On 1^st November, we attended the national consultation on the impact of sugar sweetened beverages (SSBs). This event was organised by the Ministry of Health in collaboration with the Pan American Health Organisation (PAHO) as an early step towards the development of the nation’s strategy for reducing the public’s consumption of SSBs.

The Ministry’s strategy for SSBs forms just a small part of their non-communicable disease (NCD) prevention plan which outlines actions that are needed to create a healthy environment and promote exercise.

Speakers Set the Scene

During the consultation we heard from an excellent panel of speakers which included:

• Mrs Delores Stapleton-Harris, Permanent Secretary, Ministry of Health
• Hon Wendy Phipps, Minister of State with Responsibility for Health, Community Development, Social Services and Gender Affairs
• Dr Godrey Xuereb, PAHO/WHO Representative for Barbados and the Eastern Caribbean
• Dr Keisha Liddie, District Medical Officer
• Dr Lisa Powell, Professor and Director of Health Policy and Administration, School of Public Health, University of Illinois
• Dr Marissa Carty, NCD Coordinator, Ministry of Health

Together the panel outlined the need for the development of a strategy on SSBs, reminding the audience that in St Kitts and Nevis NCDs, such as diabetes, cancer, heart disease and high blood pressure, are a major health challenge with 83% of deaths in the Federation being attributed to these conditions.

Hon Phipps described how NCDs are not only a threat to the health of the nation but are a significant socio-economic issue. Whilst Dr Xuereb provided information on the need for a SSB policy stating that it is just one of many strategies to improve the health of a nation and help countries achieve the sustainable development goal (SDG) on health. He stated that in order to achieve the SDG on health it is important to focus on improving the health of children as currently, in the Caribbean, childhood obesity is very common and is a major factor in children developing NCDs. He explained that what is driving NCDs is the increased consumption of sugar, and the major source of sugar is SSBs – SSBs make up 40% of children’s sugar intake with 70% of children in the Caribbean drinking one or more SSBs per day. He stated that data from Barbados, Mexico and Chile has shown that increasing the cost of SSBs through taxation has reduced the consumption of SSBs and therefore this is an effective strategy in tackling NCDs.

We also heard from Dr Keisha Liddie who presented a very in-depth and comprehensive situational analysis of St Kitts and Nevis. Dr Liddie described the data and trends for NCDs in the Federation showing the increase in the incidence of specific NCDs year on year and their impact on the nation. Finally, Dr Powell explored the economics, practicalities and important considerations when introducing a tax on SSBs and provided a number of recommendations which included:

• Implement a 20% SSB tax
• Include all forms of SSBs in the taxation strategy e.g: soda, energy drinks, sports drinks, fruit drinks, sweetened teas/coffees, sweetened water and beverage powders/syrups). Exclude zero calorie beverages
• Apply the tax to all imported and domestically produced SSBs
• Earmark the tax revenue for public health initiatives with an emphasis on nutrition and physical activity
• Carry out public awareness and education to inform the public about the SSB tax and its objectives
• Ban the sale of SSBs in schools
• Ban the sale of SSBs in hospitals and government buildings
• Regulate the marketing of SSBs in and around schools
• Develop a drinking water infrastructure in schools that provide reusable water bottles to school children
• Provide local agricultural products as snacks in schools
• Promote the implementation of school gardens as a learning tool and to improve access to fruits and vegetables
• Explore appropriate sponsors for youth sports that align with the objectives of improving health
• Provide funding to increase activity spaces

St Kitts and Nevis’ Proposed Approach to SSBs 

Dr Marissa Carty outlined the Ministry’s initial ideas on their approach to reducing the consumption of SSBs and gave the audience the opportunity to provide feedback on all the policy areas. The Ministry’s proposed policy imperatives include:

• A 40% tax on SSBs (update: the proposed tax is now 32%)
• The tax will apply to calorically sweetened beverages including carbonated drinks (sodas), sweetened carbonated water, sugar sweetened juices, sports drinks, energy drinks, tea and coffee drinks, sweetened milk/milk alternatives, milk powdered blended drinks, powdered drink mixes and drink mix syrups
• Sugar would no longer be zero rated when it comes to tax
• Excluded from the tax would be: fresh fruit juice (no sugar added), unsweetened milk/milk alternatives, infused water, unsweetened carbonated drinks and non-caloric sweetened drinks
• Alternatives to SSBs will be suggested to the public. These would include: fruit/vegetable infused water unsweetened water, plain water, unsweetened carbonated water, unsweetened herbal (bush) tea and artificially non-caloric sweetened beverages
• The tax revenue will be used to provide: a water infrastructure, water fountains in schools, reusable water bottles in schools, healthier school meals, public health campaigns, National Health Insurance, implementing a marketing ban to children and policy development for safe school zones.

