Tag: ministry-of-health

Seecheran: Regulated framework for traditional medicine

THIS country has signalled its intention to move toward a regulated integration of traditional medicine into its public health system. Minister in the Ministry of Health Dr Rishad Seecheran described the approach as a strategic step towards more inclusive and people-centred healthcare.

Speaking at the second World Health Organization (WHO) Global Summit on Traditional Medicine in New Delhi, India, Dr Seecheran told delegates that health systems worldwide are being challenged to become more resilient, culturally responsive and equitable. He said traditional medicine has a role to play in achieving these goals.

Seecheran said the integration of traditional medicine was no longer a marginal issue but an important component of advancing universal health coverage.

“Traditional medicine represents centuries of accumulated knowledge, practices and beliefs deeply rooted in culture and community life,” he said, adding that when appropriately integrated, it can complement conventional medicine, strengthen preventive care and improve management of chronic diseases.

He noted that in Trinidad and Tobago, many citizens already use traditional remedies alongside Western treatments. The task for policy-makers, he explained, was not to ignore this reality but engage with responsibly.

As a result, the government is working toward the standardisation of traditional medicine products, practices and practitioners, and is developing a regulatory framework to ensure oversight, safety and quality.

This effort will be supported by increased investment in research to help facilitate the eventual integration of traditional medicine into the public health sector.

Dr Seecheran said TT intends to partner with international agencies and affiliates to build human resource capacity and to identify appropriate models for integration suited to local needs.

The minister commended the WHO for its leadership through its Traditional Medicine Strategy, which encourages countries to explore the potential of traditional, complementary and integrative medicine while grounding policies in scientific evidence.

Health ministry recalls blood-pressure drug

The Ministry of Health, via its Chemistry, Food and Drug Division, has announced a voluntary recall affecting specific lots of bisoprolol fumarate and hydrochlorothiazide tablets, a generic medication used to treat hypertension.

The affected lots are 17232401 (expiring November 2025), 17232401 (expiring November 2025), 17232401 (expiring November 2025), 17240974 (expiring May 2026), 17240974 (expiring May 2026) and 17240974 (expiring May 2026).

The recall was initiated by Glenmark Pharmaceuticals Inc in coordination with the US Food and Drug Administration (FDA) after routine quality testing identified a potential cross-contamination issue. Trace amounts of another drug, ezetimibe, a medication used to treat high cholesterol, were detected in reserve samples of the product, which should not have been present in the blood-pressure medication.

A total of 11,136 bottles of these products have been affected by the recall.

While FDA’s classification of this recall is Class III, indicating that exposure to the trace contaminant is not likely to cause adverse health effects, the ministry is urging appropriate precaution.

The ministry advised that people who may have purchased or are currently in possession of the affected products to discontinue use immediately and return the medication to the place of purchase.

It said anyone with health concerns should consult with their healthcare provider as patients should not abruptly stop antihypertensive medication without professional guidance.

Additional information can be obtained by contacting the Office of the Director of the Chemistry, Food and Drugs Division via email at cfdd@health.gov.tt or phone at 217-4664 ext 13101.

Health ministry to expand efforts to combat HIV

The Ministry of Health has vowed to expand its efforts to help reduce the spread of HIV in TT.

In a media release to mark World Aids Day 2025 on December 1, the ministry said in 2026, it will focus on expanding community-based testing, increasing access to self-testing, ensuring prompt initiation of treatment, strengthening retention in care, and launching a robust national anti-stigma campaign. Targeted interventions for vulnerable groups, expanded psychosocial and mental health support for people living with HIV, and strengthened collaboration with civil society will remain central to the national response, it added.

Health Minister Dr Lackram Bodoe recently told Newsday recently his ministry will be reviewing its policy on the accessibility of pre-exposure prophylaxis (PrEP) and doxycycline prophylaxis (DoxyPEP), medications used to combat the spread of HIV.

“Our priority is always to reduce new HIV infections and protect the health and well-being of the population. Any decision related to PrEP or DoxyPEP will be guided by science, expert advice, and what is best for the people of TT,” Bodoe said.

According to the Centers for Disease Control and Prevention (CDC), PrEP reduces the risk of getting HIV from sex by about 99 per cent when taken as prescribed.

The ministry reaffirmed its commitment to ending Aids as a public health threat as it embraced this year’s global theme: overcoming disruption transforming the Aids response. It acknowledged the role of civil society and highlighted the ongoing need for equitable access to prevention, testing, treatment and care.

It said TT continues to make significant progress as most people living with HIV are on antiretroviral therapy (ART), with a high proportion achieving viral suppression, preventing illness and stopping transmission. Over the past year, the ministry said it has strengthened its national HIV response by prioritising early diagnosis, expanding prevention initiatives, reducing stigma and improving treatment adherence. Treatment services remain available across major HIV clinics, with the Medical Research Foundation TT (MRFTT) supporting the majority of clients on ART.”

The ministry said it has introduced HIV self-testing, allowing individuals to test privately at home and implemented the linkage to care team, supporting timely linkage, retention and return to care through peer navigators, social workers and psychological support services. It said free access to ART and viral-load monitoring continues nationwide.

It said prevention and testing efforts have also intensified, with outreach targeting youth, high-risk groups and vulnerable populations, while work to eliminate mother-to-child transmission continues. It said addressing stigma and discrimination remains a priority.

“Public education campaigns and workplace programmes have been expanded, particularly in response to ongoing reports of stigma and workplace discrimination.”

The ministry called on citizens, stakeholders and community leaders to work together to create a stigma-free society where everyone can access care with dignity and respect.

