Carib Scope

分类： health

  • New guidelines launched to promote healthy eating and physical activity in schools

    New guidelines launched to promote healthy eating and physical activity in schools

    In a landmark move to address growing concerns over youth health and wellness, federal public health and education agencies have jointly launched a comprehensive set of new guidelines designed to embed healthy eating habits and regular physical activity into the daily fabric of American primary and secondary schools. The initiative comes amid decades of rising data showing alarming rates of childhood obesity, sedentary lifestyles, and poor nutritional choices among school-aged populations, with recent studies indicating that nearly one in five children in the U.S. meets the clinical definition of obesity, a condition that increases long-term risks for type 2 diabetes, hypertension, and other chronic health conditions.

    The updated guidelines lay out clear, actionable standards for school administrators, food service providers, and teachers to implement across campuses nationwide. For nutrition, the framework requires schools to expand access to fresh, whole fruits and vegetables in cafeteria lines, limit the availability of processed snacks high in added sugars, sodium, and saturated fats in vending machines and school stores, and eliminate sugary beverage sales on campus during school hours. It also mandates that schools provide nutrition education that teaches students how to make informed food choices, connecting lessons to hands-on experiences like school garden programs that let students grow their own produce.

    On the physical activity side, the guidelines set a minimum standard of 60 minutes of moderate to vigorous physical activity per school day for all students, up from previous recommendations that only required 150 minutes per week. This includes not just traditional physical education classes, but also active recess breaks for elementary students, classroom activity breaks for older students, and expanded access to before- and after-school sports and recreational programs for students of all ability levels. The framework also encourages schools to upgrade outdoor recreational facilities and create walking and biking routes to campus to promote active commuting.

    To support schools in meeting these new standards, the agencies announced that $100 million in federal grant funding will be made available over the next five years to help low-income and under-resourced districts upgrade cafeteria equipment, train staff, and build or improve recreational facilities. Public health advocates have broadly praised the initiative, noting that schools are a critical setting for shaping long-term health habits, as most children consume at least half of their daily calories while at school. Critics, however, have raised concerns about the burden of implementation on small rural districts with already tight budgets, arguing that additional funding may be needed to help these communities meet the new requirements. Agency officials note that they will conduct ongoing evaluations of the guidelines’ impact over the next decade to adjust recommendations based on emerging public health data.

  • Cabinet to Decide Future of Cuban Medical Brigade in September

    Cabinet to Decide Future of Cuban Medical Brigade in September

    For years, Cuban medical professionals have been a foundational, well-recognized component of Belize’s public healthcare network, providing critical care access to communities across the small Central American nation. But as of August 2026, the long-term future of the Cuban Medical Brigade within Belize’s borders remains unresolved, with the country’s Cabinet set to cast a final vote on the program’s status when it convenes next month.

    Belizean officials are currently evaluating a range of potential paths forward for the existing brigade members, from maintaining a scaled presence to a full phased withdrawal of the program, before formal recommendations are put to Cabinet for a final decision. Among the most actively pursued options is a framework that would allow individual Cuban doctors, nurses, and other medical staff to remain in the country through either temporary work permits or permanent residency status, a solution that requires diplomatic coordination with United States authorities, Foreign Affairs Minister Francis Fonseca confirmed in a recent press briefing.

    The issue has continued to advance through diplomatic channels in recent weeks, following a high-profile meeting between Belize’s Prime Minister and U.S. Deputy Secretary of State Landau in Washington D.C. that included discussion of the medical brigade’s future. “It’s an ongoing discussion between our Ministry of Foreign Affairs, the Ministry of Health and Wellness, and our U.S. counterparts,” Fonseca explained. “Our position remains that there is a clear opportunity to retain key members of the brigade who have already become integral to our healthcare system. We are still working through the details of how to structure this arrangement, but I am optimistic that we can reach a solution that allows Cuban medical professionals to stay through work permits, permanent residency, or a similar status.”

    While the final outcome remains undetermined, the government’s ongoing evaluation process reflects the significant role that Cuban medical staff have played in addressing Belize’s persistent healthcare workforce gaps for years. Any decision to restructure or phase out the brigade would have wide-ranging impacts on access to care in both urban and rural areas of the country, making the September Cabinet decision a closely watched development for Belize’s healthcare sector.

