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CARPHA Partners with SE-COMISCA to Foster Deeper Health Synergies between Central America and the Caribbean

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Port of Spain, Trinidad and Tobagoa:  On 5 February 2025, the Caribbean Public Health Agency (CARPHA) has formalised a significant partnership with the Executive Secretariat of the Council of Ministers of Health of Central America and the Dominican Republic (SE-COMISCA) through the signing of a five -year Memorandum of Understanding (MOU).  This collaborative effort aims to foster deeper health synergies between Central America and the Caribbean.

The MOU was signed by Dr Lisa Indar, Executive Director of CARPHA and Dr. Alejandra Acuña Navarro, Executive Secretary of COMISCA, at the Courtyard Marriott in Trinidad.

Dr. Lisa Indar, Executive Director of CARPHA, stated  “The Memorandum of Agreement between CARPHA and SECOMSICA confirms our commitment to deepen solidarity to improve public health support, build stronger and closer relations, and coordinate on areas of mutual interest in advancing progress towards the achievement of tangible results of regional and international health agendas. This is important because the Caribbean faces a number of challenges, including climate change, chronic diseases, non-communicable diseases, and emerging and reemerging health emergencies that can impact health security. By working together, CARPHA and SE-COMISCA can better address the challenges facing our regions and improve the lives of our people.”

Dr. Alejandra Acuña, Executive Secretary of SE-COMISCA acknowledged “Today, we are witnessing the signing of a Memorandum of Understanding between the Council of Ministers of Health of Central America and the Dominican Republic (SE-COMISCA) and the Caribbean Public Health Agency (CARPHA). This strategic milestone in biregional cooperation will help to strengthen health systems in both regions. This agreement formalises the mutual commitment of both institutions to promote a comprehensive approach to public health. It also facilitates the implementation of joint initiatives in health surveillance, response to health emergencies, and the exchange of knowledge and best practices. In a global context where cooperation is key to facing emerging health challenges, this instrument establishes a framework for action that will favour the articulation of efforts, the optimisation of resources and the development of innovative projects and strategies that contribute to the well-being of the populations of both regions”.

In 2023, CARPHA led the launch of the Joint Sub-Regional Collaboration in Health with SE-COMISCA, to promote the exchange of knowledge, best practices and lessons learned to improve health. CARPHA facilitated a webinar series entitled ‘Sharing of Expertise, Experiences, and Lessons Learned to Improve Health Outcomes.’ The initiative was supported by the Spanish Agency for International Development (AECID) under the CARICOM Spain Project entitled ‘Health System Strengthening for CARICOM Member States to Respond to the COVID-19 Pandemic and other Emerging and Re-Emerging Threats’.

The purpose of this MOU is to improve collaboration and dialogue between CARPHA and SE-COMISCA on public health to advance the objectives of the Revised SICA-CARICOM Plan of Action 2022 and the Joint Declaration of San Pedro, IV Summit of Heads of State and Government of the Caribbean Community (CARICOM) and of the Central American Integration System (SICA).

Bringing remarks virtually Dr. Armstrong Alexis, Deputy Secretary-General, CARICOM stated “This symbolic ceremony signifies the commitment to enhance interagency partnerships for public health services delivery in the Caribbean.   Through the Agency’s dedicated efforts, citizens of this region have derived considerable benefits from interventions that have increased our stock of regional public goods.  Signing this MOU sets the basis for further solidifying the significant role that CARPHA plays in strengthening health systems across our interconnected yet vulnerable region.”

Delivering remarks, Her Excellency María Cristina Pérez Gutiérrez, Ambassador of the Kingdom of Spain to Trinidad and Tobago stated “Spain has made health a central pillar of our engagement with both the Caribbean and Central America, and we continue to work alongside our partners to ensure that no one is left behind. This initiative to link CARPHA and SE-COMISCA comes at a crucial time, as it creates an opportunity to exchange knowledge, share best practices, and enhance regional cooperation in public health.”

Under this agreement, CARPHA and SE-COMISCA are committed to collaborating on several key initiatives.  The organisations will seek to:

  • Strengthen immediate and long-term public health support for improved pandemic preparedness, response and disease prevention.
  • Enhance the benefits derived from the procurement of drugs and other sanitary technologies in the ministries and other institutions of health in the Member States of COMISCA and CARPHA. This will be achieved by promoting the use of pool procurement mechanisms with competitive pricing such as the “Negociación Conjunta COMISCA®”.
  • Dialogue and exchange of best practices on existential health threats such as AMR, non-communicable diseases (NCDs), especially heart disease, obesity, and cancer; Communicable diseases, especially HIV, Malaria and Tuberculosis; and the promotion of joint strategies for the development and strengthening of health sectors.
  • Support the results of the 2023 UN Declaration on Universal Health Coverage, to promote the fight against these diseases and seek support for actions aimed at achieving global consensus in this area, to attain tangible results by the international community.
  • Develop and disseminate a Technical Annual Report on the CARPHA and SE-COMISCA Joint Collaboration in Health.

