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Treatment Abroad in JEOPARDY; regional hospitals out of ICU space

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#TurksandCaicos, August 27, 2021 – Air Ambulance teams can show up to take you to a medical destination of choice, the TCI Hospitals can have you prepped and ready to go, but it is wholly out of the control of these providers and government to find Turks and Caicos residents a bed and a medical facility able to render life-saving medical care in the midst of the worst spell of the ongoing coronavirus pandemic.

The situation is dire at home, but is especially bleak abroad and even though miles separate Turks and Caicos residents from the overwhelming statistics for cases and burdens on hospitals in nearby nations, their capacity woes are very much our own.

The Turks and Caicos Minister of Health was direct when he explained.

“Presently the TCI Hospitals does not have ICU capacity. It only has HDU which is High Dependency Unit capacity.  If you conditions turn to the worst, particularly with Covid-19 we have to fly you out.  The reality is there are only a certain amount of facilities that are accepting our patients,” said Jamell Robinson, the Minister of Health for Turks and Caicos during a press conference held Wednesday August 25.

Patients cannot be flown into Jamaica, The Bahamas or Florida due to their strained health care systems in this latest surge.  Colombia and the Dominican Republic are all that it left open for TCI medical evacuations and if the patient dies of COVID in these countries, the body will be cremated within 24-hours of death.

The details were among the shocking reveals coming Wednesday night when the Minister of Health, Jamell Robinson led a press conference and update on the coronavirus situation.

“We were also informed that the ICU beds in Florida were full at the time of asking, in particular Broward Health is required to prioritize public local patients over international private patients.  Consequently it is expected that as long as Florida is experiencing low ICU availability due to the surge in COVID cases, access to service will be impacted.”

The High Dependency Unit of the TCI Hospitals can function like an ICU until medical evacuation arrives but at this time, Turks and Caicos does not have sufficient staff or sufficiently qualified staff to offer the round the clock care and intense monitoring required when two or more organs are failing.

“In the month of July, in the beginning of this current surge we had only two patients but both of those patients, admitted to our Providenciales facility, had to flown out to ICU care and had to be placed on our pre ventilator status.  That is when their condition is so bad that we have to apply the ventilator to care for them and to help them to breathe,” said Dr. Baithwaite-Tenant, CEO of the TCI Hospitals in an overview presentation of the past two months.

“We admitted 10 patients so far in our Providenciales facility, the majority of those patients are females, 70 per cent; 30 per cent are males. Seventy per cent of those patients have chronic, non-communicable diseases of which the most common being hypertension or high blood pressure, diabetes Type 2, high cholesterol and heart disease. One patient was detected asymptomatic as a part of our screening,” the TCI Hospitals CEO added, “Sixty per cent of our patients are below the age of 60 years.”

Dr. Braithwaite-Tenant said Turks and Caicos would need several different types of specialist doctors and nurses to comprise a proper ICU team.  The Cheshire Hall Medical and Cockburn Town Medical centers are smaller acute secondary care facilities and that’s it, at least for now.

The hospitals strategic plan, which is taken in consultation with the Ministry of Health, includes the addition of an ICU in the future and not having the ICU, said Dr. Braithwaite Tenant is an identified risk, especially given the current global health crisis.

Hon Robinson, made the only plea he could, given the circumstances and the urgency.

“While this is a fluid situation yes, do you want to chance not having any options for having ICU help abroad.  Do not take that risk.”

His advice: Take the Covid-19 Vaccine.

Turks and Caicos currently administers the Pfizer/BioNtech brand, which on Monday August 23 moved from being emergency-use approved to being commercially-ready approved by the US Food and Drug Administration.

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Bahamas News

UN Reports Ebola Outbreak Expands in DRC; Bahamas Monitors Two Recent Arrivals

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The Bahamas, May 29, 2026 – The Ebola outbreak in the Democratic Republic of the Congo (DRC) continues to expand, with United Nations officials now warning that the disease has spread across multiple eastern provinces and become the third-largest Ebola outbreak on record.

