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Fleming Fund projects launched with CARPHA, UKHSA and PAHO to fortify the Caribbean’s fight against Antimicrobial Resistance

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Dr. Natalie Wright, Head of the UK Overseas Territories Programme, United Kingdom Health Security Agency and PAHO AD

Bridgetown, Barbados. 6 May 2025 – On Monday, 5 May 2025, health leaders, development partners and regional stakeholders gathered at the Hilton Barbados Resort to launch two synergistic, landmark, regional projects under the United Kingdom (UK) Government’s Fleming Fund and jointly implemented by the Caribbean Public Health Agency (CARPHA), the Pan American Health Organization (PAHO), and the UK Health Security Agency (UKHSA).  The goal is to strengthen the Caribbean’s ability to combat the global crisis of antimicrobial resistance (AMR).

Helen Royer – CARICOM

AMR occurs when microbes evolve to resist treatment, making infections harder to cure. In 2019, AMR caused 1.27 million deaths and contributed to nearly five million more—surpassing HIV/AIDS and malaria. Caribbean small island and developing states face added risks due to limited lab infrastructure, transport delays, and uneven access to antibiotics. The project, ‘Strengthening Antimicrobial Resistance Response in the Caribbean’, led by PAHO is designed to upgrade microbiology laboratories in ten countries (Belize, Dominica, Grenada, Guyana, Haiti, Jamaica, Saint Lucia, Saint Vincent and the Grenadines, Suriname, and Montserrat).  It will also enhance capacity at the Best-dos-Santos Public Health Laboratory in Barbados.

The Caribbean Antimicrobial Resistance Alliance (CARA), a partnership between UKHSA and CARPHA, forms part of CARPHA’s wider integrated AMR Programme aimed at enhancing the region’s capacity to detect and respond to antimicrobial resistance. Through this initiative, CARPHA is strengthening its regional laboratory network, expanding diagnostic capabilities, and improving the collection and use of AMR data. The project will support Member States by expanding reference laboratory services in Trinidad and Tobago, Jamaica, and Saint Lucia, and establishing a digital, region-wide surveillance platform. CARA also promotes regional coordination and best practice sharing, helping to align national efforts and policies to ensure timely, data-informed responses to antimicrobial resistance.

Speaking in support of the launch, Professor Dame Sally Davies, UK Special Envoy on Antimicrobial Resistance noted that AMR is a global emergency that demands urgent action. “The collaboration between UKHSA and CARPHA, supported by the Fleming Fund, is a powerful testament to our shared commitment to tackling this crisis head-on. By enhancing lab capabilities, improving surveillance, and building workforce expertise, we are taking decisive steps to protect the health of Caribbean communities and beyond. Together, we can make a lasting impact in the fight against AMR.”

Ashley Dalton, Minister of State for Public Health and Prevention (UK Department of Health and Social Care) highlighted “Antimicrobial resistance is one of the most serious and complex health challenges facing our world. The government is combating AMR through the Fleming Fund and advancing our national action plan, development models and surveillance systems. Our partnerships with the Caribbean Public.

Health Agency and Pan American Health Organisation are a vital for safeguarding public health and ensuring the effectiveness of life-saving treatments for future generations.”

Dr. Rhonda Sealey-Thomas, Assistant Director of the Pan American Health Organization noted the strong history of collaboration to address pressing public health challenges. “AMR remains a top priority for PAHO. We are actively working with an organization-wide approach on several important initiatives in this area, from surveillance to infection prevention and control, water and sanitation, food safety, access to and the appropriate use of antimicrobials and supporting our Member States in the implementation AMR National Action Plans under a One Health approach.”

“Through CARA, we are strengthening our laboratory systems, expanding regional surveillance, and building a coordinated One Health approach to ensure that Caribbean countries are better equipped to detect, monitor, and respond to resistant infections, highlighted Dr. Lisa Indar, Executive Director of CARPHA.  She stressed that AMR is one of the most serious and complex health challenges facing our region. “This collaboration reflects our shared commitment to safeguarding public health and securing the effectiveness of life-saving treatments for future generations,” Dr Indar outlined.

PAHO ED Lisa Indar

Dr Natalie Wright, Head of UK Overseas Territories Programme and CARA project lead at UKHSA said: “AMR is an urgent global public health and development threat, affecting all countries and regions. Sustained action is required to curb inappropriate use of antibiotics, the main driver of AMR.  “Through this programme our goal is to build sustainable systems that promote data sharing, support clinical decision-making, and create lasting resilience to the threat of AMR. The work we do today will lay the foundation for a healthier, more secure future.”