“The ministry remains steadfast in its mission and reaffirms its goal of ending Aids by 2030.”

Same-day surgeries start at Couva Children’s Hospital

SAME-DAY surgeries began on November 28 at the Couva Children’s Hospital as part of a phased approach to fully operationalising the facility.

Health Minister Dr Lackram Bodoe revealed this after a meeting at the hospital on November 28. Although declining an interview at the facility, he later told Newsday the surgeries were for patients on waiting lists across all regional health authorities.

In particular, he said operations were provided for renal dialysis patients who required arteriovenous shunts and radio frequency ablation procedures for patients with severe venous disease of the legs.

Dr Bodoe said the next service to come on-stream would be specialised paediatric outpatient clinics.

Although not committing to a date, he said this would be “in the near future.”

“The operationalisation of the Couva Children’s Hospital is fully aligned with the mandate of the prime minister. The ministry remains committed to ensuring a smooth, well co-ordinated transition as additional services continue to come on-stream.”

He did not say when exactly the hospital would be fully operationalised saying work still needs to be done and decisions to be made including which regional health authority would take custody of it.

Following a laptop distribution event at the Penal Secondary School on November 27, Dr Bodoe confirmed plans were on track for opening the hospital before the end of the year.

Last week, Trinidad and Tobago National Nurses’ Association president Idi Stuart rejected the plan to open the hospital for its intended purpose as he believes there were not enough nursing personnel to adequately staff the facility.

To this, Bodoe said work is being done to resolve staffing issues.

A Udecott report in September detailed some 11,300 people were awaiting surgeries across the country, the bulk of whom require ophthalmology and general procedures.

The hospital was built and opened by People’s Partnership administration on August 14, 2015, but it was never fully operationalised when the PNM came into power and held office for ten years.

When Newsday visited on the morning of November 28, dozens of workers were seen across the campus undertaking what appeared to be painting works, especially on the front of the building visible from the Sir Solomon Hochoy Highway. The “Couva Hospital and Multi-Training Facility” and “University of the West Indies” signs installed by the previous administration were removed, while the Ministry of Health sign remained.

Infant formula recall after botulism outbreak

THE Ministry of Health (MoH) is advising parents of an international recall of contaminated ByHeart Whole Nutrition baby formula.

The formula has been linked to multiple cases of infant botulism.

In a news release on November 17, the ministry said, while the product is not currently listed for sale in Trinidad and Tobago it is issuing the advisory out of an abundance of caution, as consumers may have purchased the product online.

The release said, According to the Centers for Diseases Control and Prevention (CDC) and the Food and Drug Administration (FDA), baby formula ByHeart Whole Nutrition has been linked to multiple cases of making infants sick with infant botulism.

Symptoms of infant botulism can include any of the following:

●Poor feeding,

●Loss of head control,

●Difficulty swallowing,

●Decreased facial expression.

Parents, the ministry said, are advised to seek immediate medical attention if your infant has consumed ByHeart Whole Nutrition Infant Formula and has any of the symptoms mentioned prior.

The ministry also advised that symptoms of infant botulism can take as long as several weeks to develop, so parents should remain vigilant if they use ByHeart Whole Nutrition infant formula.

The ministry advised members of the public to:

●Immediately discontinue use of the above product if in their possession.

●Consult a physician if the product has been used or if any adverse effects are experienced.

●Return the product to the point of purchase, where possible.

Additional information can be obtained by contacting the Office of the Chemistry Food and Drug Division at (868) 217-4664 Ext. 13121, the release said.

Seecheran: CDAP drugs being reviewed

MINISTER in the Ministry of Health Dr Rishad Seecheran says government is reviewing drugs being provided to the public through the Chronic Disease Assistance Programme (CDAP).

He made this comment in response to a question from Independent Senator Dr Desiree Murray in the Senate on October 29. Seecheran said the list of CDAP drugs was extended on October 1 and includes medicines to treat glaucoma.

“Currently the list of CDAP medicines include Timolol Maleate 0.5 per cent and Pilocarpine two per cent as well as Pilocarpine four per cent for the treatment of glaucoma.”

He said the ministry’s CDAP technical committee “continues to review the list of medicines inclusive those that are available for glaucoma to ensure greater management and control of chronic NCDs (non-communicable diseases).”

Seecheran told senators Health Minister Dr Lackram Bodoe formed the committee on June 5, “with a mandate in the first instance to review the list of CDAP items to ensure cost effectiveness as well as clinical alignment with the clinical practice guidelines and thereby to modernise the medications that are available on CDAP.”

He said the committee “has developed a methodology on a clinical review of all identified disease states in accordance with the World Health Organisation (WHO) as well as the National Institute of Health and Care Excellence as well as the National Disease Burden Profiles.”

Murray asked Seecheran if the Ophthalmological Society was consulted about the inclusion of these glaucoma drugs on the CDAP list of medicines.

In response, Seecheran said,”This is an ongoing process and we will in the future consider reaching out to Ophthalmologic Society and consultants with the view of modernizing the drugs but also we have to take in consideration the cost effectiveness of procuring these drugs and the cost analysis benefit to the CDAP.”

Earlier in the sitting, Labour Minister Leroy Baptiste assured Independent Senator Alicia Lalite-Ettienne that government is doing its best to ensure that people with disabilities are able to access jobs.

“Every position is open to people with disabilities.”

Chamber of Industry and Commerce calls for unity to address NCDs

THE Chamber of Industry and Commerce has said a shared commitment to genuine partnerships is needed for transformation of Trinidad and Tobago’s healthcare sector, with a co-ordinated multi-sectoral needed to address non-communicable diseases (NCDs).

