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Healthy Caribbean Coalition

June 16th 2019


NCD Alliance Builds Capacity to Advocate for the Elimination of Industrially Produced Transfats

Participants at the recent NCD Alliance 2-day training
 Participants at the recent NCD Alliance 2-day training workshop for civil society advocates to build capacity for the Elimination of Industrially-Produced Trans Fats (iTFAs)
During the week of the 72nd World Health Assembly in May, the NCD Alliance hosted a 2-day training workshop for civil society advocates to build capacity for the Elimination of Industrially-Produced Trans Fats (iTFAs). HCC Executive Director, Maisha Hutton, participated in the training. The aim of the training was to equip participants with the knowledge and skills necessary to develop impactful and effective advocacy strategies and campaign in their countries to eliminate industrially-produced trans fats (iTFAs) by increasing their: i) knowledge of WHO’s REPLACE Package and why iTFAs are a public health issue; ii) coalition building and communication skills to enhance the role of civil society in support of the REPLACE package; iii) understanding of legal and policy considerations regarding iTFA elimination; and iv) understanding of arguments commonly used by industry and how to counter them.
Participants at the recent NCD Alliance 2-day training
TFAs have no nutritional value whatsoever and kill over half a million people a year and the evidence on their health harm is indisputable. They can be replaced without changing the quality and price of products and many countries (over 50) have enacted and implemented (over 30) TFA policies, thereby demonstrating the political feasibility of regulation. TFA regulation in the Caribbean is weak (see NCD Progress Monitor 2017 | POS Grid | COP Scorecard). Current data on the levels and sources of TFA in the food supply are needed in order to inform recommendations for legislation. The REPLACE Package provides tools within the modules which can guide this type of assessment.

Please contact us at the if you are interested in collaborating in this area.
Trans Fat Free by 2023
The NCD Alliance recently released an excellent report Trans Fat Free by 2023 which presents case studies of six countries in different regions of the world that have enacted policies to eliminate industrially-produced trans fatty acids/trans fat (TFA) from their food supply.

The report provides civil society organizations (CSOs) and policy-makers around the world with examples of successful strategies for enacting and implementing TFA policies.
The report also provides best practices, lessons learned, and recommendations based on the experience of policy-makers, advocates, and researchers involved in such efforts.

Second Webinar in the Chilhood Obesity Prevention Series

Second Webinar in the Chilhood Obesity Prevention Series
Date: Friday, June 21st, 2019
Location: UWI Open Campus Blackboard Collaborate
Time: 10:00 - 11:30 a.m. E.S.T.

The HCC is pleased to announce the second webinar in its Childhood Obesity Prevention Webinar Series, the objective of this webinar is to build public and policymaker awareness and support for the introduction of mandatory front-of-package nutrition labels in the Caribbean.

The webinar entitled – “Pushing and Pulling: The Caribbean Experience Moving Towards Front-Of-Package Nutrition Labels”, examines regional multistakeholder efforts, experiences and perspectives related to the promotion of a CARICOM front-of-package nutrition warning label that assists consumers in making informed decisions about the nutritional content of pre-packaged food and beverage items in their shopping carts.

  • Sir Trevor Hassell, President, HCC
  • Dr. Fabio Da Silva Gomes, Regional Advisor in Nutrition, PAHO
  • Fulgence St.Prix, CROSQ Technical Officer, Standards
  • Dr. E. Arthur Phillips, Senior Medical Officer of Health (NCDs) Ag. , Ministry of Health and Wellness. Barbados
  • Dr. Luis Galicia, Ministry of Health Uruguay
  • Vonetta Nurse, Advocacy Officer, Heart Foundation of Jamaica
  • Nicole Foster, Lecturer in Law; Attorney-at-Law; HCC Policy Advisor
  • Maisha Hutton, Executive Director, HCC
Read more
Are you living with an NCD? Do you require essential medicines to manage your condition? Are you willing to share your experience around getting your medication?
Then HCC is looking for you!
We would like to learn about your experiences in accessing essential medicines for your NCD. Your stories will help to highlight gaps and weaknesses in the current system and support advocates working to improve equitable access to these essential medicines, across the Caribbean . 
Please get in touch with the HCC or email


CARPHA Health Research Conference - Primary Health Care:  Current and Future Models for the Caribbean

CARPHA Conference
The 64th CARPHA Health Research Conference  takes place this week June 20-22 at the Trinidad Hilton & Conference Centre Trinidad and Tobago, the theme is Primary Health Care: Current and Future Models for the Caribbean.

