On August 9th 2019, the Ministry of Health in St. Kitts and Nevis, in collaboration with the Office of the Prime Minister, officially launched St. Kitts & Nevis (SKN) Moves.

This initiative is part of the Caribbean Moves program which seeks to tackle non-communicable diseases (NCDs) by focusing on healthy eating, physical activity, and age-appropriate health checks.

August 9th 2020, marks the first anniversary of the launch and the Ministry of Health’s Health Promotion Team is engaging in a week of activities from Saturday 8th to Friday 14th August 2020.

Events include:

• SKN Moves Health Walk – Saturday, August 8th at 5:30 am – Caribbean Cinemas to Frigate Bay Lawn
• SKN Moves Virtual Fitness Fest – Monday August 10th – Friday 14th at 6am & 6pm
• SKN Moves Health Fair – Friday, August 14th from 9am – 4pm- Independence Square

Everyone is invited to take part in this celebration so please do come out, take part and get moving. We’ll see you there!

We’re delighted to announce that we have once again teamed up with Because We Care to host another women’s health event in St Kitts.

Girl Talk: Diabetes will focus on women and diabetes and will take place on Saturday 14th September. We’ll be having a panel of excellent speakers covering topics such as:

• An Introduction to Diabetes
• Diabetes and its Complication
• Living with Diabetes

We’ll also have a small wellness market featuring health, wellbeing and wellness brands, fantastic raffle prizes, free health checks, food and more!

More details to follow, so please stay tuned!

This event is the second event in this series. Our first event focused on fibroids and we had a great day learning more about fibroids and its impact on women. You can read about our previous event here

If you would like to join us for this event, you can register below and make the payment on the day ($90EC).

The information provided in the form below will enable us to contact you about the event regarding updates and important information. We will only use it for this purpose.

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We look forward to seeing you on 14th September and if you have any questions, please email us or call 765 8702.

We’re delighted to announce that our next set of chronic disease self-management courses will start in July 2019.

Following the success of our first chronic disease self-management course which ran from 2^nd April to 7^th May 2019, we will be hosting two more sets of workshops. The first will start on Tuesday 2^nd July and the second on Wednesday 3^rd July. Both workshops will be held at the conference room at the Ministry of Health in St Kitts from 5pm to 7pm.

The course is aimed at anyone living in St Kitts who is either living with a chronic health condition (like diabetes, high blood pressure, asthma, fibroids, heart disease, arthritis, chronic back pain etc.), is caring for someone with a chronic illness, is at risk of developing a chronic health condition or who is interested in the topic and would like to learn more.

Participants will attend one session a week for 6 weeks and during this period they will be provided with the information, skills and knowledge to live well with their health condition. This will enable those affected by a chronic disease to take control of their health and wellbeing and not be hindered in any way by their condition.

Over the six weeks, attendees will be taken through key self-management techniques such as action planning, problem-solving, symptoms management, medication management, communication skills, pain management and more.  Additionally, attendees will have access to free health checks and relevant services to enable them to adopt a healthy lifestyle.

If you or anyone you know is living with a chronic disease or caring for someone with a chronic disease, then this workshop is just what you need.

You can register your interest by completing the registration form below and for more information or if you have a question about this course, please email us or call 765 8702.

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Please note: The information you provide in the form above will only be used to contact you about our chronic disease self-management course. It will not be passed on to any third party and you won’t be added to our newsletter’s mailing list. To be added to our mailing list, please click here.

On 25th April,  the pharmaceutical company Merck launched their new documentary, A Touch of Sugar, at the Tribeca Film Festival.

The documentary is narrated by the award-winning actress Viola Davis who has a strong family history of type 2 diabetes and who herself is pre-diabetic.

The World Health Organisation has reported that in 2014, 422 million people worldwide were living with diabetes. The majority of these patients, about 90%,  are living with type 2 diabetes.