In a release on October 6, the chamber said TT faces a significant challenge from NCDs, with chronic conditions such as heart disease, stroke, cancer, and diabetes accounting for over 62 per cent of annual deaths in the country.

“A particularly devastating fact is that three-quarters of these deaths occur in individuals under the age of 70, highlighting the profound impact on families and communities.”

Speaking at a panel during the event – Transforming Healthcare: Bridging Gaps for a Healthier Future – on September 18 healthcare committee chairman Barry Tangwell said no single entity can transform the healthcare system alone.

“He stressed the need to move beyond ‘building empires’ and start ‘building ecosystems’ through a shared commitment to real partnerships that break down silos between public, private, and civil society sectors. The ultimate mission, he stated, is to support activities that promote improved patient outcomes, transparency, and fair trade, with a singular focus on putting ‘people first’.”

Roche Pharma general manager Alvaro Soto said a profound distrust in the healthcare system is a major challenge that limits public-private collaboration.

“He issued a call to action for a shared commitment to genuine partnerships to combine strengths and focus on comprehensive, data-driven solutions. He said this approach could strengthen diagnostic capacity and bring personalised solutions to patients through new models like tender diversification, which refers to adopting more flexible purchasing methods -beyond price-based procurement- to acquire novel and effective medical solutions tailored to individual patient needs.”

The release said the panel recognised the need to embrace innovation to modernise the healthcare system. UWI Health Economics Unit’s Dr Henry Bailey said TT has the tools to implement health technology assessment (HTA), a method crucial for transforming healthcare and reducing health inequality, but these tools are not yet being used in the public sector.

It said Caribbean Cancer Research Institute’s (CCRI) Dr Kimberly Badal proposed a scalable project focusing on patient navigation and using an electronic medical record system to track a patient’s journey from screening to diagnosis and treatment.

The release said the committee has identified five key areas of focus, including collaboration/public-private partnerships (PPPs), NCD management, eHealth, financial sustainability, and tender diversification, to create a more patient-centred healthcare environment.

The release said it has extended an invitation to the Health Minister and other key ministry stakeholders to be a part of continuous, collaborative, consultation sessions through the health care committee to bridge gaps for a healthier future for the TT population.

New drugs available under revised CDAP

NEW medication is now available under the revised Chronic Disease Assistance Programme (CDAP), effective October 1. The new drugs will help patients with heart problems, high blood pressure, high cholesterol, depression and other issues.

The added drugs will include Losartan Potassium 50mg tablets, Clopidogrel Bisulphate 75mg tablets, Risperidone 2mg tablets, Sertraline 50mg tablets and Rosuvastatin 20mg tablets.

The additions come after Health Minister Dr Lackram Bodoe commissioned a CDAP Review Committee on June 5, aiming to assess the programme’s clinical, operational, and financial performance.

A media release from the ministry on October 5 said, “The findings noted that while CDAP remains a crucial public good, its drug list must be updated, its diagnostics strengthened, and its structure modernised to reflect the current medical realities.”

The release said the update falls in line with the government’s health reform programme,

Bodoe said, “The revised CDAP will provide safer, more effective medicines to over 300,000 citizens. With improved diagnostics, better rural access and significant cost savings this update ensures higher quality care and greater value for the people of TT.”

Independent panel gets statements from Jasher’s parents

THE independent expert panel investigating the death of Jasher Francois, 6, has received written statements from the child’s parents, Health Minister Dr Lackram Bodoe confirmed on September 10.

The minister said the panel’s report will be finalised and submitted to the ministry once the statements have been thoroughly reviewed.

“The ministry remains committed to ensuring that this process is conducted with diligence, transparency, and respect for the perspectives of the family,” he told Newsday via WhatsApp.

He did not respond to questions on whether the report would be made public once submitted.

Francois died on August 6, hours after being admitted to the San Fernando Teaching Hospital for a dry cough. According to Aaron Francois, his son was otherwise normal until a nurse administered magnesium sulphate intravenously, causing him to vomit. He said she continued to administer it, during which Francois became unresponsive and died.

An investigation by the National Nursing Association said it did not find any wrongdoing on the nurse’s part.

“The involved general-trained nurse followed all professional instructions and performed all duties to an appropriate standard, given the systemic constraints in our healthcare environment. The nurse’s professionalism, composure, and adherence to protocol are to be commended, and we stand firmly in her defence,” an August 12 release said.

An autopsy by the hospital on August 7 concluded Francois died from aspiration pneumonitis – a condition caused by inhaling sterile gastric contents, like stomach acid.

Immediately following his death, Francois’ parents, Aaron and Yhnique, called for an independent investigation into the incident. They rejected the findings and commissioned an independent one, which was done on August 10. Performed by Prof Hubert Daisley, the autopsy concluded that Francois died from heart failure, likely triggered by the administration of magnesium sulphate medication. His parents accepted this finding, which they believe confirmed their suspicions.

Meanwhile, Prime Minister Kamla Persad-Bissessar instructed the Ministry of Health to launch an investigation on August 8.

Initially given an August 20 deadline, it was later extended to August 25. In a statement, the ministry said the extension was to allow the panel to conduct a more thorough and holistic examination of all aspects of care received.

An August 27 release from the ministry said that although the panel submitted its report, Francois’ parents’ statements weren’t recorded, and it reached out to the couple in the interest of transparency.

Jasher Francois report submitted, parents not included

THE Health Ministry said it has received the report on the investigation into the passing of six-year-old Jasher Francois. However, it said a statement from Jasher Francois’ parents was not received.

