The Management of the Princess Margaret Hospital wishes to advise the public that flooring modernization works are currently underway within the Critical Care Block. This project is a key part of our ongoing commitment to enhancing our facilities and improving the patient care environment.

To ensure safety and efficiency during this period, please note the following:

• Restricted Access & Route Changes: Access to certain areas within the block may be temporarily restricted or modified.

• Clear Signage: Directional signs have been posted throughout thearea to safely guide you to your destination.

• On-Site Assistance: Members of our Patient Experience Team arestationed at both the Critical Care Block and EmergencyDepartment entrances to provide immediate guidanceand directions.

Hospital staff will be fully available to assist you as needed. We sincerelyappreciate your patience, cooperation, and understanding as wecontinue to upgrade our hospital environment.

Signed,
Management

The Management of the Princess Margaret Hospital wishes to advise the public that flooring modernization works are currently underway within the Critical Care Block. This project is a key part of our ongoing commitment to enhancing our facilities and improving the patient care environment. To ensure safety and efficiency during this period, please note the following: • Restricted Access & Route Changes: Access to certain areas within the block may be temporarily restricted or modified. • Clear Signage: Directional signs have been posted throughout the area to safely guide you to your destination. • On-Site Assistance: Members of our Patient Experience Team are stationed at both the Critical Care Block and Emergency Department entrances to provide immediate guidance and directions. Hospital staff will be fully available to assist you as needed. We sincerely appreciate your patience, cooperation, and understanding as we continue to upgrade our hospital environment. Signed, Management

The heartbreaking story of one family’s experiences with dementia took centre stage on Saturday as author J Shannell Evans held a book signing and talk to mark the book’s launch.

“I’m trying my very best not to be emotional,” said Shannell to her audience, as she went on to tell how dementia had affected her grandmother, her mother, her brother and her sister across the generations. Two of her aunts also experienced dementia. She added: “Writing this book, it was as if when I finished it, a weight lifted off me. I felt it was so important to write this story, and I hope it will help others.”

Readers queued up to buy the book and have it signed by the author during the event – with many also sharing their own experiences with family members who had dementia.

The author was joined by Wence Martin, of the Alzheimer’s Assocation, who said: “Alzheimer’s is the leading dementia diagnosis in The Bahamas - it is estimated that 2,000 Bahamians since 2023, and we know that is a very conservative estimate. When we look at the causes of dementia and whether it’s hereditary or whether there’s some genetic factors, we don’t know – and the experts haven’t proven that there is or that there isn’t a genetic link.”

He added: “The projection is by 2030, there will be 6,000 persons in The Bahamas – once again we think that is a conservative estimate – with dementia. I celebrate Mrs Evans in being able to pen a book and raise awareness.”

Expert Dr Krystle Rolle also spoke to attendees, giving advice on dealing with dementia. “To date, about 3% of men and women aged 65 and above would be diagnosed with dementia, and nearly half of persons living at age 85 and above will be diagnosed with dementia. Based on World Health Organisation standards in 2025, they estimate about 2.26% of deaths in our elderly population are due to dementia.”

She added: “Dementia is a broad umbrella of cognitive impairment. The most common in the world is Alzheimer’s disease, although in The Bahamas the most common is vascular dementia. Persons end up getting vascular dementia through blood compromise to the brain, through stress, hypertension, and diabetes. It involves progressive brain cell degeneration which eventually affects memory, thinking and behaviour.”

Experts gave advice on warning signs for people to watch for, and guidance on how they could be diagnosed and reach out to support networks.

“I do hope this book can make a difference to people,” said Shannell. “Writing it really reminded me of all that we have gone through as a family, things even I had forgotten, and I hope it is helpful to readers who might be going through the same thing.”

The Long Nightmare: My Family’s Journey With Dementia is available in paperback at Logos bookstore in Harbour Bay, and is also available as a paperback or an ebook on Amazon.

This is the latest book from Shannell after having previously published books in a range of genres – including poetry, drama, inspiration, mystery, children’s fiction, young adult fiction and non-fiction. She is also the CEO of Joan Shannell Evans Books Publishing. She now lives in Nassau, and is the chief financial officer at her home church, having worked in church ministry for 38 years.

To learn more, visit joanshannellevansbooks.com.

