Health Archives - Barbados Today
Former PM not supporting shifting Bay Street offices; bemoans lack of concern for societal impact
By Jenique Belgrave
Former Prime Minister Freundel Stuart is not in favor of any plan to relocate Government Headquarters from Bay Street to make room for any future tourism development.
He made this clear while speaking on the current administration’s decision to move the Geriatric Hospital on Beckles Road to the Botanical Gardens in Waterford, St Michael.
“I passed where we are going to have the new Geriatric Hospital so that we can release the land in Beckles Road to private investment. When I was Prime Minister, some people came to Barbados telling me that where Government Headquarters is would be good for tourism development and that the Prime Minister’s office should be moved up to Ilaro Court.
“I said ‘I don’t have any problem with that suggestion, just come back and tell me when the White House is going to be moved in the United States; come back and tell me when Number 10 Downing Street is going to be moved and when 28 Sussex Drive In Canada will be moved and where’. I haven’t heard from any of them since,” he stated.
Saying the island once had the belief that the achievements of its people are important and in need of protection, the former leader of the Democratic Labour Party (DLP) lamented that now “all life in Barbados today is about transactions” with no concern being given to the societal impact.
“They do not discuss the social implications of anything going on in Barbados. It is just the bottomline, what the transaction will yield and what it will yield for certain people’s pockets,” he charged.
Speaking at the DLP’s City branch meeting at Baxter’s Road over the weekend, Stuart said the Barbados Labour Party (BLP) is failing both residential and commercial Bridgetown. He said that since the current administration came into power there has been no transformation of The City either for those who live there or who work there.
The former prime minister pointed out that while Bridgetown was a bustling hub of commercial activity for 69 years, this has declined significantly over the past decade and that the current government has done little to address it.
Commenting on the residential areas in the capital however, he acknowledged that these have not been given any attention for decades.
“Whenever there is upheaval, residential Bridgetown is not regarded as being deserving of economic attention,” he said, while pointing out that several of its communities including Greenfield, New Orleans, Nelson Street and Chapman Lane are in serious need of development.
“The people in Nelson Street do not want any open space. They want proper housing, proper roads, access to the services and the amenities that people in other areas in Barbados have. People in Greenfield want that, in Chapman Lane and the Orleans want that. Residential Bridgetown has been ignored for the last 77 years,” he said, while pointing out that Barbados could not be developed without its main town.
Stuart told the meeting that now is the time to develop forward-thinking policies to take the nation further.
“We also have to formulate policies to carry Barbados into the future. I do not think that we can credibly formulate any policy to carry Barbados into the future, unless we have policies for residential Bridgetown because for too many years they have been the Cinderellas in City politics, stereotyped as the criminal element…and we cannot credibly come back to the people of Barbados unless we have a policy to rehabilitate residential Bridgetown.”
jeniquebelgrave@barbadostoday.bb
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2 years 5 days ago
A Slider, Business, Health, Local News, Politics
Health Archives - Barbados Today
Athletes to benefit from new programme
A plan which was in place since 2017 has finally been fulfilled and that is the ability to offer elite, emerging and developing athletes a place where their medicals can be done as well as a full sports medicine assessment.
The launch of the programme, which is a collaboration between the Barbados Olympic Association (BOA), the Barbados Sports Medicine Association (BSMA) and the Ministry of Youth, Sport and Community Empowerment, took place today at the BOA’s headquarters.
Speaking at the launch, president of the BSMA, Dr Carl Ward said that they will initially be catering for around 70 athletes. He said they are trying to offer more to the athletes but it will first start with an assessment clinic.
Ward said athletes will have a comprehensive medical yearly, as well as the medical that they would be required to have before travelling with a team on national duty.
Ward revealed that they will also have a referral system in place to deal with any problems that they may find.
One of the areas which they wish to address is the number of athletes who have been quitting their respective sports due to injuries that have gone untreated.
Another worrying trend that it hopes will be addressed is that of athletes who do not seek out trained professionals due to either financial reasons or lack of knowledge as to where they can find assistance.
