分类: health

  • Two die in ‘respiratory illness’ outbreak on Atlantic cruise ship

    Two die in ‘respiratory illness’ outbreak on Atlantic cruise ship

    An outbreak of severe acute respiratory illness has shaken a polar cruise ship traveling through the Atlantic Ocean, leaving at least two people confirmed dead and one patient in intensive care in Johannesburg, South Africa’s health ministry confirmed to Agence France-Presse on Sunday.

    The incident unfolded aboard the MV Hondius, a polar exploration vessel operated by Dutch tour firm Oceanwide Expeditions, which was carrying out a voyage from Ushuaia, Argentina, bound for Cape Verde. The ship, which holds capacity for roughly 170 passengers and 70 crew members, was positioned just off Praia, Cape Verde’s capital, as of Sunday, according to multiple online vessel tracking platforms.

    South African health department spokesperson Foster Mohale confirmed that one patient evacuated to Johannesburg for treatment has tested positive for hantavirus, a group of pathogens most commonly spread to humans via rodent populations. The virus spreads through direct contact with infected rodents’ urine, fecal matter or saliva, through bites, or via inhalation of dust contaminated with viral particles, guidance from the U.S. Centers for Disease Control and Prevention notes. Different strains of hantavirus circulate across different global regions, and they can trigger a range of severe symptoms including life-threatening hemorrhagic fever.

    According to Mohale, the first fatality was a 70-year-old passenger who first developed symptoms and died while the vessel was still at sea. His remains are currently held on Saint Helena, a British overseas territory in the South Atlantic that was one of the ship’s scheduled stops. The passenger’s 69-year-old spouse was also infected and evacuated to South Africa for urgent care, and she later died in a Johannesburg hospital. Mohale added that official confirmation of the victims’ nationalities was still pending as of Sunday, though an anonymous source close to the investigation told AFP the two deceased are a Dutch couple, bringing the provisional death toll to three.

    A third infected passenger, a 69-year-old British national, was also evacuated to Johannesburg and remains in intensive care as public health teams continue to monitor his condition. Discussions are ongoing between international health authorities about whether two additional sick passengers should be admitted to hospitals in Cape Verde for isolation, the anonymous source said. After the ship completes its stop in Cape Verde, it is scheduled to continue its voyage to the Spanish Canary Islands.

    The World Health Organization confirmed Sunday that it is aware of the outbreak, and that a coordinated international public health investigation and response is already underway. “We will share more information as it becomes available,” the organization said from its Geneva headquarters. AFP reached out to Oceanwide Expeditions, the ship’s operator, for comment on the outbreak as of Sunday, but had not received a response by the time of reporting.

  • Ecological study ongoing as Black River Hospital rebuild gains ground

    Ecological study ongoing as Black River Hospital rebuild gains ground

    BLACK RIVER, St Elizabeth – Nearly seven months after Category 5 Hurricane Melissa devastated key public infrastructure across Jamaica, the large-scale recovery effort at Black River Hospital is moving ahead at a faster-than-expected pace, with construction teams focused on delivering a more storm-resilient facility to reverse widespread disruptions to regional healthcare services.

    During an on-site inspection tour Thursday alongside senior leadership from the Southern Regional Health Authority (SRHA), Health and Wellness Minister Dr. Christopher Tufton shared updated details on the rebuild, confirming that core medical services are on track to be restored within the next two months. While a long-term national ecological study is being conducted to assess the flood and storm vulnerability of all public health facilities across the country – a process that could lead to additional major structural upgrades in a final resilience phase – the government’s immediate priority remains restarting full service delivery as quickly as possible.

    “Right now our biggest challenge is getting the entire system back up and running so we can meet the healthcare needs of the community, and so far, the progress has exceeded expectations. The project team has done exceptional work moving this forward,” Tufton told reporters during the tour.

    Construction crews are currently working to wrap up upgrades to key facilities on schedule. The hospital’s male and female inpatient wards, rebuilt with reinforced structural materials to withstand future extreme weather events, are expected to open to patients by the end of June. Two operating theatres, which also received full overhauls, are on track to be commissioned and put into service in just two weeks.

