News Archives - Healthy Caribbean Coalition

The Fate of Front of Packaging Warning Labelling in CARICOM

An UPDATE on the Regional Standard for Labelling of Pre-Packaged Foods

The Fate of Front of Packaging Warning Labelling in CARICOM

An UPDATE on the Regional Standard for Labelling of Pre-Packaged Foods

The Fate of Front of Packaging Warning Labelling in CARICOM

Since September 2022, national representatives have been participating in consultations across the region. The coming weeks and months will be critical for regional public health as we await the outcome of the national deliberations. From a public health perspective, a win is a recommendation to retain the Standard in its current format with the octagonal ‘high in’ warning label as the singular recommended labelling scheme guided by the PAHO nutrient profile model. Will we see a collective reckoning with CARICOM uniting around an agenda that places public health first?  HCC will be working with partners at the regional level and at the national level including Ministries of Health and civil society organisation members, to ensure that the public health perspective is prioritised in the deliberations

For more on Front of Package Warning Labelling please visit our dedicated webpage here.

What is happening right now?

As of early November 2022, across the region, Caribbean countries are once again deliberating on whether or not to support the right of Caribbean citizens to have the best available front of package nutritional labelling model on their packaged foods. Through their local Standards Bureaus, National Mirror Committees in eleven (11) Member States are reviewing the Draft CARICOM Regional Standard for Specification for labelling of pre-packaged foods (DCRS 5:2010) which incorporates specifications for the ‘high-in’ monochromatic octagonal front of package warning label system (OWL) and the PAHO Nutrient Profile Model to guide the thresholds for labelling of pre-packaged foods as ‘high-in’. The Standard meets the highest level of scientific rigor including the selection of the octagonal warning label and the PAHO nutrient profile model. There is a growing body of conflict of interest-free, scientific evidence which consistently supports the OWL as the best labelling model for empowering consumers to easily, correctly and quickly identify unhealthy foods ‘high in’ sodium, fats and sugars.   The OWL is also supported by a 2021 randomized controlled trial of adult shoppers conducted in Jamaica which examined the best performing front-of- package labelling (FOPL). The study was undertaken by the University of Technology, the Jamaica Ministry of Health and Wellness and the Pan American Health Organisation (PAHO).  The study found that the OWL consistently outperformed other labelling models (magnifying glass, UK traffic light, and GDA facts up front) helping Jamaican consumers to better identify foods ‘high in’ sodium, fats and sugars.

Wasn’t there a vote on this Standard last year? What was the outcome?

Last year, in 2021, all 15 CARICOM Member States were asked to vote on whether or not they approved the then Final Standard (FDCRS 5). Member States could approve, reject or abstain and a 75% vote of approval was needed to trigger escalation to the next stage of the Standard approval process. Ultimately 66% (6/9) of CARICOM countries voted in favour just falling short of the 75% target (6 countries abstained, 3 opposed, and 6 approved the Standard).   The vote was very close – had one of the 9 countries that either abstained or voted against the Standard, voted in favour, then the 75% target would have been achieved.  The inability to achieve consensus stalled the process and thrust it back into the consultations phase, further extending a long and exhaustive consultative period that began in 2018.

Why do we need more consultations? What has changed?

The consultations have recently resumed with Member States now being asked to make recommendations on what should be done with the Standard given the release of a study designed and implemented by the recently formed Caribbean Private Sector Organisation (CPSO) with the Caribbean Community (CARICOM) Secretariat, and the Caribbean Agricultural Health and Food Safety Agency (CAHFSA).  The CPSO, an Official Associate Institution of CARICOM, represents, amongst other sectors, the region’s food and beverage manufacturing sector. So the national deliberations are now being informed by two studies: the first study was conducted by an academic institution (University of Technology Jamaica) in partnership with national (Ministry of Health and Wellness Jamaica) and regional (PAHO) health authorities. The second study was conducted by a regional private sector umbrella organisation representing national private sector entities including those – the ultra-processed food and beverage sector – with a vested interest in the outcome of the study.

