Anguilla made history over the weekend as the island hosted its first-ever Superfood Breadfruit Festival, a vibrant celebration of culture, cuisine, and Caribbean unity held from Saturday, 10th January 2026 to Monday, 12th January 2026. The Anguillian Newspaper attended the Sunday segment of the festival, which took place at Chillax Restaurant in East End and drew a steady stream of residents and visitors alike.
The festival, centred on the humble yet powerful breadfruit, brought together people of all ages and backgrounds from across Anguilla, as well as visitors and vendors from neighbouring islands including Guadeloupe, Martinique, St. Maarten, and beyond. The atmosphere was lively and welcoming, with the scent of roasted breadfruit in the air and conversations flowing easily between strangers who quickly felt like neighbours.
One of the key organisers and spearheads of the event, Mr. Salih Abdur-Raheem, described the occasion as both symbolic and historic for Anguilla. “We’re hosting the first superfood breadfruit festival event in Anguilla, and thus far it’s a huge success,” he said. Speaking on the motivation behind the festival, Mr. Abdur-Raheem emphasised the deeper meaning behind choosing breadfruit as the focal point. He explained that the idea was born out of recognising breadfruit as a staple food and an important element of food security, while also using it as a unifying force across Caribbean cultures. “Integrating our Caribbean islands, and also cultures, and our diverse individuals with different languages, we can come as one and use breadfruit as a superfood to make us come together,” he said.
The festival also placed a strong focus on education and intergenerational awareness. According to Mr. Abdur-Raheem, while older generations may already understand the value of breadfruit, the festival also aimed to plant seeds for the future—engaging young people to ensure that breadfruit remains a staple for generations to come. “We are here to create a movement, to incorporate the younger generation, and to introduce breadfruit as a staple in schools,” he noted.
Despite being organised by a small team, the scale and impact of the event were significant. The team also collaborated with participants from Trinidad, Grenada, Antigua, St. Martin, Dominica, Martinique, and other Caribbean territories. “We are here trying to do our best in our capacity, to make Anguilla super proud,” he said.
Minister of Agriculture, Kyle Hodge, praised the innovative agricultural efforts of the visitors and lauded the work of the local farmer, Mr. Raheem: “This is a good start for the Breadfruit Festival,” Minister Hodge noted.
“This festival really showcases the power of this super fruit. Breadfruit is something that we can grow locally and it can help us in our efforts to bolster food security. I commend Mr. Raheem for his efforts and I envision this festival getting bigger and better year after year,” Minister Hodge said.
Building on the festival’s focus on food security, participants also took practical steps to ensure breadfruit’s future on the island, by planting trees in Shoal Bay and Sea Feathers. Mr. Raheem highlighted the significance of the effort: “In a few years these trees will be providing food for us, and they will help to sustain our people. Our people will appreciate the importance of breadfruit as a super food.”
The tree-planting initiative underscored the importance of cultivation, a topic further explored by St. Maarten-based visitor and vendor Ms. Dianne Felix. She spent much of the day educating festival-goers on the origins, benefits, and cultivation of breadfruit. Her enthusiasm was evident as she explained that breadfruit trees typically take three to five years to bear fruit and can produce over 200 fruits in a single season depending on conditions. She highlighted the crop’s versatility, noting that breadfruit can be roasted, boiled, fried, and incorporated into a wide range of dishes.
Ms. Felix also shared historical and nutritional insights, explaining that breadfruit originates from New Guinea and the Indo-Malay region and was brought to the Caribbean by the British and French. Reportedly rich in fibre, antioxidants, and potassium, breadfruit supports gut health, immune function, and heart health, while helping blood pressure. She stressed that breadfruit has sustained tropical cultures for centuries and remains just as relevant today.
Touching on broader regional concerns, Ms. Felix spoke candidly about food security in the Caribbean, referencing recent tensions between the United States and Venezuela. She warned that any conflict affecting Caribbean waters could disrupt food imports, but noted that communities could survive, “even if just a little bit,” by relying on what they grow in their own backyards. She added that in St. Maarten, she often teaches the importance of planting and consuming breadfruit and other ground provisions, including through school-based initiatives.
Food, of course, was at the heart of the festival. After learning about breadfruit’s origins and versatility, visitors got to experience its magic firsthand, as food took center stage at the festival. Visitors were treated to an array of breadfruit-inspired dishes, including oil down, breadfruit bread, soups, johnny cakes, ice cream, and chips, alongside meats designed to complement the starch. The diversity of preparations offered a glimpse into how different islands interpret and celebrate the same ingredient. One particularly nostalgic moment came as onlookers watched johnny cakes being baked in an old-time oven by putting burning wood below and on top of a steel drum. “This is what we used before these new technologically advanced ovens we have now,” one woman remarked.
As the afternoon unfolded, the crowd continued to grow, with people gathering to sample food, share stories, and simply enjoy one another’s company. The scene felt less like a formal festival and more like a large community cook-out, where origins and accents mattered little, and connection mattered most.
In his closing remarks, Mr. Abdur-Raheem expressed gratitude to those who helped make the event possible. He also thanked attendees from Martinique, Guadeloupe, and Anguilla, as well as the media for their support.
As Anguilla reflects on the success of this inaugural Superfood Breadfruit Festival, one message rang clear throughout the weekend: breadfruit is more than food. It is history, resilience, culture and a reminder that sometimes, the strongest bonds are formed around a shared table.
By Janissa Fleming

The Life Impact Center of the Jireh Seventh-day Adventist Church in South Hill, in collaboration with the Community Services Planning Unit, held an event on the afternoon of Saturday, January 3rd to show continued support for families of Anguilla, particularly in light of the care of expectant and new mothers, as well as the development of babies and toddlers.
The programme, dubbed “From Bump to Toddler”, brought together a group of local care specialists from the medical, nutritional, nursing, midwifery, massage therapy, pediatrics and general baby/mother care fields, who made presentations on the roles they play in the birth and development of babies and the care provided for their mothers.

Coordinator of “From Bump to Toddler” is Jeneville Smith, Ministerial Assistant in the Ministry of Social Development and one of the Directors of the church’s Life Impact Centre. In welcoming the gathering of mothers and potential parents, Ms. Smith stated: “This gathering today was created specifically as a space of baby-care support and connection. Whether you are an expecting mother or father, or the parent of a young child, you are welcomed here this afternoon.”

“Today, we wish to remind families that they are not alone,” She continued. “This caring support exists for your benefit.”

Ms. Smith introduced Mrs. Verlyndah Hodge, who presented herself as a Caribbean Doula – one who provides intimate care particularly to the pregnant mother and who renders afterbirth services. “The word ‘doula’ means a woman who serves,” Mrs. Hodge explained. “Currently, I am the only official doula in Anguilla, and what I do is to provide emotional and educational support for women who are pregnant or who want to become pregnant. I also provide family support as far as pregnant mothers are concerned.”

Of importance, she noted that she is not medically trained however, and she cannot and will not provide any form of medical advice.
Speaking from a mid-wife perspective was Nurse Chika Okpoagu-Igbokwe. She is a community midwife attached to the Central Polyclinic. “As a midwife, I advocate for mother and baby,” she said. “My job is to support mothers or potential mothers who are pregnant, while they are in labour and after they have delivered.”

She stressed that one of her prime roles is to provide health education to the pregnant mother, relative to the various changes that the body undergoes while the baby develops inside the womb. “And at the time of delivery,” she said, “I would help the mother and guide her on making the best of the delivery process, whether it is by natural means or cesarean-section birth.”

Nurse Chika also mentioned that as a midwife she conducts home visits to new mothers in order to ascertain that the healing is progressing unhindered and to make sure that there are no psychological issues or environment conditions that may be affecting the mother and the new-born.
Registered Dietitian, Timara Gabriel, gave a brief address on the part she plays in making sure that the baby is properly fed during the first few months of development, paying particular attention to the mother’s diet.

“We focus on providing nutritional information before, during and after pregnancy for both the mother and the father,” she said. “One very important form of feeding for the new baby that we place emphasis on is breast feeding,” she said, “but we also educate and advise new parents on complimentary feeding after the first six months.”