Type 2 diabetes is now considered by many to be an epidemic and the film, A Touch of Sugar, delves into this chronic condition by telling the story of the many people who have been affected. The film features interviews with patients, family members, doctors, advocates and thought leaders to raise awareness of diabetes, its impact on society and the importance of focusing on underserved communities.

You can watch the trailer for the documentary below:

A Touch of Sugar Trailer from A Touch of Sugar on Vimeo.

A Touch of Sugar is part of Merck’s program,  ‘America’s Diabetes Challenge: Get to Your Goals’ which encourages type 2 diabetics to work with their doctors to reach a number of health goals.

You can reduce your risk of developing type 2 diabetes by maintaining a healthy weight, eating a healthy diet and taking part in at least 150 minutes of physical activity every week. If you have diabetes, speak to your doctor about the lifestyle changes that you can make to ensure that you’re managing your condition effectively.

In St Kitts and Nevis, diabetes is also a major health challenge, you can read about this here

We have started facilitating regular chronic disease self-management courses. These courses have been developed by Stanford University and have been proven to help those living with chronic conditions such as diabetes live well despite their condition.

If you live in St Kitts and Nevis and would like to learn more about managing chronic diseases, you can register to attend our next chronic disease self-management course, by sending us an email.

Today, Sunday 7th April 2019, is World Health Day. This year, the World Health Organisation is focusing on the topic of Universal Health Coverage (UHC) with the theme being ‘Health for All – Everyone, Everywhere.’

WHO states that “Universal Health Coverage means that all people have access to the quality health
services they need, when and where they need them, without financial hardship.”  They explain that  Universal Health Coverage includes the full spectrum of health services which encompass prevention, diagnosis, treatment, rehabilitation and palliative care.

Providing UHC is one of the Sustainable Development Goals and countries throughout the world, including St Kitts and Nevis are exploring how UHC can be achieved.

In recognition of the World Health Day theme we thought it would be useful to share this excellent interview from January 2019 with Chairperson of the St. Kitts and Nevis National Commission for Universal Health Coverage , Azilla Clarke.

In this informative interview we hear about the government’s plans for UHC. The discussion includes an overview of the major health challenges in the Federation, including non-communicable disease (NCDs), how we can address these and how UHC can contribute to tackling NCDs.

You can watch this interview below and happy World Health Day!

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Photo Credit: SKNIS

Lake Health and Wellbeing is  happy to support Dafina Malovska’s campaign calling on the UK’s Department of Health to introduce annual gynaecological check-ups for every woman in the UK. We believe a policy like this will save many lives by enabling the early diagnosis of gynaecological cancers that have no screening programmes – ovarian, womb, vulval and vaginal cancers.

Also, annual check-ups can assist in the early diagnosis of a range of conditions that significantly affect women’s quality of life, such as fibroids and endometriosis.

You can show your support by signing Dafina’s petition here and please read the article below to find out more about this issue.

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At the age of 35, Dafina Malovska was diagnosed with stage 2 womb cancer which had spread to her ovaries. Her only option, at the time, was to have a total hysterectomy (the removal of her womb and both ovaries) which sadly deprived her of having her own children and plunged her into an immediate surgical menopause.

Dafina was lucky that her cancer was diagnosed at a fairly early stage and she survived, but many women are not so lucky and are diagnosed at a late stage when it is too late for successful treatment.  The late diagnosis of these gynaecological cancers occur, in part, because there is no screening programme for most of these cancers.

Currently in the UK cervical cancer is the only gynaecological cancer with a screening programme and this has successfully reduced the incidence and mortality rates for cervical cancer.

Developing a cancer screening test is challenging and researchers across the world are working tirelessly to develop screening tests for those cancers that require one.  Until then, when it comes to womb, ovarian, vulval and vaginal cancers, women have to be aware of the signs and symptoms, but this can be problematic as it can be hard to identify symptoms as the symptoms of these types of cancers are similar to a range of other conditions which can lead to misdiagnosis.

