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Colon cancer up

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By Cheryl Harewood

Barbados has one of the highest incidences of colorectal cancer globally and according to the Pan American Health Organisation (PAHO) and the World Health Organisation (WHO), the country has the second highest incidence in the Latin American region.

Recently appointed medical director of the Caribbean Colon Cancer Initiative (CCCI), Dr Alex Doyle, in an exclusive interview with the Nation said the latest statistics from the Barbados National Registry 2024 Report showed that colon cancer-related deaths recorded in 2022 were 116, up from the 2015 figure of 98. 

This was coupled with the age-standardised incidence rate for both men and women increasing between 2019 and 2020. The rate for men being 28.8 and for women, 26.6, in 2019, but increased to 34.6 and 31.5, respectively in 2020.

The report also confirmed that “Barbados placed eighth in the top ten countries with the highest colorectal cancer incidence rate, second and fifth in prostate cancer mortality and incidence rates, respectively, on the global scale” and that there were “increased mortality rates between 2020 and 2021 among prostate, breast, colorectal, endometrial and pancreatic cancers”.

Doyle, a graduate of the International Surgical Oncology Fellowship at Memorial Sloan Kettering Cancer Centre in New York and Nigeria, with advanced training in minimally invasive, open and endoscopic surgery, said traditionally, colorectal cancer was a disease of the older generation – people in their 50s, 60s and 70s.

“It has been recognised the world over that people in their 30s and 40s are now presenting with colorectal cancer, particularly persons of African descent.”

To this end, Doyle is urging individuals aged 45 years and older with average risk of colorectal cancer to get screened.

“This highlights an issue we want to address. A lot of the data we are using are based on First World countries and estimates and not our own data for the Caribbean and Barbados specifically. If as a region we can pool our research efforts so we can get an accurate assessment of the incidence and prevalence of the disease locally and regionally, that would be ideal. An up-to-date cancer registry is a must.”

Notwithstanding, Doyle said: “The cause of the high morbidity and mortality of the disease relates to the fact that many patients are being diagnosed at a late stage – often at Stage 3 and stage 4. This is because there is a lack of early screening on the island. Originally, there was not a national screening programme, but Government has started to introduce a screening programme throughout the polyclinics.”

The fellowship-trained general surgeon and surgeon oncologist, who is dedicated to elevating cancer care delivery in Barbados and the wider Caribbean through evidence-base surgery, research and system design, added that many people refused to use the fecal immunochemical test (FIT), which is a stool-based test.

“Persons are given the test packet to return a sample of their faeces, but they take the packet home and do not follow through. Our local experience has shown that we have distributed over 1 000 tests [in Barbados] through CCI. Less than half of those tests have been returned. Some people do not like to handle their own faeces. Because of these poor screening efforts, we are picking up cancers at more advanced stages.

“The other challenge we have is that if people get a positive result, they will need to have a colonoscopy performed and the issue with this is that in the public setting the waiting list can be long for persons seeking to get a date for this procedure. So, there is an issue with endoscopic capacity on the island. Before I started my surgical training, colonoscopies were only performed by gastroenterologists [but] surgeons began doing colonoscopies as well.”

Doyle disclosed that one of the initiatives the CCCI started last year in conjunction with the Caribbean Society of Endoscopic Surgeons was PROJECT SCOPE: Barbados National Endoscopy Advancement Initiative, whereby the CCCI sponsored an endo-laparoscopic course for surgical residents in Barbados and throughout the region.

“FIT tests were distributed to members of the service industry – the Barbados Police Service, the Barbados Fire Service, Barbados Defence Force, The Legionnaires, the Sanitation Services Authority and the Barbados Postal Service. 

Individuals who tested positive received free colonoscopies which were performed by the group of international experts who were on island for the endo-laparoscopic course as well as local surgeons.”

Rough road to dry taps

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Things have been bitter for some residents of Sweet Vale, St George, who say they are tired of battling with persistent water woes and poor roads, and want action taken to fix them.

Those who spoke to the DAILY NATION recently recounted days where the water would suddenly be gone for hours or days without warning, and when it returned, it was discoloured and not fit for use. 

The road was so bad, they lamented, that it had caused severe damage to vehicles, leaving motorists to spend major sums on repairs.

Thelma Inniss, who has lived in the area for about 50 years, said the water issues started just before the COVID-19 pandemic. She spoke of resorting to using bottled water as that from the tap was not good enough to use. With the outages, she said, she has often had to store water in buckets for daily use. 

