Dr. Natasha Maxime-Esprit, an endocrinologist with Dominica’s Ministry of Health, has issued a compelling call to action for citizens to take greater personal responsibility for their health. Speaking at the Dominica Diabetes Association Conference on November 14, 2025, in recognition of World Diabetes Day, Dr. Maxime-Esprit emphasized the critical role of individual accountability in combating diabetes and other non-communicable diseases (NCDs). Since joining the Ministry in 2022, she has been at the forefront of efforts to prevent, diagnose, and manage endocrine disorders, with diabetes accounting for 75% of her caseload. Each month, she consults with 200 to 300 patients across Dominica, ranging from a three-year-old with type 1 diabetes to a 93-year-old with type 2 diabetes. Dr. Maxime-Esprit underscored that diabetes does not discriminate by age or gender, affecting individuals across all demographics. Her presentation, titled ‘A Call to Personal Responsibility,’ highlighted the importance of knowing one’s health status and making proactive choices. She shared a poignant case of a 35-year-old woman who presented with blurry vision and severe headaches, only to be diagnosed with type 2 diabetes and hypertension. The patient, who had not undergone blood tests since age 18, had been unknowingly diabetic for at least three months, with lifestyle factors exacerbating her condition. Over the past five years, Dominica has recorded approximately 531 new cases of type 2 diabetes, with women constituting the majority and the youngest patient being just 15 years old. The Ministry of Health has ramped up its efforts against NCDs, expanding free specialized clinics, nutrition services, and screening programs. However, Dr. Maxime-Esprit stressed that medical interventions alone are insufficient. She identified unhealthy lifestyles, disregard for health when feeling well, and non-compliance with prescribed treatment as major contributors to diabetes complications, all of which hinge on individual choices. She urged citizens to take simple steps such as regular health checks, purchasing home monitoring devices, and setting aside funds for preventive care. The young woman in the case study is now responding well to treatment, having embraced lifestyle changes and medical guidance. Dr. Maxime-Esprit concluded with a hopeful message, affirming that diabetes is not a death sentence and can be managed with early detection and personal responsibility.
作者: admin
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Wickham: Opposition on backfoot after Pierre’s early election call
In a surprising move, St. Lucia’s Prime Minister Philip J. Pierre has announced a general election for December 1, nearly a year ahead of schedule. This decision has sparked widespread discussion, particularly from political analyst Peter Wickham, who initially predicted Pierre would delay the election until the completion of a major hospital project. Wickham, a prominent regional pollster and director of Caribbean Development Research Services (CADRES), described the Prime Minister’s decision as an act of ‘political bravery,’ potentially catching the opposition off guard. The governing Saint Lucia Labour Party (SLP) and the opposition United Workers Party (UWP) are now locked in a heated debate over the hospital’s completion status, with Wickham suggesting Pierre’s timing reflects a strategic assessment of political advantage. UWP leader Allen Chastanet has dismissed claims of unpreparedness, asserting his party’s readiness for the contest. However, Wickham noted that the early election disrupts the opposition’s usual regrouping rhythm, giving the incumbent SLP a potential edge. Historically, early elections in the Caribbean have often signaled government instability, but Wickham emphasized that Pierre’s move appears driven by confidence in his advantageous position. The upcoming election marks a critical test for St. Lucia’s political landscape, as no party has secured consecutive terms in over two decades. Wickham highlighted Pierre’s strong position, citing his decisive 2021 victory and the public’s apparent desire for stability. Meanwhile, the UWP, despite its 2021 defeat, has rebuilt its roster with 12 new candidates, a move Wickham credited to Chastanet’s leadership. Nevertheless, the UWP faces significant challenges, including limited voter familiarity with its new candidates. Wickham refrained from predicting the election outcome, noting the short campaign period and the dynamic nature of the race.
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Trump’s “Sort of” Made up His Mind on Venezuela Action
President Donald Trump has indicated that he has ‘sort of’ made a decision regarding the U.S. approach to Venezuela, though he remains tight-lipped about the specifics. Speaking to CBS News aboard Air Force One, Trump revealed that his administration is actively considering various military options. These include land-based strikes and other operations targeting Venezuelan President Nicolás Maduro, who is accused by the U.S. of supporting armed criminal gangs involved in drug trafficking.
Over the past two months, U.S. forces have conducted strikes on at least 21 vessels, resulting in the deaths of over 80 suspected traffickers. Despite these actions, several Western European governments have expressed skepticism, stating they have yet to see concrete evidence directly linking Maduro to cartel operations.
The situation has further intensified with the deployment of the USS Gerald R. Ford, the U.S. Navy’s most advanced aircraft carrier, to the Caribbean. This move is part of a broader military buildup in the region, which now includes destroyers, warplanes, and special operations units. According to CNN, the U.S. military presence in the area has surpassed 15,000 personnel.
In response to the growing U.S. military footprint, Maduro has ordered a nationwide military mobilization. This escalation underscores the heightened tensions between the two nations and raises concerns about the potential for further conflict.
