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THE MINISTRY OF HEALTH AND HUMAN SERVICES ISSUES A DENGUE UPDATE  

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Providenciales, Turks and Caicos Islands, 4th January 2024 - Since the beginning of the dengue outbreak in the TCI, the MOH has identified 172 cases of dengue. These cases include cases confirmed through testing at the Caribbean Public Health Laboratory (90) as well as cases identified locally through the use of dengue rapid tests. The cases are distributed as follows:

167 Providenciales

5 Grand Turk

Dengue virus types were established for 76 out of the 90 laboratory confirmed cases. Seventy-four (74) laboratory confirmed cases were type 3 and 2 were type 2 Dengue. Type 3 dengue is associated with more severe disease.

A total of 18 persons with dengue have been hospitalized. There have been no reports of any dengue related deaths.

Age groups affected are primarily 20-59 years age group followed by 6-19 years. The most affected communities in Providenciales are Blue Hills followed by Five Cays.

A greater proportion of males, 60.5% (n=104) were detected with dengue when compared to females with 37.8% (n=65) (for the remainder, no gender was documented).

Dengue is a viral illness that spreads to people through the bite of an infected Aedes species (Ae. aegypti or Ae. albopictus) mosquito. These mosquitoes also spread zikachikungunya, and other viruses. The aedes aegypti mosquito is present in the Turks and Caicos Islands and is capable of spreading these diseases. The Aedes aegypti prefers to lay their eggs in artificial containers that contain water (drums, barrels and tires, mainly) in and around homes, schools and workplaces. It is essential that the general public remains vigilant for this disease as well as play their role in destroying potential mosquito breeding sites within homes, yards and communities.

  • 1 in 4: About one in four people infected with dengue will get sick.
  • For people who get sick with dengue, symptoms can be mild or severe.
  • Severe dengue can be life-threatening within a few hours and often requires care at a hospital.

Symptoms

  • Mild symptoms of dengue can be confused with other illnesses that cause fever, aches and pains, or a rash.
  • The most common symptom of dengue is fever (40°C/104°F) with any of the following:
    • Nausea, vomiting
    • Rash
    • Severe headache
    • Aches and pains (eye pain, typically behind the eyes, muscle, joint, or bone pain)
    • Any warning sign

 Symptoms of dengue typically last 2–7 days. Most people will recover after about a week.

 Individuals who are infected for the second time are at greater risk of severe dengue.

Severe dengue symptoms often come after the fever has gone away:

  • severe abdominal pain
  • persistent vomiting
  • rapid breathing
  • bleeding gums or nose 
  • fatigue
  • restlessness
  • blood in vomit or stool
  • being very thirsty
  • pale and cold skin
  • feeling weak.

 People with these severe symptoms should get care right away.

There is no specific treatment for dengue. If you suspect that you or your loved one has dengue, please see your healthcare provider so you can be tested and receive the necessary advice. Avoid taking non-steroidal anti-inflammatory drugs, like ibuprofen and aspirin.

Persons who are suspected to have dengue or have confirmed dengue should avoid further mosquito bites.

The Ministry of Health and Human Services continues to offer testing for dengue at no cost through the National Public Health Laboratory in partnership with the Caribbean Public Health Agency (CARPHA) as well as conducting vector control activities throughout the islands.

Prevention and control

The mosquitoes that spread dengue are active during the day. 

Lower the risk of getting dengue by protecting yourself from mosquito bites by using: 

  • clothes that cover as much of your body as possible
  • mosquito nets if sleeping during the day, ideally nets sprayed with insect repellent
  • mosquito repellents (containing DEET, Picaridin or IR3535) 
  • during the first week of infection, dengue virus is found in the blood of an infected person. If a mosquito bites the infected person, the mosquito becomes infected. The infected mosquito can spread the virus to other people through bites. Infected persons should therefore avoid being bitten.
  • use screens on windows and doors. Repair holes in screens to keep mosquitoes outdoors.
  • stop mosquitoes from laying eggs in or near water.
  • once a week, empty and scrub, turn over, cover, or throw out items that hold water, such as tires, buckets, planters, toys, pools, birdbaths, flowerpots, or trash containers.
  • check for water-holding containers both indoors and outdoors.
  • ensure tight coverage of water barrels, containers and water storage tanks

