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PAHO publishes new update on Oropouche fever in the Americas

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Washington, D.C., August 14, 2025 (PAHO) – The Pan American Health Organization (PAHO) has issued a new epidemiological update on Oropouche fever, a viral disease that has resurged across the Americas since late 2023. So far in 2025, 12,786 confirmed cases have been reported across 11 countries — seven with local transmission and four with imported cases — reflecting the growing spread of this virus, primarily transmitted by the Culicoides paraensis midge.

From January 1 to July 27, 2025, confirmed cases are distributed as follows: Brazil (11,888 cases), Panama (501), Peru (330), Cuba (28), Colombia (26), Venezuela (5), and Guyana (1). Imported cases have been reported in Uruguay (3), Chile (2), Canada (1), and the United States (1). In 2024, the Region recorded 16,239 cases across 11 countries and one territory, including four deaths.

In 2025, Brazil has borne the greatest burden, with cases reported in 20 states — primarily Espírito Santo (6,322) and Rio de Janeiro (2,497). The country has also reported five deaths, as well as cases of neurological complications and fetal deaths currently under investigation. Panama and Peru have also experienced significant outbreaks, while Cuba and Colombia have reported fewer cases.

Oropouche fever typically causes high fever, severe headaches, and muscle and joint pain, with most patients recovering in two to three weeks, though up to 60% may experience relapses. In rare cases, it can lead to meningitis or encephalitis, and in pregnant women, there are concerns about potential fetal risks.

The virus’s spread to non-endemic areas, such as urban regions in Cuba, is driven by factors like climate change, deforestation, and urbanization of forested areas, which boost the midge population.

PAHO emphasizes the need for stronger epidemiological surveillance and vector control to curb the disease, which currently has no vaccine or specific antiviral treatment.

Key PAHO recommendations to countries in the Region include:

  • Surveillance: Adapt actions based on the epidemiological situation in each country to detect the virus’s introduction into new areas, monitor its spread in areas with local transmission, and properly characterize the epidemiological landscape.
  • Vector control: Eliminate midge breeding sites by clearing vegetation and promoting sustainable agricultural practices.
  • Personal protection: Prevent bites by using bed nets, protective clothing, and repellents containing DEET, IR3535, or icaridin, especially for pregnant women and rural workers.
  • Clinical management: Strengthen early clinical diagnosis and differential diagnosis, particularly with dengue. Treatment focuses on relieving pain and fever, ensuring hydration, and managing vomiting, while monitoring for neurological complications or issues in pregnant women.

PAHO stresses that national and regional collaboration is essential to monitor and control the spread of the virus, especially amid the circulation of other arboviruses like dengue.

The organization is supporting countries with technical guidance on diagnosis, clinical management, and vector prevention and control, urging prompt reporting of unusual events, such as deaths or cases of vertical transmission.

Health

From 54 New Cases in July to Zero in August: TCI’s COVID Turnaround

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Deandrea Hamilton | Editor

Turks and Caicos, September 6, 2025 – COVID-19 fears in the Turks and Caicos Islands that once had residents on edge are now giving way to a sense of relief. The Ministry of Health and Human Services reports a dramatic reversal: from dozens of new cases in July to zero cases and zero hospitalizations today.

Between August 17 and 23, 2025, officials confirmed no new cases, no hospitalizations, and no new deaths. Just two recoveries were recorded, bringing the national recovery tally to 6,866. The total confirmed cases since 2020 stand at 6,922, with deaths unchanged at 41. Health officials say August has been relatively quiet overall, with 19 new cases and recoveries recorded for the month — a fraction of what the islands faced just weeks earlier.

The contrast could not be sharper. The most concerning bulletin came in mid-July, when the Ministry reported 54 new cases in a single week. Ten were fresh positives, while the other 44 came from a backlog of April samples. At that time, two new hospitalizations were recorded, and the islands mourned one additional COVID-related death, bringing the total to 41. It was a sobering reminder that the virus was still circulating, pushing recoveries to 6,845 and raising the cumulative case count to 6,910. The July spike stirred fear among residents and renewed calls for vigilance, as community spread and delayed lab results painted a worrying picture.