Ward hopes that this will be the start of helping to develop and emerging athletes to forge a pathway to the elite level regardless of injury.
Minister of Sport, Charles Griffith said that he also wanted some satellite places for the programme so that those who do not have transportation can still benefit from the programme.
However, Ward pointed out that a lack of human resources was the biggest problem with expanding the programme at the moment which is why they were catering for the current numbers.
Griffith voiced his concern that many athletes do not understand the impact that nutrition has on their careers.
He said a lot will now depend on coaches paying attention to and being aware of what is happening in terms of injuries. He also called for a mandate that all national federations be made to educate their coaches as to what is programs are in place.
Griffith also offered some space at the Wildey Gymnasium to help expand their program.
All three entities BMSA, BOA and the Ministry of Sport hope to collaborate in the future with the University of the West Indies.
(CG)
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2 years 1 week ago
A Slider, Athletics, Health, Local News, Sports
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Austin showered with praise on 100th birthday
Centenarian Lorna Austin was a woman of few words on Wednesday, and her memory may not be the sharpest, but friends and family who helped her celebrate her milestone were full of stories of how lively she was in her younger years.
Their recollections also shared a similar theme—that of a woman whose life focused on the love of her family.
During an intimate party held at her Christ Church home, the Guyanese-born mother of three was mostly quiet as a fuss was made about her.
Her daughter, Betty-June Leacock, told the media that the day was a special one for her and her family.
“She is actually only the second [centenarian] that I have encountered. I am still in awe of my own mum as a centenarian and I think it has been a wonderful day so far. I feel blessed to have my mom at 100 years and for others to come and share in the experience,” she told the media as she indicated her mother was in good health.
Her brother Nigel Austin mirrored those sentiments, adding, “She is an example of what perseverance and resolve are all about… a perfect example of that. I hope to be able to follow in those footsteps.”
He spoke about some of his mother’s life experiences, including studying in England, doing secretarial work at The Barbados Advocate, and being a secretary for the late Sir William Arthur Lewis during his time as President of the Caribbean Development Bank (CDB).
However, he said it was her love for her late husband, Leo Austin, that meant the most to her during her lifetime, and she felt the weight of his passing in 1996.
“Daddy always had like this umbrella over her to protect her; he had her like in a bubble. Anything she wanted, Daddy took care of. She was devastated when he passed. “We were really worried about her,” Austin recalled.
“Over time, she bounced back and at that age, she then decided to embrace technology. She got onto the computer, learned how to use [it], communicated with all of her friends overseas via email, [and] took all of the bookings for the apartments, which she rented out, via email.
“I know the days where she would say ‘Nigel, when you come over I want you to look at the computer for me, I am not getting online’ or ‘there is an email I want to send but these attachments are not going’. She was fascinated all of the time with technology. Then when cell phones came about, where we could take pictures and so on, up till now she is still amazed about how you could take photographs on a cell phone.”
The centenarian’s best friend, Norma Odle, spoke about their friendship.
“We had great times together [and] always kept close together. As the children came on, I even remember Old Year’s Night when Leo and Lorna would bring the kids over to my house with my kids, and the four of us, my husband and I and Lorna and Leo, would go dancing, [and] bring back home the top hats for the children the next morning.
“We had some beautiful times together… never left each other out. Since my husband died 28 years ago, Leo passed the year after him, and Lorna and I kept very close always,” she said.
Odle said that while Austin no longer remembered her, the love she had for her close friend had not faded.
“She doesn’t know me now but I am still close in heart with her…. I love her very much,” she said.
Representatives from the Barbados Association of Retired Persons as well as the National Union of Public Workers paid tribute to Austin during the celebrations.
The centenarian has three children and five grandchildren, most of whom still live in Barbados. (SB)
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2 years 1 week ago
A Slider, Health, lifestyle, Living Well
Health Archives - Barbados Today
Woman didn’t know her chicken coop was affecting the nearby nursery school
By Sheria Brathwaite
The Black Rock, St Michael resident at the centre of the environmental issue affecting St Stephen’s Nursery School says she was shocked that a problem with odour from her chicken pens was not brought to her attention by the school’s administration before it became a national issue.
