分类: health

  • Trinidad and Tobago Newsday – Wednesday January 14th 2026

    Trinidad and Tobago Newsday – Wednesday January 14th 2026

    The global dietary supplement market, valued in the hundreds of billions, is confronting intensified examination from both scientific communities and regulatory bodies. A recent surge in analytical reporting has brought to light persistent concerns regarding the verifiable efficacy, manufacturing standards, and marketing claims prevalent within the industry.

    Unlike pharmaceutical products, which undergo rigorous pre-market testing for safety and effectiveness, supplements often enter the consumer marketplace with significantly less oversight. This regulatory gap, primarily stemming from legislation like the U.S. Dietary Supplement Health and Education Act (DSHEA) of 1994, places the burden of proof on agencies to demonstrate a product is unsafe after it is already available to the public.

    Key areas of concern highlighted by experts include frequent ingredient mislabeling, contamination with undeclared substances, and potent bioactive compounds being sold without adequate dosage studies. Furthermore, marketing language often utilizes carefully crafted ‘structure/function’ claims that suggest health benefits which may not be substantiated by robust clinical evidence, potentially misleading consumers.

    The implications for public health are significant. Consumers may inadvertently choose supplements over proven medical treatments, experience adverse reactions, or incur substantial financial cost for products with negligible benefit. Health advocates are increasingly calling for more stringent mandatory testing, transparent labeling requirements, and greater authority for regulatory agencies to remove questionable products from shelves proactively.

    This ongoing scrutiny underscores a critical dialogue about the balance between consumer access, industry innovation, and the imperative to ensure product safety and truthfulness in the expansive wellness market.

  • San Fernando Hospital gets PAHO’s ‘Baby Friendly’ status

    San Fernando Hospital gets PAHO’s ‘Baby Friendly’ status

    The San Fernando General and Teaching Hospital has achieved a significant milestone by receiving the coveted Baby-Friendly Hospital Initiative accreditation from the Pan American Health Organization and World Health Organization (PAHO/WHO). This designation makes the South West Regional Health Authority’s flagship institution the first regional health authority to have all its major facilities certified under the international program.

    The accreditation ceremony on January 13 featured PAHO/WHO Representative Dr. Gabriel Vivas Francesconi and Health Minister Dr. Lackram Bodoe, who unveiled a commemorative plaque at the facility. The hospital joins other recently accredited institutions including Point Fortin Hospital, Mt Hope Women’s Hospital, Sangre Grande, and Scarborough Hospital, with plans underway to extend the accreditation to Port of Spain General Hospital in the near future.

    The WHO/UNICEF initiative establishes rigorous standards for optimal infant feeding practices and mother-baby bonding in maternity facilities. The program aims to protect and promote breastfeeding by transforming hospital protocols to support successful breastfeeding while shielding families from commercial influences.

    SWRHA Deputy Chairperson Natasha Moonilal emphasized the transformative nature of the accreditation, noting that the hospital underwent comprehensive changes in care delivery and staff training over recent months. ‘This represents a transformation at every level,’ Moonilal stated. ‘Our medical teams have fully embraced the ten steps to successful breastfeeding, ensuring immediate skin-to-skin contact after birth, early initiation of breastfeeding, and continuous support throughout the mother’s stay.’

    Dr. Vivas Francesconi highlighted the need for concerted efforts to discourage milk substitutes, advocating for national legislation to protect against aggressive marketing by formula manufacturers. While acknowledging there is a role for milk substitutes in certain circumstances, Health Minister Bodoe confirmed the ministry is developing regulations for the industry, including front-of-package labeling requirements.

    The accreditation coincides with recent government reforms expanding parental protections, including paid breastfeeding breaks and strengthened workplace safeguards against discrimination—measures Prime Minister Kamla Persad-Bissessar promoted while encouraging young couples to consider parenthood.

  • Trini couple return home to focus on stigma of obesity

    Trini couple return home to focus on stigma of obesity

    A distinguished medical couple of Trinidadian origin has returned to their homeland to establish Stellar Medical, a specialized healthcare practice dedicated to addressing obesity and metabolic disorders through comprehensive, evidence-based approaches. Dr. Robert Jupiter and Dr. Karen Moses, both US board-certified physicians, have launched their innovative practice following extensive medical careers in the United States.

