HCC OPEN LETTER
TO CARICOM HEADS OF GOVERNMENT

IN RESPONSE TO THE OFFICIAL COMMUNIQUE

OF THE 49TH REGULAR MEETING OF THE CONFERENCE OF HEADS OF GOVERNMENT JULY 6-8, 2025, MONTEGO BAY, JAMAICA

July 23, 2025

The President and the Board of Directors of the Healthy Caribbean Coalition (HCC) note with disappointment the distinct absence of any mention of non-communicable disease (NCDs) and the upcoming 4th United Nations High-Level Meeting on NCDs and Mental Health (HLM4)  which will be held on September 25th, 2025 in New York during the 80th Meeting of the UN General Assembly under the theme “Equity and Integration: Transforming Lives and Livelihoods through Leadership and Action on Noncommunicable Diseases and the Promotion of Mental Health and Well-being.”

In HCCs Open Letter, we recalled the historical legacy of CARICOM leadership, engagement and participation in previous UN HLMs on NCDs, and called on CARICOM Leaders to deliver on five (5) key civil society asks:

1. Commit to continued leadership on NCD prevention and control and commit to attendance at the 4th UN High-Level Meeting on NCDs and Mental Health (HLM4) on September 25th, 2025 in the official Communiqué emerging from the Forty-Ninth Regular Meeting of the Conference of Heads of Government of the Caribbean Community (CARICOM).
2. Support the twelve Caribbean civil-society led advocacy priorities for inclusion in the official Communiqué from the Forty-Ninth Regular Meeting of the Conference of Heads of Government of the Caribbean Community and in the HLM4 Political Declaration[1].
3. Support one or more CARICOM Heads of Government or State to have a lead role in at least one of the multi-stakeholder panels at the HLM4.
4. Support the hosting of a high-level side-event on the margins of the HLM4 led by CARICOM Heads of Government and State as was done in past UN HLMs on NCDs.
5. Endorse the inclusion of a representative from a Civil Society Organisation (CSO) representing people living with NCDs and a youth representative in country delegations to the HLM4 in recognition of the whole-of-society response to NCDs.

Although Dr. Carla Barnett, the Secretary General of CARICOM, highlighted the HLM4 in her opening remarks and urged CARICOM Heads of Government and State to attend, the HLM4 was absent on the meeting’s agenda, raising concerns around the political priority of NCDs at the highest levels of decision-making in CARICOM. In stark contrast, in 2018, in lead up to the 3rd UN High-Level Meeting on NCDs and Mental Health, in the Communique of the Thirty-Ninth Regular Meeting of the Conference of Heads of Government of the Caribbean Community, CARICOM Heads endorsed regional NCD advocacy priorities and commended civil society organisations for their efforts in NCD prevention and control. CARICOM Heads then went on to host a highly successful side-event on the day of the HLM3 attended by the Director General of the WHO and the Secretary General of CARICOM.

The HLM4 comes at a critical time,  18 years after the Declaration of Port of Spain and 5 years away from the 2030 SDGs. If the recent Conference of Heads of Government is any indicator of political will, we are in a troubling state. CARICOM countries are grossly off track when it comes to NCD targets – as evidenced by the WHO NCD Progress Monitor 2025 and the 2024 POS NCD Summit Grid Report.  A recent opinion editorial penned by health civil society organisations across the region, begged the question – What does health in a secure and sustainable future look like? Within the context of aging and contracting populations and increasing economic and climate vulnerabilities, a secure and sustainable future for the Caribbean is unachievable without high-level political action on NCDs.

Just about 2 months shy of the HLM4, there is still time for CARICOM Heads of Government and State to demonstrate leadership and commitment to this global agenda which will have country-level impact. Three of HCCs five Asks are still achievable – HLM4 participation, hosting of an HLM4 side event, and endorsing CSO/youth representation in country HLM4 delegations.

CARICOM has been globally recognised for its leadership on NCDs, including most recently with the 2023 Bridgetown Declaration on NCDs and Mental Health. As Member States meet in New York on September 25th, 2025 for the HLM4, let us collectively demonstrate the leadership of CARICOM. Now is the Time to Lead Again.

Dr. Kenneth Connell, HCC President On behalf of the Board of Directors and members of the Healthy Caribbean Coalition 

[1] 1. Engage communities and put people first in the NCD response.; 2. Address the commercial determinants of health and conflict of interest; 3. Accelerate the implementation of healthy food environment environments; 4. Promote full implementation of the WHO FCTC and the WHO MPOWER measures; 5. Enhance physical activity across multiple settings; 6. Accelerate the implementation of WHO SAFER alcohol harm reduction measures; 7. Expand, integrate and strengthen mental health services; 8. Eradicate cervical cancer, and reduce illness and premature death due to breast, prostate and colon cancers; 9. Strengthen health systems using equity-, rights-based, and climate-resilient approaches; 10. Breakdown silos, foster networking enhance collaboration; 11. Mobilize investment, with resource allocation and mobilization strategies for sustainable financing of NCD prevention and control interventions; and 12.Strengthen accountability, mechanisms, metrics and related data collection, analysis, monitoring, evaluation, and reporting at all levels.

