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

In April 2018, the UK Government introduced their sugar sweetened beverage (SSB) tax. Drinks containing 5-8g per 100 ml of sugar are now taxed at a rate of 18p per litre and drinks containing over 8g per 100 ml are taxed at a higher rate of 24p per litre. The tax is applied to all manufacturers and to date 457 companies are registered to pay this tax.

The tax has been successful in two regards. Firstly, in the run-up to the introduction of the tax many manufacturers reformulated their drinks to reduce the amount of sugar they contain to avoid paying the tax. This included supermarket giant Tesco’s who, in 2016, reduced the sugar content of their soft drinks to below 5g per 100ml. Other brands who have reduced the sugar content of their products include Ribena, Fanta and Lucozade.  Some brands, such as Coca Cola have decided not to reformulate their products as they are concerned about losing their customers. This means that in the UK the price of a can of coke has increased by 8p and a large bottle of coke by 50p.

The second success of the sugar tax is the revenue that has been raised. In the first six months of the tax being introduced £154m was raised. The money raised from the sugar tax will be used to double the funding available to primary schools for PE and sports programmes to support healthier, more active, lifestyles in children. The funding will not only go towards expanding PE and sports programmes but to also expand breakfast clubs in primary schools ensuring that children have access to a healthy breakfast every week day.

Islands states throughout the Caribbean are considering introducing a SSB tax and it is hoped that the recent success of the UK and other countries like Mexico will provide Governments with the evidence of the impact of a SSB tax.

On 1st November 2018, the Ministry of Health in St Kitts held a public consultation on SSB taxation. During this consultation they provided information on their proposed approach to sugar sweetened beverage (SSB) taxation. Lake Health and Wellbeing supports the government’s plans to tax SSBs and has published a position statement outlining our views on this topic.

SSB Taxation

The taxation of SSBs has been utilised as a method of tackling obesity by creating a deterrent which leads to a reduction in the purchase and consumption of SSBs.

Taxation of SSBs has three important aims. The first it to incentivise manufacturers to reformulate or replace their products to create healthier options, the second is to deter the public from purchasing and consuming SSBs by making them unaffordable and the third is to raise funds from the tax revenue that can be used to support initiatives aimed at improving the health of the public.

Caribbean Children’s SSB Consumption

Children in the Caribbean drink large quantities of SSBs putting them at risk of becoming obese or overweight.  Caribbean children’s frequency of consuming SSBs was found to be amongst the highest out of 187 countries. Furthermore, teenagers (12 to 15-year olds) in Barbados, Jamaica, the Bahamas and Trinidad and Tobago reported drinking SSBs three times or more a day, and in St Kitts and Nevis it was found that children consumed at least one carbonated soft drink a day.

SSB Consumption and Obesity

This high consumption of SSBs has been linked to weight gain and obesity in adults and children, and obesity or being overweight increases a person’s risk of developing a number of non-communicable diseases such as type 2 diabetes, stroke, heart disease and cancer.

Obesity is a significant challenge in St Kitts and Nevis. A PAHO report revealed that 33% of secondary school children in the twin island state were overweight and 14% were  obese. More recently, in 2017, a UNICEF report published that 26% of children in  St Kitts and Nevis are obese. When looking at adults in St Kitts and Nevis, the  PAHO study reported that 34% of adults were overweight and 45% were obese.

Tackling Obesity

In order to address the high rate of obesity in St Kitts and Nevis, a number of strategies are required and reducing the public’s consumption of SSBs by introducing a tax is just one of many approaches.

Our Position Statement

To find out more about the St Kitts Ministry of Health’s approach to SSB taxation and our position on this approach. You can download our position statement below.

Document: Taxing SSBs in St Kitts: A Position Statement

Published by: Lake Health and Wellbeing

Date: 15th November 2018

Download here: SSB Taxation Position Statement

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References

1. UNICEF, Situation Analysis of Children in the Federation of St Kitts and Nevis, UNICEF Office for the Eastern Caribbean Area and the Government of St Kitts and Nevis, Christ Church, Barbados, 2017
2. PAHO, Health in the Americas, 2012: St Kitts and Nevis, PAHO, 2012
3. Xuereb, G. (2017). Sugar Sweetened Beverages Taxes in the Caribbean – Progress and Challenges.
4. Yang, L. et al. (2017). Consumption of Carbonated Soft Drinks Among Young Adolescents Aged 12 to 15 Years in 53 Low- and Middle-Income Countries.  American journal of public health, 107(7), pp 1095-1100.

We’re so delighted to have been invited to take part in a panel discussion at the Healthy Caribbean Coalition and the Heart and Stroke Foundation of Barbados’ event on childhood obesity.

This event will take place at the beautiful Hilton Hotel in Barbados on 20th November in recognition of Universal Children’s Day and the official 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 which called on our 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 will officially close the petition and campaign by bringing together a wide cross section of national and regional stakeholders to celebrate the achievements of the campaign and to chart the way forward.

The meeting will provide a unique opportunity for organizations across the Caribbean, who took part in the campaign, to discuss the progress made over the course of the campaign and share national and regional successes and lessons learned in childhood obesity prevention advocacy platforms.

This one-day forum will also serve to leverage the energy and momentum of the past seven months and redirect it towards focussed evidence-based advocacy in support of creating healthy school environments across the Caribbean.

Lake Health and Wellbeing, as participant of the campaign and a member of the campaign’s civil society action team has been invited to take part in a panel discussion on the importance of coalitions and CSO collaboration around critical issues such as childhood obesity.

We’re very much looking forward to taking part in this very important event and are honoured to have been invited to participate – a big thank you to the HCC and HSFB for the invitation.

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.

Following the launch of Caribbean Moves, a new initiative based on the successful Jamaica Moves campaign, the Ministry of Health and Wellness in Barbados launched their Barbados Moves campaign.

The launch took place on 20^th October 2018 and was led by Lieutenant Colonel Jeffrey Bostic, Barbados’ Minister of Health and Wellness. In attendance was Dr Christopher Tufton Jamaica’s health minister, who said:

‘Caribbean Moves’ is an attempt to mobilise the region one country at a time, and one person at a time through taking personal responsibility for your health and by doing the things that are responsible for a healthy life.

“Finally, it’s about uniting the Caribbean through one message, one method, one approach and by extension strengthening us as a people.”

Barbados Moves will form the island’s national approach to tackling non-communicable diseases and will focus on three key areas, similar to Jamaica Moves,  which are physical activity, healthy eating and knowing your health status.

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Image Credit: Barbados Moves (Instagram)