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.

In October 2018,  we began consulting with the F.I.T. Wellness Center in Nevis to assist with the development and implementation of their NCD Prevention Action Plan, part of their NCD Prevention Programme.

On 27^th November 2018, we were delighted to join F.I.T. in the launch of their NCD Prevention Action Plan and  the announcement of their upcoming National Weight Loss Campaign.

The launch took the form of a press conference and was attended by the major media outlets in Nevis. The event was chaired by Mr David Walwyn, Director of the F.I.T Wellness Center and featured on the panel were:

• Hon. Hazel Brandy-Williams, Junior Minister for Health, who provided an overview of NCDs in Nevis
• Dr Judy Nisbett, Chief Medical Officer for Nevis, who discussed the cost of NCDs, this included direct and indirect costs as well as the impact NCDs have on families
• Nadine Carty-Caines, Programme Coordinator, Health Promotion Unit, Ministry of Health, who took the press through all the statistics on NCDs in Nevis
• Dr Raymond Moving, Internal Medicine, Alexandra Hospital, who explained the complications of NCDs focusing particularly on diabetes
• Dr Samir Anadkat, Obesity and Diabetes Specialist, Professor (Neuroscience & Anatomy), Medical University of Americas, Nevis, who explored prevention and addressed some of the myths around weight loss
• David Walwyn, Director, F.I.T. Wellness Centre, who spoke about F.I.T’s approach to tackling NCDs in Nevis
• Abi Begho, Public Health Project Manager, Lake Health and Wellbeing, who discussed the upcoming National Weight Loss Campaign and also announced the slogan competition for the campaign

Why Focus on NCDs?

Non-communicable diseases (NCDs) such as diabetes, hypertension, heart disease and cancer are a major health challenge in St Kitts and Nevis with 83% of deaths in the Federation being due to these conditions.

One of the key factors driving NCDs in St Kitts and Nevis is the high rate of obesity. In 2012, PAHO reported that 32.5% of secondary school children in St Kitts and Nevis were overweight and 14.4% were obese and a more recent report published by UNICEF in 2017 stated that 26% of children in St Kitts and Nevis were obese. We know that children who are overweight or obese are more likely to become overweight or obese adults and this puts them at a high risk of developing NCDs like diabetes, heart disease and cancer. Obesity rates in St Kitts and Nevis in adults aged 25 to 64 is high with a 2008 study stating that 33.5% of adults in this age group were overweight and 45% were obese.

F.I.T. has developed its answer to NCDs by developing its NCD Prevention Action Plan which will focus on supporting residents of Nevis to get fit, healthy and lose weight, and thus reduce their risk of developing an NCD. A core part of the action plan is the National Weight Loss Campaign which will start in January 2019.

The National Weight Loss Campaign

The National Weight Loss Campaign 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 The Public Can Get Involved in 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.

Who is Behind this Initiative?

The National Weight Loss Campaign is an initiative of the FIT Wellness Center led by Mr David Walwyn with support from the Ministry of Health and Lake Health and Wellbeing

More Information

F.I.T. Wellness Center 
Website www.fitwellnesscenter.com
Phone number: 9869) 469-3481 or (869) 662-8749
Email: admin@fitwellnesscenter.com

Ministry of Health, Health Promotion Unit
Phone: (869) 469-5521, (869) 469-8010, (869) 469-7470
Email: healthpromotion@niagov.com

Lake Health and Wellbeing
Website: www.lakehealthandwellbeing.com
Phone: (869) 667 0079
Email: info@lakehealthandwellbeing.com

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.

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)

On 27^th September 2018, Caribbean leaders hosted a breakfast meeting at the UN High Level Meeting on Non-Communicable Diseases (NCDs) in New York. The theme for this meeting was “Moving the Caribbean Towards Healthier Lives – Step It Up!”

Chaired by Dr Timothy Harris,  the Prime Minister of St Kitts and Nevis, leaders used this meeting to announce the launch of Caribbean Moves, an initiative that aims to re-energise health promotion efforts across the Caribbean through creative  and innovative partnerships.

Caribbean leaders recognised that progress has been made in tackling NCDs but with the Caribbean’s mortality rate for NCDs being the highest in the Americas, a more coordinated approach is needed. Caribbean Moves aims to achieve this.

Caribbean Moves will build on the very successful Jamaica Moves campaign which focuses on physical activity, healthy eating and age appropriate health checks.  The Jamaica Moves campaign is led by Dr Christopher Tufton, Jamaica’s Minister of Health, who is a very active participant in the Jamaica Moves campaign. He said of Caribbean Moves:

“This programme is intended to scale up the efforts of ongoing national programmes for increasing physical activity and healthy eating across the Caribbean. Among other things, Caribbean Moves will galvanise countries under one vision but each countries project will be unique fostering a cultural and social movement for regular physical activity within the Caribbean.”

Over the next few months a secretariat will be established for the Caribbean Moves initiative and their remit will be to develop an implementation schedule, coordinate activities and strengthen existing work in the Caribbean Region.

We look forward to seeing the Caribbean Moves initiative develop and are currently working on our own efforts to tackle NCDs in St Kitts and Nevis through a new piece of work  we are undertaking with the FIT Wellness Centre in Nevis. More information about this project will be available soon.

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Picture Credit: CARICOM

Our Chronic Disease Self-Management Course which was due to start on 2^nd October 2018 has been postponed until November. We are very sorry for any inconvenience caused and will release the November dates soon.

If you would like further information or would like to book a space on to the course, please email events@lakehealthandwellbeing.com

In the meantime, below is video that discusses the benefits of attending a chronic disease self-management course.