Our Thoughts

We 100% support the government’s approach to SSBs as there is a need to tackle childhood obesity in St Kitts and Nevis and by reducing SSB consumption this can be achieved.

We believe a 40% (or 32%) tax is sufficiently high enough to deter consumption of all SSBs, anything lower than this could lead to consumers simply replacing expensive SSBs for more affordable SSBs. There was some evidence of this in Barbados where the tax is 10% and this suggested that this level of taxation wasn’t high enough to deter consumers from buying the lower priced SSBs.

We think it is important that the revenue raised from the SSB tax should fund public health initiatives particularly those that are aimed at childhood obesity and so we applaud the Ministry’s suggestions on the use of the tax revenue. We would also like to see the tax revenue being used to make healthy foods more affordable to ensure that parents and guardians don’t encounter any barriers to adopting healthy eating practices. It is also important for there to be full transparency on the expenditure of the tax revenue so that the public can be confident that the funds have been used to benefit the public’s health.

Next Steps

The Ministry of Health will collate the feedback received from this consultation as well as the consultation conducted in Nevis and continue to engage with key stakeholders to develop their SSB policy. This will then have to be approved by Cabinet.

We look forward to seeing this policy develop and will support the Ministry in any way that we can to see this policy developed, approved and implemented.

We are so pleased to let you know that registration for the second seminar in our Fibroids Self-Care Webinar Series is now open!

This second webinar will focus on treatment with the topic being ‘Deciding on the best treatment for you’ and  will be held on Saturday 1st December from 11am -1pm AST (that’s 3pm-5pm GMT or  10am-12pm US Eastern Time).

In this second webinar we are delighted to have as a guest speaker award-winning Consultant Gynaecologist Apryll Chase who will take participants through the treatment options for fibroids, the pros and cons of each treatment and how to make the sometimes difficult decision of selecting the best treatment for you.

Discounted Early Bird Tickets Are Now Available

Early bird tickets for this webinar are now available and are just $10 (about £8) and you can book your tickets on our website here

We Have A Special Giveaway Just For You

We’re pleased to let you know that all those who register for this webinar will be entered into a giveaway and one lucky person will win a copy of the book ‘Flow Fighter – How I Kicked My Fibroids and Heavy Periods to the Curb’ by Holly Bridges.

There is more!  We’re happy to say that all registered attendees will be eligible for a 20% discount when they order hair or body products from  Almocado and will also receive a  free shipping code from  Afrocenchix on any orders of over £20.

Other Webinars in this Series

Other webinars in the series will include:

Session 3: The Importance of Exercise, Relaxation and Me-Time, Candice Bryan, Founder and CEO, Noire Wellness, 23rd February 2019

Session 4: Hair and Body Care for Women With Fibroids, Rachael and Jocelyn, Founders of Afrocenchix, April 2019 (To be confirmed)

Session 5: Dealing with the Emotional Impact of Fibroids, Olivia Haltman, Founder, OH Services, June 2019

Session 6: Our Fibroids Stories – A Time to Share, August 2019

More Information 

We hope that you’ll join us on 1st Decemeber for this really interesting online event and if you have any questions, please don’t hesitate to get in touch with us at events@lakehealthandwellbeing.com and you can book your place here

Did you miss the first webinar in our series: Fibroids, Diet and Hormones with guest speaker Le’Nise Brothers,  Registered Nutritional Therapist and the Founder of Eat Love Move?

