Connect with us

Health

Barbados Drug Service Speaks On Availability Of Insulin

There is no shortage of any therapeutic class of insulin on the Barbados National Drug Formulary (BNDF). However, due to supply challenges, there is currently a scarce supply of Humulin 70/30 on island.

The Ministry of Health and Wellness, through the Barbados Drug Service (BDS), endeavours to provide an uninterrupted supply of quality insulin products for all residents of Barbados at an affordable cost.

On the Barbados National Drug Formulary (BNDF), as shown in Tables 1. and 2., there are currently thirteen brands of insulin available to all beneficiaries. Patients are advised that in the event they are unable to source Humulin 70/30 they should consult with their physicians regarding the selection of a suitable comparable product.

To ensure the long-term continuous care of all insulin dependent diabetics and the financial viability of the national programme, there has been a policy decision to institute protocol changes in the maximum quantity of insulin pens for which the BDS will cover the cost.

The Barbados Drug Service will pay for a maximum of two (2) pens per client per month, for each allowed therapeutic class or classes. The protocols for all other insulins remain the same as outlined in Table 2.

The change in protocols will not prevent a client from receiving an adequate amount of insulin to treat their condition, as comparable options are available in every therapeutic class of insulin.

The exceptions to the new protocol are visually impaired persons and persons 18 years of age and under. The BDS will continue to provide a monthly maximum of four (4) Apidra Solostar pens and/or five (5) of the other pens, listed in Table 1., for these two categories of persons filling their prescriptions in the government pharmacies only.

Table 1. Insulin Pens and Cartridges available on the Barbados National Drug Formulary

Therapeutic ClassBrand NameActive IngredientPackage SizeNew Protocol Maximum
18 yrs and Under*Visually Impaired*All other Beneficiaries
Rapid-acting InsulinApidra Solostar 100U/ml InjInsulin Glulisine3ml pre-filled pen4*4*2
Novorapid Flexpens 100U/mlInsulin Aspart3ml pre-filled pen5*5*2
Premix- Intermediate-acting Insulin/Rapid-acting InsulinNovomix 70/30 FlexpensInsulin Aspart Protamine/Insulin Aspart3ml pre-filled pen5*5*2



Long-acting Insulin
Lantus Solostar 100U/ml InjInsulin Glargine3ml pre-filled pen5*5*2
Levemir Pen 100U/ml InjInsulin Detemir3ml pre-filled pen5*5*2

Facilitated in Government Pharmacies Only

Table 2. Insulin Vials available on the Barbados National Drug Formulary

Therapeutic ClassBrand NameActive IngredientPackage SizeProtocol Maximum for all Beneficiaries
Rapid-acting InsulinHumalog 100U/ml InjInsulin Lispro10ml vial5
Apidra 100U/ml InjInsulin Glulisine10ml vial5
Fast-acting InsulinHumulin-R 100U/mlInsulin Rapid10ml vial5
Novolin-R 100U/mlInsulin Rapid10ml vial5
Intermediate-acting/Fast-acting InsulinHumulin 70/30 InjInsulin Isphane/Insulin Regular10ml vial5
Novolin 70/30 InjInsulin Isphane/Insulin Regular10ml vial5
Intermediate-acting InsulinHumulin-N 100U/ml InjInsulin Isophane10ml vial5
Novolin-N 100U/ml InjInsulin Isophane10ml vial5
Long-acting InsulinLantus 100U/ml Inj              Insulin Glargine10ml vial5

Health

Excitement builds for CIBC Caribbean’s Walk for the Cure 2024

Excitement is building as planning has commenced in earnest for this year’s edition of the Caribbean’s largest cancer fundraiser, CIBC Caribbean’s Walk for the Cure.

Walk Managers across the bank’s 11-member footprint have been meeting with their committees and fine-tuning this year’s fundraising activities aimed at surpassing the over USD$450 000 raised in support of cancer care and support organizations across the region last year.

In addition to donations and sponsorship other fundraising activities held around the region include Paint for the Cure, Hike for the Cure and Golf for the Cure.

“Since its modest beginning in 2012, Walk for the Cure has raised over USD$4 million across our regional footprint. Every penny raised and donated has been shared among cancer care organizations and charities committed to the prevention and early detection of the disease, to education and outreach and to the care of persons with cancer and their families that are impacted,” said Mark St. Hill, the bank’s Chief Executive Officer and Chair of its charitable arm, the FirstCaribbean ComTrust Foundation which hosts the walk along with regional partners.

He praised staff members who eagerly volunteer every year to ensure the walk comes off successfully. “Your efforts, strengthened by the scores of dedicated corporate sponsors and individual contributions have seen us make a real difference in the lives of persons with cancer, their families and care givers. It is not an exaggeration when I say that your collective efforts have saved lives”. 

Trustee of the FirstCaribbean ComTrust Foundation and Director of Corporate Communications at CIBC Caribbean, Debra King said the annual event was a demonstration of the bank’s commitment to the communities where they are located.