    Tufton explained that the rebuilt facility incorporates far more robust engineering than the original structure. “Construction is well advanced: we are preparing to install reinforced metal roofing and a reinforced concrete slab designed to withstand hurricane-force winds and flooding, so this will be a much stronger, safer facility for both patients and staff,” he said. “Inside the two operating theatres, surgical lighting is already being installed and final finishing work is underway. That means we will once again be able to perform routine and emergency surgeries right here at Black River Hospital, in a fully updated facility.”

    Melissa made landfall in Jamaica on October 28, 2025, leaving a trail of destruction across the island. Black River Hospital was one of the hardest-hit major government facilities, forcing the facility to suspend most core services and divert patients to nearby hospitals for months.

    In addition to the main hospital reconstruction, the project team has already completed renovations to on-site staff quarters. Tufton noted that part of the newly restored staff housing will be repurposed temporarily to expand outpatient services, while the remaining space will be used for staff accommodation. When the full hospital rebuild is complete in 6 to 8 weeks, the facility will have nearly 150 inpatient beds available, a capacity upgrade that will significantly ease the overcrowding and patient backlogs that have plagued neighboring facilities since the storm.

    “This restoration will take huge pressure off Mandeville Regional Hospital, Percy Junor Hospital in Manchester, and Savanna-la-Mar Public General Hospital in Westmoreland, all of which have absorbed thousands of extra patients from St Elizabeth since Hurricane Melissa hit,” Tufton explained.

    The recovery effort extends beyond the main hospital to community care across the parish. Of the 23 public health centers serving St Elizabeth, 10 suffered severe damage during the storm. Only the Black River Health Centre remains out of its original building, but Tufton confirmed reconstruction is on schedule to wrap up in one month, allowing services to move back to the permanent facility. Currently, the health center is operating out of a temporary container-based facility on the original compound, and the operation has been running smoothly.

    Tufton projected that all 23 health centers across the parish will be fully operational by the end of May or early June. Currently, around 80 percent of primary care patients have returned to their local community health centers, but the ministry is launching an outreach effort to encourage more residents to resume routine care, after many avoided seeking services in the wake of the storm.

    “We understand the trauma that the people of this parish have been through, but we cannot let that lead to people neglecting their ongoing health needs,” Tufton said. “We don’t want people putting off chronic disease management, life-saving screenings, or access to their prescription medications. That’s why I’ve challenged the local health team to conduct targeted community outreach, to encourage mothers, children, and elderly residents to return to their local health centers for the care they need.”

  • Zorgsector onder druk door braindrain; buitenlandse krachten nodig

    Zorgsector onder druk door braindrain; buitenlandse krachten nodig

    Suriname’s healthcare system is grappling with intense systemic pressure driven by a steady exodus of trained healthcare personnel, a crisis that Health Minister André Misiekaba has publicly acknowledged in official remarks. According to Misiekaba, the shortage of specialized nursing professionals is particularly acute, creating a bottleneck that prevents the country from fully utilizing critical healthcare infrastructure, including operating theaters and intensive care units.

    Speaking before the National Assembly of Suriname, Misiekaba emphasized that the nation cannot resolve its immediate staffing gaps without support from foreign healthcare workers. Currently, around 70 Filipino medical staff are already working at the Academic Hospital Paramaribo, where they have been deployed specifically to offset critical staffing deficits across the facility.

    To expand this short-term relief, the Ministry of Health is currently in active negotiations with a United States-Canadian recruitment firm. The proposed partnership would see the company supply qualified physicians, medical specialists, and specialized nurses to multiple healthcare facilities across Suriname, including the Mungra Medical Center and regional public hospitals that have also reported crippling staff shortages.

    Beyond addressing immediate gaps with foreign personnel, the government is pursuing long-term measures to retain local healthcare workers and grow the domestic workforce. One key priority is rolling out a revised salary scale for nurses, designed to boost compensation for local medical staff and bring their earnings in line with a more sustainable, reasonable income level. The government is also exploring targeted housing solutions to reduce the financial burden on nursing professionals, another step to improve retention of locally trained staff.

    To grow the domestic talent pipeline, the government also plans to expand existing nursing and medical training programs. In addition to upgrading current training offerings, the ministry will launch a pilot nursing education program in the Marowijne district, aimed at training new generations of local healthcare workers to meet the country’s long-term care needs.