The Keynote speaker is Dr Carissa F. Etienne, Director of  PAHO, other featured lectures include:
  • The Particular Challenges of NCDs in Small Island Developing States - Professor T Alafia Samuels
  • The Global Challenge of Antimicrobial Resistance - Professor Upton Allen
  • 40 years of CARPHA-CHRC-CCMRC: How clinical and basic science inform the (Caribbean) Public Health Agenda - Professor Kennedy Cruickshank
  • ECHORN at 8 years: promoting cross-island collaboration to further non-communicable disease
  • research - Dr Peter Adams & Dr Rohan Maharaj
  • Cancer Control in the Caribbean: Progress and Challenges -  Professor Diana Sarfati
Read more
Also Happening This Week
  • 27th Meeting of the Chief Medical Officers of Health June 17-18 which will be attended by HCC Director Dr. Victor Coombs.
  • CARPHA Inter-Agency Technical Committee (ITC) Meeting: 6-Point Policy Package June 18 -19 June which will be attended by HCC Executive Director and HCC representative Dr. Kenneth Connell (Also President of the HSFB).

The PAHO/WHO Advisory Group on Advancing the NCD Agenda in the Caribbean Meeting

PAHO/WHO Advisory Group
 L to R Sir Trevor Hassell, President HCC, Dr Anselm Hennis, Director, Non-communicable Diseases and Mental Health, PAHO/WHO, Sir George Alleyne, Director Emeritus of PAHO/WHO, Dr Rhonda Sealey-Thomas, Chief Medical Officer, Aningua and Barbuda, Dr Carissa F. Etienne, Director of  PAHO, Professor T Alafia Samuels, Director, George Alleyne Chronic Disease Research Centre, Professor Karl Theodore, Director of HEU, the Centre for Health Economics at the University of the West Indies (UWI) St Augustine Campus in Trinidad (Photo:Arantxa Cayón)
The PAHO/WHO Advisory Group on advancing the NCD Agenda in the Caribbean was formed in 2016 to advise the PAHO Director on strategies, policies and collaborations regarding NCD prevention and control, promotion of investments in health, advocacy, as well as whole-of-government and whole-of-society approaches, in the Caribbean subregion. This advisory group is now in its second 2-year term, and is chaired by Sir George Alleyne, Director Emeritus of PAHO/WHO, with representation of CARICOM, CARPHA, the HCC, The UWI, and technical and diplomatic representation of the subregional Member States. HCC President, Sir Trevor Hassell, is a member of the group.

The Advisory Group met at PAHO HQ on 4 June to review achievements and concerns in the Caribbean subregion. The Caribbean contributions to the recent World Health Assembly in Geneva were noted, as was Professor Peter Figueroa’s acknowledgement as a global public health leader. Prevention and control of tobacco use is a key public health measure that saves lives, and there has been some progress in the region in this area. PAHO has been providing technical cooperation to countries towards the effective implementation of their Tobacco Control Acts, as well as assisting countries in their efforts to pass or amend tobacco control legislation consistent with the WHO Framework Convention on Tobacco Control (WHO FCTC) mandates. CROSQ is leading the effort to develop and revise nutrition labelling standards, and PAHO is providing technical support in the public health interest.

Sir Trevor Hassell updated the group on HCC’s work and shared HCC’s recently launched Technical Brief, First United Nations High-Level Meeting on Universal Health Coverage - Technical Brief for CARICOM  Countries: A Contribution from Civil Society, which was developed in recognition of the upcoming 1st UN High Level Meeting on Universal Health Coverage in September 2019. For more about the Brief, including a look at HCC’s eight advocacy priorities and the Executive Summary please visit this link for more information.

