MAJ VIRTUAL SYMPOSIUM 2022 by PAGETURNER PUBLISHING HOUSE LTD

contents abstracts 30-39 f acul ty

symposI um 2022 24 programme 20-

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messages

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aboutthemaj meetourstaff

or s oc i oec onomi cs t a ndi ng . We wer e di s t r a c t edbyt hes c a l ea ndur g enc yoft he pa ndemi c a nd a l l ener g y wa s Dr . Br i anJ ames , Bs c , MBBS, DA, FRCA c onc ent r a t edonmi ni mi z i ngt hedea t h r a t esa ndbur denont hehea l t hc a r e T heMedi c a lAs s oc i aonofJ a ma i c ai spa rc ul a r l y del i v er ys y s t em.Res our c ec a pa c i t y pl ea s edt opr es entS y mpos i um2022wi t ht het heme wa sov er whel meda nda en ont o Chr oni cNonc ommuni c a bl edi s ea s es :ar ef oc usona t hemor ei ns i di ousNCD pa ndemi c f or g o enpa ndemi c .Wewel c omea l la endeesa nd f a l t er ed a st he emi nent l y ur g ent pa rc i pa nt si nt hi sv er y mel ye x pl or aonofc r ic a l t hr ea t c ons umed our me a nd i s s uesc onf r on ngnaona l a ndg l oba l publ i chea l t h. fina nc i a l r es our c es . T hi ss y mpos i um i sa na c k nowl edg mentoft hec r i s i sour T heMAJha st a k ent hev i e wt ha tt he me c ount r ya ndt hewor l da r eg r a ppl i ngwi t hi nt hef or m of ha sc omet or es umeourf oc usonc hr oni cnonc ommuni c a bl e Chr oni c NonCommuni c a bl e Di s ea s es ( CNCDs ) .T hes e,di s ea s es ,i nc l udi ng c a nc er sa st he yc on nue t o be t he i nc l udi ng hea r tdi s ea s e,s t r ok e,c a nc er ,di a be t es ,a nd domi na nthea l t hpr obl emi nJ a ma i c aa ndi nt er naona l l y . T hes e c hr oni cl ungdi s ea s e, a r ec ol l ecv el yr es pons i bl ef ora l mos tc hr oni cdi s ea s esa r eo enpr e v ent a bl et hr oug hmodi fic aonof 70% ofa l ldea t hswor l dwi de.Al mos tt hr eequa r t er sofa l lhea l t hr i s kbeha v i our sa nde x er tt r emendousc os tbur denson NCDdea t hsoc c uri nl ow-a ndmi ddl ei nc omec ount r i esl i k et hehea l t hs y s t em.T hea ddiona lbur denont hepopul aon J a ma i c a . r equi r esac oor di na t eda ppr oa c hf r om c i v i ls oc i e t ya ndt he l t ht ea mt or es pond e ffecv el y . Wet her e f or es eek , T hes ei l l nes s esl oom a saper v a s i v et hr ea tt owel l nes sa thea hr oug ht hes ef ourda y sa ndbe y ond,t oeng a g emember s , i ndi v i dua l ,f a mi l y ,a nd c ommuni t yl e v el s ,a nd ourt herhea l t hwor k er s ,a ndc i v i ls oc i e t y ,ont hei s s uesa nd hea l t hc a r ec a pa c i t yi sa tr i s kofbei ngout s t r i pped.T hec os tot s i bl es ol u onst ot heCNCDpa ndemi c . t ot hec ount r yofha ndl i ngt hi se x i s t en a l c r i s i si sg r owi nga tpos a nuns us t a i na bl epa c e,a ndwemus ta c tur g ent l yi fourT he c onf er enc e enc our a g es t he pa rc i paon ofa wi de v i s i onofma k i ngJ a ma i c aapr e f er r edpl a c et ol i v e, wor k , do c r os s s econoft hehea l t ht ea ma spr es ent edt hr oug ht he bus i nes sa ndr a i s eaf a mi l yby2030,i st obec omer ea l .br oa dba s edna t ur eoft hes el ec t edt opi c s . Pr e v en on,s c r eeni ng ,a ndea r l yde t econa r ei mpor t a nt We i mpl or e member sa nd ot hers t a k ehol der st o bec ome s t r a t eg i esi nt her educonoft hebur denofCNCDs ,a nd r es ol ut ec omba t a nt si nt hi sba l et or epel t hef or mi da bl ea r my t her ei saneedf orempower mentofper s onsl i v i ngwi t h ofdi s ea s esbes i eg i ngourc ount r ya ndt hewor l d.L e tusa r m t hes ec ondionst ot a k ec ont r oloft hei rhea l t ht oa v oi d our s el v eswi t hi nf or maona ndfig htwi t hi nt el l i g enc ea nda c ompl i c aonsa ndl i v ehea l t hyl i v es . c ol l ecv ewi l l t opr e v a i l .Vi c t or ywi l l t a k e me,butwebel i e v e I nt he l a s tt wo y ea r s ,t he wor l d ha sc onf r ont ed a n ma nk i ndwi l le v ent ua l l yt r i umpha ndc r ea t eawor l di nwhi c h unpr ec edent ed t hr ea t t ha t hi g hl i g ht ed t he CNCDs ha v e been s ubdued, c ont r ol l ed, or ulma t el y i nt er c onnec t ednes sofc ount r i esr eg a r des sofg eopol ic a l c onquer ed.

PRESI DENT ’ SMESSAGE

SYMPOSI UM CHAI R’ SMESSAGE Dr . AnnGi bs on, BSc( Hons ) , MBBS, D. A. , D. M. ( Anaes )

AsI mea nder edt hr oug hac r owdedA&Es ea r c hi ng f ormypaent ,hea r i ngt hec oug hi nga ndc r i esf or “ nur s e” , a nds eei ngov er whel meds t a ﬀa emp ngt o ma na g ea ni mpos s i bl es i t uaon,Ipul l edmyma s k g ht er , putona not hera ndc r i ng ed.

J a c k s on,Pr ofMa r v i nRei da ndDrS i mone Dunda s By l esha v ewor k eda s s i duous l yt o pl a na ndi mpl ementS y mpos i um2022. Pr of .Rei dg a v eusaf r es hr edes i g nof t hef or ma tenc ompa s s i ngs hor t er s es s i ons ,4 f ea t ur el ec t ur es ,2 wor k s hopsa ndar ei nc or por aonof t heE t hi c ss es s i on.

Wee x pr es si mmens eg r at udei mmens e Mypaentha dbeent r a ns f er r edf r omapr i v a t ei nst u on g r at ude t oa l l our pr es ent er sa nd bec a us et he ya l s ower enow t oounder r es our c edt oc a r e moder a t or swhoha v es e ta s i depr ec i ous met opa rc i pa t ei n f orherNonCommuni c a bl eDi s ea s e( NCD) .T hec a us e?–a S y mpos i um2022. 5t hwa v eofc ov i d. dl i k et os pec i a l l ya c k nowl edg eourf ea t ur el ec t ur er s sdomi na t edourl i v ess i nc e2020a ndha sneg av el y Iwoul I tha of es s or E . Da l e Abel , Pr of es s or Ke v i n F ent on, Dr i mpa c t ed our a bi l i t y t o ma na g e a nd c ont r olPr er r eAnt honyL ea k ea ndDrL eoWa l k er . NonCommuni c a bl eDi s ea s es( NCDs )a ndi t sa dv er s ee ffec t s Pi onJ a ma i c a ’ spr oducv i t y ,fina nc esa ndourc iz en’ squa l i t y Myhea r tf el tg r at udet ot heS ec r e t a r i a ta ndes pec i a l l yt oour ofl i f e. a dmi ni s t r a t or ,Mr sKa des haWhi t eRowe,whoha sl edt he ec r e t a r i a t wi t he x c el l enc ea nd na v i g a t ed t he l og i sc a l Ibec a mea c ut el ya wa r eofhow t heCOVI Dpa ndemi cha dS ha l l eng eswi t hea s e. c r ea t edac r ic a l s hor t a g eof r es our c est oma na g eNCDsa nd c t he c ons equent i nc r ea s ed mor bi di t ya nd mor t a l i t y , pons or sa r et hel i f el i neoft hi s ,ourma j ora nnua le v ent .T he es pec i a l l yi fa l s oi nf ec t edwi t ht hi sOmi c r onv a r i a nt .My S ha nk st hem f ort hei runwa v er i ng s uppor ta nd f or hea ds wi r l eda sIa l s oenv i s i onedt hef ut ur ei nc r ea s esi n MAJt c emen nga ndc r eangne wr el aons hi pswi t hourmember s . NCDsa sar es ul tofl ongCOVI D. ea c i aWi l l a ms ,medi c a lma r k e ngma na g erof st her e f or ea s t ut e,i mper av ea nd mel yt ha t WhenDrMel I t wa r i MedGr oup,offer edt hei rv i r t ua lpl a or ma ndt ec hni c a l Pr es i dentDrBr i a nJ a mesc hos et or e f oc usS y mpos i um2022 Ca uppor tt oourS y mpos i um,wet houg hti twa sadr ea mt oo onChr oni cNonCommuni c a bl eDi s ea s es ,t he“ F or g o en s g oodt obet r uebuti ti snowar ea l i t yi nt hema k i nga ndwe Pa ndemi c ” . l ookf or wa r dt oafla wl es spr es ent aonofS y mpos i um2022. T heS y mpos i um t ea mc ons i sngofDrBr i a nJ a mes ,Dr i na l l y , I mus tt ha nka l l oura endeesf ory ours uppor ta ndf or Andr e wJ os ephs ,DrGi s el l eHa r r i s on Rowe,DrCa r ol y nF bei ngag r a c i ousa udi enc e.