Response

The Ministry of Health and Human Services has been responding to the threat posed by dengue by;

  • the implementation of the Integrated Vector Management Plan throughout the islands with efforts to reduce mosquito breeding through the use of larvicide and fogging which only targets the adult mosquito population
  • vector control activities including premises inspections, have resulted in a reduction in some areas of mosquito breeding
  • the EHD has been working with stakeholders across sectors to address mosquito breeding including Tourism, Ports/Airports, Pest Control Operators, Schools, Hospitals, airlines etc.
  • visits were conducted to schools across the islands which included inspections and provision of educational talks to students about dengue and how they could help prevention efforts
  • public education/community engagement campaign has been ongoing utilizing public service announcements, radio interviews, social media and leaflets is ongoing to educate to general public about the critical role each person plays in reducing mosquito breeding through keeping the environment free of debris as well as avoiding mosquito bites, the importance of getting tested as well as education on the warning signs of dengue which would need early medical intervention. Additional information can be found on the Health Promotion and Advocacy Units Facebook page https://www.facebook.com/tcihealthpromotions/.
  • the Environmental Health Department has also been working closely with its regional and international stakeholders including PAHO (Pan American Health Organization), CARPHA (Caribbean Public Health Agency) and UK Health Security Agency (UKHSA). Through a number of technical visits including visits by Entomologists and training provided to Vector Control Unit staff, the response has been reviewed and refined.
  • material resources including chemicals have been procured and distributed across the islands
  • temporary vector control officers have been approved and have joined the team to support operations
  • community clean ups have been ongoing aimed at reducing mosquito breeding sites

All of these measures have seen a reduction in the number of persons presenting to health care facilities with symptoms of dengue.

There have however been recent rains which can result in mosquito breeding.

The public plays a key role in preventing the further spread of dengue and they are being urged to;

  • Ensure that water barrels and buckets are properly covered to prevent mosquito larvae,
  • Cover or properly dispose of old tires,
  • Properly dispose of all litter and waste. These overlooked breeding grounds perpetuate the cycle of dengue transmission.

Prevention through ensuring clean environments, sanitation, and public awareness, with active community involvement is crucial to supporting the Ministry’s response to dengue.

The public is also reminded to report any areas of standing water or mosquito breeding sites by contacting the Environmental Health Department for assistance on (649) 338 2143/2142.

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Chile becomes the first country in the Americas to be verified by WHO for the elimination of leprosy  

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Santiago/Washington, D.C./Geneva, 4 March 2026 (PAHO/WHO) – The World Health Organization (WHO), together with the Pan American Health Organization (PAHO), congratulates Chile for becoming the first country in the Americas—and the second globally—to be officially verified as having eliminated leprosy disease.

Leprosy (Hansen disease) was historically recorded in Chile at the end of the 19th century on Rapa Nui (Easter Island). The disease was limited in mainland Chile, with sporadic introductions, contained through isolation and treatment measures in the Island, where the last secondary cases were managed by the late 1990s.

Since then, Chile has not reported any locally acquired case of leprosy for more than 30 years, with the last locally acquired case detected in 1993. However, the disease was never removed from the country’s public health agenda; it has remained a notifiable condition, monitored through mandatory reporting, integrated surveillance, and continuous clinical readiness across the health system.

“This landmark public health achievement is a powerful testament to what leadership, science, and solidarity can accomplish,” said Dr Tedros Adhanom Ghebreyesus, WHO Director-General. “Chile’s elimination of leprosy sends a clear message to the world: with sustained commitment, inclusive health services, integrated public health strategies, early detection and universal access to care, we can consign ancient diseases to history.”