Download the letter.

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From July 6 to 8, 2025, CARICOM leaders will gather in Jamaica for the 49th CARICOM Heads of Government (HOG) Meeting, under the theme: People, Partnerships, Prosperity: Promoting a Secure and Sustainable Future.

As health-focused civil society organisations across the region, we are compelled to ask – What does a healthy Caribbean look like in CARICOM’s vision of a secure and sustainable future?

• Does it reflect the lived realities of our children, who are growing up in environments flooded with ultra-processed foods and limited access to safe spaces for physical activity?
• Does it account for the voices of our youth, many of whom are navigating mental health challenges with little support and even fewer services?
• Does it prioritise the needs of people living with non-communicable diseases (NCDs)—those who require continuous care but face fragmented systems and financial hardship?
• Does it include persons living with disabilities and our indigenous and rural communities, which have long been underserved and which continue to experience some of the greatest health inequities?

As we prepare for another CARICOM HOG meeting—this time against the backdrop of the 4th UN High-Level Meeting (UNHLM) on the Prevention and Control of NCDs and the Promotion of Mental Health to be held in September 2025—we are reminded of the CARICOM leaders’ vision of a healthy and secure future set almost 18 years ago.

During the 28th CARICOM HOG Meeting in July 2007, regional leaders committed to “full participation in the Summit on Non-Communicable Diseases, to be held in Port-of-Spain, Trinidad and Tobago, on 14 September 2007.” That September 2007 meeting led to the landmark Declaration of Port of Spain —a turning point in the global NCD movement. It marked the first time a group of countries took collective action at the highest political level to address NCDs, placing the issue on the international agenda and laying the groundwork for the first UN High-Level Meeting on NCDs in 2011.

Since then, the world has witnessed two more UNHLMs on NCDs, in 2014 and 2018 during which time civil society has advocated fervently to ensure NCDs remain prioritized. This pressure has been captured by key policy wins including the School Nutrition Policy implemented in Barbados and tabled in Jamaica.

Now, in 2025, we are preparing for the 4th UNHLM under the theme, “Equity and Integration: Transforming Lives and Livelihoods through Leadership and Action on Noncommunicable Diseases and the Promotion of Mental Health and Well-being.”

This moment presents a critical opportunity for CARICOM to once again lead from the front, guided by previous commitments and aligned with the Caribbean Cooperation in Health IV and other key Caribbean SIDS-focused Declarations, including the 2023 Bridgetown Declaration on NCDs and Mental Health. Informed by consultations with Member States, the Bridgetown Declaration calls for “double- and triple-duty” actions to tackle NCDs. These include stronger linkages between climate and health agendas, building climate-resilient health systems, institutionalising public participation, protecting policy spaces from Industry interference, and implementing clear, effective policies such as front-of-package warning labelling. These key actions are aligned with the Healthy Caribbean Coalition’s (HCC) Advocacy Priorities for the 4th UNHLM co-developed with HCC member organisations.

The under-addressed issues highlighted in the Declaration and the Advocacy Priorities resource are matters of survival and sustainable, equitable development for Caribbean nations.

Three out of every four Caribbean lives lost are due to preventable and manageable non-communicable diseases. CARICOM leaders must keep the prevention and control of these conditions central to their vision of a secure and sustainable future during discussions at their upcoming meeting.

In the lead up to the 4th UN High-Level Meeting on NCDs and Mental Health and in light of the growing burden of NCDs in the region; we ask CARICOM Heads of Government and State to urgently:

1. Commit to continued leadership on NCD prevention and control and commit to attendance at the 4th UN High-Level Meeting on NCDs and Mental Health (HLM4) on September 25th, 2025 in the official Communiqué emerging from the Forty-Ninth Regular Meeting of the Conference of Heads of Government of the Caribbean Community (CARICOM).
2. Support the twelve Caribbean civil-society led advocacy priorities for inclusion in the official Communiqué from the Forty-Ninth Regular Meeting of the Conference of Heads of Government of the Caribbean Community and in the HLM4 Political Declaration.
3. Support one or more CARICOM Heads of Government or State to have a lead role in at least one of the multi-stakeholder panels at the HLM4.
4. Support the hosting of a high-level side-event on the margins of the HLM4 led by CARICOM Heads of Government and State as was done in past UN HLMs on NCDs.
5. Endorse the inclusion of a representative from a Civil Society Organisation (CSO) representing people living with NCDs and a youth representative in country delegations to the HLM4 in recognition of the whole-of-society response to NCDs.