Inniss lamented that like many in the area, she still had to pay the full water bill, which came without deductions even though the supply was scarce.  

As for the road, she said it has been that way “for a very long time” and affected both motorists and pedestrians. 

Jachad Lowman said he has also experienced discoloured water and inadequate supply. He uses a filter on his pipes and as he unscrewed the filtration pipe on the outside, a thick brown sludge remained. 

His mother said they usually purchased bottles or cases of water, as the tap water could only be used to flush the toilet. 

“We have a tank but the Barbados Water Authority (BWA) told us to hook it up to the pipe in order for them to come and fill it up, and that is the only way we can get it filled up,” he said. 

He said the issue started more than two years ago and they were still faced with paying the water bills, the highest amounting to $600.

Lowman said the road issue was ongoing for years. 

“This road is probably one of the worst roads in Barbados. I know someone who had to change their suspension for the car three times in one year because of it.”

Another frustrated householder, who did not want to be named, said that at least four times a week she gets no water at some hours of the day, and when it did come on, sometimes it was discoloured, making everyday tasks like washing, cooking and cleaning impossible.

“Sometimes you go and turn on the tap and when you come back the tap dry. There’s no water in it at all and you still paying a lot of money for the water every month. The bill comes out very timely – as you finish pay one, the next one is there. It’s crazy.”

The woman said she has made many calls to the BWA but with no success, and was now tired of complaining because nothing was ever rectified.

Efforts to get a response from the BWA’s marketing and communications department via phone and email yesterday were unsuccessful up to press time. 

Kim Sealy decried what she called the lack of serious efforts to fix the road.

“Late last year, the truck was through here patching up the road. They said it was 60 holes but they only patched up three. I asked one of them if they weren’t going any further with the truck and they said no, they only supposed to go there a short distance. Only three little holes and you also left the ‘wells’,” she cried. 

Sealy said she has had to fork out a large amount of money on repairs to her vehicle as a result, which has added to her frustration. 

“I am tired. We were talking from [former parliamentary representative] Gline Clarke’s time and nothing happened. Nobody can’t come and say they going to do. Do it. People need to stop talking and just do,”
she declared.

(AJ)

Man electrocuted at home

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A man was electrocuted in the yard of his home at Licorish Village, St Michael last night.

More details as they come.

US civil rights pioneer Claudette Colvin dies at 86

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US civil rights pioneer Claudette Colvin, arrested at age 15 for refusing to give up her bus seat to a white woman in Montgomery, Alabama, nine months before Rosa Parks’ similar but more famous act of defiance, died on Tuesday at age 86.

Although she remained a largely unsung figure in the civil rights movement for decades, Colvin’s 1955 act of rebellion inspired Parks and others and helped form the basis for the federal lawsuit that outlawed racial segregation in US public transportation.

Her death, under hospice care in Texas, was confirmed by Ashley Roseboro, a spokesperson for her family and the Claudette Colvin Foundation.

In one of the first publicised acts of civil disobedience against Montgomery’s Jim Crow rules governing city bus seating by race, Colvin refused to relinquish her seat for a white woman, as ordered by the driver, and stayed put until she was dragged off the bus by police.

According to accounts of her testimony in court, Colvin recalled she had been studying anti-slavery abolitionist heroes in school, and felt that she had Harriet Tubman on one shoulder, Sojourner Truth on the other, and “history had me glued to the seat.”

But Parks, an older seamstress who was secretary of the local NAACP chapter, was seen as a more dignified, sympathetic figure to rally behind as civil rights leaders organised what became the year-long bus boycott that thrust the Rev. Martin Luther King Jr. to the national stage.

In the lead-up to the boycott, which started in December 1955, issues of social class and even “colorism” – Colvin came from a poorer background and was lighter skinned than Parks – led civil rights leaders to shy away from the teenager as a standard bearer for the movement, according to Roseboro.

About a year after her arrest, she also became pregnant by a married man from an encounter that she later described as statutory rape.

Nevertheless, Colvin went on to become one of several plaintiffs and a principal witness in the Browder v. Gayle lawsuit challenging the city’s Jim Crow bus policies. The case eventually led to the landmark 1956 US Supreme Court decision banning segregation in public transit as unconstitutional.

Colvin lived in obscurity for decades afterward, working as a caregiver and nurse’s aide and struggling as a single mother, though historians and others have since brought to light the pivotal role she played in the early civil rights movement.

