The Healthy Caribbean Coalition

May 27th - June 2nd 2017


Building Synergies for Implementation of the Global Strategy (GS) for Women's, Children's and Adolescents’ Health in the Caribbean

Implementation of the Global Strategy
On June 1-2, 2017 in Barbados, a Caribbean Subregional Consultation was held on Building Synergies for Implementation of the Global Strategy (GS) for Women's, Children's and Adolescents’ Health in Latin America and the Caribbean. The meeting was hosted by multiple agencies including PAHO/WHO, IDB, UNFPA, UNICEF, USAID, UN Women, and the World Bank and attended by representatives from 18 Countries.
Excellency Reema Carmona
Excellency Reema Carmona, First Lady of Republic of Trinidad and Tobago: 'The Revolution we seek with regard to a healthier women and girls should be found in the kitchens and classrooms in the Caribbean’
Kim Simplis Barrow
Excellency Kim Simplis Barrow, First Lady of Belize and Special Envoy for Women and Children: ‘The Every Caribbean Woman, Every Caribbean Child movement provides a unique platform for advocacy and action’
Dr. Godfrey Xuereb
Dr. Godfrey Xuereb, PAHO/WHO Representative for Barbados and the Eastern Caribbean: 'If we have unhealthy adolescents we risk reversing the development we have achieved and we risk economic and social collapse'
The goal of the consultation was to arrive at a common multi-sectoral understanding of the Global Strategy and its implications in the context of the Caribbean through the achievement of the following objectives: present the Global Strategy and discuss its implementation in the Caribbean context; formulate recommendations for adaptation and implementation of the Global Strategy at the sub-regional and national level in the Caribbean; present the Global Strategy’s equity monitoring framework within the context of Latin America and the Caribbean and to generate inputs to improve accountability; and facilitate alliances between stakeholders working on women’s, children’s and adolescents’ health in the Caribbean.
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NCDs Front & Centre at WHA

A World Health Assembly Update from the NCD Alliance
An historic 70th World Health Assembly concluded in Geneva this past week and it will be remembered for the election of WHO's next Director-General Dr Tedros Adhanom . 

In an indication of the growing recognition and momentum around NCDs as a global health and development priority to Member States, civil society, and relevant private sector, there were at least 26 NCD-themed side events throughout the 70th World Health Assembly, and many more that touched on addressing NCDs in broader health contexts. 

In the official WHO programme, the NCD Alliance and partners delivered 12 statements on NCDs and cross-cutting issues including cancer, dementia, nutrition, management of chemicals, health of refugees and migrants, and the 2030 Agenda.
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Pushing the NCD Agenda Globally, Regionally and Nationally

Dr Joy St John
Dr. Joy St. John, Chief Medical Officer (CMO) in the Barbados Ministry of Health, has played an important leadership role globally, regionally and nationally the context of NCD prevention and control. She has been a strong advocate for NCDs and has fought for for the establishment of regional and international NCD frameworks.  Most recently, at the 70th WHA in Geneva which wrapped up this week, Dr. St. John participated in the drafting group for the resolution supporting the document of which Appendix III was contained and she chaired the drafting group on the decision on the ‘welcoming' of the implementation plan for the Report of the Commission on Ending Childhood Obesity. 
Dr. St. John has a long history with the WHO. In 2014 she spent 8 months as Senior Adviser for WHO, based in the UN office of WHO in New York in 2014.  In 2012 she was appointed as  Chairman of the Executive Board of the WHO, becoming the first Caribbean national to assume this position.  She supported the co-facilitators of the UNGA review of the 2011 UNHLM on NCDs and in 2012, she chaired the drafting group which achieved the decision for 25% reduction in premature morbidity by 2025.
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World Heart Federation

NCD and CVD-Related News from the 70th World Health Assembly

Joint WHF-NCD Alliance statement on UN HLM 2018 - In a statement to the World Health Assembly on Monday 29 May, the World Heart Federation and NCD Alliance called on Member States to make the third UN High-Level Meeting on non-communicable diseases (HLM 2018) a strategic priority.

