reoffending. The programme is designed to assist prisoners in understanding addiction and coping with the underlying issues surrounding their addiction.

These programmes will run alongside already existing mental health initiatives at HMP, such as the long-standing anger management programme and the individual psychotherapy services that are ongoing.

Commenting on the programs to be rolled out, Director of the Department of Behavioural Health Services, Dr. Alicia Malcolm stated: “essentially, these new programmes aim to not only educate but to also support the treatment needs of some of the most common mental health issues seen in prisons. Some of the programmes will commence as early as February 2025 with at least two cycles per year.”

Permanent Secretary of the Ministry of Health and Human Services, Mrs. Desiree Lewis, also commented on the new programs stating: “these initiatives speak to the ongoing collaboration between the health sector and the judiciary system which often sees persons who are challenged by mental health and substance use issues. The Ministry of Health is therefore committed to continuing its support of mental health needs in prison which can positively impact public health, safety, and society as a whole”.

For more information, please contact the Department of Behavioural Health Services on the following numbers; 338-3613 Grand Turk, 338-3616 Providenciales and be sure to visit our website www.gov.tc/dmhsd and follow our social media accounts www.facebook.com/TCIDBHS and @TCIDBHS on Instagram.

Alternatively, please visit the Ministry of Health and Human Services Facebook page on https://www.facebook.com/tciministryofhealth/.

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TCI Justice staff and Legal professionals exposed to global training in 2024 says CJ

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Deandrea Hamilton

Editor

 

Turks and Caicos, January 10, 2024 – Extensive training and tailored representations were a hallmark achievement during the 2024 Judicial year in the Turks and Caicos Islands, with members of the judiciary and legal fraternity attending and participating in conferences at home and abroad; the report came from the country’s Chief Justice, Her Ladyship, Mabel Agyemang.

Chief Justice Agyemang in speaking on Monday January 6, at the Opening of the Legal Year gave a comprehensive review.

“My Lords, Judicial Education in the Turks and Caicos Islands continues to soar to attain new heights. In 2024, JEI delivered the two mandatory trainings for Justices of the Peace and also provided training to the Bar at their request on Probate Matters, and Civil Advocacy. In February 2024, the JEI organised training for judges and magistrates on the topic of Judicial Comportment, which was delivered by Justice Baptiste. In March, training was organised for the Bar on Civil Advocacy which was delivered by Mr. Ian Wilkinson KC and Mr. Tim Prudhoe. The Hon Justice Ian Morley KC, Mr Oliver Smith KC and Ms Lara Maroof delivered training on Criminal Advocacy,” said the Chief Justice.

A Learning and Ideas session was designed to foster a culture of innovation amongst JPs, judicial staff and members of the TCI Bar Council.  These Turks and Caicos practitioners were exposed to Artificial Intelligence, Environmental Issues, Anti-Money Laundering legislation, including refresher courses on court procedures, judicial ethics and warrants.

Actions to improve the efficiency and proficiency of the court system seemed to also be in focus for staff.

“Learning was also provided on Courtroom Management and Avoidable Delays, Judgment Writing in Criminal Cases/Extempore Judgments and Summations, as well as Disclosure in Criminal Cases. We washed the enjoyable fare down with a lecture on safeguarding our Mental Wellness in the stressful occupations that keep the wheels of justice oiled and turning,” said the Chief Justice.

Not all of the training was in-country or virtual, some travel to other jurisdictions was also listed as beneficial for the Turks and Caicos justice system.

“In February 2024, at the invitation of the FIDA Grand Bahama Chapter, I attended Grand Bahama Chapter Installation 2024 to present the keynote address entitled “The Practice of the Law – Reclaiming its Pride, Purpose and Place” at the Installation Dinner held in Freeport, Bahamas. I also, in June of 2024, participated in the Annual Regional Chief Justices and Heads of Judiciaries Conference which took place in Kingston Jamaica and was attended by all Heads of Judiciary. The two-day conference provided valuable insights on effective court administration as well as the use of technology in adjudication.”

A meeting in Qatar, attended by some 57 jurisdictions included Turks and Caicos justice, Hon Gruchot.

“…the meeting at which keynote addresses touched on several pertinent areas including ‘Developing the Relationship between Commercial Courts, Arbitration and Mediation’.”

Another string of important gatherings happened between September and November including the  Commonwealth Magistrates’ and Judges Association (CMJA) conference held in Kigali, Rwanda; the Registrar of the Supreme Court went on a two-week immersive training program at the Royal Court of Justice in the United Kingdom on the Taxation of Costs and other matters and Justice of Appeal Bernard Turner, led a team of three Judicial Officers, as well as the Court Administrator to the 8th Biennial Conference of the Caribbean Association of Judicial Officers on behalf of the Judiciary.

In Addition to the training and international exposure designed to bolster the judiciary, Turks and Caicos came on board as a signatory for a Caribbean region integration initiative, also described by the Chief Justice in her speech.

“I am also happy to report that the Judiciary of the Turks and Caicos Islands joined six (6) of its regional partners, Belize, Barbados, The Commonwealth of The Bahamas, Eastern Caribbean, Guyana and Trinidad and Tobago, in signing on to JustConnect which is a unique collaborative on-line training platform that will benefit the Caribbean region and which will significantly increase judicial training opportunities in the region.

The anticipation is for JustConnnect advance the administration of justice in the Caribbean through the shared delivery of high quality, virtual, judicial education.

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