Fred Gray, the attorney behind Browder v. Gayle, credited Colvin with helping to ignite the battle against segregation in the Deep South.

“I don’t mean to take anything away from Mrs. Parks, but Claudette gave all of us the moral courage to do what we did,” the Washington Post quoted Gray as saying.

In recent years, Colvin succeeded in having her juvenile arrest record expunged, Roseboro said. (Reuters)

Credit ratings safe for now

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International credit rating agency Fitch does not expect the recent United States ouster of Venezuela President Nicolas Maduro to immediately impact credit ratings of Barbados and other countries in the region.

However, it says that over the longer term, a restoration of Venezuelan oil supply has price-related relevance for Latin America and Caribbean oil-dependent economies like Barbados.

Fitch shared this view in US Action In Venezuela Underscores Its Western Hemisphere Ambitions, a January 6 commentary on Maduro’s removal and its implications on the region.

“The immediate and longer-term outcomes of the United States’ removal of Venezuelan leader Nicolas Maduro are highly uncertain, but they could have geopolitical implications in terms of greater US influence and power in the Western Hemisphere,” Fitch Ratings said.

“Nevertheless, we do not expect Maduro’s ouster to lead to any immediate sovereign rating actions, in part because of Venezuela’s limited trade and financial linkages with the rest of the region.”

It added: “Over a longer time horizon, a restoration of Venezuelan oil supply could affect prices, which would be relevant for the region’s oil dependent economies, but this would be highly dependent on other global supply and demand factors.”

Fitch said that “the ratcheting-up of US political pressure on Venezuela and a military build-up in the Caribbean in 2025 had increased the likelihood of a geopolitical event”.

“Various public comments from both sides indicate that some kind of accommodation between the US and a post-Maduro Chavista regime is possible,” it noted.

“But the sustainability of such an arrangement would be uncertain. President Donald Trump has said that he could launch ‘a second strike’ on Venezuela if US demands are not met and an escalation cannot be ruled out.

“If the removal of Maduro and/or military escalation led to major political dislocation within Venezuela, this could increase security and macro-economic challenges in nearby countries.

“But absent this, we expect near-term spillovers to be contained. Neither Venezuela nor its smaller neighbours, Guyana and Trinidad and Tobago, have public ratings assigned by Fitch. Aruba (BBB-/Positive) could see disruptions to its tourism sector,” the credit rating agency added.

It observed that “Maduro’s removal is consistent with the reassertion of the Monroe Doctrine that places the Western Hemisphere – from Greenland to the Caribbean and Latin America – at the centre of US foreign policy and aims to limit China and Russia’s influence, as outlined in the National Security Strategy published in November”.

“Shifts in US trade and migration policies since Trump returned to office a year ago have not had severely negative consequences for Latin American and Caribbean countries so far,” Fitch said.

“But events in Venezuela could have a powerful demonstration effect on these countries’ orientation towards US priorities under Trump, their view of the credibility of US threats and their willingness to respond to US policy demands.” 

Push to be sailing hub

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by MORISSA LINDSAY 

A whopping 32 boats have officially signed up for the 2026 Barbados Sailing Week, and organisers are feeling confident that the combination of world-class racing and a boost of international participation will position the island as a leading sailing hub.

During the press conference for the Barbados Sailing Week, held yesterday at the Barbados Cruising Club in Aquatic Gap, St Michael, all indications suggest that Barbados will once again take centre stage from January 16 to 21 on the international sailing calendar.

Regatta director Marianna Polacka detailed the steady and deliberate rebuilding of the event over the past three years. She said that Barbados Sailing Week had reached a turning point after declining participation, prompting organisers to refocus on stakeholder confidence and international outreach.

“In 2023, the event stood at 15 participating yachts, including five visiting yachts, and it became clear that focused intervention was needed. Since then, our approach has been deliberate and practical, rebuilding infrastructure, rebuilding trust and bringing stakeholders back to the table to demonstrate that Barbados Sailing Week matters,” Polacka said.

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Small Changes: One Meal at a Time

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By Victoria Cox, MSc, Registered Dietitian

It’s a new year, full of fresh starts, resolutions and new goals – including health goals – which can sometimes feel overwhelming, as it seems to be human nature that we set quite grand goals for ourselves, often in the form of restrictive diets. We may decide to cut out entire food groups, or set the goal of entirely giving up our favourite treats. This may work for a week, a month, maybe even two, but oftentimes these extreme diet goals fizzle out, as it is difficult to make big changes in a short period of time and expect them to be sustainable.

