Joining hands for health: caring and sharing at Christmas time

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Title:
Joining hands for health: caring and sharing at Christmas time
Abbreviated Title:
Joining hands for health
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31 p. ; 28 cm.
Language:
English
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Public Hospital Authority
Publisher:
Public Hospital Authority
Place of Publication:
Nassau, Bahamas
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Subjects / Keywords:
Health care--Bahamas.   ( lcsh )
Health education--Bahamas   ( lcsh )
Spatial Coverage:
Caribbean Area

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College of The Bahamas
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College of The Bahamas
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All rights reserved by the source institution.
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AA00013242:00001


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Volume4 No.11986/87

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TABLE OF CONTENTSPage1. Message fromTheMinisterofHealth22.Message fromTheChiefMedical Officer................................................................................... 23.Message fromTheTreasurer,NationalHealthEducation (Bahamas) .34. Editorial...................................................................................................................................... 3 5.Congratulations,NurseOpheliaMunnings4 6.EighthTriennialMeetingof CommonwealthHealthMinisters........................................................................................................................ 77.Up-Date FelicityAymer98.StaffTrainingAtthePublicAnalystLaboratory Donald Cooper 179.TheBahamasDiabetic AssociationDianaPinder17 10. Let'sMakeChristmasSpeciaLBarbaraDeveaux 18 11. Let's DoItAgainAnthonyRoberts 19 12.ChristmasEveandMy ShoppingIsn'tDoneBarbaraDeveaux 20 13.ChristmasForTheChildrenBeverleyLockhart2114.Recipes ::................................................................................................................... 22 15. KnowYourLimitRudolph Burgzorg 23 16. BeAlertCatherineWilson 24 17.SayYouCareSponsor AChild.26 18. Aids: ALethal Mystery StoryJanetHall28 19. AboutTheContributors30 20.EditorialCommittee, 30 21.Evaluation31 90

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2MESSAGEFROMTHEMINISTEROFHEALTHOnce again it ismypleasant dutytoextend warm Christmas greetingstoall readersofJoiningHandsFor Healthandmore especially, our familyofhealth workers throughoutourbeautiful ar chipelago, from GrandBahamain the northtoInagua in the far south. For us in health the sensitivitywedisplaytoour publics always has some bearing on their well being. Iamtherefore pleased with the interestandresponsetothe further emphasis being placed on this aspectofdeliveryofservices in the formofsensitivity sessions forstaffofthe Outpatients Departmentofthe Margaret Hospital. Our voluntary organisations have beenasourceofunending inspiration for us all, our commu nity health services are being consolidatedandincreasingly, community members are being actively encouragedtobecome involvedintheir health care. Curative services, still the backboneofour health services, have all been further upgraded during the year as we continue our determined marchtowardshealth for all our people. Christmas is that timeofyear whenwecome together as familiesandfriendstoreflect on, marvelatandcelebrate the mysteryofour Christ's birth.Inour preparationsandactivitiesmaywe not forget those who, for whatever reason, are not abletoenjoy the seasonofpeaceandgoodwill,betheyamongus or abroad. Maywealso use this periodtoreview the pastandlook forward to the future with renewed vigourandoptimism in promoting our individualandcorporate health. I take this opportunitytowish you all,andyour families,awarmandglorious Christmas. May .t.he blessingsofthe Christ child remain with you always.NORMAN GAYAMESSAGEFROMTHECHIEFMEDICALOFFICERItis with great pleasure that I take the opportunitytoextend sincerest greetingstoall membersofour health team in New"l\rovidence, GrandBahamaandthroughout our Family Islands.1986hasbeen a challengingandsdmetimes frustrating year, but I trust thatwehave emerged feeling more optimistic.AtMinistry level it has been a yearofevaluation, consolidationand further planning.Wenow look forwardtoproceeding into1987with renewed vigourandenthusiasm, embarking upon much needed improvements, both in our infrastructureandin manpower development. 'The continued supportofall membersofthe team willbecalled upon. I recognize that our health team in The Bahamas comprisesmanyhardworkinganddedicated individualsofdifferent religionsandpersuasions, but all professingabelief in a supreme being. May the blessingsandguidanceofthat supreme beingbewith you during1987andthroughout the yearstocome. Greetings!VERNEL ALLEN

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MESSAGEFROMTHETREASURERNATIONALHEALTHEDUCATIONCOUNCIL(BAHAMAS)KeepSilentandHearTheAngelsSingThetime in which we live maybedescribed as oneofloudness. Many people seemtohave a preference for that which is loud.Ifthey are playing music, the volumemustbehigh. Motorcycles without adequate -mufflers speed by disturbing the peace. Even talk is sometimes loud. The impres sion is that loudness makes the activity more meaningfulandenjoyable. Christmas is a timeofmuchloudness; the rushoftraffic, the sounds frommanyshoppersandfestive functions, happy children with their toys. Theyardis groomed, the house is painted, new furniture is bought, presents lie underneath the decorated tree, the cupboard is filled with everything delicious. For many, Christmas would notbethe same without the sounds which accompany these activities.Onthe other hand, there is that sideofChristmas which speaksofpeace, joyandquietness; herein lies the deepermeaningofChristmas.Atthis time we celebrate the birthofChrist. St.Lukesays that on thenightofJesus' birth an angel proclaimed the good news, angels sang, "GlorytoGod in the highest,andon earth, peace goodwill toward men." Individualsandnations, like the shepherdsofold, needtohear that message, but it is sometimes difficulttohear the songofangelsamidthe rushandloud noises, not onlyaroundus, butwithinourown lives.Itgoes without saying thatwelive in a troubled world where there is the constant threattoworld peace, where increasingly, innocent people are taken hostage; where there ismuchgreed, violence, denialofhumanrights; where there is the useofillegal drugsandits effects uponourfamily lifeandourchristian values. Indeed, the angel's song calls for attentiontothe Christmas message. Hereathome, we needtohear the angels sing, their song will help ustosee life in its true perspective.Itwill cause ustomovetoaction, remember Godandtolook upwards. Sometimes we tendtoforgethimandtoleavehimoutofthe picture. To do this spells chaos. However, we can rejoice that whatever problems we face, we haveinJesusthe God who loves usandwho is presentwithusinthese trying times; therefore, in this Yuletide seasonbestillandrecognize God as God. Onbehalfofthe National Health Education Council,myfamilyandmyself, I extendtoyou greet ingsandbest wishes for a blessed ChristmasandahappyNewYear.HARCOURT PINDEREDITORIALJOININGHANDSFORHEALTHis now four years old!Itstarted as a Newsletterandseemstohave graduatedtoa Magazine. Preparation doesn't get easier although the Editorial Committee works well togetherandfundingis no longer thehurdleitonce was. Securing visual material remains problematic.Witha little per serverance,itis hoped that this aspect will improve. Health embodies caring.Itembodies sharing, forselfandfor others; caringandsharing throughoutthe yearandthroughout the life cycle. We invite you therefore,atthis Christmas time,toshow a little extra thought foryourfellow traveller throughout the Commonwealth, whetheritbe inGrandBahamaorInaguaanddrive as though your life depends on it. Police statistics indicate that,inNewProvidence, one accident occurs every two hours.Caneach oneofus possibly increase that intervaltothreeandmaybe four hours not only this Christmasbutalso for next year? Toallreaders, a happyandenjoyable holiday season.Aswe reflect onandrejoiceinthe birthofthe Christchild,maywe more fully appreciate thegiftoflifeandthe responsibility we each have in preserving it. 3

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CONGRATULATIONSNurseOpheliaMUNNINGS,GambierClinic,oncompletingFiftyYearsGoodluck, we rejoice andareglad with you, Mrs. Munnings. Munnings, there. They weremarriedinJune1944 andthecoupledepartedforNassauthefollowingyearforthebirthoftheirfirst child, a son, Ruiz, on 15th De cember, 1945.NurseMunningshasbeen a pioneerallherlife.ShepioneeredhealthservicesinGrandBahama,pi oneered districtnursingservicesinNew Providenceandlater,in1979, when she retired,thedaily walk-in clinicinGambierVillage which was,atthattimeasatelliteclinic oftheBlue Hill Road Clinic, opened oncepermonth.Inaddition toherfull time dutiesastheCommunityNurseincharge oftheGambierhealthdistrict, Mrs. Munnings is extremely activeinherChurch, Holy Family, Robinson Road, shetrainsone ofthechoirs, playstheorgan fortheseven o'clock early morn ingmassandis a member oftheLadies Guild. She is activeintheCommunity Nurses' Club of which she is a founder member. She is alsotheproudmotherofeightchildren, five girlsandthreeboys,andtheproud grandmotherofsixteen grandchildren. Colleagues, friends, well wishersandfamily mem bers paidtributeto Nurse Munnings on Sunday5thOctober, first by worshippingwithherattheHolyFamilyChurch, midmorning service, one ofherdaugh ters, Lynette Munnings-Pratt, playedtheorgan for the service,andafterwards,ata luncheon heldatthePilot House Hotel, given bytheCommunityNursingClub. As youcanimagine, Mrs. Munnings was very moved bytheoccasion, gratitude, excitement, sadness,humility,wonderment,achievement,thanksgivingwere some ofheremotions. At lunch she was presentedwithanumberof gifts from colleaguesandchurch members alikeandthefloral decorations were simply beautiful.JoiningHandsForHealthalong with allherother admirers, friendsandwell wishers extendwarmestandbestwishes toNurseMunnings on reaching this mile stoneinhernursingcareer. Mrs. Munnings is still extremelytrimandfit, she doesn't look a day over forty-five! She continues to helpallthosewithwhom she comes into contactandhassomanystories to recount, perhaps she will findthetime onedayto recordthemfor posterity? We also wish youmanyyearsofhealthandhappi ness. We know you will continue to enjoy your largeprintbible, courtesy of the Community Nusring Serv icesnotonlyatthisChristmas timebutformanyyears to come.(Continu.edonpage31) 880J47 Ophelia Theresa MUNNINGS nee Seymour,theninthoftenchildren, was born to CelestinaandJamesSeymour ofStaniardCreek, Andros, on16thJanuary,1919. The family moved toNassauabout two yearslaterandOphelia attended St.FrancisXavier's School, fromkindergartenthroughgradeseven -thehighest gradeatthattime. She receivedprivatetuitionathome forthefollowingyearandstartedteachingatheralmamaterattheripe age of -fifteen. This was a temporary job -untilshe was old enough toenternursingschool on October 1st, 1936,atTheBahamasGeneral Hospi tal, nowthePrincess Margaret, where shetrainedforthenextfour years receiving asalaryof one poundtenshillingspermonth (equivalent to about $7.37). On completion oftraininggeneralnursingandmidwifery, she assumed responsibility for all female wards,maternity,medical, surgical, private andthechildren's ward all onthesame floor. Salary? Five poundspermonth. (about $24.55).Laterthefollowing year, 1941, shetransfenedto West End,GrandBahama, where she established the officialhealthpresence. She cov\;red thewhole island on foot,lateron bicycle, donated bytheDuchess of Windsor,andby boat to reachtheoutlying settlements. Not only did she perform the traditional health/nursing /medical functionsbutalso someindustrialfunctions. Atthattimetherewastheseafoodfactory which paid halfNurse Munnings' salary, Government paidtheotherhalf(ten pounds per month). Working fromherofficeatthefactory every day, she took blood samples which weresentto Nassaufortesting, lookedafterthe workersanddischarged hernursingduties totheentirepopulation. Not surprising ly, Nurse Munnings got to knowallresidents in GrandBahamavery well andmetherlatehusband, Basil4

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Ms.SheilaButler,deliveredbyMs.MunningsinWestEnd,GrandBahama,42yearsago.Cooper,CommunityNurse,Road agodchildN.Munningsatworkinthewalk-inClinic,GambierVillage.Mrs.MunningsapproachingthepodiumtosayThankYou!Lefttoright:CelesteLockhart(CNS),BettieSerrett(choirmember),PearlCooper,RosalynJohnson,BrendaSimms,N.Ferguson(ONE),seated,DorothyPhilips.AlargegatheringoffriendsandcolleaguesjoinedtohonourN.MunningsatLuncheon.Howmanydoyourecognize? / Lefttoright:Mrs.LeviGibson,Mr.Gibson,Mrs.GwenBrennenandMr.Brennen,andDr.CoraDavis.BothMrs.GibsonandMrs.BrennenareN.Munningspredecessorsinnursing.Dr.C.Davis,formerMedicalOfficerofHealth(N.P.)./Extremeright:N.MyrtleHanna,HardeckerClinicwhodressedN.Munningswhensheenterednursetrainingin1936.5

