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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.

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Seven Days. Seven Nations. One Storm — Hurricane Melissa

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A week of wind, water, and heartbreak

 

From Haiti’s hillsides to Bermuda’s reefs, seven Caribbean nations have been battered, bruised, and forever marked by Hurricane Melissa — a storm that tested not only the region’s infrastructure but its unshakable spirit of unity.

Saturday–Sunday, October 25–26 – The First Strike: Hispaniola

Before the storm even earned its name, torrential rain and flash floods swept across Haiti and the Dominican Republic, claiming lives and tearing through rural communities.

In southern Haiti, rivers burst their banks, swallowing roads and homes; 23 people were confirmed dead by Sunday evening. Across the border, one death was reported in the Dominican Republic as swollen rivers cut off villages in Barahona and Pedernales.

By nightfall, the tropical system had strengthened — and the Caribbean knew it was facing something historic.

Monday, October 27 – Evacuations and Airlifts

In The Bahamas, Prime Minister Philip Davis issued a mandatory evacuation for the MICAL Islands — Mayaguana, Inagua, Crooked Island, Acklins, Long Cay, and Ragged Island.

Bahamasair added extra flights as the nation braced for what forecasters warned could become the strongest storm in nearly two decades.

Meanwhile, Jamaica, Turks & Caicos, and Cuba activated their national emergency operations centers.

Tuesday, October 28 – Jamaica and Haiti Hit Hard

By afternoon, Hurricane Melissa made landfall near St Elizabeth, Jamaica, as a Category 5 hurricane — winds of 185 mph, central pressure 892 mb, the lowest ever recorded so close to the island.

Roads collapsed, bridges washed away, and Black River Hospital lost its roof. Power failed for 72 percent of the island.

BOJ TV footage shows split asphalt, sparking lines, and flooded communities abandoned for safety.

Initially four were reported dead, that grew to seven deaths and heavy damage in 170 communities; Andrew Holness, Jamaican Prime Minister calling it “a national test of resilience.”

Haiti, still recovering from the weekend’s flooding, was hit again as outer bands dumped more rain on Les Cayes and Jacmel, deepening the humanitarian crisis.

Wednesday, October 29 – Crossing to Cuba

Weakened slightly to Category 4 (145 mph), Melissa tracked north-northeast at 8 mph, hammering eastern Cuba with hurricane-force winds

and mudslides. Over 15 000 people were evacuated from Santiago de Cuba and Holguín.

In Turks & Caicos, the Regiment deployed to Grand Turk, Salt Cay, South, North and Middle Caicos, preparing shelters and securing public buildings.

Thursday, October 30 – The Bahamas and the All Clear

Melissa’s speed increased, sparing the northern Caribbean its worst.

The Bahamas Airport Authority closed 13 airports from Mayaguana to Exuma International; none reported casualties, though infrastructure suffered.

In Turks & Caicos, the all-clear came early Thursday after minimal impact.  Premier Washington Misick expressed gratitude and pledged support for neighbors:

“We must act — not only with words, but with compassion and deeds.”

Friday, October 31 – Counting the Cost

By Friday, Melissa had weakened to Category 3 (120 mph) north of Cuba.

The Bahamas Department of Meteorology issued its final alert, lifting warnings for the southern islands.

Regional toll:

  • Haiti: 23 dead, thousands displaced.
  • Jamaica: 7 dead, 170 communities damaged; 72% without electricity
  • Cuba: 2 dead, 15, 000 evacuated.
  • Dominican Republic: 1 dead, flooding in southwest.
  • Bahamas: 0 dead, minor infrastructure damage and flooding in southeast.
  • Turks & Caicos: minimal to no impact.

Relief and Reconnection

The Cayman Islands became the first government to touch down in Jamaica post-storm. Premier Juliana O’Connor-Connolly led a contingent bringing a plane-load of essentials and pledged US $1.2 million in aid.

Reggae icon Shaggy arrived on a private jet with friends, delivering food, medical kits, and hygiene supplies.

Meanwhile, Starlink and FLOW Jamaica activated emergency satellite internet across Jamaica providing free connectivity through November.

