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TCI Hospital Staff Achieves ICRA 2.0 Certification, Exceeding Expectations through Service Excellence and Professional Development



(Providenciales, Turks and Caicos Islands – Thursday, February 22nd, 2024): InterHealth Canada -Turks and Caicos Islands Hospital proudly recognizes the outstanding achievement of sixteen staff members who received the prestigious Infection Control and Risk Assessment (ICRA 2.0) diploma. The certified group comprises clinical and medical leadership from diverse clinical units and front-line staff in high-risk areas.

The ICRA 2.0 certification equips the team members with valuable knowledge and expertise to work with our facilities management partner to ensure a safe and secure environment for patients and employees. Topics covered in this training include the PCRA/ICRA process, Interim Life Safety Measures (ILSM), noise and vibration, understanding the ICRA five-step process, ICRA activity types, identifying patients at risk, defining patient groups, defining the class of precautions, the concept of standing orders, environmental testing, ICRA infection prevention measures, developing and the ICRA plan.

“The early context of the ICRA (infection control risk assessment) processes resulted in the ICRA becoming a part of prevention planning solely for construction activity. More recently, the ASHE (American Society for Health Care Engineering) Guidelines have described the ICRA as a proactive and integrated process for planning, design, construction, and commissioning activities to identify and plan safe design elements, including consideration of long-range infection prevention. The ICRA process is also used to identify and plan for internal and external building areas and sites that will be affected during construction/renovation; identify potential risk of transmission of airborne and waterborne biological contaminants during construction and/or renovation and commissioning; and develop infection control risk mitigation recommendations to be considered. The new ICRA 2.0 updated process includes a better understanding of the ICRA process, expanded definitions of work activities and areas, and a greater explanation of controls. This achievement is a testament to our unwavering commitment to creating a learning environment, empowering the team with the necessary professional development as we work together to keep our patients and team members safe at the TCI Hospital,” remarked Dr Denise Braithwaite-Tennant, Chief Executive Officer of InterHealth Canada -TCI Hospital.

“Our certified staff members are now more equipped to identify and address the unique challenges of renovations, construction, maintenance, and repairs in healthcare settings“, added Dr Braithwaite-Tennant.

The ICRA 2.0 course was facilitated by Jose Carlos Espino, PE, MBA, M.Ed., an independent consultant in environmental health who provides services for different organizations in Latin America and the Caribbean. His clients include international organizations such as PAHO/WHO, IDB, UNDP, UNEP, Ministries of Health in several countries, and private companies in the region. Mr. Espino is a seasoned professional with more than 25 years of experience who has participated in hundreds of environmental and occupational health assessments in industries, commercial and residential buildings, and various hospitals all over Latin America.

The meticulous training and application of the ICRA 2.0 five-step process have further empowered our staff to work closely with the InterHealth Canada Construction and Services Facilities Management company team in construction and renovation projects.

This certification is pivotal in our service excellence and professional development journey.

InterHealth Canada- Turks and Caicos Islands Hospital congratulates the certified staff members and expresses gratitude for their steadfast commitment to excellence.


Ministry of Health and Human Services Conducts Emergency Vehicle Operators Course for Emergency Medical Services Personnel



Ministry of Health and Human Services successfully conducted Emergency Vehicle Operator Training for Emergency Medical Services Department in March 2024.

The Ministry of Health and Human Services has reaffirmed its commitment to ensuring the safety and efficiency of emergency services across the Turks and Caicos Islands with the successful completion of an Emergency Vehicle Operator Course. Hosted for all members of the Emergency Medical Services (EMS) Department, this course marks a significant step in the ongoing efforts to provide high quality emergency response services.

Tailored specifically for ambulance operators, the course featured a comprehensive curriculum blending theoretical knowledge with practical skills. Participants underwent rigorous training encompassing critical safety practices essential for effective emergency responses. The amalgamation of didactic instruction and hands-on training enabled operators to navigate emergency situations with precision and confidence, fostering a culture of safety paramount for preserving lives.

In times of crisis, the EMS Department emphasizes the importance of well-trained and composed responders. Equipped with the skills acquired through this specialized course, EMS personnel are better prepared to address emergencies promptly and effectively, ensuring timely assistance to individuals in need.

The course, conducted by esteemed expert Mike Massaro, President of Trilogy Emergency Medical Solutions, ran from March 19th to March 22nd, 2024, across all islands. Mr. Massaro commended the EMS Department members for their enthusiasm and dedication to learning, acknowledging their pivotal role in enhancing community safety.

Participants lauded the interactive teaching approach employed throughout the course, noting its effectiveness in making lessons both engaging and informative. Their positive feedback underscores the value of practical, hands-on training in bolstering emergency response capabilities.

