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Update on outbreak of gastroenteritis in Grand Turk

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Grand Turk, Turks and Caicos Islands – Friday, 13 September 2024Following our previous report on an outbreak of gastroenteritis in Grand Turk, the Ministry of Health and Human Services can confirm the results of the samples tested from affected individuals by the National Public Health Laboratory. Samples tested returned five positive for norovirus and one positive for E. coli.

Norovirus is a highly contagious virus which causes diarrhea and vomiting. Most persons with norovirus recover after 1-3 days.

Signs and symptoms

A person usually develops symptoms 12 to 48 hours after exposure to norovirus.

  • Most common symptoms: diarrhea, vomiting, nausea, stomach pain
  • Other symptoms: Fever, headache, and body aches

Dehydration

If you have norovirus illness, you can feel extremely ill, and vomit or have diarrhea many times a day. This can lead to dehydration (loss of body fluids), especially in young children, older adults, and people with other illnesses. Symptoms of dehydration include:

  • Decreased urination
  • Dry mouth and throat
  • Feeling dizzy when standing up
  • Crying with few or no tears
  • Unusual sleepiness or fussiness

 Who is at risk

Anyone can get infected and sick with norovirus, and people of all ages can get infected during norovirus outbreaks.

Children younger than 5 years old, older adults, and people with weakened immune systems are more likely to develop severe infections.

How it spreads

Norovirus spreads very easily and quickly in different ways but primarily occurs through the fecal-oral route. You can get norovirus by:

  • Having direct contact with someone with norovirus, like caring for them, sharing food or eating utensils with them, or eating food handled by them.
  • Eating food or drinking liquids that are contaminated with norovirus.
  • Touching contaminated objects or surfaces and putting your unwashed fingers in your mouth.

You can still spread norovirus for two weeks or more after you feel better.

Prevention

Norovirus is very contagious, but you can take steps to protect yourself and others, including:

  • Wash your hands well and often with soap and water for at least 20 seconds, especially:
  • After using the toilet or changing diapers.
  • Before eating, preparing, or handling food.
  • You can use hand sanitisers in addition to hand washing, but hand sanitiser is not a substitute for handwashing, which is best.
  • Cook shellfish thoroughly and wash fruits and vegetables.
  • Do not prepare, handle food, or care for others when you are sick.
  • Clean and disinfect contaminated surfaces.

After someone vomits or has diarrhea, always clean well and disinfect the entire area immediately.

  • Wear rubber or disposable gloves, wipe the entire area with paper towels, and throw the towels in a plastic trash bag.
  • Disinfect the area as directed on the product label.
  • To disinfect, use a chlorine bleach solution with a concentration of 1,000 to 5,000 ppm (5 to 25 tablespoons of household bleach [5% to 8%] per gallon of water) or use an EPA-registered disinfecting product against norovirus.
  • Leave bleach disinfectant on the affected area for at least 5 minutes.
  • Clean the entire area again with soap and hot water.
  • Wash laundry in hot water.
  • Stay home when sick. Once symptoms stop, stay home for an additional 2 days (48 hours).

 Treatment and recovery

Most people with norovirus illness get better within 1 to 3 days. There is no specific medicine to treat people with norovirus illness. Antibiotic drugs will not help treat norovirus infections because they fight bacteria, not viruses.

Watch for dehydration

Watch for signs of dehydration (loss of body fluids) in children who have norovirus illness. Children who are dehydrated may cry with few or no tears and be unusually sleepy or fussy.

Drink plenty of liquids

If you have norovirus illness, you should drink plenty of liquids to replace fluid lost from vomiting and diarrhea. This will help prevent dehydration.

Sports drinks and other drinks without caffeine or alcohol can help with mild dehydration. However, these drinks may not replace important nutrients and minerals. Oral rehydration fluids that you can get over the counter are most helpful for mild dehydration.

Seek medical care for severe dehydration.

 Dehydration can lead to serious problems. Severe dehydration may require hospitalisation for treatment with fluids given through your vein (intravenous or IV fluids). If you think you or someone you are caring for is severely dehydrated, visit your healthcare provider.

The Minister of Health and Human Services, Honourable Shaun D. Malcolm, wishes to advise the general public that the Ministry of Health will continue to work diligently to not only reduce but to stem the spread of the Norovirus outbreak.  He stated that he is confident that the Public Health Team is more than capable to manage the outbreak and encourages the general public to do its part.

 For additional information, please call 649-338-5469 or visit the Ministry of Health and Human Services Facebook page at https://www.facebook.com/tciministryofhealth/.

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Gut Health Linked to Lower Colorectal Cancer Risk According to Cleveland Clinic Dietitian

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March 19, 2026 – March is Colorectal Cancer Awareness Month, a time dedicated to highlighting the importance of prevention and early detection of one of the most common cancers affecting both men and women, according to the CDC.

March is Colorectal Cancer Awareness Month and according to the CDC, colorectal cancer is the third most common cancer for both men and women.

The good news is there are ways to help prevent it, like improving your gut health.

“A healthy gut and a diverse microbiome help decrease inflammation, and chronic inflammation we know can lead to increased risk of cancer, specifically colorectal cancer,” explained Julia Zumpano, RD, registered dietitian at Cleveland Clinic.

Zumpano said we can help improve our gut health by improving our diet.

She recommends eating foods that are high in fiber, such as whole grains, fruits, vegetables, legumes, nuts and seeds.

She also suggests adding fermented and probiotic foods into your diet. Some ideas include yogurt, kefir, kimchi and sauerkraut.

Zumpano notes that it can be overwhelming to eat a bunch of new foods at once, which is why it’s best to make a gradual transition.

“I would first begin by reducing processed foods and incorporating more fiber rich foods. And you’ll see your gut symptoms improve. So, if you have any symptoms like constipation or diarrhea, those things should improve. Now if you’re finding that you’re having gastrointestinal symptoms that aren’t going away despite making positive health changes, that’s when you should seek medical attention,” she advised.

Besides keeping a healthy diet, Zumpano said it’s also important to make sure you’re getting enough physical activity as exercise has been shown to help reduce a person’s risk for colorectal cancer.

By focusing on small sustainable lifestyle changes such as eating a fiber-rich diet, supporting gut health and staying physically active, people can take meaningful steps toward lowering the risk of colorectal cancer and improving their overall health.

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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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