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MIRACLES DO HAPPEN!Some monthsago,anoldwoman toileduptoa health centreinKenya carrying her last granddaughter. The child's mother aged about30,haddiedinchildbirth and it lookedasthoughherlast off-spring would soon followher.The centre took care of theoldladyandher self-imposed responsibility, but the grandmother went further and brought to lifeanancient legend oftheLuo people. After three months of hope, trust and effort, she whohadlast suckled a child 30 years earlier, brought forth her own milk andfedher granddaughter from her breast. (Source: Contact,No.88,December 1985.) Reproduced from: Cajanus Vol.19No.3,1986.**Quote: \ Make good habits and they will make you.*Parks Cousins. The worst bankruptinthe worldistheperson who has lost his enthusiasm.H.W.Arnold.6

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EIGHTHTRIENNIALMEETINGofCOMMONWEALTHHEALTHMINISTERSCommonwealthHealthMinistersandtheirdelegatesfrom 36 countrieswithintheBritish CommonwealthmetinNassau's Cable Beach Hotel from Sunday evening12thtoFriday17thOctober, 1986 fortheireighthtriennialMeeting. Long beforetheMeeting got underway, ateamofhardworking persons, mainly fromtheMinistry of Health,prepared relentlessly fortheMeeting.Inmid-August, a fulltimeteamof three, led by Miss Cleopatra Ferguson,theCommittee's Administra tive Officer,mannedthelocalSecretariatwhich, initial ly was sit\lated intheConference Room oftheHealthEducation Division,butlatermoved totheCable Beach Hotel, where they prepared conference material, busi nessandsocial,andmade all necessaryarrangementsforthearrivalofthedistinguished visitors fromallaroundtheworld. Asubstantialpartofthetypinghadto be doneafterofficial workinghourswhen secretaries fromtheMinistry ofHealthbecame available. Formanyweeks therefore,thegroup worked well intothenight. Shortly beforeD.Day, employees from throughouttheMinistry were seconded totheHotel, some to com pletethefinishing touches,othersto receive briefing abouttheirdutiesasliasion officers. BythetimetheConference Officer arrived fromtheCommonwealthSecretariatinLondon, allthepreparatory workhadbeen done.HealthMinisters, somewithspouses andtheirdel egations, beganarrivingon Friday evening. They were all greetedwithtraditionalBahamianhospitality. A Reception, given bytheManagerof the Cable Beach Hotel for delegatesandtheirspouses,aninformal gatheringbythepoolside, followedthemeeting of senior officials ontheSunday evening. On Monday morningtheMeeting got underway withgreatpompandceremony withthearrival of delegatesandtheirsubsequentseatingon the rostrum. Wives, along with other invited guests were already seatedinTheBahamaRhythmTheatre. Welcome was extended by Dr. Gay,chairmanoftheweek-long meet ing. Addresses from H.E.Mr.ShridathRamphal, Com monwealth Secretary GeneralandtheDeputy Prime Minister of The Bahamas, Hon. Clement Maynard who declaredthemeeting open, followed.Thankswere saidbytheHealthMinisters of Canada, Hon.JakeEPPand SriLanka,Dr. Ranjith ATIAPATIU. Music was pro vided bytheRoyalBahamasPolice Band.Attheclose ofthisofficial ceremony, refreshments were servedandthebusiness meeting began. This was closed tothepublic.Itconsisted of numer ous plenary sessionsandcommittee discussion groups.ChairmenandViceChairmenforthethreeworking committees, CommitteesA,B, C, were electedduringthefirst session. The committees addressed various aspects ofthetheme,FinancingHealthServices,ingreaterdetail namely:FinancingHealthCare(CommitteeA)Eco nomicManagementofHealthServices Resources (CommitteeB) Technical Cooperation and Development As sistanceintheHealthField (CommitteeC).As bases fortheirdiscussions, Committees used pa pers submitted bythevarious countriesaswell as inputsfrom lead speakers from among others,theUnited KingdomandCanada.OurPermanentSecretary, Mr. Emerson Smith, was among those presenting lead papers his subject FinancingHealthCareinSmall Islands. The key note address was given by ProfessorBrianAbel-Smith oftheLondon School of Economicsandapastadvisor totheWHO on costs of medical care. By lunch time on Tues dayalltheleadspeakershadpresentedandtherestofthetimewasspentinCommittees. CommonwealthHealthMinistersandtheirdele gations werekeptextremely busy not onlyinthe Con vention Hall,butalsowitha round of social en gagements, whiletheirwives wereentertainedwith a busy scheduleof social engagements including a lun cheon, given by Dr. Carol Chaney-Gay, wife oftheMinisterof Health. Duringthis luncheon Dr. Chaney-Gay tooktheopportunity to remindhergueststhat500,000 women worldwide dieannuallyfrom the effects of re production. She invitedthemalltodowhatever they could to stopthisunnecessary loss of life. On a lighter note, guests weretreatedto a fashion show of Androsianprintsanda demonstration of how these colourfulpatternswere made. Sightseeing tours were apartoftheirschedule. The week's activities went well. Clearly delegates were impressed withtheorganisation of the meetingandthehospitality ofthehost nation totheextentthatspontaneous words of deep appreciation were given bytheMinister ofHealthfor AntiguaandBarbuda imme diately aftertheofficial closing ofthemeeting.OtherCommonwealthHealthMinisters also expressedtheirthanks.7

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Not only CommonwealthHealthMinistersbutalso delegates from Regional Organisations, for exampletheCaribbeanCommonMarket(CARICOM)andthePanAmericanHealthOrganisation (PAHO, Washington) attended.JoiningHandsForHealthextendsheartycongratu lations tothearmyof persons who workedineveryarea,press, hospitality, security, secretarial, docu mentation, tomaketheMeetingtheobvious undoubted successitwas.Congratulationstothelocal coordinating Commit tee. More ontheMeetinginsubsequent editions. AROUNDOFSOCIALENGAGEMENTSWellyouseeLordGlenarthur,that'showitishere.HowisitdoneinGreatBritain?, ( FinancingHealthServicesisaproblemwhetherintheGambieror...Dr.Malhoutri-Asst.Secretary-GeneralandIknowtoowell.MayIintroducetheMinisterofHealthinSwaziland?WelcomebacktoTheBahamasyourExcellency,Mr.Ramphal. ,";', "/, ...', .-,.',.. { I'. ''II ,.'.,..I .. ..,' ;,0 SogoodtohavetherepresentativeoftheInter-DevelopmentBank.8

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UP-DATEFELICITYAYMERHealthEducationDivision*The corridors oftheHealthEducation Division are alittlequieter sincethedeparture ofouryoung, energetic colleague Miss Cheryl THOMPSONattheend of AugusJ to continue studies inthefield ofHealthEducation. We miss your quick footsteps, ready, winning smile, yourthirstfor knowledge andtruth,Cheryl. We hope you find some ofthelatteroverthenextyearandthatyou willreturnto add your unique flavour and zest totheDivi sion. Verybestwishes for your Success. MerryChristmasandabrightNew Year.*Ms.JanetHALL totheMinistry of Health, Sandi lands Rehabilitation Centre.Ms.Hall, a recentgraduateof BallStateUniversi ty, Muncie,Indiana(MA,HealthScience) initially joinedthestaffoftheMinistry ofHealthasanAdministrative Assistant totheCommonwealthHealthMinisters Meeting (CHMM) in August. We know you enjoyedthechallengesinherentinpreparing for a large international meeting Miss Hallandsincerely hope you will also enjoy thosewithinourMinistry. Very best wishes for yourhealthandhappiness.CONGRATULATIONS:-*Dr. KISHORE from Community Psychiatry, PMH.*Nurse RubyPEETwhohaschanged professionsandis now a Social Worker.*Wrensworth BUTLER, Sharon MORTIMER and Erica SANDS all Social Workers. Mrs. Theda GODET on your appointment to Prin cipal NursingOfficer, Princess Margaret Hospital.Mrs.CastellaBOWLEG(DNE),ConstanceCOMERY, Irene COAKLEY,FaithENE,JulietMINNIS, Annette OKPUNO all ofthePMH on your promotions to Senior Nursing Officer (SNO). Mrs.NathalieBONIMY (CNS), Leona McCART NEY, Lucinda FORBES (CNS), Lilymae MAJOR, q *CONGRATULATIONS,WelcomeBack:*Mrs. Maggie TURNER on successful completion of a Masters in PublicHealth(MPH) IndustrialHealthEducationatTennesseeStateUniversity. Mrs. Turner, atrainednurse/midwife havingobtaineda BSinnursingattheWest Indies College in Mandeville,Jamaica,who worked for ashorttime intheEightMile Rock Clinic, Grand Baha ma, is now employedwiththeCommunity Nurs ing ServicesinNassau.*Mr.Michael EDWARD TURNER formerlyHealthInspectorinGrandBahamaand now responsible fortheSolid Waste Disposal Po gramme in New Providence,Departmentof Environmental Health, on successfully completing a four year baccaulerateprogrammeattheEastTennesseeStateUni versity. Mr.Turnerrelocated to Nassau on9thMayandhasbeen kept exceptionally busy ontheDepartment's Impact Project.WELCOMETothestaffof Sandilands Rehabilitation Centre Dr.UttamCHAVAN formerly ofthePrincessMargaretHospital whohasreturnedfrom England totheRand Memorial HospitalasRegistrar intheEmergency Room.StaffNursesCharlesANDERSON,AngellerBROWN, Helen BOYLE. Dr.JamesMcCARTNEY, Senior Registrar, Sur geryatthePrincess Margaret Hospital on8thSeptember, 1986. Dr. GregoryBETHEL, Senior Registrar, Paediatric*Department, PMH on1stOctober, 1986.*****WELCOMETotheMinistryofHealth*Mrs. Valerie LOCKHART, ActingFirstAssistant Secretary, ontransferfromtheMinistry of Educa tion. Those educators among us will know Mrs. Lockhartasa colleague for many years and a former principaloftheStephen DillettePrimarySchool.*Mr. Anthony McKINNEY,FirstAssistant Secre tary, ontransferfromtheMinistry of Economic Affairs,Departmentof Agriculture, where he worked formanyyears,inearly October.TothePrincessMargaretHospital:-*Dr. Joyous PICKSTOCK who recently joinedthestaffofthedental department. Ms. Pickstock workedinthelaboratory for ashortwhile before completing dental studiesatMahar ry Medical College, Tennesseeandreturningto workatPrincessMargaretHospital. Dr. Donald ASTWOOD who joinedourhealthfam ilyasa District Medical Officer on5thOctober. Dr. Astwood, anativeofTurksIsland,hasworkedinJamaicaandis stationedatKemps Bay, South Andros.JoiningHands ForHealthwishestheAstwoodfamily, wife and,two sons, a most enjoyableandsuccessful tourofdutyin Kemps Bay.