  • About 300 People Benefit From Prime Minister’s Vision Initiative So Far

    About 300 People Benefit From Prime Minister’s Vision Initiative So Far

    A public health program focused on expanding access to critical vision care across Antigua and Barbuda has already helped nearly 300 older adults, as government health authorities continue rolling out free screenings and prescription reading glasses to eligible residents aged 40 and above. The Ministry of Health, Wellness, Environment and Civil Service Affairs confirmed that the initiative is currently stationed at the Villa Community Center, where services will remain available before the program relocates to the Gray’s Green Community Center to serve residents in that area. Launched in partnership with global non-profit vision care organization RestoringVision, the program centers on closing gaps in access to basic eye health services, with a specific focus on connecting adults to affordable reading glasses that many struggle to access otherwise. For every eligible participant, the process begins with a complimentary professional vision screening, which assesses individual eyesight needs before a correctly fitted pair of reading glasses is provided at no out-of-pocket cost. Health officials are actively urging all qualifying residents aged 40 and older who have not yet accessed the program to take advantage of the free services as the initiative rotates between community locations across the two islands. First launched on July 31 of this year, the Prime Minister’s Vision Initiative is scheduled to run through December 15, with pop-up service locations hosted at designated community sites across Antigua and Barbuda throughout the duration of the program.

  • More than 1,100 hypertension cases diagnosed in Dominica over five years

    More than 1,100 hypertension cases diagnosed in Dominica over five years

    In a stark address to the Dominican Parliament this week, President Sylvanie Burton has issued an urgent warning about the growing public health crisis driven by non-communicable diseases (NCDs) across the small island nation, releasing official surveillance data that underscores the severity of the issue.

    Between 2020 and 2025, Dominican health systems recorded more than 1,100 new diagnoses of hypertension, alongside over 600 new cases of diabetes and close to 600 new cancer cases, according to data President Burton cited during her budget address Tuesday. For a nation of Dominica’s modest population size, the president emphasized, these statistics are deeply alarming.

    President Burton clarified that the burden of NCDs extends far beyond these case numbers: conditions including hypertension, diabetes, heart disease, cancer and obesity have cemented their place as the leading causes of both illness and premature death across the country, affecting far too many Dominican households and communities.

    Against this backdrop, the president called for NCD prevention to be elevated to a top national priority. She encouraged all Dominican citizens to adopt sustainable healthier habits, centered on improved nutritional choices, consistent regular exercise, routine preventative health screenings, intentional stress reduction, and greater investment in mental well-being.

    Crucially, President Burton stressed that addressing the country’s NCD epidemic cannot fall exclusively to public health authorities and government medical institutions. Instead, a collective cross-sector effort is required, with key roles for families, educational institutions, workplaces, faith-based organizations, local communities and every individual citizen.

    The president also framed public health as a core component of national development, pushing back against the common narrative that progress is measured only by large-scale infrastructure projects or rapid economic expansion. As Dominica continues to invest in major public works including new road networks, expanded renewable energy infrastructure and upgraded tourism facilities, President Burton argued that equal investment must be directed toward building a healthier, more resilient population.

    “Good health is not just a personal benefit – it is a national strategic advantage,” President Burton told Parliament. A healthy population is far more productive, more innovative, and better positioned to contribute to long-term inclusive national growth, she added. Ultimately, the true measure of Dominica’s success as a developing nation must include the well-being, vitality and quality of life of all its people.

  • Calvin Ayre Foundation Supports Urgent Medical Transfer for Cardiac Patient Through Partnership with MBS

    Calvin Ayre Foundation Supports Urgent Medical Transfer for Cardiac Patient Through Partnership with MBS

    On August 5, 2026, in St. John’s, Antigua, a long-standing public-private healthcare partnership delivered critical, life-saving support to a local resident facing a rare and urgent cardiac need. The Calvin Ayre Foundation (CAF), a prominent local philanthropic organization, joined forces with Antigua’s Medical Benefits Scheme (MBS) to clear all financial and logistical barriers for Ulysis James, who required immediate specialized cardiac intervention unavailable on the island.