The heartbreaking story of one family’s experiences with dementia took centre stage on Saturday as author J Shannell Evans held a book signing and talk to mark the book’s launch. “I’m trying my very best not to be emotional,” said Shannell to her audience, as she went on to tell how dementia had affected her grandmother, her mother, her brother and her sister across the generations. Two of her aunts also experienced dementia. She added: “Writing this book, it was as if when I finished it, a weight lifted off me. I felt it was so important to write this story, and I hope it will help others.” Readers queued up to buy the book and have it signed by the author during the event – with many also sharing their own experiences with family members who had dementia. The author was joined by Wence Martin, of the Alzheimer’s Assocation, who said: “Alzheimer’s is the leading dementia diagnosis in The Bahamas - it is estimated that 2,000 Bahamians since 2023, and we know that is a very conservative estimate. When we look at the causes of dementia and whether it’s hereditary or whether there’s some genetic factors, we don’t know – and the experts haven’t proven that there is or that there isn’t a genetic link.” He added: “The projection is by 2030, there will be 6,000 persons in The Bahamas – once again we think that is a conservative estimate – with dementia. I celebrate Mrs Evans in being able to pen a book and raise awareness.” Expert Dr Krystle Rolle also spoke to attendees, giving advice on dealing with dementia. “To date, about 3% of men and women aged 65 and above would be diagnosed with dementia, and nearly half of persons living at age 85 and above will be diagnosed with dementia. Based on World Health Organisation standards in 2025, they estimate about 2.26% of deaths in our elderly population are due to dementia.” She added: “Dementia is a broad umbrella of cognitive impairment. The most common in the world is Alzheimer’s disease, although in The Bahamas the most common is vascular dementia. Persons end up getting vascular dementia through blood compromise to the brain, through stress, hypertension, and diabetes. It involves progressive brain cell degeneration which eventually affects memory, thinking and behaviour.” Experts gave advice on warning signs for people to watch for, and guidance on how they could be diagnosed and reach out to support networks. “I do hope this book can make a difference to people,” said Shannell. “Writing it really reminded me of all that we have gone through as a family, things even I had forgotten, and I hope it is helpful to readers who might be going through the same thing.” The Long Nightmare: My Family’s Journey With Dementia is available in paperback at Logos bookstore in Harbour Bay, and is also available as a paperback or an ebook on Amazon. This is the latest book from Shannell after having previously published books in a range of genres – including poetry, drama, inspiration, mystery, children’s fiction, young adult fiction and non-fiction. She is also the CEO of Joan Shannell Evans Books Publishing. She now lives in Nassau, and is the chief financial officer at her home church, having worked in church ministry for 38 years. To learn more, visit joanshannellevansbooks.com.

The fight against the health impacts of smoking continues around the world, with Sunday, May 31, marking World No Tobacco Day.

Cleveland Clinic expert Dr Diego Maldonado answers questions on the effects of smoking – and suggests strategies you can use to quit.

Dr Maldonado warns that smoking can even affect your DNA – and people around you, with secondhand smoking raising heart disease and stroke risk by as much as 30%.

1. What impact does smoking have on global public health?

Smoking damages virtually every organ, increasing the risk of cancer, stroke, heart disease, lung disease, and more, it even affects DNA and reduces physical fitness. It’s one of the leading preventable threats to public health.

2. How many deaths are caused by tobacco use each year?

More than 8 million people die annually due to tobacco use, over 7 million from direct smoking and around 1.2 million from secondhand smoke exposure. 

3. How does advertising influence tobacco consumption among young people?

Tobacco advertising and promotion strongly contribute to smoking initiation among youth. Studies consistently show high appeal of tobacco ads among young adults correlates with increased tobacco use, especially among more vulnerable groups. Approximately 80% of youth agree tobacco companies target them. 

4. What diseases are most commonly linked to tobacco use?

Common diseases include:

- Lung, mouth, throat, esophageal, laryngeal, bladder, kidney, and pancreatic cancers
- Chronic obstructive pulmonary disease (COPD) and emphysema
- Stroke, heart attack, peripheral artery disease
- Reduced bone health, joint problems, and reduced physical endurance. 

5. What challenges does the fight against tobacco currently face?

- Tobacco industry interference, including marketing new nicotine products (e-cigarettes, heated tobacco) as “reduced risk” and targeting youth
- Incomplete implementation of global tobacco control policies (like bans, tax measures) in many countries
- Persistence of ~1.3 billion users, mostly in low- and middle-income countries
- Growing popularity of flavored e-cigarettes and novel nicotine delivery systems that appeal to younger demographics.

