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Food Safety: Prepare for the Unexpected

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World Food Safety Day 2024

 

Foodborne diseases (FBDs) remain a public health concern in the Caribbean and across the world, with one in 10 people worldwide falling ill from contaminated food each year[1]. Increasing numbers of FBD cases and outbreaks have been reported across CARPHA Members States (CMS), especially in the tourism and cruise ship industry.  FBDs can cause morbidity, mortality, and economic burden of countries; it can also pose significant economic, social, and reputational impact on trade and tourism.

The Caribbean Public Health Agency (CARPHA) joins the Food and Agriculture Organization of the United Nations and the World Health Organization (WHO) to commemorate World Food Safety Day on June 7th.  The theme for 2024 “Food safety: prepare for the unexpected” reiterates that food safety is a collective responsibility, and everyone needs to play their part.  

 At all levels, we must be prepared to intervene if food safety is compromised, such as:

  • Governments can update national food safety emergency response plans, strengthen national food control systems, increase surveillance and coordination capacities, and improve communication.
  • Food businesses can improve food safety management plans, collaborate, and share lessons learnt and improve communication with consumers.
  • Consumers can ensure they know how to report or respond to a food safety incident.

Dr. Lisa Indar, Director, Surveillance, Disease Prevention and Control Division at CARPHA stated that “Food safety is crucial for supporting economic productivity in the tourism dependent, vastly culinary diverse Caribbean region.   CARPHA is contributing to regional food security through improving food borne diseases surveillance and food safety in its 26 Member States.”

In a 2021 WHO study, the incidence of FBD was 1 in 11 during the mass gathering events, such as cricket matches, carnival, food festivals, etc.[2] With this in mind and as the Caribbean is hosting the ICC Men’s T20 World Cup (May/June 2024), CARPHA continues to be proactive and lead the regional public health response.  The Agency has collaborated with both health and tourism stakeholders of the six Caribbean Cricket World Cup (CWC) host nations (Antigua and Barbuda, Barbados, Guyana, Saint Lucia, St. Vincent and the Grenadines and Trinidad and Tobago) to strengthen surveillance, early warning and response, laboratory, health, prevention and control and food safety capacity in preparation for CWC and other mass gathering events.

During this preparatory phase from February to May 2024, almost 900 food vendors likely to be selling food at the cricket stadiums/and its environs, were trained in Food Safety for Food Handlers for Mass Gathering Events. Additionally, a Mass Gathering Surveillance System was developed and implemented to capture the six internationally recognised potential syndromes, which includes gastroenteritis.

To adequately address FBD and food safety in the Caribbean, CARPHA is implementing an integrated foodborne diseases program, integrating the epidemiological, laboratory, environmental and veterinary aspects of FBD surveillance and response, into a coordinated programmatic approach, regionally and nationally. Its components of surveillance, training, capacity building, outbreak investigation, research, preparation and control, are addressing FBD in a wholistic manner to promote food safety in the Region. CARPHA has also trained and certified over 500 persons in nine of its Member States in advanced food safety and has developed a suite of hospitality, health, food safety and environmental standards, to provide a basis for the development of an effective food safety program for the hospitality industry.

CARPHA remains committed to working with partners and Member States to strengthen regional food safety through multi-sectoral collaboration, capacity building activities, exchange of information and communication.

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Bruce Willis’ Brave Gift to Dementia Research – And His now Quiet Link to Turks & Caicos

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December 4, 2025 – Hollywood legend Bruce Willis – arguably the most famous former home owner in Turks and Caicos Islands – is facing the most difficult role of his life and turning it into one last act of service.

Willis, 70, retired from acting in 2022 after his family revealed he had been diagnosed with aphasia. The following year, specialists confirmed he is living with frontotemporal dementia (FTD), a degenerative brain disease that attacks language, behaviour and personality.

In recent interviews and appearances, his wife Emma Heming Willis has said Bruce is “surrounded by love and care” and that the family is learning to find joy in new ways, even as the disease progresses.

