News
TCI: Common Cancer Questions
Published
9 years agoon
#TurksandCaicos, February 6, 2018 – Providenciales – In observance of World Cancer Day marked on February 4, 2018, Oncology Specialist Nurse at Turks and Caicos Islands Hospital, Gemma Williams-Watson answered some common cancer questions. For educational purposes, these questions and answers are simplified below.
- What is cancer?
Cancer is when cells in the body divide and grow in an uncontrolled manner. These cells then form lumps or tumors. Cancer can spread to other areas of the body and therefore early detection and treatment is essential to cure.
- What causes cancer?
We can’t say what causes cancer but we do know many risk factors or lifestyle choices that can increase your risk of getting cancer. By minimizing or eliminating these factors you can then decrease your risk.
For instance, we know smoking, lack of exercise and obesity, and a poor diet are all risk factors for cancer. We also know that if you have a strong family history of cancer it can increase your own risk. This is a risk that is uncontrollable so it is even more important to make a conscious effort to decrease your risks and attend regular screening.
- How is cancer diagnosed?
Different cancers are diagnosed in different ways, and therefore a range of screening techniques are recommended. Screening is designed to detect cancer at its earliest stage, and then further testing is done to understand the individual’s cancer in more detail.
Screening methods include mammograms, colonoscopies, pap smears and certain blood tests.
If a tumor is identified following a screening then further tests must be performed such as a tissue biopsy and scan to give the doctor additional information.
- How is cancer treated?
Treatment is specific to the type of cancer and the individual patient. Modes of treatment include surgery, chemotherapy, hormone therapy and radiotherapy, but not all patients will require all of these treatments. The treatment plan is based on the individual patient and their clinical picture. For example, how well the patient is and if he/she has any other health problems. This information is reviewed along with lab reports and scans etc. Treatment is tailored to an individual. This is why not all breast cancer patients will receive exactly the same treatment. There are many different types of breast cancer and each requires a specific treatment plan.
Doctors around the world in the field of Oncology follow international treatment guidelines. These guidelines direct the treatment plan; identify a particular type of surgery or specific drug regimen. The treatment is not solely chosen by the doctor, the decision is directed by these international treatment guidelines.
Cancer treatment is now becoming more personalized due to gene and hormone profile testing, whereas before it was almost ‘one size fits all’. In some cancers these tests can help to identify exactly which drugs will help a particular patient’s type of cancer.
When a treatment decision is being made, many pieces of information must be assessed to build a clinical picture of the patient.
For instance, the scan report, lab report, blood tests and hormone receptors plus the patient’s medical history, current health status and personal preferences are all taken into account. This clinical picture is then compared to the guidelines and a particular treatment plan is decided specific to the patient.
Some of these examples include: every breast cancer patient do not require a mastectomy; every breast cancer patient do not require radiotherapy; Some breast cancer patients will require hormone therapy after they have completed chemotherapy, and some patients will not require any hormone therapy. It is very specific to the individual, which is why patients should not compare themselves to other patients, even if they appear to have the same diagnosis.
- What are the different types of Cancer?
There are more than 100 types of cancer, but some are more common than others. The most common cancers seen in the Turks and Caicos are breast, prostate and colorectal.
- Which type of cancer is most severe?
The majority of cancers, if detected in the early stages, can be treated effectively and are potentially curative. Cancer that is diagnosed in an advanced stage, meaning when it has spread to other organs or parts of the body, makes cure less likely and sometimes not possible at all. In these cases the focus of treatment then shifts from cure to controlling the spread of cancer and increasing a patient’s quality of life. To say one cancer is worse than another is not really possible. All cancers are serious conditions and must be treated quickly to get the best results.
- Can injuries cause cancer?
No, there is no evidence to show that previous injuries can be a direct cause of cancer.
- Can stress cause cancer?
What we do know is that chronic stress or high levels of stress maintained for long periods of time can have an impact on your immune system. For example, you may feel more exhausted and be more susceptible to coughs and colds. We also know that high levels of stress can cause an imbalance in the body’s naturally produced hormones and that some cancers are hormone driven, so this means there is a possible link between the two, but we can’t state that stress directly causes cancer.
- What are the risk factors for cancer?
Some risk factors include smoking, high alcohol intake, lack of exercise and obesity, and poor diet. These risks can be managed and decreased by sensible life choices. Making the right choice and making a concerted effort to ‘live well’ is incredibly important for your own well-being. Also, if you have a strong family history of cancer this can increase your own risk so regular screening and self checks are extremely important.
- Is cancer contagious?