She said that in order to obtain information on nutrition, she is inviting expectant mothers and fathers, as well as parents with babies, to visit her at the Princess Alexandra Hospital. Further, she promoted the community-based nutritionists at the various clinics across the island.

Another speaker at the event was Ms. Gleneva Hodge, Founder of the relatively new organization, GLH Productions. It provides mothers and their new born babies with essential items needed for the baby’s wellbeing. “One of the initiatives of GLH Productions is called ‘First Starts’ where we provide essential baby kits to all new born babies on Anguilla,” she said.

She noted that any mother who would have had a baby born between November 2024 and November 2025 would have been the recipient of a lovely kit containing the prime items needed for new-born babies. She displayed the items contained in a baby’s bath tub packed with baby’s essentials, and noted that the kit is presented to the mother upon delivery.

“Each baby born in Anguilla is entitled to one of these kits…This initiative is made possible through the kind sponsorship of the Government of Anguilla as well as private partners to whom I am eternally grateful,” Ms. Hodge remarked.

She explained that due to certain logistics there had been an imminent pause after November in presenting the baby kits, but that come February, the issuance of these essential kits will resume again.
Baby Massage Therapist, Paula O’Connor made her presentation as she introduced her massage practice doll, Nora. “Using her doll,” she said, “I instruct the parents how to massage their baby, even though I do not actually massage the doll itself. My instructions are typically demonstration exercises.”
Ms. O’Connor then presented information on topics such as “Bonding Through Touch” and “Reading Baby’s Cues”. She explained the importance of the baby’s bonding process through actions such as eye contact, touch and cues that are developed even while the baby is still in the womb.
Obstetrician and Gynecologist, Dr. Kareema Matthews, spoke on the medical care and treatment that she provides for pregnant mothers and developing babies. “In my role I do everything from pre-conception counseling on matters such as infertility which can be treated with hormonal therapy or the more costly intravitreal fertilization treatment.

“While intravitreal fertilization is not carried out here on the island,” she said, “we can start the process locally and refer the expecting mother to doctors in Barbados with whom we partner.”

Dr. Matthews also mentioned her practice of working hand in hand with midwives, both at the hospital and at the local clinics, thus providing optimum attention and support for mothers and babies.

Following the presentations, the mothers and fathers present as well as others who were interested were encouraged to visit the various booths to speak with the specialists, and to receive pertinent information relative to their maternal and paternal interests.

On behalf of the Directors of Life Impact Centre, Ms. Jeneville Smith thanks the church for its cooperation and funding, and she expresses her gratitude to contributing local businesses.

Anguillians of all ages gathered at the Old Valley Boys School on Wednesday, 12th November 2025 for Testimonial Night — an intimate, heartfelt evening of stories and reflection hosted by the Anguilla Diabetes Association. The event formed part of a week of activities held from 8th–15th November in recognition of Diabetes Awareness Week, under the global theme “Diabetes and Wellbeing: Focus on Diabetes in the Workplace”.
The night’s purpose was simple yet profound — to bring people together to share real experiences of living with diabetes, to educate, and to remind the community that no one faces the condition alone.

Opening the evening, Ellenita Harrigan of the Anguilla Diabetes Association reminded attendees that diabetes remains one of the world’s most pervasive chronic illnesses. “Over 514 million people have been diagnosed with diabetes,” she said. “And most of these people are in the workforce.” Harrigan spoke passionately about the social stigma that too often surrounds the condition. “Diabetes seems to be a societal disease — people don’t like it and are hesitant to share that they have it,” she said. “But these gatherings help us realise we are not alone.”
She explained that the Association’s annual week of activities is designed to build awareness, offer knowledge, and strengthen community support. “Sometimes you think you are suffering on your own until you hear someone else say they are having the same problems — managing their sugar, struggling with diet, feeling frustrated by test results. Coming together helps us to share, to support one another, and to learn.”

Among the evening’s most moving stories was that of Mario Bryan, who has lived with diabetes for twenty-five years. His journey, however, took a sharp turn after a near-fatal heart attack in 2020. “I used to be careless with my blood sugar,” he admitted. “I’d eat anything and say, ‘You gotta die some way, somehow.’ But after that heart attack, it really opened my eyes.”

The experience transformed his relationship with food, health, and discipline. “I learned what raises my sugar and what doesn’t,” he explained. His approach now is one of careful balance, sharing how he has made fruit, fish, and fresh vegetables the core of his diet. Exercise is also non-negotiable. “

The results have been remarkable. “My HbA1C was 13.5 when I had my heart attack. It’s now 6.8,” Bryan said proudly. He credits his progress to self-discipline and intermittent fasting — eating only between 1 p.m. and 7 p.m. — and no longer requires insulin.

Yet, he was quick to acknowledge that emotional well-being plays an equally vital role. “Rest is very important and stress also affects your sugar. You have to take care of your mind too.”

Dr. Robyn Perkins-Kentish commended Bryan’s discipline but reminded attendees that not all diabetics can safely adopt the same routine. “I would advise that you consult your doctor before,” she said firmly. “Medicine is not a cookie-cutter thing.” She warned that certain medications — especially long-acting insulin — can make fasting dangerous if doses are not adjusted. “You can end up collapsing,” she said. “I’ve had patients who died in their sleep because they adjusted their diet but not their medication. You have to do it safely.”

Bryan, a taxi driver by trade, also spoke about managing his condition on the job. He keeps snacks such as nuts and biscuits within reach and has trained his family and colleagues to recognise the signs of high and low blood sugar. “When lunchtime hits, the first thing my coworkers say is, ‘Yo, time for you to eat,’” he said with a smile. “It’s important that people around you know what to do.”

He encouraged others to be open about their condition. “You’re not asking for pity — you’re protecting yourself,” he said.

To reinforce healthy eating habits, participants took part in a “food plate” exercise led by Nurse Dana Ruan. Three individuals displayed plates showing what they typically eat in a day — some healthier than others. Using these examples, Ruan demonstrated the ideal balance: “Your meal should be a quarter starch, a quarter protein, and half vegetables.”

She cautioned against “starchy vegetables” such as pumpkin and carrots being mistaken for greens, and warned that sugary condiments like ketchup and barbecue sauce can quietly sabotage healthy eating. “You can eat out,” she said, “but it’s what you select. Eat the broccoli, for example — but don’t put cream and cheese all over it.”

The night’s emotional depth continued with the testimony of Sherri-Ann Roberts, who had to manage her diabetes while pregnant. “I thought once I had the baby, I wouldn’t have to take insulin anymore,” she recalled. But her baby was born prematurely with dangerously high blood sugar and required a transfusion to survive.
A year later, Roberts’ own symptoms returned. Her blood sugar was 306 when she finally sought help.

Over the years, Roberts – like Mario – has learned that stress, lack of sleep, and poor mental health can wreak havoc on blood sugar. “Stress is a dangerous thing,” she said. “Rest is very important. Your mental health is very important. Going to the beach, relaxing — we need to do more of that.”

She urged listeners to pay attention to their bodies and not delay care. “If your toe is hurting, even if you don’t think you’re diabetic, go to the clinic. Don’t wait until it’s too late.”

Nurse Ruan echoed that every diabetic’s experience is unique. “One thing about diabetes — it teaches you about your body,” she said. “You learn what you react to and how you respond to food.” If sugar levels rise, she advised simple steps: drink half a litre of water, wait an hour, and check again. But if symptoms worsen — such as vomiting or fatigue — “you need to go to the hospital,” she stressed.

Dr. Perkins-Kentish also offered practical, long-term advice: regular check-ups, consistent monitoring, and attention to eye and foot care. “Don’t neglect your feet,” she warned. “The smallest of things cause amputations if they’re not addressed quickly.”
She urged patients not to self-adjust medication. “You cannot just go to the pharmacy and collect your meds if you have not seen a doctor recently,” she said. Comparing the human body to a car, she noted, “You check your brake pads, but we never got any check engine lights.”

In closing, Dr. Perkins-Kentish reflected on the shared journey of living with diabetes — one that extends beyond medicine. “Your struggle is not just yours so you don’t have to face it alone,” she said. “You may fall off, but you just got to get back on track.”

As the evening drew to a close, the message was clear: diabetes is not just a condition, but a community challenge that requires awareness, compassion, and constant effort.