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Emily OSADEBAY,Veronica POITIER (CNS Grand Bahama)onyour promotions to Nursing Officer Grade I (NOD.Staff Nurses: Betty FOX, Dorothy HEPBURN, Glenda mae ROLLE, Miriam ROLLE, Rebecca WARD, oftheSandilands Rehabilitation Centre on your promotions toNursingOfficerIIwith effect9thSeptember, 1986.*Mrs.RuthALBURY, Gwendolyn BRICE, PhilaberthaCARTER (CNS), Clarice FERGUSON (RMH) ,JestinaFERGUSON, Deborah FOX (CNS), Alice GARDINER, Marcel JOHNSON (CNS), Pamrica FERGUSON, Ellamae JOHNSON-THERVIL (F. Is.), Beverley NEWBOLD, Willamae SMITH, Alice STEWART-NEYMOUR (F. Is.), Gloria STORR, Ampusam SYMONEITE, Charlotte THOMPSON,KarenWOODSIDE (RMH), Vivia YOUNG, on your promotions to Nursing Officer, Grade II,(No.m.*Mr.HughBOWLEG ofthePrincessMargaretHos pital on your promotion to Chief Occupational Therapist.** *miologicalCentre(CAREC) Trinidadinidentifica tion oftheAedes Albopictus a newstrainof mos quito which seems tohaverecently migrated totheRegion. (more onthismosquito under from the DEHS). Mr. Leroy THOMPSON, Public Analyst Laboratory(DEHS) recently completed a specially designed course -threemonths duration in EnvironmentalMonitoring and Analysis,intheUnited Kingdom, courtesytheBritish HIgh-Commission, Nassau. School Nurse Stephanie DEANandMs.Shirley SAUNDERS of TheBahamasPlannedParenthood Association (BPPA) recently attended a four week course (8.9.89 3.10.86) on Teenage Pregnancy,inKingston, Jamaica. Dr.HerbertORLANDER, Venereologist/Dermat.o logist PMH, leftNassauto pursue postgraduatestudies MastersinPublicHealth(MPH) -at.theUniversity oftheWest Indies, Mona Campus on1stOctober, 1986. Ms. Stephanie ROLLE, formerly Accountantinthe Public Treasury,hasbeen transferred totheAccounts Section DEHS. Mr. Daniel (Danny) MOXEY, Occupational TherapistSRC, isattendingUniversityinNew York. Social Worker Rochelle LIGHTBOURNE, SRC isattendingMankatoStateUniversity, USA.** *CommunityNurses,GloriaGARDINERandCharles PRAIT (Grand Bahama) completed a fourteen week courseinFundamentalsofPrimaryHealthCareinDominicaandreturnedto workinJuly.CHANGEAND??? Dr. Lorna RODRIQUEZ on your promotion to Registrar,Paediatric Department, PrincessMargaretHospital. Mrs. Lillymae McPHEE, for many years PhysiotherapistatthePMH and now of the Rand MemorialHospital, since 1984, on your promotion toSeniorPhysiotherapist,Rand, effective April, 1985. Mrs. McPhee is married to Anthony McPhee, cur rently anightauditorinone ofthehotels inGrandBahama. Mrs. Caroline DOBBIE, formanyyears PhysiotherapistatthePMH on your promotion effective April, 1986, to Senior Physiotherapist.****Mrs.JaneBAIN on your promotion to Chief Sup plies Processor.*Ms.PauletteJOHNSON, Executive Officer, Min istry ofHealthhasbeen transferred totheDEHS. CONTINUING EDUCATION" \*Ms.Christine GREENandMr. Timothy MUNROEHealthInspectors,DepartmentofEnvironmentalHealthServices Health Inspectorate successfully completed a four and ahalfmonth courseinInspection*OfMeatsandOtherFoods in Kingston, Jamaica. Theyreturnedto duties on8thSeptember. Mr. Kendal JOHNSON, Accounts Clerk, Accounts Section oftheMinistry ofHealthhasbeen trans ferred totheDEHS (AccountsSection).StaffNurse Nancy FORBES of the PMH has been transferred totheGeorge Townhealtharea, Exurna.**HealthInspector Roscoe FERGUSON recently at tended a one week workshipinSewerage Disposal SystemsinSt. Luciaunderthe sponsorship ofthePanAmerican Health Organisation (PAHO).HealthInspector Andrew THOMPSON attended a one weektrainingcourseatthe Caribbean Epide-**Staff Nurse Charlene SMITH of the PMH has been transferred to Deadman's Cay, Long Island. SN Pearline BRYANThasbeen transferred from Deadman's Cay, Long Island to Mangrove Cay, Andros.10

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ResignationsEVENTSSeptemberwas abusymonthfortheHealthFami ly.ItwasdeclaredHealthEducationmonth bythePrimeMinisteroftheCommonwealth of TheBahamastheHon.SirLyndenPindlingandanumberof voluntaryorganizationsheldawarenessweek activities.*** *** ***SNWinifred ELSONhasbeentransferredfrom Mastic Point, Andros.SNRuthBASTIANhasbeentransferredfromthePMHtoCommunityNursingServices. AN Rowena RILEYhasbeentransferredtotheCNS. HA Betsy Mae PATTONhasbeentransferredfrom Black Point,Exuma.Mr. Alvin EDGECOMBE, DEHS,haslefttheDEHSontransfertotheMinistryof Labour, Youth, SportsandCommunityAffairs Departmentof Youth effective6thOctober. Mr.MarkWILLIAMS,HealthInspector, DEHS,haslefttheDepartmentontransfertotheMinistryof WorksasatraineeBuilding Inspector.NurseAndreaPEART formerlyInSanSalvadorhasresigned fromtheservice.NurseEdithMILLER lefttheserviceinFebruaryofthisyear.Theweek of 14-20Septemberwas used byTheBahamasCouncil on Alcoholism to 'onceagainremindthepublicofthecontinuingandinsidiousthreatof alcoholinourcountry. Highlights oftheweek's activities were: a public address by Dr. Mi chaelBeaubrum,PsychiatristfromtheUWI, now workinginTrinidad, on Monday evening 15th,atTheBahamasRed Cross Building,JohnF. Kenne dy DriveandadinneronSaturdayeveningatthePilotHouse HotelduringwhichtheMinisterofHealth,Dr.NormanGay tooktheopportunity tospeaktotheCurrentStatusof AlcoholisminTheBahamas:-Alcohol, he said, is like athiefmasqueradingasa friend;theincidence of alcohol relatedproblemspresentingattheCommunity PsychiatryClinic,PMHforthefirst sixmonthsof 1986hasmorethandoubledthatforthesameperiod in 1982; admissions for alcoholism to boththePMHandSRChaveincreased overtheperiodJuly1985 June1986,theopposite of admissions for cocaine abuse; 75%ofnew casesadmittedwith psychoses were males betweentheages of 18and60 years; 12.6% ofadultsliving on New Provi denceareestimatedto be alcoholic; cost tothe****governmentforinpatienttreatmentfortheyear1984? alittleoverninehundredthousanddollars. Alcohol is a "legal" substance.Theweek21-26Septemberwas proclaimed BloodBankAwarenessWeek bythePrimeMinister ofTheBahamas.Theobj:ctiveoftheweek's activ itieswasto encourage a significant increaseinthenumberofregularblood donors.Fortheyear1985,theBloodBankcollected atotalof 3,689unitsof blood,using3,456; however,thenumberofunitsrequestedwas 10,303,quitea sizeable shortfall,thisisnothealthybankingprac ticeandthebankwould welcome more donors.Thethemefortheirweek: Lend aHandFor Life, give blood.Duringtheweek,theCommittee tooktheopportunitytohonournineteenoutstandingdonors whohadeachgivenbetweentwentyandsixtypintsof blood.Theweek 21-26Septemberalso was observedasKeepTheBahamasBeautiful Week bytheAsso ciation for a BeautifulBahamas.TheABB is al ways soliciting individuals/groups willing to workwiththemintheirseeminglymammothtask.Theweek 28September-6thOctober was ob servedasRehabilitationWeek by TheBahamasCouncil fortheHandicapped. MothersAgainstDrugsMAD sponsored amarchagainstdrugsonSunday21stSeptember, 1986.ParticipantsmetatChristiePark,NassauStreetandmarchedthroughvariousareasconverginginRawson Square. All of New Providence seemed tohaveturnedoutthatafternoon, policeestimatethat30,000 persons tookpartinthemarch; various denominations, youth groups, wom en's groups, business houses, school groups, civic groupsandvoluntaryorganizations, young men, old women, young women, old men; some marchingtothebeatoftheirown voices, some to bands, some merely tothebeatoftheirown footsteps.Forsome,itwas ameansofentertainment,forothersa very serious affair, adeterminationto conquerthepresentscourge ofthenation.Itwas a sponta neous community effort,spearheadedby a group ofdetermined(MAD) women. Not only New Provi denceresidentstookpart,therewas also aFamilyIslandpresence.DrugCouncilandDrugAction Servicememberswere inthevanguard,marching, directing, sup porting, addressingtherally,theculmination ofthemarch.PastorHughRoach,SeventhDayAdventistPastorandamemberoftheDrugCouncil chairedtherallywhich got off toanexcitingstartwiththesingingofOnwardChristianSoldiers to a rousing11

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Fairswere also a feature of September.*OnSaturday27th the PrincessMargaretHospital helditsfirst fair onitsgrounds. This wasanover whelming successandheralded Hospital month. FromtheFamily IslandsDr.CarlosMulrainandPermanentSecretary,EmersonSmith.INAGUA The community of Matthew Town,Inaguahosted officials from the Ministry ofHealthonFriday29 August, whenPermanentSecretary EmersonSmithandMedical Officer of Health,FamilyIslands, CarlosMulrainvisited to formally acceptequipmentdonated by residents for use intheirclinic;anECG machine donated bytheCommunityandanX-ray machine donated bythelocal Kiwanis. The acquisition of these diagnostic tools is tremendously helpful to Dr. Mwaisela (D.M.O.)inhelpinghiscommunity tobetterhealthas wellastangible manifestations of community involvementandmovement towardsgreaterselfreliance. Community Nurses Rosemae BAIN, Fredricka SANDSandKathleenJOHNSON have all been off sick for varying periods.JOININGHANDS FOR HEALTH is pleasedthatthey have recoveredandhavereturnedto work. womenandmen. (more onthisInthenextedi tion). The SRC held itsannualfair onitsgrounds onSaturday1stNovember. Ashasbecome tradition al,itwas very well supported.**FromtheSRCSandilandssaidgoodbye to itslastsummerstudentsattheend of August. Theyreturnedto High School, College of TheBahamasandUniversities abroad.Itmusthave beenpleasanthaving them, SRC looks forward totheirreturnnextsummer. Alltheverybesttoallthose students.*FromtheCommunityNursingServices Mrs.CarlottaKLASS NO Ihada harrowing expe rience onSunday31st August, 1986, whenhercarspill ed over onJ.F.Kennedy Drive,justpasttheGladstone Road junction. Mrs. Klass escaped with minor physical injuries,hermotherthoughsustaineda brokenrightarm.Hercarwas a complete writeoff.The Diabetic Assosciation helditsfirst major fundrasingevent, a cook-out, on Discovery Day,13thOctoberatMontagu Bay.Itwasanoverwhelming success! The NationalHealthEducation Council (Bahamas) held itsannualexhibition (fifth)intheauditoriumoftheCollege of TheBahamas(Oaksfield campus) onFriday31st, OctoberandSaturday, 1st November.Otheractivities included: a Variety ShowinValentine's Rebel Room on Sun day 12th; a church service on Friday17thin St. Luke's Chapelandthelaunching of a booklet ontheLife of St. LukeandSports Day onthe25thattheThomas Robinson Sports Stadium. On Wednesday8thOctober, certificates were pre sented to all participantsina six week courseinHumanRelations, MotivationandProfessionalism conducted by Mr. Berkley Pilgrim oftheMayflowerManagementInstitute,attheMayfair Hotel. The exhibition was officially opened on 3rd Octoberby ActingUnderSecretary, Mrs.VetaBrown. October was Hospital MonthatthePMH. Amongtheactivities heldduringthemonthwere aNutritionExhibitintheOutpatientwaitingareatitledNutritionNow AndThenanddepicting in digenous, inexpensivenutritiousfoodsandthemethods of cooking used by parents, grandparents,greatgrandparents, very educational. Once again, thoseattendingtheofficial opening weretreatedtothemelodious sounds oftheRoyalBahamasPolice Bandanda host of information relative toHealthyLiving Everyone a Winner, thethemeoftheexhibition, was made available. The numerous attractions included something spe cial for young children, school children, youth, TheDrugAction Service helditsfirst FitnessFairattheCable Beach Hotel also on 27 September. The purpose ofthisFairratherExhibition, was to demonstrate viablealternativestosubstance use. This also was well patronised.rhythm.Speakers included Mrs.RuthPinder,Presidentof MAD, Mr. Moree, Solicitor, Rev. Dr. CharlesSaunderswho deliveredthemainaddressandDr. David Allen. Musical interludes were pro vided by a choir from Bimini.*****12