    James’ medical crisis began when he suffered an acute ST-elevation myocardial infarction—more commonly known as a severe heart attack—and was quickly admitted to the island’s main public healthcare facility, Sir Lester Bird Medical Centre. While the local clinical team delivered timely and appropriate emergency care that stabilized James’ condition, he later developed recurring chest pain. Follow-up clinical evaluations confirmed that he needed advanced, specialized cardiac procedures that Antigua’s domestic healthcare system is not currently equipped to provide. After a full review of his case, James’ care team formally referred him to the Centre Hospitalier Universitaire (CHU) de Martinique, a leading Caribbean regional center for advanced cardiac care, to receive the urgent procedure he needed.

    To ensure James could travel to Martinique without life-threatening delays, the two partner organizations split the costs of his care: MBS, Antigua’s public health insurance body, approved full funding to cover all expenses related to the surgical and clinical treatment itself, while the Calvin Ayre Foundation stepped in to cover all of James’ travel-related medical costs, a gap in public coverage that would have otherwise created unnecessary barriers to timely care. This combined support eliminated all financial burdens on James’ family, allowing them to focus entirely on his recovery rather than fundraising for urgent care.

    Shereen James Galloway, James’ daughter, spoke publicly about the experience to share her family’s profound gratitude for the coordinated support they received. “The support we received went far beyond financial assistance. The kindness, compassion and professionalism shown by the Calvin Ayre Foundation, CalvinAir, EMT Jeremias Samuel, and everyone involved made an incredibly difficult journey so much easier for our family. They gave us hope when we needed it most, and we will always be grateful,” she said.

    Patrice Jacobs, Media and Production Associate at the Calvin Ayre Foundation, emphasized that this case is part of the organization’s ongoing commitment to removing financial barriers to critical care for Antiguan and Barbudan residents. “Medical emergencies often require swift action, and we’re proud to work alongside the Medical Benefits Scheme to help patients receive specialised treatment when it is not available locally. Every successful transfer represents another opportunity for hope and recovery,” Jacobs explained.

    As James prepares for his procedure in Martinique, the Calvin Ayre Foundation has issued a formal statement extending its best wishes to James and his entire family, expressing hope for a successful intervention and a complete, full recovery. This latest successful collaboration between CAF and MBS underscores the value of cross-sector healthcare partnerships in small island developing states, where local healthcare capacity is often limited for highly specialized interventions. By combining public funding for clinical care with philanthropic support for travel costs, the partnership ensures that no resident is denied life-saving care simply because it is not available domestically.

  • Ministry of Health Congratulates Dr. Kronskie Dickenson on Prestigious International Fellowship

    Ministry of Health Congratulates Dr. Kronskie Dickenson on Prestigious International Fellowship

    A top dental professional from Antigua and Barbuda has earned one of the field’s most distinguished international honors, drawing public praise from the nation’s top health governing body. Dr. Kronskie Dickenson-Foster, currently serving as Acting Senior Dental Consultant, was formally inducted as a Fellow of the International College of Dentists (FICD) during a recent convocation ceremony hosted in Kingston, Jamaica. The Ministry of Health, Wellness, Environment and Civil Service Affairs has issued a formal statement extending its warm congratulations to Dr. Dickenson-Foster for this landmark career achievement.

    Widely regarded as one of the most esteemed recognitions in global dentistry, Fellowship in the International College of Dentists is reserved exclusively for leading practitioners who have demonstrated exceptional merit across multiple areas of the profession. Founded more than a century ago in 1920, the International College of Dentists stands among the world’s oldest and most respected honorary dental organizations. Unlike professional credentials earned through standard examination, fellowship is granted solely by invitation, to dentists who have built a proven record of outstanding leadership, consistent professional excellence, impact-driven humanitarian service, and meaningful contributions to advancing dental science and care access for local communities.

    Dr. Dickenson-Foster’s selection for this elite honor stands as clear proof of her longstanding, unwavering dedication to elevating oral health standards across Antigua and Barbuda, as well as her years of committed public service to the nation’s population. In her current role as Acting Senior Dental Consultant, she has been a consistent, vocal advocate for expanding preventive oral healthcare programs that address care gaps before serious conditions develop. Her work has also been central to strengthening and streamlining the delivery of public dental services to communities across the country, making care more accessible and reliable for all residents.

    Beyond her leadership responsibilities within the national public health sector, Dr. Dickenson-Foster also holds a key leadership role as Vice President of the Antigua and Barbuda Dental Association. In this capacity, she continues to drive progress for the dental profession, not only at the local level but across the broader Caribbean region, supporting peer development and raising care standards throughout the area.

