Trinidad and Tobago is confronting a growing health crisis characterized by a sharp increase in amputations, primarily driven by diabetes and vascular disease. Dr. Lemuel Pran, a consultant vascular surgeon and lecturer at the University of the West Indies (UWI), revealed that approximately 400 amputations are performed annually, based on a comprehensive study conducted between 2019 and 2023 across regional health authorities. Dr. Pran, who specializes in carotid surgery and diabetic foot management, described the situation as urgent and deeply concerning, emphasizing that the rate of amputations is alarmingly high compared to both regional and international benchmarks. The leading causes of amputations are infections in diabetic patients, accounting for 80% of cases, followed by vascular disease, trauma, and limb cancers. Delayed medical intervention, exacerbated by the use of home remedies and lifestyle factors such as poor diet and lack of exercise, significantly contribute to the crisis. Dr. Pran called for a multi-level approach to address the issue, stressing the need for improved public awareness, early detection, and better access to healthcare services. He also highlighted the challenges faced by amputees, including limited access to prosthetics and the emotional toll of losing a limb. In a positive development, Prime Minister Kamla Persad-Bissessar announced the establishment of an artificial limb center in Trinidad and Tobago, supported by India, which aims to provide prosthetic limbs to over 800 individuals. Dr. Pran urged citizens to prioritize their health, seek timely medical care, and pay attention to foot health to prevent complications.
