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Strengthening Systems for Healthier Lives: Tackling Obesity in the Caribbean

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World Obesity Day, March 2025

 

March 4 is recognised as World Obesity Day, with the theme “Changing Systems: Healthier Lives.” This theme is a significant call to action for governments, healthcare institutions, and communities to confront one of our time’s most critical health challenges. Obesity has emerged as a global epidemic, and the Caribbean region is not exempt from its impact.

Despite positive developments, the region continues to face considerable obstacles in reversing trends that place millions at risk for the development of non-communicable diseases (NCDs), including diabetes, hypertension, and cardiovascular disease. To create a meaningful and lasting impact on public health, we must assess where we are today, celebrate our achievements, and strategically reinforce our systems.

The Caribbean’s Chronic Struggle with Obesity

Obesity has been rising at an alarming rate in the Caribbean, with many countries in the region experiencing a sharp increase in persons living with overweight and obesity across all age groups. According to the Caribbean Public Health Agency (CARPHA), over 50% of adults in the region are categorized as  overweight or obese, and childhood obesity has more than doubled in the last three decades. As of 2022, 8.6% of children under five in Latin America and the Caribbean were overweight, surpassing the global average of 5.6%. This trend has been escalating, with the region experiencing a 1.2 percentage point increase between 2012 and 2022, compared to a 0.1 percentage point rise globally. The burden of obesity-related illnesses continues to strain our fragile healthcare systems, reducing productivity and increasing premature mortality.

This surge in obesity is attributed to several factors, including the widespread availability of ultra-processed products, decreased physical activity (PA), and socioeconomic disparities that limit access to healthy food options and safe recreational spaces. These elements contribute to obesogenic environments, particularly in urban areas where more than 81% of the population resides. Despite these challenges, there are some promising efforts.

Signs of Progress: The Good Things We’re Seeing

Several Caribbean nations, NGOs, and health agencies have launched initiatives to combat obesity and promote healthier lifestyles. Among these successes:

School Nutrition Policies

  • In 2022, Barbados approved the National School Nutrition Policy (NSNP), representing a significant advancement in efforts to combat childhood obesity. The subsequent launch of this policy in 2023 demonstrates the island’s commitment to implementing structured nutritional guidelines within educational institutions. Similarly, Trinidad and Tobago (2017) implemented a ban on the sale of sugar-sweetened beverages in primary and secondary schools. These frameworks enhance the nutritional quality of school meals by establishing dietary guidelines. Many other countries like Jamaica and Grenada are pursuing similar policies as advocates continue to seek a better Caribbean food environment. By integrating nutrition-focused policies within educational settings, these initiatives aim to instill lifelong healthy eating habits from an early age.
  • Increased Awareness Campaigns
  • Governments and NGOs have intensified their public health campaigns to raise awareness about obesity and the vital benefits of active living. Leveraging social media, television, and community outreach, these initiatives are reshaping health perspectives across the region. Notably, Jamaica’s Jamaica Moves Campaign, launched in 2017, Dominica’s Fit for Life Campaign, which began in 2020 and the 2024 Caribbean Moves initiative stand as powerful testament to this commitment, effectively encouraging citizens to embrace regular PA, nutritious eating habits, and routine health screenings.

Legislation and Advertising

  • The Caribbean has been slow to adopt clear food labelling and strict regulations on the marketing of unhealthy foods targeted at children. Nevertheless, some member states have taken significant steps in this area. Barbados, for instance, introduced a 10% excise tax on sugar-sweetened beverages in 2015, and increased it to 20% in 2022, to decrease consumption and encourage healthier choices. Following suit, Jamaica and Grenada established the Sugar-Sweetened Beverage (SSB) Restrictions in Schools in 2019 and 2020 respectively, which imposed limits on the sugar content of beverages available in educational institutions, promoting the adoption of healthier alternatives.

Community-Based Wellness Initiatives

  • The rise of community-driven wellness programs has encouraged participation in healthier habits at the local and national levels. Saint Lucia’s National Physical Activity Program (2017) encourages exercise through community fitness sessions and the development of walking trails. The Bahamas’ Healthy Lifestyles Initiative (2018) enhances this effort by offering nutrition workshops, fitness classes, and community gardens to improve access to healthy food. Additionally, the Medical Benefits Scheme of Antigua and Barbuda implements community-based events that aim to raise awareness regarding NCDs while providing opportunities for increased levels of physical activity (PA). Ultimately seeking to promote informed health choices and enhance the overall well-being of communities.