Have no fear, you can download and purchase the recording of this webinar for just $15 and you’ll have on-demand access to this in-depth session on fibroids, diet and hormones which guides you through the changes that you can make to improve your hormonal health and therefore alleviate the symptoms associated with fibroids. Find out more and download this webinar here

Hey everyone, we’re just stopping by the blog quickly to say a big big thank you to everyone who supported our My Haircare Nightmare crowdfunding campaign. We really appreciate all your support and although we didn’t meet our target we were overwhelmed by all your kind words and encouragement – thank you!

Not only did we get some lovely emails and messages on social media, the media also picked up on our campaign and really got behind it. You can view some of the media coverage below:

• African Voice: Documentary to reveal effects of hair products in black women
• Black Hair Magazine:  Author Tola Okogwu launches campaign to kickstart black haircare documentary
• Natural Hair Weekly: My Haircare Nightmare
• Ariatu Public Relations:  Are Hair Products for Black Women Safe
• FabAfriq: Are Hair Products for Black Women Safe?
• The Voice Newspaper:  Support This Documentary
• Afrocks: Interview Of Blogger, Writer And Hair Coach Tola Okogwu Who Is Crowdfunding To create Documentary About Hair Products For Black Women

In case you missed our crowd funding campaign, we’ve teamed up with Tola Okogwu of My Long Hair Journey and filmmaker Sheila Marshall to answer the question: Are Black Hair Care Products Safe? Through a documentary we aim to highlight the recent research which showed that 80% of black hair products tested contain endocrine disrupting chemicals and ingredients linked to asthma. Although we haven’t raised all the funds we need just yet, we’re still fired up and ready to turn our dream into reality and are exploring other funding opportunities.

We’ll keep you informed of our next steps and for those of you who donated, your perks will be with you in due course.

Have a great week!

On  Tuesday 8^th October 2018,  the Pan American Health Organization/ World Health Organization in collaboration with the Ministry of Health organised a workshop at the National ICT Centre in St Kitts. The workshop was part of PAHO’s regional consultation to inform their Strategy and Action Plan on Health Promotion in the Context of the Sustainable Development Goals (2019 – 2030).

We were invited to attend this event along with representatives from a diversity of organisations across St Kitts. Similar events have been held across the Caribbean and the Americas, and the data collected will allow PAHO to recover information, lessons learnt and gain perspectives that will contribute to the construction of their new strategy.  The aim is to renew health promotion through a social, political and technical movement, addressing the determinants of health as a path towards sustainable development and towards reducing health inequities.

The objectives of the national consultation are:

• To involve the countries in the construction of the Strategy and Plan of Action on Health Promotion for the revitalization of the movement in the Region.
• To identify key elements that the Strategy and Plan of Action must include to support the countries on the positioning of Health Promotion.
• To collect the Health Promotion experiences in the countries that contribute to the Strategy and Plan of Action.
• To identify the role of actors involved for the implementation of the Strategy and Plan of Action.
• To support the countries in the renewal of the Health Promotion movement with the identification of a lead group at the national level.

Those attending the workshops participated in discussions on four key areas:
1. Settings and local action
2. Intersectoral work, social determinants of health, Health in all policies, and public policies
3. Community participation and social participation for Health
4. Health systems and services

The above discussion points were based on important health promotion concepts as outlined by the Ottawa Charter of 1986 for Health Promotion.

Going forward the Ministry of Health in St Kitts will summarise the information from this event and PAHO will add this to the data collected from all countries taking part in the consultation. They will then analyse the data, identity common themes and important approaches and include these in the draft strategy which will be circulated for comment before a final strategy is published in September 2019.

We would like to thank the Ministry of Health in St Kitts for inviting us to take part in this consultation and look forward to seeing the draft and final strategy when they are made available in 2019.

We do hope that the information collected as part of this consultation will provide PAHO with the information required to develop an effective strategy that supports the needs of each country in the Americas.

In today’s blog we’re absolutely delighted to hear from Kerthy Sugunathevan and Ashley Carter, two very enthusiastic medical students from the University of Medicine and Health Sciences in St Kitts.

 Ashley and Kerthy are passionate about making a difference and developing the skills required to be the best health practitioners they can be and as such they are the co-founders of a new campus club called ‘Because We Care’

 Kerthy and Ashley tell us about their club, its mission and why they started it. Please support this new initiative by liking their Facebook page and if you have any questions, please do leave them in the comments section below.

