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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/.

Health

Cleveland Clinic Completes Its First Robotic Lung Transplant in US

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Cleveland Clinic staff performing their first U.S. robotic lung transplant surgery

Health system is one of only a handful in the world able to perform the complex robotic procedure

In May 2026, surgeons at Cleveland Clinic successfully completed the health system’s first robotic lung transplant in the United States, marking a significant advancement in minimally invasive organ transplants. Cleveland Clinic is among only a small number of centers worldwide offering this surgical approach and was the first in Ohio to complete this type of procedure. Robotic lung transplants have rarely been performed because they require advanced robotic capabilities and a skilled surgical team.

Gregory Jones, MD, a thoracic surgeon at Cleveland Clinic’s Heart Vascular and Thoracic Institute, led the surgical team for the single lung transplant procedure, which also included Kenneth McCurry, MD, a cardiothoracic surgeon and surgical director of lung transplantation and enterprise director of transplantation.

“This achievement reflects the collaboration and innovation across our transplant and surgical teams,” said Dr McCurry. “As these technologies continue to evolve, they will play an increasingly important role in improving patient outcomes and advancing the future of transplantation. Indeed, our kidney and liver transplant programs in Ohio have also been at the forefront of robotic organ transplantation with great success.”

In a traditional lung transplant, surgeons commonly gain access to the chest by dividing the breastbone or ribs to access the lungs. This is often associated with significant pain, which can prolong recovery. In a robotic lung transplant, surgeons use small incisions and robotic instruments and 3D visualisation to perform the procedure with a less invasive approach. This approach is designed to help reduce postoperative pain, shorten hospital stays, and accelerate recovery.

“This milestone reflects an important step forward in how we approach lung transplantation,” said Dr Jones. “It builds on our experience with both robotic surgery and transplant care and adds another option for some patients who may benefit from a minimally invasive approach.”

Robotic surgery has transformed many types of cardio-thoracic procedures over the past decade. By bringing this technology to lung transplantation, Cleveland Clinic is expanding access to advanced, minimally invasive transplant care.

The surgery was performed on a man in his 70s with pulmonary fibrosis, a progressive lung disease that causes scarring of the lungs and can make breathing increasingly difficult. Following the transplant, he was discharged from the hospital and is recovering well.

Cleveland Clinic’s Lung Transplant Program is a national leader in advanced lung transplant care, having performed more than 2,500 transplants since 1990. In 2025, Cleveland Clinic performed 146 lung transplants in the U.S. The program is known for its expertise in caring for complex transplant patients, many of whom have been turned down elsewhere, and for advancing new approaches in transplant care.

In addition to the US, Cleveland Clinic is also a leader globally in transplantation. A team at Cleveland Clinic Abu Dhabi performed the enterprise’s first robotic lung transplant last year. It was also the first procedure of its kind performed in the Gulf region.

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Bahamas News

UN Reports Ebola Outbreak Expands in DRC; Bahamas Monitors Two Recent Arrivals

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The Bahamas, May 29, 2026 – The Ebola outbreak in the Democratic Republic of the Congo (DRC) continues to expand, with United Nations officials now warning that the disease has spread across multiple eastern provinces and become the third-largest Ebola outbreak on record.

According to the UN Office for the Coordination of Humanitarian Affairs (OCHA), as of May 26 the outbreak had reached 13 health zones in Ituri, North Kivu and South Kivu provinces. More than 1,000 suspected cases have been reported, including 121 confirmed infections and 17 deaths. Six healthcare workers are among those who have died.

The United Nations says humanitarian teams remain actively engaged in treatment, surveillance, community outreach and disease containment efforts. However, the response is being complicated by insecurity, population movement and restrictions affecting the delivery of supplies and personnel.

While the outbreak remains confined to Africa, authorities in The Bahamas recently activated emergency health protocols after two men who had spent time in the Democratic Republic of the Congo arrived at Lynden Pindling International Airport aboard a British Airways flight.

The Ministry of Health confirmed the travelers were isolated after presenting low-grade fevers upon arrival on May 22. Officials later reported that the fevers subsided and neither individual displayed symptoms consistent with Ebola Virus Disease.

