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CARPHA Supports Antigua and Barbuda in Building Capacity for upcoming Mass Gathering Events

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St. John’s, Antigua and Barbuda. April 17th  2024. The Caribbean Public Health Agency (CARPHA) is conducting an integrated mission to Antigua and Barbuda (ANU) during April 15-19th  to build capacity in surveillance, early warning and response systems, laboratory capacity, competence in health and food safety, and prepare for the launch of  the CARPHA Regional Tourism and Health Program (THP), ahead of the 4th International Conference of Small Developing Island States (SIDS), Sailing Week, the ICC Men’s T20 World Cup, and other major upcoming mass gathering(MG) events.

The CARPHA mission, led by Dr. Lisa Indar, Director, Surveillance, Disease Prevention and Control Division (SDPC), comprises  persons from several CARPHA departments: Dr. Laura-Lee Boodram, Head, Caribbean Regional Field Epidemiology and Laboratory Training Programme, Dr. Michelle Hamilton, Head of Laboratory Services and Networks (LSN), Dr. Jarelle Branford and Ms Sheena DeSilva  from  Health Information Communicable Diseases and Emergency Response (HCE), Ms Neeta Oudit (LSN), Mr. Keston Daniel and Dr. Anushka Bissoon-Pustam  of the Regional Tourism and Health Program (THP), and Mr Mohammed Elsherbiny, Senior Technical Advisor to the THP from the UKHSA.

Dr. Kamaria De Castro, Acting Chief Medical Officer, remarked “The partnership is timely as it helps to improve capacity as it assists in developing a sustainable future. We want to protect our local population as well as our visitors and let them know that we are aware of public health threats and we are preparing, building capacity, training and procuring resources that will be put in place to effectively prevent major spread of diseases. She extended her gratitude to CARPHA for the continued support and partnership.”

Dr. Lisa Indar indicated, “It is important to prevent public health threats to stop them from becoming emergencies as visitors are coming in from many different countries for Cricket World Cup, SIDS, Sailing Week and we want to make sure our visitors as well as our people are safe. We want to put systems in place and strengthen existing systems to be able to identify risks early and begin immediate and more timely responses to mitigate the potential spread of diseases.”

Key outcomes and activities of this mission include:

  • High level endorsements for the capacity building missions from the Ministers of Health, and Tourism
  • Formation of an Antigua and Barbuda THP Steering Committee for promoting healthier safer tourism
  • Communicable Diseases Surveillance workshop for Health Workers across the health sector to understand case definitions and timely reporting to the central level.
  • National Risk Assessment for mass gatherings, using the WHO/PAHO Mass Gathering Risk Assessment Tool, the results of which will be used to guide preparation and response for the upcoming MGs.
  • Desktop simulation exercises with doctors, public health nurses, Emergency Medical Services, law enforcement, National Office of Disaster Services, Red Cross and laboratory workers to assess how participants will respond  to  multiple public health  scenarios during mass gathering events and identify gaps/challenges of the same.
  • Rapid response training for public health professionals, including persons from the security/defense force and  the National Office of Disaster Services and partners. The training will review scenarios that  necessitate  mounting a response to a public health emergency by rapidly dispatching a multidisciplinary team to investigate and implement mitigating measures to contain the situation.
  • Mass gatherings surveillance training for surveillance team, public health nurses and other members within the health sector. An all-hands-on-deck approach will be taken to emphasize the need for daily and real-time reporting, monitoring, response, coordination, and communication. CARPHA’s regional mass gathering syndromic surveillance system (MGSS) is detailed,  including  national surveillance, tourism-based surveillance and the new module developed for mass gatherings . Doctors, nurses, and surveillance officers to be present at the health stations for the 4th UN SIDS Conference will also be trained and registered on MGSS.
  • Engagement with the health, tourism, and port authority teams to discuss ways to bolster disease surveillance of cruise ships for Antigua and Barbuda as a large number of the transient population for the country is through cruises, especially as Antigua and Barbuda is a homeport for many cruise ships.
  • Conduct field visits to major hotels (including the ones hosting the players and officials for the T20 games) to get them registered on the confidential early warning THiS system.
  • Training on Food and Environmental Health safety during mass gatherings for food handlers and restaurants, including those who will be providing the catering services for the SIDS Conference. The training focuses on ensuring all food handlers are equipped with the appropriate knowledge and tools to prepare, cook, store and serve food to guests at the establishments and in a Mass Gathering setting.
  • Training in Prevention and Control of Infectious Diseases, for the hospitality sector with an additional focus on Mass Gatherings. The session aims to build capacity to quickly identify and respond to cases of infectious diseases and will include participants from the hotel, food and beverage sectors some of which will be working closely with the SIDS Conference and will be working with the upcoming Cricket World Cup.
  • Assessments of the laboratory network of Antigua and Barbuda for optimization of laboratory services available in-country. Training in testing for priority pathogens during an emergency response and/or mass gathering will be conducted.