On Monday, the 60-year-old woman who did not want to be identified, told Barbados TODAY that she had no idea her chicken coop was affecting the school, which is an arm’s length away from her family home. She said she is somewhat puzzled about the turn of events that threw the matter onto the national stage.
Particularly troubling for her, was that her family has had a long-standing relationship with the school and they always did anything they could for the wellbeing of the students and staff.
She questioned why school officials did not contact her about the problem first before it was escalated.
“The scent was unknown to us and nobody ever came to me and tell me about the chicken pens. Nobody came here and had a talk with me. I didn’t even know it was in the paper till somebody phone and tell me,” she said. “It made me feel very bad and shocked. I have a lot going on right now. I have to bury my aunt Wednesday and my uncle died four months ago and now this here. It is torture, it is hell, but my God, My Redeemer lives.”
The woman said that management at the school had contacted her prior about an overhanging mango tree that was causing a mess on the school’s compound and she believes that the same way she was contacted about the fruit free, the odour from her pens could have been brought to her attention.
“In January when the headmistress wanted the mango tree cut down she came and holler for my name. So if she knew she could smell chickens, before it blew up like this, she could have come here the same way she came here before and call me, but she said nothing. She had a right to come to me and tell me instead of making it a whole issue.
“If she could come to me in January that means we were corresponding. She has called me on my phone too, on my landline, so she has my number. So why now, she couldn’t contact me?
“It didn’t have to escalate to this. They treated me like I am a damn criminal. If she had tell me she was smelling something I would come and rectify the odour.
“. . .Then when I heard they had the children at the church, that they had their lunch in the yard and had to walk through the graveyard to get to the washroom, I thought that was more unsanitary than what they say I was doing to them.”
The environmental problem affecting the school was first raised on Monday March 13 when the school closed early and two days later, parents were given the option to collect their children from the facility though it remained open. The school was closed again on Friday March 17 and the Ministry of Education gave the assurance that the issue would have been rectified but the following Monday the school was closed again.
The next day students were relocated at the neighbouring St Stephen’s Anglican Church but that was later removed as an option after teachers and parents complained that the environment was not conducive to learning.
The ministry then closed the school for the remaining week and made provisions for online classes on Wednesday and Thursday.
Meanwhile, President of the Barbados Union of Teachers (BUT) Rudy Lovell said that things went relatively smoothly as the students returned to the classroom on Monday.
“From all accounts things went well today. The staff is comfortable and the students are comfortable and we are thankful that it appears as if the issue has been resolved at least for the time being,” he said.
Meanwhile, the neighbour said that a health inspector told her she had to get rid of the birds and she did so at a loss to her.
Though she preferred not to go into detail about the situation she said she had been rearing broilers and layers for about a year.
“I had to get rid of them before their time so I incurred losses,” she said about the last set of birds.
The woman’s 79-year-old mother, who also did not want to be identified, said that she was responsible for erecting the gate at the back entrance of the school as the school abuts and abounds her property. She added that when staff at the school needed supplies they would shout for her.
“When the water was off and they didn’t have water to wash up the wares I put my hose through the fence so the school meals workers could wash up. If they want anything they come here. If they want a shovel, they come here, if they want a broom they come here.
This was going on for years,” she said.
Asked if any contact was made to the neighbour before the situation escalated, Lovell said: “That is not an issue that the union can speak on. All we can say is that concerns were brought to our attention by our members who teach at the school and we then brought those concerns to the Ministry of Education who then contacted the Ministry of Health.”
sheriabrathwaite@barbadostoday.bb
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2 years 1 week ago
A Slider, Business, Environment, Health, school
Health Archives - Barbados Today
NGOs, Gov’t can cooperate to address spike in mental health cases
Psychologist Shawn Clarke is urging the Government to incorporate the existing services of non-governmental organisations (NGOs) in efforts to address the whopping increase in mental health cases since the start of the COVID-19 pandemic.