Multilateral Agencies, NGOs, and Government Partnerships 

  • Obesity prevention in the Caribbean has progressed due to the collaboration of governments, NGOs, and international agencies. From the Healthy Caribbean Coalition’s Childhood Obesity Prevention Action Plan (2017-2021) which has been instrumental in engaging civil society to address this health issue and the CARPHA Six-Point Policy Package in 2019. To the Creative Play Initiative in Barbados (2024), developed by the Pan American Health Organization (PAHO) with the Ministry of Health and Wellness, which promotes PA in schools. These and other programs such as the Reversing the Rise in Childhood Obesity Project (2017-2020) in Saint Lucia and Grenada have focused on reducing obesogenic environments through policy reforms and educational efforts, encouraging healthier choices in communities. While progress has been made, continued investment in preventative strategies remains crucial to reversing obesity trends in the region.

Strengthening Our Systems for Greater Impact

For the Caribbean to see a significant and lasting reduction in obesity rates, we must move beyond isolated programs and create sustainable frameworks that integrate health into every aspect of society. Here’s how we can strengthen our systems:

  1. Enhancing Policy Implementation and Enforcement – Policies like school nutrition policy  must be enforced strictly, with harsh penalties for non-compliance, in addition to being adopted. Taxing sugar-sweetened drinks and offering subsidies for locally grown, fresh fruit are two bold measures that governments must adopt. This two-pronged strategy will enable communities to make better decisions and ensure that everyone has access to wholesome food.
  2. Strengthening Primary Healthcare Systems – Prevention and management must become the cornerstones of our primary healthcare systems if we are to effectively tackle obesity. We need to increase access to bariatric services, fund aggressive early intervention programs, and make large investments in nutrition counselling.
  3. Integrating Physical Activity into Daily Life – Urban planning must prioritize the development of safe and inviting green spaces, walking paths, and recreational facilities. We should mandate daily physical education in schools and implement workplace wellness policies that actively encourage movement throughout the day. By embedding PA into our daily routines, we foster a culture of health and vitality.
  4. Expanding Food Security and Access to Healthy Choices – The Caribbean must champion sustainable agriculture to reduce our reliance on imported processed foods. Strengthening partnerships among farmers (including young agripreneurs), manufacturers, retailers, and governments is essential to guarantee that nutritious foods are not only available but also affordable for all citizens. This collaborative effort will lay the groundwork for a healthier future.
  5. Education and Behaviour Change – To effectively transform cultural attitudes toward food and PA, we must weave health education into the very fabric of school curricula. Launching powerful media campaigns that normalize balanced lifestyles, coupled with leveraging digital platforms to enhance health literacy, will profoundly influence societal norms and inspire meaningful behaviour change. Together, we can shift mindsets and create a healthier, more vibrant Caribbean.

Where Do We Go From Here?

The Caribbean stands at a defining moment in the fight against obesity. If we choose to maintain the status quo, we are inevitably heading toward skyrocketing healthcare costs and a significant decline in our quality of life. However, by investing in the strengthening of our systems today, we can pave the way for a healthier, more productive region for generations to come. Achieving this vision demands unwavering collaboration between governments, private sector leaders, and community organizations, all united in the pursuit of prioritizing health in every aspect of our lives.

As we commemorate World Obesity Day 2025, let us issue a powerful call to action for our leaders, healthcare professionals, and citizens to embrace real, systemic change. A healthier Caribbean is within our grasp, but it will only become a reality if we boldly take the necessary steps to fortify our systems and champion the well-being of our people. Together, we can transform our future and create a thriving Caribbean region.

 

About the Author

Offniel Lamont is the Physiotherapist at the G.C. Foster College of Physical Education and Sport. He holds a Masters degree from University College London (UCL) in Sports Medicine, Exercise, and Health whose focus area is leveraging exercise as a powerful tool in the prevention and treatment of sports injuries and NCDs. Lamont’s commitment also extends to empowering Caribbean youth as a dedicated advocate within the Healthy Caribbean Coalition.