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Official"HandingOver"ofequipmenttotheMinistryof*HealthbytheMatthewTowncommunity.Mr.CheddyCox,PresidentlocalKiwanisreceivesaspecialhonourfromPennanentSecretary,EmersonSmithforhisrolewhileMs.EthelynCartwight,President,Kiwanienneslookson.Dr.MwaiselaasheproudlydemonstrateshisnewX-raymachine.GRAND BAHAMA MedicalInternsarenow beingtrainedattheRand. Two secondyearinterns, Haywood CooperandMcKinney Bain have already rotated throughitswardsandpresentlyFrumentusLeon and Har old Munnings (Junior)arepassing through.ContinuingEducation:NursingOfficersAnnaHALL (West End Clinic)andPaulaNEYMOUR (Operating Theatre, RMH) joinedotherBahamianstravellingtotheUWI, Mona Campus,Jamaica,in early October,toentertheDepartmentofMedicine'sNursingAdministration pro gramme. RN Lorraine JOHNSONhasalso travelledtoJamaicatoattenda courseinTheatreTechniquesattheUniversity Hospital, Kingston. JOINING HANDS FOR HEALTH wishes you all every successinyourstudentroles. TCN Yvonne CLARKE oftheRandhasrecentlystartedthethreeyearRegistered Nursetrainingpro grammeattheDNE. Very best wishes Nurse Clarke. Congratulations to Mrs. Jewel FLOWERS, Higher Executive Officer, Rand Memorial Hospital on success fully completing athreemonth Advanced Management course withtheUniversity of Miami in Freeport. Mrs. Flowers, Assistant totheHospital Administratoris, amongherother functions, responsible fortheadministrationoftheCommunity ClinicsinGrand Bahama.Congratulations alsotothose twenty four Trained Clinical Nurses, twentythreefemale and one male, who completedtheTCN course and graduated on8thAugust. This isthefirst group of Clinical Nurses who havetrainedexclusivelyinGrandBahama. To facilitatethepublic,theEnvironmental Health Offices have been relocated fromtheHawksbill Clinic totheKipling Building. The Rand welcomesthefollowingstaffmembersandhopes you will not only be very happybutthatyou willmakeappropriate and significant contributionstotheirefficiency:-Fromlefttorightfront:-N.PrattDaniels,Dr.FrancisMwaisela,Mrs.BlonevaMalcolm.Backrow:BlonevaBalfourandLeonieFerguson-Healthteam,Inagua.* ** *Mildred BUTLER, Typist Deborah KNOWLES, ECG Technician Clarence MOXEY,JohnPINDER, Charles ROLLEandBrianSMITH, Ambulance Attendants.ArthurTAYLOR,VectorControlAssistant(DEHS)hasmoved to GrandBahamato strength entheirteam.

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WORLDHEALTHDAYINGRAND BAHAMAInGrandBahama,theoccasion oftheWorldHealthDay is used not only to observe a specificareaofhealth,theopportunity to raise funds to be used in improvinghealthservices for children is also taken. A week of activities beginning on Monday7thwitha radio interview ofhealthpersons included "Button Day" salesatschools, "Button Day"andFuneveningattheRandincluding a -popularity contestandaFaironSaturday12thintheparkinglot ofthehospital.Talentshow which preceededtheFairFloatparadeparticipants:FloatbeforeTalentShow,AltheaRoberts,ECGTechnician.Fashionatanyage,14Radiographer,DetaSomaninFloatParadebeforeTalentShow,partoftheFair.What'safairwithoutcotioncandy,popcornandlotstorummagethrough!

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Fundsraisedsincetheinceptionoftheideain1984totalabout$30,000.EquipmenttofurtherenhanceservicesattheEightMileRock,HawksbillandWestEndClinicsandtheObstetricandPaediatricDepartmentshavebeenprovided.AfterspendingmanyyearsinTheBahamas,theSetissaidgoodbyetotheRand.Lefttoright:Dr.F.BrathwiateMSC, Dr.Seti(Surgeon),Ms. M.Storr(HospitalAdministrator),Dr. K.Seti(Obstetrician/Gynaecologist),Mrs.L.Knowles(PNO), Mr. H.Brown(Asst.HospitalAdministrator).OpeningofAccidentandEmergencyUnitandGeneralPracticeClinicatRandMemorialHospital.Monday,7thOctober,1985at10 a.m. Dr.Gay,MinisterofHealthandMr.Smitharrivingfortheceremony.TheyarebeingescortedbyMr.Brown,AssistantHospitalAdministrator.Mr.MohamedShameer,FinancialConsultant,MinistryofHealthlookson.Proceedingsunderway.Nowisthetime.MinisterGayishappytoofficiate.Mrs.Storr,Mrs.Knowles...Mr.Smithhappythatheis.FromtheDEHSInaccordancewiththePrimeMinister'sbudgetarycommunicationof 1986,anImpactProjectwasintro duced bytheMinistryofHealth(DEHS)inJune.TheboundariesforthisprojectareWulffRoad!PoincianaDriveandRobinson Road toMinnieStreetontheSouth,NassauStreetandBlueHillRoad (West) CollinsAvenueandWall, (east) DelanceyStreet,SchoolLane,Gaol Alley,SandsRoad (north).Thetotalprojectareaincludesthecommunities ofGrantsTown, St. Agnes,BainTown, St. Michael's, St.Barnabas,Englerston,a portion ofPinedaleandFortFincastleincludingMajors Subdivision.Thisprogrammeisanextension of"OperationNationalCivic Pride" whichstartedlastyearandfocuses on fiveareas:removal of derelict vehicles;cleaningofrubbishandbulkrefuse;clearingofvacantlotsanddilapidatedbuildings; provision ofgarbagecontainerstoallhouseholds;streetweedingandvergemaintenance.Mr. MichaelTurneris responsible fortheProject. 15

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DeathsCongratulationsto:MarriagesDr. Barko travelled toGhanaforthefuneral and wasawayforthreeweeks.Oursympathy to Dr. Ken Ofuso-BARKO onthedeathof his mother in early SeptemberinGhana, West Africa. Mrs. Ofuso-BARKO, a diabetic, had been ailing for sometimeand finally succumbedattheageof74 years. Miss Donneth BUTLER, CashierattheCable Beach HotelandMr. Michael MOSS, a supervisoratthesamehotel. The couple were joinedinholy matrimony by Rev. Dr.J.EmetteWeir on Satur day30thAugust. Donneth isthedaughterof Nurse Eloise BUTLER who worked for a number ofyearsintheSchoolHealthServiceandis now onnightdutyintheAccidentandEmergency Department(PMH).*JOININGHANDS FOR HEALTH wishes both couples a longandhappymarriedlife. The Editorial Committee extends deepest sympathy to you Ken. We join with you in givingthanksforthelifeandinfluence ofthiskind, strong old lady.*Mrs.KatherineDemeritte-HILTON and Mrs.SoniaCarey-GIBSON (personnel section Ministry headquarters) ontheoccasion of your first wed ding anniversary, 17th Augustand28th Septem ber, respectively.**Dr. Gloria SANDS (Private Practice) onthebirthof your first grand child, agranddaughter, Dan ielle, 8 lb. 11 ounces, in Washington on 25th Sep tember, 1986. Dr. Sands was ecstatic abouttheevent,enthusingandrejoicing aboutthejoys and advantages of grandparenting. Danielle is, of course,breastfed.WeddingBellsrangoutfor MissTerryleneTHURSTON (Registry) Ministry ofHealthand Mr. Syr il DEAN on9thAugust, 1986. Not only istheAlbopictusanefficient vector of dengue viruses,itbreeds in artificial containers in and aroundhumandwellingsinbothurbanandruralenvi ronmentsandnaturalcontainers in, for example, tree holes;ithas the capacity for withstanding cold weatherandtheinfected female mosquitotransmitsthevirus toheroffspring. Albopictus aggressively biteshumansandhasconsiderable nuisance value. Albopictushasthepotential fortransmittingdeng ue fever, yellow fever and California encephalitis;itcan invadeandbecome prevalent in certainpartsoftheUSandtheCaribbean. The DEHS is presently exertinggreatervigilance forthismosquitobearingin mind its ability to survive and thrive in both friendly and hos tile environments. \ *CN Dorothy MILLER oftheSchoolHealthServices onthebirthof a son. VITAL STATISTICSBirths:Congratulationsto*Establishment ofanAccounts Section withintheDEHS. Mrs. Elizabeth (Betty) Sweeting Accounts Section, Ministry of Health,hasbeenthedriving spiritintheestablishment ofanAccounts Section withintheDepartment.Otherkey actorsareMs. Stepha nie Rolle fonnerly oftheTreasuryandMr. Kendal Johnson. The section, designed to providethedepartmentwithanaccurate financialdatabase rel ative toitsoperationsandtofurtherimprove its efficiencyandeffectiveness isyetinitsfledging stage. Rapid growth is expectedwiththerecruitmentofmore staff. The Aedes ALBOPICTUS is a new and exotic mos quito aroundtheRegion.Itwas found breeding intyredumps in Houston, TexasinAugust, 1985andisanestablished vector of dengue in Asia.*ThePennanentSecretary and Director (DEHS) were among those travelling to Exuma overtheweekend of4thOctober forthepurpose of assist ingthecommunity in implementing a clean-up programme.Atthistime words cannot expressourdeep sense of shock. We support you with our presence and our pray ers Thirza. May Godgrantyouthestrengthto cope inthishourofgreatneed.* *Mrs. Marie McDONALD, Secretary, Ministry ofHealthonthebirthof adaughterinSeptember. Mrs. Nora DAVIS, Ministry of Health, onthebirthof a daughterinSeptember. Dr. George SMITH, Senior House Officer, General Practice Clinic, PMH and Mrs.Smithonthebirthoftheirson on6thOctober.*Ourdeepest sympathy to Nurse Thirza DEAN (DistrictNusringService) onthesudden loss ofherhusbandBasil under tragic circumstances on Sunday evening 2nd November.16

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STAFF TRAININGATTHE PUBLIC ANALYST lABORATORY DONALDCOOPERThe Public Analyst Laboratoryhasbeen under going extensive upgrading since 1984. Thishasmeantmodernising techniques, improvements of equipmentandworking conditionsaswellasstafftrainingboth locallyandabroad. The most recent course ofstafftrainingwas completed by Mr. Leroy Thompson, AssistantAnalyst, whenhereturnedto TheBahamason14thOctober, 1986, following athreemonthtrainingseminarinBritain.launchanEnvironmentalMonitoringandRisk AssessmentProgrammeforTheBahamas.Thefirst phaseofthisprogramme was launchedinOctober, 1986,withtheestablishmentof fourambientairmonitoringstationsaroundtheindustrialparkinFreeport,GrandBahama.This programmeisbeing co-ordinated byMr.Thompson who is simultaneously organizing a series of lecturesandseminarstotraintechnicians ontherelevantprocedures. The course which Mr. Thompson completed was sponsored bytheBritishConsulate operating throughtheBritishHigh CommissioninNassau. Specialthanksareextended totheBritishHigh Commission, especial ly Mr.PeterJohnson, Deputy High Commissioner, fortheirgenerous assistance. Mr. Thompson participatedina tailor made course on Environmental MonitoringandAnalysis techniques.Hewas also exposed tothelatestteaching techniques sothathe would bebetterable to pass his knowledge on to his fellow technicians. Attendanceatthiscourse was designed to provide Mr. Thompson with specific information necessary toAstheEnvironmental MonitoringandRisk Assessmentprogramme develops,itwillbenecessarytofurtherupgradethefacilities availableaswellasthetrainingofthetechnicians. Tothisend,theDepartmentofEnvironmentalHealthhascommitted themselvestosecuring peopleandequipment to developthisfield. There willbetrainingduring1987inareassuchasIndustrialRisk Assessment,PlantInspectionsandEpi demiology. All these activitiesaremakingthepositionofa technicianatthePublicAnalystLabanexcitingandchallenging one. Therearealso vacancies fortrainedpeopleinChemistry, Biochemistry, MicrobiologyandtheEnvironmentalSciences .THEBAHAMASDIABETICASSOCIATIONThe First Six MonthsDIANAPINDERI have always feltthatlife could be compared to a jigsaw puzzle with various large and small incidents eventually fitting together to formanalmost complete picture (although,atthetime, you are usually unawarehowthevarious pieces can ever come together!). When I was toldthatmysevenyearold daughter, Etoile,haddiabetesinMarch, 1985, I was certainly unaware,inmy shockedstate,thatthatdisease could ever fit into my life's jigsaw puzzle!Butoneyearlater,because of Etoile's diabetesandwiththehelp of many people, including friends, doctors, nurses, dieticians,healtheducators and other diabetics, TheBahamasDiabetic Association came into being.Together, we have foundthatthereisanalarmingigno rance aboutthecontrol ofthisprevalent and often devastatingdiseaseandso, educating diabetics,theirfamilies andthegeneral publichasbecome one ofourmainaims.Tothis end,wehave held monthly meetings and have all learned fromthevarious speakers dis cussing different aspects of diabetes and its complica tions. Wehavealso been able to form a Diabetic Youth Groupthat.meets every month. Membershiphasgraduallyrisen from six to twelve. Threeoftheyounger children were able toattenda Diabetic Children's CampnearGainesville, Florida, fortendaysinJulyofthisyear.Inourshortlife wehaveheld two fundraisingevents for needy Diabetics. We hope to eventually have a base where inexpensive bloodtestingcould be carried out, where a library of booksandmagazines about dia betes could be availableandwhere someone could beonhandto give encouragementanda readyearfor thosewiththissometimes very depressing disease.Eventhoughourassociation is lessthanayearold, wehaveanenthusiasticandharworkingmembership,much will be accomplishedinthemonthsandyearsahead.Bestof all, weallknowTheBahamasDiabetic Association is a very worthwhile pieceinallourjig saws of life! 17

