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CARPHA encourages Member States to Reinforce Measures to Reduce the spread of Dengue and other Mosquito Borne Diseases

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Port of Spain, Trinidad and Tobago.  24 November 2023.  The Caribbean Public Health Agency (CARPHA) has noted the continued increase, over the past six months, in reports of suspected and confirmed cases of Dengue in the Caribbean region, especially in CARPHA Member States that have seen increased rainfall. The associated risks and ripple effects must not be underestimated as outbreaks of Dengue and other mosquito-borne diseases like Zika and Chikungunya pose a significant threat to health, tourism, as well as social and economic development.

“Regional Health Security remains at the fore of CARPHA’s focus. In this regard, any public health threat, such as Dengue, that imperils the integrity of our regional response systems must be dealt with in a timely and effective manner and as such demands, that as the Caribbean community, we mobilize efforts to maximise efficiencies. Member States are encouraged to remain vigilant and flexible with their national work plans and available resources to maximise chances of successful responses. In 2023, four CARPHA Member States have reported Dengue outbreaks and trends are being monitored in others with subsets of all four Dengue serotypes circulating across the region,” stated Dr. Joy St. John, Executive Director at CARPHA

Dengue is known to cause outbreaks every three to five years. In the recent past, the seasonality of Dengue transmission in the Americas and the Caribbean has added to the record highs of total case numbers and complications. While 2019 was distinct for being the year with the highest number of reported Dengue cases in the Americas, it is very likely that 2023 will surpass that historic high. In 2023, up to epi-week 40, the Caribbean has noted a 15 percent increase in confirmed Dengue cases in CMS compared to a similar period in 2022.

Dr Horace Cox, Assistant Director of Surveillance, Disease Prevention and Control, and Head Vector Borne Diseases at CARPHA stated that: “The Aedes aegypti mosquito, which spreads the virus, is present in all Caribbean territories.  Vulnerable populations in small island developing states, like the Caribbean, and continental states with low lying coastal regions, need to be better prepared and resilient in addressing the prevention and control of Dengue and other arboviral diseases”.

“Around our homes and communities, we need to ensure our surroundings are clean and free of materials or containers that can accumulate water. We often overlook plant pot bases, vases, buckets and used vehicle tyres. These are typical breeding sites and should be checked frequently.  Water storage drums and tanks must be properly covered and inspected periodically to ensure that there is no breeding. Roof gutters should also be cleaned. Wire-mesh/screens on doors and windows also help in reducing the entry of mosquitoes into homes,” stated Mr. Rajesh Ragoo, Senior Technical Officer for Vector-Borne Diseases at CARPHA.

The mosquitoes that spread Dengue are active during the day. Personal preventative measures to minimise mosquito bites are also extremely important. Vulnerable groups such as infants, young children, older adults, and women who are pregnant, or trying to get pregnant, must be extra cautious. Long-sleeved clothing and repellents containing DEET, IR3535 or lemon eucalyptus, should be used to protect exposed skin or clothing, and must be used in accordance with the instructions on the product label. Confirmed cases should rest under mosquito nets.

To counter the increase in mosquitoes and potential disease transmission, greater effort should be placed on mosquito control activities in communities, and these should be intensified.  CARPHA urges its Member States to review their preparedness and response plans, as well as to continue surveillance, early diagnosis, and timely care of dengue and other arbovirus cases, to prevent severe cases and deaths associated with these diseases. CARPHA Member States (CMS) are encouraged to use available data, tools, and technologies to improve forecasting capacities, including the use of Geographical Information Systems (GIS).

CMS should also prioritise proper clinical management of suspected dengue cases by strengthening detection and management capacities at the primary health care level, thus preventing the progression of the disease to its severe forms.

CARPHA remains committed to supporting CMS in their vector control efforts, including capacity building in integrated vector control strategies.  CMS must continue to strengthen prevention and control measures such as surveillance, diagnosis, as well as timely and adequate treatment of cases, while ensuring that health care services are prepared to facilitate access and proper management of patients with these diseases.

CARPHA has launched a social media campaign to raise awareness and promote effective prevention and control measures for Dengue, a recurring threat to public health in the Caribbean region.  The campaign is a “whole of society” call to the public, healthcare practitioners and vector control officers, about their roles in this effort, and the critical need for proactive measures to reduce the spread of Dengue.

More information about Dengue and other mosquito borne diseases here:

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Bahamas News

CARICOM Targets Affordability as Bahamas, TCI Continue to Feel the Pinch  

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By Deandrea Hamilton

 

Cheaper shipping. Lower energy costs. Better access to healthcare. Stronger consumer protections.

Those are among the measures CARICOM Heads of Government believe could finally begin reducing the stubbornly high cost of living for millions of people across the Caribbean.

Meeting in Saint Lucia, regional leaders agreed that making life more affordable must become one of the Community’s highest priorities. Their emerging strategy includes reducing freight costs through a regional ferry service, accelerating renewable energy projects to lessen dependence on imported fuel, expanding regional healthcare partnerships, strengthening consumer protection, and encouraging governments to adopt successful cost-of-living measures already being implemented across the Caribbean.