With that being said, it is still worthwhile deciding that you are going to make this a healthier year and have a healthier pattern of eating. Let’s dive into how you can achieve healthy eating in a more manageable, step-by-step manner – rather than jumping onto (and falling off of) a fad diet.

Situational or Meal-Specific Improvements

Let’s explore the idea of making situational improvements to our meals. There is nothing wrong with setting traditional, realistic goals — for example, adding at least one cup of vegetables to at least one meal every day, or reducing your fast-food intake to a maximum of once a month for the year 2026.

Even so, you may find that you are still struggling with your day-to-day eating, recognising that your habits could be healthier, but because of time constraints or other factors, you are unable to commit fully to these kinds of statements. This is where the idea of making situation-specific adjustments to your meals comes into play. The concept applies to meals you may be eating on busy days, when you know you could be eating slightly healthier, but you do not have the time or ability to make big changes in the moment. Instead, before eating, ask yourself the following questions:

  1. Is there anything that I can add to this meal to make it more nutrient-dense?
  2. Can I prepare something for this meal in a healthier way?
  3. Is there a simple ingredient swap that I can use to improve this meal’s overall quality?
  1. “Is there anything that I can add to this meal to make it more nutrient-dense?”

We start by embodying the concept of “nutrition by addition”. Instead of always associating healthy eating with what you should be eating less of, start by thinking about what you could be adding to your typical quick and easy meals to make them healthier. Consider the following:

  • Can I add some fibre and vitamins to this meal by way of fruits and/or vegetables?
  • Can I increase the fibre in this meal with ingredients such as chia seeds or flaxseeds?
  • Can I balance this meal with a source of lean protein?
  • Can I add some healthy fats to this meal with ingredients such as avocado or olive oil?

Here are some examples of typical quick-and-easy meals, and how they can be improved upon in the moment with the “nutrition by addition” mindset:

To this meal…Add this.
A bowl of cereal and milkSome diced fresh fruit, a spoonful of chia seeds and a few chopped nuts; for vitamins, fibre & healthy fats
Tuna & biscuitsLettuce, cucumber, tomato and some avocado for vitamins, fibre & healthy fats
Instant noodlesA boiled egg or two and some mixed vegetables, for protein and some fibre and vitamins
Toast with butterA Greek yoghurt and fresh fruit, for protein and some fibre and vitamins
A fast-food “snack box”A tossed salad, for fibre and vitamins

The point of this approach is not to encourage meals such as a snack box or instant noodles. However, we acknowledge that sometimes, this may be our reality, and while adding in healthy components to the meal will not “make up for” an unhealthy meal, it is still a positive step in the right direction.

  • “Can I prepare something for this meal in a healthier way?”

This concept refers to the preparation method of your meal, which will generally focus on whether a food is being fried or prepared with a lot of added fat or not. Avoiding fried food is a relatively simple way to reduce the saturated fat content of meals, reducing your risk for cardiovascular disease. Here are some examples of alterations in the preparation manner of different quick and easy meals:

  • Instead of adding chicken tenders or nuggets to a skillet with oil, pop them into a toaster oven or air-fryer
  • Instead of scrambling or frying eggs in a substantial amount of oil or butter/margarine, try boiling them
  • Instead of shallow frying your fish in an inch or two of oil, use only enough oil to barely cover the pan and pan-sear your fish instead.

Again, the idea here is not to actively encourage eating processed foods such as chicken nuggets or tenders, but if this should happen, at least you can avoid frying and further negatively impacting the overall quality of the meal. Make use of ovens, toaster ovens, air-fryers, grills, steaming pots, etc., to actively reduce the amount of oil/butter/margarine used in cooking.

  1. “Is there a simple ingredient swap that I can use to improve this meal’s overall quality?”