  • 500 new appointments : Haitian Gov strengthens the health system in the West

    500 new appointments : Haitian Gov strengthens the health system in the West

    In a landmark ceremony focused on shoring up Haiti’s strained public health infrastructure, Prime Minister Alix Didier Fils-Aimé presided over an event hosted by the Ministry of Public Health on May 1, 2026, to officially distribute 500 appointment and promotion letters to new healthcare staff serving the country’s West Department.

    Marking the International Workers’ Day observance, Prime Minister Fils-Aimé framed the mass hiring as far more than a routine personnel move, positioning it as a tangible demonstration of the Haitian state’s commitment to rebuilding and expanding accessible health services for communities across the western region. He noted that this year’s May 1 celebration carries unique weight, rooted in this concrete investment in the nation’s most essential public service.

    “Behind every appointment letter lies an individual, a personal journey, a professional aspiration, and a shared promise: to serve communities, deliver compassionate care, and ease the suffering of vulnerable Haitians,” the prime minister added, his remarks highlighting the quiet courage of the new hires. Many healthcare workers have chosen to leave Haiti amid ongoing instability, making the decision of these 500 professionals to stay and answer the call of public service a profound act of national dedication. “That is true courage. That is the love of Haiti,” he emphasized.

    Drawing on the symbolic meaning of May 1 as a day honoring work and national productivity, Fils-Aimé outlined the interconnected nature of three pillars of Haitian progress: public health, national security, and long-term development. “There is no viable hospital without security. There is no prosperous agriculture without stability, and there is no dignified work without the protection of life,” he stated, reinforcing that investments in health cannot deliver lasting impact without parallel progress in stabilizing communities across the country.

    The prime minister reaffirmed a core policy stance that health is a fundamental human right, not a marketable commodity reserved for those who can afford care. He also highlighted ongoing efforts to upgrade and expand health facilities across the country, with a specific focus on under-resourced border regions that serve some of Haiti’s most at-risk populations, ensuring these communities can access the care they need.

    Closing his address to the newly appointed and promoted healthcare workers, Fils-Aimé stressed the weight of their new roles. “An entire Nation is watching you, respecting you, and thanking you,” he said. “You are now at the heart of a vital commitment to the Nation.”

    The mass hiring marks one of the most significant public sector investments in Haiti’s health system in recent years, aimed at addressing longstanding staffing gaps that have left millions of Haitians without consistent access to primary and emergency care.

  • Misiekaba: Chikungunya-aanpak heeft niet gefaald

    Misiekaba: Chikungunya-aanpak heeft niet gefaald

    A heated debate over Suriname’s public health response to a spreading chikungunya outbreak has unfolded in the country’s National Assembly, where Health Minister André Misiekaba has pushed back against claims of government mishandling of the crisis. Leading the Ministry of Public Health, Welfare and Labor, Misiekaba defended the administration’s actions, confirming that targeted interventions were launched immediately after the first confirmed case of the mosquito-borne viral infection was detected.

    The minister outlined that the entire response strategy has been built around five core pillars: cross-agency coordination, continuous case surveillance, standardized clinical patient management, vector control to reduce mosquito populations, and public risk communication to inform communities of prevention measures. Contradicting assertions that authorities delayed action while waiting for international chemical donations, Misiekaba explained that the government pursued multiple parallel pathways to secure necessary supplies. Alongside requesting direct support from partner nations, Suriname placed an official order for specialized control products through the Pan American Health Organization’s strategic emergency stock fund.

    International partners have already stepped in to assist the outbreak response. Barbados contributed eight barrels of larvicide, which targets mosquito larvae before they mature into biting adults, while Brazil has delivered insecticides for adult mosquito control and deployed a team of public health experts to provide on-site guidance and training for local Surinamese response teams.

    As part of the ongoing vector control campaign, authorities have completed insecticide spraying at major healthcare facilities across the country, including the St. Vincentius Hospital, Academic Hospital Paramaribo, Mungra Medical Center, and Diakonessen Hospital. Remaining smaller care institutions will be treated in the coming days as the campaign rolls out across all regions.

    As of April 29, public health authorities had registered 7,371 suspected samples for testing, with 6,504 samples processed. Of those tested, 3,321 returned positive results, representing a positivity rate of approximately 51 percent. Encouragingly, Minister Misiekaba noted that available infection data suggests the epidemic curve is beginning to trend downward, though he emphasized that officials will continue monitoring case numbers over the coming weeks before drawing any definitive conclusions about the outbreak’s trajectory. The minister did acknowledge two areas where response efforts can be strengthened, conceding that public education outreach and municipal bulk waste collection initiatives—key to eliminating mosquito breeding sites—require improvement.