The negative economic impact of NCDs on health and development was discussed as an issue of tremendous concern, as well as the importance of investing in disease prevention and control, which leads to reduce health expenditures and significant returns on such investments. This was emphasized by the Health Economics Unit of The UWI. In earlier work collaborative work between PAHO and Harvard University, it was shown that Jamaica would lose US$ 18.45 billion as a result of NCDs and mental health conditions during the period 2015 -2030. But follow up work with RTI projected that for every JMD spent to tackle risk factors or improve treatment, would yield a minimum JMD 2.10 return on that investment in Jamaica.
(Photo:Arantxa Cayón)
PAHO had also worked with Member States of the Americas, led by Barbados to achieve a resolution of the Organization of American States at its Forty-eighth Regular Session, titled Strengthening Multi-sectoral responses to the crisis of non-communicable diseases (NCDs) in the Americas.  This was the very first time that a health-related resolution was approved by this body.

The Advisory Group noted the critical importance of political leadership at the highest levels to reverse the impact of NCDs. The drivers of NCDs, principally tobacco use, harmful use of alcohol, physical inactivity and unhealthy diets, exist largely outside the health system. CARICOM has agreed to achieve the goal of 100% tobacco smoke free public and work spaces by September 2022. This will only be possible if national leaders are fully supportive. Similarly, leadership at the highest levels is critical for efforts to improve nutrition in the region, where the majority of the populations are overweight or obese. There is also need for improved coordination between Ministries of Health and Ministries of Finance for implanting interventions to reduce consumption of products such as tobacco, alcohol and sugar sweetened beverages which are harmful to health
See more pictures from the meeting

Power, Progress, Change Women Deliver 2019

Women Deliver 2019
Ms. Ashley Foster-Estwick
Ms. Janece Daniel of I Am a Girl Barbados (Left) and Ms. Ashley Foster-Estwick Women Deliver Young Leader and HCC Youth Advocate (Photo:Ashley Foster-Estwick)
Power, Progress, Change Women Deliver 2019, Miss. Ashley Foster-Estwick Women Deliver Young Leader and HCC Youth Advocate describes her experiences. Ashley also had the opportunity to ask few questions of 19 year-old Janece Daniel of I Am A Girl Barbados, who spoke on three panels hosted by Women Deliver.

Vancouver, Canada set the stage for the largest conference on women’s sexual and reproductive health and rights for the 5th time in a row; thanks to a leading advocacy group Women Deliver. Women Deliver describes itself as a global advocacy organisation working towards gender equality through reducing maternal mortality and achieving universal access to reproductive health. Women alone do not make up the composite of workers, volunteers and advocates who strive to promote what the group calls its unwavering commitment to girls and women. The denotation of Women Deliver simply strives to place a unique, critical and focused lens on women’s health and rights.

Women, men and youth from every corner of the world descended on the cosmopolitan city of Vancouver from June 3rd to June 6th for a four- day dialogue, many of the youth represented were Ambassadors from the Caribbean Community some travel scholarship recipients, speakers and bona fide Women Deliver Young Leaders. These movers and shakers commit their daily lives to serving humanity with an emphatic understanding that the female identity and prowess must be protected. It was an awe-inspiring privilege to have access to this space as a Young Leader with the conservative winds of right-wing agendas demanding a back slide in women’s rights, communities like Women Deliver offer affirmation that power, progress and change are reachable.
Read more

NCD Alliance New Policy Brief: Delivering Healthy Lives and Well-Being for Women and Girls

NCD Alliance New Policy Brief: Delivering Healthy Lives and Well-Being for Women and Girls
(Photo: NCD Alliance website)
NCD Alliance: A new policy brief launched recently at Women Deliver Conference by NCD Alliance and The George Institute for Global Health, outlines some of the gender-specific dimensions of NCDs that Universal Health Coverage (UHC) must address, and presents a number of recommendations to improve the health and wellbeing of girls and women.

With NCDs causing two of every three deaths of women each year, action to implement UHC must recognise and address sex and gender differences in NCD risk factors, care pathways and outcomes if services are to be targeted effectively and deliver healthy lives and well-being for women and girls around the world.
Read more

Regional Stakeholders Meet to Shake the Salt Habit

Participants at the Regional Stakeholders Meeting
Participants at the Regional Stakeholders Meeting (Photo: CARPHA)
HCC Director Dr Victor Coombs was one of more than fifty government officials, manufacturers, distributors, restaurants owners, civil society representatives and stakeholders from other private and public sectors, gathered in Jamaica from 5th June, 2019 for a two-day meeting to tackle the scourge of salt consumption in the Region.

