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TCI Hospital pursues Accreditation to offer Medical Internships

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#Provienciales, February 13, 2019 – Turks and Caicos – Turks and Caicos Islands Hospital has received significant interest from medical interns locally and worldwide in recent years. In an effort to further improve the quality of care and create a pipeline of future medical talent, the private health care management company has officially applied to become a facility, which is accredited to deliver medical internship programs.

The University of the West Indies (UWI) Accreditation process involves the submission of an institutional self-assessment report by the interested facility. The request is reviewed by the UWI Accreditation Committee and where suitable, a team is selected to conduct an on-site assessment to verify the information provided in the report.

Four members of the UWI Accreditation Committee conducted the on-site assessment at TCI Hospital on February 8th and 9th 2019. The visiting team comprised of Professor Trevor McCartney – Chairman of UWI Accreditation Committee and former Chairman of Caribbean Association of Medical Councils (CAMC), Professor Howard Spencer – Registrar of CAMC, Dr Tomlin Paul – Dean of Medical Sciences UWI Mona Campus and Dr Lenroy Bryan – Lecturer, UWI Department of Obstetrics and Gynaecology.

During the on-site assessment, the team participated in multiple stakeholder meetings and conducted a tour of Cheshire Hall Medical Centre and Cockburn Town Medical Centre. Chief Executive Officer of InterHealth Canada – TCI Hospital, Daniel Carriere gave remarks on past and present certifications pursued by the health care facility. The hospital has acquired three successive Diamond rankings by Accreditation Canada International in 2012, 2015 and 2018.

In addition, the hospital is currently seeking to become a Baby Friendly Hospital (BFHI) and Best Practice Spotlight Organization (BPSO). The latter program is delivered by the Registered Nurses’ Association of Ontario (RNAO).  Governance certifications were also successfully acquired from the Organization of Information Security (ISO) to bolster security practices for hospital information systems. 

Chief of Medical Services, Dr Denise Braithwaite-Tennant underscored the value of strategic alliances in health care and the broad range of internal training programs during her presentation. These programs are designed to foster a culture of continuous organizational learning and development, which paves a strong foundation for an internship program.

These include mandatory training programs, code drills, AHA certified courses and continuing medical education (CME) sessions, which are conducted by in-house and international facilitators. InterHealth Canada TCI is also contractually mandated to provide physicians with access to overseas medical conferences to keep academically up-to-date.

Under the internship program, participants are required to undergo a one-year paid rotation across four of the major disciplines. These are general surgery, internal medicine, paediatrics, obstetrics and gynaecology. These programs are carefully structured in accordance with robust standards to ensure participants acquire the clinical competence necessary to meet the requirements for medical licenses upon completion.

TCI Government has issued several educational scholarships within the field of medicine. Correspondingly, remarks were delivered by Edgar Howell, Director of the Ministry of Education, Youth, Culture and Library Services, and President of the TCI Community College (TCICC), Dr Hugh Fulford. Several local medical students have expressed challenges for the internship component of their studies, said Howell. TCICC has also commenced a nursing program, which will benefit from locally accessible internships. Both education representatives expressed hopes that the medical centres will satisfy the requirements of the surveyors.

Health Registrar for the TCI Government, Dr Derrick Aarons, provided an overview of the role of the health registrar with reference to the relevant ordinance, which makes provision for medical internships. Chief Executive Officer of the Health Regulatory Authority (HRA), Pierre Richardson provided insight into the agency’s role and responsibilities. The HRA was established under the Health Regulations Ordinance 2016 and shall serve as an independent regulatory agency of public and private health care facilities in-country.

Chief Executive Officer of the National Health Insurance Board, Dr Terese Maitland gave remarks on the collaboration between TCI Hospital and the National Health Insurance Board (NHIB), which is responsible for the management of the contributory social health care scheme. The NHI Plan is the health financing mechanism for the delivery of health services in the country, which includes overseas tertiary level and catastrophic care.

Leader of the UWI assessment team, Professor McCartney commended InterHealth Canada for the comprehensive nature of the meetings and other stakeholders for the effort to maintain high standards and regulations. The Canadian company was also commended for the introduction a Public Private Partnership health care model in the Caribbean. The Minister of Health, Honourable Edwin Astwood also attended a portion of the sessions in support of the internship pursuit. The findings of the on-site assessment will be reviewed in the next UWI Accreditation Committee meeting in April or March 2019 and later released to the hospital.

