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TCI Health Authorities on Alert as PAHO Warns of Increased Dengue Risk in the Americas Due to DENV-3 Serotype

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Grand Turk, Turks and Caicos Islands – Wednesday, 12 February 2025: The Ministry of Health and Human Services is closely monitoring the growing risk of dengue outbreaks in the region following an alert issued by the Pan American Health Organisation (PAHO). The PAHO alert highlights the increasing circulation of the DENV-3 serotype in the Americas, which has raised concerns regarding potential surges in cases and the severity of the disease.

Dengue, a mosquito-borne viral infection, transmitted primarily by the Aedes aegypti mosquito, has four distinct serotypes: DENV-1, DENV-2, DENV-3, and DENV-4. PAHO has expressed particular concern over the rise of DENV-3, a serotype linked to severe forms of the disease, even in primary infections. This presents a heightened risk to populations who have not been previously exposed to this serotype.

While the DENV-3 serotype has already been detected in several countries across the Americas, including Brazil, Colombia, Mexico, and Peru, its spread to countries in Central America and the Caribbean, including the Turks and Caicos Islands, warrants increased vigilance. The re-emergence of DENV-3 raises the potential for an increase in cases, especially among children and individuals without immunity to the new serotype.

The common symptoms of dengue include:

  • High fever (up to 104°F/40°C)
  • Severe headache
  • Pain behind the eyes
  • Joint and muscle pain (often referred to as “break bone fever”)
  • Rash (which may appear a few days after the fever begins)
  • Nausea and vomiting
  • Fatigue and weakness
  • Mild bleeding (e.g., nosebleeds, gum bleeding)

Severe dengue can develop rapidly and requires immediate medical attention. Warning signs include:

  • Severe abdominal pain
  • Persistent vomiting
  • Rapid breathing
  • Bleeding gums or nosebleeds
  • Fatigue and restlessness
  • Blood in vomit or stool
  • Sudden drop in blood pressure (shock)

If you or someone you know exhibits any of these warning signs, seek medical attention immediately.

There is no specific antiviral treatment for dengue. Management primarily focuses on supportive care to relieve symptoms and prevent complications. This includes:

  • Hydration: Maintaining adequate fluid intake is crucial to prevent dehydration.
  • Pain and Fever Relief: Over-the-counter pain relievers such as acetaminophen (paracetamol) can help manage fever and pain. Non-steroidal anti-inflammatory drugs (NSAIDs) like ibuprofen should be avoided due to the risk of bleeding.
  • Medical Care: Severe cases may require hospitalisation for intravenous fluids and close monitoring.

Dengue prevention relies on controlling mosquito populations and reducing individual exposure. The Ministry of Health encourages all residents to take the following preventive measures:

  • Eliminate mosquito breeding grounds: Remove standing water from containers, such as flower pots, barrels, tires, and gutters, where mosquitoes lay their eggs. Keeping your environment clean reduces potential mosquito breeding sites both in your home and community.
  • Use insect repellent: Apply repellent on exposed skin, particularly during dawn and dusk when mosquitoes are most active.
  • Wear protective clothing: Wear long-sleeved shirts and long pants to reduce mosquito bites.
  • Install mosquito nets or screens where possible, especially when sleeping.

The Ministry of Health is committed to working with local healthcare providers to ensure that the sector is prepared based on the level of risk expressed by PAHO Residents are urged to stay informed and take action to help reduce the spread of dengue in our communities.

The Turks and Caicos Islands join the broader Caribbean and Latin American efforts in mitigating the spread of dengue and safeguarding public health. We urge all residents to remain vigilant and take preventative steps to reduce the spread of this dangerous disease.

For more information please visit the Ministry of Health’s Facebook page at https://www.facebook.com/tciministryofhealth/.

Bahamas News

More Bahamians Accessing HIV, STI Care Through NHI

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NASSAU, Bahamas — More Bahamians are accessing HIV and sexually transmitted infection-related healthcare through National Health Insurance, a trend the NHI Authority says should be viewed positively.

NHIA stressed in an August 6 statement that its 2025 figures measure healthcare utilisation, not newly diagnosed infections. They include beneficiaries screened, treated, monitored or receiving follow-up care, including people diagnosed previously.

“Increased utilisation of these services should be viewed as a positive development,” NHIA said.

The Authority pointed to “greater enrolment and use of NHI, improved access to screening and testing, continued treatment and monitoring of existing conditions, and increased willingness to seek medical care.”

The development comes amid a mixed three-year HIV picture. New diagnoses rose from 130 in 2023 to 156 in 2024, before declining to 142 in 2025.

NHIA said increased utilisation demonstrates that more beneficiaries are accessing needed healthcare and actively managing their health, reinforcing the importance of screening, early diagnosis and continued treatment.

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Health

47,459 MEASLES CASES, 44 DEATHS ACROSS AMERICAS  

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WASHINGTON, D.C. — The Americas has recorded 47,459 confirmed measles cases and 44 deaths in 2026, the region’s highest case count in 22 years, prompting the Pan American Health Organization (PAHO) to urge stronger vaccination, surveillance and rapid outbreak response.