No, cancer is not contagious. Cancer is formed due to a malfunction in cell growth; it is not passed on via bodily fluids or touch.
- Can cancer be prevented?
We’ve spoken about the risks and how to minimize your own cancer risk but unfortunately we are unable to completely prevent it which is why screening and early detection is so important.
- What are the side effects of cancer treatment?
There are different modes of treatment and each of these have their own possible side effects. Chemotherapy alone has many different potential side effects but not all chemotherapies have the same ones. For instance, not all chemo drugs result in hair loss. Radiotherapy, depending on where the patient’s cancer is located, will result in different side effects because the rays are being aimed at different parts of the body. Before a patient begins any form of treatment, the side effects are discussed so they are able to make an informed decision about commencing treatment.
- Are the symptoms of cancer treatment severe?
All types of treatment have side effects so it is important that the advantages are weighed against the disadvantages before commencing any sort of treatment. It is also important to say that not all patients respond in the same way. For instance, 100 patients with breast cancer could be given the same drug, but each patient will report a different side effect profile. This is because we are all individuals and therefore, patients are all different in how they cope with different situations. Some patients do find the side effects difficult to deal with and when that happens we discuss all possible options available.
- What happens when cancer goes into remission?
Complete remission means there is no sign of the cancer on physical examination, on a scan or in any other test. Some doctors may use the phrase ‘no evidence of disease’. It is also important to say that remission and cure is not the same thing.
If the cancer is in remission it does not mean the cancer is cured. If the cancer does come back it is usually within 5 years of the original diagnosis. After that 5 year period, if there is still no sign that the cancer has returned, some doctors may say that the patient is then cured.
- Can cancer be cured?
Yes, many cancers can be cured if they are diagnosed early. This is why regular screening is so important. When cancer spreads to other areas of the body it makes it very difficult and often impossible to cure. If people attend screening regularly, tumors can be identified early – this gives the patient the best chance for a positive outcome.
- Is there a concern for cancer diagnosis in the TCI?
The hospital cancer registry collates data on all patients diagnosed by or referred to the hospital. The trends formed by the data can then help plan care for the future. From this data we found that in 2015 there was a large increase in the number of cancer diagnoses, but since then the annual number of cases diagnosed at the hospital have decreased. In 2016, there was a drop in annual numbers compared to 2015, and again in 2017, there was a decline in the annual number of cases diagnosed compared to 2016.
The number of patients diagnosed with cancer feels high because it is such a small community and for many people these patients may be friends or even relatives so it is understandable that it feels very personal and close to home.
Cancer is certainly in the forefront of everyone’s mind which is good. Cancer is an extremely important disease to be actively aware of as it is increasing globally and we should be making a conscious effort to live healthy and get screening when recommended.
- Has there been a large number of deaths in the TCI due to cancer?
As we know, a number of patients passed away in 2017 that had been diagnosed with cancer and as a result of this, it was important to review the data about these patients. Upon reviewing the data, some really important related factors were highlighted.
Some of the patients that passed away succumbed to other health issues rather than the cancer. So although the patients did have cancer, that is not why they passed away.
Some patients even at diagnosis have advanced cancer so cure becomes almost impossible. In this group of patients, our aim is to ensure they feel as well possible for as long as possible. We aim to minimize symptoms such as pain or nausea and continue to care for them based on their personal preferences and individual needs.
Another key point to make is that cancer cells are very clever and often stop responding to cancer treatment especially if the patient has an aggressive cancer or they have had a lot of previous cancer treatment. Medical science is providing us with new treatment possibilities every day through research and drug trials, but unfortunately even medical science cannot always offer the cure or answer we would hope for.
We are very lucky in the Turks and Caicos because we have virtually unlimited access to medications whether it’s chemotherapy or supportive treatments. This allows us to offer multiple treatments if these are what the patient require. Some patients do decline treatment due to personal beliefs or concerns; some make a decision between the family that acute medical treatment is not what suits them or their wishes. In these cases, we continue support the patient and offer other forms of assistance and care wherever we can.
Release: interHealth Canada
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News
Building a Stronger Royal Turks and Caicos Islands Police Force through Change and Capacity Building
Published
2 days agoon
September 4, 2026
Turks and Caicos, September 4, 2026 – As the world continues to advance, the nature of policing continues to evolve. Criminals are becoming more sophisticated, technology is changing rapidly, and the expectations placed upon law enforcement agencies have never been greater. If we are to remain effective in protecting our communities, we must be prepared to evolve alongside these changes.
