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Health City Cayman Islands Leads the Way with Innovative Robotic Bariatric Surgery for Obesity Patients

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#Cayman, December 16, 2023 –  Health City Cayman Islands now offers innovative robotic bariatric surgery, an advanced solution for the treatment of chronic obesity. The cutting-edge alternative to traditional open and laparoscopy bariatric surgical procedures offers hope and an enhanced option for those seeking effective weight loss solutions.

Obesity Prevalence in the Caribbean

With adult obesity rates ranging from 18.9 percent in Antigua and Barbuda to 31.6 percent in The Bahamas, the Caribbean faces a significant challenge, according to 2021 data from the Caribbean Public Health Agency (CARPHA). Health City Cayman Islands is stepping up to address this issue with its state-of-the-art bariatric surgery facility.

Advantages of Robotic Bariatric Surgery

Dr. Manoj Kumar Rangapa, Consultant Gastrointestinal Surgeon at Health City, expressed enthusiasm about the recent introduction of robotic bariatric surgery at the tertiary care institution. “We are incredibly excited about the introduction of robotic bariatric surgery at Health City. This advanced technique, leveraging the power of 3D imaging technology, allows us to see the surgical site in greater detail and maneuver surgical instruments with unprecedented precision. The benefits for our patients are significant – shorter surgeries, faster recovery times, smaller incisions, and less post-operative pain. It’s a game-changer in our fight against obesity,” Dr. Manoj explained.

Surgical Candidates and Evaluation Process

Ideal candidates for this life-changing procedure are individuals with a Body Mass Index (BMI) of 35 and above, especially those coping with uncontrolled hypertension, diabetes, and sleep apnea. Potential patients undergo a comprehensive evaluation that includes a detailed assessment of their weight gain history, chronic medical conditions, and prior weight loss attempts through diet, exercise or previous bariatric surgery.

Health City believes in holistic patient care. Following the initial consultation, a multidisciplinary team of experts, including a psychiatrist, nutritionist, pulmonologist, cardiologist, physician, and physiotherapist, collaboratively work to ensure the best postoperative outcomes and support the patient’s ability to cope with lifestyle changes.

A Commitment to Post-operative Care and Ongoing Support

From a dye x-ray study conducted 24 hours post-surgery to monitor for leaks, to the gradual introduction to clear liquids before discharge the following day, Health City ensures patients are well cared for every step of the way. Additionally, a low-calorie liquid diet is maintained for one to two weeks post-surgery, followed by a pureed diet for several weeks before transitioning to a regular diet. Periodic vitamin and micronutrient supplements are recommended throughout recovery.

Dr. Manoj highlighted the importance of continuous post-surgical care. “Our commitment to our patients extends far beyond the operating room. We offer ongoing support through carefully monitored dietary and exercise programs tailored to each individual’s needs. We are also in the process of establishing a support group for our patients. It’s this comprehensive approach that makes bariatric surgery stand out as the most effective method for achieving sustainable, long-term weight loss, especially in severely obese individuals, and significantly improving associated health conditions,” he stated.

Health City Cayman Islands’ innovative, holistic approach to patient care is creating a journey towards an improved quality of life. For more information about bariatric surgery, please visit https://healthcitycaymanislands.com/bariatric-surgery.

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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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