Better Labels, Better Choices, Better Health – why we need strong evidence-based front of package warning labelling

Noncommunicable diseases (NCDs) are the leading causes of sickness, death and disability in the Caribbean. Rates of overweight and obesity are among the highest in the world and most worrying among children where 1 in 3 children and adolescents is living with overweight or obese. Unhealthy diets are a major risk factor contributing to the high rates of obesity and NCDs. Unhealthy diets are fueled by the widespread availability, accessibility, affordability, desirability, and consumption of ultra-processed products which contain high levels of “critical nutrients” of public health concern, namely sugars, total fats, saturated fats, trans fats and sodium.

The OWL empowers consumers of all ages, literacies and those living with NCDs, to quickly identify and avoid foods which are ‘high in’ sodium, fats and sugars.  Other labelling schemes such as the traffic light or the GDA (facts up front) do not present this information.  Instead they tell you the amount of grams of these nutrients (sodium, fats, sugars) and most consumers are unable touse this information to determine if the product is healthy or not, it only allows them to compare between unhealthy products.

Front of package warning labelling is also an enabling foundational policy which allows governments to easily identify those foods and beverage products which need to be regulated (restricted in schools for example) in order to support consumers in making the healthy choice the easy choice.

There is strong regional support for the OWL. Last year HCC, PAHO, the OECS Commission and UNICEF, implemented a regional campaign in support of the octagonal ‘high in’ warning labels – Better Labels, Better Choices, Better Health. The campaign was supported by almost 50 regional organisations and over 340 regional health professionals.

The Fate of the Warning Labelling in CARICOM

Since September 2022, national representatives have been participating in consultations across the region. The coming weeks and months will be critical for regional public health as we await the outcome of the national deliberations. From a public health perspective, a win is a recommendation to retain the Standard in its current format with the octagonal ‘high in’ warning label as the singular recommended labelling scheme guided by the PAHO nutrient profile model. Will we see a collective reckoning with CARICOM uniting around an agenda that places public health first?  HCC will be working with partners at the regional level and at the national level including Ministries of Health and civil society organisation members, to ensure that the public health perspective is prioritised in the deliberations

For more on Front of Package Warning Labelling please visit our dedicated webpage here.

The post The Fate of Front of Packaging Warning Labelling in CARICOM appeared first on Healthy Caribbean Coalition.

2 years 9 months ago

Health – Dominican Today

Attention to a Haitian woman with cholera cost a lot of money

The cost to the Dominican healthcare system for the one and only case of cholera discovered thus far in the nation—involving a Haitian woman who has already been released—was revealed yesterday by Minister of Public Health Daniel Rivera. The patient from Haiti required five sessions of dialysis treatment, multiple blood transfusions, and other services to complete her full recovery.

In addition to providing tents, beds, hydration supplies, and antibiotics to deal with any eventuality, Rivera assured that the nation maintains surveillance and total control at the border, where sinks for hand hygiene are still operational at the entry points. The minister emphasized that 10,000 doses of an antibiotic used to treat cholera and prevent leptospirosis were delivered to the nation on October 17 through the Pan American Health Organization (PAHO). This antibiotic was used in hurricane-affected areas to stop any leptospirosis outbreaks.

Rivera gave the assurance that cholera is prevented and cases of diarrhea that may occur for various reasons are detected on the border with Haiti under strict epidemiological control. The official recalled that while there haven’t been any new cholera cases found, there are potential outbreaks of diarrhea from other causes for which the nation also maintains active surveillance. The Minister of Public Health, in attendance at a meeting with health representatives from the four border points, stated, “No one who has diarrhea can stay at home; they go to the control center, they do the test, and it is detected; the doctors are also prepared to identify it in the clinic.