Release: InterHealth Canada

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Health

Increased cases of Chicken Pox Prompts Ministry of Health and Human Services Response

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PRESS RELEASE

MINISTRY OF HEALTH & HUMAN SERVICES

Providenciales, Turks and Caicos Islands, 25 April 2024 – The Ministry of Health and Human Services is issuing a public advisory regarding a recent increase in chicken pox cases, particularly within school communities in the regions of Grand Turk and Providenciales. The Ministry is actively monitoring the situation and is working closely with affected schools to provide support and education aimed at preventing further spread of the virus.

Chicken pox, caused by the varicella-zoster virus, is a highly contagious infection characterized by a distinctive rash of itchy red spots or blisters. Transmission occurs via droplets, aerosols, or direct contact with respiratory secretions, and almost always produces clinical disease in susceptible individuals. While mostly a mild disorder in childhood, varicella tends to be more severe in adults. It may be fatal, especially in neonates and in immunocompromised persons. The Ministry urges parents, teachers, and the general public to remain vigilant and familiarize themselves with the signs and symptoms of chicken pox, which may include:

  • Rash: The primary symptom of chicken pox is a rash that typically begins as small red spots, which then develop into fluid-filled blisters over several days.
  • Fever: Children with chicken pox may experience a mild to moderate fever, often preceding the appearance of the rash.
  • Fatigue: Some individuals may feel generally unwell, tired, or lethargic.
  • Loss of Appetite: A decreased desire to eat may accompany other symptoms of chicken pox.

Management aims to relieve symptoms and reduce the risk of complications and may include:

  • drinking plenty of fluid (try popsicles if your child is not drinking) to avoid dehydration.
  • taking paracetamol to help with pain and discomfort.
  • cut your child’s fingernails and put socks on their hands at night to stop them scratching.
  • use cooling creams or gels e.g. Calamine lotion
  • speak to your health care provider about using antihistamine medicine to help itching.
  • bathe in cool water and pat the skin dry (do not rub)
  • dress in loose clothes.

 

  • do not use ibuprofen unless advised to do so by a doctor, as it may cause serious skin infections.
  • do not give aspirin to children under 16.
  • do not go near newborn babies, or anyone who is pregnant or has a weakened immune system, as chickenpox can be dangerous for them.
  • do not scratch the spots, as scratching can cause scarring.

To mitigate the spread of chicken pox within schools and communities, the Ministry emphasizes the importance of practicing good hygiene habits, including frequent handwashing with soap and water, covering coughs and sneezes with a tissue or elbow, and avoiding close contact with infected individuals.

In the event that a child exhibits symptoms of chicken pox, parents and caregivers are advised to keep them at home and seek medical attention promptly. A sick leave for a period of 14 days is usually given. After the 14 day sick leave period, the individual must return to the physician or the public health nurse at one of the primary care clinics to obtain a fit for work or school certificate allowing them re-entry back into school or work. Anyone returning earlier than this time or without this certificate should not be allowed in school so as to prevent spread to other children. Additionally, it is crucial to inform school authorities to prevent further transmission among classmates and staff.

The Ministry of Health and Human Services is committed to ensuring the health and well-being of all citizens, and will continue to work diligently to address this current situation. For further information and guidance on chicken pox prevention and management, please visit Turks and Caicos Islands Ministry of Health and Human Services Facebook page at https://www.facebook.com/tciministryofhealth/.

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TCI News

Ammunition Charges

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PUBLIC AFFAIRS AND COMMUNICATIONS OFFICE

Police Headquarters, Airport Road

Providenciales, Turks and Caicos Islands

Tel: 649-941-4448|Email: media@tcipolice.tc

SERVICE WITH PRIDE AND INTEGRITY

 

April 25th, 2024.

On Tuesday, 23rd April 2024, officers from the Criminal Investigations Department of the Royal Turks and Caicos Islands Police Force charged a 31-year-old male.

TYLER SCOTT WENRICH of Virginia, USA, is charged with POSSESSION OF AMMUNITION.

Mr Wenrich appeared before a Grand Turk Magistrate yesterday (April 24th) and was remanded into custody at the Department of Corrections and Rehabilitation pending a June 07th Sufficiency Hearing.

Based on reports, Mr. Wenrich travelled to Grand Turk on a cruise ship.

While going through a security checkpoint, it was discovered Mr Wenrich allegedly had ammunition in his possession.

Officers of the Grand Turk Police Station were called, and Mr Wenrich was arrested and subsequently charged.