The two men, identified as a British national residing in Australia and a French national, were transferred to the Modular Unit at Princess Margaret Hospital for continued monitoring.

Health officials emphasized that there are currently no confirmed Ebola cases in The Bahamas and assessed the risk to the public as low.

Still, the growing outbreak overseas has prompted increased vigilance. Health Minister Dr. Michael Darville said the government is reviewing whether additional travel measures may be necessary for countries affected by the outbreak.

The United Nations this week announced up to US$60 million in emergency funding to support the Ebola response in the Democratic Republic of the Congo and neighboring countries, warning that rapid action remains critical to preventing further spread.

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

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Health

Turks & Caicos Islands Hospital Celebrates International Emergency Medicine Day 2026

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May 27, 2026 – Today, Turks & Caicos Islands Hospital, InterHealth Canada proudly joins the global healthcare community in observing International Emergency Medicine Day, recognizing and celebrating the extraordinary dedication, courage, and compassion of emergency healthcare professionals who stand on the frontlines of patient care every single day.

International Emergency Medicine Day is observed annually on May 27 to promote professional, competent, and timely emergency medical care for all people around the world. Emergency medicine professionals provide lifesaving care for patients facing critical illnesses and injuries, often during the most difficult and uncertain moments of their lives.

At the heart of every emergency department is a team of highly skilled and committed professionals, physicians, nurses, support staff, and allied healthcare professionals who work tirelessly together to save lives and provide hope when it is needed most.
Emergency medicine focuses on the rapid assessment and treatment of life-threatening conditions such as heart attacks, strokes, cardiac arrest, trauma, respiratory failure, severe bleeding, and sepsis. Emergency teams care for patients of all ages and backgrounds, ensuring that patients receive timely and effective care according to the urgency of their condition through the triage system.

As the safety net of the hospital, the Emergency Department operates 24 hours a day, seven days a week, serving patients during natural disasters, humanitarian crises, and daily medical emergencies. The demanding nature of emergency care requires teamwork, resilience, professionalism, and compassion.

“Today we recognize and celebrate the incredible individuals who dedicate themselves to emergency medicine,” said Dr Monnique-Chadee Waite, Head of the Emergency Department. “Our emergency team is there during some of the toughest moments in people’s lives. Their commitment, expertise, and compassion make a difference every single day. Teamwork truly makes the dream work, and we deeply appreciate every member of our department.”

Shantell Gardiner, Nurse Manager of the Emergency Department, highlighted the dedication of the nursing team and support staff. “Emergency nursing requires strength, compassion, quick thinking, and teamwork. Every day our nurses and support teams provide comfort and care to patients and families during stressful and emotional situations. I am incredibly proud of the dedication and professionalism our team demonstrates every single shift. We appreciate each and every member of our Emergency Department family for the vital role they play in saving lives.”

Dr Dawn Perry-Ewing, Chief of Medical Services, added, “Emergency medicine professionals are among the most vital frontline caregivers in healthcare. Their ability to respond quickly, work collaboratively, and remain calm under pressure saves countless lives. We thank them for their unwavering dedication and for continuously striving to provide safe, competent, and compassionate care to every patient.”

Dr Denise Braithwaite-Tennant, Chief Executive Officer, also expressed gratitude to the department. “On this International Emergency Medicine Day, we extend our sincere appreciation to our emergency teams for their extraordinary service and sacrifice. They represent the very best of healthcare, courage, teamwork, professionalism, and humanity. We thank them for standing ready every day and night to care for our community when it matters most.”

The Turks & Caicos Islands Hospital also acknowledges the importance of maintaining a safe and respectful environment within Emergency Departments. Emergency Departments follow a system called Triage, where patients are treated according to the severity and urgency of their condition rather than arrival time. Supporting emergency healthcare workers and respecting the triage process helps medical teams provide safer, faster, and more compassionate care to all patients.
Today and every day, the Turks & Caicos Islands Hospital, InterHealth Canada salutes its Emergency Department team for their dedication, resilience, and lifesaving work.

Teamwork makes the dream work and we appreciate you.

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