  • St Thomas Outpatient Clinic reopens May 5

    St Thomas Outpatient Clinic reopens May 5

    After months of renovation work to enhance care delivery, residents across St. Thomas and its neighboring communities are preparing to regain local access to critical primary outpatient care, as the St. Thomas Outpatient Clinic at Rock Hall prepares to welcome patients starting Tuesday, May 5.

    The facility, which closed to carry out targeted upgrades, will operate on a set weekly schedule once it resumes services: general practice consultations will be available to the public every Tuesday, Thursday, and Friday between 8:30 a.m. and 4:30 p.m. Local residents should note one key exception to the May 5 launch: the on-site pharmacy will not open alongside the clinic, and will instead begin filling prescriptions one week later, on Tuesday, May 12.

    In an official statement shared by the government, Jamaica’s Ministry of Health and Wellness framed the clinic’s reopening as a key milestone in the ministry’s long-term strategy to reinforce the island’s primary healthcare system. By upgrading local community facilities like the Rock Hall clinic, officials aim to expand equitable access to routine care for residents who previously had to travel farther for basic outpatient services. The ministry is urging all members of the public living in and around St. Thomas to take advantage of the updated facility and its improved services.

  • Rotary Club of Antigua Supports Scrub Life Cares Health

    Rotary Club of Antigua Supports Scrub Life Cares Health

    A new partnership between local civic and public health organizations is set to expand critical health access for women and girls across Antigua and Barbuda, after the Rotary Club of Antigua formalized a $2,500 Eastern Caribbean dollar contribution to the 5th Annual Grow With the Flo Women and Girls Health Expo on Wednesday, April 29, 2026.

    Organized by local community health nonprofit Scrub Life Cares, the upcoming one-day expo will open to attendees on Saturday, May 23, 2026, hosted at the Cana Moravian Church Grounds in Swetes Village, Saint Paul’s. This long-running annual initiative centers on addressing gaps in women’s health care and education, with core priorities including menstrual equity, accessible reproductive health guidance, and holistic physical and mental well-being for people of all ages across the two-island nation.

    The funding secured from the Rotary Club will directly remove barriers to participation, allowing organizers to expand free access to evidence-based health education, targeted resources, and on-site services for attendees from communities across Antigua and Barbuda. Scrub Life Cares has built its reputation over years of growing public health outreach, with a deliberate focus on reaching underserved groups that often face systemic barriers to accessible health information and care. The organization’s work centers on empowering local residents to make informed, confident decisions about their own health outcomes.

    For the Rotary Club of Antigua, this investment aligns with the organization’s longstanding mission to back cross-sector partnerships that strengthen local families and lift overall quality of life across the country. Leaders from both groups note that this collaboration reflects a shared commitment to community-led, solutions-focused action that directly meets the most pressing unmet needs of local women and girls. As event preparations continue in the weeks ahead, organizers expect the expo to draw hundreds of attendees seeking trusted health support and connection.

  • ‘Nurses alone on wards’

    ‘Nurses alone on wards’

    A escalating standoff between nursing leadership and regional health authorities in Trinidad and Tobago has plunged the country’s public healthcare system into crisis, with patient safety now hanging in the balance following the rollout of targeted industrial action by the nation’s nursing body. On April 28, the Trinidad and Tobago National Nursing Association (TTNNA) launched the second phase of its campaign to push for long-overdue wage adjustments, advising all 1,800+ of its nursing and midwifery members to adhere strictly to an evidence-based one-nurse-to-six-patient ratio — a standard aligned with global best practices for safe care. Nurses across the public sector have remained frozen on 2013 salary scales, making their pay among the lowest in all of Trinidad and Tobago’s public service, prompting the industrial action to force government negotiators back to the table.

    According to TTNNA president Idi Stuart, the North Central Regional Health Authority (NCRHA) — already the most understaffed regional health body in the country, operating with less than half of the required nursing and midwifery personnel — has responded to the action with aggressive retaliation. Stuart claims NCRHA management has systematically forced single nurses and midwives to cover entire hospital wards, creating potentially life-threatening conditions for patients. The authority has long relied on undercompensated “pool” nurses, who work extra shifts for a flat rate rather than overtime pay, to fill crippling staffing gaps. When nurses pushed back to uphold the new ratio mandate, management responded by cutting staffing rather than adjusting allocation.