The verification recognizes more than three decades of sustained public health action, robust surveillance, long-term political commitment, and a health system that has remained vigilant even in the absence of local transmission.

“Chile’s achievement demonstrates that eliminating leprosy is achievable and requires building strong systems that can detect, respond to, and provide comprehensive care for people affected by the disease, including those living with chronic disabilities,” said PAHO Director Dr. Jarbas Barbosa. “Being the first country in the Americas to be confirmed as eliminating leprosy sends a powerful message to the Region—that diseases strongly linked to groups living in vulnerable conditions can be eliminated, contributing to interrupt the vicious circle between disease and poverty.”

At the request of Chile’s Ministry of Health, PAHO and WHO convened an independent expert panel in 2025 to assess whether elimination had been achieved and could be sustained over time. The panel conducted a thorough assessment, reviewing epidemiological data, surveillance mechanisms, case management protocols, and sustainability plans. Its findings confirmed the absence of local transmission and validated Chile’s capacity to detect and respond to future cases occurring among the non-autochthonous population.

“This is very good news and a source of great pride for our country. Chile has received verification of the elimination of leprosy disease, becoming the first country in the Americas and the second globally to achieve this recognition,” said Ximena Aguilera, Chile’s Minister of Health. “This milestone reflects decades of sustained public health efforts, including prevention strategies, early diagnosis, effective treatment, continuous follow-up, and the commitment of health teams across the country. It also reaffirms our responsibility to maintain active surveillance and ensure respectful, stigma-free care for all.”

Sustained training, surveillance and holistic care in a low-incidence setting

Between 2012 and 2023, Chile reported 47 cases nationwide, none of which were locally acquired.

Chile’s integrated model ensures early detection and comprehensive care: primary care centers serve as the entry point for suspected cases, with timely referrals to specialized dermatology services for diagnosis, treatment, and follow-up. Clinicians receive training aligned with WHO’s Towards zero leprosy strategy. The system prioritizes early intervention, disability prevention, and holistic care, including physiotherapy and rehabilitation services, ensuring that anyone affected by leprosy receives continuous support for both acute and long-term health needs to promote full recovery and social inclusion.

A milestone for the Region of the Americas

Chile’s accomplishment paves the way for other nations, illustrating the impact of political will, cross-sector collaboration, and adaptive planning in low-incidence settings.

Since 1995, PAHO, in coordination with WHO, has provided multidrug therapy (MDT) free of charge to countries in the Americas, including Chile. This uninterrupted access to treatment, combined with national supply systems, has been essential to curing patients, preventing disability, and interrupting transmission.

PAHO has also supported Chile in aligning surveillance with international standards, strengthening laboratory capacity, and maintaining clinical expertise in a low-incidence context, where many health professionals may never encounter a case during their careers.

Ensuring access and coverage for everyone

Chile’s elimination of leprosy has been achieved within a broader legal and social framework that protects human rights, promotes inclusion, and prevents discrimination. National legislation guarantees equal access to health care, social protection, and disability services, ensuring that people affected by leprosy receive care without stigma or exclusion.
Chile’s mixed public–private health system, with strong regulatory oversight, further strengthens equitable access, including for migrants and other vulnerable populations.

Sustaining elimination

Aligned with WHO’s Towards zero leprosy strategy and PAHO’s Disease Elimination Initiative, Chile’s experience demonstrates that elimination is not defined solely by the absence of disease, but by a sustained health system capable of detecting, responding to, and providing holistic care whenever a case appears.

Moving into the post-elimination phase, Chile is encouraged to continue reporting to WHO, maintain sensitive surveillance, and ensure that clinical expertise is retained for future sporadic cases as well as any cases acquired outside the country. The verification panel also recommended formally designating a referral centre and leveraging WHO Academy’s online training for health workers and staff, strengthening long-term capacity and preparedness.