Also in this update:
  • Tobacco: a threat to development
  • Policy statement on CVD among women, children and adolescents
  • WHF highlights burden of CVD among refugees and migrants
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5th Latin American and Caribbean Conference Tobacco or Health

5th Latin American and Caribbean Conference Tobacco or Health
The 5th Latin American and Caribbean Conference Tobacco or Health, which will take place on June 13-16, 2017 at the Radisson Hotel in Montevideo, Uruguay. Registration and hotel information can be found at The conference will have simultaneous English-Spanish translation.

The Caribbean Region has been invited to contribute to this important annual Latin American and Caribbean Conference and Alafia Samuels, Barbados, Sheryl Dennis, Jamaica and Samuel Gabriel, Trinidad and Tobago will be presenting whilst Deborah Chen, Jamaica will chair sessions of the conference.
The 5th Latin American and Caribbean Conference Tobacco or Health Denounces Flavored Tobacco Products and calls on governments to ban flavored tobacco products and their associated advertising and promotion, please see the declaration here, it can be signed to show your support and returned to
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Brazil & Ecuador, the First Countries to Make Specific Commitments in UN Decade of Action on Nutrition

Brazil First Country to Make Specific Commitments in UN Decade of Action on Nutrition
Brazil was the first country to make SMART* commitments as part of the United Nations (UN) Decade of Action on Nutrition 2016-2025, followed closely by Ecuador.

Ricardo Barros, Minister of Health of Brazil, made the announcement at the UN in Geneva, on the first day of the Seventieth World Health Assembly.

Brazil’s 3 commitments, to be achieved by 2019, are as follows:
  • Stop the growth in the adult obesity rate (which currently stands at 20.8%)
  • Reduce by at least 30% consumption of sugar-sweetened beverages among adults
  • Increase by at least 17.8% the proportion of adults who regularly eat fruit and vegetables
*SMART = specific, measurable, achievable, relevant, and time-bound
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Ecuador Announces Ambitious Commitments to UN Decade of Action on Nutrition         

Ecuador SMART Commitments
At a meeting at the World Health Assembly, Vice-Ministry of Health of Ecuador announced its country’s commitments, in response to the call of the United Nations Decade of Action on Nutrition (2016-2025).

Ecuador’s commitments are:
  • Generate environments that favor population health;
  • Encourage breastfeeding;
  • Provide comprehensive health services and health education for pregnant women, children under the age of 5, and school age children;
  • Promote community and intersectoral participation in public policy; and
  • Promote food sovereignty
Read more
The HCC applauds the bold steps taken by Brazil and Ecuador and urges CARICOM governments to follow. In our small island settings, commitments around the UN Decade of Action on Nutrition, such as those made by Brazil and Ecuador, are realistic and achievable. For example Barbados and Dominica already have SSB taxation and plans are underway for other CARICOM countries to follow; and Trinidad and Tobago and Bermuda have removed SSBs in all government schools. HCC will support related action in this area at the policy level and through targeted advocacy efforts of national and regional civil society organisations.

UPDATE - 3 Day Workshop on Alcohol, Tobacco and Sugar-Sweetened Beverages

As an update to the recent 3 Day Workshop on Alcohol, Tobacco and Sugar-Sweetened Beverages the following articles are now available on the PAHO website:

The Ian Woosnam Type 1 Diabetes Registry – Barbados

Ian Woosnam
Creating a worry free life for people with diabetes, where the burden of care is eased, quality of care will be accessible & affordable, and improved outcomes can be easily achieved by all.
On May 10th 2017, the official launch of The Ian Woosnam Type 1 Diabetes Registry took place at the Barbados Diabetes Foundation. Speakers included: Justice Chrisopher Blackman- Chair of the Barbados Diabetes Foundation, Mr. Cally Boyea- CEO of the Barbados Diabetes Foundation, Mr. Ian Woosnam - Welsh Professional Golfer, Dr. Ingrid Cumberbatch- Ministry of Health & Ms. Krystal Boyea- Project Manager of the Ian Woosnam Type 1 Diabetes Registry- Barbados.
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The Yale Transdisciplinary Collaborative Center for Health Disparities focused on Precision Medicine

ECHORN Yale Summit
In last week’s HCC RoundUp, we described the Eastern Caribbean Health Outcomes Research Network (ECHORN) -- a research collaboration between the Yale School of Medicine, University of the West Indies, University of the Virgin Islands, University of Puerto Rico and stakeholders focused on reducing the burden of non-communicable disease among Caribbean descent populations.