6. What strategies can help a person quit smoking?

- Set a quit date; quitting “cold turkey” or tapering both can work
- Use nicotine replacement therapy (patches, gum, lozenges) or medications like bupropion or varenicline
- Access behavioral counseling and follow a proven framework (Ask–Advise–Assess–Assist–Arrange)
- Combine pharmacology and counseling for best results, with proactive, individualized treatment.

7. What are the consequences of secondhand smoke on the population?

- Causes over 7,000 lung cancer deaths and more than 33,000 heart disease deaths a year in the U.S. alone
- Even brief exposure damages cardiovascular systems, raising heart disease and stroke risk by 20–30%
- Harms children through increased ear infections, asthma attacks, respiratory infections, and sudden infant death syndrome (SIDS).

8. What message does World No Tobacco Day seek to convey to society?

World No Tobacco Day (May 31) aims to:

- Raise awareness of tobacco’s deadly health toll and manipulative industry practices
- Promote strong tobacco control measures (ads bans, taxes, plain packaging, flavor restrictions)
- Empower individuals, communities, and governments to protect their health and future generations from nicotine addiction.

Dr Diego Maldonado, MD, FCCP, is an expert in interventional pulmonology, pulmonary critical care and pulmonology at the Cleveland Clinic.

About Cleveland Clinic

Cleveland Clinic is a nonprofit multispecialty academic medical center that integrates clinical and hospital care with research and education. Located in Cleveland, Ohio, it was founded in 1921 by four renowned physicians with a vision of providing outstanding patient care based upon the principles of cooperation, compassion and innovation. Cleveland Clinic has pioneered many medical breakthroughs, including coronary artery bypass surgery and the first face transplant in the United States. Cleveland Clinic is consistently recognized in the U.S. and throughout the world for its expertise and care. Among Cleveland Clinic’s 82,600 employees worldwide are more than 5,786 salaried physicians and researchers, and 20,700 registered nurses and advanced practice providers, representing 140 medical specialties and subspecialties. Cleveland Clinic is a 6,728-bed health system that includes a 173-acre main campus near downtown Cleveland, 23 hospitals, 280 outpatient facilities, including locations in northeast Ohio; Florida; Las Vegas, Nevada; Toronto, Canada; Abu Dhabi, UAE; and London, England. In 2024, there were 15.7 million outpatient encounters, 333,000 hospital admissions and observations, and 320,000 surgeries and procedures throughout Cleveland Clinic’s health system. Patients came for treatment from every state and 112 countries. Visit us at clevelandclinic.org. Follow us at x.com/CleClinicNews. News and resources are available at newsroom.clevelandclinic.org.