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LETS MAKETHISCHRISTMAS SPECIALBARBARA DEVEAUXChristmasthisyearshouldtrulybe a delight!InpastyearsChristmashasbeen filledwiththearomaofChristmascakes,ChristmasdecorationsandthedelightfulexperiencesofChristmaspresentandChristmaspast. This year,letusconcentrate onthespecial qualities neededinourcommunity tomakeChristmasjoylastallyearround.LetChristmaslastallyearround?Whata dream!Whata preposterous idea you say?Whatanoptimist you are! Howcanwe possiblydothatwiththeworld economyinturmoil ...withtheinternalbattleour countryhasbeguntowageagainstillegaldrugusageandtrafficking.Notto mentiontheincreasingly awkwardandunsightlymounds oflitterandtheever presentissuesofunemploymentandpoverty, how can you speakofChristmas?LetusexaminethespiritofChristmasbefore wetoohastilyconcludethatthereis no futureinChristmas. To me,thejoy ofChristmasisthejoy of believinginGod,the warm expression of caringandsharingandof course,theoverwhelming expression of love ofselfandloveofothers. To me,Christmasistheendearingqualityof love exemplifiedintheday to day lives.ofindividuals, families, communities, islandsandultimatelythecountry onthewhole. IT youbearwithmethen,with one individual mak ing every efforttopractisetheChristmasspiritall year round,itwill spreadthroughthefamily, on tothecommunityandacrossthenation.Itonlytakesaspark... IT youcanaccept my premisethatChristmasspirit isthespiritof loveandfurther,thatlove of self isthebasisofamentallyandemotionallyhealthypersonthen,youmustalso agreethatself loveasa foundation isthemost positive ingredientthateach one of us can contributeallyeartound.Selflove? Youmeanthose people whowalkaround looking cuteandcombingtheirhairallthetime? No,notthose,people. A person whot18understandsthelove of self is a person who knows him self. Who can look inward, see boththefaultsandthepositive qualitiesandestablish a balance. A means of lookingatoneselfinthemirrorandbeing able to say "Iamnotperfect, I have my faults,butI like myself, I know Icanimprove onthelesser aspects of myself andstillenjoyandcelebrate my positive self." Such a person cannot commit a crime of violenceagainstanotherbecausethatperson respects himself toomuchtososhamehimself. A person, who loves himselfcannotlitterbecauselitteringwill soilthecommunityinwhichhelives, worksandplays. A person whohasexperienced self love cannot sell cocaine,marijuanaorherointo anyoneinourcountry or elsewhere forthatmatterbecause he knowsthatsuchanact will placehimincontempt of self.Frankly,a person who prac tises self love could never sell adrugtoanotherbe causeinthatacthewould be selling himself to thosethathatethemselves. To a person who knows who he is, who likes himself, who respects himself,thethought ofusingadrugwould be adeathsentence. How could anyone who loves himself willfully inject, snort, sniff, base or smokeanysubstancethatwoulddoharmtothat self? Thisthen,istheindividualthatwe should be culti vating. This istheindividualthatwe shouldtraininourfamilies, our churches,ourschools, our communitiesandournation. Suchanindividual will speakouton issuesofconcernandexpressstrengthandcompas sioninhisactions. He will beanadvocate of tough love, of self love, ofthejoy of Christmas.rsuggest thereforethatwe instillthisspiritinour selves,ourfamily, our childrenandourday to day life.rthinkwe shouldallcelebrate happier, saferandjoy filledChristmasholidaysasa result. Maythememories ofChristmaspast,thejoy ofChristmaspresentandtheanticipation of love filledChristmasesto come be yours.

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LET'SDO ITAGAINA Story onCleaningupatChristmasANTHONYROBERTSAs a boy, sometime before Iattainedtheage often,Icanrecallhearingtheterm"SpringCleaning".Forsomereasonitwascatchy.DuringearlyDecemberwhenmyfamily (likemostfamiliesatthattime)wasabouttoembarkon"cleaningforChristmas"Imadesome reference to"springcleaning"andwas promptly informed by myAuntEllenthatthechoresorcleaningIhadtodocouldhardlybereferredtoasspringcleaningsinceitwasstillautumnandwehadtogothroughwinterbefore we got to spring.ItwasatthattimethatIgraspedthemeaningofseasonal changes.Rakingtheyardandpullingweeds wereregularweekendchoresformeandmostchildrenbutChristmascleaningwasdefinitelythemost massivecleaningexerciseoftheyear.Thiswas evidentnotonlyinmyneighbourhoodbutalso downtown -thebuildingswerenearlyalwayspaintedjustbeforeChristmas.As Isawitthenandnow,cleaningatChristmaswas atradition,justlike dressing up,extravagantfoodpurchasesandjunkanoo.AlthoughChristmasclean upsstillexist,duringthepasttwo decades or so,therehasbeena noticeable declineinthescale ofthisactivityandinthegeneralsanitaryconditionsofmostofourold neighbourhoodsandcommunities.Frankly,wehaveseenanoverall de clineincitizens' concern forenvironmentalsanitationandbeautification. Cans, bottlesandothercontainers, alongwithpaperanddiscardedfurnitureandhome ap pliancesadornourstreetsandyards. Derelict vehicles,carrepairoperationsandothertradesthatdetractfromthebeautyofourenvironmentareproblemsinboth oldandnew subdivisions.Whathashappened tothatgood oldBahamiancivic pride? As a price for development coulditbethatwehavelostthatsense of community togetherness?Havewe losttheappreciation of one's existence?Heavenforbid!Priortothecommencement ofthe1985 CommonwealthHeadsofGovernmentConferenceandthearrival ofHerMajesty, Queen Elizabeth II,thegovernmentandseveralcivic minded groupslauncheda clean up/paintup/beautificationprogrammeinNew Providence.Fromall accounts,itwas successfulandappreciated by residents.Thoughcountless people were involvedandmanyresponded positively tothecall to clean up,themessageintendedbythisexercise,likealltheprevious cleanupexercises,neverreallysankin. The learning,thatis whycleaningupis necessary, is stillnottakingplaceasitshould. Individuals, families, communitiesarestillnotmakingcleaningupaneverydayaffair. Most,ifnotall,siillwaitforthatauspicious occasion,whetheritbeChristmasorthevisitofsomedignitaryorother,tocleanandbeautify.Thisshouldnotbe.WithintheparametersofmyresponsibilitiesduringthetimeIwasChiefHealthInspector, IsawitasmyofficialdutytoenforcecleanupexerciseseventhoughIcametoseeintime,thatavastproportionofthepeople affected werenotoverly concernedaboutdirtandrubbish.Theybecame so accustomedtothesightofdirtandrubbishthattheymisseditwhenitwasmovedandthereforepromptlyreplaceditwithlargeramounts. Yes,therewasconcernaboutthefrontofthehouse,butcans, bottles,trash,usedbrokenhouseholditemsattheback,andtheirremoval,waslowerontheprioritylistthanclothesandpersonal appearance, cars, a televisionsetanda good social life. Additionally,therewastheattitudeofplainindifferenceandlaziness.Thehueandcryraisedaboutcleanupcampaignsisnotmerelyto psychologically improvetheimpactsuchanenvironmentwouldmake,butrather,to reducethediseasepotentialofafilthyenvironment. Open cans, bottlesorothercontainers, alongwithrefuseandderelictcarsarepotentialbreedingplaces for germs, insectsandothervermin,allofwhichmayspreaddis eases. Diseasesthatwillharmnotonlytheownersofthesedirtypremises,butmayalsoharmtheentirecommunity. Alongwithgoodandadequatehealthcarefacili ties, allgovernmentsareobliged tocreatefortheirciti zensanenvironmentthatisdisease freeandonethatwillmakea positivecontributiontothenation'shealth.Suchaninvestmentgreatlypromotesnationaleconomic stability.Butthisisallagovernmentcando. Commu nities, familiesandatthebasic level, individuals,areresponsible fortheirownhealth.Itwoulddowell forallofustorememberthat.Tothenon-government organizationsandallotherindividualsadvocatingthecleanuplbeautification con cept, Isaluteyou.Thoughtheendyouseekandtherewardyou deserve is slowincoming, youmustremainundaunted.I know youactoutofa senseofconcernnotonly foryourselfbutforyourbrothers,yoursistersandyourcountry.Letuscontinuetoencouragesuchselfmotivatedactivitiesandmakecleaningupnotjustaseasonalexercisebutanallyearaffair. 19

