Health
Ministry of Health Provides an Update on Monkeypox
#TurksandCaicos, May 23, 2022 – The Ministry of Health and Human Services has been carefully monitoring reports of monkeypox which have been increasing and are being reported in multiple countries across Europe (Spain, Portugal, Germany, Belgium, France, the Netherlands, Italy and Sweden), the US, Canada and Australia. 12 countries which are not endemic for monkeypox, so far have reported at least 92 confirmed cases with 28 pending investigations. More cases are likely to be reported as surveillance expands.
Although no cases have been reported in the Caribbean, it is important that persons are aware of the situation as it continues to evolve.
Monkeypox is a viral illness and is found in a number of countries in Central and West Africa. The more recent news of spread to countries without known endemic disease is unusual. Cases may occur in persons who have travelled from Nigeria or who have been in contact with persons with the confirmed illness. Cases which have been reported since May 14 2022, have largely had no history of travel.
The UK Health Security Agency (UKHSA) has announced that the total number of monkeypox cases confirmed in England since 6 May is 20. The UKHSA initially identified one case of monkeypox on 7th May 2022 in an individual with a history of recent travel to Nigeria. Subsequently, additional infections have been identified, some of which have been linked and others which have been unrelated. This spread as well as the occurrence of cases in Europe and other countries has suggested the possibility of community spread. Active investigations are ongoing in countries which have identified cases including contact tracing, testing isolation etc. in order to prevent further spread.
The World Health Organization (WHO), held an emergency meeting on Friday 20th May 2022 to discuss the monkeypox outbreak. WHO is working with affected countries in order to expand disease surveillance to find and support people who may be affected, and to provide guidance on how to manage the disease.
It is expected that more cases will be identified through surveillance with the possibility of additional countries being affected.
TCI residents returning from, or going to, countries where cases have been identified, are urged to be aware of the signs of infection and to seek medical help if they think they may be at risk.
How the virus spreads
Monkeypox does not spread easily between people. The virus spreads through close contact with an infected animal (rodents are believed to be the primary animal reservoir for transmission to humans), humans, or materials contaminated with the virus. Human-to-human transmission occurs through large respiratory droplets and by direct contact with body fluids or lesion material. Respiratory droplets generally cannot travel more than a few feet, so prolonged face-to-face contact is required.
The virus enters the body through broken skin (even if not visible), the respiratory tract, or the mucous membranes (eyes, nose, or mouth).
Person-to-person spread is uncommon, but may occur through:
- contact with clothing or linens (such as bedding or towels) used by an infected person
- direct contact with monkeypox skin lesions or scabs
- coughing or sneezing of an individual with a monkeypox rash
Animal-to-human transmission may occur through a bite or scratch, preparation of wild game (in areas where the virus is present in animals such as Central and West Africa), and direct or indirect contact with body fluids or lesion material.
Individuals, particularly those who are gay, bisexual or MSM, are urged to be alert to any unusual rashes or lesions on any part of their body, especially their genitalia, and to contact a health services if they have concerns.
Monkeypox has not previously been described as a sexually transmitted infection, though it can be passed on by direct contact during sex. It can also be passed on through other close contact with a person who has monkeypox or contact with clothing or linens used by a person who has monkeypox.
Symptoms
The incubation period is the duration/time between contact with the infected person and the time that the first symptoms appear. The incubation period for monkeypox is between 5 and 21 days.
Initial symptoms of monkeypox include fever, headache, muscle aches, backache, swollen lymph nodes, chills and exhaustion.
Within 1 to 2 days a rash can develop, often beginning on the face, then spreading to other parts of the body including the genitals.
The rash changes and goes through different stages – it can look like chickenpox or syphilis, before finally forming a scab which later falls off.
The illness tends to be mild and self-limiting within 2-4 weeks, however it can in some cases be severe particularly in persons with weakened immune systems and children. In some cases, affected persons may die.
Treatment
Treatment for monkeypox is mainly supportive. The illness is usually mild and most of those infected will recover within a few weeks without treatment.
There is no specific vaccine for monkeypox, however, vaccines used against smallpox can be used for both pre and post exposure and is up to 85% effective in preventing monkeypox. People vaccinated against smallpox in childhood may experience a milder disease.
Anyone with unusual rashes or lesions on any part of their body, especially their genitalia, is advised to visit their health care provider, particularly anyone who; 1) traveled to countries where monkeypox cases have been reported 2) reports contact with a person who has a similar rash or received a diagnosis of confirmed or suspected monkeypox, or 3) is a man who has had close or intimate in-person contact with other men in the past month.
As the virus does not usually spread easily between people and the risk to the general public is expected to be low, however the public is advised to monitor the situation as it develops and obtain information from credible sources. The MOH should be notified of any suspected cases.