At the thirty-ninth regular meeting of the Conference of Heads of Government of the Caribbean Community (CARICOM) on 4-6^th July, leaders made a commitment to tackle non-communicable diseases (NCDs) in the Caribbean.

Six priority areas were endorsed. These included:

• Establishing and maintaining a smoke-free status for the region
• Implementing policies geared to preventing childhood obesity including health-promoting school environments and improving front-of-package labelling
• Promoting the elimination of cervical cancer
• Support for mitigating post-disaster vulnerabilities related to NCDS, particularly nutrition, treatment and care
• Increasing international financing and technical support
• Strengthening accountability through national coordinating mechanisms

Leaders of the Caribbean discussed the upcoming UN High-Level Meeting on Non-Communicable Diseases which will be held in September. The theme of this meeting is: scaling up multi-stakeholder and multi-sectoral responses to the prevention and control of NCDs. It was felt that CARICOM member states should be well-represented at this meeting especially as, in 2007, CARICOM led the way on NCDs by hosting the first ever summit on NCDs.  This put the spotlight on this area leading to NCDs being included on the UN Development Agenda.

About CARICOM

The Caribbean Community (CARICOM) consists of a group of 20 states, from the Bahamas in the north to Suriname and Guyana in the south, working together under four main pillars:  economic integration, foreign policy coordination, human and social development and security. You can find out more about the work of CARICOM here.

More Information

For more information about the 39^th Regular Meeting of the Conference of Heads of Government of CARICOM held in July you can visit their website here or you can watch the videos below.

Opening Ceremony of the Regular Meeting of the Conference of Heads of Government

Closing Press Conference of the Regular Meeting of the Conference of Heads of Government

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Picture Credit: CARICOM

Wednesday 4th July 2018

Today’s episode is the final episode in our childhood obesity series and our volunteers Vikell and Marecia discuss the solutions to childhood obesity.

Lake Health and Wellbeing in collaboration with the Department for Gender Affairs in St Kitts are aiming to provide support to men in St Kitts with chronic diseases such as heart disease, diabetes, cancer, high blood pressure and lung disease. This support will be delivered through a free 6-week self-management course, starting on 2^nd October, that will provide men with the information, skills and knowledge to live well with their health condition.

Our project will focus on men, to ensure that men in St Kitts who suffer from a chronic disease receive the support that they need as research suggests that men are less likely to access health services.

The course being utilised for this project is the Stanford University Chronic Disease Self-Management Program (CDSMP). This is an evidence-based prevention and health promotion program that addresses common issues faced by people with chronic conditions. The program will provide patients with information on appropriate exercise, diet, managing symptoms, medication usage, dealing with side effects and improving communication with healthcare providers, friends and family. Classes will be held at the National ICT Centre on the Bay Road and will be facilitated by trainers certified by the Stanford University Chronic Disease Self-Management Program.

The program has been implemented in 19 countries around the globe showing a number of benefits including:

• Improved wellbeing
• Improved health of patient
• Fewer hospitalisations
• Fewer days spent in hospital

If you or anyone you know is living with a chronic disease or caring for someone with a chronic disease then this course may be of interest to you.

For more information and to register, please visit Eventbrite,  email events@lakehealthandwellbeing.com or call 668 1518.

Want to be kept up-to-date on events like this? Then please subscribe to our newsletter here.

A couple of weeks ago government representatives from across  the world met in Montevideo, Uruguay for the World Health Organisation’s Global Conference on NCDs (Non-communicable diseases, e.g: cancer, diabetes,  cardiovascular disease etc).  The objectives of the conference were: to guide countries on how to reach sustainable development goal target 3.4 by 2030; to launch a new set of global initiatives to help countries accelerate progress in tackling NCDs; to share and exchange experiences; and to discuss how the health sector can be a key example of the benefit of enhancing policy coherence to achieve the sustainable development goals.

Making A Commitment to Tackle NCDs

At this conference governments endorsed the Montevideo Roadmap 2018-2030 on NCDs as a Sustainable Development Priority. By endorsing this roadmap they have made a commitment to take significant steps towards reducing the premature deaths due to NCDs by a third. They recognised that NCDs are one of the major challenges of the 21^st century and that progress to tackle them has been uneven and insufficient. The roadmap states that 15 million 30 to 69 year olds per year die from a NCD and 80% of these premature deaths occur in developing countries.  There are a number of challenges associated with tackling NCDs and with this is mind they committed to the following actions:

• Reinvigorate political action
• Enable health systems to respond more effectively to NCDs
• Increase significantly the financing of national NCD responses and international cooperation
• Increase efforts to engage sectors beyond health
• Reinforce the role of non-State actors
• Seeks measures to address the negative impact of products and environmental factors harmful for health and strengthen the contribution and accountability of the private sector and other non-State actors
• Continue relying on WHO’s leadership and key role in the global response to NCDs
• Act in unity

Our Thoughts

We were delighted to see world leaders come together and make this commitment and look forward to seeing these actions being taken forward.

We’re particularly happy to see that efforts will be made to engage with a variety of stakeholders. As a small organisation that is passionate about improving the health and well-being of our community we do get frustrated at the lack of engagement with grassroots organisations. We have many times reached out to local and national governments with our enthusiasm and ideas, ready to play a role but have received lukewarm responses or no responses at all. We hope that governments will see the value of working with small organisations and we have been grateful for the funding provided by Croydon Council, Sports England, Macmillan and Eli Lilly for some of the work we’ve conducted on NCDs. We look forward to continuing to work in this area and making our own small contribution.

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You can read the complete Montevideo Roadmap below.