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CHRISTMASEVEANDMYSHOPPINGISN'TDONEBARBARADEVEAUXEveryyearwemakethesamenewyear'sresolutionwithoutfail. I will beginmyChristmasshoppingearly.I willnotwaituntiltheChristmasadvertisementsstart.I willfmishitallbeforethesummervacationisover. Howmanytimeshaveyoumadethatpromisetoyourself? Wellmyfriend,asIwritethisarticle, IcanheartheChristmasadvertisementsonmydaughter'sradiotogetherwiththetelevision commercialsthatareplayedwithincreasingregularity.Letusface it, webothmessedupforChristmasof1986.Thereisnoneedtopanic, however, no need to chewtheold fingerstothebone. Noneedto catchthenextflighttoMiami.AlthoughImustadmitthatalternativeseemsveryattractive!Letustakea quiet, serenelookatthealternativesavailablehereinNassauandthenrelaxina comfortableeasychair,singa fewcarolsandenjoythisChristmasmorethananyother.Thinkaboutit.Ifyou gotoMiami, youhavetopayairfare,carrentalortaxifares, hotel accommodationorsleeponAuntBertha'scouch,nottomentionthe feal" ofpick pockets,thehorroroftheMiami crowdsandtheconcernsoverthelong,tediouslinesattheCustomsandImmigrationcounters...thattranslatesintoatotalexhaustionthathitsyouaswellasthefactthatyouspentallyourhardearneddollars outsideofTheBahamas.Whybother?Thisyear,Ihavedecidedthatthattripisnotfor me. IamgoingtowalkthroughBatelco's yellow pages, browse downBayStreet,alongtheRidgeland Mall,inandaroundPalmdale,takeaquickloopto GQlden Gatesandofcourse,thenewcentreonPrinceCharlesDrive. Iamgoing.topurchaseitemsthatareeithernotavailableintheStates,or,aremore expensive overthere.Impossible? Well,heregoes.LetustakeawalkalongtheshoppingbyewaysofNassauandseewhatwecanfind.TheArtGallery \'fill featuringthe1986BahamasPlatewhichistruly anda collector'sitemto boot.ThePerfumeShopsareofferingthenewestandmostexotic fragrancesavailableanywhereandmanyarecosting lessthanintheUnitedStates.Sweaters,linen,scarvesandspecial fabricsandgarmentsby Androsia,BahamaHandPrints,ChiciquitasandIsisaremustsforanyChristmaslist,nottomentionthedesignerclothesthatarejustminutesawayinthemanyinternationallyclassed boutiques in andaroundNassau.Forthechildrenonyourlist,therearedolls, complimentsofthewomen's co-operative;notepaperandgreetingcardsby one oftheMinistryofYouth's newentrepreneurs;ceramicbanksthatsing,createdby MissLightbourneorBahamasCeramics; designer jewellery,shellcraftaccessories, a specialportraitoranexcursion onboardoneofNassau'snumerousdayandeveningshortcruisingvessels.Ofcourse, wemustnotleaveouttheoversevenhundredstrawvendors who produceandsell somanyexcellentBahamianproducts.Perhapsifwepurchasedmoreoftheirproductsandgavethemmoresupporttheywouldbemore inclined to producetrulyBahamianstrawgoodsaswellastheforeignproductline...butthatisanotherstory. Nowwhataboutthebusinessmanonyourlist? Asuitfrom adesignerboutique? Asetof luggage or ahandcraftedbriefcasemadeinTheBahamas?AnhonorarylifemembershipinTheBahamasChamberof Commerce? A prepaidtripfor youandyourhusbandto aquietFamilyIslandfor a weekend? A fishing trip? Adinnerfor two? Some fruitdrinksmadeinTheBahamas?Acamera,flash, video, ormaybeeven aportrait?NeedIsaymore?Fromakitchenface lift to asuana-itisallrighthereinTheBahamas.LetusnotrusharoundandforgetthatthebestChristmasesarespentathome.ThisChristmas,letusgiveourlocalmanufacturersa chance tomakeourChristmasbright.Watertodrink,a spice or a homebakedgood, complimentsofTiffany'sorSweetums, a fineBahamianBird, avegetabledishandof course a cornucopiaoflocalfruitwill completeourChristmasfeast. Remember, friend,anthosetouristswhovisitourBahamascan'tallbecrazy.Theypaytheirhardearneddollars tovisitwhilewehavethebenefit of livinghereall year round.Whyshouldn'twetakefulladvantageofthose specialBahamianthingsthisChristmas?Whatbetterway tosay"MerryChristmas"toourloved onesandourna tion?20

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CHRISTMASFORTHECHILDRENBEVERLEYLOCKHARTEachyear,theannualfeast commemoratingthebirthofJesusChristis celebrated on December 25. Wealllook forward tothisfestive occasionandchildren look forward tothisday,notonly to celebratethebirthofOurLordJesusChrist,butalso to helpparentsprepareforthecelebrations.Inrecenttimes,thespiritofChristmashasbeenlostaswehavebeencaughtupinspendingandpreparationandhaveforgottenthecaringandsharingaspect.Childrenlook forward to receiving giftsandtothem,itis atimetobuyallthose nicethingstheyhavebeenwaitingfor allyearlong.AtChristmastime, we allgetalittlemore excitedandthereis a tendency to benotascarefulaswe would normally be. Becauseofthis,itis extremelyimportant.thatparentsseethattheirsmallchildrenareusefullyandsafely occupied whiletheyarebusywiththeirChristmaspreparations.Oneofthethingswehavetorememberwhenthinkingaboutyoung children'splaytimeactivities, isthattothemplayis a very differentthingfromtheadultformofplay.Playtime,orrecreation totheadult,meanssome formofactivity whichisundertakenasrelaxationora change from work. Totheyoung child,itis all his activityandso corresponds tothework oftheadult;infact,apartfrom sleepingandeating,thebulkofthechild'sdayisspentinsome form of "play". Howheplays,whereheplaysandwhatheplayswithareofthegreatestimportance tothechild's safetyandalso tohisdevelopment.Parents,therefore,mustbe very concernedaboutproviding a safe playareafortheirchildren.Forin stance,theymustensurethatall electrical socketsareclosed,thattherearenomatchesleftinlow cupboardsandthatall medicinesarelockedawayinhighplaces. Thesearejusta few ofthedangerstotheyoung childinthehome.Parentsmustalso becertainthattheiryoungchildrenaresupervisedatall times. Whiletheyshouldcreateanenvironmentconducive to play activ ities,theymustalwaysbearinmindthatplay isnotmerelysomethingto keepthechild safelyandusefully occupied,butmoreimportantlyitisanindication of a child'smentalstateandstageof development.Childrenneed to play.Itistheirwork,theirform of self-expression. They need toplayasmuchastheyneed foodandair.Playteaches children aboutthemselves,itdevelopstheirimagination,theirmotorandmentalskillsanditdevelopstheirability to concentrateandpreservere.Playisthechild's method of un derstanding;itisthebuilding block of educationandthefoundation of a child's emotions.Playis essential forthechild's psycho-social development. Asparents,itisourresponsibilitytocontributetoourchildren'splayandtoseethattheyhaveinterestingthingstouseandtalkabout.Childrendonotneedexpensive toys.Thereisanyamountofsuitableplaymaterialrightinourhomes.Forexample, old plastic pans,usedegg cartons, a pla!5 ticwashing-upbowl, a broom (cut down to size) a doll's bed (cardboard boxwithcovers) a book shelf,canquick-. ly become a shop. A grocer's shopcanbemadewithitems from yourown cupboardorwithemptycontainersandwill provideyourchildwithmanyhoursofsafe,creativeplay.Encourageyour child tohelpwithchores, for example,puttingawaythegroceries, fetchingitemsforthemeal,cleaningthebathroom,tidyingthekitch en,puttingoutthegarbage.DuringthisChristmasseason, wecanensurethatourchildrenplaysafelyandhealthilywhile wearebusywithourpreparations.W canalsostrengthenoureffortstoreinforcethosevaluesthatwillmakeourchildrengood citizensbyintroducingthemtotherealworldofworkthroughtheirplay.Letusdemonstratetheimportanceoftheircontribution to household chores fromanearlyage. Iamlistingsomeideasfor children's playtime: IMMAGINATIVE PLAY: a)Playinghouse-Girlsandboys love toplayhouse.Anarea,sizeisnotimportant,canbeprovidedwithsomearticlesfor playing, for example a) child'steaset, b) dolls, doll'sbed,(cardboard boxwithcoversandc)a broom (cut downtosize). b)Dressingupgames-Thesearepopularwithboysandgirls. Keep a boxwithoddsandendsofclothing,suchasdresses,shirts,hats,shoes, football gear.c)Hospitalgames-Gameswithdollsorotherchildrenaspatientsarepopular.Bandagecanbemadefromtornsheets. Clean,emptyplasticjarscanbeusedforpretendointment.Ihaveonlymentioneda fewofthetypesofactivitieswhicharemeaningfulandenjoyable whileatthesametimeencourage developmentofthemindandbodyandwhichareextremelyimportantintheearlydevelopmentofthechild.Theseactivitiesareintendedforbothyoungerandolder pre-school childrenandareidealforbrothersandsistersworkingtogetherorasitterjoiningintheplayactivity. We shouldalwaysbearinmindthata childisthesumtotalofallaroundhim;letusthereforemakehisenvironmentahealthyanda safe one.ThisChristmastimewecanstartby providingtheguidanceandemotionalsupporttopreparehimfor life.21

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GINGER"BEER Ingredients:RECIPESMINCEDPIESIngredients: 8oz.rootginger2oz.creamoftartar4 gallons boilingwaterJuiceandrindof2smalllimes1 Y2 lb.sugarcloves Method:Washandgrateginger. Add boilingwater,juiceandrindoflimesthencreamoftartar.Coverandleave for 24 hours.Strainandsweetentotaste.Bottleandaddthreeor four cloves.SORRELIngredients: 3 cups sorrel (heaped)withoutseeds ;jpi. (6 glasses) boilingwaterAfewgrainsriceorbarleyPieceofginger (112 inch square) Piece ofdriedorangepeel (l1/2in. by % in.) 6 cloves 1 lb. (2 cups)sugarMethod:Washsorrel,cutawayseeds. Place injarwithginger, orange peel,andcloves.Pouron boilingwater,andal lowtoremainfor 24 hrs.Strainandsweeten.Pourinto bottles,addinga fewgrainsofbarleyor rice(thishelps fermentation),andallow toremainforatleastanotherday.Servewithice. 12 oz.shortcrustorflakypastry1jarRobertson'smincemeat(availableinfoodstore)Milkoregg to glaze.UsingShortcrustPastryOventemperature:hot(425F.,mark7)Rolloutthepastrytoabout l/s inchinthickness.Cutintoabout20roundswitha 3-inch flutedcutterand20smallerroundswitha 2%-inch flutedcutter.Line 2% inchpattytinswiththelargerroundsandfillwithmincemeat.Damptheedgesofthesmallroundsandplaceinposi tion.Makeasmallslitinthetopofeach pieandbaketowardsthetopoftheoven for 15-20minutes,untillightgolden-brown.Coolona wire rack.Servewarmorcold,dustedwithsugar.Ifpreferred,thetops ofthepiesmaybebrushedwithalittlemilkbeforebaking.UsingFlakyPastryOventemperature:veryhot(450F.,mark8)Rolloutthepastryto l/s inchinthickness.Stampout16roundswitha 2%-inch plaincutter. Re-rollthescraps,cutanother16roundsto use forthebasesandplacethebasesona dampbakingtray.Puta heaped tsp.ofmincemeaton each,damptheedgesofthepastry,coverwiththeremainingpastryroundsandpresstheedgeslightlytogether;brushwithegg glaze.Baketowardsthetop oftheoven forabout20minutes,untilwellrisenandgolden-brown.Coolona wire rack.Servewarm,dustedwithicing sugar.,I22

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KNOWYOULIMITRUDOLPH BURGZORGMerry Christmas, peaceandgoodwill! This greeting will beheardrepeatedlythroughouttheyuletide sea son, yet, supposedly good motorists willbeinvolvedinthe worst kinds of accidentsbecausetheycannot resistthetemptationto consume more liquorthanthey can handle. Isitpossiblethatmotoristsandothersgooutandget"stoned" becausetheyhave not really given a sec ondthoughtto the sublimity oftheoccasion?Jesussaid "Ihavecomethatyoumighthavelifeandhaveitmore abundantly". Notice,hedidnotsay more drunkingly, however,ifyourmustdrinkonJesus'birthday woulditnot be wise to follow St.Paul'sadviceandtakeonly alittleforthestomach sake?Duringtheperiod,Januaryto Marchthisyear,policeinNew Providence advisedthatthereweretenhundredandninety four traffic accidents eight of which were fatal, six ofthesedeathsoccurredinone month.Canweasroad users exertourinfluence to stop such wasteful destruction?Ifyoumustdrinkthendonotdrive.Studythedrinker'sbarometercarefully,itwill help to deepen yourunderstandingnotonly of St.Paul'sadvicebutalso oftheeffect of alcohol on your body. Thedrinker'sbarometer was prepared by traffic safety expertswho agreethatdriving whileunderthe. influence' of alcohol orotherdrugs is a major factorintraffic accidents.Haveyouthenthewill todrinkresponsibly or betterstill,nottodrinkatall?Ifby chance you allow alcohol to control your life,thenplease, pleasestayathomeandgetstoneddrunkbecause by so doing you willsaveyourselfandothersfromturningthisChristmasperiod into a bizarretrailof death, sufferinganddestruction. RememberJesusdidnotcome to giveusdeathbutabundantlife,thatisthecrux ofthecelebrationofHis birth. MerryChristmastoallmotorists of goodwill!DRINKER'SBAROMETER0.20%Exaggeratedemotionandbehaviour-less concern, mentalrelaxation.Decreaseinfinerskillsofcoordination.0.15%Seriousimpairmentofphysicalandmentalfunctions;lossofjudgmentandinhibitions-clumsy,uncoordinatedINTOXICATED:0.10%Grossintoxication-Unmistakableimpairmentofallphysicalactivityandmentalfaculties.0.05% BLOODALCOHOLLEVEL0Mildeffects-slightchangeinfeeling.Existingmood(anger,elation,etc.)maybe50 -------......:.-4 heightened.40 10 NumberofI-oz. lJLJLJUUlJUULJ 123456789Manwithin2Hours '" 20 __ > H...l'"<>: IRRESPONSIBLERISKYWHENRESPONSIBLEDRINKINGDRINKING ::c DRINKINGCOMBINEDPARTICULARLY WITHDRIVINGWHENDRIVING e5 30 ... o23