For example, in February 2014, before Dafina was diagnosed with womb cancer she started experiencing extreme bloating and visited her doctor almost monthly. Eventually her symptoms were wrongly attributed to gluten-related bloating and by November of that year Dafina became very unwell while abroad and it was subsequently discovered that she had 14cm tumour weighing 500g .

If Dafina had access to an annual gynaecological check-up her tumour could have been discovered earlier before it had spread to her ovaries.

In many countries throughout the world, girls and women have annual gynaecological examinations and it’s important that the UK explores this approach as its survival rates for gynaecological cancers such as ovarian cancer are significantly lower than other countries’ rates.

Change is needed and you can make a difference by signing Dafina’s petition which appeals to the Secretary of State for Health, Matt Hancock MP, and the Minister for Women and Equality, Penny Mordaunt, to explore the introduction of annual gynaecological check-ups for women in the UK.

The first target for this petition is 10,000 signatures and her ultimate target is 100,000.  So far, Dafina has been able to secure 3,723 signatures. When her target is achieved, her petition will be presented to Matt Hancock and Penny Mordaunt.

Dafina would be very grateful if you could please sign, share and spread the word and for more information, you can follow her campaign on Instagram

Cancer Research UK has reported that its scientists have developed a very comprehensive method of predicting a women’s risk of developing breast cancer.

This work was recently published in Genetics in Medicine where it was explained that by combining information on family history, genetics and other factors like weight, age at menopause, alcohol consumption and use of hormone replacement therapy, scientists are able to determine a woman’s breast cancer risk.

What makes their prediction more precise than previous methods is that researchers, for the first time, included 300 genetic indicators for breast cancer in their risk calculation.

This piece of work has led to the development of an online calculator that General Practitioners (GPs) in the UK can use in their surgeries. Currently this online  calculator is being tested by GPs, nurses and genetic counsellors before it is released nation-wide. The hope is that this tool will enable healthcare professionals to explore early detection and prevention strategies for women based on their risk and therefore improve survival rates for breast cancer.

Although this work is very exciting more work is needed, as expressed by lead author, Professor Antonis Antoniou, who said:

“It could be a game changer for breast cancer because now we can identify large numbers of women with different levels of risk – not just women who are at high risk.

This should help doctors to tailor the care they provide depending on their patients’ level of risk. For example, some women may need additional appointments with their doctor to discuss screening or prevention options and others may just need advice on their lifestyle and diet.

“We hope this means more people can be diagnosed early and survive their disease for longer, but more research and trials are needed before we will fully understand how this could be used.”

Additionally, Dr Richard Rope, Cancer Research UK’s GP expert warned that:

“Research like this is hugely exciting because in the future it will enable us to offer much more tailored care which will benefit patients and make best use of the services that we have available.

“Although having an increased risk of breast cancer means a woman is more likely to develop the disease – it’s by no means a certainty. A woman at high risk may never get breast cancer just as a woman at low risk still could. But any woman with concerns should speak to her GP to discuss the options.”

For more information on this work, you can read Cancer Research UK’s research paper here

The Caribbean Moves campaign is growing with a third Caribbean country launching their version of this initiative. On 7^th December 2018, Trinidad and Tobago joined the Caribbean Moves family with the launch of TT Moves at the Brian Lara Promenade, in Port of Spain, Trinidad.

Trinidad and Tobago’s Health Minister Terrence Deyalsingh explained that this campaign is just one of their approaches to reduce the incidence of non-communicable diseases in their Caribbean nation. He stated that this campaign is a continuation of their plan to move the public from an unhealthy to a healthier lifestyle, explaining that:

“When I say a healthier lifestyle, I mean how we eat, how we exercise, controlling our stress levels, moving away from this, as social-media electronic toys which shackle us to a device and we sit down.

“We have to start to exercise some more. Simple walking, simple jogging. We have to bring into our diets healthier options like fruits. Today we are giving out fruits and fruit trees. We want people “to gradually change their lifestyles, not change today for tomorrow.”