    Health Minister Michael Joseph, who leads the Ministry of Health, Wellness, Environment and Civil Service Affairs, personally commended Dr. Dickenson-Foster for this extraordinary career milestone. The ministry emphasized that Dr. Dickenson-Foster’s achievement highlights the exceptionally high caliber of healthcare professionals that serve Antigua and Barbuda. It also reflects the government body’s ongoing core commitment to strengthening national healthcare services by investing in excellence, nurturing professional leadership, and supporting continuous skills development for the nation’s care workforce.

    In closing its statement, the ministry reiterated its sincere congratulations to Dr. Dickenson-Foster on this well-earned honor, extending its wishes for continued success as she advances the dental profession and works to improve oral health outcomes and overall wellbeing for the people of Antigua and Barbuda.

  • PAHO calls for stronger safeguards against digital marketing that undermines breastfeeding

    PAHO calls for stronger safeguards against digital marketing that undermines breastfeeding

    Ahead of 2026 World Breastfeeding Week, held from 1 to 7 August, the Pan American Health Organization (PAHO) has issued an urgent call to countries across the Americas to ramp up protections for new and expecting families against the booming, increasingly sophisticated digital marketing of breast-milk substitutes that threatens to undermine global breastfeeding progress. The call comes as public health data reveals that the digital transformation of consumer marketing has created new, underregulated barriers to evidence-based infant feeding decision-making, at a time when regional breastfeeding rates still fall far short of global public health targets.

    Breastfeeding is universally recognized by global health authorities as one of the most impactful public health interventions available. It delivers optimal nutrition to infants, boosts their developing immune systems, cuts long-term risk of chronic and acute illness, and supports healthy physical and cognitive growth. For birthing parents, it also carries significant long and short-term health benefits, from reduced postpartum complication risk to lower rates of certain chronic diseases. Despite these well-documented advantages, current regional data shows that only 43 percent of infants in Latin America and the Caribbean are exclusively breastfed for their first six months of life – a figure that sits well below the World Health Organization’s 2030 global target of 60 percent exclusive breastfeeding.

    PAHO officials warn that the unregulated digital marketing of breast-milk substitutes has emerged as a major, underaddressed driver of this gap. Unlike traditional print or broadcast advertising, modern digital marketing tactics operate largely outside public and regulatory scrutiny. Brands leverage personalized algorithms, artificial intelligence, social media platforms, and influencer partnerships to target vulnerable groups: pregnant people, new mothers, and primary caregivers with hyper-specific, tailored messaging that often contradicts evidence-based public health guidance. According to regional researchers, more than 80 percent of all marketing for breast-milk substitutes now takes place across digital channels, making this the primary space where families encounter commercial messaging around infant feeding.

    New data presented at a recent PAHO regional seminar on breastfeeding protection underscores the scale of the regulatory gap. Just 45 percent of countries in Latin America and the Caribbean have implemented national measures aligned with the International Code of Marketing of Breast-milk Substitutes, the global framework first adopted by the World Health Assembly in 1981 to restrict inappropriate marketing of infant formula and other substitutes. Only two nations, Brazil and Argentina, have achieved full substantial alignment with the Code, while many small Caribbean nations still lack any specific national legislation governing breast-milk substitute marketing. Even in countries with existing regulations, regional monitoring found widespread potential violations across social media platforms, brand websites, and other digital channels, where the vast majority of modern marketing activity now occurs.

    Research from the Institute of Nutrition of Central America and Panama (INCAP) confirms the tangible public health harm of this unregulated activity. Studies conducted across Central America found that caregiver exposure to digital marketing for breast-milk substitutes is directly linked to higher rates of early formula use, and cuts the likelihood that a child will be breastfed beyond 12 months by nearly 50 percent. “Marketing and promotion of commercial milk formula products have evolved, and the digital environment remains a regulatory gap that has yet to be adequately addressed,” noted Mónica Mazariegos, an INCAP researcher. “Digital strategies allow companies to reach mothers, fathers, and caregivers frequently and with highly personalized advertising.”