ECHORN’s latest project is the Yale Transdisciplinary Collaborative Center for Health Disparities focused on Precision Medicine (Yale-TCC) funded by the National Institute on Minority Health and Health Disparities (NIMHD). The Yale-TCC leverages the infrastructure and knowledge of ECHORN to: support research efforts using precision medicine to promote the early detection and prevention of diabetes and hypertension; expand ECHORN’s consortium of stakeholders and promote a multi-directional learning environment; promote diffusion, uptake, and scale up of evidence-based and cost-effective interventions to reduce the burden of diabetes and hypertension.
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The Organisation for Economic Co-operation and Development (OECD) - Obesity Update 2017

Obesity Update 2017
Today, more than one in two adults and nearly one in six children are overweight or obese in the OECD area. The obesity epidemic has spread further in the past five years, although at a slower pace than before. Despite this, new projections show a continuing increase of obesity in all studied countries. Social disparities in obesity persist and have increased in some countries. A nearly tenfold variation in obesity and overweight rates can be seen across OECD countries.In the last few years, new policy strategies devised to fight obesity have emerged.
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The Public Library of Science (PLOS) - “Appendix III” is Critical for Accelerating Progress on NCDs      

Global Action Plan
Noncommunicable diseases (NCDs) accounted for 70% of global deaths in 2015, with three quarters of these deaths occurring in low and middle income countries (LMICs). NCDs are a silent epidemic of premature and preventable death and disability from diseases such as cancer, diabetes, heart disease, chronic lung disease, and mental and neurological disorders. Their main risk factors – unhealthy diets, alcohol and tobacco use, physical inactivity, and environmental determinants such as air pollution, are transmitted via unhealthy environments. They are directly and indirectly caused by commercial determinants, misaligned public policies in agriculture, commerce, education, energy, health, finance, trade, and social security, and are exacerbated by social determinants including poverty and inequity.
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NCD Alliance Webinar

Tuesday June 6, from 10:00–11:30 EDT // 16:00 – 17:30 CET.

The webinar will cover key updates and outcomes on NCDs and related issues from the 70th World Health Assembly and 141st WHO Executive Board. 
To submit questions prior to the webinar by email in advance. Participants will also be able to send questions and feedback during the webinar. 
Register Here

Webinar - Double-Duty Actions: Policies that Address Malnutrition in All its Forms

Wednesday June 7, 2017, 9:00-10:30 a.m. EDT
Harmonizing Multi-Sectoral Nutrition & NCD Policy for "Double-Duty" Nutrition Activities.

Policies can make a big impact on a country's progress toward ending malnutrition, including both undernutrition and overweight, obesity and diet-related non-communicable diseases (NCDs). 
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Diabetes Association of Barbados Market Day

The Diabetes Association of Barbados will be having its Market Day at the Headquarters, Cnr. Jessamine Ave, Beckles Rd, St. Michael, on June 08, 2017, from 10:00 am to 4:00 pm. On sale will be a variety of fruits, vegetables and hand-made jewellery.