The Ministry of Health will continue to monitor developments and provide updates accordingly.
Health
Successful Community Kidney Screening Events Hosted by InterHealth Canada – TCI Hospital and Ministry of Health and Human Services in Grand Turk and Salt Cay
(Providenciales, Turks and Caicos Islands – Friday, April 19th, 2024): – InterHealth Canada Turks and Caicos Islands Hospital, in partnership with the Ministry of Health and Human Services, is delighted to announce the successful completion of the Community Kidney Screening Events held in Grand Turk and Salt Cay. These events marked a significant milestone in promoting kidney health awareness and early detection.
On April 12, 2024, on Grand Turk (Dillon Hall) and April 13, 2024, on Salt Cay (Ministry of Health Clinic), participants had the opportunity to receive immediate screening results and personalized guidance from dedicated healthcare professionals. The collaborative effort between InterHealth Canada-Turks and Caicos Islands Hospital and the Ministry of Health and Human Services empowered individuals to prioritize their kidney health and take proactive steps towards well-being.
Reflecting on the event’s success, Dr Denise Braithwaite-Tennant, CEO of InterHealth Canada Turks and Caicos Islands Hospital, shared, “We are happy to see the positive impact of the Community Kidney Screening Events in Grand Turk and Salt Cay. By providing accessible screenings and expert guidance by our clinical teams, including our nephrologist and internist, we equip individuals with the knowledge to make informed decisions about their kidney health.”
Similarly, Dr Camelia Clarke, Director of the Health Promotion and Advocacy Unit of the Ministry of Health and Human Services, expressed her satisfaction with the outcomes, stating, “These events have showcased the importance of early detection and preventive care in maintaining optimal kidney health.”
The support of sponsors, including the TCI Boating Club, Air and Sea Agency, The Olympic Group Limited, Flow and Digicel, played a crucial role in the success of the Community Kidney Screening Events.
InterHealth-Canada Turks and Caicos Islands Hospital and the Ministry of Health and Human Services are excited to announce that a series of Kidney Community Screenings with dates for Providenciales, North and Middle Caicos, and South Caicos will be revealed soon, further extending the impact of this important initiative.
The Community Kidney Screening Events in Grand Turk and Salt Cay have set a solid foundation for ongoing efforts to prioritize kidney health and well-being within the community. Together, we are taking proactive steps towards building a healthier future for all.
PROVIDENCIALES, TCI, APRIL 30, 2024: Provo Water Company (PWC) has made significant progress in addressing recent water supply issues caused by increased water demand on Providenciales, and while ongoing projects aimed at long-term solutions are proceeding as planned, nightly water restrictions will continue through May.
This news comes as an update on the organization’s swift response to the rising water demand, which prompted the initial implementation of nightly restrictions to safeguard daily water reserves. The company is actively pursuing multiple projects, including upgrades to the city water transmission main, the main city water line valves, and the Middle Booster Pump Station,
alongside various other initiatives, to ensure long-term solutions to the supply issues.
Provo Water Company reaffirms its dedication to the residents of Turks and Caicos by continuing with a range of improvement projects aimed at innovative solutions for short and long-term distribution challenges. While diligently advancing these initiatives, the organization has determined that the nightly water restrictions remain necessary to ensure the replenishment of
daily reserves as it strives to keep these projects on track.
These restrictions will be implemented on an as-needed basis to effectively manage water consumption efficiently. If deemed necessary, the restrictions will be in effect from 11:30 p.m. to 5:30 a.m., optimizing conservation efforts during off-peak hours.
In response to the extension, Managing Director Robert Hall expressed apologies to customers and stakeholders in light of the extension. He reiterates his organization’s dedicated efforts to minimize the frequency of water restrictions and their eventual elimination in response to the extension.
In a statement, Hall said, “We will implement these measures only as required throughout the month of May to efficiently regulate water usage. We recognize the impact of these restrictions, and we want to assure you that we are doing our utmost to minimize inconvenience and ensure that your needs are our top priority.”
The transmission main project, which will enhance various aspects of the existing water supply network, ultimately improving water distribution across the island, is currently scheduled to be completed by mid-June 2024.
Hall concluded, “This project is pivotal in strengthening our water distribution infrastructure, improving operational efficiency, and ensuring a reliable water supply for our community. By actively working towards its completion, we remain dedicated to serving our customers with the utmost excellence, reliability, and efficiency.”
Learn more about Provo Water Company’s water efficiency and conservation initiatives by visiting www.provowater.com. Follow on social media for tips and announcements: @ProvoWaterCompany on Facebook and @provowaterco on Instagram. For inquiries, please contact the customer service team at customerservice@provowater.com.
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