themajexecutI veoffI cers dr.bri an james–presi dent

Cons ul t a ntAna es t he s ta ndHea doft heDepa r t mentofAna es t hes i a&I nt ens i v eCa r ea tt heBus t a ma nt e Hos pi t a l f orChi l dr en.I n1998, hewa sa wa r dedt heF el l ows hi poft heRoy a l Col l eg eofAna es t he s t s( L ondon) . Dr .J a mesi saf or merPr es i dentoft heAs s oc i aonofAna es t he s t si nJ a ma i c aa swel la st heJ uni orDoc t or s ’ As s oc i aon( J DA) .Hei samemberoft hePa edi a t r i cAs s oc i aonofJ a ma i c a ,Br is hMedi c a lAs s oc i aon, As s oc i aonofAna es t he s t si nGr ea tBr i t a i na ndI r el a nda ndt heS oc i e t yf orPedi a t r i cS edaon.

dr.lesli emeade–presi dentelect

Cons ul t a ntObs t e t r i c i a na ndGy na ec ol og i s ta tWi nc hes t erS ur g i c a la ndMedi c a lI nst ut ea swel la sMedi c a l Oﬃc era tt heUni v er s i t yofT ec hnol og y , J a ma i c a . Dr . Mea deha ss er v eda sAs s i s t a ntT r ea s ur era ndT r ea s ur erof t heJ uni orDoc t or s ’ As s oc i aon( J DA)a ndmor er ec ent l ya st heHon. S ec r e t a r yoft heMAJ .

dr.andrew josephs–vi cepresi dent

Ag r a dua t eoft heUni v er s i t yoft heWes tI ndi es( UWI ) ,Monaa ndaCons ul t a ntGener a lS ur g eona tt he Ma nde v i l l eReg i ona l Hos pi t a l .DrJ os ephsa l s owor k sa tVi l l aMedi c a l Cent er( Ma nde v i l l e)a ndI c onMedi c a l Cent r e( Ki ng s t on) . Hei sa nAs s oc i a t eL ec t ur eri nt heDepa r t mentofS ur g er ya tt heUWI a ndi saF el l owoft he Ca r i bbea nCol l eg eofS ur g eons( F CCS ) .Dr .J os ephsi st heS c i en ﬁcS ec r e t a r yoft heAs s oc i aonofS ur g eons i nJ a ma i c a( AS J ) .

dr.gi selleharri son rowe–honorarysecret ary

Ag r a dua t eoft heUni v er s i t yoft heWes tI ndi es , Monawi t haDM i nObs t e t r i c sa ndGy na ec ol og y , Dr . Ha r r i s on Rowewor k sa tt heUni v er s i t yHos pi t a l oft heWes tI ndi es( UHWI )a ndNu a l l Medi c a l Cent r e. S heha ss er v ed ont heJ a ma i c aMedi c a l Doc t or sAs s oc i aon( J MDA)e x ec uv ea sI nt er ns ’ Repr es ent av e, Honor a r yS ec r e t a r y , Publ i cRel aonsOﬃc era ndConf er enc eMa na g er . S heha sa l s os er v edi nt heAmer i c a nCong r es sofObs t e t r i c s a ndGy na ec ol og ya sJ uni orF el l owCha i ra ndVi c eCha i roft heWes tI ndi esc ha pt er . S hei snowaF el l owoft he Amer i c a nCol l eg eofObs t e t r i c sa ndGy na ec ol og ys er v i nga sY oungPhy s i c i a ns ’Repr es ent av ef ort heWes t I ndi es .

dr.carol yn jackson –asst.honorarysecretary Cons ul t a ntPedi a t r i cS ur g eona tKi ddi eCa r ePedi a t r i c i a nsa ndt hef oundi ngdi r ec t orofCa r i bbea nT ot st oT eens , ac hi l da nda dol es c entwel l nes sc ent r e. S hei sapr oudg r a dua t eoft heUni v er s i t yoft heWes tI ndi esDM S ur g er y pr og r a m.Dr .J a c k s onha ss er v edont hee x ec uv ec ommieesoft heJ uni orDoc t or sAs s oc i aon( J DA) ,t he Pedi a t r i cAs s oc i aonofJ a ma i c a( P AJ )a ndt heAs s oc i aonofS ur g eonsi nJ a ma i c a( AS J ) .S heha sa l s owor k ed wi t hVi ol enc ePr e v en onAl l i a nc e,CI S OCA,t heCDA/CPF S Aa ndot herr eg i ona l bodi esi na dv a nc i ngt her i g ht s a ndpr ot econofCa r i bbea nc hi l dr en. dr.coli n abel–honorarytreasurer Cons ul t a ntPa edi a t r i cS ur g eona tt heBus t a ma nt eHos pi t a l f orChi l dr ena nda nAs s oc i a t eL ec t ur eri nt he Depa r t mentofS ur g er y , Uni v er s i t yoft heWes tI ndi es , Mona . Dr . Abel wa si nduc t eda sF el l owoft heRoy a l Col l eg eofS ur g eon, E di nbur g h( F RCS ) , F el l owoft heI nt er naona l Col l eg eofS ur g eons( F I CS ) , F el l owofAmer i c a nCol l eg eofS ur g eons( F ACS ) , a ndF el l owoft heCa r i bbea nCol l eg e ofS ur g eons( F CCS ) . Hei samemberoft heBr is hAs s oc i aonofPa edi a t r i cS ur g eons , t heE ur opea nS oc i e t yof Pa edi a t r i cUr ol og i s t sa ndt heAmer i c a nAc a demyofPa edi a t r i c s . dr.nat ali ewhyli e–asst.honorarytreasurer CCons ul t a ntOt or hi nol a r y ng ol og i s ta tWi nc hes t erS ur g i c a la ndMedi c a lI nst ut ea ndt heKi ng s t onPubl i c Hos pi t a l ( KPH) . DrWhy l i eha spr e v i ous l yhel dt hepos ionofS eni orMedi c a l Oﬃc er( S MO)ofKPHa ndi snow AcngReg i ona l T ec hni c a l Di r ec t oroft heS out hE a s tReg i ona l Hea l t hAut hor i t y( S E RHA) , MOHW.

dr.andrew manni ng –I mmedi atep astpresi dent Cons ul t a ntE NT ,Hea d&Nec kS ur g eona tt heMa nde v i l l eReg i ona lHos pi t a l ,Gl enmui rBus i nes sCompl e xa nd Ha r g r ea v esHos pi t a l . Dr . Ma nni ngha shel ds e v er a l pos t swi t hi nt heMAJa ndi saf or merPr es i dentoft heJ uni or Doc t or s ’As s oc i aon( J DA) .Heha shel doﬃc ei nt heCa r i bbea nAs s oc i aonofOt or hi nol a r y ng ol og i s t s .Hei s c ur r ent l yt heCha i r ma noft heMAJI ns ur a nc eF und–MAJ I F .

about

themaj heMedi calAssoci at i onofJamai ca( MAJ)evol vedf r om t heBr i t i shMedi calAssoci at i on( BMA) Jamai caBr anch,whi chwasconst i t ut edast hef i r stover seasbr anchoft heBMAi n1877.Af t er I ndependencei n1965,t heMAJwasf or medt or epl acet hatbodyandt hemember shi phasgr own overt heyear st oappr oxi mat el y1, 800doct or s. TheAssoci at i on i sa r egi st er ed nonpr of i tor gani zat i on,whi ch i sr un byel ect ed of f i cer si ncl udi ng a Pr esi dent ,Pr esi dent el ect ,I mmedi at ePastPr esi dent ,Vi cePr esi dent ,Honor ar ySecr et ar yandAssi st ant Honor ar ySecr et ar y ,Honor ar yTr easur erandAssi st antHonor ar yTr easur er ,andaCounci lcompr i si ngt he el ect edof f i cer s,pastpr esi dent s,br anchchai r men,chai r menofst andi ngcommi t t eesandspeci al t ybr anch pr esi dent s/ chai r men.TheSpeci al t yBr anchPr esi dent sr epr esentt hevar i ousspeci al t yassoci at i onsor soci et i es,whi chf al lundert heumbr el l aoft heMAJ. The MAJf aci l i t at esf ori t smember sCont i nui ng Medi calEducat i on ( CME)semi nar sand wor kshops, i ndemni t yi nsur ancet hr ought heMedi calAssoci at i onofJamai caI nsur anceFund( MAJI F) ,gr oupheal t h i nsur ance,mot orvehi cl ei nsur ance,andacci dent aldeat h,di sabi l i t yandi ncomer epl acementi nsur ances. TheMAJal sof aci l i t at esf i nanci aladvi sor yser vi cesandi nvest ment s. Bei ngachar i t abl eor gani zat i on,t heMAJhasdonat edandcont i nuest ocont r i but et omanychar i t i esand i nst i t ut i onsi nneed.TheMAJal sospeaksonvar i ousnat i onalheal t hi ssuesandgi vesadvi ceonhow t o i mpr ovet heheal t handwel l bei ngofoursoci et y .I tal soadvocat esf orhi ghqual i t y ,cost ef f ect i veand af f or dabl eheal t hser vi cesf ort heJamai canpeopl e Theact i vi t i esoft heassoci at i onar ef i nancedbyi ncomeder i vedf r om annualmember shi psubscr i pt i ons, symposi a,CME accr edi t at i ons,endor sement s,i nvest ment sandcommi ssi onsear nedf r om conductof busi nessser vi ces. TheAssoci at i on’ s head of f i ce i sl ocat ed i n Ki ngst on at19A Wi ndsorAvenue and i s st af f ed by an admi ni st r at or ,t wosecr et ar i es/ r ecept i oni st s,af ul l t i mecar et akerandapar t t i meanci l l ar yst af f .Ther ear e br anchesi nSt .James,Manchest erandSt .Ann.