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Voting now open for the Dominica Music Awards 2025
The Dominica Music Awards (DMA) 2025 has officially launched its public voting phase, inviting music enthusiasts from Dominica and beyond to participate in recognizing the island’s most talented artists, producers, and creative professionals. Scheduled for January 3, 2026, at the prestigious InterContinental Dominica Cabrits Resort & Spa, the event promises to be a landmark celebration of musical innovation, cultural heritage, and artistic achievement. Organized by Creole Heartbeat, the DMA aims to elevate Dominican music on both regional and global stages while fostering economic growth within the creative sector. Fans can now cast their votes through the official online portal, which offers a straightforward and transparent process. The awards feature 23 diverse categories, including Bouyon Artist of the Year, Soca Artist of the Year, and Reggae/Dancehall Artist of the Year, alongside Special Awards of Honor for lifetime achievements and cultural contributions. The DMA not only highlights artistic excellence but also underscores the vital role of music in shaping Dominica’s cultural identity and national development.
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Will Windies deliver a Christmas Test series miracle? ‘Reds’ weighs in
As the West Indies prepare to face New Zealand in a three-match Test series starting December 1, veteran cricket commentator Joseph Reds Perreira has pinpointed the Caribbean team’s batting as the decisive factor in their quest for victory. Historically, the Windies have struggled in New Zealand, securing only four Test wins away from home, with their last triumph dating back to 1995. Despite these challenges, Perreira remains cautiously optimistic, emphasizing the importance of consistent batting performance. He noted that while the bowling attack could be competitive if executed correctly, the batting lineup will ultimately determine the series outcome. The West Indies and New Zealand have clashed 49 times in Tests since 1951, with New Zealand holding a slight edge with 17 wins to the Windies’ 13. However, New Zealand’s home advantage has often been a significant factor in their success. Perreira also highlighted a potential setback for the West Indies: the likely absence of star allrounder Jason Holder, who is reportedly unavailable due to commitments in a T10 competition in Dubai. Holder’s absence could disrupt the team’s balance, as he has been a pivotal player with 3,073 runs and 157 wickets in 69 Tests. Perreira expressed concern over the team’s preparation, suggesting that a pre-series camp in New Zealand would have been beneficial but was hindered by financial constraints. He also emphasized the need for wicketkeeper Tevin Imlach to acclimatize early to the swing-friendly conditions. Despite these hurdles, Perreira remains hopeful for a festive miracle, urging fans to wait for the official squad announcement and favorable weather conditions. The series promises to be a stern test for the West Indies, who aim to deliver a Christmas present to their fans by the end of December.
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CARPHA celebrates global Antimicrobial Resistance (AMR) awareness week: Highlighting regional progress in combatting AMR
The Caribbean Public Health Agency (CARPHA) is at the forefront of the global effort to combat antimicrobial resistance (AMR) during World Antimicrobial Resistance Awareness Week (WAAW) 2025. AMR, often referred to as the ‘silent pandemic,’ poses a significant threat to public health, healthcare systems, and sustainable development worldwide. This phenomenon occurs when microorganisms such as bacteria, viruses, fungi, and parasites evolve to resist the drugs designed to eliminate them, rendering infections increasingly difficult or impossible to treat. CARPHA’s participation in WAAW 2025, themed ‘Act Now: Protect Our Present, Secure Our Future,’ underscores its commitment to promoting responsible antimicrobial use and advancing its Integrated AMR Programme. This initiative, supported by key partners including the UK Health Security Agency (UKHSA), the Fleming Fund, and the Pandemic Fund Project, employs a multi-sectoral approach to enhance regional AMR surveillance, laboratory infrastructure, and coordinated responses. A cornerstone of CARPHA’s efforts is the Caribbean Antimicrobial Resistance Alliance (CARA), which serves as the technical and operational hub for AMR initiatives. CARA is establishing AMR reference laboratories in Trinidad, Jamaica, and Saint Lucia and developing a regional AMR surveillance system to improve data collection, reporting, and analysis. Additionally, CARPHA has prioritized expanding laboratory capacities in Jamaica and Saint Lucia, complementing its existing CARPHA Medical Microbiology Laboratory in Trinidad. These advancements enable faster pathogen detection, reduce diagnostic delays, and improve access to high-quality AMR testing. CARPHA has also focused on workforce development, hosting technical experts and organizing training workshops on phenotypic testing, molecular diagnostics, Whole Genome Sequencing, and AMR surveillance. With substantial funding from the Pandemic Fund and the Fleming Fund, CARPHA is enhancing laboratory upgrades, workforce training, and surveillance integration across the region. Dr. Lisa Indar, CARPHA’s Executive Director, emphasizes the urgency of collective action: ‘Antimicrobial resistance threatens the health and development of every Caribbean nation. Success requires the involvement of governments, healthcare providers, veterinarians, farmers, laboratories, and the public.’ CARPHA continues to expand its surveillance, testing capabilities, and One Health partnerships, urging all stakeholders to champion responsible antimicrobial use and support AMR prevention initiatives.