Bringing remarks on behalf of the Prime Minister of Barbados, H. E. Mia Amor Mottley, who chairs the Global Leaders Group on Antimicrobial Resistance, Chief Medical Officer of Barbados, Dr Kenneth George thanked the Fleming Fund Project for supporting national and regional efforts on AMR.  “Barbados has made strides in AMR Surveillance working towards full reporting to the Quadripartite Global Integrated System for surveillance of antimicrobial resistance and antimicrobial use.  As some of you may be aware of the WHO/PAHO Designation of the Best-Dos Santos Public Health Laboratory as a Regional Influenza Centre, reflecting our commitment to global health standards and enhancing our capacity to respond to infectious diseases. In the next few months, we will be working with PAHO to have a similar type of designation on AMR to ensure the Best Dos Santos Public Health Laboratory can indeed be a leader in AMR within the region.” Dr George noted.

The UKHSA plays a critical role in the CARA project, sharing best practices, aligning laboratory protocols, and coordinating the roll-out of training programmes designed to strengthen laboratory capacity, antimicrobial stewardship, and AMR data analysis across the Caribbean. By bridging national and regional efforts, the projects jointly reflect a unified Caribbean commitment to protecting public health, ensuring responsible antimicrobial use, and building long-term resilience against future infectious threats.

Caribbean News

Pres Ali declares three days of national mourning following MV Barima tragedy July 21, 2026

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His Excellency Dr Mohamed Irfaan Ali has declared three days of national mourning following the tragic loss of lives in the M.V. Barima incident, as the nation continues to grieve alongside the families and communities affected.

The period of national mourning will be observed from Wednesday, July 22, through Friday, July 24, 2026, in honour of the victims of the tragedy. During this time, the National Flag will be flown at half-mast on all Government buildings and other appropriate locations across the country.

As part of the observances, Wednesday, July 22, has been designated a National Day of Prayer. A National Day of Prayer and Remembrance will be held at the Kingston Seawall in Georgetown, bringing together citizens in solidarity to honour the lives lost and offer support to grieving families.

The programme of remembrance will continue with a Night of Reflection and Prayer in Port Kaituma on Thursday, July 23, followed by another observance in Mabaruma on Friday, July 24.

The government is also encouraging religious organisations, civic groups and citizens throughout Guyana to organise candlelight vigils and moments of prayer during the three days as the nation collectively reflects on the tragedy and pays tribute to the victims. The declaration of national mourning underscores the government’s commitment to standing with the bereaved families and affected communities as Guyana mourns one of the country’s most heartbreaking maritime tragedies.

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Bahamas News

CARICOM Targets Affordability as Bahamas, TCI Continue to Feel the Pinch  

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By Deandrea Hamilton

 

Cheaper shipping. Lower energy costs. Better access to healthcare. Stronger consumer protections.

Those are among the measures CARICOM Heads of Government believe could finally begin reducing the stubbornly high cost of living for millions of people across the Caribbean.

Meeting in Saint Lucia, regional leaders agreed that making life more affordable must become one of the Community’s highest priorities. Their emerging strategy includes reducing freight costs through a regional ferry service, accelerating renewable energy projects to lessen dependence on imported fuel, expanding regional healthcare partnerships, strengthening consumer protection, and encouraging governments to adopt successful cost-of-living measures already being implemented across the Caribbean.

“Our discussions over the past four days were guided by one central objective – ensuring that CARICOM delivers results that people can see and feel in their everyday lives,” CARICOM Chairman and Saint Lucia Prime Minister Philip J. Pierre said.

Few places may welcome that relief more than The Bahamas and the Turks and Caicos Islands.

Although inflation has moderated in both countries from the sharp increases experienced following the pandemic, the cost of living remains stubbornly high. Families continue to complain about grocery bills that stretch household budgets, rising housing costs, expensive electricity, healthcare expenses and fuel prices that remain among the highest in the region.

Governments have responded.

In The Bahamas, successive reductions in Value Added Tax on selected goods and other targeted tax measures have sought to ease pressure on consumers. In the Turks and Caicos Islands, the Government this weekend opens applications for its $500 Cost of Living Relief Programme, acknowledging that many households continue to struggle despite the country’s economic success.

Yet affordability remains elusive.

The contradiction is difficult to ignore.

The Turks and Caicos Islands continues to post one of the region’s strongest tourism-driven economies, with robust investment, record visitor spending and sustained construction activity. The Bahamas has also strengthened its economic position, earning improved sovereign credit ratings as tourism, government revenues and fiscal performance continue to recover.

Yet those encouraging economic indicators have not translated into noticeably lower household expenses.

The reason is largely structural.