In a statement on August 27, the ministry said the independent expert panel convened to review the circumstances surrounding the tragic passing of six- year-old Jasher Francois has submitted its report. The report was originally supposed to be submitted on August 20, but the deadline was extended to August 27.

“While the expert panel has now presented its findings, it is important to note that a statement from the parents of Jasher Francois was not received during the extension period granted to the panel.

“In keeping with the ministry’s commitment to transparency, equity and diligence, the Office of the Chief Medical Officer has formally reached out to Jasher’s parents to ensure their perspective is captured as part of this process. This step is essential to ensure that the review is conducted with the highest degree of fairness, care and sensitivity.”

When Newsday contacted Aaron Francois, Jasher’s father, on August 27, he declined to give a comment.

“We want to thank the media for their pushing our story, but at this point in time, we’re not making any further statements to the media because of the sensitive stage, you know the investigation, and that kind of stuff at this point in time.”

Jasher died on August 7 after he was brought to the hospital to treat a persistent cough.

An initial autopsy said Jasher died from aspiration pneumonitis – a condition caused by inhaling sterile gastric contents, like stomach acid.

A second autopsy, requested by the family, determined Jasher died from a cardiovascular event likely triggered by the administration of magnesium sulphate medication.

The committee members were NCRHA consultant paediatrician Dr Camanee Lutchman; former NWRHA CEO and registered nurse with experience in quality assurance Claudine Sheppard; paediatric intensive care specialist Dr Elizabeth Persad; and former senior legal associate at the Children’s Authority Denelle Singh.

Singh spoke to Newsday on August 27 by phone and said the committee stood by the ministry’s statement.

“When they (the ministry) are ready to produce the report to the public, they will.

“We did reach out to the parents. Unfortunately we weren’t able to meet with them in time for the submission of the report.”

The ministry said it again extended its condolences to the Francois family during this very difficult time and reaffirmed its commitment to conducting the review with integrity and compassion. It said further updates would be shared with the public as the process continued.

Health ministry: Experts’ report on Jasher Francois’ death submitted

The Ministry of Health said the independent panel tasked with investigating the death of six-year-old Jasher Francois at the San Fernando Hospital has submitted its report.

The ministry made the announcement in a media release on August 27.

Jasher died on August 7 after he was brought to the hospital to treat a persistent cough.

An initial autopsy said Jasher died from aspiration pneumonitis – a condition caused by inhaling sterile gastric contents, like stomach acid.

A second autopsy, requested by the family, determined Jasher died from a cardiovascular event likely triggered by the administration of magnesium sulphate medication.

The ministry said while the expert panel has presented its findings, a statement from Jasher’s parents was not received during the extension period granted to the panel.

The ministry said it again extends condolences to the Francois family during this difficult time and said it is committed to conducting the review with integrity and compassion.

It said updates will be shared with the public as the process continues.

Minister pays surprise visit to Eric Williams medical complex

HEALTH Minister Dr Lackram Bodoe conducted an unannounced walk-through assessment of the Adult Accident and Emergency department at the Eric Williams Medical Sciences Complex on August 20.

Bodoe was joined by Dr Tim Gopeesingh, chairman of the North Central Regional Health Authority along with representatives of the department’s team.

A statement from the ministry said during the visit, Bodoe evaluated both operational systems and patient-centred services with the objective of improving efficiency and patient outcomes.

“The minister emphasised that enhancing customer service delivery and reducing wait times remained high priority areas for health sector reform. The minister also visited the St Joseph Enhanced Health Centre, where he met with staff and patients.

“His discussions underscored the ministry’s ongoing commitment to ensuring that citizens receive timely, quality and compassionate care across all levels of the public health system.”

The ministry said Bodoe reaffirmed the government’s dedication to strengthening healthcare delivery.

Police probe missing fentanyl from public health facility

THE police are investigating the apparent disappearance of a quantity of the drug fentanyl from an unnamed public health facility, said a statement from the Ministry of Health on April 15.

Fentanyl is a synthetic opioid typically used to treat patients with chronic severe pain or severe pain following surgery, according to the US Department of Drug Administration.

However, illicit fentanyl sold by drug cartels is a prime driver of overdose deaths estimated at 80,000 people per year in the United States.

The statement said, “The Ministry of Health is advising the public that 300 vials of fentanyl injection 0.05mg/ml/2ml ampoules have been reported as unaccounted for, following a delivery discrepancy to one of the public health facilities.

“The matter was brought to the ministry’s attention on August 6 and immediate investigative action was taken.”

This action included site inspections at the dispatch and delivery locations; verification of delivery records, stock documentation and package markings; and requests for detailed reports and video footage from the relevant facilities.

“The ministry views this matter with the utmost seriousness, given the dangerous nature of fentanyl, which is a potent synthetic opioid that, even in small quantities, can cause severe respiratory distress and death if misused or improperly handled.”

The ministry reminded the public that fentanyl is a narcotic used only under strict medical supervision in hospital settings.

“Possession, use, or distribution of fentanyl without proper authorisation is illegal and dangerous.

“Any member of the public who encounters or is offered fentanyl should immediately contact the police service.”

The ministry continues to work closely with the police service and the Ministry of Homeland Security to determine the circumstances of this discrepancy and to enact measures to prevent any recurrence.

“Further updates will be provided to the public as the investigation progresses,” the ministry promised.

YoCrunch yogurt recalled over concerns of plastic pieces in toppings

The Ministry of Health, via its Chemistry Food and Drugs Division, has issued a voluntary recall of YoCrunch Yogurt.