The founder and director of Supreme Counselling for Personal Development made the suggestion in response to a recent disclosure by Minister of Health Dr the Most Honourable Jerome Walcott that the number of Barbadians seeking assistance for mental health issues had risen more than 200 per cent in the last three years.
Speaking in the Senate last week, Minister Walcott acknowledged that given those statistics, “we need to look at public education and the stigma associated with mental health illness, [and] we need to look at community mental health”.
“We need to integrate it totally into the polyclinic system. We are expanding the numbers of psychiatrists and counselling psychologists in the community because we need to move it into the community,” he had said.
While agreeing that was “a positive move”, Clarke emphasised the need for the Government to utilise services and programmes which smaller NGOs have already started.
“Instead of trying to reinvent the wheel, there are a number of organisations in Barbados, like Supreme Counselling, who have been offering such services to the community, and we are on the ground. So, we know the people, we know where they are at, [and] we know the persons who would really need to access the services,” he told Barbados TODAY.
“We have to make these services readily available to the community and we also need to make it free of cost so that persons who need to access the services can do so.
“So it’s a good initiative but I think they need to collaborate more with the non-governmental organisations to access those services,” he added.
Clarke identified an initiative his NGO started in February under which he said its services have been decentralised and work is being done with specific communities, including The Pine, St Michael and Mason Hall Street,The City.
The psychologist told Barbados TODAY that given the effects of the COVID-19 pandemic, the statistics revealed by the Health Minister were not surprising.
“If I cast my mind as far back as the beginning of COVID when we had our first shutdown, I remember warning Barbados that we would have to put measures in place to deal with the backlash from COVID and the effect that it would have on young people and their mental psyche,” he said.
“I remember at that time also warning Barbados that when the children return to school, for the first month or so, it could not be school as usual. We could not just go straight back to teaching the academics, but the school needed to do a lot of work bringing in counsellors, working with the guidance counsellors and so on, doing sessions to help the young people to cope with what they would have been through.
“So I am not at all surprised by the statistics laid . . . by the minister. We ourselves at Supreme Counselling would have seen an increase of young people coming in or requesting our services for depression and anxiety,” Clarke added.
During his contribution to the debate on the Appropriation Bill, 2023, Minister Walcott said that some of the violence displayed by students in schools appears to be linked to mental health issues. (SB)
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2 years 1 week ago
A Slider, Health, Local News
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NUPW gives Gov’t two months to resolve COVID-19 hazard pay issue
By Emmanuel Joseph
The National Union of Public Workers (NUPW) has given the Government until the end of May to settle a year-old COVID-19 hazard pay dispute with workers in the healthcare system.
Deputy General Secretary of the largest public sector trade union, Wayne Walrond told Barbados TODAY on Monday that if the matter is not resolved within the next two months, “we would have to go back and report to our membership about what happened and see what is the next move”.
He said the Government has failed to meet with the union to discuss its proposal, submitted last March, for healthcare workers at the polyclinics to receive a lump sum hazard payment.
“This is a full year and we haven’t even got an invitation around the table to sit down and even discuss it,” Walrond said.
“The NUPW is appealing to the relevant authorities to have this outstanding matter addressed since there is gross discontentment among the healthcare workers.”
He explained that the proposal was submitted as an alternative to workers using the traditional claim form, given that some categories of workers who were at risk during the COVID-19 pandemic would have been excluded from receiving a hazard payment.
“In March 2022, the NUPW submitted a proposal to the Government for a lump sum payment to all healthcare workers, given that the claim form system would not have been an equitable criteria for granting the appropriate recognition for all healthcare workers in the public sector,” Walrond said.
Expressing disappointment there has been no movement on the matter, he added: “If we can thrash this out and have it settled urgently by no later than two months, we would be happy with that result…no later than the month of May. I think if they can get around the table with a sense of urgency and treat it as a non-salaried item, it could be addressed expeditiously.”