History will remember whether CARICOM simply echoed past declarations, or delivered bold, lasting action. CARICOM leaders must ensure that the voices and unique needs of people with, and at risk of, NCDs in Caribbean Small Island Developing States are meaningfully represented and addressed at this High-level Meeting.

CARICOM has been globally recognised for its leadership on NCDs. Now is the time to lead again.

Authors:

Dr. Kenneth Connell
President, Healthy Caribbean Coalition

Ms. Danielle Walwyn
Advocacy Officer, Healthy Caribbean Coalition

Ms. Charity Dublin
President, Antigua and Barbuda Diabetes Association

Ms. Kim Simplis Barrow
President, Belize Cancer Society

Dr. Jane Noël
Chair, Grenada National Chronic non Communicable Disease Commission

Ms. Greta Yearwood
Chief Executive Officer, Heart and Stroke Foundation of Barbados

Mrs. Deborah Chen
Executive Director, Heart Foundation of Jamaica

Shannique Bowden
Executive Director, Jamaica Youth Advocacy Network

Ms. Abi Begho
Founder and Director of Program Management, Lake Health and Wellbeing (St. Kitts and Nevis)

Dr. Kedhma Dorh
President, St. Lucia Diabetes and Hypertension Association

Ms. Chelsea Antoine
Healthy Caribbean Youth (Trinidad and Tobago)

The post What Does Health in a Secure and Sustainable Future Look Like? appeared first on Healthy Caribbean Coalition.

On Monday 16th June 2025, the Healthy Caribbean Coalition (HCC), in collaboration with Pan American Health Organization (PAHO) and Earth Medic Earth Nurse, hosted a regional webinar entitled: Putting People & Health First in Disaster Preparedness, Response, and Recovery. This session drew over 200 registrants and brought together regional stakeholders, the media, experts, and advocates from across sectors to explore critical intersections between climate change, disaster preparedness, and health, with a special focus on ensuring inclusive, people-centered approaches for vulnerable populations, particularly persons living with noncommunicable diseases (PLWNCDs).

The webinar covered the following objectives:

• Explore the intersection of climate change, health emergencies, and NCDs and spotlight actors, experiences, and lessons learned from across the region.
• Explore the HCC Publication – Safeguarding Public Health Nutrition in the Caribbean During Emergencies: Guidelines for Managing Donations from the Commercial Sector.
• Officially launch the “Emergency Preparedness Brochure Series for Persons Living with NCDs (PLWNCDs)”.
• Highlight practical tools and strategies to support the integration of NCD needs into national and regional emergency preparedness, response and recovery and climate adaptation plans.

Presenters and Panellists

Useful Resources

• Safeguarding Public Health Nutrition in the Caribbean During Times of Emergency: Principles for Managing Food, Beverage Finance and In-Kind Donations from the Commercial Sector” can be found via this link: https://www.healthycaribbean.org/wp-content/uploads/2024/12/Safeguarding-Public-Health-Nutrition-in-the-Caribbean-During-Emergencies-Guidelines-for-Managing-Donations-from-the-Commercial-Sector-HCC-November-2024.pdf
• Visit the Young Caribbean Minds Website: https://www.youngcaribbeanminds.com
• What is implementation science and its role in climate adaptation: https://www.thelancet.com/journals/lanplh/article/PIIS2542-5196(22)00199-1/fulltext
• A webinar presentation on the role of implementation science and climate and health that highlights some of our participatory research in region: https://youtu.be/9NlAOqX0mtY
• Caribbean Research for Action agenda on climate change and health
  • https://earthmedic.com/wp-content/uploads/2024/02/Chapter-1_Extreme-weather-events_Research-for-Action-on-Climate-Change-and-Health-in-the-Caribbean_2024.pdf
  • https://earthmedic.com/wp-content/uploads/2024/02/Chapter-4_Noncommunicable-diseases_Research-for-Action-on-Climate-Change-and-Health-in-the-Caribbean_2024.pdf
• Development of an agenda for research and action on climate change and health in the Caribbean – PMC https://pmc.ncbi.nlm.nih.gov/articles/PMC11726121/
• Protecting Caribbean patients diagnosed with cancer from compounding disasters,  Lancet Oncology, May 2024: https://www.thelancet.com/journals/lanonc/article/PIIS1470-2045(24)00071-8/
• PAHO Virtual Course:  Psychological First Aid (PFA) in disaster management in the Caribbean – Second Edition https://campus.paho.org/en/course/psychological-first-aid-pfa-disaster-management-caribbean-second-edition-2020
• Check out this Caribbean disaster prep video https://www.youtube.com/watch?v=fDn-23xhFQg

The post appeared first on Healthy Caribbean Coalition.