Nurse Joan Carty of South Valley is a stalwart veteran of the healthcare field, having commenced her service at the old Cottage Hospital, atop Crocus Hill, at the tender age of twenty. On Tuesday, October 28th, Nurse Joan was recognized by the Department of Social Development for her many years of dedicated service, as part of the Department’s honouring of senior workers during October, designated as the Month of Older Persons.

Two officers from the Department of Social Development – Clive Frankie Smith and Kerlyn Webster, bestowed the honour on Nurse Joan. They presented her with a certificate for her commitment in the field of healthcare, as well as a lovely basket of fruits.

Mr. Smith said: “Today it is our honour to recognize the longstanding healthcare service of Nurse Joan Carty. During this month of October, we have been focusing on remembering the public service of seniors whose work has impacted the development of our communities down through the years.

“The United Nations, this year, has suggested that we honor older persons for their contributions to our societies. Obviously, in our society older persons have encouraged us to serve God and to have respect for life. Such respect needs to be instilled in our younger ones and restored in our societies today.”

Both Mr. Smith and Ms. Webster applauded Nurse Joan for her willingness to serve the people of Anguilla in the healthcare profession. “Even after she had retired from being an active nurse in the healthcare system,” Mr. Smith reflected, “Nurse Joan was called upon to serve in long-term healthcare. She rendered a remarkable stint of service at the Rosewood Center Nursing Home on the east side of the island, and it is in this capacity, more so, that we recognize her today.” He noted that she is being honoured along with five other nurses who have been recognized during the month of October.

The inscription on the nurse’s certificate was ceremoniously read to her by Ms. Webster: “Certificate of Appreciation – This certificate is proudly awarded to Nurse Joan Carty in honour and recognition of your dedication, compassion and unwavering commitment to long-term care in Anguilla.”

Nurse Joan thanked Mr. Smith, Ms. Webster and the Department of Social Development at large for remembering her years of service. “I began serving as a nurse at the age of 20,” she recalled. “My service began at the Cottage Hospital in 1960. Sometime later, I moved over to the existing Princess Alexandra Hospital. Overall, I did exactly 40 years in active nursing service, retiring in the year 2000. Then, for eleven years, from 2013 to 2024, I worked at the Rosewood Seniors Home. I found my work in the field of healthcare to be particularly rewarding.”

In 2022, Nurse Joan was awarded with the Anguilla Day Badge of Honour, and in that same year she received an award for her longstanding service during a special Nursing Awards Ceremony.

Anguilla made waves of its own as the island played host to the 16th Biennial Scientific Conference of the Association of Caribbean Occupational Therapists (ACOT) on Thursday, 23rd October, at La Vue. Under the theme “Making Waves Across the Caribbean,” the two-day event, continuing through to 25th October, united therapists, health professionals, and educators from across the region in a shared mission to celebrate their achievements, exchange knowledge, and advance the field of occupational therapy.
Also in attendance were several members of Anguilla’s government, including Hon. Ministers Shellya Rogers-Webster, Cardigan Connor, Jose Vanterpool; Parliamentary Secretary Cordell Richardson; and Ministerial Assistant Jeison Bryan.

The conference, which is hosted biennially in different Caribbean nations, aims to break down professional isolation among occupational therapists in the region — a challenge that has long hindered collaboration and innovation in smaller island states. By fostering dialogue, sharing evidence-based practices, and creating a network of support, ACOT continues to nurture a sense of unity across Caribbean borders.

Dr. Douglene Jackson of the United States opened the conference with heartfelt remarks, setting the tone for a gathering built on gratitude and renewed purpose. “This is our first time being together in person,” she said, “and we’re grateful to have each and every one of you joining us.”

Minister Rogers-Webster, speaking on behalf of the Government of Anguilla, echoed those sentiments in her welcome, calling the conference both “inspiring and empowering.” She reminded attendees of the importance of their work and its far-reaching impact across the region. “All occupational therapists, students and professionals who continue to make waves in this community and across the Caribbean — we thank you for your commitment to advancing this profession,” she said. The Minister also took a moment to commend Anguilla’s own Dr. Kniquiah Hughes, whose leadership and dedication made the event possible.

Dr. Hughes’ fingerprints were, indeed, everywhere — from the conference’s planning to its execution. In her remarks, she reflected on the collective resilience of the profession, particularly after years of pandemic-induced isolation. “Let’s celebrate with our theme being Making Waves Across the Caribbean,” she said. “These waves are powerful, and they’re only just beginning.”

Her words carried both symbolism and sincerity, resonating with a room full of professionals who have weathered literal and metaphorical storms. “We’ve navigated choppy waters,” she continued, “but we’ve come up stronger, more united, and more determined than ever to make a difference.”

The keynote address, delivered by Mr. Delano Mussington, Director of the Department of Sports, brought the message of occupational therapy’s importance into deeply personal focus. In recounting his own recovery from a life-altering car accident, he reminded attendees of the profound human side of their work. During his recovery, he understood the importance of occupational therapists. His reflections were moving and sobering, reminding those in attendance that their work restores not just physical function but dignity and independence. “We take mobility for granted. And though it may take some time, knowing that you can still get it done gives you a sense of purpose,” Mussington said. “It gives you a sense of inclusion.”

Throughout the day, attendees engaged in presentations and workshops on a wide range of topics reflecting both innovation and adaptability within the profession. Discussions explored everything from “Making Waves with Artificial Intelligence: Practical Applications for Occupational Therapy” to “Accessing Graduate Education in Rehabilitation in Haiti in a Context of Socio-Political Instability.” Other sessions delved into autism care, virtual sensory integration, and the lived experiences of parents navigating special needs education in Jamaica.

These sessions underscored that the Caribbean, despite its small size and limited resources, continues to think big and act boldly in the field of occupational therapy. The introduction of AI, hybrid models of care, and culturally grounded practices suggests a future that blends modern technology with regional realities — a fitting embodiment of “making waves.”

As the day drew to a close, one could sense the quiet pride among participants — not only in their professional growth but in being part of something larger than themselves. Dr. Hughes summed it up best: “This isn’t just about discussions and presentations. It’s about us — the people, the community, the family of Caribbean occupational therapists — standing together, sharing stories of resilience, victories, and growth.”

The library grounds came alive on Friday, 26th September 2025, as Anguillians of all ages gathered for the annual Caribbean Wellness Fair, a community event that has quietly grown into one of the most anticipated stops on the health calendar.

This year’s theme — “Engage, Empower, Elevate: Working Together to Improve Health and Wellbeing for All” — was more than just a slogan. It played out in real time across the bustling booths and chatter of residents collecting free health checks, advice, and, perhaps most popular of all, vouchers for future screenings.
There was a bit of everything on offer: blood pressure checks, massages, counselling, HIV and AIDS testing, breast health screenings, physiotherapy, and even environmental health and pest control. If it touched your body, your mind, or your surroundings, it was covered. The range was wide enough to make even the most health-averse stop and take notice.
One booth that caught eyes — and raised some eyebrows — was labelled Tourism and Wellness. What does one have to do with the other? The answer came from Ms. Sari-Lee Benjamin, who was more than ready to connect the dots.
“How can we function as a tourism industry without a healthy workforce?” she asked, leaning in with conviction.
Benjamin explained that while Anguilla invests in training workers in customer service and public relations, the one ingredient often overlooked is health. “It’s important to have a healthy workforce, a healthy environment, because all that will drive our tourism industry. We need healthy people working in hotels, in schools, in clinics — everywhere. People may think, ‘why is tourism here?’ But health touches everything.”
That broader view of health ran like a thread through the fair. For the first time, a mental health awareness booth stood among the more familiar stations. In a country where mental health has long been whispered about, its presence was as timely as it was necessary. Mental wellness, after all, is inseparable from physical health. “It’s just as important,” said one attendee, nodding as she picked up a pamphlet. “Because when your mind isn’t right, your body feels it too.”
Environmental health also made its mark, underscoring the truth that health extends beyond cholesterol numbers and blood pressure readings. A clean environment, pest control, and safe surroundings all feed into the wider picture of well-being.
Overseeing it all was Jennifer Gumbs, Senior Health Educator and Chairperson for Caribbean Wellness in Anguilla, who reminded that the event is rooted in a regional movement that began almost two decades ago.