He emphasized the importance of maintaining good hygiene by urging people to wash their hands frequently, especially after using the restroom, wash canned goods in soap and water before opening them, cook their food thoroughly, and trim their children’s nails to prevent cross-contamination. He recalled that because cholera is a hydration, “if it arrives on time, nothing happens,” it is crucial that anyone experiencing diarrhea visit a medical facility for a diagnosis and treatment.

2 years 9 months ago

Health – Dominican Today

Patients are immediately financially impacted by influenza

According to the experiences of parents of patients who have had the disease, the cost of medications and laboratory tests that are involved in treatment for an uncomplicated case of influenza can range up to 8,000 pesos.

After exhibiting symptoms and visiting a private medical facility, the parents of children and adolescents who had the illness claim that they recommended an influenza A/B test, which can cost between 1,000 and 1,450 pesos. Members who are diagnosed with influenza are compelled to purchase a number of medications that their doctors have prescribed. Antivirals are the most expensive of them, costing about 3,700 pesos.

The customer service departments for National Health Insurance (SENASA), Humano, and Mapfre Salud confirmed to their patients that they do not cover any portion of the cost of a blood test, which doctors typically recommend against influenza A and B. Similar to this, they agree that the best antiviral coverage in these situations is not provided by the Basic Health Plan, which the majority of users have. The director of the Robert Reid Cabral Pediatric Hospital, Dr. Clemente Terreno, explains that these patients typically need medication for fever, anti-flu, and oral hydration, depending on the condition.

According to Terrero, additional medications like bronchodilators and steroids are added when the condition worsens and develops into pneumonia, asthma, or wheezing (a sharp sound made when breathing). In this way, the cost of treating the disease rises considerably.

 

2 years 9 months ago

Health | NOW Grenada

Covid-19 update: Grenada Dashboard 1 November 2022

0 new positive cases; 19 active cases
0 new deaths; 2 new recoveries
38,958 fully vaccinated

View the full post Covid-19 update: Grenada Dashboard 1 November 2022 on NOW Grenada.

0 new positive cases; 19 active cases
0 new deaths; 2 new recoveries
38,958 fully vaccinated

View the full post Covid-19 update: Grenada Dashboard 1 November 2022 on NOW Grenada.

2 years 9 months ago

PAHO/WHO | Pan American Health Organization

Los esfuerzos colectivos son necesarios para transformar los sistemas de salud, afirma la directora de la OPS  

PAHO Director Says Collective Efforts Are Needed To Transform Health Systems

Oscar Reyes

2 Nov 2022

PAHO Director Says Collective Efforts Are Needed To Transform Health Systems

Oscar Reyes

2 Nov 2022

2 years 9 months ago

Health

Lupus foundation wants every Jamaican to ‘level up’

The Lupus Symposium is an annual affair organised by the Lupus Foundation of Jamaica, as one of several key events staged for Lupus Awareness Month, observed in October. This year’s focus on reproductive health reflected on the fact that lupus,...

The Lupus Symposium is an annual affair organised by the Lupus Foundation of Jamaica, as one of several key events staged for Lupus Awareness Month, observed in October. This year’s focus on reproductive health reflected on the fact that lupus,...

2 years 9 months ago

Health

Diabetes awareness – Get tested today

In Jamaica, diabetes is often referred to as ‘sugar’ and is a potentially life-threatening illness that is the second leading cause of death for those under the age of 70 years. The Jamaica Health and Lifestyle Survey III (2016-2017), indicates...

In Jamaica, diabetes is often referred to as ‘sugar’ and is a potentially life-threatening illness that is the second leading cause of death for those under the age of 70 years. The Jamaica Health and Lifestyle Survey III (2016-2017), indicates...