HCC OPEN LETTER
TO CARICOM HEADS OF GOVERNMENT
AT THE 49TH REGULAR MEETING OF THE CONFERENCE OF HEADS OF GOVERNMENT JULY 6-8, 2025, MONTEGO BAY, JAMAICA

June 20, 2025

Dear Honourable Heads of Government and State of CARICOM, On the occasion of this, the Forty-Ninth Regular Meeting of the Conference of Heads of Government of the Caribbean Community (CARICOM), the Healthy Caribbean Coalition (HCC) calls on you, Caribbean Heads of Government and State, to indicate your commitment to addressing one of our region’s most pressing development issues – noncommunicable diseases (NCDs) – by attending the 4th United Nations High-Level Meeting on NCDs and Mental Health (HLM4). The HLM4 will be held on September 25th, 2025 in New York during the 80th Meeting of the UN General Assembly under the theme “Equity and Integration: Transforming Lives and Livelihoods through Leadership and Action on Noncommunicable Diseases and the Promotion of Mental Health and Well-being.”

The HLM4 comes at a critical time when globally and in the Caribbean, rising rates of NCDs – namely cardiovascular diseases, diabetes, cancers, chronic respiratory diseases, and mental health conditions – are vastly outpacing prevention and control efforts. Eighteen years ago, CARICOM Member states played an important role in catapulting NCDs onto the global health agenda with the seminal Port of Spain Declaration. This was followed by the 1st UN High-Level Meeting on NCDs in 2011 which was attended by a significant number of CARICOM Heads who declared in a strong, unified voice that the prevention and control of NCDs was of the highest priority for the region. Almost 20 years after the 1st UN High-Level Meeting, progress in NCD prevention and control is uneven and the 2024 Port of Spain Grid and the 2025 WHO Progress Monitor both reflect a region grossly off track to meet critical regional and global NCD targets including the Sustainable Development Goal 3.4. NCDs are the leading cause of premature deaths in the Caribbean where 40% of NCD deaths occur prematurely before the age of 70 years. As unnecessary death and disability continue to rise, so do the associated costs of preventing and controlling these diseases which place a significant burden on the limited economic resources of CARICOM States – a crisis worsened by the impact of food and nutrition insecurity and climate-related disasters. Within the context of aging and contracting populations and increasing economic and climate vulnerabilities, bold action on NCDs focusing equally on prevention and treatment and care is critical to promoting a secure and sustainable future for the Caribbean.

In 2018, in lead up to the 3rd UN High-Level Meeting on NCDs and Mental Health, at the Thirty-Ninth Regular Meeting of the Conference of Heads of Government of the Caribbean Community, CARICOM Heads endorsed regional NCD advocacy priorities and commended civil society organisations for their efforts in NCD prevention and control. CARICOM Heads then went on to host a highly successful side-event on the day of the HLM3 attended by the Director General of the WHO and the Secretary General of CARICOM.

At this 4th UN High-Level Meeting on NCDs and Mental Health; in recognition of the continuing and untenable socioeconomic burden of NCDs in the region; and CARICOM’s legacy of leadership; we, the 85+ members of the Healthy Caribbean Coalition ask CARICOM Heads of Government and State to:

1. Commit to continued leadership on NCD prevention and control and commit to attendance at the 4th UN High-Level Meeting on NCDs and Mental Health (HLM4) on September 25th, 2025 in the official Communiqué emerging from the Forty-Ninth Regular Meeting of the Conference of Heads of Government of the Caribbean Community (CARICOM).
2. Support the twelve Caribbean civil-society led advocacy priorities for inclusion in the official Communiqué from the Forty-Ninth Regular Meeting of the Conference of Heads of Government of the Caribbean Community and in the HLM4 Political Declaration.
   1. Engage communities and put people first in the NCD response.
   2. Address the commercial determinants of health and conflict of interest.
   3. Accelerate the implementation of healthy food environment environments.
   4. Promote full implementation of the WHO FCTC and the WHO MPOWER measures.
   5. Enhance physical activity across multiple settings.
   6. Accelerate the implementation of WHO SAFER alcohol harm reduction measures.
   7. Expand, integrate and strengthen mental health services.
   8. Eradicate cervical cancer, and reduce illness and premature death due to breast, prostate and colon cancers.
   9. Strengthen health systems using equity-, rights-based, and climate-resilient approaches.
   10. Breakdown silos, foster networking enhance collaboration.
   11. Mobilize investment, with resource allocation and mobilization strategies for sustainable financing of NCD prevention and control interventions.
   12. Strengthen accountability, mechanisms, metrics and related data collection, analysis, monitoring, evaluation, and reporting at all levels.
3. Support one or more CARICOM Heads of Government or State to have a lead role in at least one of the multi-stakeholder panels at the HLM4.
4. Support the hosting of a high-level side-event on the margins of the HLM4 led by CARICOM Heads of Government and State as was done in past UN HLMs on NCDs.
5. Endorse the inclusion of a representative from a Civil Society Organisation (CSO) representing people living with NCDs and a youth representative in country delegations to the HLM4 in recognition of the whole-of-society response to NCDs.