Hypertension, strokes, heart disease and diabetes are among the five leading causes of death in the Caribbean. These diseases represent not only a major health crisis, but also a serious economic challenge. The increased risk of cardiovascular diseases and stroke has been associated with excessive salt intake and hypertension.

“The Caribbean is well known for its high dietary salt consumption from processed foods and as an added ingredient during cooking and at the table. Studies have shown that most people consume too much salt, around twice the recommended maximum level of intake. This high consumption increases the risk for high blood pressure, stroke, and heart disease,” stated Dr. C. James Hospedales, CARPHA Executive Director in his address at the opening of the meeting.
Read more

Bahamas Health Minister Declares War on NCDs and Signals Intention to Introduce ‘Bahamas Moves’ as Part of the ‘Caribbean Moves’ Initiative

MInister Declares War on NCDs
Bahamas Health Minister Dr Duane Sands
(Photo: Shawn Hanna/Tribune242 staff)
The Bahama Journal: Health Minister Dr. Duane Sands yesterday revealed some sobering statistics surrounding non communicable diseases in The Bahamas, and it all boils down to obesity.

Leading off debate in parliament on the 2019/2020 budget, he said that four out of five Bahamians are overweight and 49. 2 per cent are obese. 

“For sake of comparison 39 per cent of the world population were overweight in 2016 and 13 per cent were obese. In a (meta-analysis) study of 2.88 million people, obesity was associated with a hazard ratio of 1.18, which basically means that just by being obese, you have a 25 per cent of dying just because you’re obese,” he said. 

The Minister added that obesity also heightens one’s chance of getting cancer, type two diabetes, renal failure, or even stroke. There are also plans to introduce “Bahamas moves” - a program that’s a part of the “Caribbean Moves” initiative geared towards encouraging increased physical activity. 
Read more

Get Your Pap Smears Done

Mrs Sharon Rowley
Mrs Sharon Rowley, wife of T&T Prime Minister (Photo: T&T Newsday website)
Early detection is the key to reducing the numbers of women with cervical cancer.

That was the advice of Sharon Rowley, wife of the Prime Minister, as she spoke with reporters at yesterday's third installation of the Health Ministry's Pap Smear Initiative at the Women’s Centre, Mt Hope Women's Hospital.

She said this was one initiative she fully endorsed as a patron of the Caribbean Association of Oncology and Haematology, a non-governmental institution, regional, which looked to improving cancer care throughout the Caribbean.
Read more

More Barbadian Women Diagnosed With Uterine Cancer

More Barbadian Women Diagnosed With Uterine Cancer
Radio personality Gaynelle Marshall (left), who is the face of Sagicor Gynathon 2019, and Globeathon’s Country Head Dr Vikash Chatrani (right), showing off the t-shirts for this year’s Gynathon walk and run (Photo: Barbados Today)
Barbados Today: More Barbadian women are being diagnosed with uterine cancer, which has now taken over as the leading gynecological cancer seen here. Six years ago that spot was taken by cervical cancer.

The new head of the Department of Obstetrics and Gynecology Dr Vikash Chatrani, who revealed the development to members of the media during the launch of the 2019 edition of Sagicor Gynathon, said the shift came about primarily because Barbados’ cervical cancer detection rates have improved.
Read more
Related Media:

High Sugar-Sweetened Beverage Consumption in Jamaica and Suriname Study Reveals

High Sugar-Sweetened Beverage Consumption in Jamaica and Suriname Study Reveals
In the latest and most comprehensive assessment of worldwide beverage consumption, researchers report substantial differences in the beverages consumed by different demographic groups in 185 countries

According to study author Lara-Castor and her team some patterns emerged from their study. She said, Notably, sugar-sweetened beverage and fruit juice intake was highest in the Latin American region, where both commercial and homemade sugar-sweetened beverages and fruit drinks are widely consumed"

The researchers found consumption of sugar-sweetened beverages was highest in Mexico, where the average adult drank more than 19 ounces per day (equivalent to roughly 2.5 cups per day), followed by Suriname and Jamaica, where adults drank nearly 15 ounces per day
Related Media

NCD Alliance Advocacy Institute Webinar - Communication Campaign Strategies

NCD Alliance Advocacy Institute Webinar - Communication Campaign Strategies
HCC Executive Director, Maisha Hutton will be one of the presenters for the upcoming NCDA Advocacy Institute Webinar on Communication Strategies. The objective of this webinar is to share the general elements of an effective communication campaign strategy and how to develop such a strategy for upcoming international windows of opportunity, such as the UN HLM on UHC (23 September 2019).