2 years 9 months ago

Health – The Montserrat Reporter

New Covid variant XBB hits 18 UK cases – all you need to know about the deadly ‘nightmare’ strain

MS Start = Chronicle Live by Adam May & Aaron Morris –  The XBB strain may be a factor in the recent spike in cases because it spreads quickly and appears to evade people’s vaccine protection © PA A new strain of Covid-19 dubbed the ‘nightmare’ variant has reached 18 known cases in the UK – with scientists and […]

MS Start = Chronicle Live by Adam May & Aaron Morris –  The XBB strain may be a factor in the recent spike in cases because it spreads quickly and appears to evade people’s vaccine protection © PA A new strain of Covid-19 dubbed the ‘nightmare’ variant has reached 18 known cases in the UK – with scientists and […]

2 years 9 months ago

PAHO/WHO | Pan American Health Organization

Third meeting of the International Health Regulations (2005) (IHR) Emergency Committee regarding the multi-country outbreak of monkeypox

Third meeting of the International Health Regulations (2005) (IHR) Emergency Committee regarding the multi-country outbreak of monkeypox

Oscar Reyes

1 Nov 2022

Third meeting of the International Health Regulations (2005) (IHR) Emergency Committee regarding the multi-country outbreak of monkeypox

Oscar Reyes

1 Nov 2022

2 years 9 months ago

Health – Dominican Today

Minister of Public Health emphasizes US assistance in the fight against COVID

Dr. Daniel Rivera, the country’s health minister and president of the health cabinet, emphasized here the significant financial and technological contributions made by the US government to the national healthcare system, emphasizing the fight against COVID-19 and other pathologies there.

In a speech at the opening of the new molecular biology lab that will operate at the José Maria Cabral y Báez Regional University Hospital, Rivera made the remark. He stated that the USNS Comfort ship, a mobile hospital with more than 1,000 beds, 30 Intensive Care units, and various medical specialties to attend to the residents of the localities in the south of the country, will arrive in the nation at the end of this month of November in order to continue with this support for the Dominican Republic. 

Dr. Daniel Rivera spoke about the addition of the new molecular biology lab to the already cutting-edge technology used by Cabral and Báez to quickly identify a variety of pathological and viral diseases, including dengue, leptospirosis, HIV, Zika, influenza, and monkeypox. On his side, the Chargé d’Affaires of the United States Embassy, ​​Robert Thomas, stated that the US government will continue to support not only economic resources but also technological and scientific resources for the national health system. “I am proud that the Government of the United States has donated more than 17 million dollars to support the response to COVID-19 in the Dominican Republic, financing mobile hospitals, ventilators, personal protective equipment, laboratory equipment, training in health, support for vaccination campaigns against COVID-19, efforts to strengthen the health system and more,” said Thomas.

While the general director of Cabral y Báez, Dr. Bernardo Hilario, stressed that the new Molecular Biology Laboratory comes at an opportune time because it increases the demand for reliable tests by citizens.

2 years 9 months ago

Health | NOW Grenada

Tourism is not direct priority over next 5 years

Transforming Grenada’s healthcare services is directly linked to transforming Grenada’s tourism

View the full post Tourism is not direct priority over next 5 years on NOW Grenada.

Transforming Grenada’s healthcare services is directly linked to transforming Grenada’s tourism

View the full post Tourism is not direct priority over next 5 years on NOW Grenada.

2 years 9 months ago

Health – Dominican Today

National cancer statistics are absent from the Dominican Republic

Adrián Puello, the director of the Research and Knowledge Management Center of the Rosa Emilia Sánchez Pérez de Tavares National Cancer Institute (Incart), emphasized the significance of the Dominican Republic having a permanent record that permits data to be collected for research and decision-making purposes to implement sound public policies at the end of October, the pink month for breast c

ancer prevention. “That’s not a cancer registry, we pool skip data every two or three years.” Puello argued that the Dominican Republic needed a permanent registry that could compile information going back at least five years.

According to Incart’s statistics, 149 patients with breast cancer received care at the facility in 2021, 147 of whom were women and two were men. There is a resolution that establishes the national cancer registry, Vice Ministry of Collective Health Director Yocastia de Jesus stated. Its implementation is still pending, and the Ministry of Health is preparing for it to begin. All of the equipment and personnel training have already been purchased.