CARICOM has been globally recognised for its leadership on NCDs, including most recently with the 2023 Bridgetown Declaration on NCDs and Mental Health. As Member States meet in New York on September 25th, 2025 for the HLM4, let us collectively demonstrate the leadership of CARICOM. Now is the Time to Lead Again.

Dr. Kenneth Connell, HCC President On behalf of the Board of Directors and members of the Healthy Caribbean Coalition 

Download the letter.

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Webinar: Act on Facts: Lets do it Better for the Children

On Wednesday 28th may 2025, the Healthy Caribbean Coalition (HCC) hosted a regional webinar entitled: Act on Facts: Lets do it Better for the Children.

This webinar discussed the experiences and lessons learned around the implementation of healthy school nutrition policies in the Caribbean and public health experts, policymakers, educators, and civil society advocates shared their experiences, challenges, and best practices in safeguarding children’s health from commercial influences.

Presenters and Panellists

Visit the Lets do it better for the children campaign page.

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On Friday 16 May 2025 the HCC in partnership with PAHO and CARPHA hosted a webinar entitled: Global Updates on Front of Package Warning Labelling showcasing progress and lessons learned, underscoring the efficacy of the evidence-based ‘high in’ octagonal warning label and the critical importance of a robust supportive nutrient profile model. The webinar began with a global overview, followed by sharing of country experiences from Barbados and countries outside of the region including Kenya and some of CARICOM’s key trading partners: the UK, Canada and Mexico.

The webinar had over 450 registrants and rich audience engagement signalling the significant level of interest in advancing this policy measure.

Presenters

The post appeared first on Healthy Caribbean Coalition.

NOTHING AT SCHOOL SHOULD ENCOURAGE UNHEALTHY CHOICES
Let’s Do Better for the Children! – A Healthy Caribbean Coalition Campaign

ARE WE VIOLATING OUR CHILDREN’S RIGHTS?

While marketing like financial donations, sponsorships, scholarships and donations of branded items may seem helpful —and even harmless— on the surface, they pose four main problems:

1. They promote unhealthy choices to impressionable children
2. They build relationships and a financial dependency between these companies and our schools which make it harder for schools to support healthy food policies (that may not favour those companies)
3. This, in turn, makes it harder to create a healthy food environment in our schools
4. They violate children’s rights to health, adequate and nutritious food, privacy and freedom from economic exploitation.

Children spend many hours at school and studies prove that what they eat and drink, and are influenced to eat and drink during their early years, fosters lifelong habits.

So, when our children are continuously presented with unhealthy food choices and bombarded with messaging that makes these unhealthy choices seem normal, acceptable and appealing, it’s setting them up for a life of poor dietary choices and poor health.

As a society, we must do better for the children.

It’s time to ban the marketing of ultra-processed products in and around our schools.

Because nothing at school should ever encourage unhealthy choices!

OUR CHILDREN ARE AT RISK

What happens when the food we provide and encourage our children to eat is ultra-processed and high in sugar, fat, sodium and additives like dyes?

Our children and our region face suffering that could be easily avoided.

In the Caribbean, 1 in every 3 children is currently overweight or living with obesity, and at risk for serious health conditions like type 2 diabetes, hypertension, high cholesterol and heart disease.

This is an escalating issue, not just in terms of individual suffering, but at a national and regional level with rising medical costs and a huge portion of medical attention being pulled away from other issues.

Is this what we want for our children?

ARE THE CHOICES WE’RE MAKING REALLY FOR THE CHILDREN?

Funding is a constant concern when running a school and there can never be too much when it comes to creating the best opportunities for our children.

But if donations, cheques, sponsorships, scholarships, or giveaways are given in exchange for providing or promoting unhealthy ultra-processed products or brands to our children, is it worth the harm being introduced?

Unhealthy food and drink brands may seem to be filling a funding gap, but at what cost to our children?

Unhealthy food and drink companies use marketing tactics like sponsorships, donations and giveaways which seem, on the surface, to be goodwill for the children; but they cultivate brand loyalty and a new, young customer base who become lifelong consumers.

