分类: health

  • Number of people living with cancer in DA is ‘alarming’, Dr. Velda Wade says

    Number of people living with cancer in DA is ‘alarming’, Dr. Velda Wade says

    In a stark warning delivered at the Dominica Cancer Society’s Annual General Meeting, held recently at the UWI Global Campus, medical practitioner Dr. Velda Wade has sounded the alarm over a growing public health crisis in the small Caribbean nation. Dr. Wade revealed that roughly 300 people across Dominica are currently living with a cancer diagnosis – a statistic that carries extraordinary weight for a country with such a limited population.

    The recorded cases cover every stage of the disease, she explained: from patients still awaiting confirmation of their diagnosis, to those actively undergoing chemotherapy treatment, individuals in remission, and patients receiving end-of-life care. Given the profound physical, emotional and financial strain that cancer places on healthcare systems and families alike, Dr. Wade emphasized that this caseload qualifies as an epidemic for Dominica.

    Calling the situation both dangerous and devastating, Dr. Wade framed the rising cancer burden as a wake-up call for the entire country. She added that the issue extends far beyond Dominica’s borders, noting that uncontrolled cancer rates are a shared challenge across the Caribbean region and the entire globe. “This is a nation under attack, a region under attack, a world of trouble,” she stated, challenging every citizen to examine what role they can play in confronting the rapidly growing burden of the disease.

    Citing global research from the World Health Organization and the International Agency for Research on Cancer, Dr. Wade highlighted that proactive prevention can drastically cut cancer rates. The data shows that as many as 40% of all cancer cases globally are preventable through targeted changes to environmental and infectious risk factors. This statistic, she explained, proves that individual and collective action holds real power to reduce the national cancer toll. Dr. Wade closed by urging greater investment in public health outreach, expanded preventive health initiatives, and coordinated community action to turn the tide on Dominica’s growing cancer crisis.

  • Belize on High Alert to Prevent Bird Flu Outbreak

    Belize on High Alert to Prevent Bird Flu Outbreak

    As of June 30, 2026, the Central American nation of Belize has activated a national high alert system to block a potential outbreak of Highly Pathogenic Avian Influenza, following confirmed cases detected in its neighboring countries Honduras and Costa Rica.

    The Belize Agricultural Health Authority (BAHA), the country’s leading body overseeing agricultural and animal public health, has issued an official warning to both commercial poultry producers and the general public to maintain constant vigilance against the virus. To date, no local cases of avian influenza have been recorded in Belize, but public health and agricultural officials stress that the country faces significantly elevated risk of an incursion, driven by two key factors.

    First, the regular seasonal movement of migratory wild birds across the Central American region creates a natural pathway for the virus to cross into Belize’s territory. Migratory waterfowl and wild birds are known primary carriers of Highly Pathogenic Avian Influenza, often spreading the virus across international borders without detection along their migration routes.

    Second, unregulated cross-border trade of poultry and poultry products exacerbates the risk. BAHA officials emphasize that persistent illegal imports of poultry from neighboring regions remain a major persistent threat to Belize’s biosecurity framework.

    In response to the elevated risk, BAHA has rolled out a series of preventive guidance for stakeholders. Farmers are ordered to immediately strengthen on-farm biosecurity protocols, including restricted access to poultry facilities, enhanced disinfection routines, and隔离 measures to separate domestic flocks from wild bird populations. Members of the public and poultry workers are also instructed to report any sightings of sick or dead birds to BAHA without delay, to enable rapid testing and response that can contain a potential incursion before it spreads.

    Officials warn that even a single confirmed outbreak within Belize’s borders could trigger devastating consequences for the country’s small but vital poultry industry, threatening food security and the livelihoods of thousands of people connected to poultry production and distribution.