    In response to the evolving threat, the World Health Assembly recently updated its guidance, expanding the scope of the International Code to explicitly cover modern digital marketing practices, including social media campaigns, content creator partnerships, influencer endorsements, and online platform advertising. Experts at the PAHO regional seminar outlined a multi-pronged approach to address the crisis: updating national legislation to explicitly extend marketing restrictions to digital channels, building more robust monitoring and enforcement systems, leveraging new digital tools to proactively detect regulatory violations, and strengthening cross-border regional cooperation to tackle marketing that easily moves between national jurisdictions. Participants also highlighted the critical need for stronger personal data protections and greater transparency around how digital targeted advertising operates, to prevent brands from exploiting personal health data to target vulnerable families.

    PAHO emphasizes that regulatory action to restrict harmful marketing must be paired with direct public health support for breastfeeding families. This includes expanded access to evidence-based breastfeeding counselling, workplace and social policies that enable women to breastfeed for the WHO-recommended six months of exclusive breastfeeding and continued breastfeeding up to two years and beyond, and community support services that help families navigate challenges. “Breastfeeding is far more than an individual choice. It is one of the most effective ways to give children the best possible start in life,” explained Vanessa Garcia Larsen, Chief of PAHO’s Risk Factors Unit. “In the digital age, protecting breastfeeding also means protecting families from commercial practices that may influence their decisions.”

    The ultimate goal of these reforms, Garcia Larsen added, is to ensure that all families have access to objective, evidence-based infant feeding information, free from inappropriate commercial influence. As part of 2026 World Breastfeeding Week, which carries the theme “Breastfeeding for a Sustainable Start in Life: Strengthen What Works,” PAHO will host a virtual regional seminar on August 7 to bring together policymakers, researchers, and public health practitioners to share successful strategies for strengthening breastfeeding policies and support programs across the Americas.

  • CPL to launch free health screenings for fans at 8 host venues

    CPL to launch free health screenings for fans at 8 host venues

    The Republic Bank Caribbean Premier League (CPL), one of the region’s most popular annual sporting events, has launched a unique public health initiative ahead of its upcoming season, partnering with local and regional health agencies to bring free non-communicable disease (NCD) screenings to fans at every tournament venue. All eight host stadiums for this season’s matches, including the well-known Daren Sammy Cricket Ground, will host on-site testing clinics staffed by qualified health professionals throughout the competition, giving cricket fans access to preventive care while they enjoy the sport. NCDs are recognized as one of the most pressing public health challenges across the Caribbean, where rates of chronic conditions such as heart disease and diabetes remain disproportionately high compared to global averages. This screening program is a core part of the league’s long-term commitment to supporting regional public health efforts to address this crisis. The free screenings available to interested fans cover a wide range of key health metrics, including blood pressure measurement, blood glucose testing to flag diabetes risk, Body Mass Index (BMI) assessment, urinalysis, and prostate-specific antigen (PSA) testing for prostate cancer risk. In a statement explaining the importance of the new initiative, CPL Chief Executive Officer Pete Russell emphasized that the burden of NCDs extends across the entire Caribbean community. “Non-communicable diseases have touched almost every one of us in some way, whether as patients ourselves or through a loved one,” Russell said. “Being a good corporate citizen means using the platform we’ve built for something bigger than the game itself. Early detection is key to combating non-communicable diseases – this programme puts that principle into practice.” Russell added that the league’s broad regional reach comes with a corresponding social responsibility to contribute to community well-being. “CPL reaches fans in eight territories every season, and we believe that reach comes with a responsibility to give back. Bringing health screening into our stadiums is a simple and practical way to act on that responsibility,” he explained. Public health experts across the region have previously highlighted that improving access to routine preventive screenings is one of the most effective ways to reduce NCD-related illness and death, as early intervention can drastically improve patient outcomes for most chronic conditions.

  • PMH kitchen delayed after $5m drainage issue found

    PMH kitchen delayed after $5m drainage issue found

    Bahamas’ Health and Wellness Minister Dr. Michael Darville announced Wednesday that the long-awaited reopening of Princess Margaret Hospital’s shuttered kitchen will be pushed back further, after crews uncovered an end-of-life sewage and drainage system that will require an entirely new $5 million infrastructure buildout.

    The hospital’s main kitchen has been offline for more than a year, shut down after health inspectors deemed the facility structurally and hygienically unsafe. Since its closure, the Public Hospitals Authority has contracted third-party vendors to prepare meals off-site for patients and staff, leaving the facility without an on-site cafeteria for employees and sparking ongoing frustration from people receiving care at the hospital.