As a highly tourism-dependent country, Antigua welcomes as much as 20,000 visitors daily, further highlighting the need for robust visitor-based surveillance. These workshops will provide instruments in identifying and addressing various challenges of Antigua and Barbuda in preparing for mass gatherings. This joint mission aims to strengthen Antigua and Barbuda’s surveillance and response capacity and preparedness to effectively anticipate and manage potential challenges, ensuring a seamless and secure SIDS conference, T20 CWC tournament, Sailing Week and Carnival experience for all.

CARPHA and Antigua and Barbuda continue to work toward supporting Antigua and Barbuda’s preparation for these large-scale mass gathering events and for the large number of tourists visiting the islands on a daily and weekly basis. CARPHA stands ready to continue supporting Antigua and Barbuda.

Bahamas News

Bahamas and CARICOM Leaders Engage U.S. on Security, Economy, and Regional Stability

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Deandrea Hamilton  (Editor)

The Bahamas, May 9, 2025 – Prime Minister Philip Davis returned from Washington, D.C. this week following high-level meetings with U.S. officials, where security, economic cooperation, and regional development topped the agenda. Accompanied by fellow CARICOM leaders, Davis met with Secretary of State Marco Rubio and U.S. Treasury Secretary Scott Bessent to discuss shared priorities and forge stronger bilateral and regional ties.

At the forefront of the discussions with Secretary Rubio was a call for enhanced security collaboration. Prime Minister Davis emphasized that The Bahamas continues to suffer from the impact of illegal firearms, most of which originate outside the country. He called for greater U.S. action to curb weapons trafficking, underlining the toll such violence is taking on Bahamian communities. In response, the U.S. pledged deeper intelligence-sharing, expanded regional cooperation, and support for programs such as the Caribbean Basin Security Initiative and Operation Bahamas Turks and Caicos (OPBAT).

Illegal migration and drug trafficking were also addressed as regional threats requiring urgent attention. Davis welcomed the shared commitment to tackle these challenges through coordinated enforcement and better regulation of cross-border movement.

The Prime Minister also brought attention to the economic vulnerabilities of small island states, specifically in relation to rising food costs, workforce shortages, and global trade dynamics. In healthcare, he raised concerns over the exodus of Bahamian nurses to higher-paying jobs abroad, straining the country’s healthcare system. Davis called for coordinated efforts between the U.S. and The Bahamas to address this brain drain, a concern that U.S. officials acknowledged, expressing openness to further dialogue and solutions.

Another pressing issue was the controversial use of Cuban medical missions. The U.S. raised concerns about forced labor, while Prime Minister Davis assured that his administration is reviewing existing agreements and remains committed to labor rights and lawful standards.

With hurricane season approaching, Secretary Rubio announced the reactivation of two disaster preparedness programs to improve early warning systems and emergency response throughout the region—initiatives welcomed by the Prime Minister as essential for climate resilience.

In his separate meeting with Treasury Secretary Scott Bessent, Prime Minister Davis pivoted to economic policy and financial services. He reiterated The Bahamas’ commitment to robust financial sector reforms, having passed key legislation and strengthened regulatory oversight. Davis argued that despite The Bahamas’ compliance with international standards, it still faces the negative effects of global blacklisting and de-risking—practices that disproportionately harm small nations with limited global influence.

