Health

Opposition Leader has advice for TCIG now that Delta variant landed

Published

3 years ago

August 20, 2021

Deandrea Hamilton

#TurksandCaicos, August 20, 2021 –

We should Be Concerned about the Delta Variant

After a year and a half, we are still in the pandemic. It is the survival of the fittest between humans and the coronavirus Variants. We are racing to herd immunity, to get more people vaccinated and to get more effective antiviral medications.

We are seeing people dismiss COVID as a just another common cold, and even worse not wearing masks in public places or social distancing. We are also seeing a lack of compliance to the established COVID-19 protocols. We are seeing most safety protocols being abandoned and persons going back to business as usual pre-COVID. We are seeing persons, some who are vaccinated, travelling to cities with high rates of new COVID-19 cases and returning back home to the Turks and Caicos Islands without knowing their COVID status.

With new cases now emerging daily in the TCI the situation could deteriorate very rapidly. We should not allow the flood gates to be wide open. We as a country cannot ease up our efforts at this time, and should not stop fighting until the virus has been defeated. We have to do whatever it takes to battle this unseen enemy.

Therefore, we should be very concerned about the newer, faster transmitting, Delta Variant (B16172). This Variant seems to be the prevalent strain circulating in the TCI at the moment, and has been seen to be two times more infectious than the original G-Variant. Recent reports from the UK indicate that the Delta Variant is infecting younger people more than the original variant, and that the symptoms are different.

With the original variant infected persons would present with symptoms of high fever, muscle pains, cough, severe chest pain etc., but with the Delta Variant, many infected persons are presenting with symptoms of stuffy or running nose, sneezing, sore throat, and mild headaches. Younger people usually show little or no symptoms, and are less likely to get tested, hence not knowing their COVID status and possible spreading the virus more.

Additionally, scientific data sources are now showing that vaccinated persons with a good immune system may also become infected and show little or mild symptoms, and not get tested, and possibly spread the virus to susceptible individuals.

Viruses have one goal, that is to make more copies of themselves (to multiply), and since they can’t do it on their own, they use us (a host). They infect our body cells and use them to make copies of themselves. They replicate themselves many times, making millions of copies of themselves, but eventually it makes a mistake. The mistake is referred to as a mutation, and it changes the instructions for making the virus. That slightly altered virus is a Variant. Mutations in viruses happen all the time, producing new variants. Most of the time these mutations are insignificant or make the virus weaker, and they naturally disappear. But sometimes a series of mutations makes the virus stronger, and gives it an edge over its host. These advantages include giving the viruses the ability to bind to the human cells better, and the ability to enter the cells easier, making the virus more transmissible, allowing it to become the dominant strain in many places around the world.

It is important to remember that mutations are random errors, but the longer a virus is around, and the more people it infects, the more it will change, and the more those changes accumulate, the more chance the virus has to evolve into a more dangerous variant.

The Delta Variant which is the most recent addition to this list of dangerous Variants, is described as a “Double Mutant”, whose mutations seems to make it more transmissible, as it binds to the cell receptors better than other variants, thus blocking those other variants from binding. Its mutations also made it more easy to infect people who have had COVID-19. This means this Variant has a greater change to evade our body’s natural immune response.

Scientific Data has shown that the immune response we get from vaccines are stronger than what we get from a natural response to the virus. Therefore, we would see some persons who previously contracted COVID-19 becoming re-infected, and there would be persons who have taken the vaccine becoming infected with COVID-19 (breakthrough cases). But the difference being seen is that the effect on vaccinated individuals is less severe with possibly no symptoms and are less likely to be admitted to the hospital.

The virus has evolved, and will continue to produce variants, some which may give it an advantage. So if we want to prevent the possibility of a deadlier, and more transmissible strain from developing, we need to stop the Virus.

The Pandemic is not over, even if it feels that way to some of us. The virus has mutated to become more transmissible. Now is not the time for the Turks and Caicos, nor the rest of the world to let its guard down.