In a release on July 22, the ministry said, according to Massy Distribution, the local distributor of the product, there is a potential presence of plastic pieces in the dome that contains the toppings.

It added that the issue, however, is isolated to the toppings only and does not affect the separately packaged yogurt.

The YoCrunch Yogurt is approved for sale in TT and the Strawberry low-fat yogurt with Kelloggs Granola, Vanilla low-fat yogurt with Oreo Cookies and Vanilla low-fat yogurt with Snickers are the flavours that may be possibly affected.

“Out of an abundance of caution, the ministry advises people who may have purchased any of these flavours to discontinue use immediately and to return to the place of purchase, where possible,” the release said.

Turkey bacon recalled over fears of Listeria contamination

The Ministry of Health, via its Chemistry Food and Drug Division, has recalled 367,812 pounds of fully-cooked turkey bacon produced from April 24-June 11.

A release on July 21 said that according to the recall issued by Kraft Heinz Foods Company, a Newberry, SC, establishment, the products may be contaminated with Listeria monocytogenes (Lm).

Listeriosis can cause fever, muscle aches, headache, stiff neck, confusion, loss of balance and convulsions sometimes preceded by diarrhea or other gastrointestinal symptoms.

An invasive infection spreads beyond the gastrointestinal tract.

In pregnant women, the infection can cause miscarriages, stillbirths, premature delivery or life-threatening infection of the newborn. In addition, serious and sometimes fatal infections in older adults and persons with weakened immune systems.

The following products are subject to recall:

* 12-oz. vacuum-packed packages of Oscar Mayer Turkey BACON ORIGINAL with Universal Product Code (UPC) 071871548601 printed on the packaging under the barcode, “use by” dates ranging from 18 July to 02 August and lot code RS40.

* 36-oz. packages containing three 12-oz. vacuum-packed packages of Oscar Mayer Turkey BACON ORIGINAL with UPC 071871548748 printed on the packaging under the barcode, “use by” dates ranging 23 July to 04 September and lot codes RS19, RS40, or RS42.

* 48-oz. packages containing four 12-oz. vacuum-packed packages of Oscar Mayer Turkey BACON ORIGINAL with UPC 071871548793 printed on the packaging under the barcode, “use by” dates ranging 18 July to 04 September and lot codes RS19, RS40, or RS42.

The release said that the Food Safety and Inspection Service (FSIS) within the US Department of Agriculture (USDA) classified this as a Class I recall, a high-risk category, which indicates that consumption may “cause serious, adverse health consequences or death.”

The Oscar Mayer Turkey Bacon Original is approved for sale in TT.

Therefore, out of an abundance of caution, the ministry advises people who may be in possession of the products bearing the codes listed above, to discontinue use immediately and to return to the place of purchase, where possible.

Additional information can be obtained by contacting the Office of the Director of the Chemistry, Food and Drugs Division via email at cfdd@health.gov.tt or phone at 217-4664 extension 13101.

MoH: Protect yourself from mosquitoes

The Ministry of Health (MoH) is reminding the public to protect themselves from mosquito bites as the rainy season progresses.

The Ministry, in a media release on July 13, noted the Aedes aegypti mosquito transmits mosquito-borne diseases such as Dengue, Chikungunya and Zika.

The ministry said it closely monitors any trends or changes in general population health, with specific attention to expected seasonal variations.

“While there has been no increase in persons presenting with dengue fever to accident and emergency departments across TT, enhanced surveillance activities by the Insect Vector Control Division (IVCD), the Epidemiology Unit and numerous satellite surveillance units within the community are ongoing.”

It added this is consistent with its wider established protocols utilised for the prevention, control and constant monitoring of mosquito-borne diseases.

Dengue fever symptoms appear within 5-6 days of being bitten by an infected mosquito and can last for one-two weeks.

The symptoms include fever, headaches, pain behind the eyes, muscle and joint pains, skin rash, nausea, vomiting and diarrhoea.

The ministry said, “Anyone showing signs or symptoms of dengue fever should seek immediate medical treatment at their doctor or the nearest health facility.”

The ministry also reminded citizens the best way to reduce the spread of mosquito-borne diseases is by eliminating potential mosquito breeding sites.

It urged the public to dispose of all unwanted articles, derelict vehicles or appliances left outdoors which can collect water and become a breeding ground.

It added water containers such as tanks, barrels, drums or buckets should be covered with mosquito-proof covering.

People are also urged to keep their surroundings clean by cutting and removing all bush or undergrowth that can harbour mosquitoes and cleaning drains and guttering to allow for the free flow of water.

People are encouraged to use mosquito nets and insect repellent, when appropriate, as a means of personal protection.

Anyone who wishes to contact the IVCD for vector control measures can call 612-4823 ext 5456/5402.

Stakeholders want answers on surge in patients at Scarborough Hospital

STAKEHOLDERS are calling on THA Secretary of Health, Wellness and Social Protection Dr Faith Brebnor to clear the air about the recent influx of patients at the Scarborough General Hospital, which resulted in the facility having to be placed in emergency mode on July 8.

In a release, the Tobago Regional Health Authority (TRHA) said the hospital had activated emergency mode owing to what it called a “surge in patient admissions and capacity constraints across medical and surgical wards.”

However, it did not explain what caused the increase in admissions.

The TRHA, in the release, said all elective surgeries have been suspended until further notice.

“Currently, both the surgical and medical wards are at full capacity – adult medical and surgical wards 33 and 34 patients respectively, with 13 patients awaiting admission at the Accident and Emergency Department (A&E),” the authority added.

It advised the public to visit the A&E only in cases of dire emergency during this period.”