It is against this backdrop that the Royal Turks and Caicos Islands Police Force has embarked on a journey of organizational transformation
and modernization. Change is not always comfortable, nor is it easy. It requires us to challenge old ways of thinking, review longstanding practices, and sometimes make difficult decisions in pursuit of a better future.
We recognize that change often brings uncertainty and resistance. However, strong institutions cannot remain static. They must continuously adapt to changing circumstances while remaining true to their core mission and values. Our responsibility as a Police Force is to build structures, systems, policies, and capabilities that will endure long after any individual officer leaves the organization.
This transformation is not simply about responding to today’s challenges. It is about building an institution that is resilient, sustainable, and capable of serving future generations.
Central to this transformation is capacity building.
For too long, discussions about organizational effectiveness in policing have focused primarily on equipment and infrastructure. While these remain critical, true organizational strength comes from knowledge, competence, leadership, and institutional capability. Our objective is not merely to fill positions but to develop professionals who possess the expertise, confidence, and leadership skills necessary to navigate increasingly complex policing environments.
The Royal Turks ans Caicos Islands Police Force have made substantial investments in training, leadership development, specialist expertise, and knowledge transfer across the Force. ACP Dr. Terrance Bent, drawing on more than 30 years of policing experience and professional knowledge, will play a pivotal role in driving this organizational transformation. These investments are intended not only to enhance individual capability and performance, but also to strengthen the institutional resilience and effectiveness of the Force. Every officer who undertakes advanced training becomes a valuable source of expertise, mentorship, and leadership, creating a lasting ripple effect that benefits colleagues, teams, and the wider organization.
In this way, capacity building becomes far more than professional development. It becomes the foundation upon which long-term organizational success is built.
Between October 2025 and August 2026, the RTCIPF delivered 63 training courses and programmes, recording 1,289 participant attendances across a broad range of professional development initiatives.
The Junior Command Programme, our flagship leadership development initiative, continues to strengthen supervisory and leadership capacity and offers certification and accreditation for further learning opportunities. Four(4) cohorts have successfully completed the programme since its reintroduction, with the fifth cohort scheduled to conclude on 11 September 2026. To date, fifteen (15) persons from the RTCIPF and the Turks and Caicos Islands Border Force have completed the programme, while six participants are currently undergoing training. An additional 32 personnel remain engaged in ongoing professional development activities.
These investments in our people are already producing measurable results. We are building stronger leaders, enhancing operational capability, improving investigative capacity, and creating a more professional and adaptable workforce. These improvements are helping us create a police service that is better equipped to meet today’s challenges while preparing for those that lie ahead.
Encouragingly, these efforts are being reflected in our operational outcomes. Over the past year, the Royal Turks and Caicos Islands Police Force has recorded a steady decline in serious reported crime, including significant reductions in violent offences and homicides. Murders have fallen from a record high of 48 in 2024 to 27 in 2025, and to just three(3) recorded murders by the end of August 2026. This represents a reduction of 43.8% in 2025 and 93.8% in 2026 when measured against the 2024 baseline. Collectively, this equates to approximately 66 fewer homicides recorded over the period compared to what would have occurred had the 2024 murder rate continued.
Serious crime has also continued on a downward trajectory, decreasing from 551 offences in 2024 to 502 in 2025, with 210 offences
recorded by the end of August 2026. Based on current trends, serious crime is projected to end 2026 at approximately 315 offences, representing a reduction of 42.8% compared with 2024.
These achievements are a testament to the dedication of our officers, the support of our partners and the cooperation of the communities we serve. The results demonstrate the positive impact of sustained investment in our people, targeted enforcement initiatives, intelligence-led policing and strong community partnerships.
While we are encouraged by this progress, it would be disingenuous not to acknowledge the challenges that remain.
Our officers continue to operate under demanding circumstances. There are genuine concerns regarding facilities, technology, equipment, uniform supplies and other resources necessary to support effective policing. These are not mere inconveniences; they are operational realities that can affect our ability to deliver services at the standard both the public and our officers deserve.
We acknowledge these concerns and are committed to addressing them. To support this effort, the Force has engaged Mr. Rohan Richards as Chief Operations Officer. Drawing on his extensive expertise and operational experience, Mr. Richards will provide strategic guidance and oversight to identify areas for improvement, strengthen organizational efficiency, and help drive the changes necessary to enhance the effectiveness, resilience, and capability of the Force.
The acquisition of modern technology, fit-for-purpose workspaces, specialized equipment and adequate operational resources remains essential to achieving our modernization objectives. Budgetary constraints continue to present challenges, and we will continue to advocate strongly for the investments required to equip the Force for the future.