The launch of TT Moves follows the launch of Barbados Moves in October 2018 with more Caribbean nations expected to join the movement in 2019.

Caribbean Moves is an initiative launched in 2018 that is based on the successful Jamaica Moves  campaign and focuses on physical activity, healthy eating and age appropriate health checks. They’re in the process of establishing a secretariat and their remit is to develop an implementation schedule, coordinate activities and strengthen existing work in the Caribbean Region.

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Picture Credit: Anil Rampersad, pictured is  Terrence Deyalsingh,  the Minister of Health for Trinidad and Tobago 

The 14^th November is World Diabetes Day, a day that the world comes together to recognise the escalating threat that diabetes poses. This year’s theme is ‘The Family and Diabetes – Diabetes Concerns Every Family.’ This theme will cover a two-year (2018 ad 2019) period.

The aim of the 2018–19 campaign is to raise awareness of the impact diabetes has on the family and to promote the role family members can play in the management, care, prevention and education of diabetes.

The International Diabetes Federation and WHO’s key messages fall under four main areas (discover, prevent and manage) and they provide practical tips and advice for families.

Discover Diabetes

Statistics presented by the International Diabetes of Federation suggest that 50% of people with type 2 diabetes remain undiagnosed. Diagnosing diabetes early is very important in helping to prevent or delay the life-threatening complications that are associated with this condition. It is therefore very important that we are all aware of the symptoms, particularly if we have a family history of diabetes.

For World Diabetes Day, organisers are reminding family members of the key role they can play in identifying symptoms in their family members and thus helping detect diabetes early.

The symptoms of type 2 diabetes can be hard to identify because initially they don’t make you feel unwell and the symptoms may start to feel like normal every day behaviour. Take some time to reflect on whether these symptoms are normal for you, or your family member, or if they could be a sign of type 2 diabetes.

• Urinating more often
• Feeling thirsty
• Feeling very hungry
• Weight loss
• Blurred vision

Prevent Diabetes

There is a huge opportunity to prevent diabetes as the International Diabetes Federation has reported that 80% of diabetes cases can be prevented by the public adopting a healthy lifestyle.  This means that preventing diabetes starts at home. Simply by making a decision for your family to eat a healthy diet and exercise together means that your family members can reduce their risk of developing type 2 diabetes. The aim is for each of us is to create and live in an environment that supports a healthy lifestyle.

Manage Diabetes

Diabetes has a significant impact on families and family members often feel helpless when it comes to caring for those close to them who have diabetes. Research has show that 2 in 3 people wouldn’t know how to care for a family member with diabetes. This is likely to be due to a lack or awareness  and access to relevant educational material. Research has shown that less than 1 in 2 people with diabetes and 1 in 4 family members of people with diabetes have access to diabetes education programmes.

If you’re a family member of a diabetic, it’s important to know that managing diabetes requires daily treatment, regular monitoring, a healthy lifestyle and ongoing education. Family support is key in achieving this. If you feel ill-equipped to support your family members, speak to your doctor and explore whether there are any diabetes self-management courses being held in your area.

Diabetes in St Kitts

Diabetes is a significant health challenge in St Kitts accounting for one of the most common reasons for patients visiting the Joseph N France Hospital for treatment.

In St Kitts and Nevis, approximately 1300 people are living with diabetes, therefore impacting 1300 families, with 71% being women. It is thus important for residents of St Kitts and Nevis to be aware of how they can prevent, manage and discover diabetes so they can better support their family members with diabetes, as well as reduce the risk of unaffected members developing this condition.

For more information you can listen to Hon Wendy Phipps’ s (Minister of State for responsibility for Health in St Kitts), statement in observance of world Diabetes Day 2018 on Sound Cloud here:

Conclusion

Family members can make a significant difference in the prevention, early diagnosis and management of diabetes. It’s important to learn more about this condition and if you need help in St Kitts you can contact the St Kitts Diabetes Association.