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JAMAICA: Public warned about misuse of antibiotics

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#Jamaica, December 13, 2017 – Kingston – The Ministry of Health is warning members of the public of the negative impact on health caused by the excessive or misuse of antibiotics.   Antibiotic/antimicrobial resistance (AMR) is the result of the abuse of antibiotics.   AMR occurs when bacteria change and become resistant to the antibiotics used to treat the infections they cause.

AMR is caused by a number of factors, including the overprescription of antibiotics, patients not finishing their treatment, overuse of antibiotics in livestock, fish and crops; poor infection control in hospitals, clinics and unclean facilities, lack of hygiene and poor sanitation.  As a result, standard treatments become ineffective, infections persist and may spread to others.  The condition also increases the prevalence of drug-resistant bacteria in humans, animals, plants and the environment.

This poses a great threat to public health, as persons of any age are vulnerable to untreatable infections from surgical site infections, minor injuries or even colds, which can cause life-threatening complications from ‘superbugs’ such as tuberculosis (TB) and malaria.

In response to this public health threat, the Ministry of Health in collaboration with its partners, has come up with a National Action Plan (NAP) to tackle AMR.   Under the NAP, the Ministry of Health will be establishing a surveillance system of antibiotic-resistant infections and strengthening infection prevention and control measures.   Additionally, the Ministry, in collaboration with the UWI, will be undertaking a public education campaign on the impact of antibiotic resistance.

Members of the public are being encouraged to play their part in slowing antibacterial resistance by only using antibiotics prescribed by a certified health professional. Persons are also advised to always take the full prescription, even if health improves.   Persons should never share leftover antibiotics with others, and should prevent infections by regularly washing hands and keeping vaccinations up to date.

A major component of the action plan is stricter regulation and promotion of the appropriate use of quality medicines among healthcare professionals.  Health workers are also being urged to participate in the initiative by ensuring that hands, instruments and the environment are clean; to only prescribe and dispense antibiotics when they are needed, in accordance with current guidelines; report drug-resistant infections to surveillance teams; and talk to patients about how to take antibiotics correctly.

These workers are also charged with educating patients about the dangers of antibiotic resistance and the dangers of misuse.   Medical professionals are also urged to talk to patients about methods of preventing infections through vaccination, hand washing, safe-sex practices and covering nose and mouth when sneezing or coughing.   The food production industry is also integral to arresting AMR by promoting and adopting good practices at all steps of the production and processing of foods from animal and plant sources.

Stakeholders within the agricultural sector can also adopt sustainable systems with improved hygiene and biosecurity, proper handling of livestock, and ensuring that antibiotics given to animals are only used to control or treat infectious diseases.   Animals should be vaccinated to reduce the need for antibiotics, and the development of alternatives to the use of antibiotics in plants is also encouraged.

Food producers are also encouraged to implement international standards and guidelines for the responsible use of antibiotics.   These standards are established by the World Health Organization (WHO), Animal Health (OIE) and the Food and Agriculture Organization of the United Nations (FAO).

Noting that 20 to 50 per cent of antibiotic prescriptions are unnecessary, Permanent Secretary in the Ministry of Health, Sancia Bennett-Templer, is calling on health workers to dispense these drugs judiciously.

“It is a fact that antibiotic resistance is putting the achievements of modern medicine at risk. Organ transplants, chemotherapy and surgeries, such as caeserian sections, become much more dangerous without effective antibiotics for the prevention and treatment of infections where antibiotic resistance becomes a problem,” she notes.

Pan American Health Organization (PAHO)/World Health Organization (WHO) Consultant, Dr. Kam Mung, has commended the Government and local health officials for the effort in establishing a multisectoral national action plan to combat this threat.

“We at PAHO congratulate Jamaica because of the formation of the anti microbial resistance technical working group,” he says.

Noting that almost half a million people have developed multidrug-resistant tuberculosis, Dr. Mung said the action plan will assist in the national effort to stem the devastating health impact associated with the condition.

Meanwhile, Medical Microbiologist at the University Hospital of the West Indies, Dr. Alison Nicholson, tells JIS News that the UWI has been conducting research into the condition, to better prepare the health sector to manage the effects of AMR.

“At the UHWI, we monitor the organisms and look for resistance.  We monitor our resistance patterns and take it further by doing research.  We try to figure out what is the mechanism of this resistance.  We look at the organisms and track them, so we know what organism causes which diseases,” Dr. Nicholson explains.

The NAP is being executed through a multisectoral technical working group comprised of the Ministries of Health and Industry, Commerce, Agriculture and Fisheries; the Pan American Health Organization (PAHO)/World Health Organization (WHO) and the University of the West Indies (UWI).

By: Rochelle Williams (JIS)

 

 

 

 

 

 

 

 

 

 

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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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