  • MMC haalt achterstand in financiële verslaglegging volledig in

    MMC haalt achterstand in financiële verslaglegging volledig in

    In a major milestone for institutional accountability and operational improvement, Suriname’s Drs. L. Mungra Medical Centre (MMC) has announced the full elimination of a years-long backlog in its financial reporting, completing all outstanding annual accounts for the 2020 to 2024 fiscal periods in just 10 months. The final 2024 fiscal year statement was formally handed over Tuesday to Nisha Kurban-Baboe, District Commissioner of Nickerie, during an official ceremony held in the district commissioner’s conference room. The document was presented by Heve Sibilo, acting chair of the MMC foundation board, with Zorida Mohamed, interim general director, and Surjbali Singh, interim financial director, in attendance at the event. MMC General Director Antoine Elias confirmed that the hospital will turn its attention to preparing the 2025 fiscal year report starting this coming September. The completion of all five outstanding annual accounts wraps up an intensive, cross-team recovery project that the institution says would not have been possible without close collaboration between MMC’s executive leadership, foundation board, and all finance staff involved in the cleanup effort. Before this project, gaps in up-to-date financial reporting left the hospital without a clear, current picture of its fiscal standing. By resolving these backlogs, MMC now has access to complete, timely financial data that will strengthen organizational transparency and accountability. This solid financial foundation is also set to enable more responsible fiscal management, data-driven strategic decision-making, and further progress in expanding and professionalizing the hospital’s core healthcare services. Leadership from both the executive team and the foundation board has publicly extended gratitude to every staff member and stakeholder who contributed to crossing this finish line. With the reporting backlog fully cleared, MMC marks a critical turning point on its path to becoming a financially stable, fully transparent, and future-ready healthcare institution prepared to serve the Nickerie region for years to come.

  • Why teach mental health?

    Why teach mental health?

    For generations, formal education has prioritized building academic skills: math to solve quantitative problems, English to communicate clearly, and other core subjects to prepare young people for the workforce. But one critical life skill has been consistently left out of standard curricula: how to understand and care for our own minds when thoughts turn against us. Most adults have had to navigate emotional turmoil and mental health challenges alone, figuring out coping mechanisms through trial and error rather than intentional guidance. This gap is why Dr. Ishma Harford, a Grenadian medical doctor and Commonwealth Scholar, argues that mental health education must be integrated into standard K-12 schooling as deliberately as any other core subject.

    Adolescence is a uniquely precarious developmental period, making it the ideal window for targeted mental health education. This life stage is marked by rapid emotional, physical, and social upheaval: teens leave the protective bubble of family to seek their own place in the broader world, their sense of validation shifts from parents to peers, and the uncertainty of looming adulthood often feels overwhelming. It is also when the earliest signs of most mental health conditions begin to emerge. Anxiety, the most prevalent mental illness globally, offers a stark example: more than half of all lifetime anxiety disorders show detectable symptoms before a person turns 18.

    Far from being just a period of chaos, adolescence is also a formative window where lifelong habits and self-perceptions are cemented. What young people learn about processing emotion and caring for their mental health during these years shapes how they relate to themselves for the rest of their lives. Without intentional guidance, teens often develop harmful survival mechanisms that harden into long-term patterns of low self-esteem, self-doubt, and repressed emotion. Proactive mental health education, Harford argues, can turn this vulnerable period into an opportunity: it can teach teens to thrive, not just survive, by introducing concepts like self-compassion, emotional intelligence, and how to seek help when struggling before harmful patterns become ingrained.

    So what would an effective school mental health curriculum actually teach? Harford outlines a core set of accessible, human-centered lessons that normalize common adolescent experiences. It would teach that uncertainty is a universal part of the human condition, not a personal failure; that occasional sadness is normal, and there are safe spaces to be vulnerable; that not having your entire future figured out as a teen is not a flaw, but a natural part of growing up; that the overwhelming crises that feel earth-shattering in the moment will fade over time; and that physical signs of nervousness like shaking hands or a quivering voice do not make you weak.

    It would also emphasize that emotional experience comes first – we cannot simply think or reason away fear. The emotions teens feel may feel unique to their circumstances, but they are shared by every generation of young people that has come before them. Resilience, the ability to learn and grow from failure and rejection rather than being broken by it, is not an innate trait you are born with: it is a teachable skill.

    Critics often argue that if most adults are still navigating their own mental health, how can we expect to teach these skills to teens? But that argument misses a key point: the ability to step back from a stressful experience, contextualize it, and speak to oneself with compassion is still developing during adolescence. Expecting teens to master this skill on their own, without any formal guidance, is like asking them to build a house without ever being taught how to use a hammer.

    Leaving mental health education to chance has real, harmful consequences. When schools do not intentionally teach emotional literacy, teens still learn lessons – they just learn them indirectly, and often incorrectly. A boy might absorb the idea that vulnerability is unworthy of respect, and that the world only wants to hear him say he is fine even when he is hurting. A teen whose every worry is brushed off with “you’ll be fine” may internalize that no one cares to understand their pain. These learned patterns get passed down from generation to generation, creating a cycle of silence and inaction that is hard to break.

