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The Turks and Caicos Islands wins the Henry C Smith Award for Immunisation

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Providenciales, Turks and Caicos Islands – Friday, 3 November 2023: The Henry C. Smith Immunisation Award is given to the country in the English-speaking Caribbean that shows improvement in vaccination coverage in the under-five-year age group.  This is the second time that the Turks and Caicos Islands has won this award.  While the TCI maintains very good vaccination coverage generally, in 2022, there was a marked improvement in the primary doses of childhood vaccines.  The TCI achieved 94% in Measles Mumps Rubella (MMR) dose 1, an increase from 88% in 2021, 99% in MMR 2, an increase from 82% in 2021 and 99% in Diphtheria Tetanus Pertussis Haemophilus Influenza Type B and Hepatitis B, an increase from 94% in 2021.

The award is presented annually at the expanded programme on Immunisation Managers’ meeting.  This year the meeting was held in Belize City, Belize.  Accepting the award on behalf of the TCI was Ms. Alrisa Gardiner, Primary Health Care Manager with responsibility for the country’s EPI (Expanded Programme on Immunisation) programme.

Commenting on the achievement, Ms. Gardiner said, “Today was truly emotional.  This is the second time the TCI has won this award.  We have been working tirelessly to achieve these coverages.  We always boast of our good coverages, but we always wanted to do better because we know that there are children that we are missing.  Every missed child is an opportunity for the importation of a vaccine-preventable disease such as measles to arrive on our shores.  I quote one of our advisors saying “Vaccine-preventable diseases don’t need visas and passports to travel”. 

This award is not final.  We must continue working to maintain these high coverages and work even harder to make our disease surveillance system stronger to detect any suspected cases.  I must thank the government of the TCI, past and present for always keeping the EPI programme at the forefront of their agenda; the protection of our most vulnerable is paramount.  Secondly, I wish to thank the leadership of the Ministry of Health and Human Services and the Pan American Health Organisation/World Health Organisation Representative for the Bahamas and the Turks and Caicos for their unwavering support; no request to strengthen and improve our programme is denied.  Great things happen when we have great support. 

Thirdly, I wish to thank the hardworking Public Health Nurses, nursing, and support staff of the Primary Health Care Unit for their hard work and dedication to achieving our goals for 2022.  You are the backbone of this programme and I salute you.  Finally, I wish to thank the parents who believe in this public good.  Thank you for prioritising your children’s health and wellness and understanding the importance of protecting them from the unknown”.

 Commenting on the award, “the Minister of Health and Human Services – Hon. Shaun D. Malcolm expressed his elation over such a prestigious achievement.  He expressed his profound gratitude and thanks to the Primary Health Manager Nurse Alrisa Gardiner and her team for the hard work they do on a daily basis, and also stated that this award is a testament to their unwavering commitment to the Immunisation Programme and Primary Healthcare in general in the Turks and Caicos Islands.  He also thanked the Permanent Secretary Mrs. Desiree Lewis, Deputy Permanent Secretaries Ms. Renessa Williams and Ms. Tamera Howell-Robinson, and the Chief Medical Officer –Dr. Nadia Astwood for their leadership and management within the Ministry on a daily basis”.

While vaccine preventable diseases such as measles, polio and diphtheria have not been seen in the TCI for many years, the threat of importation of these diseases is real.  We note with COVID-19 how easily diseases can enter countries through travel and spread and how it can affect our population.

If you are uncertain about your child’s immunization status, please visit any of the government operated Primary Health Care Clinics and talk to your Public Health Nurse.  For more information call 649-338-5469.

Let us continue to keep the TCI, VPD free!

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Health

Grand Turk Residents Fear Norovirus-Linked Cruise as Health Ministry Approves Docking

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Turks and Caicos, May 22, 2026 – Residents in Grand Turk raised concerns last week after a cruise ship previously linked to a major norovirus outbreak was cleared to dock in the Turks and Caicos Islands days after passengers were reportedly denied disembarkation in The Bahamas over health fears.

According to the US Centers for Disease Control and Prevention, the outbreak sickened 115 people — including 102 passengers and 13 crew members — during a voyage which ran from April 28 to May 11. The illnesses involved symptoms commonly associated with norovirus, including vomiting and diarrhea.

The outbreak became public on May 7 and quickly triggered concern across the region.

Authorities in Nassau reportedly refused to allow passengers off the vessel because of public health concerns connected to the outbreak.

That decision later fueled anxiety among some Turks and Caicos residents when the ship proceeded to Grand Turk on May 15.

Residents’ concerns were not without cause.

Norovirus is a highly contagious viral illness often associated with cruise ships, hotels, schools and other environments where large groups of people share close quarters. The virus primarily causes sudden vomiting, diarrhea, stomach cramps and nausea, and spreads rapidly through contaminated food, water, surfaces and person-to-person contact.

According to the US Centers for Disease Control and Prevention, most healthy people recover within one to three days, but norovirus can become serious — and occasionally fatal — for elderly individuals, young children and people with weakened immune systems because of severe dehydration. While the overall fatality rate is considered very low, the CDC estimates norovirus contributes to hundreds of deaths annually in the United States, mainly among vulnerable populations.