“Caribbean Wellness Day is an initiative that started way back in 2007 when the CARICOM heads of government came together because of the epidemic of chronic diseases in the region,” Gumbs explained. “They came together to look for a strategy where they can combat non-communicable diseases and they came up with Caribbean Wellness Day.”
Normally held on the second Saturday in September, Anguilla has expanded the idea beyond just a single day. “We realised it needs more than one day to promote health,” Gumbs said. “One of the things that we have done in Anguilla is that we have linked Caribbean Wellness Day with Prostate Cancer Month. Knowing that prostate cancer is also the leading cancer among black men in the world, the region, and including Anguilla, we’ve linked the two together.”
That link translated into free vouchers for prostate checks along with cholesterol, eye vision, and pap smears — courtesy of sponsors such as Caribbean Insurance Solutions, the Anguilla Cancer Society, MASA, and the Rotary Club of Anguilla.
Regarding prostate cancer awareness, Gumbs stressed the importance of early detection, particularly for men. “Early detection is always the best prevention. So, we are encouraging our men to get tested.”
If the turnout at this year’s health fair was anything to go by, Anguillians are willing to engage, empowered to take charge, and — just as the theme promised — elevate their health and wellbeing together.

By Janissa Fleming

On 20th September 2025, the AFA Conference Room filled with women, allies, health professionals, and advocates for Anguilla’s first-ever Polycystic Ovary Syndrome (PCOS) Awareness Seminar, boldly themed “Breaking the Silence on PCOS.” Organised by Brittney Webster, better known as DJ Sweetness, in collaboration with the Gender Affairs Unit and the National Chronic Disease Unit, the event pulled together voices that Anguilla had not heard in this way before.
Among those gathered were representatives from the National Chronic Disease Unit, the Anguilla Family Planning Association, members of the community, and the Hon. Minister Shellya Rogers-Webster.
Opening the morning with heartfelt words, Webster shared not just her gratitude but her own journey of stepping into advocacy. “I suffered in silence for a very long time. I was afraid to become a PCOS advocate, but I decided I would just be open and honest.”

With that, six powerful voices took the stage — each one adding a new layer of understanding, hope, and practical guidance.
First to speak was Dr. Wanda John, who wasted no time in breaking down the science. PCOS, she explained, is a “complex endocrine disorder” with three main features: irregular cycles, excess androgens, and polycystic ovaries that appear like a “string of pearls” on ultrasound. But beyond the textbook definition, Dr. John drove home how PCOS reaches into every corner of the body. From acne and facial hair to infertility, insulin resistance, and the long-term risk of heart disease and even cancer, this is no minor issue.
Treatment, she stressed, must be personalised: whether that’s contraceptives, fertility drugs, or metformin — which she called “a wonder drug” — alongside lifestyle changes. And though underdiagnosed, she closed with reassurance: “Women with PCOS can lead healthy and fulfilling lives. It’s not the end of the world.”

Picking up from where Dr. John left off, fitness trainer, Mandy Herbert brought the discussion into everyday life. Through a simple but powerful metaphor, she described insulin resistance as cells with locks and insulin as the key — except in PCOS, the key doesn’t fit quite right.

Her message? Small steps matter. From lifting weights that make muscles “sponges” for sugar, to choosing breakfasts that balance energy rather than spike it, Mandy gave practical, doable advice. She urged women not to think in extremes: “You don’t have to go and do a whole 360 on your diet… Just make small changes.” And just as Dr. John warned about systemic risks, Mandy tied in sleep and stress, noting: “One bad night of sleep can make your body act like you’re prediabetic.”

If the body was being addressed, so too was the mind. Guidance counsellor, Glynnesia Franklin stepped forward, describing mental health as a garden that also needs care and attention.
She pointed out the staggering statistics: women with PCOS are six times more likely to face moderate to severe anxiety, and up to eight times more likely to experience depression. Her grounding techniques and tools – from exercises to anchor the mind in the present to writing letters to one’s self to process grief – gave the audience immediate strategies to manage the weight of PCOS beyond the physical.

For many, the most visible battle with PCOS is skin. Simonia Williams of QueenSue Beauty Spa didn’t just speak on it — she embodied it as she too spoke from experience. From jawline acne to hyperpigmentation and skin tags, Simonia explained how hormonal imbalance leaves its mark. Her guidance — gentle cleansers, vitamin C, sunscreen, and even simple honey masks — balanced science with accessibility. Yet her real message was emotional: “Your skin does not define your beauty or your worth.”

Perhaps the most moving moment came from Chavonia Gumbs, who gave her lived testimony. From irregular cycles as a teenager, to years of dismissal by doctors, to a diagnosis at 19, her story held echoes of what Dr. John had outlined earlier. But it was her raw honesty that gripped the room.
At times she gave up seeking help altogether. Yet through her struggles with weight, insomnia, fatigue, and depression, she still found tools to cope. Today, she embraces a new acceptance: “If I have children, if I don’t have children I am happy regardless. My life is full.”

Verlyndah Hodge tied the morning together with encouragement rooted in small but powerful acts. “One small step or one small act will create a ripple.” She congratulated the organisers for starting a conversation long overdue in Anguilla. “Keep talking about PCOS, endometriosis and infertility like it’s the hottest gossip in our community until we become comfortable to have these conversations,” she urged with a smile.

The Hon. Minister Shellya Rogers-Webster echoed those words, noting how often women face pressures about marriage or children in small communities like Anguilla, without anyone knowing the silent struggles behind the scenes. “Oftentimes, we deal with things alone. But once we start to speak, we discover just how many people are dealing with the same challenges you yourself are dealing with.”

By the time the final words were spoken, it was clear that this was not just a seminar but the beginning of a movement. And just like Brittney Webster promised at the very start, the silence around PCOS in Anguilla has finally been broken.

Officials of the Ministry of Health, Honourable Cardigan A. Connor and Ministerial Advisor Honourable Evans McNiel Rogers, are proud to announce a milestone in Anguilla’s medical history with the successful completion of the country’s first Hyalofast cartilage repair surgery.

The groundbreaking procedure was performed by renowned orthopedic surgeon, Dr. Alwin Almeida at The Hughes Medical Centre, marking a significant advancement in local orthopedic and sports medicine care. This procedure, and a wide range of other orthopedic procedures, will soon be available at The Hughes Medical Centre and at the Princess Alexandra Hospital in the near future, treating patients for Joint Replacement, Sports Medicine and Trauma.
The Hyalofast procedure is an innovative, minimally invasive surgical technique designed to repair damaged cartilage, particularly in the knee. The procedure utilizes a hyaluronic acid-based scaffold to promote the regeneration of cartilage tissue. This technique is especially beneficial for athletes and individuals with cartilage injuries, offering faster recovery time and improved joint function compared to traditional methods.

This medical procedure is significant for Anguilla in that it is the first of its kind performed here – Anguilla’s inaugural Hyalofast surgery – previously only available in select international centres. Another key aspect of this procedure’s significance is that resident patients now have access to advanced cartilage repair without the need for overseas travel, thus reducing costs and improving patient outcomes. In addition, with the expertise of Dr. Alwin Almeida, Anguilla can now benefit from expert orthopedic healthcare. With over 20 years of experience and more than 5,000 orthopedic surgeries, Dr. Almeida leads the procedure, bringing world-class skill to Anguilla’s medical arena.

A statement from the Ministry of Health, reads “This achievement highlights our ongoing commitment to improving healthcare services in Anguilla. We congratulate Dr. Almeida and the entire medical team for their dedication and expertise in bringing such advanced surgical options to our community. The successful introduction of Hyalofast surgery is a testament to our pursuit of excellence in patient care.”
Dr. Almeida is internationally recognized for his expertise in arthroscopic and joint replacement surgery. He has performed thousands of complex procedures and is committed to advancing orthopedic care throughout the Caribbean. Now in 2025 we can count on his expertise in Anguilla, and we look forward to reinforcing his presence on Island for years to come. In fact, Dr. Almeida conducted his first orthopedic clinic at the Princess Alexandra Hospital on Wednesday, September 24th 2025. His website may be visited at: www.alwinaog.com

The Ministry of Health in Anguilla encourages residents with joint pain or cartilage injuries to consult with a local specialist about this innovative treatment option now available on island. This Hyalofast milestone paves the way for further advancements in healthcare and now reinforces Anguilla’s position as a leader in medical excellence in the region.