    Dr. Jupiter brings dual certification from the American Board of Family Medicine and Obesity Medicine, complemented by his registration as an obesity medical specialist with the Medical Board of Trinidad and Tobago. Dr. Moses contributes her expertise as a Fellow of the American College of Obstetricians and Gynaecologists, creating a multidisciplinary healthcare team.

    The doctors expressed profound enthusiasm about their homecoming, emphasizing their commitment to delivering science-driven, stigma-free healthcare. “Our return marks a significant milestone in addressing the complex biological, hormonal, and environmental factors contributing to weight gain and metabolic diseases within our community,” Dr. Jupiter stated during the practice’s inauguration on January 14.

    Stellar Medical employs advanced therapeutic protocols including GLP-1/GIP medications such as Wegovy, Ozempic, Zepbound, and Mounjaro. These contemporary pharmaceuticals demonstrate superior efficacy compared to traditional weight-loss treatments, enabling patients to achieve substantial weight reduction of 16-23% total body weight versus the 5-10% typical of earlier interventions.

    Despite their proficiency with pharmaceutical interventions, the practice prioritizes holistic assessment methodologies. Initial treatment strategies focus on fundamental health pillars including nutritional optimization, physical activity, hydration management, sleep quality, and mental wellbeing before considering medication options.

    “Obesity represents a chronic metabolic condition requiring sustained medical management rather than temporary solutions,” Dr. Jupiter emphasized. “The misconception that weight management revolves solely around willpower perpetuates harmful stigma that prevents individuals from seeking proper medical care.”

    The practice has implemented a compassionate care model that collaborates with mental health professionals to address psychological aspects of weight management, creating a supportive environment free from judgment for patients navigating their healthcare journeys.

  • Suriname onderzoekt goedkopere medicijnen via gezamenlijke inkoop met Colombia

    Suriname onderzoekt goedkopere medicijnen via gezamenlijke inkoop met Colombia

    The Surinamese government is actively investigating a groundbreaking approach to reduce expenditures on high-cost specialty medications by aligning with Colombia’s bulk pharmaceutical procurement programs. President Jennifer Simons revealed this strategic initiative during a press briefing detailing her recent official visit to Colombia.

    This potential collaboration centers on leveraging Colombia’s massive purchasing power through the Hospital Internacional de Colombia (HIC), which negotiates multi-million dollar medication contracts. By tapping into these established procurement channels, Suriname could access substantially reduced prices for specialized drugs used in cancer treatments, transplant procedures, and rare disease management—treatments that typically involve exorbitant medication costs.

    President Simons emphasized the targeted nature of this initiative, clarifying that it specifically addresses expensive specialty drugs rather than standard medications. ‘For certain conditions, we’re dealing with a small patient population in Suriname, but the required medications are extremely costly. This is precisely where collective purchasing could potentially make a significant difference,’ Simons stated.

    The government maintains a cautious approach, with no automatic commitments being made. Suriname will conduct thorough objective comparisons to verify whether Colombian pricing genuinely offers advantages over current import channels through India and the Netherlands. The nation’s Drug Supply Company (BGVS) will play a central role in this evaluation process.

    According to Simons, Colombian pharmaceutical entities have expressed openness to including Suriname in their existing procurement frameworks. This arrangement could potentially grant Suriname direct access to manufacturers or established suppliers at identical pricing conditions enjoyed by the Colombian market. However, Simons stressed that ‘we won’t accept this at face value—the numbers must be presented and verified.’

    A technical working group comprising representatives from both nations will dedicate the next six to eight weeks to meticulously developing the proposal. This comprehensive assessment will examine price comparisons, logistics, regulatory considerations, and financial implications for Suriname’s healthcare sector. The findings will determine whether joint purchasing can deliver structural cost reductions.

    This initiative represents a crucial component of the government’s broader strategy to create a more affordable and sustainable healthcare system for Suriname without compromising quality standards or accessibility.