The Turks and Caicos Ministry of Health and Human Services had said in a press statement on May 15, it believed the risks had been effectively neutralized before the vessel arrived in Grand Turk.

In a statement issued Thursday, the Ministry said the ship had already returned to Florida, where passengers disembarked and “comprehensive sanitization and deep-cleaning procedures were completed” before operations resumed.

The Ministry also stressed that its Public Health Team maintained “close and continuous communication” with the ship’s medical personnel, Carnival Cruise Line officials and stakeholders at the Grand Turk Cruise Centre before approving the docking.

Routine inspections and standard port health procedures were also carried out, according to officials.

The Ministry further reassured the public that there were “currently no public health concerns” associated with the vessel’s arrival.

Still, the situation once again highlighted the delicate balancing act Caribbean nations face between protecting public health and sustaining tourism economies heavily dependent on cruise arrivals.

Officials are now encouraging vendors, taxi operators, tour companies and businesses to continue practicing strong sanitation and hygiene measures as an added precaution.

Residents were also reminded that frequent handwashing remains one of the most effective ways to prevent the spread of norovirus and other infectious illnesses.

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

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Health

29 Million Strong, the World Salutes Nurses as International Nurses Day is Observed

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On Tuesday May 12, the world pauses to honor one of humanity’s most trusted, exhausted, resilient and indispensable professions — nursing.

International Nurses Day is observed annually on the birthday of Florence Nightingale, widely regarded as the founder of modern nursing, and comes at a time when global healthcare systems continue to rely heavily on nurses carrying extraordinary emotional, physical and professional burdens.

According to the World Health Organization, there are an estimated 29 million nurses worldwide, making nursing the largest professional group within the global healthcare workforce. Yet despite their numbers, many countries continue to face severe nursing shortages, burnout crises and migration challenges as healthcare demands rise faster than staffing levels.

Still, nurses remain the heartbeat of healthcare.

They are present at life’s first breath and often its final moments. They work through hurricanes, pandemics, emergencies and violence. They calm fear, interpret pain, comfort families and frequently become the bridge between doctors, patients and hope itself.

In small island nations like those across the Caribbean, nurses often carry even greater responsibility — serving communities where resources may be stretched, specialists limited and healthcare systems under constant pressure.

This year’s observance again shines a spotlight not only on the compassion nurses bring to their profession, but also on the growing global call for better pay, safer working environments, improved mental health support and stronger investment in healthcare staffing.

For many people, the most memorable face in healthcare is not always the surgeon or specialist — it is the nurse who stayed a little longer, explained a little more gently or cared a little more deeply during a difficult moment.

Tomorrow’s observance is therefore more than ceremonial.

It is a reminder that behind every functioning hospital, clinic, emergency room, health center, operating theatre and recovery ward stands a nurse — often overworked, sometimes underappreciated, but consistently essential.

To nurses across The Bahamas, Turks and Caicos, the Caribbean and the wider world: thank you for showing up, even on the hardest days.

Developed by Deandrea Hamilton • with ChatGPT (AI) • edited by Magnetic Media.

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Government

$94.1Mfor Health; Knowles Pushes to Keep Care at Home

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Turks and Caicos, April 25, 2026 – A major shift in how healthcare is delivered in the Turks and Caicos Islands is at the center of the Government’s latest budget, with a focus on reducing reliance on overseas treatment and strengthening services at home.

Presenting his contribution to the national debate, Kyle Knowles outlined a strategy aimed at building a more sustainable healthcare system—one that allows more residents to access quality care within the country.

The health sector has been allocated $94.1 million, making it one of the largest areas of public spending in the $550.8 million Budget passed on April 23.

Central to the Minister’s approach is a restructuring of the Treatment Abroad Programme (TAP), which has grown significantly in recent years as more patients are sent overseas for specialized care.

The Government now aims to reverse that trend.

“We are reforming healthcare to ensure long-term sustainability,” Knowles indicated, pointing to efforts to strengthen local services and reduce the need for travel.

The strategy includes improving healthcare infrastructure, expanding services available within the islands and increasing efficiency through the digitization of medical records.

Digitization is expected to support better coordination of care, reduce delays and allow for more accurate tracking of patient needs—part of a broader effort to modernize public services.

The Minister emphasized that the goal is not only cost control, but improved access.

“No family should have to leave home to get quality care,” he said, underscoring the Government’s intention to refocus healthcare delivery on local capacity.

The shift comes as rising healthcare costs continue to place pressure on public finances, with overseas treatment representing one of the most expensive components of the system.

By investing more heavily in domestic services, the Government is seeking to reduce that burden while improving outcomes for residents.

While the direction is clear, details on timelines and the pace of expansion for local services were not fully outlined in the presentation.

Still, the emphasis on sustainability, access and modernization signals a strategic pivot in how healthcare is expected to evolve in the Turks and Caicos Islands.

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

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