Ka des haWhi t eRowe offi cemanager

St epha ni eWa r r en admi ni strati ve assI sstant

Mi c ha elGor don

caretaker/ bearer

Medi cal As s oci at i onofJ amai ca-Vi r t ual Sympos i um 2022

Anet t aAnder s on

anci llarystaff

Rus ha unHenr y secretary

chroni c noncommuni cabledi seases theforgotten epi demi c

Jamai ca,l i kemanycount r i eswor l dwi de,haddi sr upt i onsoft hei rheal t hser vi cesf ort he chr oni cnoncommuni cabl edi seases( CNCD’ s)asar esul toft heCOVI D19pandemi c.I n f act ,t heWor l dHeal t hOr gani zat i on( WHO)di dasur veyofmemberst at esi n May2020andr epor t edt hatof122 count r i esr epor t i ngdi sr upt i onsofCNCD ser vi ces,20% r epor t edt hat gover nmentf undsi ni t i al l yal l ocat edf or CNCDshadbeenr eassi gnedt ononCNCD ser vi cesduet oCOVI D19r esponseef f or t s( 1) .I naddi t i ont ot he r eal l ocat i onoff i nanci alr esour ces,manycount r i esr epor t eddi sr upt i onsdue t of aci l i t i esdownsi zi ngorcl osur e, st af f i ngi ssues,andt r anspor tchal l engesduet ol ockdowns( 1,2) . Jamai cai sasmal li sl anddevel opi ngst at e,wi t hl i mi t edeconomi cr esour ces,t hati svul ner abl et ot heef f ect sof cl i mat echange( 3)andi si nt hemi dstofanepi demi ol ogi calt r ansi t i on( 4,5) . Thusmal nut r i t i oni nchi l dr eni s decl i ni ngandi nf ect i ousdi seasesar ebei ngdomi nat edbyvi r al i nf ect i onssuchasHI V( 6) ,ar bovi r usi nf ect i ons( 7,8) and now SARSCoV2i nf ect i ons.Thi si s coupl ed wi t h an i ncr easi ng pr eval ence ofobesi t y and chr oni c noncommuni cabl edi seasessuchasdi abet es,hyper t ensi on,st r oke,cor onar yhear tdi seaseandcancer s( 9,10) . Forexampl e,t hepr eval enceofhyper t ensi oni ncr easedby~1 1% f r om 20. 9% i n2000t o31. 5. %i n2018( 9,10) . Si mi l ar l y ,t hepr eval enceofover wei ght / obesi t yi ncr easedf r om 45. 8% t o54% f r om year2000t o2018[ Fi gur e1,( 9,

Fi gur e1.Dat af r om J amai c aHeal t h&Li f es t y l eSt udi es ,1, 1 1, &1 1 1( ( 9,10) .

Whent hi si sj uxt aposedt or epeat edst udi est hathavedemonst r at edi nadequat ecar ef ort heseCNCDsatourheal t h f aci l i t i es( 1 113),i tsuggest st hatt her ewi l l cont i nuet obehi ghsoci oeconomi ccost sandheal t hbur denont heJamai can soci et yduet oexcesspr emat ur edeat hsandpr event abl emor bi di t y/ di sabi l i t y . However ,i mpr ovedqual i t ymedi cal car ef orCNCDswi l lonl yar i sei fdel i ver edusi ngmodel sofcar et hatar eappr opr i at e f orchr oni cdi seases.Thegener i cunder pi nni ngsoft hesemodel sembr acet hef ol l owi ngt enet s( 1417) : The pr i nci palgoalofheal t hi nt er vent i on i n chr oni c di seases i st o opt i mi ze f unct i onal capaci t i esi n af f ect edi ndi vi dual sandf ami l i es. Theconceptofmaxi mi zi ngf unct i onnot onl yent ai l st heuseofappr opr i at emedi calt echnol ogyori nt er vent i onst oachi eveopt i mal bi ol ogi calf unct i onsbutr el at est oot herdi mensi onssuchaspsychosoci al ,heal t hr el at ed qual i t yofl i f emeasur esandeconomi cf unct i on. The pr omot i on oft he phi l osophy ofsel f management .Sel f managementdenot es t he phenomenonwher epat i ent sar eempower edbyheal t hcar epr ovi der st o“ manage”t hei r di sease. Medi cal As s oci at i onofJ amai ca-Vi r t ual Sympos i um 2022

Heal t handwel l nesspr omot i on Achi evi ngequi t yi nheal t hcar edel i ver yandaccessi bi l i t y . Advocat i ngf orr educt i oni nst i gmat i zat i onand“ ot her i ng”wher e“ ot her i ng”i st he pr ocessof del i neat i ng i ndi vi dual s who ar e consi der ed t o be di f f er ent f r om onesel f t hr ough st i gmat i zat i onanddi st anci ng( 18,19) .I nf act ,t hi sconceptwi l lbeexpl or edatt hi syear symposi um i nouret hi cssemi nar . TheWHO hasdevel opedaf r amewor k,t he“ I nnovat i veCar ef orChr oni cDi seaseFr amewor k”( 20) ,whi chi ncor por at es t hesepr i nci pl es.Essent i al l yt hef r amewor kpost ul at es3l evel sofi nt er act i onsf ort hedel i ver yofqual i t yheal t hcar et o per sonswi t hchr oni cdi seases,namel y ,t hemi cr ol evel ,mesol eveloror gani zat i onall evelandpol i cyl evel . Thet r ut hi st hatJamai cahasempl oyedvar i ousaspect soft hi sf r amewor ki ni t sCNCDr esponsesovert heyear sandi s cur r ent l yi nt hemi dstofanI nt er Amer i canDevel opmentBank( I DB)f undedpr oj ectt odevel opand i mpl ementa Cont i nuousQual i t yI mpr ovement( CQI )St r at egy f orNoncommuni cabl e Di sease car ei nt he heal t hcar e set t i ngs. Howeverwi t hi nt hecont extofawor seni ng epi demi cofCNCDsi nJamai ca,per si st enti nequi t i esi nt hedi st r i but i onof soci al det er mi nant sofheal t h( SDH) ,andagr owi ngunder st andi ngoft hebi ol ogi cal andbehavi or al r ol est hatmanySDH pl ayi nshapi ngheal t handCNCDout comesacr osst hel i f espan,t her ei sur gentneedt oexpandr esear ch,t r ai ni ngand car emodel st hatt akedi st al ,i nt er di sci pl i nar y ,andcommuni t yl evelheal t happr oachest oaddr esscont empor aneous heal t hi nequi t i esandpr omot eheal t handwel l bei ng.I ndeed,i ti sencour agi ngt oseei nt her esear chspher et hatt her ei s emer gi ng,abodyofwor k,exami ni ngt henexusbet weenCNCD’ sandSDHi nJamai ca( 2126) .Theseef f or t swi l lneed t obeexpanded,andappr opr i at el yf unded.Usi ngt heser esear chf i ndi ngsi nconj unct i onwi t har eor i ent at i onofour t r ai ni ngpr i or i t i es,aswel last hest r engt heni ngofourpr i mar ycar enet wor k, woul denabl et hecr eat i onofa pl at f or mt o mor emeani ngf ul l ycur t ai lt hi sepi demi cbyexami ni ngt he‘ causesoft hecauses’ . I nsummar y ,t hegl obalcor onavi r usdi sease( COVI D19)pandemi chasgr eat l yaf f ect edt hel i vesofpeopl el i vi ngwi t h CNCDst hr ought hedi sr upt i onofheal t hser vi cesaswel l ast hedi r ectbi ol ogi cal ef f ect soft hevi r us.Not wi t hst andi ngt he pandemi c,t her esponset ot heCNCD’ sepi demi ci nJamai car equi r essust ai ned,mul t i sect or alef f or t st hatar e gui ded byt r ai ni ngandcar emodel swhi char ei nf or medbyr esear cht hati scent r edont hesoci al det er mi nant sofheal t ht hr ough t hel i f ecour seandi mpl ement at i onsci ence. Ref er ences 1.Wor l dHeal t hOr gani zat i on.Thei mpactoft heCOVI D19pandemi connoncommuni cabl e di sease r esour ces and ser vi ces:r esul t s ofa r api d assessment ..Geneva:Wor l d Heal t h Or gani zat i on;2020. 2.YadavUN,Rayamaj heeB,Mi st r ySK,Par sekarSS,Mi shr aSK.ASyndemi cPer spect i veon t heManagementofNoncommuni cabl eDi seasesAmi dt heCOVI D19Pandemi ci nLow-and Mi ddl eI ncomeCount r i es.Fr ontPubl i cHeal t h.2020; 8: 508. i bbeanCat ast r opheRi skI nsur anceFaci l i t y .Enhanci ngt heCl i mat eRi skandAdapt at i on 3.Car FactBasef ort heCar i bbean.Gr andCayman;2010. 4.For r est er T. Epi demi ol ogi ct r ansi t i ons: mi gr at i on and devel opment of obesi t y and car di omet abol i c di sease i n t he devel opi ng wor l d. Nest l e Nut rI nst Wor kshop Ser . 2013; 71: 14756. 5.LukeA,BovetP,For r est erTE,Lamber tEV,Pl angeRhul eJ,Schoel l erDA,etal .Pr ot ocol f or t hemodel i ngt heepi demi ol ogi ct r ansi t i onst udy:al ongi t udi nalobser vat i onalst udyofener gy bal anceandchangei nbodywei ght ,di abet esandcar di ovascul ardi seaser i sk.BMC publ i c heal t h.201 1; 1 1: 927. 6.Cushni eA,Rei nt j esR,Leht i nenJacksS,Fi guer oaJP.HI Vpr ogr am out comesf orJamai ca bef or eandaf t er" Tr eatAl l " :A popul at i onbasedst udyusi ngt henat i onalt r eat mentser vi ces dat abase.Pl oSone.2021; 16( 8) : e0255781. 7.Fr ei t asARR,Gér ar di nP,KassarL,Donal i si oMR.Excessdeat hsassoci at edwi t ht he2014 chi kungunyaepi demi ci nJamai ca.Pat hogensandgl obalheal t h.2019; 1 13( 1) : 2731. 8.Henr yS,MendonçaAFA.Past ,Pr esent ,andFut ur eVul ner abi l i t yt oDenguei nJamai ca:A Spat i al Anal ysi sofMont hl yVar i at i ons.I nt er nat i onal j our nal ofenvi r onment al r esear chandpubl i c heal t h.2020; 17( 9) . 9.Wi l ksR,YoungerN,Tul l ochRei dM,McFar l aneS,Fort heJamai caHeal t handLi f est yl e Sur vey Resear ch Gr oup.The Jamai ca Heal t h and Li f est yl e Sur vey 1 1 1 20167[ WWW] . Epi demi ol ogy Resear ch Uni t ; 2018 [ Avai l abl e f r om: / ht t ps: / / www. moh. gov . j m/ wpcont ent / upl oads/ 2018/ 09/ Jamai caHeal t handLi f est yl eSur veyI I I 20162017. pdf . 10. Wi l ksR,YoungerN,Tul l ochRei dM,McFar l aneS,Fr anci sD,Fort heJamai caHeal t hand Li f est yl eSur veyResear chGr oup.TheJamai caHeal t handLi f est yl eSur vey20078[ WWW] . Epi demi ol ogy Resear ch Uni t ; 2008 [ Avai l abl e f r om: ht t ps: / / www. moh. gov . j m/ wpcont ent / upl oads/ 2015/ 05/ Jamai caHeal t handLi f est yl eSur vey20 078. pdf . 1 1. Har r i sMA,Fer gusonTS,BoyneMS,Fi guer oaJP.Hi ghpr eval enceofdysl i pi demi aamong pr i mar ycar epat i ent swi t hhyper t ensi onanddi abet esi nJamai ca. Ar chMedSci At her oscl erDi s. 2017; 2: e61e7. 12. Wi l ksR,Sar geantLA,Gul l i f or dM,Rei dM,For r est erT.Qual i t yofcar eofhyper t ensi oni n t hr eecl i ni calset t i ngsi nJamai ca.WestI ndi anMedJ.2000; 49( 3) : 2205. 13. Wi l ksRJ,Sar geantLA,Gul l i f or dMC,Rei dME,For r est erTE.Managementofdi abet es mel l i t usi nt hr eeset t i ngsi nJamai ca.RevPanam Sal udPubl i ca.2001; 9( 2) : 6572.