“Our discussions over the past four days were guided by one central objective – ensuring that CARICOM delivers results that people can see and feel in their everyday lives,” CARICOM Chairman and Saint Lucia Prime Minister Philip J. Pierre said.

Few places may welcome that relief more than The Bahamas and the Turks and Caicos Islands.

Although inflation has moderated in both countries from the sharp increases experienced following the pandemic, the cost of living remains stubbornly high. Families continue to complain about grocery bills that stretch household budgets, rising housing costs, expensive electricity, healthcare expenses and fuel prices that remain among the highest in the region.

Governments have responded.

In The Bahamas, successive reductions in Value Added Tax on selected goods and other targeted tax measures have sought to ease pressure on consumers. In the Turks and Caicos Islands, the Government this weekend opens applications for its $500 Cost of Living Relief Programme, acknowledging that many households continue to struggle despite the country’s economic success.

Yet affordability remains elusive.

The contradiction is difficult to ignore.

The Turks and Caicos Islands continues to post one of the region’s strongest tourism-driven economies, with robust investment, record visitor spending and sustained construction activity. The Bahamas has also strengthened its economic position, earning improved sovereign credit ratings as tourism, government revenues and fiscal performance continue to recover.

Yet those encouraging economic indicators have not translated into noticeably lower household expenses.

The reason is largely structural.

Both The Bahamas and the Turks and Caicos Islands produce relatively little of what they consume. Food, fuel, medicines, vehicles, building materials and countless household essentials are imported. Both countries also record significant trade deficits, illustrating their dependence on overseas suppliers. Every increase in global shipping costs, fuel prices or supply chain disruptions is eventually reflected in supermarket prices, utility bills and the cost of everyday living.

That is why CARICOM’s agenda matters.

If regional leaders succeed in lowering freight costs through an inter-island ferry network, expanding renewable energy, improving regional cargo movement, strengthening consumer protections and making healthcare more accessible through cooperation, the benefits could extend far beyond government balance sheets.

For Bahamians and Turks and Caicos Islanders, success will not be measured by another tourism record or another credit rating upgrade. It will be measured at the supermarket checkout, on the monthly electricity bill, at the gas pump and in the simple ability to afford a better quality of life.

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Caribbean News

From Pathways to Investment: Tackling the US $6 Billion Food Challenge for the Caribbean

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By Kenroy Roach

The Caribbean’s food systems challenge is fast evolving into a broader development challenge.

Despite decades of policy attention and investment, the region remains one of the most food import-dependent in the world, spending over US$6 billion annually. At the same time, countries continue to grapple with food insecurity, high rates of diet-related non-communicable diseases, climate vulnerability, and exposure to external shocks that can disrupt supply chains and drive up food prices almost overnight.

For Small Island Developing States (SIDS), food security has shifted from an agriculture focus alone, it’s about economic resilience, health, climate resilience and sustainable growth.

Recognizing this reality, Caribbean governments have elevated food systems transformation as a regional priority through the CARICOM 25 x 25 Plus Five Agenda, which seeks to reduce food import dependence while strengthening domestic production, regional trade, and resilience. Across Barbados and the Eastern Caribbean, governments have also developed National Food Systems Pathways that identify the investments, partnerships, and policy reforms needed to transform food systems and accelerate progress toward the Sustainable Development Goals (SDGs).

Yet one challenge has remained persistent: financing.

In the face of high levels of public debt and limited fiscal space, while public investment remains critical, Caribbean governments simply cannot shoulder the financing burden alone. Transforming food systems at scale requires mobilizing far greater private capital, alongside development finance and public resources.

This was the rationale behind the recent convened in Barbados.

The Forum brought together governments, investors, international financial institutions, private sector leaders, regional organizations, and the United Nations around a simple proposition: food systems should be viewed not only as a development priority, but also as an investable asset class.

A distinguishing feature of the innovative gathering was its focus on attracting private investment—particularly private equity, impact investment, and blended finance solutions capable of supporting businesses and infrastructure across food value chains. By helping enterprises access growth capital and connecting investors with scalable opportunities, the initiative sought to unlock financing that complements public investment rather than adding to already constrained public balance sheets.

A key outcome was the launch of a regional Deal Book comprising approximately US$320 million in investment opportunities across seven countries, spanning agriculture, fisheries, agro-processing, logistics, and strategic food systems infrastructure. The Deal Book created a practical bridge between capital seeking opportunities and opportunities seeking capital, while enabling direct engagement between governments, enterprises, and investors.

The results were encouraging.

Across four sector-focused deal rooms, participants explored investment-ready and near-investment-ready opportunities and discussed blended finance private equity, risk-sharing, and partnerships to advance projects toward implementation.

The Forum highlighted a shift in perspective: food systems are now seen as strategic drivers of economic diversification, resilience, competitiveness, and growth. Investments across production, processing, logistics, and distribution can strengthen regional supply chains, create new businesses, generate jobs, and reduce vulnerability to external shocks.

For the United Nations, this experience reinforced an important lesson.

Transforming food systems requires more than the technical expertise of individual agencies. It requires integrated solutions that connect agriculture, nutrition, health, climate resilience, trade, private sector development, and financing.

