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Advanced Life Support System at Health City saves visitor’s life

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Cayman Islands, August 28, 2017 – A family vacation in a tropical paradise turned into a life or death situation for Surjeet Kaur when an unexpected viral infection became a critical health emergency.

Advanced life support technology at Health City Cayman Islands, a tertiary care hospital located in East End, Grand Cayman, saved her life.   Health City is the only medical center in the Caribbean region offering the life-saving service, called extracorporeal membrane oxygenation (ECMO).

A stomach virus resulted in myocarditis for Kaur, who was visiting her son in the Cayman Islands from India.   Myocarditis is an inflammation of the heart muscle caused by various infections or drug toxicity.   In severe cases this can lead to heart failure and death.

Kaur was ill for five days with the viral illness, and initially on admission to a local primary care hospital her organs were showing good functionality.   However, her condition deteriorated significantly and quickly less than 24 hours later.

Her son, Simranjit Singh, who lives and works in the Cayman Islands, received a call from the hospital at 2 a.m. saying his mother was in critical condition.

Rushed by ambulance to Health City Cayman Islands, Mrs. Kaur was placed on ECMO life support, which allowed her heart to heal so she could recover.

By this time her blood pressure was dangerously low and other organs, especially her kidney and liver, started showing signs of failure.   Her failing heart would not have sustained her without life support.

The ECMO procedure involves channeling the patient’s blood into a roller pump that serves as the patient’s “heart” throughout treatment.   The ECMO machine is connected to a patient through plastic tubes (cannula) placed in large veins and arteries in the legs, neck or chest.   The pump sends blood through an oxygenator, which serves as an artificial lung, infusing the blood with oxygen and removing carbon dioxide and returning it to the patient.   During ECMO treatment, the patient’s heart continues to beat, but its work is made easier because the ECMO machine does much of the pumping.

Dr. Binoy Chattuparambil, Chief Cardiac Surgeon and Director of the ECMO program at Health City, explained the need for this procedure in Mrs. Kaur’s situation:  “We chose ECMO as it is less complicated and quick to institute.   With informed consent from her husband and family, ECMO was instituted through a vein in the groin.   She required very intense monitoring and treatment in the ICU for next few days, but the heart slowly and steadily showed signs of improvement and she was taken off ECMO.   An echocardiogram showed that the heart had recovered completely without any signs of damage. She went home with a strong and healthy heart and functional organs.”

During extracorporeal membrane oxygenation, the patient is the focus of a highly coordinated medical team and receives round-the-clock care while on the “heart lung machine”.    The length of time a patient remains on therapy depends on the diagnosis and the patient’s individual response.

An ECMO machine can help save a patient’s life, but it does not treat the patient’s disease or injury.   The machine simply provides support for a patient while the health care team works on treating the underlying disease or injury (such as an infection) or until organs for transplant become available.

Singh reported with great relief that his mother responded well to ECMO treatment.

“The treatment was successful. After 48 to 60 hours, she was out of danger … we were very thankful that she survived the treatment,” he said.

Dr. Chattuparambil noted that ECMO treatment is a team process and requires an experienced team of doctors and medical professionals.

“Health City Cayman Islands has a very strong, expert and experienced team of doctors, perfusion scientists and nurses who have managed many patients on ECMO and saved their lives.   The hospital has two ECMO machines, one of them is the most advanced design called CARDIOHELP which, being very small and compact, can be used to transport patients via road or by air,” he explained.

Dr. Binoy, as he is called, made note of the exceptional ECMO outcomes at Health City.

“During the last two and half years we have treated eight critically ill patients with ECMO, both children and adults.   With a survival rate of 90 per cent, our positive results are far better than the global average published by the ELSO (Extracorporeal Life Support Organization) registry, located in the United States,” he said.

Kaur’s family had words of thanks and praise for the entire Health City Team following her treatment.

Singh said: “We as a family want to thank Health City and all of the doctors here.   Along with the doctors, we want to thank the finance and admin team, as well as the hospitality staff.   They have been tremendous this last two weeks.   They have given us all the support we required. We have been away from our family back home, and they have come forward to be our family and treated us as a family member.   I have never seen such compassion and hospitality anywhere in the world as I have seen at Health City, so from the bottom of our hearts we wanted to thank Health City and all the staff for cooperating with us and giving us support at the time that we needed it.”

In addition to Dr. Binoy Chattuparambil, the ECMO team at Health City Cayman Islands includes cardiac surgeon Dr. Sumit Modi; Dr. Dhruva Krishnan and his team of anesthesiologists and intensivists; Perfusion scientists Lessley Christudos and Ravindra Deshpande; and Mevin Varghese and his team of Intensive Care Unit (ICU) nurses.

About Health City Cayman Islands

Health City Cayman Islands, the vision of renowned heart surgeon and humanitarian Dr. Devi Shetty, is supported by two major health-care organizations, Narayana Health and the U.S.-based Ascension, which is America’s largest faith-based and nonprofit health system, providing the highest quality care to all, with special attention to those who are poor and vulnerable.    Health City, only the second hospital in the Caribbean to receive the Joint Commission International’s “hospital accreditation”, provides compassionate, high-quality, affordable health-care services in a world-class, comfortable, patient-centered environment. Offering health care to local, regional and international patients, Health City Cayman Islands delivers excellence in adult and pediatric cardiology, cardiac surgery, cardiac electrophysiology, medical oncology, orthopedics, sports medicine, pediatric endocrinology, gastrointestinal and bariatric surgery, neurology, interventional neurology and neuro-diagnostics, neurosurgery, minimally invasive spine surgery, gynecology, urology, colorectal surgery, dental, sleep lab and pulmonology services.

For further information, visit www.healthcitycaymanislands.com.

Release: Health City Cayman Islands

 

 

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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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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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