The Delta Variant is now presenting as the prevalent variant in a number of countries, and certainly it is now present in the Turks & Caicos. The more we test the more we pick up on silent cases in our communities.

We are now better equipped to respond to the pandemic, and our ability to test is now so much better. Our hospital capacity is now much better to deal with COVID patients, including the availability of oxygen generation.

The New PNP Government must now do its part and insure that our Health Care System stays adequately staffed with the necessary health professionals to care for our hospitalized individuals, and that the right complement of health workers is employed to respond to Outbreaks and Pandemics, that is, having trained staff to perform Surveillance and Monitoring activities, Compliance activities, Testing and research, quarantining, vaccinating, community work, and School Health.

Additionally, the new PNP Government needs to make the tough, and sometimes unpopular decision to ensure that the right policies and guidelines are put in place for the mitigation of further spread of Variants, and for protecting our country and our people.

We should never just focus on what we are seeing today, but must always try to keep a few steps ahead of the virus, by looking at what future advances and abilities are needed. The Government should be looking at what are the technologies and enhancements we could make based on the lessons we have learned, and making the containment, monitoring, and reduction in spread of COVID Variant, and other new viruses much better the next time around.

Hon. Edwin A. Astwood

Leader of the Opposition

Related Topics:#covid19 #deltavariantintci #edwinastwood #magneticmedianews

Up Next

Call for Entries – Caribbean Council Excellence in International Business Award 2021

Don't Miss

Turks and Caicos Tourist Board Hosts Exclusive Group Press Trip

Deandrea Hamilton

Health

Dengue Getting Worst

Published

5 days ago

April 27, 2024

Shanieka

Rashaed Esson

Staff Writer

#Dengue#Caribbean#CentralandSouthAmerica, April 25, 2024 – New data from the Pan American Organisation(PAHO), indicates that dengue in the region may hit an all time high now over 4 million cases, a 260 percent increase from 2023 with over 1700 deaths registered since mid April. In fact, since April, reports say Brazil has reported the most cases. As a result of the surge in cases, the U.S. Centers for Disease Control and Prevention (CDC), reissued its Level 1 Travel Health Advisory for the Americas on April 18, 2024 and the countries listed include the Turks and Caicos, Guadeloupe and French Guiana, as they have been seeing higher than usual levels of infection.

Health

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

Published

5 days ago

April 27, 2024

Shanieka

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/.

Caribbean News

CARPHA Supports Antigua and Barbuda in Building Capacity for upcoming Mass Gathering Events

Published

1 week ago

April 24, 2024

Shanieka

St. John’s, Antigua and Barbuda. April 17^th 2024. The Caribbean Public Health Agency (CARPHA) is conducting an integrated mission to Antigua and Barbuda (ANU) during April 15-19^th to build capacity in surveillance, early warning and response systems, laboratory capacity, competence in health and food safety, and prepare for the launch of the CARPHA Regional Tourism and Health Program (THP), ahead of the 4^th International Conference of Small Developing Island States (SIDS), Sailing Week, the ICC Men’s T20 World Cup, and other major upcoming mass gathering(MG) events.

The CARPHA mission, led by Dr. Lisa Indar, Director, Surveillance, Disease Prevention and Control Division (SDPC), comprises persons from several CARPHA departments: Dr. Laura-Lee Boodram, Head, Caribbean Regional Field Epidemiology and Laboratory Training Programme, Dr. Michelle Hamilton, Head of Laboratory Services and Networks (LSN), Dr. Jarelle Branford and Ms Sheena DeSilva from Health Information Communicable Diseases and Emergency Response (HCE), Ms Neeta Oudit (LSN), Mr. Keston Daniel and Dr. Anushka Bissoon-Pustam of the Regional Tourism and Health Program (THP), and Mr Mohammed Elsherbiny, Senior Technical Advisor to the THP from the UKHSA.

Dr. Kamaria De Castro, Acting Chief Medical Officer, remarked “The partnership is timely as it helps to improve capacity as it assists in developing a sustainable future. We want to protect our local population as well as our visitors and let them know that we are aware of public health threats and we are preparing, building capacity, training and procuring resources that will be put in place to effectively prevent major spread of diseases. She extended her gratitude to CARPHA for the continued support and partnership.”