HCC Publications

A Spoonful of Sugar – The “Not So Sweet” Truth About Barbados’ Breakfast Cereals
A Spoonful of Sugar – The “Not So Sweet” Truth About Barbados’ Breakfast Cereals 
Sugar in the Caribbean Infographics
Sugar in the Caribbean

See All HCC Publications
The Lancet

 NCD Related Lancet Publications

Weight management programmes of extended duration - In 2014, 52% of adults globally were overweight or obese. Lifestyle programmes, which target improved diet and exercise practices, reliably produce clinically relevant weight changes and are viable options that can reach multiple populations and be delivered on a large scale. Read more
Diabetes: a dynamic disease - The distinction between type 1 and type 2 diabetes was described as early as 500-600 BC by Indian physicians Sushruta and Charaka - type 1 being associated with onset in youth, and type 2 linked to obesity. Today, diabetes is recognised as a complex and heterogeneous disease that can affect people at different life stages. Read more
Plastic Bags are Strangling Barbados
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Training Opportunity - Dissemination and Implementation Research

National Institutes of Health
The National Cancer Institute, in coordination with additional National Institutes of Health Institutes and Centers and the U.S. Department of Veterans Affairs, are hosting this training institute to provide participants with a thorough grounding in conducting D&I research in health across all areas of health and health care. In 2017, the institute will utilize a combination of a 4-month online course (six modules with related assignments) between August 14 and November 17, 2017, and a 2-day in-person training to be held November 30 and December 1, 2017, in Bethesda, MD.
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Leading the Realization of Human Rights to Health and Through Health

Report of the High-Level Working Group on the Health and Human Rights of Women, Children and Adolescents
Leading the Realization of Human Rights to Health and Through Health
We all have the right to the highest attainable standard of physical and mental health, without discrimination, wherever we are, and whatever our circumstances.

This report refers throughout to rights “to health and through health” to express this fact: the right to health does not stand alone but is indivisible from other human rights. Good health not only depends on but is also a prerequisite for pursuing other rights. Human rights cannot be fully enjoyed without health; likewise, health cannot be fully enjoyed without the dignity that is upheld by all other human rights.
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4th Non-Latin Caribbean Conference on Alzheimer's and other Dementias

4th Non-Latin Caribbean Conference on Alzheimer's and other Dementias
Alzheimer’s Association of Trinidad and Tobago (AzATT) commemorates its 17th anniversary by collaborating with Alzheimer’s Disease International, (ADI) the international federation of Alzheimer’s associations around the world, to host the 4th ADI Non Latin Caribbean Regional Conference from June 8th  to 10th at the Radisson Hotel Trinidad. The theme of the conference is “Dementia in the Caribbean: No Time to Lose”.  Read the press release here.
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Cancer Support Services 6th Annual Conference

Registration closes Wednesday June 14.
CSS 6th Annual Conference
Cancer Support Services will host its 6th Annual Conference “It’s Not a Sprint, It’s a Marathon” on Saturday June 24, 2017 at the Accra Beach Hotel and Spa, Rockley, Christ Church from 8:30am with speakers from 21st Century Oncology in Miami, University of the West Indies, Mona Campus, St. Lucia and Barbados.
The conference is open to Physicians, Nurses, Care-givers, Bereavement Support Groups, other NGOs, Patients and all interested persons.
Credits are available for Health Professionals.
Registration and all payment of fees closes on Wednesday June 14, 2017.
No payment of fees will be accepted on the day of the conference. 
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CMPPA 4th Annual Medical Conference & Community Outreach Program

CMPPA 4th Annual Medical Conference & Community Outreach Program
The Conference Program can be downloaded here.
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Caribbean Cardiac Society - 32nd Caribbean Cardiology Conference - Early-Bird Registration Open

Caribbean Cardiac Society
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AC3 Conference 2017

AC3 Conference 2017
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WHO Global Conference on Noncommunicable Diseases

Enhancing policy coherence between different spheres of policy making that have a bearing on attaining SDG target 3.4 on NCDs by 2030. 
Montevideo, Uruguay, 18-20 October 2017
WHO Global Conference on Noncommunicable Diseases
World Health Organization (WHO) is organizing the Global Conference on Noncommunicable diseases (NCDs): Enhancing policy coherence between different spheres of policy making that have a bearing on attaining SDG target 3.4 on NCDs to, by 2030, reduce by one third premature mortality from NCDs through prevention and treatment. The Conference is hosted by the President of Uruguay from 18 to 20 October 2017 in Montevideo. 
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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 work of HCC would not be possible without core funding from Sagicor Life Inc
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