This will be followed by a presentation of three case studies from the NCD Alliance, the Healthy Caribbean Coalition and the Ghana NCD Alliance. These case studies will help discuss and identify some of the characteristics and lessons learned from engaging in a communications campaign, and encourage peer-to-peer knowledge sharing and support.

This second webinar is part of a series of three webinars we are organising this year. The first one was held on 30 April on Strategic Planning for Alliances and the third webinar will be in Q4 on Resource Mobilisation (exact date to come). The NCD Alliance's Advocacy Institute webinar series is a benefit of our member alliances to help them strengthen their coalition building work, but they are also open to all NCDA members and NGO supporters as it may help inform their own coalition building and capacity development work.

Annual Oscar Jordan Medical Symposium - Lecture

Annual Oscar Jordan Medical Symposium - Lecture
The Barbados Diabetes Foundation presents the Annual Oscar Jordan Medical Symposium 2019 - Medical Lecture.

Date: Thursday, 27 June 2019, 5.00PM-9.00PM
Venue: Henry Fraser Lecture, UWI, Cave Hill, St. Michael, Barbados
Theme: Managing Childhood Obesity in Diabetes Prevention: The Jamaica Model
Guest Speaker: Dr. Simone Spence, Director of Family Health Services, Ministry of Health, Jamaica

Registration is a must as spaces are limited. Physicians, nurses, allied health professionals, medical and nursing students are invited to attend.

3 Interventions Could Prevent 94M Early Deaths by 2040

3 Interventions Could Prevent 94M Early Deaths by 2040
(Photo: Cardiovascular Business website)
Cardiovascular Business: Harvard researchers have identified three health interventions that, if implemented and followed closely over the next quarter-century, could prevent up to 94 million early deaths from noncommunicable diseases (NCDs) like CVD.

“Three specific interventions have a potential to save lives on a large scale: treating high blood pressure, reducing dietary sodium intake and eliminating artificial trans fat intake,” Kontis and co-authors wrote in Circulation, where they published their findings June 10. “However, there has been limited progress addressing them, despite the fact that there are cost-effective and feasible interventions with substantial impact on preventing NCDs worldwide.”
Read more

Obesity News From Around the Globe

Obesity Is the Second Leading Contributor to Australia’s Burden of Disease
(Image: Emma Darvick)

Obesity Is the Second Leading Contributor to Australia’s Burden of Disease

Austraiia - SBS News: There are calls for government action on a national obesity prevention strategy to include public education campaigns in addition to protecting children from junk food marketing. Read more
Good Start but Long Way to Go, Experts Say Ahead of Sugar Tax
(Photo: MS News Today Website)

Good Start but Long Way to Go, Experts Say Ahead of Sugar Tax

Malaysia - FMT News: A think tank warns that it will be difficult to change the eating habits of Malaysians, as Putrajaya prepares to impose an excise tax of 40 sen per litre on sweetened beverages.
Read more
Sedentary’ Diseases Continue to Be a Problem
(Photo: PNC News First)

‘Sedentary’ Diseases Continue to Be a Problem

Guam - PNC News First: NCDs will continue to be a health priority on Guam and the rest of the world, according to Frank Campillo, Select Care Health Plan Administrator, in his presentation on Health Care Cost Trends at a Rotary meeting.
Read more
Traffic light alerts can help us cut down sugary drinks
(Photo: Reuters)

Traffic light alerts can help us cut down sugary drinks

UK - Evening Standard: Using traffic light-style warning labels and making healthy alternatives more easily available can reduce the consumption of sugary drinks. Measures which helped consumers become more informed about the contents of the drinks.. Read more
Childhood Obesity Prevention Scorecard
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The NCD Alliance