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Because We Care (BWeC) is a new club to UMHS this semester.  Our club centres on three main pillars: Build – Widen – Connect

• Build a relationship between the UMHS community and St. Kitts
• Widen the impact of UMHS in St. Kitts by promoting healthy living and providing education on high risk health topics
• Connect UMHS Students to volunteer opportunities to allow them to improve interpersonal skills while making a difference in the community

Our mission is to conduct events that promote health education and awareness in St. Kitts by engaging the community in outreach events. Our goal is to provide students with various opportunities to take part, while creating a positive impact in the community.  We hope to help students build upon their interpersonal skills. We will also be promoting various events surrounding healthy living for students physically and mentally (i.e. 3vs3 basketball, boot camps and stress relief events).

We are looking forward to creating a positive impact while on our journey to becoming great doctors alongside our peers.  Do not hesitate to contact us if you have any events you would like to see in the future!

Please like our facebook page and follow us for events and weekly posts.

Welcome back to our blog! Today, we’re delighted to have a guest blog submitted by Nina Johnson-Campbell of the NJC Therapy Practice.

Nina discusses how we can manage stress through emotional intelligence and provides some really useful tips that just require 10 minutes of your day. 

This is the second blog from Nina Johnson-Campbell, in her first blog Nina explored a new tool to support the wellbeing of children and adults. You can read her first post here

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What Exactly is Stress?

Stress is a necessary, innate/natural part of our survival instinct and physiological make up; it motivates us to take action to keep us safe or to keep reaching just that bit further to achieve our dreams and aspirations; it’s the ‘fuel’ that propels us.

Stress only becomes a problem when the physiological and physical symptoms build up in our body without being released and as a result starts to negatively impact our: memory, concentration, emotions, thinking abilities, health, our overall wellbeing and eventually our mental health.

What is Emotional Intelligence(EI*)?

EI is the ability to recognise and understand your emotions and those of others; the ability to use that information to guide your thoughts and actions; the ability to empathise (and therefore build better, successful relationships).

How can Emotional Intelligence (EI) help to manage stress effectively?

• Helps you to reduce excess stress as you better understand your emotions (becoming more self-aware);
• Use that information to guide your thoughts and actions;
• Increase your empathy through better understanding of others’ emotions, which in turn
• Improves your relationships, at school, at home, in the work place** and socially.
• Improving your emotional intelligence will help you to discover your inner strengths, remain calmer and in control in any situation.

Start to improve your Emotional Intelligence right now, today, by doing this simple exercise:

Set aside just 10  mins.

1. Think of the last time you had a strong negative feeling towards someone, it may be a friend, partner, work colleague or even a stranger.
2. Name the exact emotion you were experiencing in that moment (maybe anger, resentment, frustration, disappointment etc)
3. Next take a few moments to explore why you were feeling that emotion (for example you may have felt mistreated, undervalued, ignored, inadequate, unloved).
4. Now consider how the other person may have felt in that moment too, could they have been experiencing similar emotions? How do you know for sure how or what they were really thinking?
5. As you’re now aware, you cannot be sure without further information what they were feeling/thinking. In light of this new awareness,
6. Consider how you could have responded in a better/constructive way for you.
7. What did you learn from that situation, good or bad?
8. What will you do differently next time?

As it’s your response and not the situation that determines your outcome, take time to pause and by practising the few simple steps outlined above, I guarantee you will start to see better results as you  reduce your stress by taking control of your emotions, instead of them controlling you and allow space for you to think more clearly.

Remember as Confucius said:

‘Mighty is the man who can command an army of thousands, Mightier still is the man who can command himself’.

If you would like to discover how managing stress through EI could improve other areas of your life, please contact me at: Johnsm2643@gmail.com or visit my website www.life-njctherapy.co.uk

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Notes

*M. Beldoch c.1964

** Some studies have shown that job candidates with higher levels of EI are often more successful; perform better once employed; make great managers and business owners ( Forbes.com; Times on Sunday; Harvard Business School)

The above article was  published in  2016: http://jamaica-gleaner.com/article/health/20161116/stress-management-through-emotional-intelligence

Copyright N.Johnson-Campbell (2016)

Last week was Caribbean Wellness Week and on Friday we celebrated the last day of this week with the grand finale  at the Marriott in Frigate Bay.