Fast forward to late August, and the numbers tell a very different story. Not only are new cases negligible, but the hospitals are reporting no COVID-19 patients at all. Officials say testing continues across a wide range of categories, and the Ministry urges the public to stay cautious: wash hands, wear masks in crowded spaces, protect the vulnerable, and get vaccinated. But the tone now is one of optimism.

Since the pandemic began in 2020, Turks and Caicos has recorded nearly 7,000 cases in total, with 6,866 recoveries and 41 deaths. The islands’ small population means every case has felt significant, and surges like July’s were especially unsettling. But today’s figures suggest the country has reached a new stage: COVID-19 is no longer the disruptive force it was. The Ministry credits continued public vigilance and the accessibility of free testing and vaccines at government clinics. While the numbers are cause for celebration, health leaders are careful not to declare the fight over. The Ministry’s latest bulletin reminds residents to maintain hygienic practices, follow self-isolation guidelines if infected, and ensure vaccinations are up to date.

The pandemic may not be entirely behind the Turks and Caicos, but compared to the frightening figures of July, the near-zero landscape of August offers a powerful sign of hope.

The Ministry released the bulletin on September 2, confirming that for the week of August 17–23, no new cases, hospitalizations, or deaths were recorded — a sharp contrast to the surge just weeks earlier.

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Health

Turks and Caicos Islands Health Delegation Completes Strategic Visits to Florida and Cayman Islands to Advance Health Sector Reform and Strengthen Treatment Abroad Programme  

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MoHHS Team-Broward Health

Providenciales, Turks and Caicos Islands, 22 August 2025 — A high-level delegation from the Ministry of Health and Human Services (MOHHS) has successfully concluded strategic working visits to Florida and the Cayman Islands from August 5–13, 2025. The mission aimed to strengthen the Treatment Abroad Programme, explore innovative health system models, and advance the Turks and Caicos Islands’ health sector reform agenda through strategic regional partnerships.

Delegation Members:

  • Hon. Kyle Knowles – Minister of Health and Human Services

    MoHHS Team with Health City Executive Management Team

  • Mrs. Desiree Lewis – Permanent Secretary, Health and Human Services
  • Mr. Lynrod Brooks – Director, Health Policy and Planning
  • Ms. Florinda Talbot – Contract Performance Manager
  • Mrs. Romaine Missick-Smith – CEO, Health Regulations Authority
  • Ms. Jasmine Malcolm – Executive Administrator, MOHHS

Minister of Health and Human Services, Hon. Kyle Knowles, highlighted the significance of these engagements:

“These visits were not ceremonial; they were strategic, focused, and impactful. In Florida, we reinforced partnerships with leading healthcare providers to ensure TCI patients referred overseas receive the highest standards of clinical care and patient support. In the Cayman Islands, our mission was two-fold: to study the operations of the Cayman Islands Health Services Authority as a model to guide the establishment of our own Health Services Authority, and to strengthen ties with Cayman-based treatment partners, where many of our patients are referred under the Treatment Abroad Programme. Both visits underscored that small island states share many health challenges, and that collaboration, innovation, and adapting best practices to our local context are essential to achieving better health outcomes for our people.”

Florida – Strengthening the Treatment Abroad Programme

MoHHS Team with Cayman Minsterial officials

During the period August 5–9, the delegation visited Broward Medical Center, University of Miami Health System, Cleveland Clinic, Nicklaus Children’s Hospital, and the International Reinsurance Managers Network. They also toured REVA Air Ambulance Services to review medical evacuation operations and patient transfer management.                                                                                                                                                     Discussions centered on patient care pathways, specialized services in ophthalmology, cardiology, oncology, and pediatrics, family-centered care models, advanced telemedicine for pre- and post-treatment consultations, and reinsurance strategies for high-cost overseas cases. Key outcomes include agreements to expand telehealth consultations, develop a standardized referral package to reduce delays, explore reinsurance arrangements to safeguard public health budgets, and establish specialized pediatric transfer protocols.