Minister of Health and Human Services, Honorable Shaun D Malcolm commented that “I am confident that the principles instilled during this course will significantly contribute to the safety and well-being of individuals accessing emergency services. By investing in continuous training and development, the Ministry remains steadfast in its mission to deliver safe, efficient and reliable emergency care to the people of the Turks and Caicos Islands.”

For more information, please visit the Turks and Caicos Islands Ministry of Health and Human Services Facebook pagE at

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Dengue cases rising in Region 



Dana Malcolm 
Staff Writer 

As of March 26, 2024, over 3.5 million cases of dengue and more than 1,000 deaths have been reported in the region, now, both the US Centres for Disease Control (CDC) and the Pan-American Health Organization (PAHO), are ringing alarm bells about the outbreak as cases swell to record highs.

PAHO on March 28 called for collective action in the region to fight back the growing wave of infections.

“This is cause for concern, as it represents three times more cases than those reported for the same period in 2023, a record year with more than 4.5 million cases reported in the region,” Jarbas Barbosa, PAHO Director said during a press briefing.

For now cases are concentrated in three main countries: Brazil, Paraguay and Argentina which account for nearly all of them, around 92 percent, but infections are on the rise regionally.

According to Barbosa, Caribbean countries must still be vigilant as data is beginning to show increases in areas like Barbados. That is paired with concerns from PAHO that some countries may not be equipped to handle the surge.

Nearly $500,000 was allocated in the 2023 2024 budget to the environmental health department under The Turks and Caicos Ministry of Health and Human Services to help with dengue which had been listed as a public nuisance.

Last year in the Turks and Caicos Islands, only a few rounds of fogging were completed. According to data from the Appropriations Committee around 10% of communities were fogged on schedule. Explaining the low number, representatives of the Environmental Health Department (EHD) maintained that fogging was not the primary defense against mosquito breeding locally.

”Fogging should actually be a last resort, there are preventative measures such as the treatment of swamps, and inspection of residential areas and communities for breeding sites.”

Representatives admitted though that they were still hampered by a lack of resources.

The country declared an outbreak in late 2024. Now there is an ongoing public education campaign to make residents aware of what they need to do to keep their homes safe and free from mosquitoes in addition

The Turks and Caicos Islands EHD also says they have been provided with money to help with garbage disposal in their battle against the vector borne disease.

The Ministry has also contracted entomologists to research what kind of mosquitoes live in the country and how to tackle them.

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31 Turks & Caicos Medical Professionals, Trained in Trauma care



Dana Malcolm 
Staff Writer 

In a first for the Turks and Caicos and one that some would describe as particularly important, over three dozen healthcare professionals were upskilled in emergency trauma care via Advanced Trauma Life Support (ATLS) certification.

Trauma Care in emergency medicine usually refers to treating patients who are critically ill or have severe injuries and need to be quickly stabilized like gunshot wounds, damaged limbs, crush injuries, and stab wounds.

In 1976 following a plane crash involving a surgeon and his children who experienced substandard trauma care, the first ATLS course was created. It attempts to provide basic training for medical professionals when dealing with acute trauma cases where there is little staff on hand. In fact ATLS is supposed to work with as little as a single doctor and nurse team working together to stop the most critical injuries first, ensuring a better chance of survival.

This is particularly useful for the Turks and Caicos with its small hospitals and limited staff. Health officials admitted this, highlighting what they describe as ‘the pressing need for such training, particularly due to physician shortage, isolated communities in family islands and other barriers to accessing this critical training.’

Recognizing the need, the Hamilton Education Foundation jumped into action, and in collaboration with Massachusetts General Hospital and the American College of Surgeons conducted a Hybrid Advanced Trauma Life Support (ATLS) Demo for 31 doctors in the Turks and Caicos Islands on May 22nd and 23rd, 2024.

Led by Professor Susan Briggs,the foundation describes the course as historic in that it’s the first-ever done outside the United States and says it is;“Crucial for enhancing the quality of healthcare delivery and saving lives in the face of increasing intentional and unintentional injuries.”

With the rise in gunshot injuries in the country, seen through police data since 2020 many residents might be inclined to agree.

While admitting it was difficult to measure if ATLS reduced mortality, a 2016 article published in the National Library of Medicine describes the courses as “very useful from an educational point of view. It significantly increased knowledge, and improved practical skills and the critical decision making process in managing multiple trauma patients”

Rufus Ewing, Former Premier and Executive Chairman of the Hamilton Education Foundation, said, “This initiative aligns with our mission to enhance medical education and improve access to quality healthcare services in the Turks and Caicos Islands.”

The training received broad brush support from the Ministry of Health, TCI Hospital and private sector.

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