14. Bodenhei merT,Lor i gK,Hol manH,Gr umbachK.Pat i entsel f managementofchr oni c di seasei npr i mar ycar e.JAMA.2002; 288( 19) : 246975. 15. Bodenhei merT,WagnerEH,Gr umbach K.I mpr ovi ng pr i mar ycar ef orpat i ent swi t h chr oni ci l l ness:t hechr oni ccar emodel ,Par t2.JAMA.2002; 288( 15) : 190914. 16. GoyderEC,Bl ankL,El l i sE,Fur berA,Pet er sJ,Sar t ai nK,etal .Reduci ngi nequal i t i esi n accesst oheal t hcar e:devel opi ngat ool ki tt hr oughact i onr esear ch.QualSafHeal t hCar e. 2005; 14( 5) : 3369. 17. Lawn JE,Rohde J,Ri f ki n S,Wer e M,PaulVK,Chopr a M.Al maAt a 30 year son: r evol ut i onar y ,r el evant ,andt i met or evi t al i se.Lancet .2008; 372( 9642) : 91727. 18. Gr oveNJ,ZwiAB.Ourheal t handt hei r s:f or cedmi gr at i on,ot her i ng,andpubl i cheal t h. SocSciMed.2006; 62( 8) : 193142. 19. Scambl erG.Heal t hr el at edst i gma.Soci olHeal t hI l l n.2009; 31( 3) : 44155. 20. Wor l dHeal t hOr gani zat i on.Noncommuni cabl eD,Ment alHeal t hC.I nnovat i vecar ef or chr oni c condi t i ons :bui l di ng bl ocks f oract i ons :gl obalr epor t .Geneva:Wor l d Heal t h Or gani zat i on;2002. 21. Cr ai gLS,Cunni nghamMyr i eCA,Hot chki ssDR,Her nandezJH,Gust atJ,Theal lKP. Soci aldet er mi nant s ofmul t i mor bi di t yi n Jamai ca:appl i cat i on ofl at entcl ass anal ysi si na cr osssect i onalst udy .BMCpubl i cheal t h.2021; 21( 1) : 1 197. 22. Cunni nghamMyr i eC, Theal l KP, Younger Col emanN,Gr eeneLG,LyewAyeeP,Wi l ksR. Associ at i onsofnei ghbor hoodphysi calandcr i meenvi r onment swi t hobesi t yr el at edout comes i nJamai ca.Pl oSone.2021; 16( 4) : e0249619. 23. Cunni nghamMyr i eCA,Mabi l eE,Govi aI ,YoungerNO,Tul l ochRei dMK,McFar l aneS, etal .Nei ghbour hoodchar act er i st i csandcumul at i vebi ol ogi calr i sk:evi dencef r om t heJamai ca Heal t handLi f est yl eSur vey2008:acr osssect i onalst udy .BMJOpen.2018; 8( 12) : e021952. nghamMyr i eCA,Royal ThomasTYN,Bai l eyAE,Gust atJ,Theal l KP,Har r i sonJE, 24. Cunni etal .Useofapubl i cpar kf orphysi cal act i vi t yi nt heCar i bbean:evi dencef r om ami xedmet hods st udyi nJamai ca.BMCpubl i cheal t h.2019; 19( 1) : 894. 25. Cunni nghamMyr i e CA,YoungerNO,Theal lKP,Gr eene LG,LyewAyee P,Wi l ksR. Under st andi ngnei ghbour hoodr et ai lf oodenvi r onment almechani smsi nf l uenci ngBMIi nt he Car i bbean:amul t i l evel anal ysi sf r om t heJamai caHeal t handLi f est yl eSur vey:acr osssect i onal st udy .BMJOpen.2020; 10( 8) : e033839. eJA,YoungerNO,Tul l ochRei dMK,Govi aI ,Bennet tNR,McFar l aneS,etal . 26. McKenzi I dealcar di ovascul arheal t hi n ur ban Jamai ca:pr eval ence est i mat es and r el at i onshi pt o communi t ypr oper t yval ue,househol d asset sand educat i onalat t ai nment :a cr osssect i onal st udy .BMJOpen.2020; 10( 12) : e040664.

Medi cal As s oci at i onofJ amai ca-Vi r t ual Sympos i um 2022

M I K E D ’ S I L V A M E M O R I A L L E C T U R E

C H A E LD ’ S I L V A ? who wasDR.MI Whowa sMi k eD’ S i l v a ?Whyha v eaMi k eD’ S i l v aL ec t ur e?T hes ea r equesonst ha ta r ef r equent l ya s k ed byt hey oung ermember soft hea s s oc i aon.

Mi c ha elDoug l a sD’ S i l v awa sbor ni nBel i z ei nCent r a lAmer i c aon20Aug us t1950.Mi k e,a shewa s k nownt omos tper s ons ,di dhi sO’L e v el sa ndA’L e v el sa tCa mpi onCol l eg ei nJ a ma i c aa ndS tJ ohn’ s Col l eg ei nBel i z e. Hes t udi edmedi c i nea tt heUni v er s i t yoft heWes tI ndi es( UWI )a ndg r a dua t edi n1975.A erhi s i nt er ns hi p,hes pentt woy ea r sa saRes i denti nGener a l S ur g er ya tt heUni v er s i t yHos pi t a l oft heWes t I ndi es( UHWI ) .Hewenti nt opr i v a t epr a cc ea tOx f or dMedi c a l Cent r ebuta l s odi dar ur a l pr a cc ei n Ma yPen, Cl a r endon. Mi k ebec a met hemedi c a l e x a mi nerf ort heCi v i l Av i aonDepa r t menta ndwa sf r equent l yr e f er r edt oa s t he‘ Ai r l i neDoc t or ’ bei ngt hee x a mi nerf ort heAi rWi ng s–J a ma i c aDe f enc eF or c ea ndAi rJ a ma i c a .He a l s obec a met heMedi c a l Di r ec t orf orBr is hAi r wa y s , Ai rCa na da , Amer i c a nAi r l i nesa ndPa nAmer i c a n Ai r wa y s . Hec on nuedhi spos t g r a dua t es t udi esa nda a i nedt heMa s t erofS c i enc e( MS c )i nF a mi l yMedi c i nei n 1985a ndt heDoc t orofMedi c i ne( DM)i nF a mi l yMedi c i nei n1987. Hi sDM di s s er t aonwa s “ Con nui ngMedi c a lE duc aoni nJ a ma i c a . ”Ate v er yoppor t uni t y ,hec oul dbehea r de x pr es s i ngt he needf orc on nui ngmedi c a l educ aona ndr ec erfic aonf ordoc t or s . Hewa samemberoft heE x ec uv eofT heMedi c a lAs s oc i aonofJ a ma i c a( MAJ )a ndt heT r ea s ur er undert hepr es i denc yofDrOr r i nBa r r ow.Mi k ewa saf oundi ngmemberoft heJ a ma i c a nCha pt erofT he Uni v er s i t yoft heWes tI ndi esMedi c a lAl umniAs s oc i aona ndwa si t sfir s tS ec r e t a r y .Hewa sa l s oa f oundi ngmemberoft heAs s oc i aonofGener a lPr a c oner sofJ a ma i c a( AGP J )a ndt heCa r i bbea n Col l eg eofF a mi l yPhy s i c i a ns( CCF P) . Mi k eha dav er ye ffer v es c entper s ona l i t y .Hewa si nv ol v edi nma nya cv iesot hert ha nmedi c i ne.Hi s fla s hys por t sc a rr e flec t edhi sper s ona l i t ya ndwhenhedi eds uddenl yonNe wY ea r ’ sDa yi n1988i twa s as hoc kt ohi sc ol l ea g ues .Gi v enhi se x pr es s eddes i r ef orc on nui ngmedi c a leduc aon,t heMedi c a l As s oc i aonofJ a ma i c adec i dedt oha v eaMi k eD’ S i l v aL ec t ur et ohonourhi sc ont r i bu ont omedi c i nei n J a ma i c a .