Cayman Islands – Health Sector Reform and Treatment Abroad Partnerships
From August 10–13, the delegation engaged with senior executives at Health City Cayman Islands, including Dr. Binoy Chattuparambil (Clinical Director), Shomari Scott (Chief Business Development Officer), Rebecca Brooks (Head of Marketing and Sales), and Ingrid Harris (Sales and Marketing). The team toured two hospital facilities and held in-depth discussions with Lizzette Yearwood, Chief Executive Officer along with leadership staff of the Cayman Islands Health Services Authority

The focus was two-fold:

  1. Health Sector Reform – Examining governance, financial management, and operational structures of the Cayman Islands HSA model

    MoHHS Team with CEO and senior official Cayman HSA 

    to inform TCI’s development of its own Health Services Authority.

  2. Treatment Abroad Strengthening – Reviewing current referral arrangements with Cayman healthcare partners to enhance patient care coordination and improve treatment pathways for TCI patients referred to Cayman.

The delegation also met with Honourable Katherine Ebanks-Wilks, Minister for Health, Environment, Sustainability, and Honourable G. Wayne Panton, Parliamentary Secretary for Health. The team concluded with a meeting with Acting Premier Hon. Gary B. Rutty and Cabinet members, reaffirming the shared commitment to improving healthcare access and outcomes through regional collaboration.

Next Steps

The Ministry will incorporate lessons learned from these visits into ongoing health reform planning, ensuring that the proposed Health Services Authority is tailored to TCI’s needs while reflecting regional best practices. Efforts will continue to ensure that the Treatment Abroad Programme delivers efficient, sustainable, and patient-centered care.

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Bahamas News

PHA Launches AI-Powered Pilot Program to Support Seniors

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Nassau, The Bahamas – In a groundbreaking move for senior care, the Public Hospitals Authority (PHA) officially launched the Remember 2 (RM2.ai) Pilot Program on Wednesday, August 27, 2025.

The initiative introduces RM2.ai, an Artificial Intelligence (AI) platform that supports seniors with medication reminders, vital sign monitoring (blood pressure, blood sugar, and hydration levels), and fall prevention. The program also addresses elopement—when seniors with dementia or other cognitive impairments wander or become lost.

As part of the pilot, participants will receive a smartwatch linked to the RM2.ai mobile app. The technology is powered by the Bahamas Telecommunications Company (BTC) and will also be available to ALIV customers.

The launch ceremony was held at the PHA training room and Dr. Indira Minus-Grimes, Medical Services Advisor at PHA acted as the Mistress of Ceremony.

Delivering the keynote address, Minister of Health & Wellness, the Hon. Dr. Michael Darville, praised the collaboration behind the project and highlighted its potential impact.

“Seniors are vulnerable due to chronic illnesses and cognitive decline from diseases such as Alzheimer’s,” Dr. Darville said. “They are also highly susceptible to falls, which often result in fractures and a survival rate that decreases by up to 70 per cent. This program will significantly improve the quality of geriatric care in The Bahamas.”

Dr. Darville added that the platform will reduce hospitalizations, ease the burden on caregivers, and give seniors greater autonomy, dignity, and independence.

BTC CEO, Sameer Bhatti, said the company was proud to partner with the PHA, noting BTC’s history of supporting seniors in various capacities.

Corlette Deveaux, CEO of RM2.ai and a Bahamian innovator currently residing in the U.S., expressed her excitement at bringing this first-of-its-kind technology to her home country. She credited investor and senior advocate Burt Patel, himself a senior, for funding the initiative.

At the close of the pilot, healthcare professionals will review data collected to ensure the highest quality of service delivery for seniors.

Also in attendance at the press conference were Deputy Managing Director, PHA, Dr. Keva Thompson; Registrar, Geriatric Hospital, Dr. Krystle Rolle and Manager, Legal Services Unit, Pamela Jones.

(Photo Courtesy of Tamara McKenzie/BTC)

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