Dr. Lisa Indar indicated, “It is important to prevent public health threats to stop them from becoming emergencies as visitors are coming in from many different countries for Cricket World Cup, SIDS, Sailing Week and we want to make sure our visitors as well as our people are safe. We want to put systems in place and strengthen existing systems to be able to identify risks early and begin immediate and more timely responses to mitigate the potential spread of diseases.”

Key outcomes and activities of this mission include:

High level endorsements for the capacity building missions from the Ministers of Health, and Tourism
Formation of an Antigua and Barbuda THP Steering Committee for promoting healthier safer tourism
Communicable Diseases Surveillance workshop for Health Workers across the health sector to understand case definitions and timely reporting to the central level.
National Risk Assessment for mass gatherings, using the WHO/PAHO Mass Gathering Risk Assessment Tool, the results of which will be used to guide preparation and response for the upcoming MGs.
Desktop simulation exercises with doctors, public health nurses, Emergency Medical Services, law enforcement, National Office of Disaster Services, Red Cross and laboratory workers to assess how participants will respond to multiple public health scenarios during mass gathering events and identify gaps/challenges of the same.
Rapid response training for public health professionals, including persons from the security/defense force and the National Office of Disaster Services and partners. The training will review scenarios that necessitate mounting a response to a public health emergency by rapidly dispatching a multidisciplinary team to investigate and implement mitigating measures to contain the situation.
Mass gatherings surveillance training for surveillance team, public health nurses and other members within the health sector. An all-hands-on-deck approach will be taken to emphasize the need for daily and real-time reporting, monitoring, response, coordination, and communication. CARPHA’s regional mass gathering syndromic surveillance system (MGSS) is detailed, including national surveillance, tourism-based surveillance and the new module developed for mass gatherings . Doctors, nurses, and surveillance officers to be present at the health stations for the 4^th UN SIDS Conference will also be trained and registered on MGSS.
Engagement with the health, tourism, and port authority teams to discuss ways to bolster disease surveillance of cruise ships for Antigua and Barbuda as a large number of the transient population for the country is through cruises, especially as Antigua and Barbuda is a homeport for many cruise ships.
Conduct field visits to major hotels (including the ones hosting the players and officials for the T20 games) to get them registered on the confidential early warning THiS system.
Training on Food and Environmental Health safety during mass gatherings for food handlers and restaurants, including those who will be providing the catering services for the SIDS Conference. The training focuses on ensuring all food handlers are equipped with the appropriate knowledge and tools to prepare, cook, store and serve food to guests at the establishments and in a Mass Gathering setting.
Training in Prevention and Control of Infectious Diseases, for the hospitality sector with an additional focus on Mass Gatherings. The session aims to build capacity to quickly identify and respond to cases of infectious diseases and will include participants from the hotel, food and beverage sectors some of which will be working closely with the SIDS Conference and will be working with the upcoming Cricket World Cup.
Assessments of the laboratory network of Antigua and Barbuda for optimization of laboratory services available in-country. Training in testing for priority pathogens during an emergency response and/or mass gathering will be conducted.

As a highly tourism-dependent country, Antigua welcomes as much as 20,000 visitors daily, further highlighting the need for robust visitor-based surveillance. These workshops will provide instruments in identifying and addressing various challenges of Antigua and Barbuda in preparing for mass gatherings. This joint mission aims to strengthen Antigua and Barbuda’s surveillance and response capacity and preparedness to effectively anticipate and manage potential challenges, ensuring a seamless and secure SIDS conference, T20 CWC tournament, Sailing Week and Carnival experience for all.

CARPHA and Antigua and Barbuda continue to work toward supporting Antigua and Barbuda’s preparation for these large-scale mass gathering events and for the large number of tourists visiting the islands on a daily and weekly basis. CARPHA stands ready to continue supporting Antigua and Barbuda.