However, while we pursue the resources we need, we cannot allow the absence of resources to define who we are. Our identity is shaped not by the equipment we possess, but by the professionalism, dedication, and resilience of the people who serve.
Every success achieved by this Force has been made possible through the determination, commitment, and sacrifice of the men and women who serve this organization and by extension, the people of the Turks and Caicos Islands.
Too often, the public sees the uniform but not the person behind it. They do not always see the long hours, the missed family occasions, the difficult decisions, or the emotional burden that policing can impose. Yet every day, our officers continue to answer the call of duty with professionalism, courage, and unwavering commitment.
As an organization, we have a responsibility to support our people by investing in their development, recognizing their contributions and
creating opportunities for growth. Morale is strengthened when individuals feel valued, respected and empowered to succeed.
That is why our modernization programme places people at its heart. Every course completed, every skill acquired, every leadership opportunity created, and every improvement in working conditions is an investment in the people who make this organization successful.
While building capability and reducing crime remain essential priorities, public trust and police legitimacy are equally important.
The appointment of an Inspector General Alison Woods reinforces our commitment to ensuring that accountability is not merely an aspiration but a reality. It provides an independent mechanism through which allegations of police misconduct can be examined fairly, impartially, and transparently. This oversight role strengthens public confidence while supporting the professionalism and integrity of the overwhelming majority of officers who serve honourably each day.
At the same time, it is important to recognize the dangers that officers continue to face in the execution of their duties. Criminals remain willing to confront law enforcement, particularly during responses to firearms-related incidents.
A recent shooting involving several underage males serves as a stark reminder of this reality. Incidents such as these highlight the complex environment in which officers must operate, balancing accountability and transparency while confronting individuals who are often armed and prepared to engage in serious criminal activity.
For this reason, our focus has increasingly shifted from short-term gains to long-term sustainability. The true measure of success is not whether crime falls during my tenure as Commissioner. Rather, it is whether the systems, structures, and capabilities we are building today are strong enough to sustain that success long after my tenure has ended.
Building institutional resilience also means investing in the next generation of police officers. While developing our existing workforce remains a priority, we continue to focus on attracting talented individuals from within our own communities. Recruitment remains an important part of this effort, and we continue to encourage suitably qualified Turks and Caicos Islanders, Permanent Residency Certificate holders and British Overseas Territories citizens to consider a career in policing.
The future of this organization depends on our ability to identify, develop and retain individuals who are committed to public service, professionalism and integrity. By bringing new talent into the organization while continuing to develop those already serving, we are creating a sustainable foundation for long-term success and ensuring that the progress we achieve today can be maintained well into the future.
My goal is clear: not simply to reduce crime today, but to create the conditions that will keep crime low, communities safe, and public
confidence strong for years to come.
Change does not happen overnight. It requires patience, discipline, commitment and collective effort. It requires the support of our officers, our partners, our Government and the communities we serve.
As we prepare for the reopening of schools, the Royal Turks and Caicos Islands Police Force will maintain an increased presence on the nation’s roads to help ensure the safety of students, parents and all road users. Motorists are urged to comply with all traffic laws and exercise patience during peak travel periods. Drivers who create unnecessary congestion or are found in violation of traffic regulations may face enforcement action and prosecution where appropriate.
Together, we are building more than a modern police service. We are strengthening an institution, safeguarding our progress, creating opportunities for our young people, and laying the foundation for a safer and more secure Turks and Caicos Islands for generations to come.
The men and women of the Royal Turks and Caicos Islands Police Force are our greatest asset. They remain the driving force behind every success we achieve today and every success this organization will achieve in the future.
Stronger Together, serving the citizens, residents and visitors of these Beautiful by Nature Turks and Caicos Islands.
News
Starlink Gets 15-Year TCI Licence; Commission Reveals Fees, Future Flow and Digicel Partnerships
Published
3 days agoon
September 3, 2026
Deandrea Hamilton | Editor
PROVIDENCIALES, TURKS AND CAICOS ISLANDS — Starlink has been granted a 15-year telecommunications licence in the Turks and Caicos Islands, with the satellite internet provider required to pay an initial licensing fee of approximately $112,600, followed by annual payments tied to revenues and spectrum use.
The details were provided directly to Magnetic Media by Kenva Williams, Director General of the TCI Telecommunications Commission,
following the August 27 formal licensing ceremony.