 

 

 

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Crime

Bail Granted to American Tourist without hassle; facing 12 Years for four bullets in luggage

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Wilkie Arthur

Freelance Court Correspondent

 

 

#TurksandCaicos, April 25, 2024 – He was busted at the Howard Hamilton Providenciales International Airport on Friday, April 16, 2024.

He allegedly had in his luggage four (4) rounds of 6.5mm ammunition on his departure to his homeland in Oklahoma in the United States of America (USA).

Ryan Watson and his wife were arrested and placed into police lock up. Both were later granted police bail, and upon return to police station the Monday after the couple’s arrest, the husband alone was charged by detective Police Constable Kimberlee Markland for unlawful possession of the four rounds of ammunition.

Watson was escorted to court on Tuesday, April 23rd, placed before the learned Chief Magistrate Mr. Jolyon Hatmin and remanded to His Majesty’s Prison until his sufficiency hearing on June 7, this (2024) year.

His counsel, Mr. Oliver Smith KC and his junior assistant Mrs. Kimone Tennant immediately sought bail for him in the Supreme Court which was heard the following day (Wednesday April 24) before her Ladyship Ms. Tanya Lobban-Jackson and was granted bail, without hassle in the amount or $15,000.00 cash or surety.

The Crown, in the person of senior public prosecutor Ms. Tassja Mitchell did not oppose bail.

Magnetic Media can report that once again on the afternoon of the Tuesday April 24th, after the accused RYAN TYLER WATSON, 41 was remanded by the Magistrate’s court, the U.S. Embassy issued an warning to it’s citizens and travelers to carefully check their bags when traveling to Turks and Caicos Islands (TCI) as TCI authorities are strictly enforcing firearm and ammunition laws and if found you could go to prison for 12 years.

A real question of great concern and public importance is: should the TCI courts sentence tourists to the full mandatory minimum of 12 years imprisonment for simple possession firearm and/or ammunition.

The succinct answer is: Yes!

The Court of Appeal, just last month said in its written judgment that “ALL PERSONS,” including tourist/visitors must go to prison if found guilty or pleas guilty to firearm and ammunition offences.

However, there remains the concern about how much time in prison a judge should give a visitor regardless of the existence of exceptional circumstances.

Should the judge imprison a visitor to the territory, who may have been wrongly informed, for example, the full mandatory minimum term or must a reduced prison term be imposed.

If TCI judges start to give less than the mandatory minimum to tourists/visitors, it is being strong and widely advocated by senior defense attorneys that the same must apply to local or residents of these Islands, who may also present exceptional circumstances.

Arguments about the equity in delivery of justice is what drove the question to the Court of Appeal late in 2023. The decision came this past February.

‘We cannot find ourselves sentencing tourists regardless of exceptional circumstances to lesser sentences, and when those same exceptional circumstances are found in local cases, it’s being ignored by our judges.’

Human Rights Attorney, Sheena Mair has on more than one occasion argued this point; including in firearm and ammunition bail applications. She would put the very same judges and prosecutors from the Office of the Director of Public Prosecution on the spot by reminding the judges and the prosecutors that precedent has been set.

‘You’ve just granted bail to a tourist for firearm and ammunition but now here’s a local person, same charge but because he’s a local he can’t get bail?  He has to be remanded pending a trial that could take years before it’s heard?’

Mair has valiantly outlined the wrong in this and clearly stated this practice is “not fair” and it’s “not proper administration of justice in the Turks and Caicos Islands.”

Ms. Mair further complained that tourists would plea guilty to possession of firearm and ammunition and be released on bail pending sentencing but as for a local, he or she has to wait on remand at the Department of Corrections and Rehabilitation pending sentencing.

The attorney criticizes the optics of such decisions and is on record reminding the Judge that the Court of Appeal has already set out that the law applies to everyone; visitors and locals alike.

A police statement issued Wednesday April 24 informs: “Today (April 24th), Mr. Watson appeared in the Supreme Court and, following a bail application, was granted $15,000 bail with the following conditions:

1)  Not travel out of TCI without the court’s permission.

2)  Surrender his passport and all other travel documents to the   court

3) Report to Grace Bay Police Station on Tuesdays and Thursdays between the hours of  8 am-4 pm,

4) Reside at the given address in Providenciales; any address change will be provided before the court.”

The American from Oklahoma whose story is trending in the US and has been carried by leading news networks was joined by a host of loved ones at the Courthouse.

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