Both The Bahamas and the Turks and Caicos Islands produce relatively little of what they consume. Food, fuel, medicines, vehicles, building materials and countless household essentials are imported. Both countries also record significant trade deficits, illustrating their dependence on overseas suppliers. Every increase in global shipping costs, fuel prices or supply chain disruptions is eventually reflected in supermarket prices, utility bills and the cost of everyday living.

That is why CARICOM’s agenda matters.

If regional leaders succeed in lowering freight costs through an inter-island ferry network, expanding renewable energy, improving regional cargo movement, strengthening consumer protections and making healthcare more accessible through cooperation, the benefits could extend far beyond government balance sheets.

For Bahamians and Turks and Caicos Islanders, success will not be measured by another tourism record or another credit rating upgrade. It will be measured at the supermarket checkout, on the monthly electricity bill, at the gas pump and in the simple ability to afford a better quality of life.

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Caribbean News

From Pathways to Investment: Tackling the US $6 Billion Food Challenge for the Caribbean

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By Kenroy Roach

The Caribbean’s food systems challenge is fast evolving into a broader development challenge.

Despite decades of policy attention and investment, the region remains one of the most food import-dependent in the world, spending over US$6 billion annually. At the same time, countries continue to grapple with food insecurity, high rates of diet-related non-communicable diseases, climate vulnerability, and exposure to external shocks that can disrupt supply chains and drive up food prices almost overnight.

For Small Island Developing States (SIDS), food security has shifted from an agriculture focus alone, it’s about economic resilience, health, climate resilience and sustainable growth.

Recognizing this reality, Caribbean governments have elevated food systems transformation as a regional priority through the CARICOM 25 x 25 Plus Five Agenda, which seeks to reduce food import dependence while strengthening domestic production, regional trade, and resilience. Across Barbados and the Eastern Caribbean, governments have also developed National Food Systems Pathways that identify the investments, partnerships, and policy reforms needed to transform food systems and accelerate progress toward the Sustainable Development Goals (SDGs).

Yet one challenge has remained persistent: financing.

In the face of high levels of public debt and limited fiscal space, while public investment remains critical, Caribbean governments simply cannot shoulder the financing burden alone. Transforming food systems at scale requires mobilizing far greater private capital, alongside development finance and public resources.

This was the rationale behind the recent convened in Barbados.

The Forum brought together governments, investors, international financial institutions, private sector leaders, regional organizations, and the United Nations around a simple proposition: food systems should be viewed not only as a development priority, but also as an investable asset class.

A distinguishing feature of the innovative gathering was its focus on attracting private investment—particularly private equity, impact investment, and blended finance solutions capable of supporting businesses and infrastructure across food value chains. By helping enterprises access growth capital and connecting investors with scalable opportunities, the initiative sought to unlock financing that complements public investment rather than adding to already constrained public balance sheets.

A key outcome was the launch of a regional Deal Book comprising approximately US$320 million in investment opportunities across seven countries, spanning agriculture, fisheries, agro-processing, logistics, and strategic food systems infrastructure. The Deal Book created a practical bridge between capital seeking opportunities and opportunities seeking capital, while enabling direct engagement between governments, enterprises, and investors.

The results were encouraging.

Across four sector-focused deal rooms, participants explored investment-ready and near-investment-ready opportunities and discussed blended finance private equity, risk-sharing, and partnerships to advance projects toward implementation.

The Forum highlighted a shift in perspective: food systems are now seen as strategic drivers of economic diversification, resilience, competitiveness, and growth. Investments across production, processing, logistics, and distribution can strengthen regional supply chains, create new businesses, generate jobs, and reduce vulnerability to external shocks.

For the United Nations, this experience reinforced an important lesson.

Transforming food systems requires more than the technical expertise of individual agencies. It requires integrated solutions that connect agriculture, nutrition, health, climate resilience, trade, private sector development, and financing.

This is where the Resident Coordinator System plays a critical role.

Across Barbados and the Eastern Caribbean, the Resident Coordinator Office has united UN system capabilities around a common food systems agenda. Working with FAO, WFP, the UN Food Systems Coordination Hub, and other partners, the RCO has helped align policy support, technical expertise, partnerships, and financing with nationally identified priorities.

The Forum demonstrated this integrated approach by convening governments, investors, development finance institutions, private sector actors, and UN agencies around a common objective. It showcased the UN’s comparative advantage as a trusted broker capable of connecting development priorities with investment opportunities.

The Forum’s success will be measured not by dialogue generated, but by investments mobilized, businesses expanded, and progress made toward resilient, competitive Caribbean food systems across the Caribbean.

Its most important outcome may therefore be what comes next.

The work starts now.

Kenroy Roach is Head of the UN Resident Coordinator Office for Barbados and the Eastern Caribbean

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