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CARPHA doubles down; the Agency does not recommend Covid-19 vaccines for healthy children

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By Dana Malcolm & Deandrea Hamilton

Staff Writer

 

#TurksandCaicos, February 15, 2022 – Do not use adult doses of the Pfizer BioNTech vaccine for the vaccination of children aged 5 to 11 years of age, says The Caribbean Public Health Agency, CARPHA and now, the Agency is making a new announcement that it has not recommended use of the Pfizer vaccine in children because the WHO arm, responsible for emergency listing has not given Pfizer the green light.

CARPHA, with this second public statement on the subject in mere days, is obviously hesitant to throw its full weight behind administering the vaccine to all children under 12 years old.

“The WHO Strategic Group of Experts (SAGE) that advises on Immunization has recommended the use of the vaccine in children 5-11 years of age.  However, the approval of the product in full comes from a different group of experts called the World Health Organization Emergency Use Listing Prequalification Team. (EUL) This full product assessment is critical as it helps countries to be assured of the final vaccine product that may be registered in the country and used in children,” said CARPHA on Monday in a media statement.

Just last week came a stern warning in a press release that said CARPHA had not recommended the pediatric formulation. CARPHA noted that while uptake of the vaccine was critical in achieving maximum protection, there is a firm caution to Member States (which includes the Turks and Caicos Islands) against the use of any adult formulation of the vaccine on children.

Program manager of CARPHA, Dr. Rian Extavour said, “The possibility of errors in administering the vaccine dosage is of concern.”

Executive Director, Dr. Joy St. John also said, “Unless otherwise specified, Member States should continue adherence to recommendations for approved vaccines. This will help to ensure favourable benefits to individuals and communities.”

CARPHA is now doubling down on that message saying it matters to them that the prequalification team of the WHO looks at all aspects of the vaccine including: The composition; How it is made and where; How it is given (dispensed or administered); How it is packaged, and how it is to be stored.

It is unclear what is driving these messages but larger countries like the United Kingdom have approved the pediatric dose of the Pfizer COVID-19 vaccine for children only at the highest risk including those with learning disabilities and long-term conditions like diabetes. The Joint Committee on Vaccination and Immunization in the United Kingdom made the decision in December. No decision has been made for children who are not considered high risk.

The Turks and Caicos Islands Government has taken a different approach from the UK, giving approval for any child – healthy or immunocompromised – between the ages 5 to 11.

It makes Turks and Caicos one of the first and few in the region to do so.

Fellow Overseas Territory, Bermuda announced a decision – just last Tuesday – to use the pediatric doses; so too have Aruba (a part of the Dutch Caribbean) and the US Virgin Islands.

In terms of other British Overseas Territories, while Cayman does allow for vaccination of the 5 to 11 age group the child must be immunocompromised and have a letter from their doctor and in Gibraltar, vaccination of the age group is set for a March start but whether it will be for immunocompromised children only, is unstated at this time.

There is no information as yet on the direction on this step in the COVID response from other UKOTs: BVI or Monserrat.

Dr. Joy Saint John, Executive Director of CARPHA and Dr. Rian Extavour, CARPHA’s Program Manager are on the record as having long supported the operation procedure of the WHO  EUL which says the prequalification team which develops summaries and makes recommendations must first give safety approval based on its own findings.

There is, at this time “no science” or compelling evidence from the WHO or the Joint Committee on Vaccination and Immunization (UK) to support administering the pediatric dosage of COVID-19 vaccine to healthy children.

Caribbean News

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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Caribbean News

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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Caribbean News

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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