r of es s orE.Dal eAbel , guestspeakerPMD ,PhD E .Da l eAbel ,MD,PhD. ,i st heWi l l i a mS .Ada msDi sng ui s hedPr of es s orofMedi c i ne,Cha i ra nd E x ec uv eMedi c a l Di r ec t oroft heDepa r t ma entofMedi c i nei nt heDa v i dGe ﬀenS c hool ofMedi c i ne a ndUCL AHea l t h. Hewa sf or mer l yaPr of es s orofMedi c i ne, Bi oc hemi s t r ya ndBi omedi c a l E ng i neer i ng , Cha i roft heDepa r t mentofMedi c i nea ndDi r ec t oroft heF r a t er na lOr derofE a g l esDi a be t esRes ea r c h Cent era tt heUni v er s i t yofI owawher ehehel dt heJ ohnB. S t ok esI I I Cha i ri nDi a be t esRes ea r c ha ndt he F r a nç oi sM. AbboudCha i ri nI nt er na l Medi c i ne. Dr . Abel ha sha dadi sng ui s hedc a r eeri nendoc r i nea ndme t a bol i s mr es ea r c h. Hi spi oneer i ngwor kong l uc os et r a ns por t a ndmi t oc hondr i a l me t a bol i s mi nt hehea r tg ui deshi sc ur r entr es ea r c hi nt er es t s :mol ec ul a rmec ha ni s msr es pons i bl ef or c a r di ov a s c ul a rc ompl i c aonsofdi a be t es .Hi sl a bor a t or yha spr ov i dedi mpor t a nti ns i g ht si nt ot hec ont r i bu onof mi t oc hondr i a ldy s f uncona nda ber r a nti ns ul i ns i g na l i ng ,t ohea r tf a i l ur er i s ki ndi a be t es .Rec entwor kha sf oc us edon mi t oc hondr i a lmec ha ni s mst ha tmedi a t ei nt er or g a nc r os s t a l kt ha tma yi nﬂuenc et hepa t hophy s i ol og yofi ns ul i n r es i s t a nc ea ndmi t oc hondr i a l pa t hwa y sl i nk i ngme t a bol i s mwi t hi nc r ea s edr i s kf ora t her ot hr ombos i s . Dr .Abel ’ sr es ea r c hpr og r a m ha sbeenc on nua l l yf undedbyt heNaona lI nst ut esofHea l t hs i nc e1995,a ndbyt he Amer i c a nHea r tAs s oc i aon, t heAmer i c a nDi a be t esAs s oc i aon, a ndt heJ uv eni l eDi a be t esRes ea r c hF oundaon. Dr . Abel i st her ec i pi entofnumer ousa wa r dsf ors c hol a r s hi pa ndment or s hi p.Hei sa nel ec t edmemberoft heAmer i c a n As s oc i aonofPhy s i c i a ns( AAP) ,t heAmer i c a nS oc i e t yf orCl i ni c a lI nv esg aon( AS CI ) ,Naona lAc a demyofMedi c i ne ( NAM) ,a ndt heAmer i c a nCl i ni c a la ndCl i ma t ol og i c a lAs s oc i aon( ACCA) .Dr .Abeli sapa s tPr es i dentoft heE ndoc r i ne S oc i e t ya ndi sc ur r ent l yPr es i dentoft heAs s oc i aonofPr of es s or sofMedi c i ne( APM) .

Medi cal As s oci at i onofJ amai ca-Vi r t ual Sympos i um 2022

featured lectures Pr of es s orKe v i nF ent onCBEMBBS( Hons )MS cPhDF F PH

Pr of e s s orF e nt oni sas e ni orpubl i che a l t he x pe r ta ndi nf e cousdi s e a s ee pi de mi ol og i s t , whoha swor k e di na v a r i e t yofpubl i che a l t he x e c uv el e a de r s hi pr ol e sa c r os sg ov e r nme nta nd a c a de mi ai nt heUKa nd i nt e r naona l l y ,i nc l udi ngt a k i ngal e a di ngr ol ei nL ondon’ sr e s pons et ot heCOVI D19pa nde mi c .Hewa s a wa r de daCBEi nt he2022Ne wY e a rhonour sl i s tf ors e r v i c e st opubl i che a l t h. Pr of e s s orF e nt onbe c a met heRe g i ona l Di r e c t orf orL ondoni nt heOffic ef orHe a l t hI mpr ov e me nta nd Di s pa r ie s( OHI D)wi t hi nt heDe pa r t me ntofHe a l t ha ndS oc i a lCa r e( DHS C)i nOc t obe r2021,ha v i ng pr e v i ous l yhe l dt hes a mepos ionwi t hi nPubl i cHe a l t hE ng l a ndf r om Apr i l2020un li t sf uncons t r a ns f e r r e dt oOHI D.Wi t hi nt hi sr ol e ,hei sa l s ot hes t a t ut or ypubl i che a l t ha dv i s ort ot heMa y orof L ondona ndt heGr e a t e rL ondonAut hor i t ya ndt heRe g i ona l Di r e c t orofPubl i cHe a l t hf orNHSL ondon. Hepr ov i de sl e a de r s hi pa c r os sL ondon f orhe a l t ha nd we l l be i ng ,pr e v e n on ofi l lhe a l t h,he a l t h pr ot e cona ndr e duconofhe a l t hi ne qua l ie s . of e s s orF e nt onha sr e c e nt l ybe e ne l e c t e dt obet hene x tPr e s i de ntoft heUKF a c ul t yofPubl i cHe a l t ha nd Pr i sduet ot a k eupt hepos ioni nJ une2022. I nDe c e mbe r2021, Pr of e s s orF e nt onwa sa ppoi nt e dChi e f Adv i s or onHI Vt oGov e r nme nta ndCha i roft heHI VAconPl a nI mpl e me nt aonS t e e r i ngGr oupt oov e r s e et he de l i v e r yoft hene wHI Vs t r a t e g yf orE ng l a nd. I nNov e mbe r2020, Pr of e s s orF e nt onwa sna me dbyP owe r l i s ta st hes e c ondmos ti nflue na l bl a c kpe r s oni nBr i t a i nf orhi swor kl e a di ngt hefig ht a g a i ns tc or ona v i r usa ndhi spubl i che a l t hl e a de r s hi pont a c k l i ngi ne qua l ie s . I nS pr i ng2020, heov e r s a wt henaona l PHEr e v i e wofdi s pa r ie s i nr i s k sa ndout c ome sof COVI D19, publ i s he da st heg r oundbr e a k i ng‘ Be y ondt heDa t a ’ r e por t .T her e v i e wl e dt or e c omme ndaonswhi c hha v e s ha pe damor ee qui t a bl eCOVI D19pa nde mi cr e s pons e , bot hnaona l l ya ndl oc a l l y . Pr of e s s orF e nt onpr e v i ous l yhe l daj oi ntpos iona sS t r a t e g i cDi r e c t orofPl a c ea ndWe l l be i nga ndDi r e c t orofPubl i cHe a l t ha tL ondonBor oug h ofS out hwa r k .I nt hi sr ol ehel e dt hec ounc i l ’ spl a nni ng ,r e g e ne r aon,c ommuni t ye ng a g e me nta ndpubl i che a l t hporol i osdr i v i ngi nc l us i v e r e g e ne r aon,di g i t a lpubl i che a l t h,a s s e t ba s e dc ommuni t yde v e l opme nta ndwor k i ngi npa r t ne r s hi pwi t ht heNHSt opr omot ehe a l t hi na l l pol i c i e s . F r om20122017, Ke v i nwa sPHE ’ sNaona l Di r e c t orf orHe a l t ha ndWe l l be i ng , l e a di ngnaona l pr e v e n onpr og r a mme si nc l udi ngs c r e e ni ngf or c a nc e r ,NHSHe a l t hChe c k s ,obe s i t y ,me nt a lhe a l t h,e c i g a r ee sa ndt oba c c oha r mr e ducon,HI V ,s e x ua la ndr e pr oducv ehe a l t h. He e s t a bl i s he da ndl e dPHE ' sHe a l t hE qui t ypr og r a mme ,f oc us e dona ddr e s s i ngt hes oc i a lde t e r mi na nt sofhe a l t ha ndpr omo ngpl a c e ba s e d a ppr oa c he st ohe a l t hi mpr ov e me nt . Be t we e n20052012, Pr of e s s orF e nt onwa st heDi r e c t oroft heNaona l Ce nt r ef orHI V/ AI DS , Vi r a l He pa s , S T D, a ndT BPr e v e n on( NCHHS T P) , wi t hi nt heCe nt r e sf orDi s e a s eCont r ola ndPr e v e n on( CDC)i nAme r i c a .Hea l s os e r v e da sc hi e fofCDC’ sNaona lS y phi l i sE l i mi naonE ffor t , ha v i ngwor k e di nr e s e a r c h, e pi de mi ol og y , a ndt hepr e v e n onofHI Va ndot he rS T Dss i nc e1995. Be t we e n2000a nd2004, hewa sDi r e c t oroft he HI Va ndS T IDe pa r t me nti nt heUni t e dKi ng dom’ sHe a l t hPr ot e conAg e nc ya ndS e ni orL e c t ur e ri nHI Va ndS T Ie pi de mi ol og ya ndc ont r ola t Uni v e r s i t yCol l e g eL ondon.

Dr . Pi er r eAnt honyL ea k eMBBS( Hons . ) , DM ( Gener a l S ur g er y ) , F ACS

Dr . L e a k ei sag r a dua t eoft heUni v e r s i t yoft heWe s tI ndi e s ’ unde r g r a dua t eme di c a l a nd pos t g r a dua t es ur g i c a l pr og r a mme s , whi c hhec ompl e t e di n1999a nd2008r e s pe cv e l y . F ol l owi ngt hec ompl e onofhi ss ur g i c a lt r a i ni ng ,hepur s ue dami ni ma l l yi nv a s i v e( l a pa r os c opi c ) s ur g i c a l a ndba r i a t r i cf e l l ows hi pa ndr e s e a r c hf e l l ows hi pa tt heUni v e r s i t yofT or ont o( 20092011) . Dr .L e a k ei saS e ni orL e c t ur e ri nt heDe pa r t me ntofS ur g e r y ,Ra di ol og y ,Ana e s t he s i aa ndI nt e ns i v e Ca r ei nt heF a c ul t yofMe di c a lS c i e nc e sa tt heUni v e r s i t yoft heWe s tI ndi e sa ndCons ul t a nt Ge ne r a l a ndL a pa r os c opi cS ur g e ona tt heUni v e r s i t yHos pi t a l oft heWe s tI ndi e s . Dr .L e a k ei same mbe roft heAs s oc i aonofS ur g e onsi nJ a ma i c a ,S oc i e t yofGa s t r oe nt e r ol g ya nd E ndos c opi cS ur g e onsa ndaf e l l owoft heAme r i c a nCol l e g eofS ur g e ons . Heha spubl i s he dov e r30a rc l e si npe e r r e v i e we dj our na l s ,i nc l udi ngar a ndomi z e dc ont r ol l e dt r i a l a tt heUni v e r s i t yoft heWe s tI ndi e s . Dr . L e a k ei sde di c a t e dt oi mpr ov i ngt heout c ome sof a l l hi ss ur g i c a l pae nt st hr oug hami ni ma l l yi nv a s i v e a ppr oa c h, whe r ea ppl i c a bl e .