In the meantime, the TRHA said every effort was being made to transfer stable patients to the Roxborough Hospital, “where limited bed space remains available.”

The authority thanked the public for their co-operation and understanding “as we prioritise critical care and manage this temporary but urgent situation.”

The Ministry of Health, in a release on July 9, said there is no single factor responsible for the recent uptick in admissions at the Scarborough hospital.

The ministry said Tobago’s bed capacity stands at 130 and, as such, fluctuations in capacity can occur.

The ministry said in response, patient decanting procedures have been implemented with less critical cases being transferred to the Roxborough Hospital to accommodate those awaiting beds.

It said it remains in close communication with the relevant regional health authorities to ensure the continued delivery of timely and effective care across all facilities.

Minority Leader Kelvon Morris on July 9 called on Brebnor to give a clear explanation about what caused the sudden influx in patients.

In a statement, he also urged her to provide details of the emergency response plan as it relates to patient care.

Morris said there must be open and honest communication to reassure both residents and visitors.

“This is not about politics,” he said.

“It is about people’s health and Tobago’s reputation. We must act wisely, quickly and in the best interests of the entire island and its people.”

Morris said the announcement that the hospital has gone into emergency mode has left many Tobagonians worried.

The situation, he said, demands calm, clarity and leadership.

“We need to understand what caused this sudden surge in hospital admissions. Is it an outbreak or are we facing deeper problems in our health system? Tobagonians are, in fact, asking these questions and they deserve answers.”

Morris said the release offered no clear plan to manage the crisis.

“After going through a pandemic, we should have had a back-up plan ready to support increased demand. Where is that plan now?”

He argued, “This is not just a health issue. Remember Tobago is a tourism destination and how this was communicated could very well damage visitor confidence and affect our economy.

“Visitors may now worry about getting medical care if they fall ill here and I suspect many are already reconsidering their travel plans.”

Morris also criticised the THA for purchasing villas at a cost of $20 million.

“We must also talk about priorities. While we face this health challenge, the assembly recently spent $20 million on the purchase of some villas which is a non-essential project. We must ask whether this was the best use of very scarce and much-needed resources.”

Innovative Democratic Alliance (IDA) political leader Dr Denise Tsoiafatt Angus also called on Brebnor to explain what caused the emergency.

She said, “Is Tobago experiencing a viral outbreak? Has there been a mass casualty event? Is this the result of a staffing shortage or failed system planning? These are not trivial questions. They are matters of life, safety and public confidence.

“Yet the TRHA’s release fails to offer even the most basic guidance on how individuals and families should protect themselves during this so-called emergency.”

Tsoiafatt Angus, a former TRHA chairman, said the lack of transparency is not only unacceptable but dangerous, “fostering panic rather than preparedness and confusion rather than calm.”

She claimed that “beyond this vague and unhelpful release lies a deeper truth.

“The collapse we are witnessing today is not isolated. It is the direct result of a healthcare system that has been deteriorating for years, particularly at the primary-care level.

“Hospitals are not meant to carry the full burden of a nation’s health. They are a last resort. When health centres in our communities are neglected, when early intervention and preventative care are ignored, the pressure inevitably crashes down on our hospitals. This is exactly what is happening now.”

Tsoiafatt Angus claimed under Brebnor’s leadership, Tobago’s primary health system has been allowed to fail.

“There has been no real investment in strengthening frontline clinics, no co-ordinated push for preventative care and no updated operational response plan in place for situations like this.

“Now with patients lining the corridors and operations on hold, the consequences of that neglect are plain to see. And this pattern of collapse is not confined to healthcare.”

She, too, urged Brebnor to outline an action plan to stabilise the health sector and avoid future shut-downs.

Tsoiafatt Angus also challenged her to “begin the long overdue work of rebuilding Tobago’s primary healthcare network.

“We cannot continue down this path. Tobago deserves a health system that protects its people, an education system that uplifts its youth and a government that tells the truth. When leaders fail to prepare, it is the people who pay the price. And the people of Tobago have paid enough.”

Supplemental allocation approved – $119m more for police

THE Trinidad and Tobago Police Service has received a boost of $119,117,400 in supplementary allocations — among the largest increases granted — during the June 16 Standing Finance Committee (SFC) sitting in Parliament, as the government moved to address what it said were urgent operational shortfalls across sectors, ahead of the mid-year budget review.

The increase forms part of a wider $3.14 billion supplementation package approved for 28 heads of expenditure. It follows the national budget delivered by the previous PNM administration on September 30, 2024, which allocated $6.113 billion to the Ministry of National Security for the 2024-2025 financial year.

The latest supplementation includes provisions for fuel, new police vehicles, recruitment and equipment — among them a $25 million allocation to complete the rollout of nearly 4,000 Huawei body cameras to frontline police officers by year-end.

Minister of Homeland Security Roger Alexander delivered the introduction for the expenditure, appearing visibly nervous and occasionally stumbling during his presentation.

He noted that the Ministry of National Security will soon be officially rebranded and restructured as the Ministry of Homeland Security and Ministry of Defence, with responsibility for safeguarding the country against both internal and external threats. The supplementary allocation will be directed to this newly configured ministry.

Alexander pledged that the full complement of body-worn cameras would be deployed before the end of the year. He disclosed that 970 cameras are currently in use, with the remaining units expected to be delivered and operational within the promised timeframe.

Separately, the Ministry of National Security (Homeland Security) received a $13.9 million allocation, excluding the TTPS provision. This, Alexander said, would primarily be used to settle outstanding obligations, including $3.7 million for meals for detainees held under the recent state of emergency.