According to the UN Office for the Coordination of Humanitarian Affairs (OCHA), as of May 26 the outbreak had reached 13 health zones in Ituri, North Kivu and South Kivu provinces. More than 1,000 suspected cases have been reported, including 121 confirmed infections and 17 deaths. Six healthcare workers are among those who have died.

The United Nations says humanitarian teams remain actively engaged in treatment, surveillance, community outreach and disease containment efforts. However, the response is being complicated by insecurity, population movement and restrictions affecting the delivery of supplies and personnel.

While the outbreak remains confined to Africa, authorities in The Bahamas recently activated emergency health protocols after two men who had spent time in the Democratic Republic of the Congo arrived at Lynden Pindling International Airport aboard a British Airways flight.

The Ministry of Health confirmed the travelers were isolated after presenting low-grade fevers upon arrival on May 22. Officials later reported that the fevers subsided and neither individual displayed symptoms consistent with Ebola Virus Disease.

The two men, identified as a British national residing in Australia and a French national, were transferred to the Modular Unit at Princess Margaret Hospital for continued monitoring.

Health officials emphasized that there are currently no confirmed Ebola cases in The Bahamas and assessed the risk to the public as low.

Still, the growing outbreak overseas has prompted increased vigilance. Health Minister Dr. Michael Darville said the government is reviewing whether additional travel measures may be necessary for countries affected by the outbreak.

The United Nations this week announced up to US$60 million in emergency funding to support the Ebola response in the Democratic Republic of the Congo and neighboring countries, warning that rapid action remains critical to preventing further spread.

Angle by Deandrea Hamilton. Built with ChatGPT (AI). Magnetic Media — CAPTURING LIFE.

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Health

Turks & Caicos Islands Hospital Celebrates International Emergency Medicine Day 2026

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May 27, 2026 – Today, Turks & Caicos Islands Hospital, InterHealth Canada proudly joins the global healthcare community in observing International Emergency Medicine Day, recognizing and celebrating the extraordinary dedication, courage, and compassion of emergency healthcare professionals who stand on the frontlines of patient care every single day.

International Emergency Medicine Day is observed annually on May 27 to promote professional, competent, and timely emergency medical care for all people around the world. Emergency medicine professionals provide lifesaving care for patients facing critical illnesses and injuries, often during the most difficult and uncertain moments of their lives.

At the heart of every emergency department is a team of highly skilled and committed professionals, physicians, nurses, support staff, and allied healthcare professionals who work tirelessly together to save lives and provide hope when it is needed most.
Emergency medicine focuses on the rapid assessment and treatment of life-threatening conditions such as heart attacks, strokes, cardiac arrest, trauma, respiratory failure, severe bleeding, and sepsis. Emergency teams care for patients of all ages and backgrounds, ensuring that patients receive timely and effective care according to the urgency of their condition through the triage system.

As the safety net of the hospital, the Emergency Department operates 24 hours a day, seven days a week, serving patients during natural disasters, humanitarian crises, and daily medical emergencies. The demanding nature of emergency care requires teamwork, resilience, professionalism, and compassion.

“Today we recognize and celebrate the incredible individuals who dedicate themselves to emergency medicine,” said Dr Monnique-Chadee Waite, Head of the Emergency Department. “Our emergency team is there during some of the toughest moments in people’s lives. Their commitment, expertise, and compassion make a difference every single day. Teamwork truly makes the dream work, and we deeply appreciate every member of our department.”

Shantell Gardiner, Nurse Manager of the Emergency Department, highlighted the dedication of the nursing team and support staff. “Emergency nursing requires strength, compassion, quick thinking, and teamwork. Every day our nurses and support teams provide comfort and care to patients and families during stressful and emotional situations. I am incredibly proud of the dedication and professionalism our team demonstrates every single shift. We appreciate each and every member of our Emergency Department family for the vital role they play in saving lives.”