    Stuart highlighted specific dangerous understaffing cases across NCRHA-managed facilities. At Caura Hospital, a facility dedicated primarily to treating communicable diseases, one single nurse was left responsible for two full wards. At Mt Hope Women’s Hospital, one of the nation’s largest dedicated maternity care centers, just three registered midwives were assigned to cover six separate wards spanning antenatal care, postnatal care, labor and delivery, and the emergency department. The overstretched team was forced to rely on unlicensed pupil midwife students to meet basic care needs, putting expectant mothers, unborn fetuses, and newborn infants at direct risk. On understaffed wards that should normally carry three registered nurses, Stuart said facilities are now operating with just one or none at all.

    The staffing crunch has already disrupted care across multiple regions. On the first day of phase two action, the Barataria Health Centre under the North West Regional Health Authority (NWRHA) was forced to turn away patients entirely after no nurses reported for scheduled duty, requiring emergency staff reallocation from other facilities to restore operations. When journalists from the Express visited the center days later, on-site staff confirmed Tuesday’s disruption but declined further comment, noting operations had returned to normal by Wednesday. Additional complaints of service disruptions have poured in from nurses across eastern and southwestern Trinidad, according to the TTNNA.

    Despite the disruption to everyday care, the nursing body has reported overwhelming public support for its campaign. A recent poll conducted by local broadcaster CCN TV6 found that more than 75% of respondents back the nurses’ demands for wage adjustment and safe staffing ratios. Interviews with patients and visitors at the Eric Williams Medical Sciences Complex reflected this solidarity: most respondents agreed that nurses deserve a long-overdue pay raise, and many noted that safer staffing would ultimately improve care outcomes for all patients. One patient from Arima, Sandra James, who has three nurses in her immediate family, noted that even new graduate nurses face years of unemployment before securing public sector posts, arguing that sustained pressure will force authorities to hire more staff. Another respondent, Thomas, pointed out the injustice of politicians approving their own salary increases while denying nurses a long-promised raise.

    Stuart confirmed that the phase two action will remain in place indefinitely, framing the one-nurse-to-six-patient ratio not as a temporary protest tactic but as a permanent best practice that the TTNNA will continue to uphold until government officials address the wage dispute and formalize the standard across all regional health authorities. As of press time, repeated attempts to contact chief executives and board chairs for both the NCRHA and NWRHA for comment on the allegations have gone unanswered.

  • A Ban on “Red Top” Coming Soon?

    A Ban on “Red Top” Coming Soon?

    Belize’s top public health body is moving forward with plans to address a growing youth alcohol crisis, with a potential ban on the country’s iconic low-cost high-proof spirit Red Top firmly on the table, according to senior government officials.

    Health Minister Kevin Bernard confirmed in an exclusive interview with local outlet Plus News that the proposed restriction on the overproof rum is part of a broader push to tackle widespread alcohol abuse and the cascade of chronic preventable health issues it has created across the Central American nation. The initiative expands the government’s ongoing public health work beyond existing regulations targeting sugary beverages in schools, and also includes updates to national tobacco control legislation that are currently under review.

    Bernard highlighted that cheap, high-strength alcohol sold in small, easily accessible containers has emerged as an increasingly urgent public threat, particularly for Belize’s younger population. “We are looking at the possible ban of Red Top, those strong rum in those small containers that are killing our young people,” he told reporters. “We have to look at possible leverage, some sin tax as well in terms of addressing the issues of alcohol abuse that is plaguing our country especially in our young population.”

    Also marketed under the name Old Master Over Proof Rum, Red Top is a domestically produced spirit manufactured by local company L&R Liquors. The beverage has earned widespread popularity across Belize for its extremely high alcohol content and accessible low price point, making it particularly popular among underage drinkers and young adults with limited disposable income.

    Public health officials confirm that unregulated alcohol abuse, concentrated among adolescents and young adults, has escalated into one of the country’s most pressing preventable public health crises in recent years. The Ministry of Health and Wellness has not yet announced a timeline for finalizing the proposed ban or sin tax measure, but officials note that action is expected in the coming months as the government prioritizes youth public health outcomes.

