President of the Barbados Alzheimer’s Association Pamelia Brereton has suggested that Barbadians need to be more proactive and vigilant when placing their elderly family members in senior citizens’ homes.

Noting that she has received complaints from some people about bad treatment of their elderly relatives at nursing homes, Brereton said relatives had a responsibility to check out these facilities before admission and to check on their family members often after they got in.

“Check out the care home properly; don’t just decide to drop mom or dad off at any old care home. You have the right to check to make sure that the facility or institution is going to be able to provide the care that you are paying for,” she said at the Alzheimer’s Month seminar at the Lloyd Erskine Sandiford Centre (LESC) on Wednesday.

“A lot of people would call me sometimes and say, ‘I put them there, but yet they are not doing this, or they are not doing that’. But sometimes, I want to remind you, that is your fault because if you are putting someone in a care home and sometimes you are only going to visit that person once or twice a week or sometimes never, you expect them to get the care that you want them to get? So it’s important to make sure that when you put mom or dad in a home, you visit.”

Brereton said it was important for families caring for persons diagnosed with Alzheimer’s or dementia to know what resources are available to them. Additionally, she said, caregivers should let their neighbours and people in their communities know if someone living in their household has been diagnosed with Alzheimer’s.

“Don’t be afraid, don’t be shy, don’t hide it. I always say that people tend to hide their diseases, but in the end, you can’t hide death. So cut that out and start facing reality. Friends need to know; health facilities need to know; our polyclinics need to know; the hospitals need to know; the nursing homes need to know; the National Assistance Board, the Welfare Department, all these people need to know. 

“Family members also need to realise that . . . they will need a break; they will need some home help – a good daycare – for persons they are caring for; they would need trained personnel. Some people with Alzheimer’s go through seven stages, and we need to be aware of how the disease unfolds, which will help persons who are caregivers,” Brereton said.

She shared that dementia is now an epidemic worldwide, with 55 million people affected and experts predicting that number will increase to 155 million by 2050.

“The region itself has about 328 000, and by 2050 that is going to triple. More doctors will be needed and more nurses will be needed. This is one of the most heartbreaking diseases that I have ever witnessed,” she said.

Permanent Secretary in the Ministry of People Empowerment and Elder Affairs Jehu Wiltshire highlighted the reality that the older people live, the greater their chance of developing dementia.

He said this was the reason behind the Government’s commitment to providing the necessary resources to meet the needs of an ageing population. 

(AH)

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A name synonymous with children’s health in Barbados for more than three decades is now attached to the post of chairperson of the Barbados Childhood Obesity Prevention Coalition (BCOP Coalition).

Professor Anne St John, a consultant paediatrician, children’s health advocate, and the lead policy champion for the Heart and Stroke Foundation of Barbados (HSFB) and the BCOP Coalition, will be at the helm of the organisation for the 2023-2024 period.

She was elected at a BCOP Coalition Workshop last Wednesday.

“I am humbled to have been elected to the position of Chair of the BCOP Coalition, being quite aware that it carries a tremendous sense of purpose, with high expectations towards the accomplishment of the goals set by the organisation in relation to healthy nutrition and lifestyles, especially related to children of the nation,” Professor St John said after her election.

The BCOP Coalition has a membership of 30 civil society organisations, in addition to individual members and youth advocates, all with the singular goal of advocating for the suite of policies identified by the World Health Organisation to decrease the alarming levels of childhood obesity in countries like Barbados. About 31 per cent of children in Barbados are obese or overweight.

BCOP Coalition pointed out that Professor St John has been a very hands-on advocate and champion for childhood obesity prevention from the beginning of the Childhood Obesity Prevention Project in 2018, sensitising policymakers, parents, children, principals, teachers and staff at various schools around the island. 

It added that especially during the COVID-19 pandemic, her voice and reasoning became linked to the School Nutrition Policy which has generated much interest across Barbados. 

Now, looking forward to the implementation of other evidence-based policies like the use of octagonal front-of-package warning labels, which can simultaneously assist in reducing the levels of childhood obesity in Barbados, she said: “The right to know what are the ingredients in what we consume goes hand in hand with the adaptation, intervention and use of octagonal front-of-package warning labels (O-FOPWL) on consumables, assisting consumers in making healthy choices of food and drink.”

Programme Manager of the Childhood Obesity Prevention Project for HSFB Francine Charles said it was an honour for the BCOP Coalition to be led by one of the most ardent voices for children’s health in Barbados.

She said Professor St John “has a passion and a voice to ensure children in Barbados have optimal health and we have watched her advocate effectively to every possible audience, so we are heartened to work with her as chair of the Coalition”. (PR)

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Black Knight Bikers and other bikers in Barbados joined forces on the weekend to assist Joann Hall, a social worker at the Ministry of Education, as she continues her battle with rheumatoid arthritis which has already caused her to have knee replacement and be under medication for pain relief.

The group of bikers joined a charity walk that began at Esso in Paynes Bay, St James and ended at Folkestone Marine Park in the same parish, where they socialised with other people who walked in honour of Hall.