The rollout forms part of a standing contractual arrangement with supplier Huawei, although Alexander said under questioning that the total value of the contract was not immediately available.

Minister of Defence Wayne Sturge, seated to Alexander’s right, appeared to offer Alexander advice on his responses, as did Finance Minister Davendranath Tancoo, who engaged in a short but mildly-heated exchange with Diego Martin North East MP and former finance minister Colm Imbert.

Tancoo accused Imbert of putting words in his mouth. Imbert replied, saying it “would help if the original minister (Alexander) would answer and not somebody else (Sturge).”

FUEL BILL GROWING

Another notable line item was the $20 million increase for fuel and lubricants needed to support the recently expanded TTPS vehicle fleet, including 67 new SUVs handed over earlier this month.

Acting Commissioner of Police Junior Benjamin had only weeks ago assured the public that this new fleet would be properly maintained, a commitment reflected in Monday’s supplementary request. Both Benjamin and DCP (Administration) Natasha George sat behind Alexander and were on hand to provide him with answers on TTPS matters.

Imbert, pressing Alexander for specifics, queried how many vehicles the additional fuel allocation would cover.

Alexander responded that the fuel was for 1,626 vehicles in active service, with Tancoo explaining that the increase was necessary because the original provision had been under-budgeted by $10 million – the same figure as the original budgeted sum.

Imbert probed which companies were providing maintenance, food services, janitorial services and vehicle rentals for the TTPS. Alexander maintained that no new contracts had been awarded since the change in administration and promised to supply a full breakdown of contractors and amounts in writing.

Benjamin will be replaced by CoP-elect Allister Guevarro (formerly a senior superintendent at Police Special Branch) on June 17. The official handover parade is scheduled for 4 pm at the Police Academy in St James, marking Guevarro’s formal assumption of command of the TTPS after the House of Representatives unanimously passed a motion to approve the nomination on June 13.

SIGNIFICANT ALLOCATIONS

While the police service’s supplementary allocation commanded much of the public attention, the Standing Finance Committee (SFC) also approved substantial increases to other state agencies and ministries:

They include the Ministry of Health ($728,539,920), Ministry of Education ($455,106,000), Ministry of Public Utilities ($489,470,000), Office of the Prime Minister ($128,403,880), Ministry of Public Administration ($325,811,000) and Ministry of Works and Transport – now Works and Infrastructure – ($325,208,000).

In total, the SFC approved $3,143,983,761 in supplementary funding across government.

The session was frequently punctuated by procedural disagreements, particularly over the lack of immediately available figures. Imbert accused government of coming to Parliament ill-prepared, remarking that basic contract sums and supplier lists should have accompanied requests of such magnitude.

A pointed exchange arose over the $25 million body cam provision, when Alexander confessed to not having the total contract cost immediately available. MP for Arouca/Lopinot and immediate former national security minister Marvin Gonzales asked, “How does (the minister) not know what is the outstanding contractual amount on this item?”

To which Alexander replied, “Member for Arouca/Lopinot, I never said that I did not know. But I want to give you correct figures as it relates to any information.”

Additional queries came from MPs Dr Nyan Gadsby-Dolly, Kareem Marcelle and Opposition Leader Pennelope Beckles, covering matters from contract staffing to court-ordered payments and academy expenses.

Alexander assured the chamber that despite the supplementary requests, no new projects had been introduced.

“The purpose of this appearance is to present, provide context for the supplementary allocation of $13.9 million to the ministry. This sum reflects existing obligations arising out of the shortfall in the fiscal year 2025 budget.”

Heads of expenditure and approved supplementary allocations

President – $1,000,000

Auditor General – $4,982,000

Judiciary – $50,000,000

Industrial Court – $771,000

Parliament – $27,988,000

Service Commissions – $1,500,000

Statutory Authorities Service Commission – $1,325,500

Tax Appeal Board – $270,000

Registration, Recognition and Certification Board – $637,300

Public Service Appeal Board – $1,346,000

Office of the Prime Minister – $128,403,880

Tobago House of Assembly – $32,740,140

Ministry of National Security – $13,900,000

Office of the Attorney General and Ministry of Legal Affairs – $89,492,221

Ministry of Education – $455,106,000

Ministry of Health – $728,539,920

Ministry of Labour – $55,668,400

Ministry of Public Administration – $325,811,000

Integrity Commission – $1,625,000

Ministry of Public Utilities – $489,470,000

Ministry of Energy and Energy Industries – $1,300,000

Ministry of Rural Development and Local Government – $122,114,000

Ministry of Works and Transport – $325,208,000

Ministry of Housing and Urban Development – $25,000,000

Trinidad and Tobago Police Service – $119,117,400

Equal Opportunity Tribunal – $358,000

Ministry of Agriculture, Land and Fisheries – $9,610,000

Ministry of Digital Transformation – $130,700,000

Total: $3,143,983,761

Family hosts fundraiser for disabled Carapichaima toddler – Help Sarai thrive

Angeli Rambally is sending her love and heartfelt gratitude to everyone who has reached out in support, as her family continues to fight to give their four-year-old daughter, Sarai Rambally, a quality life and independence.

On Mother’s Day, May 11, the 27-year-old mother of two from Carapichaima shared Sarai’s story with Newsday, opening up about the struggles her family faces and the strength they continue to summon each day.

Sarai is currently being treated at the Paediatric Neurology Clinic at the Eric Williams Medical Sciences Complex and the Neurosurgery Clinic at the San Fernando General Hospital. A recent ophthalmological assessment confirmed she is blind.