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Cleveland Clinic First in Ohio to Perform Robotic Nipple-Sparing Mastectomy  

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Health system is among only a handful in the U.S. to offer the minimally invasive robotic procedure Cleveland Clinic is among the first hospitals in the country – and the first in Ohio – to perform a robotic nipple-sparing mastectomy procedure, following recent clearance by the U.S. Food and Drug Administration.

Stephanie Valente, D.O., and a surgical team recently performed the first robotic nipple-sparing mastectomy with immediate breast cancer reconstruction at Cleveland Clinic Fairview Hospital. The procedure offers a new minimally invasive approach to breast cancer surgery and risk-reducing mastectomy for patients at elevated risk.

This milestone places Cleveland Clinic among a select group of centers nationwide offering the advanced technology and brings one of the newest innovations in breast cancer surgery to patients in Northeast Ohio.

“This robotic approach offers greater precision through a much smaller incision, which can mean less visible scarring and faster recovery,” said Dr. Valente, director of the Cleveland Clinic Breast Surgery Fellowship Program and director of the West Region Multidisciplinary Breast Program. “Compared with the traditional procedure, which requires a larger incision, this approach can improve cosmetic outcomes, preserve the skin and nipple, and support a more natural appearance after surgery.”

During the procedure, surgeons use a 3D camera and robotic instruments inserted through a small incision of one inch, typically hidden along the side of the breast rather than across the underside, to remove breast tissue while preserving the nipple, areola and skin. The robotic platform, the da Vinci SP Surgical System, provides enhanced visualization and precision while minimizing disruption to the overlying skin.

Robotic surgery gives the surgeon better visualization of the operative field in what is typically a technically challenging procedure. This enhanced view can improve nerve identification and preservation, reduce blood loss and allow surgeons to perform the same oncologic operation through a one-inch incision rather than the traditional five-inch open incision.

The robotic approach removes the same breast tissue as a conventional mastectomy, while changing how the surgeon accesses the breast. For some patients, breast reconstruction can be performed during the same operation.

This approach is designed to reduce scarring, enhance cosmetic outcomes, preserve the natural skin envelope and nipple, improve sensation and accelerate recovery. For some patients, the less visible incision may also support confidence and body image after surgery. The procedure further expands Cleveland Clinic’s minimally invasive breast surgery options, which include endoscopic nipple-sparing mastectomy.

“As a field, we haven’t had many new options for patients with breast surgery for a decade now, so we are pleased to now have these minimally invasive procedures available for our patients,” said Dr. Valente. “Innovations like this support a more patient-centered experience as they allow us to address both the physical and emotional realities of breast cancer.”

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Bahamas News

Walk for the Cure Every Saturday This October  

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Nassau, Bahamas, 1 October 2026 – Every Saturday this month, communities across The Bahamas will take steps in support of cancer patients and survivors as CIBC Caribbean’s Walk for the Cure returns to New Providence, Abaco, Eleuthera, and Grand Bahama.

CIBC Caribbean Head of Country, Terrance Gibson, said, “Each Saturday in October represents another community coming together, another opportunity to raise awareness and, most importantly, more support for the organizations that are doing this work every day.”

The month of activities begins this Saturday, October 3, in New Providence, with participants gathering at the Goodman’s Bay Corporate Centre for a 6:30am start.

CIBC Caribbean Walk Champion, Antionette Fox, said the series of walks gives communities across the country an opportunity to contribute to a cause that directly supports Bahamian cancer organizations.

“Every Saturday for the month of October, there will be a walk that you can participate in to contribute towards this worthy cause,” Fox said.

In New Providence, the morning will extend beyond the walk itself, with Zumba, wellness activities, informational vendors, and opportunities for participants to connect with organizations working directly with cancer patients and survivors.

Gennie Dean Caring and Sharing Cancer Support Group President Duquesa Dean said participants do not have to complete the full route to be part of the morning.

“Just come out…there is something for everyone, come for the community,” Dean said. “There’s a survivor ceremony, so come and participate and celebrate the people who have gone through cancer and are here as evidence that you could live after a cancer diagnosis.”