He urged U.S. authorities to use their position to push for fairer applications of global financial rules, emphasizing that The Bahamas and the U.S. share the same goals of stopping illicit finance and promoting integrity. Secretary Bessent signaled a willingness to explore balanced solutions to mitigate de-risking, and recognized The Bahamas’ efforts as a credible financial partner.

The conversation also touched on digital assets, where The Bahamas has emerged as a leader in regulatory innovation. Davis noted opportunities for cross-border collaboration on supervisory technologies and digital governance. Additionally, he advocated for continued U.S. support in global financial institutions like the IMF, World Bank, and IDB, securing reaffirmation of U.S. partnership.

The longstanding U.S. naval facility AUTEC in Andros also came under discussion. While Davis acknowledged its strategic importance, he pushed for more equitable economic participation for Bahamian workers and contractors in operations related to the base. The U.S. expressed openness to advancing those conversations.

Regional stability, especially the crisis in Haiti, was another key point of concern. Davis welcomed U.S. sanctions on Haitian gang leaders but stressed that security measures alone are not enough. He called for a multi-pronged solution addressing governance and economic development. The U.S. acknowledged the urgency of the situation and indicated interest in coordinated regional action.

In reflecting on the visit, Prime Minister Davis underscored the importance of small nations like The Bahamas actively participating in international policymaking. He said it is vital for global leaders to understand the local impact of their decisions and for countries like The Bahamas to contribute to shaping fair and effective international policies.

The U.S. State Department’s official readout echoed many of the Prime Minister’s statements, reaffirming commitments to regional security, responsible infrastructure development, disaster preparedness, and holding actors accountable for labor abuses. Secretary Rubio also emphasized the importance of transparent procurement in infrastructure projects, cautioning against reliance on partners who may pose privacy and security threats, particularly referencing the Chinese Communist Party.

In summary, Prime Minister Davis’ visit to Washington marked a strategic effort to elevate The Bahamas’ voice on critical issues. With open channels for cooperation and a shared vision for regional security and economic fairness, the meetings set a foundation for deeper collaboration between The Bahamas, CARICOM, and the United States.

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Caribbean News

Carnival Corporation’s AIDA Cruises Showcases Environmentally Sustainable Operations to Caribbean Disaster Management Agency

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BARBADOS (May 8, 2025) – The Caribbean Disaster Emergency Management Agency (CDEMA) gained valuable insights into sustainable cruise operations during a visit on board AIDAbella in Barbados, as AIDA Cruises’ Caribbean season comes to a close. AIDA Cruises, a Carnival Corporation & plc brand, welcomed CDEMA officials aboard to demonstrate the ship’s advanced environmental management and waste reduction systems.

AIDAbella’s Environmental Officer, Sebastian Treue, provided a comprehensive briefing of liquefied natural gas (LNG) power systems on some of AIDA’s ships, highlighting that the cruise line was the first in the industry to introduce a fully LNG-powered cruise ship in 2018 and has continued this standard with newer, much larger vessels such as AIDAcosma.

“This engagement with CDEMA represents an important opportunity for knowledge sharing between the cruise industry and regional experts,” said Sebastian Treue, Environmental Officer from AIDAbella. “As we operate throughout the Caribbean, maintaining strong relationships with organizations like CDEMA is essential to our commitment to responsible tourism and regional cooperation.”

The visit also showcased AIDA’s significant reduction of single-use plastics by over 77% since 2018, advanced wastewater treatment systems and a sophisticated waste management program designed to minimize environmental impact with proper processing and disposal. AIDA’s waste reduction actions also include using a color-coded system that sorts waste into 21 categories for environmentally responsible handling.

CDEMA, headquartered in Barbados, serves as the regional intergovernmental agency for disaster management in the Caribbean Community (CARICOM). The agency coordinates emergency response and relief efforts across 20 participating states, 15 of which are destinations for Carnival Corporation’s cruise lines.

By offering a firsthand look at environmental systems to regional agencies like CDEMA, Carnival Corporation reinforces its commitment to building strong relationships throughout the Caribbean, where its cruise lines including AIDA Cruises operate as responsible tourism partners.

For more information about Carnival Corporation’s sustainability initiatives, visit carnivalcorp.com.