    Originally, public health officials projected that kitchen renovations would wrap up by the middle of 2025, but that timeline has been scrapped following the unexpected discovery. While conducting pre-renovation assessments for planned upgrades to the kitchen and the hospital’s Legacy Ward, engineering teams found that the decades-old septic and drainage network, which runs to Shirley Street, had fully reached the end of its functional lifespan.

    Because the original system was constructed in the 1950s alongside the hospital itself, repairing the existing infrastructure would be more costly and less reliable than installing a completely new network. Minister Darville explained that the government has opted to build a parallel sewage and drainage system that will connect directly to the hospital, rather than attempting to patch up the failing original infrastructure.

    “This is a major challenge that we just found. It delayed the awarding of the contract for the kitchen because we had to have a proper septic system in order for the hospital to function effectively,” Darville told reporters.

    The $5 million price tag for the new sewage system is an unbudgeted expense, separate from the already allocated funds for the kitchen, Legacy Ward, and hospital dialysis unit renovations. Minister Darville noted that unforeseen infrastructure issues are a common challenge when updating mid-20th century healthcare facilities, pointing to similar unexpected costs that arose during prior upgrades to the hospital’s accident and emergency department.

    “You scope a section of work, and then as you begin to do the work, you realise there are some things that were missed. This is an incidental finding to the necessary repairs for the kitchen and the legacy ward, and we must get it done in order for the Princess Margaret Hospital to function effectively,” he added.

    The extended closure of the on-site kitchen has drawn repeated criticism from patients, who have raised concerns over the quality and temperature of outsourced meals transported to the facility. Hospital employees have also been without a staff cafeteria for more than 12 months, creating additional inconvenience for clinical and administrative teams.

    The revelation of this new costly delay comes one month after Darville defended the government’s plan to construct a second new tertiary hospital on New Providence, even as the country pours ongoing funds into upgrading Princess Margaret Hospital. Darville noted last month that the 1950s-era hospital is approaching the end of its operational lifespan, with maintenance and upgrades growing increasingly expensive and logistically complex over time.

    Prior to this discovery, the government had already allocated funding from a CIBC government loan to cover the planned kitchen, Legacy Ward, and dialysis unit upgrades. Darville also confirmed last month that ongoing renovations to the hospital’s operating theatres have temporarily paused elective surgical procedures, though all emergency surgical services have remained fully operational throughout the upgrade work.

  • Dominican Republic and U.S. launch Friendship 2026 health mission in La Vega

    Dominican Republic and U.S. launch Friendship 2026 health mission in La Vega

    LA VEGA – A binational health security partnership between the Dominican Republic’s Ministry of Health and the United States Southern Command has officially kicked off the Friendship 2024 cooperation mission in the central city of La Vega, bringing no-cost clinical care to local residents and forging deeper professional ties between medical teams from both nations.

    Running from August 3 through August 14, the 12-day initiative unites skilled medical personnel from both countries to deliver direct patient services, exchange cutting-edge clinical knowledge, and boost the overall care capacity of Dominican health systems. Organized under the umbrella of U.S. Air Forces South (AFSOUTH), a component command of U.S. SOUTHCOM, the mission forms part of a broader regional collaboration framework focused on improving public health outcomes across the Western Hemisphere.

    Dominican Health Minister Víctor Atallah emphasized that the outreach will deliver tangible benefits to thousands of local community members who may face barriers to accessing routine care, while also offering a valuable hands-on training opportunity for domestic healthcare workers to expand their professional skills and clinical experience.

    From the U.S. side, Lieutenant Colonel Donald Davison, a representative from U.S. Air Forces South, noted that the joint mission creates a rare, productive space for medical providers from the two nations to work shoulder-to-shoulder, exchange evidence-based best practices, and refine joint operational readiness for future public health challenges. “These collaborative efforts don’t just help patients today—they build relationships that strengthen health security across the region for years to come,” Davison shared.

    Free services are currently being offered at two La Vega medical facilities: the Luis Morillo King Regional University Hospital and the Dra. Almida García Municipal Hospital. Available care includes general medical consultations, dental screenings and treatments, ophthalmology appointments, and personalized public health guidance. All services are distributed on a first-come, first-served basis, and no elective surgical procedures are scheduled as part of this iteration of the Friendship mission.