    A intentional, professionally taught mental health curriculum, supported by families that understand its importance, sends a clear message: a person’s inner emotional world matters just as much as their outer achievements. It gives young people the vocabulary to name what they are feeling, and a clear path to reach out for help instead of turning inward and suffering alone.

    Right now, Harford notes, many young people in Grenada and across the globe are still being taught (often unconsciously) that the bravest thing to do when struggling is to stay silent and push through. As Men’s Mental Health Awareness Month draws to a close, the question we all have to answer is whether we have the courage to break this harmful pattern – a pattern that traps not just young men, but people of all genders and all ages.

    This commentary comes from Dr. Ishma Harford, a medical doctor and Commonwealth Scholar pursuing a master’s degree in Health Analysis, Policy and Management. *The Health Imperative*, the column where this piece appears, is a politically neutral educational platform focused on health, health systems, and their broader societal impacts. NOW Grenada notes that it is not responsible for the opinions and statements shared by contributing writers.

  • Minister of Health Meets with Executive of the Antigua and Barbuda Nurses Association

    Minister of Health Meets with Executive of the Antigua and Barbuda Nurses Association

    In a fresh step toward strengthening ties between government health leadership and frontline healthcare providers, Minister Michael Joseph — who oversees the portfolios of Health, Wellness, Environment, and Civil Service Affairs — convened a formal meeting with top executive leaders from the Antigua and Barbuda Nurses Association this week. This gathering forms part of a broader, ongoing initiative by the Ministry of Health to foster consistent, constructive engagement with all key stakeholders across the national healthcare ecosystem.

  • Health : 6-day training course for the departmental brigade of Civil Protection

    Health : 6-day training course for the departmental brigade of Civil Protection

    Against the backdrop of Haiti’s persistent vulnerability to natural and humanitarian disasters, local civil protection authorities have launched a targeted capacity-building initiative to boost emergency response capabilities in the Artibonite department. The Artibonite Departmental Directorate of Civil Protection hosted a six-day intensive training program for its newly formed departmental response brigade at the Departmental Emergency Operations Center (COUD) based in Morne-Blanc.

    The training forms part of a broader national push by Haiti’s Civil Protection system to upgrade the operational readiness of newly established local brigades, with a core focus on improving disaster risk management, risk reduction, and rapid emergency intervention. Delivered by certified instructors from the Haitian Red Cross and funded by the Agency for Technical Cooperation and Development (ACTED), the curriculum centered on two critical pillars: systematic disaster risk assessment and evidence-based first aid care. Program designers structured the coursework to equip participating volunteer brigade members with the practical skills needed to intervene effectively during crises, filling a key gap in pre-hospital care for vulnerable communities.

    Over the six-day program, attendees mastered foundational risk management frameworks and core emergency response techniques that allow them to stabilize disaster and accident victims before they can be transferred to formal medical facilities. Instructors opened the program by outlining the core objectives and life-saving importance of timely first aid, stressing that local first responders are the first line of defense in protecting lives and strengthening the resilience of at-risk communities. Central to the training was the PAS response principle—Protect, Alert, Rescue—a foundational framework that guides all coordinated emergency interventions globally.

    A wide range of practical and conceptual topics were covered to address the most common emergency scenarios brigades are likely to face. These included assessment and stabilization of bone, muscle and joint injuries; management of unconscious choking victims; care of unconscious breathing patients; intervention for acute respiratory emergencies; wound cleaning, dressing and infection prevention; proper lifting and stretcher-carrying techniques to avoid further injury to victims and responders; community-level emergency preparedness planning; and core operational concepts for mobile response units, including the Mobile Rescue Unit (MRU), Alert and Transmission Post (ATP), and Rest and Accommodation Unit (RAC).

    Unlike traditional classroom-only training, the program relied heavily on hands-on practical exercises, live demonstrations of emergency techniques, and peer-to-peer experience sharing to reinforce learning. This interactive approach allowed volunteer participants to build muscle memory for critical interventions and develop the quick reflexes needed to deliver rapid, appropriate care to victims while waiting for professional medical teams to arrive. By the conclusion of the program, attendees had significantly elevated their first aid competencies and confidence in leading initial emergency response.

