At the end of every year, we use the opportunity of one year coming to an end and being on the cusp of a new year to look back and reflect on our achievements. The reason why we do this is because, throughout the year, we can be quite critical about our progress and fail to recognise what has gone well – this can be very demotivating. So, every year we look at our achievements to bring in some balance, learn some important lessons and go into the new year with some positive energy.

This year has been an interesting one, as it was our first full year in St Kitts. For those of you who may not know, we were based in the UK and moved to St Kitts at the end of 2017. Our aim for 2018 was to explore the public health landscape in the Caribbean and to understand how we can make a useful contribution to improving the health and wellbeing of the citizens of St Kitts and Nevis, and the wider Caribbean community too.

It was a hard year, but it turned into one of the best learning experiences ever! We explored everything (from podcasting to webinars). It didn’t all work out, but our efforts helped us gain some clarity which has led to us developing a focused strategy for the next two years.

And so, with your support and encouragement we’re happy to say we had a good year and are proud to present you with our 2018 achievements:

1. We continued our work on fibroids and launched our fibroids self-care webinar series, published two fact sheets, one on fibroids and exercise and the other on the emotional impact of fibroids, we hosted 7 fibroids twitter chats with some amazing guests, joined forces with OH Services to begin to facilitate an online forum for women with fibroids and teamed up with Noire Wellness for a fibroids social media campaign for International Women’s Day.

2. We became a member of the Healthy Caribbean Coalition and supported their childhood obesity prevention call-to-action (petition) by recruiting volunteers to develop a four-part podcast series on childhood obesity and sought support from the public for the petition, gaining over 400 signatures from residents of St Kitts and Nevis.

3. We were invited to the Healthy Caribbean Coalition’s childhood obesity ‘Beyond the Call-to-Action’ event in Barbados where we took part in a panel discussion on the importance of alliances and collaborations in addressing critical public health issues.

4. We published a position paper on sugar sweetened beverage (SSB) taxation in St Kitts and Nevis

5. We formed a good working relationship with the Ministry of Health in St Kitts and assisted with their plans for World Cancer Day, Caribbean Wellness Day and Caribbean Wellness Week. Additionally, the Ministry of Health invited us to take part in their SSB consultation, the PAHO Health Promotion Consultation and their Chronic Disease Self-Management Programme.

6. We signed a new consultancy client, the FIT Wellness Centre, and assisted them in the development of their NCD Prevention Action Plan, preparing for their National Weight Loss Campaign and developing their new website.

7. We explored podcasting and interviewed some fantastic guests, but soon realised that we don’t have the time to host a weekly, nor bi-monthly podcast but will continue releasing episodes sporadically.

8. We obtained some media coverage and were featured on the NNC news, SKN Vibes, Times Caribbean and 31 Days of Business Ideas, and were interviewed on the Secret Birds podcast

9. We added a new area to our portfolio – Public Health Tech – to explore how we can bring technology and public health together by exploring tech based products and services to educate the public about their risk of developing disease,  to raise awareness of health issues and to provide engaging ways of communicating health messages.

10. We launched a Public Health Tech mini-project, the development of a Diabetes Risk Assessment Tool, and this tool went live in December 2018.

11. We launched our online shop, The Lake Shop For Good, which aims to promote a healthy lifestyle by selling products that remind us all to live healthily. Our shop also helps us to continue to do good in our community with all money raised going towards our public health projects.

We had a really productive year with some highs and lows, which helped us make significant progress through the many lessons we have learnt from them.

We’re very  much excited and looking forward to 2019, and we wish you all a happy New Year and a healthy, happy, peaceful and successful year ahead.

With Christmas being just around the corner, we would like to take this opportunity to wish you all a very Merry Christmas.

As we get ourselves prepared for this beautiful season over here in the Caribbean we’re taking  some time this week to remember the real meaning of Christmas. It can be easy to get caught up in the commercial side which, more often that not, leads to an unnecessarily stressful period instead of one filled with love, hope and charity.

A recent church service we attended really resonated with us, we were reminded that during this season we should take the focus off ourselves and give back – visit the elderly, donate gifts to those in need and spend some time with patients in hospital.

If we are to focus on ourselves, we were advised to make this a time of self reflection – how can we become a better person? Are there relationships in our life that need restoring? So over the next few days we’ll be exploring these questions and ensuring we have a healthy balanced holiday season.