According to Walrond, the Queen Elizabeth Hospital (QEH) approach of giving workers a monthly hazard allowance was a model the NUPW believed could be used.
“The medical doctors obviously would have the edge and the nurses…[but] even the security at the door who had to interact with the public…there is some rate for him, and give him a one-off payment,” he said. “We were willing to sit down and negotiate it. I put a proposal and this is a full year and I have not got around the table to discuss it.”
However, Walrond said he remains optimistic that the Government would seek to settle the matter.
emmanueljoseph@barbadostoday.bb
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2 years 1 week ago
A Slider, Health, Local News
Health Archives - Barbados Today
Culture division staffers donate to HIV Food Bank
Staff of the Division of Culture in the Prime Minister’s Office on Friday donated much-needed hampers to the HIV Food Bank and vulnerable families.
Staff of the Division of Culture in the Prime Minister’s Office on Friday donated much-needed hampers to the HIV Food Bank and vulnerable families.
During the handover ceremony, Minister with responsibility for Culture Senator Dr Shantal Munro-Knight said they worked hard to be able to donate the critical items.
“This is a part of our ongoing commitment in terms of our work with the HIV/AIDS Commission. The staff have been extremely diligent annually in making sure that we demonstrate that commitment very practically by having presentations to the Food Bank,” she said.
The donation comprised eight baskets, four of which will be given to vulnerable families.
“We wanted to make sure that as a division that yes, we will show our commitment to the HIV Food Bank but recognise as well that there might be other vulnerable families that we want to be able to show that care, that love, and support,” Munro-Knight said.
HIV Food Bank volunteer Kedlyn Morgan-Richards said the donation would go a long way in assisting people most in need.
“It is indeed [on behalf] of the more vulnerable that we can be here this morning to receive this. It is indeed a privilege that persons affected and infected would [benefit] from the great support,” Morgan-Richards said.
“On the behalf of the HIV Food Bank, we indeed say thank you, and it is a big thank you. We know at this time it’s a hard time, so it will indeed go a long way.” (SB)
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2 years 2 weeks ago
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Overweight and undernourished Bajans a worry for Nutrition Centre
The National Nutrition Centre (NNC) has expressed concern about the proliferation of overweight Barbadians and pockets of undernourished people.
Acting Assistant Nutrition Officer at the NNC, Brian Payne, told members of the media on Wednesday that while Barbados has always had less fortunate people who do not get enough nutritious food, “we may expect a higher incidence of undernutrition” as a result of the increase in the cost of living.
“The challenges that we are having in Barbados relate to over nutrition in the sense that . . . we are seeing higher levels of overweight and obesity in children and adults. And a large part of it is associated with diet,” he said as he addressed the centre’s Nutrition Conference, which coincides with National Nutrition Month, at the Radisson Aquatica Resort.
“In terms of overweight and obesity, I can’t give you the numbers now, but you can imagine there has been an increase. People point to the numbers in terms of one-third of the general population being obese and overweight.”
Research conducted in 2012 found that 30 per cent of children in Barbados were overweight, but Payne said the NNC plans to conduct research to determine the updated nutrition status of Barbadians.
He said the recently launched Barbados School Nutrition Policy is one of the key initiatives designed to allow the Ministry of Health and Ministry of Education to have some measure of control over what children are eating and drinking in school.
“We are happy with the response thus far. I think there have been some initial challenges and this really relates to trying to sensitise the stakeholders – parents, teachers, students, and the vending community as well,” he said.
“The challenges kind of relate to the fact that it’s hard to get everyone in the same place at the same time. I think we appreciate that we need to meet people where they are so we have been doing more work in the schools to sensitise the students,” Payne added.
The nutrition officer added that the centre has launched its Healthy Eating Guide for Barbados, a public health intervention programme that teaches Barbadians key skills and concepts to help maintain a healthy, balanced diet.