This event was organised by the Ministry of Health in collaboration with the Marriott Resort and we were delighted to have been invited to have an information table.

The event started with free health checks at 2:30pm where members of public and Marriott staff were able to get their blood pressure, blood glucose, BMI and cholesterol levels measured as well as have an HIV test conducted. Also, attendees had the opportunity to visit information tables, one of which we hosted.

We were delighted to welcome people to our information table to introduce the public to our work and raise awareness of our upcoming Living Well With Chronic Disease Course, let women know about our fibroids survey and promote the Healthy Caribbean Coalition’s childhood obesity prevention campaign and call-to-action

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Then, at 4pm it was party time! The chairs were cleared away, the music was turned on and soca-cise began. This was a fun, fast-paced aerobics session with a Caribbean twist. Instructors led the audience through a 2-hour routine that got our heart rates up and worked every part of our bodies. It was a fun session and the 2 hours flew by and before we knew it the session was over ☹, proving that exercise doesn’t have to feel like torture to be effective.

We had a great time on Friday and would like to thank the Ministry of Health for the opportunity to be a part of this event. We’d also like to say a big thank you to everyone who visited our information table, it was lovely meeting you all.

We look forward to Caribbean Wellness Week next year and for more information about Caribbean Wellness Day and Week vist CARPHA or PAHO’s websites.

We like listening to the podcast The Nod. It’s a fun, witty and insightful look at black American culture. The hosts have a great way of exploring important topics and unearthing interesting untold stories.

In their episode released on 10th September 2018, ‘Bleeding and Healing‘, host Brittany Luse focuses on a common women’s health issue (we won’t tell you which one, so we don’t spoil the episode for you), that is overlooked and disproportionately affects black women.

This health issue is one that we have explored over the past couple of years and this episode of The Nod does a great job at raising awareness and highlighting some of the keys challenges such as:

• The extent to which women normalise pain
• Not having a clear idea of what is normal and abnormal when it comes to period pain and menstrual bleeding
• The lack of awareness of women’s health issues
• The length of time it takes for women to be diagnosed
• The confusion that can exist when it comes to making treatment decisions
• The challenges of finding not just a good doctor, but one black women feel comfortable with

This episode provides some good food for thought. You can listen to it here and below is the description of the episode from The Nod team.

“For years, KalaLea experiences painful periods that keep her in bed for days at a time. As she tries to figure out what’s happening to her body, she discovers that she has a condition that disproportionately affects Black women. This is the story of how KalaLea listened closely to her own body and made her doctors listen, too.

“This week’s story comes from the Bodies podcast. After the show, KalaLea joins Brittany in the studio to share advice on how to better advocate for your own wellness.” 

Have you listened to  the ‘Bleeding and Healing’ episode of The Nod? We’d love to hear what you think. Please leave a comment in the comments section below or send us an email.

Disclosure: this post contains an affiliate link. Find out more here

On 8^th September we were up at 4AM for the St Kitts Caribbean Wellness Day Walk. It was hard waking up at that time, way before the sun was up, but it was worth it.

This walk was months in the making and started as an idea, back in June, at the first planning meeting of Caribbean Wellness Week. The planning meeting brought together the Ministry of Health and its partners all working towards a common goal of  improving the health of the nation.

So, on 8^th September, feeling pretty sleepy, we drove to the meeting point at the Caribbean Cinemas parking lot and joined about 50 other people to recognise Caribbean Wellness Day and the importance of physical activity.

The walk was led by Elite Fitness, a local gym, who started off the morning with a warm-up and then we hit the streets of Basseterre for a lovely walk. The route took us through town, all the way down Cayon Street and then we turned left onto Wellington Road and continued to the airport roundabout and then turned onto the bypass road and made our way back to the cinema where we finished off with a cool-down session.

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We walked a total of 7.49KM which took us an hour and 20 minutes and with the inclines in two locations, the route provided us all with a great workout.

We had a great time and it was a so nice to see the diversity of people in attendance – old, young, male, female and all shapes and sizes.