Dr . L eoWa l k erMBBS( Hons . ) , DM ( Obs t e t r i c sa ndGy na ec ol og y )

PROF I L E Dr . Wa l k e r ’ sobj e cv ei st oc on nuet opr ov i deout s t a ndi nghol i scc a r ewi t h ade t a i l e da ndde di c a t e da ppr oa c hwhi l ema i nt a i ni ngc ommuni c aona nd c onﬁde na l i t y . E DUCAT I ON 2014–J une2018: Doc t orofMe di c i nei nObs t e t r i c sa ndGy na e c ol og y : T heUni v e r s i t yoft he We s tI ndi e s , Mona 20062011: Ba c he l orofMe di c i nea ndBa c he l orofS ur g e r y , Honour si nObs t e t r i c sa nd Gy na e c ol og y : T heUni v e r s i t yoft heWe s tI ndi e s , Mona S KI L L S Cur r e nt l y1ofonl y3Ce rﬁe dOS hotpr ov i de r si nJ a ma i c aa ndpur s ue daf e l l ows hi pi nMa t e r na l F e t a l Me di c i nebe t we e n20192021whi c hde a l spr i ma r i l ywi t hhi g hr i s kpr e g na nc i e s .

Medi cal As s oci at i onofJ amai ca

Vi r t ualSympos i um 2022

Pr ogr amme

CHRONI CNON COMMUNI CABLEDI SEASES ARef oc usOnT heF or got t enPa ndemi c

THURS DAY , J UNE9, 2022

F RI DAY , J UNE10, 2022

L or em I ps um

Medi cal As s oci at i onofJ amai ca

Vi r t ualSympos i um 2022

Pr ogr amme

CHRONI CNON COMMUNI CABLEDI SEASES ARef oc usOnT heF or got t enPa ndemi c

S ATURDAY , J UNE11, 2022

Medi cal As s oci at i onofJ amai ca

Vi r t ualSympos i um 2022

Pr ogr amme

CHRONI CNON COMMUNI CABLEDI SEASES ARef oc usOnT heF or got t enPa ndemi c

S UNDAY , J UNE12, 2022

Ot he r i ng , sg ma&v ul ne r a bi l i t yi nc hr oni cdi s e a s e s-Pr of es s orAudr e yPo ng er Ri s ks t r a ﬁc a oni nme di c al s c i e nc e shaso e nbe e nmar k e dbydi s c our s eof“ v ul ne r abi l i t y ”aswe l l as“ t ar ge t e d” i nt e r v e n on. Man yr i s kf ac t or sar ehowe v e rbe y ondape r s on’ sc ont r ol andt he r e f or epar ado x i c al l yput st hatpe r s onatr i s k ofsgma z a on, anddi s c r i mi na on. Ot he r i ng : as oc i oc ul t ur a l pe r s pe cv e–Dr . J oyHa r r i s on T hef oc usoft hi spr e s e nt a onwi l l beont hebi ops y c hos oc i al as pe c t sofl abe l l i ngpa e nt sandi t si mpac tont he mi ne v e r y s phe r eofl i f e .

Ac e nt r al t he met hathasdomi nat e dt heme di c al l ands c apeov e rt hel as tt woy e ar shasbe e nt her ol eofE v i de nc eBas e Me di c i ne( E BM) . Whati si t ?Whatar et hes k i l l s e t sr e qui r e d?Howc anI appl yi te ﬀe cv e l yi nmypr acc e ?Howc anI us ei t t oc ommuni c at ewi t hmypa e nt s , t heme di aandmyc ommuni t y ? T hi swor k s hopi sde s i gne dt oi nt r oduc eHe al t hPr of e s s i onal st ot hi si mpor t antar e aofMe di c i neandt of ac i l i t at et he i mpr ov e me ntofourCr ic al Appr ai s al sS k i l l s .

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T HURS DAYJ UNE9, 2022 Mode r a t or :Dr . Na y deneWi l l i a ms :Di r e c t or , He a l t hS e r v i c ePl a nni nga nd I nt e g r aon, Mi ni s t r yofHe a l t ha ndWe l l ne s s

S E S S I ONVI I I -KI DSL I VI NGWI T HCHRONI CCONDI T I ONS

F E AT URE DL E CT UREI Pr of es s orKe v i nF ent on:Re g i ona lDi r e c t orf orPubl i c He a l t h,NHS L ondon, S t a t ut or yHe a l t hAdv i s ort ot heMa y orofL ondon

Dr . Andr eaGa r bu : Cons ul t a ntP a e di a t r i c i a n Pr of es s orCel i aChr i seS a muel s :Pr of e s s orofP a e di a t r i c s( I nf e cousDi s e a s e s , E pi de mi ol og ya ndPubl i che a l t h) ,De pa r t me ntofChi l da nd Adol e s c e ntHe a l t h, UWI ( Mona )

S E S S I ONI -T WI NP ANDE MI CS Dr . T er r yBa k er :Cons ul t a ntPhy s i c i a na ndPul monol og i s t ; S e ni orMe di c a l Offic e r , Naona l Che s tHos pi t a l Dr . Pe t a Ga y eRe y nol ds : Cons ul t a ntPs y c hi a t r i s t S E S S I ONI I -I NNOVAT I ONI NCHRONI CDI S E AS ECONT ROL Dr . Al i s haRobbAl l en: Cons ul t a ntPs y c hi a t r i s t , Anno oBa yHos pi t a l Dr . Y oha nnWhi t e: Chi e fI nnov aonOffic e r , P a r aCa r i beCons ulngL t d Dr .Hea t herBr own:Naona lCoor di na t or ,De r ma t ol og yS e r v i c e sa nd L e pr os yCont r ol , Mi ni s t r yofHe a l t ha ndWe l l ne s s S E S S I ONI I I -AL LABOUTT HATNCDL I F E S T Y L E Dr . Ra c quel Gor donAdl a m: I nt e r v e n ona l Ca r di ol og i s t Dr . E l i z a be t hWa r d: Cha i r , Vi ol e nc ePr e v e n onAl l i a nc e-J a ma i c a F RI DAYJ UNE10, 2022 E T HI CSWORKS HOP Mode r a t or :Pr of es s orMa r v i nRei d:Pr of e s s orofHuma nMe t a bol i s m& Communi t yMe di c i nea ndDe put yDe a n, Re s e a r c h, UWI ( Mona ) Pr of es s orAudr e yPo ng er :Pr of e s s orofP a e di a t r i ca ndRe pr oducv e Ps y c hol og y , F a c ul t yofMe di c a l S c i e nc e s , UWI ( Mona ) Dr . J oyHa r r i s on: S oc i a l Wor k e r /L e c t ur e r , De ptofCommuni t yHe a l t ha nd Ps y c hi a t r y , UWI ( Mona ) S CI E NT I F I CS E S S I ON Mode r a t or :Dr .L es l i e Mea de :Pr e s i de ntE l e c t– MAJ ,Cons ul t a nt Obs t e t r i c i a n&Gy na e c ol og i s t , Me di c a l Offic e r( Ut e c h) S E S S I ONI V-NCDs : T HEF E MI NI NET OUCH Dr . Ki r i a nBr i dg e wa t er : Obs t e t r i c i a n&Gy na e c ol og i s t Dr . Ma he w T a y l or : Cons ul t a nt Obs t e t r i c i a n & Gy na e c ol og i s t ; Gy na e c ol og i c a l Onc ol og i s ta ndL a pa r os c opi cS ur g e on, a ndL e c t ur e r , UWI ( Mona ) S E S S I ONV-NAVI GAT I NGL I F EWI T HME NT ALHE AL T HDI S ORDE RS Pr of es s orWendel Abel :Cons ul t a ntPs y c hi a t r i s t , UWI ( Mona ) , a ndHe a d, S e conofCommuni t yHe a l t h&Ps y c hi a t r y , UWI ( mona ) Dr .Wi ns t onDeL aHa y e:Cons ul t a ntPs y c hi a t r i s t ;S e ni orL e c t ur e r ,UWI ( Mona ) S E S S I ONVI -ME DI CALMARI J UANAANDCHRONI CP AI N-Upda t e dDe t a i l s f orDoc t or s Ms .Da eni a As hpol e:I nt e r naona lT r a de S pe c i a l i s ta nd Bus i ne s s S t r a t e g i s t , a ndI nt e r i mCE O, Ca nna bi sL i c e ns i ngAut hor i t y Dr .Ne v i l l e Ba l l i n:Cons ul t a ntAna e s t he s ta nd P a i n Ma na g e me nt S pe c i a l i s t F E AT URE DL E CT UREI I Dr . L eoWa l k er : Cons ul t a ntObs t e t r i c i a n&Gy na e c ol og i s t S AT URDAYJ UNE11, 2022 CARDI OVAS CUL ARWE L L NE S SWORKS HOP F a c i l i t a t or s : Dr . E dwi nT ul l oc hRei d:Cons ul t a ntCa r di ol og i s t Mr s . Ka t r i neS mi t hT ul l oc hRei d: He a r tHe a l t h&We l l ne s s Coa c h S CI E NT I F I CS E S S I ONS

S T RE AM A Mode r a t or : Dr . AnonaGr i ﬃt h: Cons ul t a ntP a e di a t r i c i a n

S E S S I ONVI I –NCD: L I F EANDDE AT HI NKI DS Dr .Cha r ma i neCr ook s E dwa r ds :Cons ul t a ntP a e di a t r i c i a na ndP a e di a t r i c Pul monol og i s t , Bus t a ma nt eHos pi t a l f orChi l dr e n Dr . Rebec c aT homa s Chen: P a e di a t r i cNe phr ol og i s t&Ne ona t ol og i s t

