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InterHealth Canada awarded $17.1 Million; former Health Ministers explain why

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Deandrea Hamilton

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Turks and Caicos, March 28, 2025 – Five ministers of health have served while a lingering legal matter got dusty and went unrectified; now the Turks and Caicos Islands Government will pay InterHealth Canada $17.1 million; a negotiated settlement engineered by the Washington Misick Administration.

The dispute escalated to litigation in the Sharlene Cartwright-Robinson Administration, when Edwin Astwood was the Minister of Health and Human Services.

Former minister Astwood, now the Leader of the Opposition, explained to Magnetic Media, the government of that day believed there was a contractual quandary.  On the one hand, the TCIG had signed on to incrementally increase its clinical services payment to InterHealth Canada to the tune of $1.5 million per month.  On the other hand, the government then believed full services in the management of hospital were never delivered by IHC.

“Mr. Speaker if we feel that InterHealth Canada wasn’t doing something right by the people of the Turks and Caicos Islands, why shouldn’t we go and question what they’re doing legally,” explained Edwin Astwood, Leader of the Opposition, after being chastised for the litigation started under the PDM Administration.

“I don’t know what happened in the four years, why we lost that case. I wasn’t there for the last four, five years so maybe why did we lose the case, why didn’t we win that?  It was a clear shut case that we had.”

Former Minister of Health, Shaun Malcolm had earlier expressed outrage at the question related to the payout; chiding Astwood for feigning ignorance of the matter.

Malcolm explained how the government arrived at the payout sum.

“One of his questions, in relation to the $17.1million claim against government; he asked a question: what is this about? So, Mr. Speaker, I think its important to clarify for the public, those who are listening in the public …. The leader of the opposition was a member of that very same committee (Public Accounts Committee), Mr. Speaker and I recall having the Ministry of Health before that committee and the Ministry of Health was being questioned about the relationship of the Hospital and its contractual agreement.

Mr. Speaker, it came forward that the Ministry of Health could not answer many of our questions at that time because there was an arbitration, that we learned at that time, was in-train.  And what was the reason?  The TCIG was in a dispute with the InterHealth Canada.

Mr. Speaker, people of the Turks and Caicos Islands, because under the former minister of health, which was on the committee, that happened to be the Leader of the Opposition, there was no reconciliation for a number of years, under him and because there was no reconciliation done and they couldn’t come to a resolution on how much needed to be paid, Interhealth Canada took the government to court on his watch,” said Shaun Malcolm, now  the Minister of Home Affairs.

“Thank God for the prudency of this government and our actions we took in our last term, it would have been much more!

We worked diligently, we recruited experts to navigate the very complicated contract and because of the move we made, we have saved this country – this good progressive PNP government – has saved this country a colossal amount of money.”

Minister Malcolm called it the price of “bad management” of the PDM.

“The prudent action to take is to bring expertise, people in, so that we could right the institution.”

The Opposition Leader corrected a point, that it was the PDM which brought the matter to arbitration and not the other way around.  He also believes the Turks and Caicos Islands Government should have won the matter, not agreed to the enormous settlement.

“What happened in the last four years and four ministers of health that brought us to this point and I do believe they need to address that,” said Astwood.                                                                         In a November statement from the Government, the public got a glimpse into the protracted case, where the PNP Administration expressed similar reasons for discontent with the InterHealth Canada contract.

From the TCIG Statement: “… TCIG believes it has established areas of non-compliance that could result in TCIG being able to pursue various remedies under the contract. Whilst IHC have disputed this, the last few months have seen greater dialogue in which a settlement of outstanding issues was sought. However, IHC has been unable to provide adequate assurances to the Cabinet of future performance and we have not been able to reach a satisfactory agreement.

As a result, the Cabinet has decided to continue to enforce TCIG’s contractual rights and invoke the appropriate remedies available to TCI which would include the levy of financial deductions, the ability to require service improvement plans, the ability for TCI to step in to provide the services, and/ or the termination of the contract entirely.”

The spat over the $17.1 million settlement erupted in a March 18, 2025 meeting of the House of Assembly, where a fourth Budget Supplementary of $40.5 million was passed.

Health

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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Caribbean News

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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Statistics Authority Highlights Trade Data as Turks & Caicos Records $227M in Imports for Q4 2025  

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Turks and Caicos, March 18, 2026 – The Turks and Caicos Islands Statistics Authority is highlighting the importance of reliable economic data following the release of its latest Trade Statistics Bulletin, which shows the country recorded approximately $227 million in imports during the fourth quarter of 2025.

The detailed report provides a clear breakdown of where goods entering the Turks and Caicos Islands are coming from, the types of products being imported, and the revenue generated from trade-related activity. The figures offer valuable insight into the level of economic activity across the country and the continued demand driven by tourism, construction, and consumer spending.

According to the bulletin, the United States remained by far the largest supplier of goods, accounting for more than $200 million in imports during the quarter. This represents the majority of all goods entering the Turks and Caicos Islands and reflects the territory’s long-standing dependence on U.S. markets for food, fuel, machinery, building materials, and consumer products.

The Dominican Republic was the second largest source of imports, supplying just over $4.1 million in goods, while The Bahamas ranked third, with approximately $1.8 million in imports recorded for the period. The report also noted increasing trade with countries such as China, Panama, Switzerland, Poland, and India, showing that businesses continue to expand their supply networks beyond traditional partners.

In terms of the types of goods being imported, the bulletin shows strong activity in categories such as food and live animals, mineral fuels, manufactured goods, machinery and transport equipment, and chemicals, all of which are essential to supporting the tourism industry, infrastructure development, and everyday life in the islands.

The report also tracks revenue collected from international trade, including fuel tax, customs processing fees, and motor vehicle licensing, providing another measure of economic performance during the quarter.

Officials say the quarterly Trade Statistics Bulletin is an important tool for government, businesses, and the public, offering accurate information presented through clear tables, charts, and graphics that make complex data easier to understand.

For a small, import-dependent economy like the Turks and Caicos Islands, access to reliable statistics remains critical. By continuing to publish detailed trade reports, the Statistics Authority helps ensure that decisions about growth, investment, and development are based on sound information.

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