 

PHOTO CAPTION: Officials from the Caribbean Disaster Emergency Management Agency (CDEMA) and AIDA Cruises pose following a tour aboard AIDAbella in Barbados on March 29, 2025. Pictured: Sebastian Treue, Environmental Officer, AIDAbella (fourth from left); Manfred Meierr, Hotel Director, AIDAbella (kneeling); and Charlene Drakes, Manager, Stakeholder Engagements, Caribbean Region of Carnival Corporation & plc (third from right).

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Caribbean News

Managing Animal Health in the Caribbean: WAHIS Training Boosts Trade and Resilience

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Facilitators and speakers at the WAHIS training workshop, supporting enhanced animal health surveillance in the Caribbean.

Port of Spain, Trinidad and Tobago, 7th May 2025: In an essential step toward enhancing animal health management, food safety, and food security in the region, over 100 Caribbean stakeholders from 19 countries completed training on using the World Animal Health Information System (WAHIS). Held on March 27-28, 2025, at the Hyatt Regency Trinidad in Port of Spain, the training provided an unparalleled opportunity for participants to strengthen their expertise in disease reporting, risk management, and biosecurity measures.

This training marked another step in the collaborative effort among the Inter-American Institute for Cooperation on Agriculture (IICA) in collaboration with the United States Department of Agriculture (USDA), the World Organisation for Animal Health (WOAH), the Caribbean Agricultural Health and Food Safety Agency (CAHFSA) and Caribbean Animal Health Network (CaribVET), to advance the region’s capacity to detect, report, and manage animal disease threats. High among these threats are transboundary animal diseases such as the African Swine Fever (ASF) and Avian Influenza, which affect the swine and poultry industries, respectively.

A Game-Changer for Regional Animal Health Management

Participants from across the Caribbean engage in a hands-on session during the WAHIS training workshop.

WAHIS is an internationally recognised platform to enhance disease monitoring and notification. This system enables WOAH member and non-member countries to respond swiftly and effectively to outbreaks.  The updated WAHIS platform also allows the private sector to report animal health risks.   According to Dr Tiffany Chisholm, Senior Veterinary Officer, Department of Agriculture, Cayman Islands Government, “A key challenge to surveillance and reporting on animal diseases is limited human resources. Our ability to navigate the WAHIS interface will assist in determining response needs during outbreaks, expediting report submissions and staying connected with neighbouring islands. Collaboration across Caribbean countries is vital due to the high risk of disease transmission and essential to mitigate that risk.”

Participants welcomed the training, highlighting its practical value and the significant improvements it would bring to national disease surveillance. Many noted that the insights gained would enhance reporting mechanisms, ensuring greater transparency and robustness. Dr Lisa Musai, National Focal Point for Animal Diseases Notification and Chief Veterinary Officer, Ministry of Agriculture, Land and Fisheries, Government of the Republic of Trinidad and Tobago, confirmed the significance of the training in “enhancing Trinidad and Tobago’s ability to report animal health data in a timely and efficient manner. By strengthening our national reporting systems, we’re enhancing both food safety and our credibility in international trade. This localised approach enables us to effectively manage risks and challenges specific to our region, reinforcing our position as a trusted partner in the global agricultural market while safeguarding the health of our population.”

Ensuring animal health is crucial to protecting livestock production and enhancing their capacity to contribute to the Region’s food and nutrition security and rural livelihood objectives.  Left unattended, emerging agricultural health threats, pests, and diseases can decimate food production systems, worsening climate change, supply chain, and food price challenges. Strengthening disease surveillance and reporting systems through platforms like WAHIS, which enable accurate and timely disease reporting, is crucial to protecting the livestock industry, supporting regional producers, and maintaining consumer trust in local food systems. Diana Francis, IICA Representative in Trinidad and Tobago, emphasised that: “In today’s data-driven world, strong information systems are critical, and Artificial Intelligence (AI) is playing an increasing role in improving disease monitoring and response to threats that do not recognise borders or economic status. IICA remains fully committed to collaboration on animal health within the One Health framework”.

About IICA

IICA is the specialised agency for agriculture in the Inter-American system, with a mission to encourage, promote and support its 34 Member States in their efforts to achieve agricultural development and rural well-being through international technical cooperation of excellence.

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