  • Simons: Colombia-ziekenhuis moet helpen zorgsysteem versneld op te bouwen

    Simons: Colombia-ziekenhuis moet helpen zorgsysteem versneld op te bouwen

    Surinamese President Jennifer Simons has concluded a strategic technical mission to Colombia’s Hospital Internacional de Colombia (HIC) in Bucaramanga, focusing on deepening bilateral healthcare cooperation and gathering practical insights for Suriname’s healthcare system modernization. The visit, characterized as policy-oriented rather than diplomatic, emphasized preventive medicine, enhanced specialist coordination, and potential cost reduction through collective medication procurement.

    During a press briefing at the Presidential Cabinet, Simons clarified that the journey followed December discussions with HIC representatives in Suriname. The delegation traveled under tightened security protocols due to regional uncertainties, with the final travel decision made shortly before departure. Cost containment measures included minimizing delegation size and excluding media personnel, resulting in delayed photographic documentation.

    The bilateral dialogue centered on integrating primary preventive care with hospital services, with HIC presenting data demonstrating how prevention strategies reduce expensive treatment pathways. Pharmaceutical collaboration emerged as another key pillar, exploring participation in bulk purchasing programs through Colombian manufacturers to lower prices for specialized medications. President Simons assured objective price comparisons with existing import channels from India and Netherlands would precede any procurement decisions.

    Structural communication improvements between Surinamese and Colombian medical teams were prioritized, particularly for post-treatment care following complex procedures like transplants and cancer therapies. Digital consultations and enhanced medical data exchange mechanisms were identified as critical enablers for transnational patient management.

    Implementation timelines include establishing a joint working group within six to eight weeks to develop concrete action plans covering digital specialist coordination, postoperative care protocols, and charter flight options to simplify travel routes currently requiring connections through Panama. A reciprocal HIC delegation is expected in Suriname during February’s third week for presentations to local healthcare institutions, with feasibility assessments scheduled for March to ensure focused, time-bound outcomes.

    President Simons acknowledged outstanding payments to HIC but confirmed resolution commitments to ensure uninterrupted treatment for Surinamese patients.

  • Flu spike: QEH A&E ‘under strain’ as flu drives 100 daily cases

    Flu spike: QEH A&E ‘under strain’ as flu drives 100 daily cases

    The Queen Elizabeth Hospital’s Emergency Department has activated emergency protocols amid an unprecedented patient surge, with daily attendance exceeding 100 cases due to a triple threat of influenza outbreaks, trauma incidents, and chronic disease complications. Hospital executives confirmed the crisis during an emergency briefing Monday, revealing one of the most significant global influenza resurgences since the COVID-19 pandemic.

    Chief Executive Officer Neil Clark reported an 8.5% annual increase in emergency department visits, translating to approximately 160 additional patients monthly. The situation deteriorated markedly following the holiday period, creating perfect storm conditions where multiple patients require simultaneous urgent care, consequently delaying treatment for less critical cases.

    December surveillance data confirmed 42 influenza cases, predominantly Influenza A strain, alongside circulating respiratory syncytial virus (RSV) and residual COVID-19 cases. The hospital has implemented comprehensive escalation measures including enhanced staffing rotations, optimized bed management protocols, and strategic discharge planning to address the patient backlog.

    Addressing public concerns about patients allegedly sitting on floors, Clark clarified that lowered ambulance trolleys for safety purposes might create visual misconceptions. The hospital expects dedicated A&E trolleys to arrive this week, eliminating the need for repurposed ambulance equipment.

    Dr. Anne-Marie Cruickshank, Head of the A&E Department, revealed staggering operational metrics with 40-60 patients consistently waiting for treatment against an ideal benchmark of 15. The department’s crisis response included recalling seven resident physicians during consecutive weekends while augmenting nursing and support staff allocations.

    Innovatively, specialist physicians now work embedded within the emergency department rather than providing remote consultations, dramatically accelerating diagnostic decisions and patient processing. The hospital leadership urgently advises the public to reserve emergency services for genuine medical crises including chest pain, respiratory distress, major trauma, stroke symptoms, severe hemorrhage, or sudden collapse, directing non-emergent cases to polyclinics, urgent care facilities, or primary care providers.