The Gennie Dean Caring and Sharing Cancer Support Group is one of eight cancer organizations in The Bahamas that benefit from funds raised through Walk for the Cure. The others are the Sister Sister Breast Cancer Support Groups of New Providence and Grand Bahama, Cancer Society of The Bahamas, the Cancer Societies of Abaco, Eleuthera, and Grand Bahama, and the Cancer Association of Grand Bahama.

Dean explained that CIBC Caribbean covers the cost of staging WFTC, allowing donations raised to support the work of beneficiary organizations.

For her organization, that assistance translates into tangible support for people navigating cancer, including food assistance, financial aid, prosthetic breasts, and mastectomy bras, as well as programs such as Step Into Wellness, which promotes movement and healthy living among cancer patients and survivors.

Corporate partners are also helping to strengthen this year’s effort. Bamboo Shack has joined the initiative as a gold sponsor, with representative Ghandi Pinder sharing that the cause has a personal significance for her.

Pinder recalled shaving her hair in solidarity with her sister after she was diagnosed with an aggressive form of breast cancer and began losing her hair during chemotherapy.

“We see you, we’re here with you, we’re in it with you,” Pinder said of Bamboo Shack’s message to those affected by cancer.

She also encouraged more of Corporate Bahamas to support initiatives that directly impact the communities they serve.

“At Bamboo Shack, we always say a better Bahamas begins with you… Together, we can make a difference,” she said.

Registration for Walk for the Cure is $30 for adults and $15 for children and can be completed at any CIBC Caribbean branch. CIBC Caribbean clients can also donate through online banking.

The New Providence Walk begins promptly at 6:30am on Saturday, October 3, at the Goodman’s Bay Corporate Centre, followed by Walk for the Cure events in other islands each Saturday throughout October. The Grand Bahama WFTC event will be held on October 10 and the Abaco and Eleuthera WFTC events will occur on October 17 and October 24 respectively.

Gibson added, “Some will walk for themselves, some in celebration of a survivor, and others in memory of someone they have lost. Whatever brings you to Walk for the Cure, every person who shows up becomes part of a much bigger expression of support for those affected by cancer.”

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Health

TCI Hospital Marks Breast Cancer Awareness Month 2026 with “Know. Check. Act. Support.” Campaign

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Ten-Year Cancer Register Profile reinforces the importance of breast awareness, appropriate screening, timely diagnosis and continuing cancer care

 

Providenciales, Turks and Caicos Islands – 1st October 2026 – Turks and Caicos Islands Hospital (TCI Hospital) is marking Breast Cancer Awareness Month 2026 with a month-long public awareness campaign under the theme “Know. Check. Act. Support. – Early Detection Saves Lives.”

This year’s campaign is being informed by TCI Hospital’s Ten-Year Cancer Register Profile, 2016–2025, which demonstrates that breast cancer remains an important and continuing healthcare issue for patients, families and the wider Turks and Caicos Islands community.

Throughout the ten-year period, TCI Hospital continued to record new cases of malignant neoplasms of the breast each year. Annual new registrations fluctuated, reinforcing an important message: breast cancer is not an occasional concern confined to Breast Cancer Awareness Month, it requires sustained awareness, appropriate screening, timely investigation and diagnosis, access to treatment, follow-up and support throughout the year.

What Our Cancer Register Tells Us

The TCI Hospital Cancer Register recorded 21 new breast cancer cases in 2016, the highest annual figure reported during the ten-year profile. In subsequent years, the overall annual new-case count ranged from 8 to 18 cases, with 18 new cases recorded in 2024 and 10 in 2025.

The register also demonstrates the continuing accumulation of breast cancer cases within the hospital’s cancer records. The total registered breast cancer caseload increased from 79 in 2016 to 192 by 2025. More recently, the register increased from 160 cases in 2023 to 181 in 2024 and 192 in 2025. These figures represent the hospital’s registered caseload and should not be interpreted as population incidence, prevalence or the number of people currently living with breast cancer.

Behind every registration is more than a statistic. Each represents a person whose diagnosis has implications for their family and for the healthcare professionals and services involved in cancer investigation, treatment, coordination, follow-up and support.