The fight against the health impacts of smoking continues around the world, with Sunday, May 31, marking World No Tobacco Day. Cleveland Clinic expert Dr Diego Maldonado answers questions on the effects of smoking – and suggests strategies you can use to quit. Dr Maldonado warns that smoking can even affect your DNA – and people around you, with secondhand smoking raising heart disease and stroke risk by as much as 30%.   1. What impact does smoking have on global public health? Smoking damages virtually every organ, increasing the risk of cancer, stroke, heart disease, lung disease, and more, it even affects DNA and reduces physical fitness. It’s one of the leading preventable threats to public health.   2. How many deaths are caused by tobacco use each year? More than 8 million people die annually due to tobacco use, over 7 million from direct smoking and around 1.2 million from secondhand smoke exposure.   3. How does advertising influence tobacco consumption among young people? Tobacco advertising and promotion strongly contribute to smoking initiation among youth. Studies consistently show high appeal of tobacco ads among young adults correlates with increased tobacco use, especially among more vulnerable groups. Approximately 80% of youth agree tobacco companies target them.   4. What diseases are most commonly linked to tobacco use? Common diseases include: Lung, mouth, throat, esophageal, laryngeal, bladder, kidney, and pancreatic cancers Chronic obstructive pulmonary disease (COPD) and emphysema Stroke, heart attack, peripheral artery disease Reduced bone health, joint problems, and reduced physical endurance.   5. What challenges does the fight against tobacco currently face? Tobacco industry interference, including marketing new nicotine products (e-cigarettes, heated tobacco) as “reduced risk” and targeting youth Incomplete implementation of global tobacco control policies (like bans, tax measures) in many countries Persistence of ~1.3 billion users, mostly in low- and middle-income countries Growing popularity of flavored e-cigarettes and novel nicotine delivery systems that appeal to younger demographics.   6. What strategies can help a person quit smoking? Set a quit date; quitting “cold turkey” or tapering both can work Use nicotine replacement therapy (patches, gum, lozenges) or medications like bupropion or varenicline Access behavioral counseling and follow a proven framework (Ask–Advise–Assess–Assist–Arrange) Combine pharmacology and counseling for best results, with proactive, individualized treatment.   7. What are the consequences of secondhand smoke on the population? Causes over 7,000 lung cancer deaths and more than 33,000 heart disease deaths a year in the U.S. alone Even brief exposure damages cardiovascular systems, raising heart disease and stroke risk by 20–30% Harms children through increased ear infections, asthma attacks, respiratory infections, and sudden infant death syndrome (SIDS).   8. What message does World No Tobacco Day seek to convey to society? World No Tobacco Day (May 31) aims to: Raise awareness of tobacco’s deadly health toll and manipulative industry practices Promote strong tobacco control measures (ads bans, taxes, plain packaging, flavor restrictions) Empower individuals, communities, and governments to protect their health and future generations from nicotine addiction.   Dr Diego Maldonado, MD, FCCP, is an expert in interventional pulmonology, pulmonary critical care and pulmonology at the Cleveland Clinic.   About Cleveland Clinic Cleveland Clinic is a nonprofit multispecialty academic medical center that integrates clinical and hospital care with research and education. Located in Cleveland, Ohio, it was founded in 1921 by four renowned physicians with a vision of providing outstanding patient care based upon the principles of cooperation, compassion and innovation. Cleveland Clinic has pioneered many medical breakthroughs, including coronary artery bypass surgery and the first face transplant in the United States. Cleveland Clinic is consistently recognized in the U.S. and throughout the world for its expertise and care. Among Cleveland Clinic’s 82,600 employees worldwide are more than 5,786 salaried physicians and researchers, and 20,700 registered nurses and advanced practice providers, representing 140 medical specialties and subspecialties. Cleveland Clinic is a 6,728-bed health system that includes a 173-acre main campus near downtown Cleveland, 23 hospitals, 280 outpatient facilities, including locations in northeast Ohio; Florida; Las Vegas, Nevada; Toronto, Canada; Abu Dhabi, UAE; and London, England. In 2024, there were 15.7 million outpatient encounters, 333,000 hospital admissions and observations, and 320,000 surgeries and procedures throughout Cleveland Clinic’s health system. Patients came for treatment from every state and 112 countries. Visit us at clevelandclinic.org. Follow us at x.com/CleClinicNews. News and resources are available at newsroom.clevelandclinic.org.

Nearly half of adults in The Bahamas live with high blood pressure, according to the World Health Organization. The organization also warns that many cases remain uncontrolled, increasing the risk of heart disease, stroke and other serious health complications. 

High blood pressure, also known as hypertension, can occur at any age. Its prevalence in people in early to mid-adulthood has been rising globally. Bianca Bandarra, M.B.B.S., a general practitioner and executive health physician at Mayo Clinic Healthcare in London, describes lifestyle factors that can influence risk and explains why treating high blood pressure early matters. 

High blood pressure is a common condition that affects the body's arteries. If you have high blood pressure, the force of blood pushing against the artery walls is consistently too high. The heart has to work harder to pump blood.

If untreated, high blood pressure raises the risk of heart attack, heart failure, stroke and other serious health problems, including kidney and eye problems, dementia, and metabolic syndrome, a group of conditions that increases the risk of diabetes.

Hypertension usually develops with no symptoms 

High blood pressure can be a silent disease; people can have it without realizing it, Dr. Bandarra says. 

"If high blood pressure isn't treated, it can damage blood vessels and organs over many years," she explains. "Because of that, we need to be proactive about prevention and early diagnosis. A simple 
blood pressure check is an important screening tool. People with conditions such as diabetes, kidney disease or a family history of hypertension may need more frequent monitoring."

If you have a family history of hypertension — for example, if one or both of your parents have it — it is sensible to be proactive and discuss with your healthcare team whether additional steps, such as monitoring your blood pressure at home, are appropriate.

While hypertension usually develops without symptoms, some people may notice warning signs if blood pressure becomes severely elevated, Dr. Bandarra says.

"Very high readings can sometimes be associated with headaches, especially in a hypertensive crisis," she says. "Some people may also feel pressure or discomfort behind their eyes."

Blurred vision, chest pain, palpitations, nosebleeds, shortness of breath and feeling tired and generally unwell can also occur, though these symptoms are not specific to hypertension and can have other causes. If you experience these symptoms, especially if they are new or severe, seek medical attention promptly, Dr. Bandarra says. 