S E S S I ONI X-DE RMAT OL OGYDI L E MMAANDME NOP AUS E .J ona t ha nHo:L e c t ur e r& Cons ul t a ntDe r ma t ol og i s t& De r ma t opa t hol og i s t ; Dr UWI ( Mona ) , Codi r e c t or , De r ma t ol og yRe s i de nc yPr og r a m, UWI ( Mona ) Dr . Al v er s t onBa i l e y , As s oc i a t ePr of e s s or , Oc c upaona l He a l t h&S a f e t y( UT e c h)& Aut horofS e x pl a naon S T RE AM B Mode r a t or : Dr . T a naRi c k es Roomes : Cons ul t a ntF a mi l yPhy s i c i a n E S S I ONXNE UROS URGE RYANDNUCL E ART E CHNOL OGY S Dr . Mel l a ni eDi di er : Ra di ol og i s t&Nuc l e a rMe di c i nePhy s i c i a n( UHWI ) Dr . Ca r l Br uc e: Me di c a l Chi e fofS t a ﬀ&Cons ul t a ntNe ur os ur g e on( UHWI ) S E S S I ONXI -T HEE Y EOFT HENCD Dr . L i z e eMowa Cons ul t a ntOpht ha l mol og i s ta ndRe naS pe c i a l i s t( UHWI ) Dr .S ha mf aPea r t :Cons ul t a ntOpht ha l mol og i s t( KPH&Bus t a ma nt eHos pi t a lf or Chi l dr e n) S E S S I ONXI I -AL LI NT HEF L OW Dr .Kur l eneCena c :I nt e r ni s t / Ca r di ol og i s t / Cl i ni c a lE l e c t r ophy s i ol og i s t–De v i c e I mpl a nt aon, OKE UHos pi t a l , S t . L uc i a Dr .Vi c t orE l l i o :Cons ul t a ntI nt e r ni s ta ndI nt e r v e n ona lCa r di ol og i s t ,P a r t ne r s I nt e r v e n ona l Ce nt r eofJ a ma i c a F E AT URE DL E CT UREI I I .Pi er r eAnt honyL ea k e:Ge ne r a l ,L a pa r os c opi c& Ba r i a t r i cS ur g e on( UHWI ) , Dr S e ni orL e c t ur e r( UWI ) S UNDAYJ UNE12, 2022 E VI DE NCEBAS E DME DI CI NEWORKS HOP F a c i l i t a t or s : Dr . J a c quel i neDunc a n: Cons ul t a nti nI nt e r na l Me di c i nea nd Oc c upaona l Me di c i ne , Ape xMe di c a l Ce nt r e Pr of es s orMa r v i nRei d: Pr of e s s orofHuma nMe t a bol i s m& Communi t yMe di c i nea ndDe put yDe a n, Re s e a r c h, UWI ( Mona ) S CI E NT I F I CS E S S I ONS Mode r a t or :Dr .Or v i l l eNembha r d:Di r e c t ora ndF a mi l yPhy s i c i a n,He a l t hPl us As s oc i a t e s S E S S I ONXI I I -POL I CYOPPORT UNI T I E S : WHE REDOY OUS T AND? Dr . Pa ul i neWi l l i a ms Gr een: F a mi l yPhy s i c i a n Dr .Kwes iMa r s ha l l : Cha i r ma n-Naona lF oodI ndus t r yT a s kF or c e ;L e c t ur e r T r opi c a l Me t a bol i s mRe s e a r c hUni t( T MRU) , CAI HR( UWI ) S E S S I ONXI V-NDCs-T HET E AM BAS E DAPPROACH Dr . Ama ndaDa l e y : Cl i ni c a l Pha r ma c i s t , Bus t a ma nt eHos pi t a l f orChi l dr e n Dr .Deni s eBr a dy :L e c t ur e r-P e r i odon c sa ndOr a l Me di c i neUT E CH( Or a l He a l t h S c i e nc e s ) S E S S I ONXVCROS S I NGT HEDI GI T ALDI VI DE Dr .Da v i dJ emmo :E l e c t r oni cHe a l t hRe c or dT e c hni c a lL e a d,He a l t hS y s t e ms S t r e ng t he ni ngPr oj e c tf ort heCa r ea ndPr e v e n onof NCDs , Mi ni s t r yof He a l t ha nd We l l ne s s F E AT URE DL E CT UREI V–Mi k eD’ S i l v aMe mor i a l L e c t ur e Pr of .E .Da l eAbel : Di sng ui s he dPr of e s s orofMe di c i ne ,Cha i ra ndE x e c uv e Me di c a lDi r e c t oroft heDe pa r t me ntofMe di c i nei nt heDa v i dGe ﬀe nS c hoolof Me di c i nea ndUCL AHe a l t h.

abstracts

F or g o enPa ent soft hePa ndemi c :Doc t or sont heF r ont l i ne

Dr . P e t a Ga y eRe y nol ds S i nc e2019t hewor l dha sbe e nt hr owni nt ot ur moi l a ndhe a l t hc a r ewor k e r sha v ewor k e d a s s i duous l yt os a v el i v e si nt hef a c eoft heCOVI D-19P a nde mi c .Phy s i c i a nsha v equi t e oe ni g nor e dt he i rownphy s i c a la ndme nt a lwe l l be i ngt ok e e pt hehe a l t hc a r es y s t e m a ﬂoa t .I nt hi ss e s s i onwewi l l l ooka tt hee ﬀe c t st ha tt hepa nde mi cha sha donhe a l t hc a r e wor k e r sa nds ol u onsf ori mpr ov i ngme nt a l we l l ne s si nt hewor k pl a c e

Cr i mea ndVi ol enc ea tt her ootofNonCommuni c a bl eDi s ea s esi nJ a ma i c a

Dr . E l i z a be t hWa r d Vi ol e nc ei sc os t l ya ndde s t r ucv e .L e v e l sofv i ol e nc ei nJ a ma i c aha v enow r e a c he de pi de mi c pr oporons .Ast hebur de nofv i ol e nc e r e l a t e di nj ur i e si nc r e a s e sa nda sv i ol e nc eha sbe c omea l e a di ngc a us eofde a t h, t her ol eofv i ol e nc ea sar ootc a us eofnonc ommuni c a bl edi s e a s e s( NCD’ s )i s oe nhi dde n. Adv e r s e Chi l dhood E x pe r i e nc e s( ACE S )s uc ha sv i ol e ntv i cmi z aon a nd wi t ne s s i ngv i ol e nc e ( i nc l udi ng i n ma t e pa r t ne rv i ol e nc e ) ha v e be e nl i nk e dt ot he i nc r e a s e di nc i de nc e of nonc ommuni c a bl edi s e a s e s ,c ommuni c a bl edi s e a s e sa ndr i s kbe ha v i our s ,me nt a lhe a l t hpr obl e ms a ndi nc r e a s e dl e v e l sofv i ol e nc e . t aa na l y s i soft hei mpa c tofACE Sondi s e a s eoc c ur r e nc es howst ha tc hi l dr e nwhoe x pe r i e nc ef our Me ormor ea dv e r s ee x pe r i e nc e sha v ea ni nc r e a s ei nt heoddsofs uffe r i ngf r om c hr oni cdi s e a s e s .T he a s s oc i a t e di nc r e a s e si noddsr aos( OR)a r e1. 5f orobe s i t ya nddi a be t e s , 2f orhe a r tdi s e a s e , 2. 3f or c a nc e r , 2. 8f ors mok i ngora l c ohol a bus e , 4. 4f orde pr e s s i on, a nd7. 5f orpe r pe t r angorbe c omi nga v i cmofv i ol e nc e . T hi sr e s e a r c hda t ahi g hl i g ht st hev a l ueofi nv e sngi ne ffe cv eVi ol e nc ePr e v e n onPr og r a mme s .A f oc uson pr e v e n ng v i ol e nc ea nd mig ang i t se ffe c t swi l lr e duc et he bur de n ofc hr oni c nonc ommuni c a bl edi s e a s e sonourhe a l t hs y s t e m.

E ndome t r i os i s–Ni nel ongy ea r si nPa i n

Dr . Ma he wT a y l or Wea r et a ug hti nme di c a l s c hool t hec l a s s i ct r i a dofe ndome t r i os i s :pa i n,a bnor ma l bl e e di nga ndi nf e rl i t y . Onewoul dt hi nkt hi sde bi l i t angc ondions houl dbee a s i l y di a g nos e d. Howe v e r , t her e a l i t yi st ha ti tt a k e sona v e r a g e7t o12y e a r st odi a g nos i s e ndome t r i os i s .T hebi g g e s tpr obl e msa r et henor ma l i z aonofpa i nf ulpe r i odsa nd t hedi ffic ul t yi nc onfir mi ngt hedi a g nos i s .T hi spr e s e nt aonwi l ldi s c us sf a c tv e r s us ficonr e g a r di nge ndome t r i os i s ,how t odi a g nos et hec ondione a r l i e ra ndwi l l br i e flyout l i net r e a t me ntop onsa v a i l a bl e .

Aut oi mmuneBul l ousDer ma t os es Dr . J ona t ha nHo

Aut oi mmunebul l ousde r ma t os e sa r ede bi l i t angbl i s t e r i ngdi s or de r soft hes k i n, a ﬀe cngbot hs e x e sa ndoc c ur r i nga c r os st hes pe c t r um ofa g e .I nt r a e pi de r ma la nd s ube pi de r ma lv a r i a nt sa r er e c og ni z e d.I nours e ng ,pe mphi g usv ul g a r i sa ndbul l ous pe mphi g oi dpr e domi na t e ,f ol l owe dbype mphi g usf ol i a c e usa ndl i ne a rI g Abul l ous de r ma t os i s .De s pi t el oc a la ndi nt e r naona la dv a nc e si ndi a g nosc sa ndt he r a pe uc s , s e v e r edi s e a s ec on nue st oa ﬀe c tourpopul aon. Wewi l l di s c us sc l i ni c a l pr e s e nt aons oft he s ec ondions ,a na ppr oa c ht odi a g nos i sa ndma na g e me nta swe l la sba r r i e r st o op ma l c a r ei nouruni ques e ng .