    In closing remarks, training instructors encouraged participants to apply their new knowledge in real-world scenarios and to continue engaging in ongoing capacity-building opportunities. The initiative reflects a long-term strategy to increase local preparedness and improve response outcomes for the full range of emergency events that impact Artibonite communities, from natural disasters to public health and safety incidents.

  • Kinderpsycholoog Barrow: Veel kinderen krijgen te laat hulp door hoge kosten

    Kinderpsycholoog Barrow: Veel kinderen krijgen te laat hulp door hoge kosten

    Across Suriname, thousands of families face a crippling barrier when seeking mental health support for their children and adolescents: prohibitive treatment costs that put life-changing care out of reach. This gap in access does not just leave needs unmet — it often forces families to abandon ongoing treatment early, or delay seeking help until mild mental health or developmental concerns escalate into severe, harder-to-treat issues. Leading local child and youth psychologist Janine Barrow, affiliated with Suriname’s Diakonessenhuis, is calling for urgent systemic change to address this crisis, pushing for expanded insurance coverage, greater investment in school-based mental health services, and widespread public education to reduce lingering stigma.

    Barrow’s work centers on supporting patients from infancy through age 19, providing a full spectrum of care that includes one-on-one therapy, developmental and psychological assessments — such as IQ testing, autism screenings, ADHD evaluations, and in-school behavioral observations — alongside psychoeducation for families and guided counseling for parents navigating their child’s challenges. In her clinical practice, the most common concerns she sees include developmental delays, neurodivergence such as autism and ADHD, learning difficulties, persistent behavioral challenges, symptoms of depression, trauma stemming from parental divorce, and anxiety disorders triggered by chronic bullying.

    Barrow emphasizes that early, targeted intervention is the most effective way to prevent small issues from escalating into long-term impairment. By involving parents and school staff in treatment where appropriate, she says, care teams can equip caregivers with practical, actionable strategies to support young people at home and in the classroom, reducing the severity of symptoms and often preventing issues from becoming chronic.
    “Mental health shapes every part of a young person’s daily life, from their ability to learn to their long-term physical health,” Barrow explains. Chronic unaddressed stress, she notes, does not only impact emotional well-being — it can lead to persistent physical health complaints, disrupt academic progress, and create barriers to successful employment later in life. She also outlines key warning signs that parents should watch for that may indicate a child needs professional support: sudden, unexplained changes in behavior, persistent sleep or eating disturbances, dropping grades, excessive worrying, and any expression of suicidal thoughts.

    Alongside access barriers, Barrow says persistent misinformation and stigma around mental health care still stop many families from reaching out for help early. Common misconceptions she encounters include the belief that only people with severe mental illness need to see a psychologist, or that mental health issues can be resolved in a single therapy session. “Psychological support requires time and active participation from the client,” she notes. “But it is not just for people facing severe conditions — it is for any young person or family that wants to build better coping skills for stress or invest in personal growth.”

    Barrow identifies Suriname’s ongoing economic challenges as the single largest barrier to accessible youth mental health care. For most working families, the out-of-pocket cost of ongoing therapy is prohibitive, leading many to end treatment before it is complete. To address this, she is calling for policy changes to expand insurance reimbursement for psychological services, place more full-time mental health providers in primary and secondary schools, and expand access to specialized education for young people with mental health and developmental needs.

    While Barrow has observed a gradual reduction in the cultural stigma around seeking mental health care in recent years, many families still hesitate to reach out for support when their child first shows signs of struggle. For this reason, she argues, widespread public outreach and education about mental health is an essential part of expanding access. Her core message to families across Suriname is clear: “Do not wait to seek help if you notice your child is struggling. Mental health is just as important as physical health, and getting support early makes all the difference.”

  • Younger men boost turnout at prostate cancer walk

    Younger men boost turnout at prostate cancer walk

    On a recent Sunday in Barbados, the fourth annual CEMIX Prostate Cancer Walk and Run concluded with a remarkable showing of community support, bringing together hundreds of residents to shine a spotlight on one of the island nation’s deadliest public health threats for men. Organizers behind the grassroots awareness initiative say this year’s turnout continued a steady upward trend, most notably drawing a growing share of younger participants — a shift they call an encouraging win for public health outreach.