“No other activity more clearly demonstrates our commitment to our communities than Walk for the Cure which yearly attracts thousands of walkers and runners across the region. I am hopeful that again this year our sponsors and thousands of supporters around the region will rally to this cause resulting in record numbers on the roads and breaking records with our fundraising as well,” she stated.

The walk began as part of the celebrations to mark the bank’s 10th anniversary in 2012 and takes place across its 11-member footprint. 

The funds generated from the walk are used primarily to assist with the purchase and maintenance of equipment used in the diagnosis and treatment of cancer patients.

They are also used to provide assistance, care and counselling to patients and their families as well as to raise awareness, and stress the importance of early detection, through education campaigns across the region. (PR)

Continue Reading

Health

Gastrointestinal Illness On The Rise

Gastrointestinal illness continues to increase, and health officials have identified a new virus cause among lab samples – rotavirus.

This rise in cases, in adults and children, has been seen since late April until present.

The Ministry of Health and Wellness reported that for the diarrheal samples tested, three samples from late May and early June showed the presence of rotavirus, in addition to the bacterial foodborne pathogens that have been previously identified. Rotavirus is a very contagious agent spread by contact with objects or persons contaminated with infected stool.

Vomiting was a prominent symptom for many persons, according to health authorities.

As a result, members of the public are being urged to employ proper hand hygiene methods, such as washing their hands regularly, especially before eating, and to continue to be cautious when purchasing ready-to-eat food items. 

The uptick in cases in persons older than five years moved from 34 at the end of April, to 76 cases in the week ending May 11, 2024.

Since then, weekly numbers have been falling, most recently to 46 cases in the week ending June 15, 2024, but are still above the alert threshold. At this time of the year, the alert level for this age group is fewer than eight cases.

In children under five years old, the number of cases has moved from eight for the week ending April 27, to peaking at 27 cases in the week ending May 18, 2024.

Persons are encouraged to wash their hands with soap and water for at least 20 seconds and dry them with disposable tissue, especially after changing nappies, using the toilet, or before eating.  If soap and water are not available, the use of an alcohol-based hand sanitiser is recommended.

Those who purchase items to eat should ensure that sellers conduct appropriate food handling practices, such as protecting food from flies and other vectors; using suitable utensils to touch food; and maintaining hot or cold items at the correct temperatures. Hot foods must be kept above 140 degrees Fahrenheit, and cold foods at 40 degrees Fahrenheit or below.

Health officials further advise that people keep unwashed hands away from the eyes, nose, and mouth, and to generally avoid touching these areas as germs can enter the body this way. (PR/GIS)

Continue Reading

Health

Cannabis Legislation explained at the NCSA Panel Discussion

While doctors in Barbados can prescribe cannabis, they must follow a stringent legal process and obtain the necessary permissions from the authorities.

Superintendent Anthony Warner of The Barbados Police Service made this clear while speaking at The National Council on Substance Abuse (NCSA) panel discussion titled “The Grassroots of Medicinal and Recreational Cannabis.” The event brought together various stakeholders to discuss the evolving landscape of cannabis legislation in Barbados.

Addressing what he said was a common misconception about the role of law enforcement in interpreting legislation, Warner emphasized that the police are not responsible for interpreting the law but for enforcing it within the framework established by the state. “It probably would be a dangerous thing if you have to leave it to the police to interpret the law because they might do it in their own interest,” he remarked, underscoring the importance of adherence to the legal standards set by the state.

One of the key topics discussed was the recent amendment to the Drug Abuse Prevention and Control Act CAP 131, which introduces a more nuanced approach to handling minor cannabis offences. Warner clarified that while the possession of any amount of cannabis remains illegal, the amendment, specifically section 6A, introduces a fixed penalty system for individuals found with 14 grams or less of cannabis. This system allows police officers to issue a ticket instead of making an arrest, provided the individual does not challenge the nature of the substance.

“Before, if you got any amount, a stem, a seed, a stalk, the police could have arrested you for the smallest amount of cannabis. What the law does now is tell us to give a different approach on how the police would treat that type of offence,” Warner explained.

Addressing the community’s concerns about cannabis use and the role of medical practitioners, Warner stressed the legal requirements for prescribing medicinal cannabis. He noted that while doctors can prescribe cannabis, they must follow a stringent legal process and obtain the necessary permissions from the authorities. This ensures that the use of cannabis remains regulated and does not slip into misuse or abuse.

The Superintendent also highlighted the importance of collaboration between the police and the community. He believes that such interactions foster mutual understanding and trust, making it safer and more comfortable for citizens to communicate with law enforcement. 

Warner provided a comprehensive overview of the current state of cannabis legislation in Barbados. His insights highlighted the balance the law seeks to achieve between enforcement and leniency, ensuring that while cannabis possession remains an offence, minor infractions are dealt with in a way that is fair and proportional. 

The discussion underscored the ongoing need for community engagement and legal clarity as Barbados navigates the complex terrain of cannabis regulation. (PR)

Continue Reading

Trending

© 2022 Advomag. All rights reserved.