Unhealthy food and drink companies may also bank on their actions making them look good to the public and building connections that pave their way into policymaking conversations.

We wouldn’t accept these donations and sponsorships from cigarette or alcohol companies no matter how much they were offering!

It’s time we start viewing unhealthy food companies in a similar light since these ultra-processed products can also lead to serious health problems like obesity, diabetes, heart disease and even some cancers.

Let’s protect our children by promoting only healthy food AND healthy food habits in and around our schools.

IT’S TIME TO BAN THE MARKETING OF ULTRA-PROCESSED PRODUCTS IN AND AROUND OUR SCHOOLS!

Surrounding our children with marketing that encourages them to consume, desire, and ask for ultra-processed products is harmful.

So why do we continue to accept unhealthy food and drink products as part of daily school life and school events?

Why do we continue to allow these unhealthy food and drink companies to influence our school environment by having a say in our school nutrition policy?

It’s time we question the choices we take for granted when it comes to food and drink and the marketing we allow in and around our schools!

Let’s get these products out of our schools and get their influence out of our children’s minds.

WEBINAR

CAMPAIGN AT A GLANCE

Launch Date: April 7th 2025

Locale: Regional/Caribbean

Type: Social Media Campaign

Purpose: To advocate for a ban on the marketing of ultra-processed products in and around schools, and school environments free from the influence of unhealthy food and drink companies.

OTHER RESOURCES

Report – Regulating the Availability and Marketing of Unhealthy Beverages and Food Products in and around Schools in the Caribbean – September 2022 Read/download

Model Policy and Legislative Guidance for Regulating the Availability and Marketing of Unhealthy Beverages and Food Products in and around Schools in the Caribbean – September 2022 Read/download

On September 7th 2022, the Healthy Caribbean Coalition (HCC) in partnership with regional and national partners launched a digital campaign titled #ActOnFacts: The Food in Our Schools Matters, to encourage public and policymaker support for policies that limit the sale and marketing of unhealthy foods and drinks in and around schools, while increasing the availability of nutritious foods, healthier snacks and drinking water. Read more

The post LET’S DO BETTER FOR THE CHILDREN! – A Healthy Caribbean Coalition Campaign appeared first on Healthy Caribbean Coalition.

OPEN LETTER
The Honourable Mia Amor Mottley, Q.C., M.P.
Prime Minister and Minister of Finance, Economic Affairs and Investment
And
The Honourable Ryan R. Straughn, M.P.
Minister in the Ministry of Finance Ministry of Finance, Economic Affairs and Investment

15 March, 2024

Dear The Honourable Mia Amor Mottley and The Honourable Ryan R. Straughn,

The Healthy Caribbean Coalition (HCC) in partnership with our member organisation, the Heart and Stroke Foundation of Barbados and the Barbados Childhood Obesity Prevention Coalition, extends its congratulations to the Government of Barbados for its bold decision to implement a 20 percent excise tax on snacks high in salt and to remove import duties and VAT on selected fruits and vegetables, effective June 1st, 2025.

The Caribbean has the highest noncommunicable disease (NCD) mortality rate in the Americas, with 40 percent of these deaths occurring prematurely before the age of 70. This disproportionately affects the most productive members of society, leading to severe socioeconomic consequences, particularly as aging populations place increasing strain on already vulnerable economies. According to data from the Health of the Nation Survey (2011), 41 percent of Barbadian adults aged 25 and older are diagnosed with high blood pressure and more than half of all men and women above the age of 45 were hypertensive.

The introduction of the excise tax on snacks with high salt content is a proactive measure aimed at reducing the consumption of unhealthy, ultra-processed products high in salt, sugar and fat, while the removal of taxes on fruits and vegetables will improve affordability and accessibility to healthier dietary options for all citizens. We are also encouraged by the Government of Barbados’ additional commitment of $1 million each year to support public education on NCDs. These interventions, which form a broader strategy to tackle the pressing health and economic impacts of obesity and NCDs in Barbados, complement the 20 percent tax on sugar-sweetened beverages and the National School Nutrition Policy, These policy measures align with the Declaration of Mission Barbados, which sets a target of achieving a 50 percent reduction in new cases of NCDs. Additionally they reflect the government’s commitment to the Sustainable Development Goals, specifically Goal 3.4, which aims to reduce premature mortality from NCDs by one-third by 2030.

As we build on the progress of the 2007 Port-of-Spain Declaration and look ahead to the Fourth United Nations High-Level Meeting (HLM4) on NCDs in September, strong leadership remains essential in reducing the NCD burden and improving the quality of life for those affected. We trust that the Government of Barbados will continue to demonstrate strong leadership and serve as a model for CARICOM by prioritizing the implementation of cost-effective high-impact interventions outlined in the WHO Best Buys and other evidence-based strategies for NCD prevention.