Williams said Starlink will pay seven per cent of gross annual revenues for its network licence, a $23,600 annual spectrum fee, and a further 1.8 per cent of annual gross revenues as a regulatory fee. The licence carries conditions and runs for the same 15-year period afforded other service providers.
The Telecommunications Fee Structure Regulation was also amended to create a category for satellite services.
For consumers, Williams confirmed that Starlink operates independently of Flow and Digicel, meaning residents do not require either provider to access its regular satellite internet service. He also confirmed that areas shown in blue on Starlink’s availability map indicate that service is available.
However, the relationship changes with Direct to Cellular (D2C) technology.
“For Direct to Cellular services, they will partner with Flow and Digicel,” Williams told Magnetic Media.
The Director General described Starlink as a complement to terrestrial telecommunications, capable of facilitating internet access in locations and circumstances where conventional infrastructure has been difficult or impossible to deploy.
That need helped drive a licensing process Williams said took two years.
Speaking at the ceremony, he explained that the Commission found no Caribbean regulatory framework it could simply replicate and therefore undertook consultation with existing operators, satellite providers, stakeholders and the public.
Williams said a Commission survey found 80 percent of respondents wanted Starlink, but acknowledged concerns from existing operators about the impact of a global satellite provider entering the TCI market.
“We’re going to ensure that policies are in place to keep the terrestrial services alive,” Williams said, stressing that Flow and Digicel
maintain critical physical and mobile infrastructure. He also urged government not to abandon plans for a national fibre network, describing it as “a must.”
For Starlink, however, the licence represents more than commercial entry into another market.
Rebecca Hunter, Director of Market Access for Starlink, described August 27 as “day one of our relationship with the Turks and Caicos Islands,” promising that the company intends to become a long-term community partner.
“We look forward to contributing in the proper ways, following all the rules and requirements… and we look forward to giving back to the community,” Hunter said.
She identified resilience, government continuity, maritime services, disaster management, healthcare and education among areas where Starlink believes its technology can contribute.
“However we can contribute, we want to be part of your story,” Hunter told the gathering.
The entry is particularly significant for an archipelago where smaller and sparsely populated islands have historically presented challenges for traditional telecommunications infrastructure.
For the Commission, Starlink therefore adds another layer of connectivity rather than replacing existing networks — expanding consumer choice today while creating future opportunities for satellite-to-mobile connectivity through TCI’s established operators.
Turks and Caicos Islands – Leading telecoms provider Flow TCI has announced enhancements to both its fixed and mobile networks, delivering faster speeds, expanded coverage and greater capacity for customers across the country.
The latest improvements include the activation of a new mobile site in Long Bay, enhanced broadband speeds for residential customers, and
independent recognition from Ookla for the performance of the company’s fixed network.
“Together, these developments reflect our continued focus on building the digital infrastructure needed to support the evolving needs of households, businesses and the wider economy,” said Joanne Missick, Country Manager, Flow Turks and Caicos Islands.
“Our continued network enhancements are focused on delivering a better experience for our customers while ensuring that the Turks and Caicos Islands has the digital infrastructure needed to support economic growth, innovation and opportunity.”
The newly activated mobile site in Long Bay delivers improved coverage, increased network capacity and faster mobile connectivity to one of the fastest-growing communities in the Turks and Caicos Islands. Further mobile network expansion is planned through late 2026 and into 2027, strengthening Flow’s ability to meet growing demand and ensuring more communities can benefit from high-quality connectivity.
Flow has also enhanced the experience for its residential broadband customers. Effective August 1, eligible customers received significant upgrades, with internet speeds on selected plans doubled or tripled. Some customers also benefited from a reduction in their monthly bill.
The strength of Flow’s fixed network has also received independent international recognition. Flow Turks and Caicos Islands was awarded
the Ookla Speedtest Award for Fastest Fixed Network in the Turks and Caicos Islands, based on data from Speedtest Intelligence.
The award provides independent validation of Flow’s network performance and gives customers tangible assurance that the network they rely on for work, entertainment, education and everyday life delivers leading speeds.
“Reliable, high-performing connectivity is no longer simply a convenience. It is fundamental infrastructure for modern life and for national development,” added Missick.
“The recognition from Ookla is particularly meaningful because it independently validates the performance of our fixed network. For our customers, it reinforces what these investments and enhancements are designed to deliver: faster, stronger and more dependable connectivity for the things that matter most in their lives and businesses.”
These network developments form the foundation of Flow’s new nationwide campaign, ‘This Is TCI’s Network’, which highlights the company’s long-term commitment to the Turks and Caicos Islands and its role in connecting communities and supporting the country’s continued development.
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