  • Partnership pays off

    Partnership pays off

    SAVANNA-LA-MAR, Westmoreland — In the wake of catastrophic damage caused by Hurricane Melissa last October, the already strained healthcare system in Jamaica’s Westmoreland parish has received a transformative lifeline. The Issa Trust Foundation, the charitable wing of Caribbean hospitality brand Couples Resorts, has formally handed over $17 million in life-saving medical equipment and supplies to Savanna-la-Mar Public General Hospital, reinforcing a decades-long collaborative partnership between the institution and the non-profit.

    The official handover, held during a public ceremony at the hospital on Tuesday, comes as the facility continues to rebuild its care capacity after the category 5 storm devastated local infrastructure. Foundation chairman Paul Issa told attendees that while the organization’s recent focus has been centered on completing the $2.4 million Mary Issa Paediatric and Adolescent Health Centre in St Ann, the urgent, unmet needs of Westmoreland’s post-hurricane recovery could not be ignored. Setting aside his prepared remarks to speak off-the-cuff, Issa stressed that the large-scale donation was not a solo effort, but the result of coordinated action across a global network of mission-aligned partners.

    “Maybe each one of us individually couldn’t have done that by ourselves. As always, it’s a group effort and I’m grateful for the opportunity to be able to help,” Issa said.

    The donation includes a full suite of critical care and diagnostic tools that the hospital lacked after the storm: among the inventory are Continuous Positive Airway Pressure (CPAP) machines, life-support ventilators, patient monitoring systems, ECG units, pulse oximeters, vital sign monitors, defibrillators, and multiple suction devices. Multiple cross-sector and international partners contributed to making the donation possible: Partners in World Health provided core program support, Build Health International coordinated logistics for the cross-ocean shipment, Airlink covered all cost of air transport for the equipment, and Jamaica’s Ministry of Health partnered through the National Healthcare Enhancement Foundation (NHEF) Ltd. to facilitate local delivery.

    Savanna-la-Mar Public General Hospital, classified as a Type B care facility, is the primary healthcare provider for all of Westmoreland parish, including the high-volume tourist destination of Negril. The facility regularly treats a high volume of trauma cases, particularly those stemming from motorcycle accidents across the region. Dr. Suman Vemu, the hospital’s Senior Medical Officer, noted that the new equipment fills critical gaps in the facility’s ability to deliver timely, life-saving care. He recalled that a 2018 donation of a C-arm imaging machine from the foundation was a transformative upgrade for the hospital, allowing the care team to treat complex orthopaedic poly-trauma cases on-site rather than transferring patients to distant facilities.

    Deveta McLaren, Acting Regional Director for the Western Regional Health Authority (WRHA), added that the facility is currently mid-way through a full renovation of its Accident and Emergency (A&E) department, with completion scheduled for mid-June. Once the renovation wraps up, all the newly donated equipment will be installed and fully operational to serve patients.

    WRHA Board Chairman Eric Clarke highlighted the unique community impact of the foundation’s work, noting that most of the funding for the donation comes from vacationing guests who choose to give back to the Jamaican communities they visit. “It is a totally amazing programme where people pay for their vacation to Jamaica and actually give something back, other than at the restaurants,” Clarke explained. “To the guests that come to Jamaica not only enjoy your hotel, but you give back directly to the health care in the community… I think that’s absolutely amazing.”

    Roan Grant, Chief Executive Officer of Savanna-la-Mar Public General Hospital, expressed profound gratitude for the donation, noting that in the months following the hurricane, clinical staff have been forced to work with severely outdated and insufficient equipment. “We deeply and gratefully, with a generous heart, accept these donations of medical supplies and equipment, which come at a most critical time and timely moment for our institution. Your support significantly strengthens our capacity to deliver quality healthcare and enhance our ability to serve our patients with greater efficiency and compassion,” Grant said. “This contribution is not only a gift of resources but also a meaningful investment in the well-being of the community we serve.”

    With Couples Resorts operating two popular properties in Negril, Issa reaffirmed the foundation’s long-term commitment to supporting the hospital, which serves as the core healthcare provider for local residents and visitors to the region. “We want to continue in our little way to help — and we plan to,” he assured attendees.