Staying Healthy Over the Holiday Season

Every year we give the same advice on how to stay healthy over the Christmas and New Year period, and this year our advice remains the same – watch your portion sizes, include lots of vegetables with your Christmas dinner (try Brussel sprouts, parsnips, carrots, sweet potatoes and  baked/grilled plantain), and for dessert try some fruit salad or healthy alternatives to traditional desserts (maybe a cashew cheesecake instead of a traditional cheesecake).

Additionally select white meat and fish instead of red meat and keep active (try walking or cycling throughout the two week holiday period) and importantly don’t neglect your mental health, have a bit of me-time and relax.

We hope you have a lovely Christmas that is stress-free, peaceful, filled with love and enables you to spend some  quality time with your loved ones.

OH Services, an organisation that aims to support people through the difficult periods of their life by offering counselling services, has recently started an online forum for women who have been affected by fibroids.

The forum is a closed private group that will enable women to connect with each other, share experiences and gain access to the expertise of OH Services.

It’s hoped that by having a space to share the ups and downs of having fibroids, women will be given an outlet to express their feelings and receive support in order to address the emotional impact of fibroids.

If you’ve been affected by fibroids and would like to try out this forum, you can find it on OH Services’ website here.

We’re delighted to be working with OH Services to support them in facilitating the discussions in the forum and look forward to connecting with women online.

Hello all and welcome back to our gardening and health blog series. We’ve had a fantastic year exploring the great outdoors and the health benefits of gardening. This blog post is the second of our two-part blog on fruit trees. Our final blog in this series, coming up next month (hopefully!), will focus on herbs.

Last time, we discussed our mango and sour orange trees and today we’re going to  discuss  two more trees that we have growing in our (Abi Begho’s) garden in St Kitts – soursop and guava. These are trees that we inherited from the previous owner of our house and we were so pleased to have these growing nicely on our property. They have given us much joy allowing us an easy and fun way to introduce a few more fruits into our diet.

Soursop

Some background

Soursop is a fruit known by a few names – custard apple, guanabana and Brazilian paw paw. It is a green, prickly fruit with a white flesh that forms on the graviola tree. It can be used to make a juice, ice-cream, sorbet, syrups and sweets.

It contains vitamin C, dietary fibre, iron, vitamin B, B2, magnesium and potassium.

Soursop has received a lot of attention over the past few years due to its anti-cancer properties in laboratory settings. Studies have shown that either soursop extract or pulp can inhibit the growth or cause the death of some cancer cell lines. Whilst this is promising a lot more work is needed to determine if the extract can be used as a cancer treatment. Studies haven’t been conducted in humans and a recent review explained that “further studies are required to verify the exact properties and mechanisms of action” (i.e. we need to completely understand how the extract affects cancer cells). Therefore, patients should not use soursop capsules, at this time, as a treatment for cancer, as these have not been validated through research.

In addition, studies have found that soursop has a number of health benefits: anti-convulsant, anti-parasitic, anti-arthritic, anti-malarial, anti-diabetic and hepatoprotective (protects the liver). Historically the leaves, pulp and juice have been used in the Caribbean, South America and Africa  for a number of ailments.

Our Soursop Experience

Soursop is a fruit that really grew on us; the more we ate it, the more we liked it.

We eat the white flesh, but we mostly make a lovely juice with it and tend to keep our juice recipe very simple. You can find lots of recipes online, so we won’t go into detail, but our juice just contains soursop, water and a bit of nutmeg, this is how we make it most of the time. For a more creamy, sweet and indulgent version we add some condensed milk and serve it with ice.

In terms of caring for the tree, it’s pretty low maintenance, our tree produces a lot of soursop and after a certain point the fruits start to ripen really quickly so if we don’t pay attention and check on the tree regularly the soursops spoil (I threw away 4 today ☹), and sometimes birds and bugs get to them before we get a chance to pick them. So you definitely have to keep an eye on them.

Guava

Guava is a lovely, fragrant fruit that is found in the tropical regions of the Americas and in the Caribbean. There are many variations including the Redland, Supreme and Red Indian. We haven’t yet been able to identify what variation our guava tree is, but ours has a strong sweet fragrance, white flesh and many small seeds.

Guavas can be eaten in a variety of ways. It can be eaten as is (skin and all), cooked to form stewed guavas and it can be used to make jam, pies, cakes, ice-cream and more.

We haven’t been very creative yet with our guavas and simply just pick them from the tree and eat them as they are. We mostly slice them up and have them with breakfast. Once we get a large number of guavas, we keep losing most of them to the birds, we are going to experiment and try making guava tart (BVI style), guava jam and guava juice.

Guava is high in vitamin C and contains potassium, vitamin B-6, vitamin A and dietary fibre, making it a healthy, tasty addition to our diet.