From overseas, U.S. President Donald Trump, speaking during his Asia tour, announced that American search-and-rescue teams and disaster aid will support the region.

“They can depend on U.S. assistance as they recover from this historic storm,” he said.

Faith, Funds, and False Websites

The Government of Jamaica and the Sandals Foundation have both launched verified donation portals for recovery. Officials are warning against fake crowdfunding pages posing as relief sites and urging donors to use only official channels.

A Seventh Nation in the Crosshairs – Bermuda

As Hurricane Melissa left the Caribbean basin, Bermuda found itself next in line.

Forecasts indicated the storm would pass just west of the island late Thursday into Friday, likely as a Category 1 to 2 hurricane with sustained winds near 105 mph.

Though far weaker than when it ravaged Jamaica, officials issued a hurricane warning, urging residents to secure property and expect tropical-storm conditions.

By all appearances Bermuda is heeding the warnings

The Human Response

Across the Caribbean, solidarity surged.

The Global Empowerment Mission (GEM) in Miami began airlifting relief supplies, while churches, civic groups, and businesses in The Bahamas and Turks & Caicos organized drives for displaced families.

“Your dedication gave our islands the strength to face the storm,” Premier Misick said. “Together, as one Caribbean family, we will rise stronger.”

Resilience in the Wake

Melissa’s winds may have faded, but her impact endures. Engineers are inspecting bridges, hillsides, and water systems; volunteers are clearing debris and distributing aid in communities still cut off.

From Haiti’s ravaged river valleys to Jamaica’s sugar towns, from Cuba’s eastern hills to The Bahamas’ salt ponds and Bermuda’s reefs, the region once again stands at the crossroads of ruin and renewal — and leans, as always, toward hope and a faithful God

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Haitian Pushback Halts Controversial Constitution Rewrite — What’s Next?

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Deandrea Hamilton | Editor

 

Haitian media, legal scholars and civic voices did what bullets and barricades couldn’t: they stopped a sweeping constitutional overhaul widely branded as anti-democratic.  Editorials and analyses tore into proposals to abolish the Senate, scrap the prime minister, shift to one-round presidential elections, expand presidential power, and open high office to dual-nationals—a package critics said would hard-wire dominance into the executive at a moment of near-lawless insecurity.

The Venice Commission—Europe’s top constitutional advisory body—didn’t mince words either. In a formal opinion requested by Haiti’s provisional electoral authorities, it pressed for clear legal safeguards and credible conditions before any referendum, including measures to prevent gang interference in the electoral process—an implicit rebuke of pushing a foundational rewrite amid a security collapse.

Facing that drumbeat, Haiti’s Transitional Presidential Council has now formally ended the constitutional-reform initiative. The decision, taken at a Council of Ministers meeting at the National Palace, effectively aborts the rewrite track that has haunted Haiti since the Moïse and Henry eras.

So what now? Per the Miami Herald, the pivot is back to basics: security first, elections next. That means stabilizing Port-au-Prince enough to run a vote, rebuilding the electoral timetable, and empowering the provisional electoral machinery—none of which is simple when gangs control vast chunks of the capital and state authority remains fragile. Recent headlines underline the risk: gunfire has disrupted top-level government meetings, a visceral reminder that constitutional theory means little without territorial control.

Bottom line: Haitian journalists and public intellectuals helped slam the brakes on a high-stakes centralization of power that lacked legitimacy and safe conditions. International constitutional experts added weight, and the transition authorities finally conceded reality. Now the fight shifts to making an election possible—clean rolls, secure polling, and credible oversight—under circumstances that are still hostile to democracy. If the state can’t guarantee basic safety, any ballot is theater. If it can, shelving the rewrite may prove the first real step back toward consent of the governed.

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Political Theatre? Caribbean Parliamentarians Walk Out on House Speaker

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By Deandrea Hamilton | Magnetic Media

 

October 14, 2025 – It’s being called political theatre — but for citizens, constitutional watchdogs, and democracy advocates across the Caribbean, it feels far more serious. Within a single week, two national parliaments — in Trinidad and Tobago and St. Kitts and Nevis — descended into turmoil as opposition members stormed out in protest, accusing their Speakers of bias, overreach, and abuse of parliamentary procedure.