She has dedicated 20-plus years of her life to ensuring that children under her charge receive the best level of education possible.

President of the Black Knight Bikers Fabian Reeves said club members were pleased to lend support to the initiative, noting that when Hall was fully on her feet, she worked with various agencies to get financial support and placement for children at schools that cater to their learning styles, and advocated for abused and underprivileged students.

“When we heard of this walk, we immediately said this is something we need to affiliate ourselves with since we value the work of people in the education system who advocate for children who are abused, especially if they are bullied,” Reeves said.

Vice president of the bikers group, Kevin Wickham echoed those sentiments and said he wanted to see more charities give back to causes like this.

In accepting the monetary donation from the bikers, Hall said because the condition has now affected her hip, she needs to raise as much money as she can to assist with surgery. Her initial target is $50 000. (PR)

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Caribbean Wellness Day 2023 will be commemorated with a month-long celebration under the overall theme for the 5 year period, “Power Through Collective Action”

View the full post Caribbean Wellness Day 2023 on NOW Grenada.

Santo Domingo.- The clinical symptoms of dengue can be confused with other diseases ranging from leptospirosis to hepatitis, which is why it is important to perform a comprehensive medical evaluation of the patient and laboratory tests.

This is what the infectologist Elianet Castillo, from the Centro Médico de Diabetes, Obesidad y Especialidades (CEMDOE) warns when referring to the current epidemic outbreak of dengue that is affecting the country and that is leading to a high demand for medical attention.

The specialist explained that it is important to know that dengue is characterized by symptoms of fever, headache, retro ocular pain, general malaise, rash, joint pain and muscle pain.

These symptoms and signs, he said, can be confused with other diseases that are also part of the country’s local epidemiology, such as malaria, chikungunya, zika and leptospirosis,” he explained.

He explained that when the patient with dengue presents alarm signs such as nausea, persistent vomiting and abdominal pain it could represent a challenge because it could also be confused with other infectious diseases affecting the gastrointestinal system such as hepatitis or inflammation of specific organs such as the gall bladder (cholecystitis) and the appendix (appendicitis).

Malaria and Leptospirosis

Castillo pointed out that in the case of malaria, chikungunya and zika, they also present with fever. “Generally, compared to dengue, they do not cause as many alterations at the hematological level and do not usually cause as much morbi-mortality.”

He said that leptospirosis, which usually increases its incidence after heavy rains and floods, can present symptoms very similar to dengue, and being a bacterial disease requires treatment with antibiotics to prevent progression to its terminal stage called Weil’s syndrome where severe kidney and liver damage occurs, reaching a 50% mortality rate.

This shows, added the specialist, the importance of a comprehensive medical evaluation and the performance of the necessary laboratories to reach an accurate diagnosis and thus speed up the appropriate treatment of the patient.

Santo Domingo.- The Minister of Public Health, Dr. Daniel Rivera, together with the provincial authorities of the ministry, led this Saturday a day of fumigation and decacharrización in various neighborhoods of the Gurabo sector, north of this municipality, as a prevention against dengue and other vector-borne diseases such as leptospirosis.

The activity, organized by the Provincial Directorate One, directed by Dr. Adalberto Peña, included the communities of Los Platanitos, La Chichigua, Los Cajuiles, streets 7, 19, 20, and a part of the Gurabo River, among others, where there have been some suspected cases of dengue.

Minister Rivera said that on instructions from President Luis Abinader and Vice President Raquel Peña, Public Health continues to work on the prevention and promotion of programs to combat diseases and that, thanks to this effort, in the country at this time there are no reports of cases of Zika and Chikungunya, while leptospirosis and cholera are controlled.

Rivera called on the population to cooperate with the authorities by covering their tanks at home by smearing chlorine to avoid breeding the Aedes aegypti mosquito that transmits dengue.

He also thanked the president of the Dominican Municipal League (LMD), Víctor D’Aza, the mayor of La Vega and president of the Dominican Federation of Municipalities (Fedomu), Kelvin Cruz, so that the municipalities are integrated into the conference and contribute to the cleaning, eliminating improvised landfills where water accumulates and the mosquito is produced.

Rivera also highlighted the work, dedication, dedication, and effort of doctors, nurses, and epidemiologists in each preventive day carried out by the Ministry of Health throughout the country.

“An uncovered water tank can produce up to 120 mosquitoes per day, which would be difficult to control,” said the official, who added that the epidemiological fence will be maintained for at least four more weeks until the temperature change occurs.

The minister and president of the Health Cabinet recalled that dengue is endemic in the country and the Americas. He said the disease had been declared a WHO and PAHO alert for the El Niño phenomenon and global warming, increasing the highest incidence of the disease in countries such as Brazil, Peru, Bolivia, and Ecuador, which have suffered remarkable historical elevations.

In addition to Minister Rivera and the provincial manager One, Adalberto Peña, the regional director of Health, Dr. Virgilio Gutiérrez, the person in charge of DPS 3, Dr. Carolina Núñez and the professional and technical team of DPS 2, representing Dr. Pedro Felipe, they participated in the day.