Lifestyle plays a role 

Several lifestyle factors can influence the risk of developing hypertension, Dr. Bandarra says. 

Factors that can raise the risk include having obesity or being overweight, tobacco use, alcohol use, high stress levels, eating too much salt, not consuming enough potassium and not moving enough.

Factors that can lower the risk include exercising, achieving a healthy weight, following a heart-healthy diet with fruits, vegetables and whole grains, exercising regularly, managing stress, avoiding tobacco and alcohol, and getting enough sleep.

"Some people may do all the right things and still develop hypertension," Dr. Bandarra says. "That's because genetics also play a role. We can take steps to prevent it from getting worse."

Stopping hypertension from progressing 

Treatment typically includes following a healthy lifestyle — even for people whose hypertension has a genetic component — and medication. Tests such as blood tests, urine tests and an electrocardiogram may be needed to assess overall health and look for organ damage or related conditions. 

Whatever your risk level, checking your blood pressure at home in addition to routine health checkups can be a safe and useful way to track your cardiovascular health.

"Use a validated device with the correct cuff size and follow proper technique," Dr. Bandarra says. "Raising awareness about high blood pressure for yourself, your friends and your family can make a real difference."

Nearly half of adults in The Bahamas live with high blood pressure, according to the World Health Organization. The organization also warns that many cases remain uncontrolled, increasing the risk of heart disease, stroke and other serious health complications.  High blood pressure, also known as hypertension, can occur at any age. Its prevalence in people in early to mid-adulthood has been rising globally. Bianca Bandarra, M.B.B.S., a general practitioner and executive health physician at Mayo Clinic Healthcare in London, describes lifestyle factors that can influence risk and explains why treating high blood pressure early matters.  High blood pressure is a common condition that affects the body's arteries. If you have high blood pressure, the force of blood pushing against the artery walls is consistently too high. The heart has to work harder to pump blood. If untreated, high blood pressure raises the risk of heart attack, heart failure, stroke and other serious health problems, including kidney and eye problems, dementia, and metabolic syndrome, a group of conditions that increases the risk of diabetes. Hypertension usually develops with no symptoms  High blood pressure can be a silent disease; people can have it without realizing it, Dr. Bandarra says.  "If high blood pressure isn't treated, it can damage blood vessels and organs over many years," she explains. "Because of that, we need to be proactive about prevention and early diagnosis. A simple  blood pressure check is an important screening tool. People with conditions such as diabetes, kidney disease or a family history of hypertension may need more frequent monitoring." If you have a family history of hypertension — for example, if one or both of your parents have it — it is sensible to be proactive and discuss with your healthcare team whether additional steps, such as monitoring your blood pressure at home, are appropriate. While hypertension usually develops without symptoms, some people may notice warning signs if blood pressure becomes severely elevated, Dr. Bandarra says. "Very high readings can sometimes be associated with headaches, especially in a hypertensive crisis," she says. "Some people may also feel pressure or discomfort behind their eyes." Blurred vision, chest pain, palpitations, nosebleeds, shortness of breath and feeling tired and generally unwell can also occur, though these symptoms are not specific to hypertension and can have other causes. If you experience these symptoms, especially if they are new or severe, seek medical attention promptly, Dr. Bandarra says.  Lifestyle plays a role  Several lifestyle factors can influence the risk of developing hypertension, Dr. Bandarra says.  Factors that can raise the risk include having obesity or being overweight, tobacco use, alcohol use, high stress levels, eating too much salt, not consuming enough potassium and not moving enough. Factors that can lower the risk include exercising, achieving a healthy weight, following a heart-healthy diet with fruits, vegetables and whole grains, exercising regularly, managing stress, avoiding tobacco and alcohol, and getting enough sleep. "Some people may do all the right things and still develop hypertension," Dr. Bandarra says. "That's because genetics also play a role. We can take steps to prevent it from getting worse." Stopping hypertension from progressing  Treatment typically includes following a healthy lifestyle — even for people whose hypertension has a genetic component — and medication. Tests such as blood tests, urine tests and an electrocardiogram may be needed to assess overall health and look for organ damage or related conditions.  Whatever your risk level, checking your blood pressure at home in addition to routine health checkups can be a safe and useful way to track your cardiovascular health. "Use a validated device with the correct cuff size and follow proper technique," Dr. Bandarra says. "Raising awareness about high blood pressure for yourself, your friends and your family can make a real difference."