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TCI Hospital Celebrates Successful “Heart Strong TCI” Initiative During Heart Month

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(Providenciales – Monday, March 2, 2026) TCI Hospital proudly announces the successful achievement of its Heart Strong TCI initiative, a comprehensive Heart Month campaign focused on raising awareness and strengthening cardiovascular disease prevention efforts across the Turks and Caicos Islands.

Heart disease remains the leading cause of death in the Turks and Caicos Islands, highlighting the critical need for sustained public education, risk-factor reduction, and early intervention. The Heart Strong TCI initiative was designed to actively engage the community through education, outreach, and physical activity.

Key Activities Included:

Educational Training Sessions

Healthcare professionals conducted structured sessions addressing hypertension, diabetes, cholesterol management, nutrition, exercise, smoking cessation, and the early warning signs of heart disease.

House Call Talk Show Feature

A dedicated Heart Month episode of the hospital’s House Call program provided expert discussion on cardiovascular risk factors and prevention strategies, empowering viewers with practical, evidence-based guidance.

Red Fridays Awareness Campaign

Throughout the month, staff wore red every Friday to increase visibility around heart disease awareness and reinforce the campaign’s message within the community.

Heart Strong 5K Walk/Run

In collaboration with the Rotary Club, TCI Hospital hosted a community-wide 5K walk/run to promote physical activity as a cornerstone of heart health. The walk/run also provided an opportunity for community screening.

Digital Health Education Campaign

To expand its reach, TCI Hospital also shared ongoing heart health education tips and prevention messages across its social media platforms, including Facebook, LinkedIn, and Instagram. These posts provided actionable guidance on diet, exercise, blood pressure control, and lifestyle modification, and encouraging community members to learn CPR.

Heart Strong TCI: A Continuous Commitment

While Heart Month has officially ended, Heart Strong TCI represents an ongoing institutional commitment to cardiovascular disease prevention and awareness. TCI Hospital will continue to prioritize:

  • Community-based education initiatives
  • Preventative screening and early detection programs
  • Lifestyle and wellness promotion
  • Strategic partnerships that advance public health outcomes

“Heart Strong TCI is not limited to a single month,” CEO, Dr. Denise Braithwaite-Tennant.  “Cardiovascular disease prevention requires sustained effort. We remain committed to promoting healthy hearts across the Turks and Caicos Islands year-round.”

For more information about cardiovascular health services or upcoming screening initiatives, please contact TCI Hospital at 649-941-2800 in Providenciales, 649-941-2900 in Grand Turk or email us at info@interhealthcanada.tc

About TCI Hospital

TCI Hospital is dedicated to delivering high-quality healthcare services to the people of the Turks and Caicos Islands, with a strong emphasis on prevention, education, and community wellness.

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What to Look for with Self-Checks at Home

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February is National Self- Check Month and family medicine physician at Cleveland Clinic, OH, John Hanicak, MD, highlights why at home self-checks are extremely important when it comes to not just early cancer detection but identifying other illnesses too and offers tips on what to look out for.

“Sometimes Ilook at them as sort of like your check engine light on the car, just like therewould be a red flashing light that tells you that there’s something wrong with acar and prompts you to bring that in and get serviced. Your body does the samething. It gives you warning signs tolook intothat symptom a little bit further,” said Hanicak.

Dr. Hanicak saidself-checks are going to be a little different for everyone. 

However, in general, he recommends looking for anything that may seem abnormal, such asunexplained weight loss,blood in your urine, bumps and bruisesthat won’t heal,and changes in bowel habits. 

For example, if you suddenly start going to the bathroom a lot more than you used to, that could bea signof something more serious. 

He also suggestsdoing regular skin checksanddocumentingany molesor spotsthat start to look different. 

“Realize that you are your own person.There’s nobody else in the world exactly like you.You’ve got your own set ofideas, your own family history and your own genetics.Know what is normal for you, and when that changes, that’s the kind of thing thatwe would be interested in talking about,” said Dr. Hanicak. 

Dr. Hanicaknotes that self-checks are not meant to replace cancer screenings, as those are just as important to keep up with. 

Press Release: Cleveland Clinic

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