In this edition:
  • Delivering healthy lives and well-being for women and girls
  • Realising the promise of digital health for NCDs and UHC
  • Five priorities to integrate NCDs in the UN HLM on UHC
  • Our right to health, our right to clean air
  • Webinar on childhood obesity prevention - Friday 21 June
  • Join our new Knowledge Exchange Network on TFA
  • Norway's pension fund KLP bans investment in alcohol
  • Consultant: Policy and Advocacy
  • Various opportunities with Health Finance Institute
Read more

Call for Abstracts Caribbean Congress on Adolescent and Youth Health

Call for Abstracts Caribbean Congress on Adolescent and Youth Health
A consortium of Caribbean and regional partners is organising a regional Congress to mobilise greater investment for the promotion and protection of the health and well-being of all adolescents and young people in the Caribbean. This Congress, the first of its kind in the Caribbean, will be a launchpad from which advocates, health and social workers, policy-makers, academia, clinicians and young people themselves can heed the call towards improving their health and well-being for the future development of the region. The overarching theme of the Congress is: "Protecting our Future by Promoting the Health and Well-being of Adolescents and Youth in the Caribbean", you are invited to submit an abstract on the following topics for oral or poster presentation, the deadline for submission is Friday July 12th.
  • Track 1 Mental Health, Substance Use, Violence and Injuries
  • Track 2 Sexual and Reproductive Health and Rights, HIV and STIs
  • Track 3 Nutrition, Physical Activity, Sport and Youth Development
  • Track 4 Climate Change and the Environment 
Read more

The American Heart Association Institute for Precision Cardiovascular Medicine Data Grant Portfolio

Closing Date for Applications 30th July 2019
AHA Grants
Grants are open to applicants outside the U.S., Training Grant applicants must hold at least a bachelor’s degree, Clinical Training Grants are for recent medical school graduates. Fields of study using bioinformatics, code development, and scientific community development are welcome.
Read more

New Funding Opportunity from the LINKS Initiative

A New funding opportunity from the LINKS initiative is now available. Led by Resolve to Save Lives, for those interested and working on cardiovascular disease prevention. Grants awarded this year are focused on managing high blood pressure, reducing salt intake and eliminating trans fats.
In order to access the grant website you need to become members of LINKS, which you can be easily done here:
The new call for applications ends in 15 June 2019.
Read more

Please Help to Monitor the Health of Caribbean Schools

My Healthy Caribbean School (MHCS) is an initiative of the HCC which provides students, teachers and parents with the opportunity to monitor the school environment with a focus on nutrition and physical activity.
Find out more

Key Messages From Our Publications

HCC Advocacy Priorities for the HLM-UHC 2019
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Forthcoming Events


CARPHA Health Research Conference - Primary Health Care : Current and Future Models for the Caribbean

CARPHA Conference
Read more


Cancer Support Services Annual Conference

Cancer Support Services Annual Conference
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Heart & Stroke Foundation of Barbados Heart of a Woman Symposium and Trade Show

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Our Publications
First United Nations High-Level Meeting on Universal Health Coverage
First United Nations High-Level Meeting on Universal Health Coverage: Technical Brief for CARICOM Countries - A Contribution from Civil Society
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CTA Beyond the Call to Action
CTA Beyond the Call to Action -  Towards School Policies in Support of Childhood Obesity Prevention
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The HCC is a regional network of Caribbean health NGOs and civil society organizations with the remit to combat chronic diseases (NCDs) and their associated risk factors and conditions. Our membership presently consists of more than 65 Caribbean-based health NGOs and over 55 not-for-profit organisations and, in excess of 200 individual members based in the Caribbean and across the globe.

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The HCC promote the work of civil society throughout the Caribbean in a variety of ways including sharing of their materials, this is not an endorsement of their materials or messages. The information contained in this newsletter is for general information purposes only, we endeavour to keep the information up to date and correct but any reliance you place on such information is strictly at your own risk. Through this newsletter you are able to link to other websites which are not under the control of the HCC. We have no control over the nature, content and availability of those sites. The inclusion of any links does not necessarily imply a recommendation or endorse the views expressed within them.
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