As of July 18, cases were already more than triple the 15,011 recorded during all of 2025. Guatemala, Mexico, the United States and Peru account for 95% of confirmed cases. Guatemala leads with 30,371 cases and 26 deaths, followed by Mexico with 12,255 cases and 17 deaths.

PAHO classifies the regional public health risk as very high, citing active outbreaks, immunity gaps, international travel and populations with inadequate vaccination coverage.

The organization says prevention starts with vaccination. Countries are being urged to achieve and maintain at least 95% coverage with two doses of measles-containing vaccine, particularly protecting children and under-vaccinated communities.

Measles spreads through the air when an infected person breathes, coughs or sneezes. Symptoms can include fever, cough, runny nose, red eyes and a rash.

PAHO is urging health authorities to detect suspected cases early and respond rapidly to stop transmission. Unvaccinated and under-vaccinated people, young children and communities with limited healthcare access face increased risk of severe illness and death.

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Caribbean News

From Pathways to Investment: Tackling the US $6 Billion Food Challenge for the Caribbean

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By Kenroy Roach

The Caribbean’s food systems challenge is fast evolving into a broader development challenge.

Despite decades of policy attention and investment, the region remains one of the most food import-dependent in the world, spending over US$6 billion annually. At the same time, countries continue to grapple with food insecurity, high rates of diet-related non-communicable diseases, climate vulnerability, and exposure to external shocks that can disrupt supply chains and drive up food prices almost overnight.

For Small Island Developing States (SIDS), food security has shifted from an agriculture focus alone, it’s about economic resilience, health, climate resilience and sustainable growth.

Recognizing this reality, Caribbean governments have elevated food systems transformation as a regional priority through the CARICOM 25 x 25 Plus Five Agenda, which seeks to reduce food import dependence while strengthening domestic production, regional trade, and resilience. Across Barbados and the Eastern Caribbean, governments have also developed National Food Systems Pathways that identify the investments, partnerships, and policy reforms needed to transform food systems and accelerate progress toward the Sustainable Development Goals (SDGs).

Yet one challenge has remained persistent: financing.

In the face of high levels of public debt and limited fiscal space, while public investment remains critical, Caribbean governments simply cannot shoulder the financing burden alone. Transforming food systems at scale requires mobilizing far greater private capital, alongside development finance and public resources.

This was the rationale behind the recent convened in Barbados.

The Forum brought together governments, investors, international financial institutions, private sector leaders, regional organizations, and the United Nations around a simple proposition: food systems should be viewed not only as a development priority, but also as an investable asset class.

A distinguishing feature of the innovative gathering was its focus on attracting private investment—particularly private equity, impact investment, and blended finance solutions capable of supporting businesses and infrastructure across food value chains. By helping enterprises access growth capital and connecting investors with scalable opportunities, the initiative sought to unlock financing that complements public investment rather than adding to already constrained public balance sheets.

A key outcome was the launch of a regional Deal Book comprising approximately US$320 million in investment opportunities across seven countries, spanning agriculture, fisheries, agro-processing, logistics, and strategic food systems infrastructure. The Deal Book created a practical bridge between capital seeking opportunities and opportunities seeking capital, while enabling direct engagement between governments, enterprises, and investors.

The results were encouraging.

Across four sector-focused deal rooms, participants explored investment-ready and near-investment-ready opportunities and discussed blended finance private equity, risk-sharing, and partnerships to advance projects toward implementation.

The Forum highlighted a shift in perspective: food systems are now seen as strategic drivers of economic diversification, resilience, competitiveness, and growth. Investments across production, processing, logistics, and distribution can strengthen regional supply chains, create new businesses, generate jobs, and reduce vulnerability to external shocks.

For the United Nations, this experience reinforced an important lesson.

Transforming food systems requires more than the technical expertise of individual agencies. It requires integrated solutions that connect agriculture, nutrition, health, climate resilience, trade, private sector development, and financing.

This is where the Resident Coordinator System plays a critical role.

Across Barbados and the Eastern Caribbean, the Resident Coordinator Office has united UN system capabilities around a common food systems agenda. Working with FAO, WFP, the UN Food Systems Coordination Hub, and other partners, the RCO has helped align policy support, technical expertise, partnerships, and financing with nationally identified priorities.

The Forum demonstrated this integrated approach by convening governments, investors, development finance institutions, private sector actors, and UN agencies around a common objective. It showcased the UN’s comparative advantage as a trusted broker capable of connecting development priorities with investment opportunities.

The Forum’s success will be measured not by dialogue generated, but by investments mobilized, businesses expanded, and progress made toward resilient, competitive Caribbean food systems across the Caribbean.

Its most important outcome may therefore be what comes next.

The work starts now.

Kenroy Roach is Head of the UN Resident Coordinator Office for Barbados and the Eastern Caribbean

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