Lastly, we move on to the idea of simple food/ingredient swaps that can be made with minimal effort to make your easy meals a bit healthier. This concept rests upon the convenience of using ingredients that you may already have at home or can easily purchase to replace their less healthy counterparts. Here are some examples:

Swap this…For this.
MayonnaisePlain Greek yoghurt or low-fat mayonnaise
Commercial salad dressingOlive oil & lemon juice
Bouillon cubesSodium-free dried herbs/spices
KetchupTomato paste (when cooking)
Butter/margarine (on bread/biscuits)Avocado
Full-fat evaporated milkLow-fat evaporated or 2% milk /skim milk
White riceBrown rice
White bread/biscuitsWhole-wheat bread/biscuits

Taking this approach could help turn a meal around: a sandwich usually made with buttered white bread and tuna mixed with mayonnaise can turn into a sandwich made with whole-wheat bread, mashed/sliced avocado instead of butter and tuna mixed up with plain yoghurt. The preparation time of the meal stays basically the same, as does the effort to make it, but with a few simple swaps, the meal is higher in fibre, lower in saturated fat and higher in healthy fats.

Small Improvements = Better than Nothing

To conclude, do not take this as a sign to avoid setting yourself long-term, over-arching health and nutrition goals; instead, take this as a reminder that even on days when your meals are not going according to plan, we can often still make small adjustments to improve our health. On those less-than-perfect days, remember that small improvements are still worthwhile. 

Witness: Shooting happened so fast

Initially, when a white car passed her shop, she did not spare it a second glance, the shop’s owner recalled yesterday.

However, moments later, the vehicle stopped in front her establishment, two men jumped out and she then heard the sound of metal hitting something.

“It happened so fast,” Veronica Greenidge said.

The witness was testifying in the murder trial of Gabriel Shando Hayde, of Colleton, and Dontai Deron Harding, of Sargeant Street, both in St John, in the No. 3 Supreme Court.

They have denied murdering Roger “Bubbla” Moore, 32, formerly of Bath Land, St John, on August 18, 2020.

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32 killed, 66 hurt after crane falls on train in Thailand

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SIKHIO DISTRICT – At least 32 people have been killed and 66 others injured after a construction crane fell onto a moving train in north-eastern Thailand.

The crane derailed the train and crushed some of its carriages, one of which caught fire. A one-year-old and an 85-year-old are among those injured, with seven people in critical condition, according to authorities.

Officials say some 171 passengers had been onboard the train when the accident occurred at around 09:00 local time (02:00 GMT).

The State Railway of Thailand has launched an investigation into the incident and announced that it is taking legal action against the construction company responsible for the crane.

Italian-Thai Development Public Company Limited said it expressed regret and it would provide compensation and relief to the families of those who died or were injured.

The train had been travelling from Bangkok to the north-eastern Ubon Ratchathani province when the accident occurred, carrying mostly students and workers travelling for school and work in other districts.

Local outlet The Nation reported that the incident occurred while the crane was lifting a large concrete section which dropped on to the train, causing several coaches to derail.

One survivor, train staff member Thirasak Wongsoongnern, told local media that he and the other passengers were thrown into the air after the crane fell on them.

An eyewitness, Maliwan Nakthon, told BBC Thai that she witnessed the moment the crane collapsed. “There were small pieces, like fragments of concrete, that started falling,” she said. “After those fell, the crane slowly slid down and hit. It struck hard, and then it came down and crushed the train.”

“The whole incident took less than one minute,” she added.

Thai Prime Minister Anutin Charnvirakul, who is due to visit the scene later on Wednesday, called for “someone [to] be punished and held accountable” for the incident.

“Accidents like this can only happen due to negligence, skipped steps, deviations from the design, or the use of incorrect materials,” Anutin said.

The crane was being used to build an overhead railway that is part of a US$5.4bn (£4bn) China-backed project to link Bangkok with neighbouring Laos, where a Chinese-built high-speed line is already running to south-western China.

Known officially as the Bangkok-Nong Khai HSR Development for Regional Connectivity, the Italian-Thai Development Company is listed as the firm in charge of the Lam Takhong-Sikhio section where the incident took place.

The State Railway of Thailand has announced that it is suing the company. The initial cost of damages for the train carriages alone are reported to be more than 100 million baht (US$31m). (BBC)

Fantastic job from HOPE, says Duguid

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Minister of Planning and Development Dr William Duguid has dismissed accusations of corruption in the stateowned Home Ownership Providing Energy Inc. (HOPE) project.

The Senior Minister also said Government had “done a tremendous amount of houses” even though not achieving the targeted number.

He was responding to statements from Opposition Leader Ralph Thorne yesterday in the House of Assembly during debate on the rescinding of a resolution to approve the vesting of two parcels of land at Sargeant’s Village, Christ Church.

The former Minister of Housing called Thorne’s statements alleging corruption within HOPE Inc., including some people being enriched, “absolute nonsense”.

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