De Jesus announced that it will go into effect “as soon as possible” and that the launch of the oncology network, which will gather information at both the public and private levels, will coincide with its implementation. A cancer registry’s significance “lies in knowing what the statistics are at the national level,” according to the authors. According to the official, “without statistics, we wouldn’t be able to know what the cost-effectiveness of treatments would be or what prevention tools we should develop, not only for breast cancer but for all types of cancer.”

2 years 9 months ago

Health – Demerara Waves Online News- Guyana

President appeals for national support to tackle problems facing boys, men

President Irfaan Ali  Friday issued a stirring appeal for broad-based national support to address deep-seated problems facing boys and men so that they could grasp education and job opportunities while staying away from trouble such as committing violence against women and children. “This is not the time for us to point fingers. This the time ...

President Irfaan Ali  Friday issued a stirring appeal for broad-based national support to address deep-seated problems facing boys and men so that they could grasp education and job opportunities while staying away from trouble such as committing violence against women and children. “This is not the time for us to point fingers. This the time ...

2 years 9 months ago

Health – Dominican Today

Country with 39 deaths from dengue; Almost 7,000 cases

Dengue cases are increasing in the country, and now a total of 6,991 and the number of deaths that have been reported reaches 39. The data are contained in bulletin number 40, corresponding to the same week. In week 40 alone, 416 cases of the viral disease were reported.

Of these, 72%, or 299 of the 416, were children under 19.

Dengue cases are increasing in the country, and now a total of 6,991 and the number of deaths that have been reported reaches 39. The data are contained in bulletin number 40, corresponding to the same week. In week 40 alone, 416 cases of the viral disease were reported.

Of these, 72%, or 299 of the 416, were children under 19.

The male sex represents 58%, which implies 242 out of 416 notifications this week. A total of 72 municipalities presented cases; of these, Santiago has 58, Santo Domingo Norte 23, San Francisco de Macorís 22, Moca 19, Santo Domingo Este 18, Jarabacoa 17, Cotuí 16, La Vega 13, Los Alcarrizos 13, Santo Domingo de Guzmán 12, Higüey 10 and Azua 10. These contribute 55%, or 231 out of 416.

The total number of cases reported up to week 40 is 6,991 probable and confirmed cases, including 39 deaths.

Dengue is an endemic disease, which means that it is present in the country. It is viral and is transmitted by the bite of the Aedes aegypti mosquito. Among the most frequent symptoms of the disease are fever and eye pain, as well as reddening of the skin.

Recommendations
The first medical recommendation is to go to a health center in case of any symptoms. Also, do not self-medicate and only take acetaminophen in case of fever.

At the community level, it is essential to keep the environment clean and not to have old tires that collect water and are a primary breeding choice for mosquitoes in the yards. The community should collaborate with the cleaning of streets and alleys. We insist on recommending that water storage tanks be covered.

2 years 9 months ago

Health – Dominican Today

Early morning travelers arrive looking for a yellow fever vaccine

At the Santo Domingo Health Center, which is located on Galván Street, 175 people were waiting for a shift at 9:00 on Thursday in order to receive a yellow fever vaccination. Signing up on a list to collect applicants, who are filtered when called by name, is the first step in the process.

After completing this step, a second list is created with the names of those who have been positively identified as being present.

This is done in this way because many people go in groups and write down all their relatives, but at the time of vaccination, many times they are not even in the center, as one of the young women in charge of the list explained. Another reason is that some people lack patience and decide to leave because, once the doors open, the wait time is about three hours. Travelers are called up in small groups of ten by ten and shown to the registration area, where their personal information is taken, they are questioned about their country of destination, and the vaccination card is filled out.

They are then led to the vaccination room, where they are given the quick shot. In contrast to the COVID-19 vaccine, which requires a 15-minute observation period, travelers are sent off to join a new group right away. According to Juan Pérez, the Health Center’s director of nursing, priority was being given to passengers who had flights booked up until November 4 so they wouldn’t miss the chance to board the aircraft.