Signed 

The President and Board of Directors of the Healthy Caribbean Coalition

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On the 13 March, 2025 in commemoration of World Obesity Day and under the theme “Changing Systems, Healthier Lives”, the HCC hosted a webinar, “Changing Systems, Healthier Lives: The Caribbean Road to UN High Level Meeting on NCDs and Mental Health” attended by over 150 people it covered the following:

• it outlined key advocacy priorities for Caribbean countries in preparation for the 2025 UN High-Level Meeting on NCDs.
• it presented examples of ongoing efforts and success stories in NCD prevention, control, and advocacy within the Caribbean region, highlighting potential progress or setbacks if advocacy priorities are not addressed.
• it explored how attendees can amplify the Regional Advocacy Priorities through their local, regional and global work.

Useful resources:

• Conflict of Interest in Policymaking for Non-communicable Diseases a Primer for Public Sector Policymakers in the Caribbean
• Safeguarding Public Health Nutrition in the Caribbean During Emergencies: Guidelines for Managing Donations from the Commercial Sector
• GCHA’s Latin America Caribbean Network is one of those spaces where we can begin strategizing and collaborating around climate change and health. Become a member:
• WHO Best Buys

Presenters

The post Webinar: Changing Systems, Healthier Lives appeared first on Healthy Caribbean Coalition.

March 4 is recognised as World Obesity Day, with the theme “Changing Systems: Healthier Lives.” This theme is a significant call to action for governments, healthcare institutions, and communities to confront one of our time’s most critical health challenges. Obesity has emerged as a global epidemic, and the Caribbean region is not exempt from its impact.

Despite positive developments, the region continues to face considerable obstacles in reversing trends that place millions at risk for the development of non-communicable diseases (NCDs), including diabetes, hypertension, and cardiovascular disease. To create a meaningful and lasting impact on public health, we must assess where we are today, celebrate our achievements, and strategically reinforce our systems.

The Caribbean’s Chronic Struggle with Obesity

Obesity has been rising at an alarming rate in the Caribbean, with many countries in the region experiencing a sharp increase in persons living with overweight and obesity across all age groups. According to the Caribbean Public Health Agency (CARPHA), over 50% of adults in the region are categorized as  overweight or obese, and childhood obesity has more than doubled in the last three decades. As of 2022, 8.6% of children under five in Latin America and the Caribbean were overweight, surpassing the global average of 5.6%. This trend has been escalating, with the region experiencing a 1.2 percentage point increase between 2012 and 2022, compared to a 0.1 percentage point rise globally. The burden of obesity-related illnesses continues to strain our fragile healthcare systems, reducing productivity and increasing premature mortality.

This surge in obesity is attributed to several factors, including the widespread availability of ultra-processed products, decreased physical activity (PA), and socioeconomic disparities that limit access to healthy food options and safe recreational spaces. These elements contribute to obesogenic environments, particularly in urban areas where more than 81% of the population resides. Despite these challenges, there are some promising efforts.

Signs of Progress: The Good Things We’re Seeing

Several Caribbean nations, NGOs, and health agencies have launched initiatives to combat obesity and promote healthier lifestyles. Among these successes:

School Nutrition Policies

• In 2022, Barbados approved the National School Nutrition Policy (NSNP), representing a significant advancement in efforts to combat childhood obesity. The subsequent launch of this policy in 2023 demonstrates the island’s commitment to implementing structured nutritional guidelines within educational institutions. Similarly, Trinidad and Tobago (2017) implemented a ban on the sale of sugar-sweetened beverages in primary and secondary schools. These frameworks enhance the nutritional quality of school meals by establishing dietary guidelines. Many other countries like Jamaica and Grenada are pursuing similar policies as advocates continue to seek a better Caribbean food environment. By integrating nutrition-focused policies within educational settings, these initiatives aim to instill lifelong healthy eating habits from an early age.

Increased Awareness Campaigns

• Governments and NGOs have intensified their public health campaigns to raise awareness about obesity and the vital benefits of active living. Leveraging social media, television, and community outreach, these initiatives are reshaping health perspectives across the region. Notably, Jamaica’s Jamaica Moves Campaign, launched in 2017, Dominica’s Fit for Life Campaign, which began in 2020 and the 2024 Caribbean Moves initiative stand as powerful testament to this commitment, effectively encouraging citizens to embrace regular PA, nutritious eating habits, and routine health screenings.