  • RayAsta’s stroke awareness campaign makes symbolic launch St Mary’s Academy

    RayAsta’s stroke awareness campaign makes symbolic launch St Mary’s Academy

    The RayAsta Foundation inaugurated its nationwide Stroke Awareness School Initiative with a poignant visit to St. Mary’s Academy in Dominica, the educational institution where its namesake Raymond Astaphan began his life journey. This strategically chosen launch location carried profound emotional significance, serving as both a symbolic and deeply personal tribute to the late Raymond Astaphan, in whose memory the foundation was established.

    According to foundation representatives, St. Mary’s Academy played a pivotal role in shaping Raymond’s character, values, and lifelong aspirations. The decision to commence their educational campaign at this particular institution represents a meaningful homage to his enduring legacy. The foundation highlighted its historical commitment to the school through previous donations, emphasizing its ongoing dedication to the students, families, and community that contributed to Raymond’s personal development.

    Jennifer Astaphan, Raymond’s mother, expressed deep emotional resonance with the initiative’s launch location. ‘Witnessing his memory perpetuated through educational outreach and community service embodies everything Raymond stood for,’ she stated. ‘If our efforts prevent even one family from experiencing the devastation of stroke through timely recognition and intervention, then Raymond’s legacy continues to manifest in life-saving measures.’

    The interactive educational session engaged both students and faculty, delivering crucial information about stroke recognition, major risk factors, and the critical importance of immediate medical response. The foundation emphasized that awareness and rapid action constitute essential tools in mitigating stroke’s potentially devastating consequences.

    The initiative will expand throughout Dominica in coming weeks, with scheduled visits to Convent High School, Pierre Charles Secondary School, and Portsmouth Secondary School. The RayAsta Foundation reaffirmed its commitment to enhancing health education, raising community awareness, and empowering Dominican residents to identify stroke symptoms promptly while responding effectively during critical moments.

  • Reumatoloog Dosoe. Reuma is chronisch, maar hoe we ermee leven, kunnen we wél veranderen

    Reumatoloog Dosoe. Reuma is chronisch, maar hoe we ermee leven, kunnen we wél veranderen

    In a groundbreaking development for Suriname’s healthcare system, Dr. Meredith Dosoe has become the nation’s first and only rheumatologist since joining Diakonessenhuis Hospital in June 2024. Her arrival marks a transformative moment in specialized rheumatic care, addressing what was previously a significant gap in the country’s medical services.

    Rheumatological conditions, encompassing over 200 disorders affecting joints, muscles, tendons, and bones, have long been misunderstood as inevitably disabling. Modern medical advances have fundamentally changed this perception, with early detection and innovative treatments now enabling effective management of these autoimmune conditions that affect individuals across all age demographics.

    Patients typically present with symptoms including persistent pain, swelling, morning stiffness, and profound fatigue. Beyond physical manifestations, these conditions frequently trigger secondary consequences including skin abnormalities, hair loss, unexplained fever, and involuntary weight loss. The psychosocial impact is equally significant, often leading to social isolation, depressive symptoms, employment challenges, and financial dependency.

    Dr. Dosoe emphasizes the critical importance of early intervention: ‘Persistent joint discomfort, morning stiffness, unexplained swelling, recurrent fever, or emerging skin changes constitute clear indicators requiring prompt medical attention. Timely diagnosis and appropriate treatment can prevent irreversible joint damage and preserve functionality.’

    Despite these advances, Suriname’s rheumatic care faces substantial systemic challenges. Limited insurance coverage for specialized laboratory testing, medication costs reaching approximately SRD 20,000 monthly, and growing wait times present significant barriers to care. Compounding these issues, some patients discontinue treatment upon initial symptom improvement, potentially triggering disease flares and worsened long-term outcomes.

    Diakonessen Hospital remains committed to enhancing rheumatic care infrastructure. Dr. Dosoe reflects: ‘Each small victory matters profoundly—a patient regaining independent mobility, a young SLE sufferer accessing timely treatment, or expensive medication finally receiving coverage. While rheumatological conditions remain chronic, modern approaches have transformed them into manageable health challenges rather than hopeless diagnoses. The disease may persist, but how we live with it has fundamentally changed.’