Dr Dawn Perry-Ewing, Chief of Medical Services, added, “Emergency medicine professionals are among the most vital frontline caregivers in healthcare. Their ability to respond quickly, work collaboratively, and remain calm under pressure saves countless lives. We thank them for their unwavering dedication and for continuously striving to provide safe, competent, and compassionate care to every patient.”

Dr Denise Braithwaite-Tennant, Chief Executive Officer, also expressed gratitude to the department. “On this International Emergency Medicine Day, we extend our sincere appreciation to our emergency teams for their extraordinary service and sacrifice. They represent the very best of healthcare, courage, teamwork, professionalism, and humanity. We thank them for standing ready every day and night to care for our community when it matters most.”

The Turks & Caicos Islands Hospital also acknowledges the importance of maintaining a safe and respectful environment within Emergency Departments. Emergency Departments follow a system called Triage, where patients are treated according to the severity and urgency of their condition rather than arrival time. Supporting emergency healthcare workers and respecting the triage process helps medical teams provide safer, faster, and more compassionate care to all patients.
Today and every day, the Turks & Caicos Islands Hospital, InterHealth Canada salutes its Emergency Department team for their dedication, resilience, and lifesaving work.

Teamwork makes the dream work and we appreciate you.

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Health

Grand Turk Residents Fear Norovirus-Linked Cruise as Health Ministry Approves Docking

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Turks and Caicos, May 22, 2026 – Residents in Grand Turk raised concerns last week after a cruise ship previously linked to a major norovirus outbreak was cleared to dock in the Turks and Caicos Islands days after passengers were reportedly denied disembarkation in The Bahamas over health fears.

According to the US Centers for Disease Control and Prevention, the outbreak sickened 115 people — including 102 passengers and 13 crew members — during a voyage which ran from April 28 to May 11. The illnesses involved symptoms commonly associated with norovirus, including vomiting and diarrhea.

The outbreak became public on May 7 and quickly triggered concern across the region.

Authorities in Nassau reportedly refused to allow passengers off the vessel because of public health concerns connected to the outbreak.

That decision later fueled anxiety among some Turks and Caicos residents when the ship proceeded to Grand Turk on May 15.

Residents’ concerns were not without cause.

Norovirus is a highly contagious viral illness often associated with cruise ships, hotels, schools and other environments where large groups of people share close quarters. The virus primarily causes sudden vomiting, diarrhea, stomach cramps and nausea, and spreads rapidly through contaminated food, water, surfaces and person-to-person contact.

According to the US Centers for Disease Control and Prevention, most healthy people recover within one to three days, but norovirus can become serious — and occasionally fatal — for elderly individuals, young children and people with weakened immune systems because of severe dehydration. While the overall fatality rate is considered very low, the CDC estimates norovirus contributes to hundreds of deaths annually in the United States, mainly among vulnerable populations.

The Turks and Caicos Ministry of Health and Human Services had said in a press statement on May 15, it believed the risks had been effectively neutralized before the vessel arrived in Grand Turk.

In a statement issued Thursday, the Ministry said the ship had already returned to Florida, where passengers disembarked and “comprehensive sanitization and deep-cleaning procedures were completed” before operations resumed.

The Ministry also stressed that its Public Health Team maintained “close and continuous communication” with the ship’s medical personnel, Carnival Cruise Line officials and stakeholders at the Grand Turk Cruise Centre before approving the docking.

Routine inspections and standard port health procedures were also carried out, according to officials.

The Ministry further reassured the public that there were “currently no public health concerns” associated with the vessel’s arrival.

Still, the situation once again highlighted the delicate balancing act Caribbean nations face between protecting public health and sustaining tourism economies heavily dependent on cruise arrivals.

Officials are now encouraging vendors, taxi operators, tour companies and businesses to continue practicing strong sanitation and hygiene measures as an added precaution.

Residents were also reminded that frequent handwashing remains one of the most effective ways to prevent the spread of norovirus and other infectious illnesses.

Angle by Deandrea Hamilton. Built with ChatGPT (AI). Magnetic Media — CAPTURING LIFE.

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