Legislation and Advertising

• The Caribbean has been slow to adopt clear food labelling and strict regulations on the marketing of unhealthy foods targeted at children. Nevertheless, some member states have taken significant steps in this area. Barbados, for instance, introduced a 10% excise tax on sugar-sweetened beverages in 2015, and increased it to 20% in 2022, to decrease consumption and encourage healthier choices. Following suit, Jamaica and Grenada established the Sugar-Sweetened Beverage (SSB) Restrictions in Schools in 2019 and 2020 respectively, which imposed limits on the sugar content of beverages available in educational institutions, promoting the adoption of healthier alternatives.

Community-Based Wellness Initiatives

• The rise of community-driven wellness programs has encouraged participation in healthier habits at the local and national levels. Saint Lucia’s National Physical Activity Program (2017) encourages exercise through community fitness sessions and the development of walking trails. The Bahamas’ Healthy Lifestyles Initiative (2018) enhances this effort by offering nutrition workshops, fitness classes, and community gardens to improve access to healthy food. Additionally, the Medical Benefits Scheme of Antigua and Barbuda implements community-based events that aim to raise awareness regarding NCDs while providing opportunities for increased levels of physical activity (PA). Ultimately seeking to promote informed health choices and enhance the overall well-being of communities.

Multilateral Agencies, NGOs, and Government Partnerships

• Obesity prevention in the Caribbean has progressed due to the collaboration of governments, NGOs, and international agencies. From the Healthy Caribbean Coalition’s Childhood Obesity Prevention Action Plan (2017-2021) which has been instrumental in engaging civil society to address this health issue and the CARPHA Six-Point Policy Package in 2019. To the Creative Play Initiative in Barbados (2024), developed by the Pan American Health Organization (PAHO) with the Ministry of Health and Wellness, which promotes PA in schools. These and other programs such as the Reversing the Rise in Childhood Obesity Project (2017-2020) in Saint Lucia and Grenada have focused on reducing obesogenic environments through policy reforms and educational efforts, encouraging healthier choices in communities. While progress has been made, continued investment in preventative strategies remains crucial to reversing obesity trends in the region.

Strengthening Our Systems for Greater Impact

For the Caribbean to see a significant and lasting reduction in obesity rates, we must move beyond isolated programs and create sustainable frameworks that integrate health into every aspect of society. Here’s how we can strengthen our systems:

1. Enhancing Policy Implementation and Enforcement – Policies like school nutrition policy  must be enforced strictly, with harsh penalties for non-compliance, in addition to being adopted. Taxing sugar-sweetened drinks and offering subsidies for locally grown, fresh fruit are two bold measures that governments must adopt. This two-pronged strategy will enable communities to make better decisions and ensure that everyone has access to wholesome food.
2. Strengthening Primary Healthcare Systems – Prevention and management must become the cornerstones of our primary healthcare systems if we are to effectively tackle obesity. We need to increase access to bariatric services, fund aggressive early intervention programs, and make large investments in nutrition counselling.
3. Integrating Physical Activity into Daily Life – Urban planning must prioritize the development of safe and inviting green spaces, walking paths, and recreational facilities. We should mandate daily physical education in schools and implement workplace wellness policies that actively encourage movement throughout the day. By embedding PA into our daily routines, we foster a culture of health and vitality.
4. Expanding Food Security and Access to Healthy Choices – The Caribbean must champion sustainable agriculture to reduce our reliance on imported processed foods. Strengthening partnerships among farmers (including young agripreneurs), manufacturers, retailers, and governments is essential to guarantee that nutritious foods are not only available but also affordable for all citizens. This collaborative effort will lay the groundwork for a healthier future.
5. Education and Behaviour Change – To effectively transform cultural attitudes toward food and PA, we must weave health education into the very fabric of school curricula. Launching powerful media campaigns that normalize balanced lifestyles, coupled with leveraging digital platforms to enhance health literacy, will profoundly influence societal norms and inspire meaningful behaviour change. Together, we can shift mindsets and create a healthier, more vibrant Caribbean.

Where Do We Go From Here?

The Caribbean stands at a defining moment in the fight against obesity. If we choose to maintain the status quo, we are inevitably heading toward skyrocketing healthcare costs and a significant decline in our quality of life. However, by investing in the strengthening of our systems today, we can pave the way for a healthier, more productive region for generations to come. Achieving this vision demands unwavering collaboration between governments, private sector leaders, and community organizations, all united in the pursuit of prioritizing health in every aspect of our lives.

As we commemorate World Obesity Day 2025, let us issue a powerful call to action for our leaders, healthcare professionals, and citizens to embrace real, systemic change. A healthier Caribbean is within our grasp, but it will only become a reality if we boldly take the necessary steps to fortify our systems and champion the well-being of our people. Together, we can transform our future and create a thriving Caribbean region.

Offniel Lamont is a public health advocate with Healthy Caribbean Coalition/Youth (HCC/HCY) and a registered physiotherapist (MSc in Sports Medicine, Exercise & Health).

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