This event not only celebrated Caribbean Wellness Day, but it was the launch of Caribbean Wellness Week which runs until Friday 14^th September. Look out for all the events being organised this week. Highlights include the a Health Fest on Thursday 13^th September, National Sneaker Day on 14^th September where everyone is encouraged to wear their sneakers to work and the grand finale at the Marriott, a soca-cise party starting from 4pm with free health checks from 2:30pm.

Come out, get active and let’s make sure that we create a healthier nation!

We are absolutely delighted to announce that the My Hair Care Nightmare Documentary Crowd Funding campaign is kicking off on Monday 3rd September, and we’d absolutely love for you to be involved.

We’ve teamed up with Tola Okogwu of My Long Hair Journey and filmmaker Sheila Marshall to answer the question: Are Black Hair Care Products Safe? We aim to highlight the recent research which showed that 80% of black hair products tested contain endocrine disrupting chemicals and ingredients linked to asthma.

Our goal is to educate and empower women caring for Afro textured hair so they can make an informed decision about the products they choose to buy and use. The film also seeks to highlight alternative and safer brands so that consumers realise they have options.

We’d very much appreciate you supporting our crowd funding campaign by making a donation and helping us spread the word so we can raise the funds to make this film a reality.  We want to make a big splash and create a buzz this week.  If you can please post about the campaign on your social media platforms and let your networks know, that would be great. We started a hashtag #MyHaircareNightmare where people can share their hair and product stories.

The link to our Indiegogo Campaign Page is https://igg.me/at/myhaircarenightmare

We’ve included some images and videos in the Dropbox folder below. Please use #myhaircarenightmare and tag us @myhaircarenightmare (Instagram) and @myhaircarenigh1(twitter).

https://www.dropbox.com/sh/ek76ijvmyx8hzej/AADUvB3z4Vrz70lLdSkLzrXra?dl=0

Don’t have time to create a post? Have no fear, below are some suggested posts.

• Are your hair care products safe? My Haircare Nightmare documentary aims to find out. Support @myhaircarenightmare (Instagram)/ @myhaircarenigh1 (twitter) Indiegogo campaign to help make this film happen. https://bit.ly/2NwnOJm #MyHaircareNightmare #HaircareNightmare

• We’re supporting @myhaircarenightmare (Instagram)/ @myhaircarenigh1 (twitter) indiegogo campaign because 80% of hair products marketed at black women contain potentially harmful ingredients. Be part of the REVOLUTION by giving at https://bit.ly/2NwnOJm. #MyHaircareNightmare #HaircareNightmare

Want to have a bit more fun? Then share your #HaircareNightmare story.

–       Tag your friends, nominate other people. Help us to get the conversation going
–       Your post could make all the difference

What We Know

Research published in April in Environmental Research found that 80% of black hair products in this study contain endocrine disrupting (EDC) and asthma-associated chemicals. A second study published in 2017 by researchers at Rutgers University found a link between breast cancer and the use of hair dyes and relaxers and a research study published in 2012 identified a small link between fibroids and relaxers.

We surveyed 215 black women and 86% of respondents were very concerned and 13% of women were concerned about the main conclusion of the study published in April.

63% of women in our survey stated they didn’t feel able to identify the chemicals, that researchers stated may be cause for concern, and a further 30% stated that they can only sometimes identify these chemicals.

The most recent Nielson Beauty & Personal Care Report stated that black women spend nearly nine-times more than their non-black counterparts on hair products, demonstrating a high quantity of product consumption, which means exposure to any chemicals could be high and long-term.

More Information

We really appreciate your support! Let’s make a difference and once and for all get to the bottom of this issue. For more information please email info@lakehealthandwellebing.com and you can also sign up to the My Haircare Nightmare mailing list here

Looking For Organic Black Hair Products?

Check these brands out:

Afrocenchix
Almocado 
Camille Rose Naturals
Pure Goodnes
Root2Tip
Shea Butter Cottage
Shea Decadence
Yaphene
CARA B Naturally – Natural Products for African American babies

And view some more on Amazon – Organic Black Hair Products

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Disclosure: this post contains an affiliate link. Find out more here