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,BE ALERT CATHERINEWILSON1.Ingestion: poisons, chemicals, pills. Prevention: keepoutofthereach of children by storingina locked cabinet.bathtubs containingwaterandothercontainerswithwaterfor example toilet bowls, mop buckets, open wellsandpits. foreign bodies, for example, marbles,smallplastic objects, seeds, balloons, small toys, meat.d)donotrunextension cords across footpaths. Wheretherearerugs,runthecord(s)underthem,otherwisesecurewithstrong ad hesivetapea) empty all bucketsandtubsimmediately after usingb)keep toilet lid downc)keepthetoilet door closedd)cover all openpitsandwells. e) clean up spills quickly o teachandinsistthatyour chil drElD putawaytheirtoys after useandbefore going to bedatnight; toys scattered overtheflooraredangerous especially foranolder person. Prevention: 4. Drowning: A 5. Asphyxiation: electrical, fires, chemicals,hotwater,tea, soup. a) electrical outlets shouldbeprop erly fixedandcovered when notinusec)turnpothandlestotheback ofthestove b) keep matchesoutofthereach of children2.Burns:Prevention:Foreaseof reference,hereareanumberof potentialhazardswithsuggestions for prevention. Home Safe Home? How often do we seeadultswho have been scarredormaimedfor life,theresultofanaccident,athome or onthestreets? As Community Nurses, agreatdeal ofourtimeisspentineducating "our families"abouthome safetyandaccident prevention, a subject whichisof particularsignificance especiallyatcertaintimes oftheyear, for example Christmas. 3. Falls: Prevention: d) keep small children away fromplayingnearorundertableclothsonwhichhotfoodanddrinkshavebeen placed e) apply safety covers to chemical containersandlockthemaway.beds,chairs, rugs, extension cords. toysandspills. a) wheninfantsareable to rollandcreeptheyshouldbeplacedina crib, playpenor onthefloor topreventfalls b) teachyoursmall children togetonandoff a chair. Prevention: a) encourage your children to chewtheirfoodproperlyb)discouragethepractice of puttingthingsintheirmouthc)keep small objectsoutofthereach of small children -ifswallowedandtheycannotbereadily dislodged,thechild mayhavedifficultyinbreathing,chokeandpossible died)secure drape cords to preventtheriskofentanglementchildren have been known to inadver tentlyhangthemselves on loose cordsc)throwrugscontribute to trippingandfalling; theyaremuchmore dangerous for older personsandwhentheyhavelosttheirgrip e)positionandsecureyourChristmastreeata safe distance from drapesandelectrical fit tings24

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6. Electrical injuries: fires,burns,shocks. Causes: Prevention:7.Suffocation:xPrevention: f) turnoffthelightsanddisconnectfromthemainswhenthehouseisunattendedandbeforesettlinginforthenight.WithregardtoChristmastreelights,blinkerlightstendtospreadtheheatloadandarethereforesafer. Theyarealso more pleasingtotheeye. overloading, exposed wires,damagedoutlets. Toddlersareattractedto electrical outlets, for example,theysticktheirfingersinsocketsandplaywithelectrical cords. a)repairalldamagedoutletsspeedilyb)discourage small children frorr.playingwithandaroundoutletsc)donotoverload outlets. oldrefrigeratorsanddryerswithdoors, cupboards, closetsandothersizeablecontainersinwhich children can play, plastic bags, pillows. a) dispose ofanyunusedapplianceassoonaspossibleb)removedoor(s) beforeputtingoutsidec)place appliancewithfront facing a solid walld)tearupplasticbagsbeforethrowingthemoute)donotuse a plastic apron foryoursmallchild b) crossthestreetatapointwherebothendscanbeseenclearly:-lookbothways tomakesureitissafe to crossthenwalkbrisklyacrossc)neverpassbetweencarswiththemotorsrunningd)donotattemptto crossthestreetfrombehindabusortruckwithoutfirstlooking tosee"thatitis safetodoso e) disposeofyourlittersafely,inthecontainerprovided.Ifyouhavedifficulty finding agarbagebinthentakeyourgarbagehomewithyou. DON'T DROP IT, BAGorCAN IT!Forthemotorist,thereareinex pensive disposable plasticbagsOR moredurablebutslightlymore expensive ones which youcanhangIIIyourcar.Theymakea usefulChristmasgift! f) giveyourselfenoughtimetogetfrompointA to point B,anxietyaboutbeinglateincreasesyourchances ofanaccidentatatimewhenthestreetsarealreadycrowdedg)asa motorist, concentrate onyourdriving. Be courteous, deci sive,patienth) DO NOTdrinkand/ortakedrugsandthendrive.Otherhazardsonthestreetsinclude: 1.Pursesnatchingincrowdedstreetsandshopping areas. f) yoursmall child is safewithout2.Therapistinlonelyanddarkareas.a pillow. OntheStreets2.Blindcorners, potholes,litter.1.Driversundertheinfluence of alcohol,drugsandstress. Prevention: a)teachyoursmall children to usepedestriancrossings, usethemyourselfwhenever possible Prevention: a) secureyourwallet, purse,bagb)whenshoppingwithsmall childrenkeepthemtogetherto preventlosingthemc)lockyourcarwhenyou leaveitunattended;secureanyshoppinginthetrunkor whereitisnothighlyvisibled)DO NOTtakeshortcutsthroughdeserted cornersandtrackroads.25

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SummaryThesehazardsarerelevanttousall. However,themostsusceptibleagegroupsarethose under .eightandthoseoverseventyyears.Theyoungareveryunsettled,theirphysicalgrowthiserratic,theirappetiteoften capricious;thetoddlerlearnstogetabout-tocrawlthenwalk. Psy chologically,hediscovershimselfasanindependentpersonand isalwaysexploring. Hegetscarriedawayandwithrashenthusiams,andwithoutthewatchful eyeofanadult, often findshimselfindiffi culty.Attheotherendoftheage scale, deteriorationinsight,hearingandbalancecontribute to accidents intheelderly.DuringthisChristmastime,withthehustleandbustleofallthepreparations,itisimperativethatwetakeeveryprecautiontopreventdisasters, both inourhomesandawayfromourhomes. Safe holidays!!!SAYYOUCARE -SPONSORA CHILDTheDepartmentofSocial Servicesinitscontinuingeffortstomeettheneedsofthose children who foranynumberofreasonscannotbe cared forintheirown familiesinvitesusalltocommit ourselves to activelycaringandsharing,notonlyatChristmastime,thetraditionalseasonofgoodwill,butthroughouttheyearandpossiblyourlives by sponsoring one or more chil dren.Whatissponsorship?Sponsorshipistheopportunity forthecommunitytocontributetothelives of underprivileged childreninfostercarehomes,(thatislivingwithaprivatefami lyorinoneofthechildren's institutions). Sponsorshipsaysthatyouarecommittedtomakinga differenceinthecareanddevelopmentofa child who doesnothavea familyenvironmenttoprovide for his!herneeds.TheSponsorshipProgrammeis therefore designed for acommunityofpeople who wi" choosetogiveoutoftheirfinancial resourcesinordertobenefitthelives ofchildrenwhohavelosttheloveandsecurity oftheirown families.Theobjectiveoftheprogrammeistostimulateseriousapplicantsinthecommunitytomakea financialcommitmenttoaidchildren whoareinfostercarehomes.ReasonforSponsorship?TheDepartmentestimatesthat45%ofourchildren willremaininfostercarehomes fortherestoftheirlives. We would wishtoprovideadequatelyforthem26andinviteyou,assponsors,toshareinprovidingthiscare.Thecostofcarefor one child inaninstitutionisapproximately$2,500 to $3,500annually.WhocanbeSponsors?Thesponsorship programme isavailableto individ uals, families, organizations, clubs, civic groups, lodges,churchgroups, schools fraternities, sororieties,anyothervoluntarygroup.BenefitsofSponsorshiptoyou?Yourroleasa sponsor shows you careaboutchil ,dreninneedandarewilling tomakea significant dif ,ferenceinthelife of a child.TheextentofyourinvolvementasaSponsor?You willhavenodirectresponsibility for your child,butwill receive correspondencerelativeto his/her progress on aquarterlybasis. Opportunities for a more personalrelationshipthroughtheexchange oflettersorweekendvisitingmaybeavailableinspecial cases.Howwillyourgiftbeused?Yourcontributionwill be paid over tothefostercarehomeinwhichyourchild is placed to provide forhis/hergeneralandspecial needs.CategoriesforSponsorship?Inourfostercarehomes,therearenumerouschildrenwhoareavailablefor sponsorship.Forexample, wehavefound frompastexperiencethatchildrenwhoarehandicapped,mentallyretarded,

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tenyearsor olderareless likely to be accepted by per sons whoareseekingto adopt. Manyofthesechildrenhaveneeds for special edu cationandmedicalattention.Will/can you sponsor a child? Belowisanapplication formtoexpediteyourin volvement, please completeandreturnto:TheDepartmentofSocial ServicesBoulevard BUilding ThompsonBoulevardP.O. Box N-1545Nassau,Bahamas.------------------------------------------------------------------------------------"SPONSORSHIPSAYSYOUCARE"DYes,I wish to sponsor a child forthefollowingamount$. (Please indicate)oIcannotsponsor a childatthistime,butwishtomakeacontributionof$.Howdoyou wish to sendyourcontribution foryourchild?monthly0annually0(*cheques should be made payable totheDepartmentofSocialServices)Pleaseassignme a Boy D Age: ........yearsGirl0eitheroftheabove0Would youlikeapictureandpersonalhistoryofyoursponsored child? Yes0NoDoPleasesendmeinformation onthesponsorship program.Ifyoucansponsor a child, you will becontributingto agreatneed. You willbesentperiodic progress reports so you can be assuredthatyourgiftsaremakinga difference.Ifyou wish, youmayalso receive a photographandbackgroundinfonnationonyourchild. *Inthecase of a group application, pleasestatenameof company, clubororganization. NAME ADDRESS .TELEPHONE(WORK) HOME .27