(AH)
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2 years 2 weeks ago
A Slider, Food, Health, Local News
Health Archives - Barbados Today
Pandemic changes health focus
One local consultant internist believes that the last three years of COVID-19 have turned the focus on the need to re-examine the current policies used to address mental health illnesses and the non-communicable diseases (NCDs) affecting citizens.
Dr Petra Crookendale also believes it is time preventive medicine, and “generational health” are seen as practical policies going forward for the country, as a change in healthy lifestyles needed to start from the ground up.
Speaking on the lessons learned by the medical fraternity after the prolonged battle with the pandemic, Dr. Crookendale, said the rise in anxiety and depression among locals seeking help, has been stark.
“One of the things that I have noticed is that we do need to improve our mental health facilities, the ability for people to have counselling and so on. One of the glaring things that came out of COVID-19 was the mental health issues, especially things like anxiety and depression.
“There are people who don’t want to acknowledge that they do have a mental health issue… which by the way, post COVID, I think all of us do, it’s just the degree to which we have it. I think a lot of it existed before COVID but people were coping. Now after COVID they are not coping as well and this is why these symptoms of anxiety are manifesting,” she explained.
Her comments aligned with those of Minister of Health Dr the Most Honourable Jerome Walcott made in the Upper House as the Senate debated the Appropriation Bill 2023. The minister said that over the course of the last three years of the pandemic many patients have been reporting to several institutions with mental health concerns, with cases having increased by 200 per cent since 2019.
Dr Crookendale said though Barbadians may have gotten numb to the NCD numbers affecting the country over the last several years, the cases of chronic illnesses being diagnosed remains uncomfortably high.
(SB)
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2 years 2 weeks ago
A Slider, COVID-19, Health, Local News
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Hope for change
DOCTORS OPTIMISTIC ABOUT IMPROVEMENT IN WORK HOURS, CONDITIONS AFTER DISCUSSION WITH QEH ADMIN
By Shamar Blunt
DOCTORS OPTIMISTIC ABOUT IMPROVEMENT IN WORK HOURS, CONDITIONS AFTER DISCUSSION WITH QEH ADMIN
By Shamar Blunt
Junior doctors at the Queen Elizabeth Hospital (QEH) are hoping that talks with officials at the state-run institution will bring an end to the excessive workloads that have resulted in some of their colleagues quitting and even seeking mental health intervention.
And as the medical professionals warned that the current state of affairs created room for medical errors, the Barbados Association of Medical Practitioners (BAMP) expressed support for a reduction in their work hours to protect the public from harm.
In a statement sent to Barbados TODAY, the ‘Concerned Junior Doctors’ identified themselves among those who Government Senator Dr Crystal Haynes and consultant physician at the QEH and Deputy Dean of the Faculty of Medical Sciences at the University of West Indies Cave Hill Campus Dr Kenneth Connell said were forced to work 32 hours or more on a stretch.
“While we remain dedicated to providing the best care for the patients under our charge, the vicious cycle of long work days and even longer on-call shifts continues to take a negative toll on our physical and mental
well-being,” they said, noting that burnout and long sick leave are commonplace.
“As of today, several of our colleagues have either migrated to the US, UK or Canada – creating brain drain –, resigned from their posts, taken protracted sick leave periods or even require mental health counselling for physician burnout and the sequelae thereof.”
Senator Haynes, speaking in the Upper House during the debate on the Appropriation Bill, 2023 earlier this week, and Dr Connell in an interview with Barbados TODAY on Wednesday called for an end to the long workdays that were putting strain on the medical professionals and had the potential to also put members of the public at risk.
“We join with Senator Dr Crystal Haynes to make a valiant effort to come to a reasonable, safe and practical approach to regulation of working hours for the medical staff employed at the institution,” the non-consultant doctors said.
They further expressed optimism that discussions with hospital management would bear fruit soon.
“We have been in communication with the administration of the QEH to implement measures that lead to the restructuring of our various departments to ensure both patient and doctor satisfaction as well as safety in the administration of our medical care to our charges,” they disclosed.