Lethality and suspected cases

The Minister of Public Health, Dr. Daniel Rivera, explained that the lethality of dengue cases in the country is currently 0.04%, a low proportion compared to last year for the same date. He said the most significant concern of detected issues is registered in Santo Domingo Norte. About Santiago, the official indicated that this province does not have a high incidence. He reported that until this Saturday, 26 cases had been said, that is, half that occurred last year about the disease.

Vulnerable population

Minister Rivera reported that the population most vulnerable to contracting dengue are people between 9 and 19 years old, especially those previously suffering from the disease.

He said that the mosquito that transmits the dengue virus attacks more in the lower limbs because it is always under the table and bed. He noted that the mosquito is more attracted to the person with type O blood.

Zero self-medication

Rivera urged people who present fever during this epidemiological alert not to self-medicate and go to public and private health centers, where he said there are specialists trained to provide service. He recalled that going to the doctor promptly prevents severe cases and deaths.

The most significant number of admissions is at the Hugo Mendoza pediatric hospital, with 93 children in bed, while the Robert Reid Cabral hospital had 51 as of yesterday afternoon. In the emergency rooms of public and private centers, cases of sick people are constantly arriving. Other hospitals with a high influx of patients are the General de la Plaza de la Salud, with 38 patients admitted, and the Ramon de Lara military hospital, with ten adults admitted.

According to health authorities, the country is going through an epidemic outbreak of dengue fever, which has registered more than six thousand cases. However, historically, the disease has been underreported by more than 50%.

Other hospitals with patients admitted for dengue are Rodolfo de la Cruz Lora, with 20 patients; Juan Bosch, with 15, Boca Chica, with 15 more, El Almirante, with 10 and 12 at Marcelino Velez Santana.

Interventions continue
The Ministry of Public Health reported that it continues to carry out an extensive operation against cases of dengue fever in Santo Domingo North. The highest incidence of the viral disease is felt in Santo Domingo, the National District, La Vega, San Cristóbal, and Barahona. For the past few weeks, fumigation and pest control operations have increased in the municipality of Santo Domingo Norte to mitigate the cases of dengue fever registered in this district and surrounding areas. Everyone’s participation is required.

The operation seeks to prevent the spread of dengue fever through the mosquito breeding sites that generate waste and debris accumulated in yards and plots of land. The process was carried out in the neighborhood of Las 5 Esquinas de Los Guaricanos, where it began with house by house, alleyways, and patios, followed by fumigation to combat the larvae and eggs produced by the mosquito (Aedes Aegypti), which transmits the disease.

This is the third intense operation carried out by the Ministry of Public Health through Area III of Health in this demarcation, where more than two thousand houses of Santo Domingo Norte have been intervened given the epidemic outbreak of dengue fever in the country, said the authorities.

At the national level, the health system reports more than 303 suspected cases of dengue fever. Still, most of them are concentrated in the National District and Santo Domingo province, mainly in Santo Domingo Norte, where the authorities are redoubling awareness campaigns to families to eliminate mosquito breeding sites that produce the disease.

The director of Area III of Health reported that so far this year in Santo Domingo North, there have been 700 cases of dengue fever.

Dr. Mabel Jones, director of the Robert Reid Cabral Children’s Hospital, reported that four patients have died from the disease. At the same time, seven are being investigated while specifying minimal suspected cases in the country’s interior.

He explained that yesterday, three cases were reported in the Valdesia region, one in the Jacinto Mañón hospital, 11 in the Arturo Grullón hospital, 4 in the San Vicente de Paúl hospital in San Francisco de Macorís, 2 cases in Samaná. Mothers of the children explain that they go to the centers after their children present febrile symptoms for more than three days, after suspecting that they could be affected by dengue fever.

Jenny Mojica, from San Cristobal, went to the Robert Reid Cabral hospital with her 10-year-old daughter yesterday because she had been suffering from a fever for six days.

Another, who is only identified as Banelia, is also waiting for attention from San Cristobal’s pediatric center with her four-month-old baby girl, who has been suffering from fever and vomiting for three days.

María Guerrero came to the Robert Reid Pediatric Center from Baní because her son has been feverish since last Tuesday. Walkiris Sanchez was waiting for her turn with two children at the Santo Socorro Children’s Hospital in Cristo Rey, from La Javilla, Villa Mella, Santo Domingo Norte, because they have had a fever and headache for the last three days.

Victoria Zabala arrived at Santo Socorro from La Mina de Los Guaricanos because her daughter had suffered from high fever for several days. She chose not to go to the Hugo Mendoza hospital, within the Ney Arias complex, because this center is full of patients.

At Hugo Mendoza, it was impossible to enter the consultation and emergency areas due to heavy restrictions for journalists. However, from outside, the emergency room was observed to be full of patients waiting to be attended. At San Lorenzo de Los Mina hospital, no cases were reported.

The US Navy expeditionary fast transport ship USNS Burlington will visit Grenada from 12–24 September

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