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AIDS: A LETHAL MYSTERY STORYJANETHALLINTRODUCTIONAIDSisanacronym; a word formed by combiningthefirstlettersofthemedical term: ACQUIRED IMMUNEDEFICIENCY SYNDROME. AIDS is a fatal condition which involves a malfunctioning ofthebody's immWle system,thepartofthebodythatprotectsanotherwisehealthyperson from a widevarietyof dis eases .. PersonshavingAIDSarevulnerableto serious illnesses which normally wouldnotbe athreatto any one whose immWle system is functioning normally. Fiftypercentof all AIDSpatientshavealready died. Approximately 94%ofAIDS caseshaveoccurredinthefollowing groups:*73% sexually active homosexuallbisexualmenwithmultiplepartners.*17%intravenousdrugabusers.*2%persons whohavehadtransfusions with bloodorblood products.*1%personswithhaemophiliaorothercoagula tion disorders.*1%heterosexual contactsofsomeonewithAIDSoratriskfor AIDS.Theremaining6%of AIDSpatientsdonotfall intoanyofthesegroups sinceinfantsandchildren devel oping AIDSmayhavebeen exposed to HTLV-III beforeorduringbirth,orshortlythereafter,ormayhavehadahistoryoftransfusions.Furthermore,somepatientsmaydie before complete historiesaretakenandothersmayrefuse to give backgroWld information about them selves. AIDSwasdetectedinNew YorkCityandtheninSanFrancisco. NowthereareAIDS victimsin45statesintheUnitedStatesandatleast35 countries, (includingAfrica,SouthAmerica,Canada,EuropeandtheCaribbean).AETIOLOGY AND PATHOLOGYAIDS is causedbyaviruscalled T-Iymphotropic virus,typeIII (HTLV-III); lymph'a(lenopathy associatedvirus(LAV);orAIDSrelated (ARV). AIDS doesnotalwaysresultwhen persons become infected withthevirus. Most infected personsremainingoodhealth;othersmaydevelop illnessesvaryinginseverity frommildtoextremelyserious.InallAIDSpatientsthereis a significant impairmentofthebody'simmunesystem.Withinthesystemthereareso calledhelperT cells whichmartialthedefensesagainstinfection.Therearealso suppressor T cells, whichpreventtheformationofantibodies. An individualwithnormalimmunesystem will generallyhaveabouttwiceasmanyhelperassuppressor T cells.!nAIDSpatientsthisratiois often reversed.28MODESOFTRANSMISSIONAIDS isspreadby sexual contact, needlesharing,or less commonly,throughbloodoritscomponents.Ofthese, bloodandsemenareconsidered most highly con tagious.TheriskofgettingAIDS is increased by hav ing multiplesexualpartners;eitherhomosexual or het erosexualandsharingofneedles of thoseusingillicit drugs. Haemophiliapatientsandpersons receivingtransfusionsgive evidence forthetransmissionof AIDSthroughblood. However,itshould be notedthatit notpossible to contract AIDS fromdonatingblood since bloodbanksandotherblood collection centres use ster ileequipmentanddisposable needles. AIDSmayalso betransmittedfrom infectedmothertoinfantbefore, during or shortlyafterbirth. AIDS is NOTspreadby casual contact. No conclu sive evidencehasyetbeen found where AIDS istransmittedbyshakinghands,sittingnextto someone, eatinginrestaurants,coughing, sneezing or using publicswimmingpoolsandrestrooms. Ambulance drivers, firefighters, police, nurses, doctorsandhealthcare per sonnelhavenotdeveloped AIDS fromcaringfor AIDSpatients.However,healthcare personnelandlaboratoryworkersareurged to followstricthygieneandsafety procedures carefully whenhandlinganybloodandtissuesamples frompatientswithAIDS.SIGNSAND SYMPTOMSThemajorityofpersons infectedwithAIDSvirushavenosymptomsandfeel well. The symptoms may besimilarto thoseofa coldorflu, however,they may lastlonger.ThesymptomsofAIDS include swollen glands (lymph nodes)usuallyintheneck,armpitsor groin;highfever, unexplained weight loss oftenpounds or more; diarrhoea; tiredness; dry cough (not from smok ing)andsmallblueorpurplish spots ontheskin(whichmaybecome hardened). Thetimebetween infectionwiththeHTLV-IIIvirusandtheonsetofsymptoms (the incubation period)rangesfromaboutsix months to fiveyearsandpossibly longer. AIDSpatientscommonly develop Pneumocystis car iniipneumonia(PCP), a parasitic infection ofthelungs, producingshortnessofbreath,apersistentdrycough,sharpchestpainsandin severe cases, difficulty inbreathing.Kaposi's sarcoma (KS) isanotherproblem common among AIDS patients. This is a form of cancerthatproducespurplebrownish lesionsthatresemble bruises.Thelesionsarepainlessbutdonot heal. KSusuallyoccursanywhereonthesurfaceoftheskinorinthemouth,noseorrectum.TREATMENTSAtthistimethereis notestwhich can diagnose AIDS. However,thereis atestfor antibodies (substancesproducedintheblood to fight disease orga nisms) totheHTLV-IIIviruswhich causes AIDS. The

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testdetects antibodies. Not all ofthepeoplethathaveHTLV-III antibodies will develop AIDS.*10% develop AIDS*20% develop AIDS Related Conditions (ARC, a milder form)*70% lead normalhealthylives. Many forms oftreatmenthave been tried,butnonehavesuccessfully reversedthesuppressed immune con dition.Therehasbeen some successinusingdrugs, radiationandsurgery totreatthevarious illnesses of AIDS patients. Pneumocystic carinii pneumonia, can betreatedwithantibodies. Interferon, a virus-fighting proteinproducednaturallybythebodyhasbeen usedwithsome successagainstKaposi's sarcoma.Naturalandrecombinantinterleukinpreparationsarebeing usedinanattempttorepairtheimmunologic deficiencies in AIDS patients.PREVENTIONSexually active persons,withheterosexual or ho mosexualpartners,should be concerned about possible exposure totheAIDS virus. Persons having multiple sexpartnersincreasetheirriskact accordingly! Per sonscanreducetheirriskof contracting AIDS by fol lowing existing recommendations.*Limitthenumberof sexpartners*Donothavesexual contactwithpersons knownorsuspectedofhavingAIDS*Know youpartner(name, telephonenumberofotherpartners)*Use condoms correctlyandconsistently*Donotinsertobjects intotherectum*Shower beforeandaftersex*Avoid contact with bloodandsemen*Neversharehypodermic needles or syringes; boiling does notguaranteesterility*Donothavesexwithpeople who abuse IV drugs*Ifyouareadrugaddict,enteratreatmentprogram*Donotdonate bloodifyouarea personathighriskforhavingAIDS*Donotuseinhalantnitrates(poppers). Their roleasa cofactor for KS is being investigated. For personswithpositive HTLV-III, special recom mendationshavebeen made to preventthespread ofJAIDS.*Regularmedical evaluationandfollow-up is ad vised for personswithpositive tests*Personshavingpositive blood tests should not donate blood, plasma, body organs,othertissue or sperm. They shouldtakeprecautionsagainstex changing body fluidsduringsexual activity.*Thereis ariskof infecting othersthroughsexual intercourse,sharingneedlesandpossibly, expo-sureofotherstosalivathroughoral-genital contactorintimatekissing.*Toothbrushes, razors orotherimplementsthatcould become contaminatedwithblood shouldnotbe shared.*Women whose sexualpartneris antibody posi tiveareatincreasedriskof acquiring AIDS.Inaddition,ifthewomen becomepregnanttheirchildrenareatincreasedriskof acquiring AIDS.*Rememberthatallpersonscanreducetheirriskof contracting AIDS bytakingcare of theIr generalhealth.Eata well-balanced diet, exercise regu laily,getadequaterestandtryto reduce daily stress.IMPLICATIONS FOR HEALTH EDUCATORSAn approach totheAIDSsituationincludes dealing .withthegeneralpublic. Currently, AIDShasproduced a widespread feelingofpanicandmisunderstanding.Healtheducatorshavea responsibility toputthesitua tion into perspective.Thiscould includeinterpretingnew statistics, dispellingmythsandfunctioningasa resource for informationandreferral. Positive ap proaches toward behaviour changearenecessary for people to continue to adopt safeandhealthypractices. Educationmustbethecornerstoneinpreventingthespread of AIDS,particularlyforthehighest-risk group (Le. sexually active homosexuallbisexualmenwithmul tiple partners),inwhich AIDS is spreadthroughsexual contact. Boththisgroupandintravenousdrugabusersmustmodifytheirbehavioruntila cure forthisdreaded diseaseisdiscovered.Otherhealthprofessionalsarethefocus ofanotherapproach. Nurses, doctors, dentists, laboratory techniciansandotherhealthworkersmustbe informed of correct proceduresindealingwithanAIDS victim. Manyhealthprofessionalsarereluctantto deal with AIDSpatients thespread of disease to themselves or to other patients. Inservice programs on using isolation procedures, disposing of needlesandsyringes correctlyandhandlingspecimens from AIDSpatientscanbe ameansto decreasetheiranxietyandreassurestaffoftheirdecreasedrisk. Information about symptomsmayalso assistinearlydetection. Another approach liesindealingwithAIDS victimsandtheirfamilies.Thisincludes psychological needsthat lIlay occur from feeling isolated from societyandthephysiol ogical needsthatmaydevelop fromthedisease process.Financialarrangementsshould also be addressed.WHAT DOES THE FUTURE HOLD?Fortheimmediatefuturetherewill continue to beanincreaseinthenumberof new AIDS cases. Because ofthelong incubation period of AIDS,itis unlikelythatpreventive actionsthusfartakenwill be reflectedinfallingratesinAIDS cases. With continued research onthecauseofAIDS,andon a cureandvaccine forthedisease, alongwithcomprehensive educational pro grams, bytheendofthedecade, we maybeable to look back on AIDSasa historical, albeit tragic, phenome non.29

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Felicity A YMER Ken Ofosu-BARKO Lyall BETHEL Audrey DEVEAUX Ashwood FERGUSON Stephanie CARROLL Harcourt PINDER Donna SMITH-DIALEDITORIALCOMMITTEEHealth Education Division (Editor) PublicHealthDepartment The Counsellors National Insurance Board Architect -BahamasAssociation of Life&HealthInsurers-HealthEducation Council Broadcasting Corporation of The BahamasABOUTTHECONTRIBUTORSFelicity A YMER is aHealthEducation Officer, Ministry ofHealthand Editor. Rudolph BURGZORG is a former Executive Director of TheBahamasAutomobile Club. Donald COOPER isthePublic AnalystandanAssistant Director intheDepartment of EnvironmentalHealthServices. He holds a Ph.DinMicrobiology.BarbaraDEVEAUX istheExecutive Director of TheBahamasChamber of Commerce.JanetHALL isanAdministrative AssistantatSandi lands Rehabilitation Centre. She is agraduateof BallSta\eUniversity, Muncie, Indiana,(MAHealthSciences), Beverley LOCKHART is atrainedMontessori teacherandtheHead oftheCentre forEarlyEducation, Alba tross Road, Stapledon Gardens. Diana PINDER isthePresident oftheDiabetic Association. Anthony ROBERTS istheDirector of Sanitation Services, Resorts International, Paradise Island.CatherineWILSON istheCommunity Nurseincharge oftheCarmichael Road Clinic.30

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(Continuedfrompage 4)PleasenotethepricesprevailingatthattimeSource Mr. Ed. Dorsette,CentralBank,Bahamas.Conversiontableasof 25 May, 1966Tribune3d.(threepence)BarSoap 3d.Grapefruit4d. 2 lb.ribroast2/PorkchopsSteakSugarWhitegrapesCabbage Cucumbers Apples 1/2perlb. 1/9perlb. 10d. for51b.9d.perlb. 6d.perlb. 9d.perlb. 2d. each. 5 =4d. (pence) 50 =3/6(threeshillingsandsix pence) $1.00=7/(shillings) $5.00=.15 (one pound fifteen shillings) .10=$4.29 .00=$14.29 $10.00=$28.57SubstantialdevaluationoftheEnglishpoundhadalreadyoccurredorwasthedollar over-valued?------------------------------------------------------------------------------------EVALUATIONHelpustomakethenewsletterasinterestingandinfonnativeaspossible. Please complete, detachandreturnthis short evaluationformtotheHealthEducationDivision,PublicHealth Department, Nassau,Bahamas.Tickthemostappropriate response.1.How did you findthenewsletter? a) veryinterestingb)interestingc)somewhatinterestingd)uninterestinge) didnotread2.Wasthereanyarticle ofparticuliuinterestto you? Yes0No0Ifyes, please givetitle.3.Whatchanges,ifany, would you liketosee?.................................................................................................................................................-.4.Whattopics would you likeinfuture issues? ..5.Would you like to contributetothisnewsletter? Yes0No0Ifyes, please givenameandaddress. Name: .Address:............................... .Thankyouforyourco-operation!MerryChristmasanda happyNewYear.31

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32\IP.O.BOXN-3729NASSAU,BAHAMAS.

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HEALTHCAREPROVIDERSLET'SBLAZEATRAIL "IIi-P............. ...-. -.,e&2M' GOFOR SAFETYIN1987\I .,.-...-ftNK*was NASSAU,BAHAMASCoverDesignby;-THEOPHILUSTHOMPSONLESLIEJOHNSONASHWARDFERGUSON