“It is, therefore, our hope, in the year 2023, that with the drafting of legislation, the times of 32-hour shifts, severely sleep-deprived physicians – [a situation] affecting our cardiovascular health – and the resultant risk of medical errors from the above is fully abolished and put behind us.”
Highlighting their “arduous plight”, the doctors said while the general public may not be fully aware of their working conditions, some patients could attest to the long hours they were on the job.
“On several occasions, patients remark in awe that the same speciality doctor that attended to them at 8 a.m. while waiting in the Accident & Emergency Department remains on active duty until 4 p.m. the subsequent day, oftentimes without lunch [or] dinner breaks and little to no sleep,” they wrote.
“This equates and corroborates the 32-hour shifts mentioned [by Senator Haynes] that junior doctors in almost all specialities – including Internal Medicine, General Surgery, Obstetrics & Gynecology and Pediatrics – experience once every four days. Added to this, on average, a standard workday can easily go beyond the recommended eight hours due to the persistent issue of increasing patient loads, perpetuated by delays in both investigations and administration of treatment.”
The doctors also noted that in 2019, with the advent of the COVID-19 pandemic, “an already mentally and physically exhausted workforce from critical departments were split in two to attend [to] the dynamic needs of the Harrison Point facility while still meeting their contractual obligations at the Queen Elizabeth Hospital”.
“Thankfully, with the significant reduction in the number of severely ill COVID patients needing specialist care, our efforts no longer need to be strained in providing care to two facilities,” the doctors noted.
However, they said, they remain overworked and have made it a priority to take their physical and mental health more seriously than ever before.
Their call for that to change was supported by BAMP president Dr Lynda Williams who welcomed “an urgent examination of the hours that junior doctors now work”.
“We fully support the need to transition to an ideal number of working hours that will allow them to have safe, productive and fulfilling lives and that will protect the public from harm,” she said in a statement sent at the request of Barbados TODAY.
Noting the dangers posed by doctors working excessive hours, she referred to several studies, saying: “Fatigue causes significant negative physical and psychological effects. For every hour that a doctor works beyond 11 hours of continuous work, there is a measurable decline in cognitive performance, psychomotor skills, clinical acumen and prescribing accuracy. Depression and burnout, risks to physical health and fear of litigation also affect junior doctors disproportionately.”
Dr Williams acknowledged that the costs associated with expanding the allotment of junior doctors at the QEH would be significant, but said allowing the current situation to continue without intervention would be even more costly.
“In order to reduce junior doctors’ working hours, as Senator Dr. Haynes pointed out, a large influx of new staff would be required. This requires careful investigation because increasing junior staff also increases the need for supervision and training.
“BAMP appreciates that in a developing nation such as ours, a large increase in staff at once will have a significant economic cost. However, we also believe that no cost is greater than the safety of our junior doctors and, ultimately, the lives they care for,” the doctor said.
Though noting that the practice of doctors working 30 hours or more per shift was “a longstanding and complex problem which is not unique to Barbados”, Dr Williams pointed out that other jurisdictions had proven the situation could be addressed.
Even so, she acknowledged, reducing doctors’ working hours was only part of the solution.
“Several developed countries have introduced restrictions on the number of hours that junior doctors can work; however, organisational cultures of working long or antisocial hours often exist and doctors in training reported being unofficially expected to work extra hours voluntarily, even when working time restrictions were implemented,” the BAMP president noted.
“Furthermore, lack of resources available for work, lack of nursing staff and ancillary staff, poor workflow, poor shift design, lack of adequate facilities as well as interdepartmental pressures may mean that simply restricting the number of work hours may be insufficient to address issues relating to stress, fatigue and their consequences for the junior doctor. In short, reducing junior doctors’ working hours only partially addresses the problem.”
Dr Williams gave BAMP’s commitment to working with the Ministry of Health and Wellness and the QEH to find “workable solutions to the highlighted problems”.
Up to late Thursday, QEH officials could not be reached for comment.
shamarblunt@barbadostoday.bb
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2 years 2 weeks ago
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