The oxygen production plant of the Princess Alexandra Hospital is being upgraded and modernised to produce much more oxygen than it is currently generating. A team of technicians, led by Mr. Julius Williams of St. Vincent, is currently on island carrying out the installation work, and the system should be operational by early October.
On Wednesday, September 24th, Acting Commissioner of Health, Mr. Malcolm Webster, took the Minister of Health, Cardigan Connor and the Senior Ministerial Advisor, Evans McNiel Rogers, on a tour of the facility showing work-in-progress.
The upgrade is made possible by support from the Organization of Eastern Caribbean States (OECS) with funding from Direct Relief, an organization that provides humanitarian aid and emergency medical supplies.

The new oxygen upgrade, which is managed by Caribbean Investments Ltd., under the leadership of Mr. Julius Williams, is scheduled to be completed and tested by September 30th.
Once completed, the system will provide a continuous supply of bedside oxygen for critically ill patients and all hospital wards. This capability will serve to address ongoing longstanding oxygen limitations.
Under the current system, oxygen production is limited to 10 tanks every 24 hours, which must be transported manually to the wards when required. During periods of high demand, bedside oxygen is not always available. However, the new system will have the capacity to produce up to 100 tanks daily.
Under the new system, for the first time, oxygen will be supplied directly via the hospital’s piping network, ensuring around the clock availability.

The existing plant, which has been operational since 2018, will be kept in reserve as a backup during maintenance of the upgraded plant or in the event of emergencies.

An official handover ceremony for the new plant is scheduled for early October.

Ministerial Assistant in the Ministry of Health, Evans McNeil Rogers, gave a report pertaining to certain aspects of health during the last Government Press Conference on Monday, September 15th.

He said that the Princess Alexandra Hospital is being upgraded to accommodate new modernized equipment. He thanked the benefactors for their contribution of US$500,000 for the mammography equipment for the Radiology Department. He also mentioned that the Ministry of Health is pursuing the purchase of an ultrasound machine.
“This ultrasound machine is an up-to-date modernized piece of equipment that would be compatible with the other technologies that we already have. We are also looking to obtain a Computed Radiography (CR) machine, and orthopedic equipment. We will be, in the short term, also retrofitting the operating theatre that has been vacant in the hospital since the expansion of the facility, but which has never been used.”

He said that once it is retrofitted, the theatre would be used for the orthopedic work that is intended to start. “And in the event that the main theatre goes down,” he said, “we would be able to use the one that would be retrofitted.”
He explained that the operating theatre will be used for ophthalmology and orthopedic surgeries while the main theatre will be used for emergencies.
Mr. Rogers also thanked the Organization of the Eastern Caribbean States (OECS) for its generous contribution of a new oxygen generating plant.
“I thank the OECS for its gracious, generous sponsorship of a new oxygen generating plant for Anguilla’s hospital,” he stated. “The equipment is on island and the manufacturers should be soon coming in to set it up and test it. This will allow us to produce 100 tanks of oxygen at a time, whereas now we can only carry ten with the small plant that we have. With this new oxygen plant, we can expand the oxygen supply at the hospital.”

He said that the possibility of running piped oxygen through the hospital is being looked into, so that oxygen would be conveniently available in the event of emergencies.

In terms of human resources, Mr. Rogers said: “Healthcare has changed and I am encouraging general practitioners to go into a specialized area of health. Government will be assisting you in providing scholarships.”
He mentioned that a team from the Ministry of Health will soon be visiting the Albena Lake-Hodge Comprehensive School to recruit students who would be interested in the healthcare profession. “Government will provide the necessary support,” he said once again.

Meanwhile, Reniqua Proctor has been awarded a 2025 Government of Anguilla Scholarship and has left the island to pursue a Bachelor of Science Degree in General Nursing in Barbados. Ms. Proctor, who is set to graduate from the Anguilla Community College Certified Nursing Assistant Programme will spend the next four years engaged in her studies. Her scholarship is part of the Government’s commitment to strengthen the healthcare workforce, highlighting the importance of building a skilled nursing team to meet the island’s growing needs.

Mr. Rogers referred to two other nurses who are also undertaking healthcare studies overseas. One of these is in the UK and the other is attending the Community College in Barbados, which is affiliated with the Queen Elizabeth Hospital there.

Further, he mentioned that there are two Nursing Assistants in Jamaica who are being trained in the specialty of foot care and wound care for diabetic patients.

Mr. Rogers admitted that there might be some persons who would say: “why make such investments in the current hospital when there is talk about constructing a new one.” “Well, for the new hospital we will be drawing up design plans and making the necessary preparations which will take some time. But still we have to make provisions that are necessary at this current facility.”

On Tuesday, August 26th, four Nurses-aides along with two Psychiatric-aides were inducted in the healthcare profession following five intensive weeks of training.

The Nurses-aides have been trained with the knowledge and skills to affirm their roles and to deliver safe and effective care for clients within the stipulated legal and ethical standards of nursing.

In addressing the recruits, Director of Nursing Services, Alicia Harewood, highlighted the importance of their role:

“You will ease the workload of the nurses by assisting them with tasks such as vital signs monitoring, and you will provide hands-on personal care and support for the patients.

Your direct interaction with patients will provide crucial physical and emotional support, thus contributing to a positive and comfortable patient experience.”

“This is the beginning of hard work,” she said, “but it is also work that is rewarding. It requires some compassion and dedication which you should be prepared to display.

I implore you to be the best nurses-aides and the best psychiatric-aides that you can be and to ultimately become outstanding healthcare professionals who would make a positive impact on healthcare services in Anguilla.”

Nurse of the Year, Rhonda Myers, underscored the critical role that nurses play.

They say home is where the heart is – but thanks to Healing Hands Concierge Nursing Services, it’s also where healing begins. Officially opening their facility’s doors on June 15th, 2025, this bright venture, based on Jon Jon Road, Cauls Pond, is shaking up how Anguillians receive essential health support.

Behind this pioneering service are two women with hearts almost too big for their scrubs – Shalia Smith and Kim Proctor. Both are registered nurses who spent over a decade working in the United Kingdom, but their eyes were always set on Anguilla. “We knew we wanted to return home to give back to our community,” Shalia explained. “We sat down in our bedroom in England and eventually came up with continuity of care – bringing the hospital level of nursing into the home.”

And they wasted no time turning that dream into something tangible. They returned to Anguilla in December 2023 and by February the following year, they were already operational. As Shalia put it, “We immediately put our feet to the ground.” Since then, Healing Hands has been growing a solid reputation, not just among clients and their families, but also within the business and nursing communities.

The service was nominated for Most Promising New Business and Delivering Excellence at the 2025 Starry Night Business Awards and Gala, and Kim was recognised by the Anguilla Nurses Association under the National Nurse Recognition Programme, earning a nomination for Most Popular Nurse.

So what exactly is Healing Hands? In their own words, the service provides home care and home nursing – with emphasis on giving Anguilla’s elderly population not just health support, but dignity, connection, and relevance. “They’re still alive, they can have fun, and we love them,” Kim said.

That love and advocacy for elders is at the centre of everything Healing Hands does – from medical assistance and companionship to errand running and post-operative care. Travelling and need someone to watch your mother for a few days? Elderly relative just out of surgery? Need someone to just chat and share a cup of tea? They’ve got it all covered.

The service is a welcome complement to Anguilla’s public health system. Community aides do valuable work visiting the elderly, but their time is often limited. “That’s where we come in,” Kim explained. Sometimes, Healing Hands’ visit is less about checking vital signs and more about being present – listening, chatting and just being there.

And while business is business, Healing Hands is firmly rooted in compassion over profit. First assessments are free and residential discounts are also available. “For me, when it comes to health, it does not have a dollar amount attached,” Shalia said. “We have to bear in mind that we are mostly dealing with the elderly, and the assessment gives us an idea of the needs they have.” While not every package may suit every household budget, the team makes a point of being open to conversations.

