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PAHO Director and CARICOM Secretary-General sign 2025-2029 Joint Subregional cooperation strategy to advance health and equity in the Caribbean

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Georgetown, Guyana, 22 July 2025 (PAHO) – The Joint Subregional Cooperation Strategy that will provide a coordinated framework for technical cooperation to address common public health challenges in the Caribbean was signed today by the Director of the Pan American Health Organization (PAHO), Dr. Jarbas Barbosa and Dr. Carla N. Barnett, Secretary-General of the Caribbean Community (CARICOM).

The Strategy will cover the 15 CARICOM Member States: Antigua and Barbuda, Bahamas, Barbados, Belize, Dominica, Grenada, Guyana, Haiti, Jamaica, Montserrat, Saint Kitts and Nevis, Saint Lucia, Saint Vincent and the Grenadines, Suriname, and Trinidad and Tobago, as well as its five associate members: Anguilla, Bermuda, the British Virgin Islands, the Cayman Islands, and the Turks and Caicos Islands.

“This signing marks a milestone in a long-standing partnership rooted in trust, mutual respect, and a shared vision for the health and well-being of the peoples of the Caribbean,” said Dr. Barbosa during the signing ceremony, which took place during the PAHO Director’s official visit to Guyana this week.

“The Caribbean faces unique and interconnected public health challenges – from the growing burden of noncommunicable diseases, to the ongoing threat of climate change, to the need for digital transformation and stronger, more resilient health systems,” the Director added.  “These challenges do not stop at borders, and neither can our solutions.”

Thanking Dr. Barbosa for his ongoing collaboration, Dr. Carla N. Barnett, Secretary-General of CARICOM highlighted that this agreement “is a landmark moment in our partnership with PAHO, which has been instrumental in focusing our health policies and our public health delivery, and ensuring we can take care of the health of the people of the community.”

For Dr. Frank Anthony, Minister of Health of Guyana, “this strategy affirms that health is not just a service, it is a right. In the Caribbean, that right must not be dictated by where you live, by your income, or your age.”

The cooperation strategy outlines five strategic priorities for the Organization’s technical cooperation in the subregion:

  1. Enhancing resilience of primary health care-based health systems

This hinges on several key areas: bolstering evidence-based decision-making, fostering robust workforce policies and training for a resilient health workforce, implementing a comprehensive digital transformation policy, and ensuring widespread access to quality, affordable medicines, vaccines, and health technologies.

  1. Advancing climate adaptation, mitigation, disaster preparedness and response to enhance environmental sustainability, and health security.

This will focus on climate emergency preparedness, as well as the implementation of climate adaptation strategies to enhance health sector resilience, and the integration of environmental health considerations into regional public health policies and programs.

  1. Strengthen multisectoral action towards surveillance, prevention and control of NCDs, violence, injuries, mental health conditions and their risk factors

Within this area, PAHO and Caribbean countries will collaborate on developing policies to mitigate non-communicable disease (NCD) risk factors. They will also accelerate the implementation of NCD management initiatives, including PAHO’s Better Care for NCDs and cervical cancer elimination strategies. A key focus will also be on expediting the transition to community-based mental healthcare.

  1. Advancing the prevention, control and elimination of priority communicable diseases through subregional coordination with the One Health Approach

This strategic priority will focus on accelerating the elimination of communicable diseases through the strengthening of policies to promote vaccination as a public good. It will also look to enhance surveillance and early-warning systems to enable countries to respond quickly to outbreaks of communicable diseases.

  1. Enhancing technical cooperation through partnerships, resource mobilization, and advocacy.

This includes the development of a subregional framework in partnership with CARICOM to enhance resource mobilization, as well as engagement with decision-makers to address priority health issues.

“As we sign this Strategy today, let us also renew our commitment to work together – not just as institutions, but as allies, and as a community bound by common purpose,” concluded Dr. Barbosa.

PAHO Director – Official Visit to Guyana

During his Official Visit to Guyana, which took place from 21-23 July, the PAHO Director also met with the Prime Minister of Guyana, Mark Phillips, to discuss vital improvements being made to the health system.

Top of the agenda was the impact of health worker migration, and the importance of utilizing new technology, such as PAHO’s hybrid nursing programs to expand nurse training, particularly for countries of the Caribbean that face similar issues with training and retention.

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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Caribbean News

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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