Now, Heming Willis has gone further.  In her 2025 memoir The Unexpected Journey, she writes that the family has decided Bruce’s brain will be donated to science after his death to advance research into FTD.  That decision has been highlighted in recent coverage by futurist and science outlets, which describe it as a carefully considered step after months of watching a still-physically-strong man steadily lose speech, reading and independence.

Neurologists have long stressed how rare donated brain tissue is for FTD, and how essential it is to understanding which proteins, mutations and mechanisms are actually driving the disease.  The Willis family’s choice means the brain that powered some of cinema’s most iconic characters could one day help researchers diagnose the condition earlier and design better treatments – even if it cannot help Bruce himself.

For Turks and Caicos, the story lands close to home.  For nearly two decades Willis owned “The Residence” on exclusive Parrot Cay – a 7.3-acre, Asian-inspired beachfront compound with a five-bedroom main house, two guest villas and a yoga pavilion.  He and Emma listed the estate in March 2019 for US$33 million; it sold a few months later for about US$27 million, one of the biggest residential deals in TCI history.

So, while Bruce Willis no longer has a physical address in Turks and Caicos, his connection to these islands remains part of his global story – a story now shifting from blockbuster fame to medical legacy, as his family turns private heartbreak into a public contribution that could change what we know about dementia.

Developed by Deandrea Hamilton • with ChatGPT (AI) • edited by Magnetic Media.

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From 54 New Cases in July to Zero in August: TCI’s COVID Turnaround

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Deandrea Hamilton | Editor

Turks and Caicos, September 6, 2025 – COVID-19 fears in the Turks and Caicos Islands that once had residents on edge are now giving way to a sense of relief. The Ministry of Health and Human Services reports a dramatic reversal: from dozens of new cases in July to zero cases and zero hospitalizations today.

Between August 17 and 23, 2025, officials confirmed no new cases, no hospitalizations, and no new deaths. Just two recoveries were recorded, bringing the national recovery tally to 6,866. The total confirmed cases since 2020 stand at 6,922, with deaths unchanged at 41. Health officials say August has been relatively quiet overall, with 19 new cases and recoveries recorded for the month — a fraction of what the islands faced just weeks earlier.

The contrast could not be sharper. The most concerning bulletin came in mid-July, when the Ministry reported 54 new cases in a single week. Ten were fresh positives, while the other 44 came from a backlog of April samples. At that time, two new hospitalizations were recorded, and the islands mourned one additional COVID-related death, bringing the total to 41. It was a sobering reminder that the virus was still circulating, pushing recoveries to 6,845 and raising the cumulative case count to 6,910. The July spike stirred fear among residents and renewed calls for vigilance, as community spread and delayed lab results painted a worrying picture.

Fast forward to late August, and the numbers tell a very different story. Not only are new cases negligible, but the hospitals are reporting no COVID-19 patients at all. Officials say testing continues across a wide range of categories, and the Ministry urges the public to stay cautious: wash hands, wear masks in crowded spaces, protect the vulnerable, and get vaccinated. But the tone now is one of optimism.

Since the pandemic began in 2020, Turks and Caicos has recorded nearly 7,000 cases in total, with 6,866 recoveries and 41 deaths. The islands’ small population means every case has felt significant, and surges like July’s were especially unsettling. But today’s figures suggest the country has reached a new stage: COVID-19 is no longer the disruptive force it was. The Ministry credits continued public vigilance and the accessibility of free testing and vaccines at government clinics. While the numbers are cause for celebration, health leaders are careful not to declare the fight over. The Ministry’s latest bulletin reminds residents to maintain hygienic practices, follow self-isolation guidelines if infected, and ensure vaccinations are up to date.

The pandemic may not be entirely behind the Turks and Caicos, but compared to the frightening figures of July, the near-zero landscape of August offers a powerful sign of hope.

The Ministry released the bulletin on September 2, confirming that for the week of August 17–23, no new cases, hospitalizations, or deaths were recorded — a sharp contrast to the surge just weeks earlier.

