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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

  

December 5, 2023 – 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 wells, 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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Health

Turks and Caicos Islands Hospital Celebrates Successful Completion of 2026 Summer READY Programme

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Providenciales, Turks and Caicos Islands – August 18, 2026 – Turks and Caicos Islands Hospital is pleased to announce the successful completion of its Summer READY Programme, a two-week internship initiative designed to provide high school students in Forms 3-5 with hands-on exposure to the healthcare environment and an opportunity to explore careers within the sector.

The programme, organised and hosted by the Training and Education Department, welcomed students into various clinical departments, where they gained first-hand insight into the day-to-day operations of a healthcare facility and learned directly from healthcare professionals.

Throughout the two-week internship, students were exposed to different aspects of patient care and clinical operations while developing important workplace competencies, including communication, teamwork, professionalism, punctuality and responsibility. The experience was designed to complement classroom learning while helping students make more informed decisions about their future education and career pathways.

Vernessa Forbes, Training and Education Manager, said the Summer READY Programme reflects the hospital’s commitment to developing young people and creating meaningful opportunities for them to explore the healthcare profession.

“Summer READY is about giving our young people an opportunity to experience healthcare beyond what they may have seen or learned in the classroom. Over the two weeks, our students were able to interact with healthcare professionals, observe different clinical environments and gain a better understanding of the dedication and teamwork required to care for our patients. We were impressed by their enthusiasm, curiosity and willingness to learn, and we hope this experience has inspired them to consider the many rewarding careers available in healthcare.”

By rotating through and gaining exposure to various clinical departments, students were also able to see that healthcare extends beyond the roles most commonly associated with a hospital. The programme introduced them to the range of skills, disciplines and professionals that work together to deliver safe, compassionate and high-quality patient care.

Dr. Denise Braithwaite-Tennant, Chief Executive Officer, said the hospital has an important role to play in building the human capacity needed to support the future development and sustainability of healthcare in the Turks and Caicos Islands.

“As a hospital, our responsibility extends beyond providing healthcare services today; we also have an important role in helping to develop the people who will deliver and lead healthcare tomorrow. Human capacity building is essential to the long-term sustainability of our health system, and programmes such as Summer READY allow us to introduce young people to healthcare careers early, nurture their interests and help them understand the educational and professional pathways available to them.

By opening our clinical environment to students and providing mentorship and practical exposure, we are helping to build a pipeline of future nurses, physicians, allied health professionals and other healthcare workers. We want our young people to see that there is a place for their talents within the health sector and, importantly, that they can build rewarding careers while contributing to the health and development of the Turks and Caicos Islands. We are proud to play our part in investing in the next generation and strengthening our country’s future healthcare workforce.”

The programme concluded with the presentation of certificates of completion to the students, recognizing their successful participation and commitment throughout the two-week internship.

Turks and Caicos Islands Hospital congratulates all of the students who successfully completed the Summer Ready Programme and extends its appreciation to the clinical teams, supervisors and staff members who provided mentorship, guidance and practical learning opportunities throughout the programme.

Through the Summer READY Programme and its wider education, training, internship and professional development initiatives, Turks and Caicos Islands Hospital remains committed to supporting national human capacity development. By partnering with educational institutions, government agencies and other stakeholders, and by providing mentorship and practical learning opportunities within the healthcare environment, the Hospital aims to strengthen the pipeline of skilled healthcare professionals needed to meet the evolving health needs of the Turks and Caicos Islands.

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Bahamas News

More Bahamians Accessing HIV, STI Care Through NHI

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NASSAU, Bahamas — More Bahamians are accessing HIV and sexually transmitted infection-related healthcare through National Health Insurance, a trend the NHI Authority says should be viewed positively.

NHIA stressed in an August 6 statement that its 2025 figures measure healthcare utilisation, not newly diagnosed infections. They include beneficiaries screened, treated, monitored or receiving follow-up care, including people diagnosed previously.

“Increased utilisation of these services should be viewed as a positive development,” NHIA said.

The Authority pointed to “greater enrolment and use of NHI, improved access to screening and testing, continued treatment and monitoring of existing conditions, and increased willingness to seek medical care.”

The development comes amid a mixed three-year HIV picture. New diagnoses rose from 130 in 2023 to 156 in 2024, before declining to 142 in 2025.

NHIA said increased utilisation demonstrates that more beneficiaries are accessing needed healthcare and actively managing their health, reinforcing the importance of screening, early diagnosis and continued treatment.

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Health

47,459 MEASLES CASES, 44 DEATHS ACROSS AMERICAS  

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WASHINGTON, D.C. — The Americas has recorded 47,459 confirmed measles cases and 44 deaths in 2026, the region’s highest case count in 22 years, prompting the Pan American Health Organization (PAHO) to urge stronger vaccination, surveillance and rapid outbreak response.

As of July 18, cases were already more than triple the 15,011 recorded during all of 2025. Guatemala, Mexico, the United States and Peru account for 95% of confirmed cases. Guatemala leads with 30,371 cases and 26 deaths, followed by Mexico with 12,255 cases and 17 deaths.

PAHO classifies the regional public health risk as very high, citing active outbreaks, immunity gaps, international travel and populations with inadequate vaccination coverage.

The organization says prevention starts with vaccination. Countries are being urged to achieve and maintain at least 95% coverage with two doses of measles-containing vaccine, particularly protecting children and under-vaccinated communities.

Measles spreads through the air when an infected person breathes, coughs or sneezes. Symptoms can include fever, cough, runny nose, red eyes and a rash.

PAHO is urging health authorities to detect suspected cases early and respond rapidly to stop transmission. Unvaccinated and under-vaccinated people, young children and communities with limited healthcare access face increased risk of severe illness and death.

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