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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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Fighting the fungus foe of the beloved banana

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How Venezuelan farmers are learning to grow and live with a devastating plant disease

 

In the fields of Venezuela, where the banana has been for generations a symbol of sustenance and tradition, a shadow fell across the land. In 2023, Venezuela’s National Institute of Integral Agricultural Health (INSAI) declared a phytosanitary emergency: the fungus Fusarium Tropical Race 4 (TR4) (Fusarium oxysporum f. sp. cubense tropical race 4; syn. Fusarium odoratissimum) had arrived in producing areas in the states of Aragua, Carabobo and Cojedes.

This fungus, considered a devastating disease of banana and plantain (Musaceae) trees, can remain in the soil for more than two decades, threatening production and the lives of those who depend on it.

In the state of Aragua in the north of the country, the Renacer community had been growing bananas and plantains on 20 hectares since 2018. Then Fusarium arrived.

“When the disease hit, the entire plantation began to deteriorate. We refused to ‘die’ with the trees because that was our livelihood. The visits of INSAI confirmed that we had to chop down the banana trees. I cried a lot because I had worked with my banana trees for years,” recalls woman farmer, Lesbia Margarita García, with a broken voice.

In response, INSAI implemented measures to eliminate the affected plantations and improve the soil health by changing to other crops that allow agricultural production to recover. The Food and Agriculture Organization of the United Nations (FAO) offered assistance by providing corn seeds, tools, biosecurity inputs and training, with teams of experts helping farmers to start again.

“Planting corn, thanks to the INSAI-FAO programme, gave us a harvest that benefited everyone. We have been improving the soil,” says Lesbia Margarita with a smile. “Now we rotate crops, observe soil health and have learned how to use natural fertilizers. Expert assistance has been key.”

The pilot project works directly with affected producers in high-risk areas, promoting alternative crops such as cereals and vegetables, delivering inputs and tools to mitigate damage and applying biosecurity measures for safe and effective containment.

“Beyond the corn received, we have already planted cassava, chili peppers, beans and pumpkin. We hope that by the end of the year [2025] we will be diversified and that each season we will have something to sell. These lands do not give up,” says Lesbia Margarita with conviction.

The Renacer community is beginning to see fruits. Their products are reaching local markets, generating income and rebuilding their livelihoods.

Key actions to manage Fusarium TR4 are ongoing, including regular monitoring, continuous training, inter‑institutional coordination, updates to the national plan, information campaigns and producer impact assessments. INSAI is sustaining regulatory, surveillance measures and training —with FAO support—as part of a comprehensive long‑term strategy.

At the global level, FAO supports awareness raising, capacity building and international collaboration in the fight against Fusarium TR4 by facilitating the World Banana Forum and its Global Network on TR4.

“The objective is for countries to strengthen their operational and technical capacity, articulating actions between the public sector, the private sector and family farmers,” says Raixa Llauger, FAO Agriculture Officer in Mesoamerica. “FAO and local partners have promoted this approach in Venezuela.”

As an essential part of the activities, a comprehensive training programme was developed with activities that taught farmers how to identify the disease contain it and protect crops. In addition, FAO has distributed laboratory equipment, biosecurity tools and a multispectral drone to INSAI. Drones are an efficient and cost‑effective tool for phytosanitary surveillance, offering rapid, high‑resolution monitoring and early detection of plant pests and diseases.

Overall, the project strengthened biosecurity measures against the Fusarium fungus through the adoption of the National Action Plan and the establishment of partnerships with national and international institutions. In addition, the pilot initiative supporting smallholder farmers in key production areas and a nationwide awareness campaign with broad outreach improved surveillance, diagnosis and phytosanitary response capacities across the country.

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Widow’s Testimony Recounts Night Haiti President Was Killed

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MIAMI, Florida — Emotional testimony from Martine Moïse, the widow of assassinated Haitian President Jovenel Moïse, has given jurors in a U.S. federal courtroom a chilling account of the night gunmen stormed the presidential residence and killed the country’s leader.

Martine Moïse took the stand this week in Miami as part of the ongoing trial of several men accused of helping plan and finance the July 7, 2021 assassination, a crime that plunged Haiti into political crisis and remains only partially solved.

She told the court that armed men forced their way into the president’s private home in the hills above Port-au-Prince during the early morning hours, firing multiple shots at her husband while she lay beside him. She testified that she was also wounded in the attack and survived by pretending to be dead until the gunmen left the room.

According to prosecutors, the plot involved a group of foreign mercenaries, including former Colombian soldiers, along with Haitian and Haitian-American suspects. Investigators say some of the men believed the mission was to detain the president, but the operation turned into an assassination.

The Miami trial is focusing on the alleged role of South Florida businessmen and others accused of organizing or financing the plan, part of a wider international investigation that has stretched across several countries.

More than four years after the killing, the question of who ultimately ordered the assassination remains unanswered, with suspects still in custody in both Haiti and the United States as the case continues to unfold.

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

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Jamaica Joins Afreximbank Agreement, Strengthening Africa–Caribbean Partnership

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CARIBBEAN — Jamaica has become the 13th CARICOM member state to accede to the African Export-Import Bank Establishment Agreement, further strengthening economic ties between Africa and the Caribbean.

The development was confirmed during the 50th CARICOM Heads of Government Meeting, where an Afreximbank delegation led by George Elombi and Kanayo Awani met with Jamaica’s Prime Minister Andrew Holness to advance cooperation.

Prime Minister Holness thanked the bank for its support following Jamaica’s recent hurricane, noting that Afreximbank financing helped restore critical infrastructure including water, electricity, sewage systems and roads, while also assisting reconstruction efforts aimed at building stronger resilience to future disasters.

The meeting also focused on broader development opportunities tied to Jamaica’s membership in the agreement. Discussions included rebuilding and modernising infrastructure such as railways, hospitals and other public facilities, while strengthening regional transportation and trade networks to improve the movement of people and goods across the Caribbean.

Afreximbank has been expanding its presence in the Caribbean as part of its strategy to connect Africa with the region often referred to as “Global Africa.” The bank has already committed billions of dollars in financing and trade support to Caribbean economies in recent years, including funding for infrastructure, trade facilitation and private sector investment.

By joining the agreement, Jamaica gains expanded access to Afreximbank’s financial instruments, technical support and trade networks designed to promote commerce between Africa and CARICOM states.

Regional leaders say the growing partnership could unlock new opportunities in areas such as trade, logistics, tourism, manufacturing and cultural exchange, strengthening economic cooperation between the two regions with deep historical and diaspora ties.

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

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