2 years 9 months ago

Health – Dominican Today

Influenza vaccination lowers heart risk

Flu vaccination reduces the risk of heart disease-related death because the virus can cause heart disease in those who are susceptible.

As the medical director and director of the Cardiovascular Center of the Centers for Diagnosis and Advanced Medicine and Medical Conferences and Telemedicine (CEDIMAT), respectively, Jorge Marte Báez, a pulmonologist-internist, and César Herrera, a cardiologist, point out, “The incidence of different types of diseases caused by viruses and bacteria in the population at the same time has a significant impact on health.”

Additionally, they point out that cardiovascular diseases, which are on the rise in the nation due to changes in lifestyle, the consumption of fast food, and stress, among other factors, are a significant threat to the population. The senior managers of CEDIMAT referred to this and other issues related to the health system, the training of human resources, research, and medical care when participating as guests in the Listin Diario Breakfast, headed by its director, Miguel Franjul.

The nation currently monitors several respiratory viruses, including influenza, COVID-19, and syncytial, as well as illnesses that are currently plaguing the populace, including cholera, dengue, and other ailments.

2 years 9 months ago

PAHO/WHO | Pan American Health Organization

Tuberculosis deaths and disease increase during the COVID-19 pandemic

Tuberculosis deaths and disease increase during the COVID-19 pandemic

Cristina Mitchell

27 Oct 2022

Tuberculosis deaths and disease increase during the COVID-19 pandemic

Cristina Mitchell

27 Oct 2022

2 years 9 months ago

Health – Dominican Today

A trio of viruses are on the prowl

Since they can coexist with other viruses that affect the population, like influenza and respiratory syncytial virus, recombinant variants of omicron and the subvariants BQ.1.1 and XBB, which are currently circulating in some countries, could cause new waves of COVID-19 infection and create a greater demand for medical attention.

The warning was given by the virologist Robert Paulino, who explained that it is not just important that one variant overlaps another, but also the mutational profile of the virus, its capacity to evade the immune system, and its capacity to coexist with other viruses that are affecting the population. He specifically mentioned the influenza virus and the respiratory syncytial virus, both of which are widespread in the nation.

The Dominican Republic currently records a high incidence of respiratory illnesses, mostly linked to viruses A and B of seasonal influenza, which is raising the need for medical care in public facilities and among the underprivileged while maintaining surveillance of diseases like dengue, cholera, and monkeypox, among others. The expert explained that in countries of the global north, the XBB, BQ.1.1, and BA.2.75 recombine variants. 2, all sub variants of Omicron, are driving the rise in cases. They have been linked to the COVID-19 virus and have been identified in some countries.

He emphasized that the pandemic is a brand-new phenomenon that follows an escalation of recombinant variants and sub-variants that are moving at a rate that hasn’t been seen in previous years.

2 years 9 months ago

Health

Democratising health care

The Heart Institute of the Caribbean (HIC), along with the Association of Nigerian Physicians in the Americas (ANPA), is preparing and planning to treat hundreds of Jamaican citizens by offering free comprehensive medical care that includes...

The Heart Institute of the Caribbean (HIC), along with the Association of Nigerian Physicians in the Americas (ANPA), is preparing and planning to treat hundreds of Jamaican citizens by offering free comprehensive medical care that includes...

2 years 9 months ago

Health

Couple tackling lupus with NHF’s help

Nicole Davis-Campbell and her husband Maurice Campbell have been living with lupus for 32 years, collectively. The disease is a costly reality, which the couple say has been more manageable with the support from the National Health Fund (NHF)....

Nicole Davis-Campbell and her husband Maurice Campbell have been living with lupus for 32 years, collectively. The disease is a costly reality, which the couple say has been more manageable with the support from the National Health Fund (NHF)....

2 years 9 months ago

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