For observers, the walkouts signal a deeper problem: erosion of trust in the very institutions meant to safeguard democracy. When Speakers are viewed as political enforcers instead of neutral referees, parliaments stop functioning as chambers of debate and start performing as stages for power and spectacle — with citizens left wondering who, if anyone, is still accountable.

October 6: St. Kitts Parliament Erupts

The first walkout erupted in Basseterre on October 6, 2025, when Dr. Timothy Harris, former Prime Minister and now Opposition Leader, led his team out of the St. Kitts and Nevis National Assembly in a protest that stunned the chamber.

The flashpoint came as the Speaker moved to approve more than three years’ worth of unratified parliamentary minutes in one sitting — covering 27 meetings and three national budgets — without individual review or debate.

Dr. Harris called the move “a flagrant breach of the Constitution and parliamentary tradition,” warning that the practice undermines transparency and accountability. “No serious parliament can go years without approving a single set of minutes,” he said after exiting the chamber.

The Speaker defended the decision as administrative housekeeping, but critics were unconvinced, branding the move a “world record disgrace.” The opposition’s walkout triggered renewed calls for the Speaker’s resignation and sparked a wider public discussion about record-keeping, accountability, and respect for parliamentary norms in St. Kitts and Nevis.

October 10: Trinidad Opposition Follows Suit

Four days later, on October 10, 2025, the Opposition United National Congress (UNC) in Trinidad and Tobago staged its own walkout from the House of Representatives in Port of Spain.

The UNC accused the Speaker of partisan bias, claiming she had repeatedly blocked urgent questions, ignored points of order, and allowed government members to breach standing orders without consequence.

“The Speaker has failed in her duty to act impartially,” the Opposition declared in a statement. “Parliament is not the property of any political party or Presiding Officer.”

The dramatic exit was seen as a culmination of months of rising tension and frustration, with opposition MPs arguing that parliamentary rules were being selectively applied to silence dissenting voices.

Political analyst Dr. Marcia Ferdinand described the twin walkouts as “a warning sign that parliamentary democracy in the Caribbean is teetering on the edge of performative politics.”

“When chairs become political shields rather than constitutional referees,” she said, “democracy becomes theatre, not governance.”

A Pattern Emerging

While St. Kitts and Trinidad are very different political environments, both incidents point to the same regional fault line: the perception that Speakers — the guardians of parliamentary order — are no longer impartial.

In Westminster-style systems like those across the Caribbean, the Speaker’s authority depends not on power but on public confidence in fairness. Once that credibility erodes, parliamentary control collapses into confrontation.

Governance experts say the implications are serious: eroded trust between government and opposition, declining public confidence in state institutions, and growing voter cynicism that “rules” are flexible tools of political advantage.

Why It Matters

Parliamentary walkouts are not new in the Caribbean, but what makes these recent events different is their frequency and intensity — and the regional echo they’ve created. Social media has amplified images of lawmakers storming out, with citizens from Barbados to Belize questioning whether the same erosion of decorum could be happening in their own legislatures.

Analysts warn that if this perception takes hold, it risks diminishing the moral authority of parliamentary democracy itself.

“Once opposition MPs believe the rules are rigged, and once citizens believe Parliament is just performance,” said one Caribbean governance researcher, “you’ve lost the most valuable currency in democracy — trust.”

Restoring Balance

Political reformers across the region are calling for tighter Standing Order enforcement, independent parliamentary service commissions, and training to strengthen Speaker neutrality. Civil society leaders say the public must also play its part by demanding transparency and refusing to normalize partisan manipulation of parliamentary procedure.

Whether these twin walkouts become catalysts for reform — or simply another episode of Caribbean political theatre — will depend on what happens next inside those chambers.

For now, democracy watchers agree on one thing: when opposition leaders feel the only way to be heard is to walk out, the entire democratic house — not just its Speaker — is in danger of collapse.

 

Angle by Deandrea Hamilton. Built with ChatGPT (AI). Magnetic Media — CAPTURING LIFE.

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