The Honourable Kevin Bernard, Minister of Health and Wellness of Belize remarked “Today’s signing marks a pivotal step in regional collaboration.  By uniting the Caribbean and Central America, we enhance our collective ability to tackle public health challenges, ensure access to essential medicines and building resilient health systems.  Together, we are committed to advancing health equity, securing a healthier future for our regions.”

“The purpose of this MOU is to foster improved collaboration and dialogue between CARPHA and SE-COMISCA, advancing the objectives of the Revised SICA-COMISCA Plan of Action and the Joint Declaration of San Pedro. By working together, we aim to deepen solidarity for pandemic preparedness, enhance procurement mechanisms, and exchange best practices on critical health threats,” stated The Honourable Phillip Telesford, Chair of CARPHA’s Executive Board and Minister of Health, Wellness and Religious Affairs, Grenada.

In his closing remarks, Mr. Román Cordero Mojica, Project Portfolio Unit, SE-COMISCA stated, “I am confident that the work of both institutions will be strengthened by today’s definitions and that this will benefit the health and wellbeing of the people of Central America and the Caribbean.”

Ahead of the signing the SE-COMISCA team visited CARPHA’s Headquarters and met with CARPHA’s Executive Management and technical teams to discuss technical areas including Disease Risk Management, HIV, Research, and Laboratory. The visiting team also toured the CARPHA Medical Microbiology Laboratory.

Photo Caption: 

Standing left to right: Dr Horace Cox, Assistant Director of Surveillance, Disease Prevention and Control CARPHA; Dr. Mark Sami Corporate Services Director CARPHA; Her Excellency María Cristina Pérez Gutiérrez, Ambassador of the Kingdom of Spain to Trinidad and Tobago;   Ms.Ginnette Morales, Head of Cabinet, SR-COMISCA;  Mr. Román Cordero Mojica, Project Portfolio Unit, SE-COMISCA; Seated: left to right: Dr Lisa Indar, Executive Director CARPHA; Dr. Alejandra Acuña Navarro, Executive Secretary of COMISCA

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Fighting the fungus foe of the beloved banana

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How Venezuelan farmers are learning to grow and live with a devastating plant disease

 

In the fields of Venezuela, where the banana has been for generations a symbol of sustenance and tradition, a shadow fell across the land. In 2023, Venezuela’s National Institute of Integral Agricultural Health (INSAI) declared a phytosanitary emergency: the fungus Fusarium Tropical Race 4 (TR4) (Fusarium oxysporum f. sp. cubense tropical race 4; syn. Fusarium odoratissimum) had arrived in producing areas in the states of Aragua, Carabobo and Cojedes.

This fungus, considered a devastating disease of banana and plantain (Musaceae) trees, can remain in the soil for more than two decades, threatening production and the lives of those who depend on it.

In the state of Aragua in the north of the country, the Renacer community had been growing bananas and plantains on 20 hectares since 2018. Then Fusarium arrived.

“When the disease hit, the entire plantation began to deteriorate. We refused to ‘die’ with the trees because that was our livelihood. The visits of INSAI confirmed that we had to chop down the banana trees. I cried a lot because I had worked with my banana trees for years,” recalls woman farmer, Lesbia Margarita García, with a broken voice.

In response, INSAI implemented measures to eliminate the affected plantations and improve the soil health by changing to other crops that allow agricultural production to recover. The Food and Agriculture Organization of the United Nations (FAO) offered assistance by providing corn seeds, tools, biosecurity inputs and training, with teams of experts helping farmers to start again.

“Planting corn, thanks to the INSAI-FAO programme, gave us a harvest that benefited everyone. We have been improving the soil,” says Lesbia Margarita with a smile. “Now we rotate crops, observe soil health and have learned how to use natural fertilizers. Expert assistance has been key.”

The pilot project works directly with affected producers in high-risk areas, promoting alternative crops such as cereals and vegetables, delivering inputs and tools to mitigate damage and applying biosecurity measures for safe and effective containment.

“Beyond the corn received, we have already planted cassava, chili peppers, beans and pumpkin. We hope that by the end of the year [2025] we will be diversified and that each season we will have something to sell. These lands do not give up,” says Lesbia Margarita with conviction.