This is where the Resident Coordinator System plays a critical role.

Across Barbados and the Eastern Caribbean, the Resident Coordinator Office has united UN system capabilities around a common food systems agenda. Working with FAO, WFP, the UN Food Systems Coordination Hub, and other partners, the RCO has helped align policy support, technical expertise, partnerships, and financing with nationally identified priorities.

The Forum demonstrated this integrated approach by convening governments, investors, development finance institutions, private sector actors, and UN agencies around a common objective. It showcased the UN’s comparative advantage as a trusted broker capable of connecting development priorities with investment opportunities.

The Forum’s success will be measured not by dialogue generated, but by investments mobilized, businesses expanded, and progress made toward resilient, competitive Caribbean food systems across the Caribbean.

Its most important outcome may therefore be what comes next.

The work starts now.

Kenroy Roach is Head of the UN Resident Coordinator Office for Barbados and the Eastern Caribbean

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Caribbean News

Returning Haitians Could Be the Answer Haiti Has Been Praying For  

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Deandrea Hamilton | Editor

What if we rejected the notion that Haitians flourish best only when they are outside of Haiti? What if the next great Haitian success story is not another exodus, but a hearty homecoming? For years, the conversation has been steered toward ushering Haitians out of Haiti. Having witnessed the indomitability of the Haitian people, I feel compelled to point out that a U.S. Supreme Court decision may force us to see what has been staring us in the face all along: the solution may be hundreds of thousands of Haitians themselves.

As thousands of Haitians in the United States prepare for the end of Temporary Protected Status (TPS)—a humanitarian programme created under U.S. law as a temporary protection, not a permanent immigration pathway—the conversation should extend beyond American immigration policy. It should turn to Haiti’s future.

History offers perspective. An estimated 20,000 to 30,000 Haitian revolutionaries defeated Napoleon’s forces and secured independence in 1804, making Haiti the first Black republic and the second independent nation in the Western Hemisphere. Now imagine the force of more than 300,000 Haitians returning with skills, discipline and experience gained in the world’s largest economy.

Add to that, Haiti is itself sending a clear message: the country needs its people.

I found a report from the Armed Forces of Haiti (FAd’H) which recently announced that 17,722 applicants came forward in just 11 days during its latest recruitment campaign. A second recruitment phase is planned and will specifically target professionals in law, engineering, medicine and other technical fields, as the country works to strengthen institutions, restore security and prepare for the future.

Coincidentally—or perhaps providentially—many of the Haitians now facing the end of TPS are not returning empty-handed. They include thousands of nursing assistants, caregivers, mechanics, delivery drivers, warehouse workers, agricultural workers, hotel employees, cooks, retail workers, security officers, landscapers, school assistants and property managers. They are returning with years of experience gained inside the world’s largest economy. They have learned trades, embraced innovation, worked within structured systems, met professional standards and developed the practical skills every successful nation depends upon.

These are not simply returning migrants.  They may be the human capital Haiti needs most.

For generations, Haitians have become experts at surviving and thriving in other lands. They have endured political upheaval, natural disasters, poverty, insecurity and displacement with extraordinary resilience. But survival and escape  cannot build their nation. At some point, survival must give way to rebuilding. And hope for home must command action. It requires people willing to invest not only in their families, but in the future of the country itself.

For decades, the Haitian diaspora has faithfully sustained families through remittances. That generosity has been indispensable. But rebuilding Haiti will require something remittances alone cannot provide. It will require human capital—teachers in classrooms, nurses in clinics, engineers on construction sites, entrepreneurs creating jobs, police protecting communities, judges strengthening the rule of law, and citizens committed to rebuilding the institutions that hold a nation together.

Anyone who has spent time in Haiti knows it is far more than the headlines. It is a nation of breathtaking mountains, secret waterfalls, fertile valleys and rice paddies. It is a land of remarkable creativity, deep faith, natural entrepreneurs, rich culture and resilient people. It is the oldest republic in Latin America and the Caribbean and the first Black republic in the modern world. Above all, it is a country worth fighting for.

Perhaps the fight itself now needs to change.

For too long, the world has defined Haiti by its crises. Haitians know it by its promise. The next fight should not simply be to survive, but to rebuild—to inject a new generation of skilled workers, professionals and entrepreneurs into a nation that desperately needs their mental muscle, their experience and their vision.

Returning home will not be easy, but what if returning became rewarding and the contribution of these thousands of Haitians became the catalyst for transforming or reforming the nation they call home?

No country can export its builders forever and expect to become stronger. Haiti has spent decades sharing its greatest resource with the world—its people. Perhaps the next chapter in Haiti’s remarkable story is not another exodus, but this very homecoming.

The next chapter of Haiti’s story should not be written at an airport departure gate, nor should it be framed only as horror for those whose TPS protections are ending. The real test now is whether advocates, attorneys, governments and the wider Caribbean do more than wave goodbye. We must help more than 330,000 Haitians find their footing, settle back in, put their skills to work and build the Haiti that generations of Haitians have always deserved.

Research & Development supported by ChatGPT AI

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