  • Trinidad and Tobago Newsday – Tuesday January 13th 2026

    Trinidad and Tobago Newsday – Tuesday January 13th 2026

    The global dietary supplement industry, valued at over $150 billion, presents consumers with a complex landscape of health promises and scientific uncertainty. A recent surge in public scrutiny is challenging long-held beliefs about the efficacy of these widely available products, prompting a critical examination of their role in modern wellness practices.

    Healthcare professionals are increasingly voicing concerns about the regulatory gap that allows supplements to reach the market without undergoing the rigorous clinical testing required for pharmaceutical drugs. This regulatory environment, primarily governed by the 1994 Dietary Supplement Health and Education Act (DSHEA) in the United States, places the burden of safety proof on the Food and Drug Administration after products are already available to consumers.

    Scientific research continues to reveal contradictory evidence regarding supplement benefits. While certain supplements like folic acid for pregnant women and vitamin D for deficient populations show clear benefits, many popular products lack conclusive evidence supporting their advertised health claims. Emerging studies suggest that some supplements may even pose health risks when taken in excessive quantities or in combination with prescription medications.

    Consumer advocacy groups are calling for enhanced transparency in labeling requirements and manufacturing standards. The current patchwork of international regulations creates significant variations in quality control, with some independent studies finding discrepancies between labeled ingredients and actual supplement contents.

    Medical experts emphasize that supplements should complement, not replace, a balanced diet and healthy lifestyle. They recommend consulting healthcare providers before beginning any supplement regimen, particularly for individuals with pre-existing conditions or those taking prescription medications. The scientific community continues to advocate for more comprehensive long-term studies to better understand the true benefits and risks associated with dietary supplementation.

  • WHO says sugary drinks, alcohol getting cheaper, should be taxed more

    WHO says sugary drinks, alcohol getting cheaper, should be taxed more

    GENEVA, Switzerland — The World Health Organization issued a compelling call to action on Tuesday, urging nations worldwide to implement significant tax increases on sugary beverages and alcoholic products. This strategic move aims to curb consumption patterns linked to escalating global health crises while generating crucial funding for overburdened healthcare systems.

    The UN health agency presented comprehensive data revealing that persistently low taxation structures have inadvertently made these harmful products increasingly affordable relative to other goods. This pricing dynamic, according to WHO experts, actively contributes to the rising prevalence of obesity, diabetes, cardiovascular diseases, and various cancers across populations.

    WHO Director-General Tedros Adhanom Ghebreyesus emphasized the transformative potential of health-focused taxation, stating, “Fiscal policies represent among the most powerful instruments available to governments for promoting population health and preventing disease. By strategically increasing levies on tobacco, sugar-sweetened beverages, and alcohol, nations can simultaneously reduce harmful consumption and secure essential resources for critical health services.”

    The organization released parallel global reports examining current taxation frameworks for both alcohol and sugar-sweetened beverages. The findings revealed that while 116 countries currently impose some form of tax on sugary drinks, numerous high-sugar products—including fruit juices, sweetened milk beverages, and ready-to-drink coffee and tea—frequently escape taxation entirely.

    Regarding alcoholic beverages, the analysis demonstrated concerning trends: beer became more affordable in 56 countries between 2022 and 2024, while wine received excise tax exemptions in at least 25 nations, predominantly within European markets.

    Dr. Jeremy Farrar, WHO Assistant Director-General for Health Promotion, Disease Prevention and Care, drew parallels with successful tobacco taxation models: “The evidence regarding tobacco taxation’s effectiveness in reducing consumption is unequivocal. We must apply the same principled approach to sugary beverages—using fiscal policy as a behavioral intervention while strengthening prevention capabilities, particularly in nations grappling with the rapid rise of non-communicable diseases.”

    The WHO initiative forms part of its broader “3 by 35” campaign, which seeks to substantially increase prices for tobacco, alcohol, and sugary drinks by 2035 through strategic taxation redesign. The agency acknowledges implementation challenges, noting that such measures often face strong opposition from well-funded industry groups with significant financial interests at stake.

    Despite political hurdles, the WHO points to successful implementations in the Philippines, Britain, and Lithuania as evidence that well-designed health taxes can achieve both public health improvements and sustainable healthcare financing when implemented effectively.