Conclusion

Having lived in London for over 10 years and not being able to appreciate the joy of having a garden,  being in the Caribbean and being able to explore the great outdoors has been such a pleasant change for us. Being able to spend more time outdoors and have access to fresh untainted fruits has been a blessing enabling us to change our lifestyle and have a more plant-based diet.  We love it!

Previous Blogs

If you missed the previous blogs in this series you can read through them here:

1. Improving Our Health and Wellbeing Through Gardening: An Introduction
2. How I Got Started
3. Growing Tomatoes
4. Growing Okra
5. Growing Peppers
6. Sour Oranges and Mangoes

References

1. Deep, G. et al. (2016). Graviola inhibits hypoxia-induced NADPH oxidase activity in prostate cancer cells reducing their proliferation and clonogenicity. Scientific Reports, 16 (6).
2. Ioannis, P. et al. (2015). Graviola: A Systematic Review on Its Anticancer Properties. American Journal of Cancer Prevention. 3 (6), pp 128-131.
3. Morton, J. 1987. Guava. p. 356–363. In: Fruits of warm climates. Julia F. Morton, Miami, FL.
4. Paul, J. et al. (2013). Anti cancer activity on Graviola, an exciting medicinal plant extract vs various cancer cell lines and a detailed computational study on its potent anti-cancerous leads. Current Topics In Medicinal Chemistry, 13 (14).

In October, we started a new consultancy project with our client being the FIT Wellness Centre in Nevis. This piece of work has involved us assisting the FIT Wellness Centre in developing their non-communicable disease (NCD) action plan and with the implementation of their National Weight Loss Campaign, a key part of their action plan.

In November, we took part in a press conference to discuss FIT’s NCD Prevention Action Plan and the National Weight Loss Campaign and were delighted to be featured on the NNC News.

We’re really happy to share the news clip with you. You can check it out below.

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If you’re based in Nevis and would like to take part in the National Weight Loss Campaign, please email us and if you’re creative and would like the chance to win $500EC, then you can enter the slogan competition for the campaign. You can find out more here.

CARE About Fibroids is a Washington, DC-based non-profit whose mission is to elevate uterine fibroids as a women’s health issue and drive change. Bringing together many of US’s most respected women’s health advocacy and policy-focused organizations to advance solutions, CARE About Fibroids is a catalyst for increased awareness, research and education about uterine fibroids, leading to earlier diagnosis and improved treatment.

As part of their mission to raise awareness of fibroids, they recently published a white paper entitled: ‘Uterine Fibroids: A Report on the Condition and its Impact on Women in the U.S. Their white paper provides some good background information on what fibroids are, how they are diagnosed and treatment options. They also discuss the challenges that women encounter with respect to diagnosis and the health system. As part of their discussion on the diagnosis challenges it was useful that the authors included a section exploring what is normal with regards to menstrual cycle. The confusion around this question means that many women are unable to recognise the symptoms of fibroids because they see their symptoms as being a normal part of their menstrual cycle.

We were also happy to see that the mental health challenges were discussed in this report, as this is an area that is often overlooked, and were pleased to see that the importance of family awareness was highlighted.

This was an interesting report which can be downloaded below.

The Healthy Caribbean Coalition and the Heart and Stroke Foundation of Barbados have released a new short video raising awareness of childhood obesity in the Caribbean. The clip informs the public of the negative consequences of childhood obesity and what needs to be done to address this issue.

Please view and share this video with your friends, family and associates and help get the message out there about how we can all improve the health and wellbeing of our children.

To find out more about childhood obesity in the Caribbean and for some useful resources you can visit the Healthy Caribbean Coalition’s Childhood Obesity Portal

Are you good with words? Are you creative? Then we want to hear from you!

We’re inviting residents of Nevis to take part in our tagline/slogan competition for the National Weight Loss Campaign.

The competition is open to all residents of Nevis. Entries should be clear, concise, catchy and easy to understand. They must also appeal to a wide audience and follow the basic guidelines below:

• Convey the sentiment of the public coming together, taking a stance and making a change to get healthy and lose weight.
• The slogan must be seven words or less
• The slogan must rhyme
• The slogan must be submitted by 5pm on  21st December 2018

You can submit your entry in any of the following ways:

• Via a video on social media tagging @fitgames_inc on Instagram or @fitwellnessnevis on Facebook
• Emailing the slogan to info@lakehealthandwellbeing.com
• Sending the slogan via a WhatsApp message to 667 0079

A winner will be selected, and this slogan will be used for the National Weight Loss Campaign.  Three runners up will also be selected, and these slogans will be used throughout the campaign on social media.