The ten-year profile therefore reinforces the importance not only of identifying breast cancer, but of ensuring that people affected by the disease are supported throughout their cancer journey.

Know the Signs and Act on Changes

Breast cancer can present in different ways. Changes that should prompt assessment by a healthcare professional may include a new lump or thickening in the breast or underarm; a change in the size, shape or appearance of a breast; dimpling, puckering or other unusual changes to the breast skin; nipple changes or unusual discharge; or another new or persistent breast change.

Finding a change does not necessarily mean that a person has cancer. However, an unexplained or persistent change should not be ignored.

TCI Hospital encourages members of the community to become familiar with what is normal for their breasts and to seek medical advice if they notice something different.

Know Your Risk. Know Your Family History.

Breast cancer risk is influenced by several factors. Understanding personal and family medical history can help individuals have more informed conversations with their healthcare providers about their individual risk.

Having no known family history of breast cancer does not mean that breast health can be ignored. Equally, people with a significant family history or other factors that may increase their risk should discuss this with an appropriate healthcare professional.

The TCI Hospital Cancer Register also records male breast cancer, reminding the community that although breast cancer predominantly affects women, it can also occur in men.

Screening and Early Diagnosis Matter

Breast awareness and screening have different but complementary purposes. Screening is intended to identify possible breast abnormalities in people who may not have symptoms, while a new or concerning breast change requires appropriate clinical assessment.

There is no single screening approach that is appropriate for every individual. TCI Hospital therefore encourages people to discuss their age, personal risk factors, family history and appropriate breast screening with their healthcare provider.

Similarly, people experiencing a concerning breast change should not wait for their next routine screening appointment before seeking medical advice.

The campaign’s message “Early Detection Saves Lives” emphasizes the importance of timely action. It does not mean that every breast change is cancer. Rather, seeking medical attention allows appropriate investigation to take place and, where cancer is diagnosed, enables the healthcare team to determine the most appropriate next steps.

From Cancer Registration to Better Cancer Care

TCI Hospital Chief Executive Officer Dr Denise Braithwaite-Tennant said the Cancer Register has an important role beyond recording the number of cancer cases seen by the hospital.

“Our Cancer Register is not simply about counting cases. It helps us understand the cancer burden presenting to our hospital, identify patterns over time and inform how we plan and strengthen cancer services. Behind every number is a patient, a family and a cancer journey. The continued recording of new breast cancer cases reminds us why awareness must lead to action and why our health system must continue to strengthen the pathway from appropriate screening and timely diagnosis through treatment, follow-up and survivorship support.”

“During Breast Cancer Awareness Month, we want our community to understand that fear should not become a reason to delay seeking care. Know what is normal for you, understand your risk, participate in screening that is appropriate for you and seek medical advice when something changes. Just as importantly, we must continue to support those undergoing cancer treatment and those living beyond a cancer diagnosis.”

Know. Check. Act. Support.

Throughout October, TCI Hospital will deliver a programme of activities designed to turn breast cancer awareness into practical action.

Activities will include an educational breast cancer awareness video addressing signs and symptoms, screening, early detection and support; publication of findings from the TCI Hospital Ten-Year Cancer Register Profile, 2016–2025; breast cancer facts and educational messages; a special House Call – Pink Round Table addressing breast cancer risk, symptoms, diagnosis, treatment and survivorship; and Pink Fridays, during which TCI Hospital team members will wear pink to promote awareness, early detection, survivorship and support.

The campaign will also highlight the important role of families, friends, caregivers, healthcare professionals and the wider community. Support can take many forms; from listening and accompanying someone to an appointment to assisting with transportation, meals, childcare or other practical needs during treatment.

TCI Hospital’s Breast Cancer Awareness Month message to the Turks and Caicos Islands community is:

KNOW – Know your body, your family history and your individual risk.

CHECK – Participate in appropriate screening and pay attention to changes.

ACT – Do not ignore a new or concerning breast change. Seek medical advice.

SUPPORT – Stand with patients, survivors, families and others affected by breast cancer.

Know. Check. Act. Support.

Early Detection Saves Lives.

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