Quality is taken seriously. All staff are either trained healthcare workers or have undergone standardised instruction via the Ministry of Health. That includes modules in patient care, documentation, food handling and dementia care. Staff must also be compassionate first and foremost.

“When the assessment is conducted, we try to match our carer’s personality with that of our client,” said Shalia. “If someone is diabetic, we assign someone with experience in that area. If we don’t have someone available, Kim or myself will personally step in.” This hands-on leadership style is perhaps one of the company’s most vital ingredients.

Friends for years, Shalia and Kim are in sync—often finishing each other’s sentences and leaning on dialogue and mutual respect to make business decisions. “Most of our ideas marry quite well,” they said with a smile.

And the business continues to evolve. One new arm of Healing Hands is Conscious Cuisine – a growing initiative focused on meal prep. With both Kim and Shalia trained in nutrition and dietetics, they’ve crafted menus tailored to people with dietary restrictions or non-communicable diseases. For now, the meals are focused on their elderly clients, but the plan is to expand.

Their respite care is highly flexible – ranging from short-term supervision to full-time caregiving while family members travel. Services include meal prep, doctor visits, and medication support. While they mainly serve locals, they’ve also accompanied Anguillians abroad for medical care and are open to assisting visitors.

With so much already accomplished in a short time, Healing Hand’s impact is undeniably real. “I have a client who has become a staple in my life,” Shalia shared. “He tears up sometimes, asking what he did to deserve this kind of care. With us being a part of his life, he is doing so much better.”
That kind of connection is what keeps the team going, even on the hard days.

And so, the Healing Hands story continues to unfold. With care that’s clinical yet compassionate, and a team that blends heart and hustle, this little facility is proving that sometimes, the best kind of medicine isn’t found in a bottle, but in a smile, a hot meal, and someone willing to just sit with you.
To learn more or book a service, visit www.healinghandsai.com or call (264) 497-8225. Updates and information can also be found on their social media pages.

The roar of applause may have been just as loud as the engines themselves, but when the sirens finally wailed through the Princess Alexandra Hospital compound, it was official—Anguilla’s newest ambulances were go for launch.
The much-anticipated ambulance handover ceremony took place on hospital grounds on April 11th, marking not just the physical arrival, but the operational readiness of two long-wheelbase Mercedes-Benz W519 ambulances. Sleek, smooth, and surprisingly quiet (until those sirens sang), the vehicles were formally handed over by Her Excellency the Governor, Julia Crouch, to EMS Coordinator, Mr. Steve McDowell in a symbolic transfer of keys that punctuated the day’s excitement.

Chaired by Mr. Malcolm Webster, the event was graced by a high-profile list of attendees including Acting Premier Hon. Cardigan Connor, former Premier Dr. Ellis Webster, Deputy Governor Mr. Perin Bradley, Opposition Member Hon. Merrick Richardson, key health officials such as Dr. Wanda John, Chief Medical Officer Dr. Aisha Andrewin, and Acting PS of Health, Jacqueline Bryan-Niles among others.

“They’re not just ambulances — they’re lifelines.” These were the words from Hon. Mr. Cardigan Connor, whose remarks reflected on Anguilla’s tumultuous journey post-Hurricane Irma and through the COVID-19 pandemic.

The two ambulances are the first in a fleet-wide upgrade—two more are on their way, courtesy of the Government of Bermuda. These units come kitted with hydraulic stretchers, advanced onboard medical tech, and a four-wheel-drive configuration designed for Anguilla’s diverse terrain.

And while the fancy features turned heads, it was the memories of the previous vehicles that brought a touch of sobering reflection. Dr. Ellis Webster recalled how one former ambulance “drove like a truck” and “shook up patients so much that stroke victims swore it made things worse.” He described the process to replace them as a “labour of love,” one that spanned continents and required relentless advocacy.
“No begging game has to be strong,” said Mr. Steve McDowell. A 27-year veteran of EMS service, Mr. McDowell has been beating the drum for new ambulances for years. He acknowledged all who helped secure the upgrades, from Professor Ian Cummings to former Premier Webster. “We are very grateful for these ambulances. It is not about us. It’s about serving the people of Anguilla.”

He also hinted at a new challenge: finding a proper shelter to protect the vehicles from heat damage. “The game doesn’t stop with the keys,” he said.
Her Excellency the Governor, Julia Crouch, used the analogy of the King’s Baton as she traced the collaborative efforts that brought the ambulances to Anguilla. “But it’s not just about the vehicles, it’s what’s inside them—the equipment—and more importantly, who’s inside. Our brilliant EMS staff.”

Dr. Wanda John echoed the sentiment of partnership, “This is only the beginning. We want to train our people so they can function in any environment. Together, we will do more.”
After the speeches, photos and thank-yous’, came the moment everyone had been waiting for. The keys turned, the engines purred to life, and the new ambulances rolled gently out of the parking lot for their first official spin. The ride? Smooth. Comfortable. Surprisingly silent—until the sirens were activated, bringing the test drive to a thrilling close.

The new ambulances have now returned to their home at the Princess Alexandra Hospital, officially on call and ready to serve.

As dawn approached on Saturday, October 26th, 2024, a dedicated group of men, women, and children took to the streets for Anguilla’s Annual Breast Cancer Breakfast Walk of Hope, organised by the Anguilla Cancer Society. Held in the early hours, the walk commenced at 5 a.m., setting off from The Valley Gazebo and reaching the Little Dix roundabout before looping back. Despite the early hour, participants of all ages—from energetic youngsters to spirited seniors—came together to support breast cancer awareness, sporting pink shirts emblazoned with powerful messages, including “Find the Cure”.
The walk showcased a heartfelt, united community spirit as residents took each step in solidarity with cancer patients and survivors. Some opted to walk the entire route, while a few even jogged, but all moved forward as one in a testament to the strength of their shared purpose.

The event falls within Breast Cancer Awareness Month, a period dedicated worldwide to spreading knowledge, encouraging early detection, and supporting research efforts to combat the disease. In the Caribbean, breast cancer remains the most common cancer among women, with statistics showing that it accounts for over a quarter of all cancers diagnosed in women. Events like the Walk of Hope are crucial in reinforcing community education, encouraging early screening, and supporting individuals facing this illness.

The Anguilla Cancer Society, a non-profit organisation dedicated to cancer awareness, prevention, and support, has recently received a series of contributions from local sponsors. Inland Revenue donated EC$2,000, while SOL Petroleum generously contributed US$1,000. The event also saw the backing of other notable organisations such as FIM (ECCB) and FLOW, underscoring a broad commitment within the Anguillian community to supporting those affected by cancer.

Ahead of the walk, Mrs. Jennifer Gumbs, President of the Anguilla Cancer Society, addressed participants, reminding them of the route while offering words of encouragement. Her message was clear: “Cancer is everybody’s business. No one should face cancer alone.” She emphasised the critical importance of breast cancer awareness, as well as the support and care provided to patients on the island. The event served as a powerful reminder that while breast cancer may affect individuals, the responsibility to fight it rests with the entire community.

Despite the early morning darkness, the gathering radiated warmth and positivity, united by a common goal. As the pink-clad group wound through the streets, their presence was a moving symbol of hope and resilience, making this year’s Walk of Hope a memorable tribute to those affected by breast cancer and an impactful call for continued awareness and support.

As Breast Cancer Awareness Month 2024 comes to a close, Anguilla’s community stands united in their efforts to promote early detection, support survivors, and honor those lost to this devastating disease. Throughout October, the island has seen a collective push from various organizations, businesses, and individuals to raise awareness of breast cancer and highlight the importance of year-round vigilance.
The Royal Anguilla Police Force (RAPF) was among the many institutions that participated in the month-long observance. The RAPF shared a heartfelt message of solidarity with all those affected by breast cancer, reminding the community of the importance of early detection and prevention. Their public statement emphasized their support for fighters, admiration for survivors, and remembrance of those who had passed due to breast cancer.

Similarly, Her Majesty’s Governor’s Office took to social media to encourage Anguillians to stay aware of the disease’s early signs and symptoms, noting that early detection significantly improves treatment outcomes. The office also expressed gratitude to healthcare workers who tirelessly support the community in battling breast cancer.