Sarai has been diagnosed with hydrocephalus and has a VP shunt in place. She also has epilepsy, currently managed with monotherapy, a history of infantile spasms that were treated with steroids, global developmental delay, and visual impairment.

Her condition is complex and requires ongoing care from a multidisciplinary team of specialists. Sarai is at risk for serious orthopaedic issues such as contractures and scoliosis, which can cause her significant discomfort.

She also experiences feeding difficulties, chronic constipation, and gastro-oesophageal reflux disease, putting her at risk of aspirating food, a danger that requires specialised care from both gastroenterologists and respiratory experts.

Therapies are vital to preserving what mobility and function Sarai has. She needs intensive physiotherapy and speech-language therapy at least three times a week and occupational therapy weekly.

Her care involves oversight from a wide range of specialists: paediatricians, neurosurgeons, neurologists, dietitians, psychologists, ophthalmologists, and palliative care experts. She also requires mobility equipment such as an adaptive wheelchair with trunk support, a special feeding chair, and a modified car seat.

Rambally describes caring for Sarai as a full-time, round-the-clock job.

“There’s no break,” she said.

“Sarai can’t move on her own. It’s physically and emotionally exhausting.”

Despite the relentless demands, Rambally remains steadfast in her devotion to her daughter. Her husband, 29-year-old Ricardo Rambally, works full-time as a machine operator and is the family’s sole breadwinner.

Rambally admits she was hesitant to share her story publicly at first, but since opening up, the support has been overwhelming. Speaking with Newsday again on June 6, she said, “We’ve received some financial assistance, still not enough to cover all the therapy Sarai needs, but I am beyond grateful. I’m overwhelmed by the kindness, the advice, the support, and the prayers. People are still calling, still reaching out.”

Despite the challenges, the Ramballys are determined to keep going. With the help of close friends, the family is hosting a vegetarian barbecue fundraiser on July 12.

“We’re doing only veggie because meat is too expensive. “This is our first time, and we want to make sure the food tastes good and people feel it’s worth their support.”

Asked if anyone from the Ministry of Health had reached out after the first story was published, Rambally paused before replying softly, “No, no one from the Ministry has contacted us.” She didn’t linger on the disappointment, quickly shifting focus back to the upcoming fundraiser and the growing community of support.

Anyone wishing to assist the Rambally family can donate via Ricardo Rambally’s RBC savings account: 110000004237345.

For more information or to offer help, the family can be contacted at (868) 752-8394 or (868) 755-6547.

Bodoe looking to improve health services

HEALTHCARE services nationwide are set for major upgrades as the Ministry of Health moves to tackle longstanding issues in accessibility and patient care.

Among the plans: longer opening hours at health centres, an expanded Chronic Disease Assistance Programme (CDAP), and the long-anticipated operationalisation of the Couva Children’s Hospital.

Minister of Health Dr Lackram Bodoe outlined these priorities as he delivered the feature address at the U Health and Wellness Expo at the Hyatt Regency, Port of Spain, on Tuesday May 27.

He said the ministry is pressing ahead with a food labelling policy to clearly advise consumers when products are high in sugar, salt and unhealthy fats – part of a broader national strategy to address rising rates of childhood obesity and non-communicable diseases (NCDs).

“This event arrives at a time when our nation and indeed the world are grappling with a dual epidemic: the rise of non-communicable diseases and alarming rates of childhood obesity,” Bodoe told the audience.

He said government, under the leadership of Prime Minister Persad-Bissessar, has made addressing these issues a national priority.

“Our government intends to explore front-of-package labelling…we must give our families and young people the information they need to make healthier choices because informed choices save lives.”

Health centres will soon offer extended operating hours and will be open on Saturdays to improve access to both clinical and preventative care, the minister announced.

“We recognise that prevention is better than cure. This is why we are committed to reintroducing extended opening hours at health centres thereby increasing accessibility to preventative healthcare services,” he said.

Turning to infrastructure, Bodoe confirmed plans to open the long-delayed Couva Children’s Hospital are moving ahead.

In closing his address, he called on young people to embrace healthier lifestyles and make full use of the opportunities presented by health expos like U Health and Wellness.

“To the students and youth here today: you are not just the audience of this expo – you are its reason. Take full advantage of this opportunity. Ask questions. Explore ideas. Discover the power you have to take charge of your own health and influence your families, schools and communities for the better,” he urged.

After the event, Bodoe told reporters that he had recently toured the children’s hospital along with a ministerial team to assess the conditions. “Everyone seems to be excited about the opening of the Couva Children’s Hospital,” Bodoe said.

“As you will remember, it is a 220-bed facility. A preliminary tour was done by myself and a team from the ministry two weeks ago, and that really was to do a status report.”

This visit was to verify the hospital’s current assets and identify any gaps before the hospital could become operational. A report has since been submitted to the PM for review.

“The prime minister and government will determine how the Couva Hospital will be rolled out in terms of providing services, but we give the assurance it will be opened.”

Addressing challenges within the health sector, Bodoe admitted his immediate concerns include longstanding financial issues and public frustration with delays in healthcare services.

“I haven’t crossed a month as yet, but my key concerns would be the outstanding debts at the ministry, especially to suppliers – one of the key things,” he said, adding that while he did not have the exact figures on hand, he believes the debt stands at around $400 million.

“I’m also concerned with…whether over the last ten years, the $8 billion spent in the health sector provided value for money. My biggest concern as minister is that we’ve had complaints from citizens about access to timely healthcare, long waiting times, both in casualty and for surgeries. Those are things we’re trying to address in the very short term,” Bodoe added.

Bodoe announced that the CDAP programme would be expanded, with an increase in both the quantity and quality of medication available to the public.