The Renacer community is beginning to see fruits. Their products are reaching local markets, generating income and rebuilding their livelihoods.

Key actions to manage Fusarium TR4 are ongoing, including regular monitoring, continuous training, inter‑institutional coordination, updates to the national plan, information campaigns and producer impact assessments. INSAI is sustaining regulatory, surveillance measures and training —with FAO support—as part of a comprehensive long‑term strategy.

At the global level, FAO supports awareness raising, capacity building and international collaboration in the fight against Fusarium TR4 by facilitating the World Banana Forum and its Global Network on TR4.

“The objective is for countries to strengthen their operational and technical capacity, articulating actions between the public sector, the private sector and family farmers,” says Raixa Llauger, FAO Agriculture Officer in Mesoamerica. “FAO and local partners have promoted this approach in Venezuela.”

As an essential part of the activities, a comprehensive training programme was developed with activities that taught farmers how to identify the disease contain it and protect crops. In addition, FAO has distributed laboratory equipment, biosecurity tools and a multispectral drone to INSAI. Drones are an efficient and cost‑effective tool for phytosanitary surveillance, offering rapid, high‑resolution monitoring and early detection of plant pests and diseases.

Overall, the project strengthened biosecurity measures against the Fusarium fungus through the adoption of the National Action Plan and the establishment of partnerships with national and international institutions. In addition, the pilot initiative supporting smallholder farmers in key production areas and a nationwide awareness campaign with broad outreach improved surveillance, diagnosis and phytosanitary response capacities across the country.

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Widow’s Testimony Recounts Night Haiti President Was Killed

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MIAMI, Florida — Emotional testimony from Martine Moïse, the widow of assassinated Haitian President Jovenel Moïse, has given jurors in a U.S. federal courtroom a chilling account of the night gunmen stormed the presidential residence and killed the country’s leader.

Martine Moïse took the stand this week in Miami as part of the ongoing trial of several men accused of helping plan and finance the July 7, 2021 assassination, a crime that plunged Haiti into political crisis and remains only partially solved.

She told the court that armed men forced their way into the president’s private home in the hills above Port-au-Prince during the early morning hours, firing multiple shots at her husband while she lay beside him. She testified that she was also wounded in the attack and survived by pretending to be dead until the gunmen left the room.

According to prosecutors, the plot involved a group of foreign mercenaries, including former Colombian soldiers, along with Haitian and Haitian-American suspects. Investigators say some of the men believed the mission was to detain the president, but the operation turned into an assassination.

The Miami trial is focusing on the alleged role of South Florida businessmen and others accused of organizing or financing the plan, part of a wider international investigation that has stretched across several countries.

More than four years after the killing, the question of who ultimately ordered the assassination remains unanswered, with suspects still in custody in both Haiti and the United States as the case continues to unfold.

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

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Jamaica Joins Afreximbank Agreement, Strengthening Africa–Caribbean Partnership

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CARIBBEAN — Jamaica has become the 13th CARICOM member state to accede to the African Export-Import Bank Establishment Agreement, further strengthening economic ties between Africa and the Caribbean.

The development was confirmed during the 50th CARICOM Heads of Government Meeting, where an Afreximbank delegation led by George Elombi and Kanayo Awani met with Jamaica’s Prime Minister Andrew Holness to advance cooperation.

Prime Minister Holness thanked the bank for its support following Jamaica’s recent hurricane, noting that Afreximbank financing helped restore critical infrastructure including water, electricity, sewage systems and roads, while also assisting reconstruction efforts aimed at building stronger resilience to future disasters.

The meeting also focused on broader development opportunities tied to Jamaica’s membership in the agreement. Discussions included rebuilding and modernising infrastructure such as railways, hospitals and other public facilities, while strengthening regional transportation and trade networks to improve the movement of people and goods across the Caribbean.

Afreximbank has been expanding its presence in the Caribbean as part of its strategy to connect Africa with the region often referred to as “Global Africa.” The bank has already committed billions of dollars in financing and trade support to Caribbean economies in recent years, including funding for infrastructure, trade facilitation and private sector investment.

By joining the agreement, Jamaica gains expanded access to Afreximbank’s financial instruments, technical support and trade networks designed to promote commerce between Africa and CARICOM states.

Regional leaders say the growing partnership could unlock new opportunities in areas such as trade, logistics, tourism, manufacturing and cultural exchange, strengthening economic cooperation between the two regions with deep historical and diaspora ties.

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

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