While these public displays of support are critical, doctors emphasize that breast cancer awareness should not be limited to October. “This is a year-round issue that affects countless lives. Regular check-ups and self-examinations can mean the difference between life and death. It’s vital to understand that anyone can be at risk, and catching it early gives you the best chance of successful treatment.”

The Hon. Premier Dr. Ellis L. Webster noted in 2021 that breast cancer was the third leading cause of cancer deaths overall between 2010 and 2019 and the leading cause of cancer deaths among women during that same period in Anguilla. The World Health Organization (WHO) also noted that breast cancer is the leading cause of cancer-related deaths among women in the Caribbean, with approximately 6,000 new cases diagnosed annually. Late diagnosis continues to be a significant issue across the region, contributing to higher mortality rates. Many women are diagnosed at advanced stages when treatment options are limited.

In the wider global context, breast cancer remains the most common cancer in women worldwide, with an estimated 2.3 million new cases diagnosed in 2020 alone. The WHO also reports that breast cancer is responsible for 685,000 deaths globally each year.
Despite the sobering statistics, the survival rates for breast cancer are improving thanks to advances in early detection and treatment. According to the American Cancer Society, the five-year relative survival rate for localized breast cancer (when detected early and still confined to the breast) is 99%. However, this figure drops significantly if the cancer has spread to nearby lymph nodes or distant organs, underscoring the need for awareness and regular screenings. Individuals should be aware of the symptoms which include a lump or swelling in the breast, upper chest, or armpit; changes in breast size or shape; alterations in skin texture or color on the breast; rash, crusting, or changes to the nipple, including unusual discharge.

Breast cancer screening is also generally recommended for women starting at age 40 to 50, depending on individual risk factors and national guidelines. However, it’s important for younger women to be aware of the signs and symptoms, as breast cancer can occur at any age.
Throughout October, Anguillians are demonstrating their commitment to the cause. Local businesses, government offices, and healthcare organizations partnered to spread awareness through social media campaigns, events, and health initiatives. Pink ribbons and posters encouraging self-examinations and mammograms were seen island-wide, reminding everyone to stay vigilant.

“Our community has done an incredible job raising awareness, but we must keep this momentum going beyond October,” gynaecologist, Dr. Kareema Matthews opined during an educational session at a local health fair. “Breast cancer doesn’t take a break, and neither should we when it comes to spreading information and offering support.”
Breast Cancer Awareness Month in Anguilla has brought much-needed attention to a disease that affects millions of women and men globally. However, the key message is that awareness should not be confined to just one month of the year. With Anguilla’s heartfelt participation in this year’s observance, the island sends a clear message: breast cancer awareness is not a moment, but a movement.

The Anguilla Nurses Association (ANA) celebrates Nurses Week 2024 from Saturday 4th May, 2024 to Sunday 12th May, 2024, under the adopted International Council of Nursing (ICN) theme, “Our Nurses, Our Future: The Economic Power of Care”.
This theme begs for stakeholders to invest in the development of the Nursing profession. Such an investment paves the way for increased training and scholarship opportunities, expanded Nursing services, improved quality of care, fairer wages, and the like.
Highlights of the week include media releases from the Honourable Premier, Dr. Ellis Webster and President of the ANA, Ms. Jiva Niles; and physical, spiritual, educational and socio-cultural activities.

In this vein, Nurses Week 2024 commenced on Saturday 4th May, 2024 with a Fit to Fete Sunset Walk sponsored by Digicel Anguilla, Lyon Fitness Center, Amore’s Fitness and KSharp Media. The Fit to Fete campaign is an initiative of the Move Ya Body Campaign, Department of Sports and National Chronic Disease Unit that was designed to increase the physical activity of individuals nationwide.
Then too, as it is God who steers the practice of healthcare providers, the Anguilla Community College Registered Nursing Assistant students, nursing staff and retired nurses gathered at the Kingdom Citizens Church on Sunday 5th May, 2024 to worship God our saviour. To strengthen the capacities of Nursing staff, a symposium was organised and facilitated by noteworthy experts in the community.

Finally, the ANA and Ministry of Health will host their 3rd Annual Nurse of the Year Ceremony on Saturday 11th May, 2024. This event is a tier of the National Nursing Recognition Programme. Here, a locally nominated nurse will receive this bestowment. While there are many outstanding nurses within our community, Nurse of the Year nominees were nominated by the general public. These nurses exude professional excellence; furthermore, they are deemed clinical advocates, leaders, mavens and proponents of evidence-based care.
In brief, ANA encourages the general public to support nursing personnel and the profession during this week and the period beyond. Together, we can author the future of Nursing and healthcare.

In alignment with the steadfast commitment of the Government of Anguilla to elevate healthcare standards across the island, the Health Service of Anguilla and the Princess Alexandra Hospital Dialysis Unit welcomes the arrival of a visiting nephrologist to Anguilla; Dr. George A. Mansoor.

Since the commencement of the Covid-19 pandemic in 2020, the Dialysis Unit has been functioning in the absence of an on-site specialist. However, with the inauguration of a new and enhanced dialysis unit in 2023, our pursuit to secure a qualified nephrologist has been unyielding, ensuring optimal care for our dialysis patients.
Today marks a significant milestone in ongoing efforts to strengthen healthcare services in Anguilla. With the expertise and dedication of the visiting nephrologist, Internist, medical director, nursing director and dialysis team, we are poised to deliver unparalleled treatment and support to our dialysis patient and patients within the community in need of dialysis services.

Present to welcoming him was Mrs. Jacqueline Bryan-Niles, PS for Health (ag); Alicia Haywood, Director of Nursing Service; Dr Wanda John Director of Medical Service (ag); Dr Sherlan Richardson Internist at the Princess Alexandra Hospital; and Nurse Dupuis Nephrology Nurse Manager at the Dialysis Unit.
Dr. George A. Mansoor is an internationally recognized clinician-scientist and expert in hypertension, cardiovascular diseases, and nephrology with over 35 years of medical experience. Currently a Consultant Internist and Nephrologist at the Sir Lester Bird Medical Center in Antigua, he also serves as CEO of the Medical and Diagnostic Center and an Adjunct Professor at the American University of Antigua.

Dr. Mansoor held various academic appointments at the University of Connecticut Health Center, rising to the rank of tenured Associate Professor of Medicine. He has also led major pharmaceutical clinical research programs related to cardiovascular safety, renal injury biomarkers, and hypertension at Merck Research Laboratories.

A prolific scholar, Dr. Mansoor has authored over 75 original peer-reviewed papers, 10 book chapters, and delivered hundreds of invited lectures. His research has been supported by over $3 million in competitive grant funding from NIH, foundations, and industry sponsors.

Further, as an academic leader, Dr. Mansoor has mentored dozens of medical trainees and early career researchers. He continues to serve as an Associate Editor for IEEE MultiMedia and the Journal of AI Research while consulting for international efforts around healthcare technology innovation.

Among his numerous honors, Dr. Mansoor is a Fellow of the Royal College of Physicians (UK), a Fellow of the American Society of Hypertension, and the recipient of various awards for his service to the field of medicine include an honorary doctorate from the University of the West Indies in 2021.

We extend our warm welcome to Dr Mansoor.

In the Government Press Conference on Monday, January 15th, it was disclosed that patients who had been treated at medical institutions overseas under Government’s aid, owe the Government some EC$18 Million.

While Government expects to be repaid, there are some patients who have benefitted from Government assistance but have not honoured their commitment to repay. Still, there are others who cannot legally afford to repay.

However, Government is seeking to recoup as much of this outstanding amount as possible, for it is now saddled with the responsibility of having to remit multiple millions which it owes to overseas medical institutions.

Permanent Secretary in the Ministry of Social Development, Mrs. Bonnie Richardson-Lake, was present at Monday’s press conference to explain how Government’s assistance for medical treatment overseas actually works:

“Every year, we are given a budget for overseas medical assistance,” she said, “but as one can appreciate, the demand on that budget is very high. We carefully screen who we would provide assistance to, so that we render assistance to those needing it most.”

She said that assistance for medical care overseas is granted only when such care is not available locally. She also noted that a comprehensive assessment of the patient or his or her close relatives is conducted by a social worker. This assessment includes a review of bank statements, land registry, and the patient’s personal income and expenditure.