There will also be a cash prize of $500EC, sponsored by the FIT Wellness Centre, for the winner.

More Information

For further information please contact Abi Begho by calling 667 0079 or emailing info@lakehealthandwellbeing.com

About the National Weight Loss Campaign

The National Weight Loss Campaign starts in January 2019 and aims to help residents of Nevis lose weight through a fun six-month weight loss challenge that will support participants in getting active and eating a healthier diet. Participants will be guided through the six-month period with advice, tips, healthy recipes, fun events and one-to-one support. There will also be prizes for the person who loses the most weight in their category, recognition of those who have succeeded in losing their target weight and we’ll be following specific people on their weight loss journey.

We are so happy to announce that registration for the F.I.T. National Weight Loss Campaign in Nevis is open!

The National Weight Loss Campaign starts in January 2019 and aims to help residents of Nevis lose weight through a fun six-month weight loss challenge that will support participants in getting active and eating a healthier diet. Participants will be guided through the six-month period with advice, tips, healthy recipes, fun events and one-to-one support. There will also be prizes for the person who loses the most weight in their category, recognition of those who have succeeded in losing their target weight and we’ll be following specific people on their weight loss journey.

Technology will play an important role in the campaign and we’ll be creating a web-based health portal where participants can come together, support each other, ask questions, share pictures and videos and receive tips and advice from experts in health and fitness. The health portal will consist of a forum and a chat facility, so we can keep in touch with all participants and provide them with support every step of the way.

How To Register for the National Weight Loss Campaign

The National Weight Loss Campaign is open to everyone in Nevis – old, young, male and female. If an individual would like to lose weight or would like some support in adopting a healthier lifestyle then they are welcome to take part.

The public can register for the campaign by emailing admin@fitwellnesscenter.com or calling (869)-662-8749

Businesses Can Get Involved Too

Businesses are strongly encouraged to take part in the National Weight Loss Campaign by either registering a team of their staff to get involved in the six-month weight loss challenge or they can play an instrumental role in improving the health and wellbeing of our community by becoming a corporate partner or sponsor.

For more information about this, businesses in Nevis can contact David Walwyn by email  or phone (869)-662-8749

On 20^th November 2018, we were on the beautiful island of Barbados for the Healthy Caribbean Coalition’s ‘Beyond the Call to Action Event: Towards School Policies in Support of Childhood Obesity Prevention.’

This event marked the end of the HCC’s childhood obesity prevention campaign. One of the key parts of this campaign was the HCC’s childhood obesity prevention petition (Call to Action) which called on Heads of Government to enact any of the following policies and legislation which have been demonstrated as effective measures to combat childhood  obesity:

• Imposition of a tax of not less than 20% on Sugar Sweetened Beverages (SSBs) and use tax revenue for NCD prevention and control.
• Banning the sale, promotion and marketing of SSBs, and unhealthy foods and beverages in and around schools.
• Mandatory physical activity in all primary and secondary schools
• Adoption and application of regional standards for nutritional and front of package labelling of foods and beverages.
• Banning the marketing of unhealthy foods and beverages to children (includes non-school environments)
• Enacting legislation related to The International Code of Marketing of Breast-milk Substitutes.

This event brought together a wide cross section of national and regional stakeholders to celebrate the achievements of the campaign and to showcase all the great work being conducted across the Caribbean to tackle childhood obesity. We heard from speakers from the Bahamas, Bermuda, Jamaica and Trinidad. It was particularly interesting listening to Dr Simone Spence’s presentation explaining Jamaica Moves’ new initiative targeting schools.

Youth Involvement

It was also very nice to see young people actively participating in this event. Young people took part in a parallel youth session led by Krystal Boyea, the HCC’s Youth Advocate. In this session young people discussed the solutions and barriers to creating a healthy school environment and also explored the types of products sold in schools and how the school environment influences behaviour and health.

We Took Part in a Panel Discussion

We had the pleasure of taking part in a panel discussion with other CSOs including the Antigua and Barbuda Diabetes Association,  the Heart and Stroke Foundation of Barbados,  the Grenada NCD Commission, the St Lucia Diabetes and Hypertension Association and the Heart Foundation of Jamaica about the importance of coalitions and collaborations in addressing critical issues such as childhood obesity. We had an interesting discussion, facilitated by Sir Trevor Hassell.

We really enjoyed this event and would like to thank the HCC for inviting us to take part in the panel discussion. We look forward to hearing more about the work being conducted across the Caribbean to tackle childhood obesity and making our own small contribution to this effort.