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Turks and Caicos Islands Health Delegation Completes Strategic Visits to Florida and Cayman Islands to Advance Health Sector Reform and Strengthen Treatment Abroad Programme  

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MoHHS Team-Broward Health

Providenciales, Turks and Caicos Islands, 22 August 2025 — A high-level delegation from the Ministry of Health and Human Services (MOHHS) has successfully concluded strategic working visits to Florida and the Cayman Islands from August 5–13, 2025. The mission aimed to strengthen the Treatment Abroad Programme, explore innovative health system models, and advance the Turks and Caicos Islands’ health sector reform agenda through strategic regional partnerships.

Delegation Members:

  • Hon. Kyle Knowles – Minister of Health and Human Services

    MoHHS Team with Health City Executive Management Team

  • Mrs. Desiree Lewis – Permanent Secretary, Health and Human Services
  • Mr. Lynrod Brooks – Director, Health Policy and Planning
  • Ms. Florinda Talbot – Contract Performance Manager
  • Mrs. Romaine Missick-Smith – CEO, Health Regulations Authority
  • Ms. Jasmine Malcolm – Executive Administrator, MOHHS

Minister of Health and Human Services, Hon. Kyle Knowles, highlighted the significance of these engagements:

“These visits were not ceremonial; they were strategic, focused, and impactful. In Florida, we reinforced partnerships with leading healthcare providers to ensure TCI patients referred overseas receive the highest standards of clinical care and patient support. In the Cayman Islands, our mission was two-fold: to study the operations of the Cayman Islands Health Services Authority as a model to guide the establishment of our own Health Services Authority, and to strengthen ties with Cayman-based treatment partners, where many of our patients are referred under the Treatment Abroad Programme. Both visits underscored that small island states share many health challenges, and that collaboration, innovation, and adapting best practices to our local context are essential to achieving better health outcomes for our people.”

Florida – Strengthening the Treatment Abroad Programme

MoHHS Team with Cayman Minsterial officials

During the period August 5–9, the delegation visited Broward Medical Center, University of Miami Health System, Cleveland Clinic, Nicklaus Children’s Hospital, and the International Reinsurance Managers Network. They also toured REVA Air Ambulance Services to review medical evacuation operations and patient transfer management.                                                                                                                                                     Discussions centered on patient care pathways, specialized services in ophthalmology, cardiology, oncology, and pediatrics, family-centered care models, advanced telemedicine for pre- and post-treatment consultations, and reinsurance strategies for high-cost overseas cases. Key outcomes include agreements to expand telehealth consultations, develop a standardized referral package to reduce delays, explore reinsurance arrangements to safeguard public health budgets, and establish specialized pediatric transfer protocols.

Cayman Islands – Health Sector Reform and Treatment Abroad Partnerships
From August 10–13, the delegation engaged with senior executives at Health City Cayman Islands, including Dr. Binoy Chattuparambil (Clinical Director), Shomari Scott (Chief Business Development Officer), Rebecca Brooks (Head of Marketing and Sales), and Ingrid Harris (Sales and Marketing). The team toured two hospital facilities and held in-depth discussions with Lizzette Yearwood, Chief Executive Officer along with leadership staff of the Cayman Islands Health Services Authority

The focus was two-fold:

  1. Health Sector Reform – Examining governance, financial management, and operational structures of the Cayman Islands HSA model

    MoHHS Team with CEO and senior official Cayman HSA 

    to inform TCI’s development of its own Health Services Authority.

  2. Treatment Abroad Strengthening – Reviewing current referral arrangements with Cayman healthcare partners to enhance patient care coordination and improve treatment pathways for TCI patients referred to Cayman.

The delegation also met with Honourable Katherine Ebanks-Wilks, Minister for Health, Environment, Sustainability, and Honourable G. Wayne Panton, Parliamentary Secretary for Health. The team concluded with a meeting with Acting Premier Hon. Gary B. Rutty and Cabinet members, reaffirming the shared commitment to improving healthcare access and outcomes through regional collaboration.

Next Steps

The Ministry will incorporate lessons learned from these visits into ongoing health reform planning, ensuring that the proposed Health Services Authority is tailored to TCI’s needs while reflecting regional best practices. Efforts will continue to ensure that the Treatment Abroad Programme delivers efficient, sustainable, and patient-centered care.

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