She emphasized that even a well-paid person who may have insurance can still stand in need of Government assistance due to substantially high costs, and so the Ministry of Social Development tries to assist wherever it can.

“For patients and their families who are able to repay the government in installments,” Mrs. Richardson-Lake said, “a repayment agreement is signed and monthly payments are made to the treasury. The problem we have had with that, however, is that not everybody who signs this agreement honours it, and so right now we have got EC$18 Million ‘on the road’ owed by people who will not pay.”

She stated that this outstanding amount owed to Government dates back to 2016 when the agreements first started. “This is a major concern for us,” she said, “because when we lend out money, and it is not paid back, it means that there would be less money left for the people who would later need it.”

Mrs. Richardson-Lake emphasized that at the end of 2023, the Government were in receipt of bills sent by overseas medical institutions. The total of the bills now on hand exceed the 2024 budget of EC$1.4 Million. This means that this year’s Overseas Medical Assistance budget is ALREADY overrun by outstanding bills.

The Account General, Mr. Vonlee Harris, was also on hand during the conference to report on the astronomical expenses which Government has been incurring on an annual basis, in contrast to the amounts budgeted.

“The issue we are having is that medical bills are very high and the current medical assistance is unsustainable,” he said. “One patient’s medical bill can be as much as EC$1 Million. One can understand how burdensome it would be for a person to have to payback this kind of money to the treasury, even if EC$500 is paid back monthly. It can take ‘a lifetime’.”

He explained that the Law, via auditing regulations, prohibits spending in excess of EC$500,000 per annum for medical assistance. But if one patient’s expenses amount to say EC$300,000, then that poses a problem. “So something better has to be done,” he said. “It may not be a good thing to introduce thresholds, but it is something that we may just have to do. Realistically, we cannot keep expending public funds on overseas medical expenses. ‘At the end of the day’, the public can inquire how the Government will recuperate that money.”

Mr. Harris then gave a synopsis of overseas medical expenses over recent years: “For 2019 the budget for Medical Treatment Overseas was EC$2.8 Million, and the Ministry spent EC$1.5 Million; for 2020 the budget was EC$1 Million, and the Ministry spent EC$900,000; for 2021 the budget was EC$945,000, and EC$794,000 was spent; for 2022 with a budget of EC$468,000, the Ministry spent EC$1.3 Million. In this case, a supplementary budget had to be enacted.”

“As far as medical loans are concerned,” he said, “in 2015 loans amounted to EC$177,000; in 2016 they were EC$500,000; in 2017 they amounted to EC$1.5 Million; in 2018 they amounted to EC$3.2 Million; in 2019 total loans were EC$5.3 Million; in 2020 they were EC$7.9 Million; in 2021 loans amounted to EC$9.9 Million; in 2022 the figure was EC$11.9 Million. To date, patients owe EC$18 Million to Government for these loans.”

The Honourable Minister of Social Development, Ms. Dee-Ann Kentish-Rogers, mare reference to the cuts that were made on social programmes in 2021, pending the introduction of GST. She said “the programs had to be staggered or cut back due to delays in Government’s revenues, for the pending GST was delayed at that time. Government’s current finances would not have been able, at that point in time, to cover those expenditures.”

“I do not want people to have the idea that the Government cut back on those social programmes just because it was our intention to do so,” she said. “It was not like we did not care about our people and their needs.

“At that time we were ‘between a rock and a hard place’ and we were asked [by the authorities] if we delay the implementation of GST how we were going to pay for these social programmes. We could not finance all the programmes, without implementing the Goods and Services Tax.”

“So, it turned out that we could not pay for medical treatment overseas without implementing the Goods and Services Tax,” the Minister indicated. “It is important for us to understand that. And I think this situation that we are in now, with these high medical bills, which are outstanding, is a good example of the things that must be taken in consideration around the implementation of the GST.”

Antimicrobial Resistance (AMR) occurs when bacteria, viruses, fungi and parasites change over time and no longer respond to medicines making infections harder to treat and increasing the risk of disease spread, severe illness and death. According to the World Health Organization (WHO), AMR is associated with an estimated 4.95 million deaths per year and ranks among the top 10 global public health threats facing humanity today.

The main drivers of antimicrobial resistance include the misuse and overuse of antimicrobials; lack of access to clean water, sanitation and hygiene (WASH) for both humans and animals; poor infection and disease prevention and control in health-care facilities and farms; poor access to quality, affordable medicines, vaccines and diagnostics; lack of awareness and knowledge; and lack of enforcement of legislation.

Considering this important issue, the UK Health Security Agency (UKHSA) UK Overseas Territory Programme facilitated a workshop for the Caribbean UK Overseas Territories which was held here in Anguilla from November 29th to December 1st. It consisted of parallel sessions at the La Vue conference room for non-laboratory personnel involved in antibiotic prescribing and stewardship and practical training sessions for laboratory staff which were conducted at the Princess Alexandra Hospital.

Topics presented and discussed during this three-day conference included but were not limited to:
• Antimicrobial susceptibility testing – challenges and diagnostics
• Antibiotic stewardship
• Infection control implications of AMR for the health services
• Choosing the most appropriate antimicrobial therapy

Attendees included 16 multidisciplinary professionals from Anguilla, Montserrat, Turks and Caicos, Bermuda, Cayman Islands, British Virgin Islands. Marcelo Galas, a representative from the Washington office of the Pan American Health Organization (PAHO) was also in attendance to discuss PAHO’s role in supporting antimicrobial stewardship in small territories. The laboratory sessions were also supported by Geoffrey Benjamin, a Senior Biomedical Scientist from the St Helena Government.

This activity was funded by the UK FCDO Conflict, Stability and Security Fund (CSSF) Governance Programme via the UKOTs Programme. Special thanks is expressed to the UKOTs Programme at UK Health Security Agency for the facilitation of the workshop and for the continued technical support to the UKOTs. Thanks is also expressed to the colleagues of the Health Authority of Anguilla, Hughes Medical Centre Medilab and the visiting delegates from the other UKOTs for their participation in this important initiative.

On Thursday 2nd November, 2023, the Anguilla Community College at Long Path came alive with activity, as the Health Promotion Unit in collaboration with the Dietary Unit of the Health Authority of Anguilla facilitated a full-day Workshop entitled, Food as Medicine sponsored by Nagico Insurance.

This was an initiative directed towards patients with Chronic Diseases (namely, Hypertension, Diabetes, and heart disease) in order to better assist them in the proper management of their condition. Participants were from clients/patients registered at all three government polyclinics, Western, Central and Welches and an open invitation also enabled a limited number of staff from the Health Authority of Anguilla to attend.
This workshop was one with a difference, where live food preparations mainly plant based menus were demonstrated. These included lentil salad, lentil tofu (made from the scratch) cabbage rolls, hummus (a plant based dish made from peas and a good source of protein), natural avocado mayo (a great healthy substitute for mayonnaise) and chia watermelon pudding (a low calorie dessert loaded with vitamins and omega fatty acids).
Along with the demonstrations participants were informed about the nutritional values of these alternative recipes introduced. All participants were given the recipes in a booklet format so they could also try them at home with family and friends.
The premise was based on providing a hands on approach to food preparation where myths could be dispelled, knowledge gained and confidence developed while introducing healthy foods and their preparation in an informal and supportive environment.
The sessions were broken down into two segments – morning and afternoon with a short break for a well-balanced, catered lunch.

The workshop was a coordinated exercise that was co-facilitated by the Senior Health Educator, Mrs. Jennifer Gumbs and her colleague Ms. Aba Kamau (Health Educator) together with the Nutrition and Dietetics team, Mrs. Vernice Battick (Nutritionist and Director of Support Services) and Ms. Robertha Campbell (Nutritionist/Dietician).

The feedback from the attendees was full of excitement and positive reviews. The workshop was seen as a productive time spent towards optimal health outcomes for the community.
The organizers wish to thank all the stakeholders – Nagico Insurance for the generous sponsorship donation and the Anguilla Community College for the use of their premises free of cost – for their role in making the event a success.

“As facilitators we look forward to more opportunities to have similar events to enable the people of Anguilla to increase control, and to improve their health,” they said.