  • Belize Heightens Surveillance as Avian Influenza Spreads in Central America

    Belize Heightens Surveillance as Avian Influenza Spreads in Central America

    As Highly Pathogenic Avian Influenza (HPAI) continues to spread across neighboring Central American nations, Belize has activated enhanced monitoring protocols to block the virus from entering its borders, the Belize Agricultural Health Authority (BAHA) announced in an official statement this week.

    Recent confirmed outbreaks in Honduras and Costa Rica have pushed Belize’s agricultural and public health bodies to raise their risk alert, despite the country currently reporting zero confirmed HPAI cases. BAHA officials emphasized that the threat of incursion remains exceptionally high, driven by two key factors: Belize’s shared geographic proximity to the affected countries, and the natural migration patterns of wild birds that cross regional boundaries throughout the year.

    To prepare for potential exposure, BAHA has issued clear guidance for three key groups: commercial poultry producers, small-scale backyard livestock owners, and the general public. All residents and visitors are instructed to immediately report any instances of sick or deceased birds—whether wild or domestic—to one of three relevant agencies: BAHA itself, the Ministry of Agriculture, or the national Forest Department. The public has also been advised to minimize contact with ill or dead birds, only handling or moving the animals when absolutely necessary, while farm operators have been ordered to strengthen on-site biosecurity protocols to reduce contamination risk.

    For context, HPAI is an extremely contagious viral pathogen that primarily impacts avian species, including common commercial poultry such as chickens, turkeys, ducks, geese and quail, as well as wild bird populations. While the virus overwhelmingly targets birds, BAHA confirmed that rare spillover infections have been documented in both mammals and humans. Infected birds typically display recognizable symptoms, BAHA noted, including sudden unexplained death, lethargy, loss of appetite, nasal discharge, impaired coordination, swelling of the head and legs, and unusual discoloration of combs and wattles.

    Beyond wild bird migration, BAHA also highlighted a persistent man-made risk: the illegal cross-border movement and importation of live birds and unregulated avian products. This illicit activity, the authority said, continues to pose a critical threat to Belize’s animal health status and broader national food security. If HPAI were to gain a foothold in Belize, BAHA warned, the consequences would be severe, threatening commercial poultry output, the livelihoods of thousands of people dependent on the industry, regional trade relationships, and the country’s ability to maintain a stable domestic food supply.

  • Government seeks sustainable funding for national HIV response

    Government seeks sustainable funding for national HIV response

    In Santo Domingo, two leading Dominican public health bodies—the Ministry of Health and the National Council for HIV and AIDS (Conavihsida)—have kicked off a nationwide collaborative dialogue focused on crafting the country’s groundbreaking Transition and Sustainability Plan for the National HIV Response, covering the 2026 to 2030 period. The initiative’s core mission is to secure consistent, long-term delivery of critical HIV-related services across prevention, clinical treatment, and ongoing patient care for communities across the Dominican Republic.

    Speaking at the launch, Health Minister Víctor Atallah outlined the Dominican government’s formal commitment to embedding long-term financial stability into national HIV programming. A central plank of the upcoming plan is a managed gradual transition: moving away from heavy reliance on international donor funding toward growing domestic investment and national self-sufficiency. Atallah emphasized that the transition will not disrupt patient access to essential resources, underscoring the government’s pledge to keep lifesaving medications, cutting-edge modern treatments, and pre-exposure prophylaxis (PrEP) widely available, while also scaling up nationwide diagnostic testing efforts.

    Addressing a common point of public concern, Atallah clarified that the recent uptick in officially reported HIV cases across the country is not evidence of growing transmission rates. Instead, he explained, the increase is a direct outcome of expanded testing reach, which allows public health authorities to identify more existing undiagnosed cases and connect those individuals to care faster.

    In a key milestone update, officials confirmed that the Dominican Republic has already exceeded the ambitious 95% treatment coverage target set by UNAIDS, the United Nations program for HIV/AIDS response. Currently, more than 57,700 people living with HIV in the country are receiving life-extending antiretroviral therapy, and more than 51,000 of those patients have achieved durable viral suppression—an achievement that improves individual health outcomes and reduces community transmission risk.

    The national dialogue brings together a diverse cross-section of stakeholders, including senior government representatives, civil society organizations focused on HIV advocacy and care, academic public health researchers, and leading international health partners. Over the course of the forum, participants will collaborate to define clear strategic priorities and design robust financing mechanisms that will guide the Dominican Republic’s national HIV strategy through the end of the decade.