Adv a nc esi nNuc l ea rT ec hnol og ya ndCa nc er :Di a g nosca ndT her a peu c s Dr . Me l l a ni eDi di e r

Nuc l e a rMe di c i nei sabr a nc hofmol e c ul a ri ma g i ngwhi c hus e sr a di ol a be l e dt r a c e r s wi t hg a mmac a me r a s( f orpl a na ra ndS PE CTa c qui s ions )a nd/ orPE Ti ma g i ng ma c hi ne s . Among s ti t sma nyus e s , t hi smoda l i t yc ur r e nt l ypl a y sac r ic a l r ol ei nt he ma na g e me ntofpae nt swi t hc a nc e r . t smos tdi r e c ti mpa c t , i ta s s i s t si nc hoos i ngt hemos ta ppr opr i a t et he r a pyt hr oug h I ni r e fine ds t a g i ng ,e v a l ua t e st he r e s pons et o bot hc he mot he r a py ( c y t ot ox i cor c y t os t ac )a ndr a di ot he r a pya ndc ont r i but e st ot hee a r l yde t e conofr e c ur r e nc e . I ni t si ndi r e c ti mpa c ti tc a na s s e s spae nts ui t a bi l i t yf ort r e a t me ntt hr oug h e v a l uaonoft he i rpr e t r e a t me ntor g a nhe a l t h. I tc a na l s oa s s e s sf ort hes i de e ffe c t s oft he s et r e a t me nt sa nd di a g nos ea s s oc i a t e dc ompl i c aons oft he di s e a s e pr oc e s s ( e s ) . or m ofi ma g i ngi spa r toft hepur s ui tofpe r s ona l i z e dme di c i newhi c ha i mst o T hi sf be e rc ha r a c t e r i z et hee x t e nt ,t hebi ol og i c a lf e a t ur e sa ndt her e s pons eoft he t umour s ,t oa s s i s twi t hmi ni ma l l yi nv a s i v es ur g i c a lt e c hni que s ,pl a nf ore ffic i e nt t r e a t me ntbyt a r g e t e dr a di ot he r a pya nda s s i s twi t hpa i npa l l i aon.

Ac ut eRe na l I s c hemi a–i si tas t r ok e? DrL i z e eMowa

Re na li s c he mi ai sa ne v e ntt ha toc c ur si nt hea g e i ngpopul aon.I tc a nbe r e l a t e dt ov a s c ul a rpa t hol og y , whe t he rf a c t or sa r ewi t hi nt hebl ood, t hebl ood v e s s e l sorout s i deoft hebl oodv e s s e l s . I ti sa s s oc i a t e dwi t hs e v e r a l c omor bi d di s e a s e s ,i nc l udi ng di a be t e s ,hy pe r t e ns i on,dy s l i pi de mi a ,v a s c ul is a nd g l a uc oma . Howe v e r , whe ni toc c ur sa c ut e l yi npae nt s , i si tas t r ok e ?F ur t he r , wha ti st her i s kof c e r e br ov a s c ul a re v e nt s( s t r ok e s ) pos t a c ut er e na l i s c he mi a i nt hee y e ? nt r a lr e na la r t e r yoc c l us i on( CRAO)r e s ul t sf r om ac ompr omi s eofbl ood Ce flow t ot hei nne rr e na ll a y e r sf r om t hec e nt r a lr e na la r t e r y ,r e s ulngi n r e na l i nf a r cona nds i g ni fic a nts udde npa i nl e s sl os sofv i s i on. T hi sv i s ua l l os s be c ome spe r ma ne nti fnotc or r e c t e dwi t hi n90mi nut e s .E me r g e nc ya nd pr i ma r yma na g e me nta r ek e y .CRAOa ndc e r e br a li s c he mi cs t r ok es ha r et he s a me unde r l y i ng me c ha ni s ms a nd t he r a pe uc a ppr oa c he s . Va s c ul a r s e c onda r ypr e v e n ona e rCRAOs houl dbeac ol l a bor av ee ffor ta monga ne ur ol og i s t , a nopht ha l mol og i s t , a nda ni nt e r ni s t .

Cor ona r yReper f us i on:Moder nT her a pi est oReduc eMor t a l i t y Dr . Vi c t orE l l i o

Ang i opl a s t ya nd S t e n ngha v e be c ome t he g ol ds t a nda r df orc or ona r yr e pe r f us i on e s pe c i a l l ypos tS T e l e v aonmy oc a r di a l i nf a r con( S T E MI ) .Nume r ouss t udi e sha v es hown t ha te me r g e nc yi nt e r v e n ondur i ngamy oc a r di a li nf a r cone v e ntr e duc e smor t a l i t ya nd mor bi di t y .F ur t he rde v e l opme nti nt e c hni que ,s t e ntt e c hnol og ya ndt heus eofa dj unc t c or ona r ye qui pme ntha v el e dt of ur t he rr e duconi nma j ora dv e r s ec a r di a ce v e nt s( MACE ) a ndmor t a l i t y .S e v e r a loft he s et e c hnol og i e sha v ebe e ni nc or por a t e di nt hec a s e snow pe r f or me di nouruni t ,i nc l us i v eofI nt r a v a s c ul a rUl t r a s ound( I VUS )a ndphy s i ol og i c a l a s s e s s me nt( F F R, DF R) a ndt heus eof e x t e nde rc a t he t e r sa ndc u ngba l l oons . Wee x a mi ne t her ol eoft he s et e c hnol og i e si ni mpr ov i ngout c ome si nourl oc a l c a s e s .

abstracts

S ur g i c a l Appr oa c hesf orObes i t yMa na g ementi nJ a ma i c a Dr . Pi e r r e Ant honyL e a k e

Obe s i t yi sag l oba l e pi de mi cr e s ulngi ns i g ni fic a ntmor bi di t y , mor t a l i t ya ndc os tt opae nt s a ndg ov e r nme nt s . Whi l ee ffor t sa r es t r ong l yg e a r e dt owa r dspr e v e n on, as ubs e tofobe s e a ndmor bi dl yobe s epae nt sha v es i g ni fic a ntc ha l l e ng e swi t hs us t a i ne dwe i g htl os s , de s pi t e t he i re ffor ta ndde di c aon.We i g htl os s( ba r i a t r i c )s ur g e r yha sbe e nf oundt obebot h c l i ni c a l l ya ndc os te ffe cv ei npr oduc i ngs us t a i ne dwe i g htl os s , r e s ol u onofc omor bi die s , r e duconi nme di c aonsa ndr e duconi nov e r a l l mor bi di t ya ndmor t a l i t y . Ba r i a t r i cs ur g e r y ha sbe e noffe r e di nJ a ma i c af orov e r15y e a r sa ndwi t hf e l l ows hi pt r a i ni ngof l oc a l s ur g e ons , t he e x pe rs ei si nc r e a s i ng .L a pa r os c opi cg a s t r i c by pa s sa nd l a pa r os c opi cs l e e v e g a s t r e c t omya r et hepr i ma r ys ur g i c a lpr oc e dur e soffe r e d.L i mi t aonst ot hewi de s pr e a d ul i z aonofs ur g e r yf orwe i g htl os sha v ebe e nma i nl yt heov e r he a dc os t sf ore qui pme nt a nddi s pos a bl e st oi nst u onsa ndpae nt s ,a swe l la ss oc i e t a lbe l i e f sr e g a r di ngobe s i t y a ndwe i g htl os s .

abstracts

S c r eeni ngf orNonCommuni c a bl eDi s ea s esus i ngt heMOHGui del i nes Dr . P a ul i neWi l l i a ms Gr e e n

S c r e e ni ngf ornonc ommuni c a bl edi s e a s e s( NCD’ s ) a i mst or e duc et hebur de nof t he s ec hr oni cc ondions .S c r e e ni ngs e r v e st or e duc epr e ma t ur emor t a l i t ya nd t heMi ni s t r yofHe a l t hs e e k st or e duc ede a t hduet ot heNCD' sbyonet hi r dov e r t hene x tde c a de .T he s eg ui de l i ne swi l ls e r v ef ore a r l yde t e con,r e f e r r a la nd f ol l owup oft he f ol l owi ng NCDs :hy pe r t e ns i on,di a be t e s ,de pr e s s i on a nd c a nc e r soft hebr e a s t , c e r v i x , pr os t a t e , c ol ona ndr e c t um

F r ont of Pa c k a g eWa r ni ngL a bel s :T heE v i denc eBa s ed Ca s ef ort hei rI nt r oduconi nJ a ma i c a Dr . K we s i G. Ma r s ha l l

F r ont of pa c k a g el a be l l i ng( F OPL )ofpr e pa c k a g e df oodsa ndbe v e r a g e si sa popul aonl e v e l nut r ionc e nt e r e dhe a l t hpr omo ons t r a t e g yt ha tc a nbeus e d i nc onj unconwi t hot he rc ompl e me nt a r ya ppr oa c he st oe ffe cv e l ya ddr e s st he J a ma i c a nnonc ommuni c a bl edi s e a s e( NCD)e pi de mi c .S e v e r a lF OPLs c he me s ha v ebe e nde v e l ope d, e a c he mpha s i z i ngdi ffe r e ntnut r iona l a s pe c t s . Howe v e r , pr e s e n ng mulpl eF OPLf or ma t sc onf us e sc ons ume r s ,ne c e s s i t ang t he j udi c i ous s e l e con ofa s i ng l e de s i g nf orde pl oy me nti nt he J a ma i c a n ma r k e t pl a c e .I ti spr ude ntf ors uc hac r uc i a lnut r iona lpol i c yde c i s i ont obe bot hc ont e x t ua l l yg r ounde di nnaona l he a l t hpr i or ie sa nde mpi r i c a l l yg ui de d byt hebe s tpr e v a i l i ng ,l oc a l l yg e ne r a t e ds c i e n fice v i de nc e .Ac c or di ng l y ,t hi s pr e s e nt aonpr e s e nt sfindi ng sf r omr e c e ntr e a l wor l ds ur v e y sa nde x pe r i me nt a l i nv e sg aonsc onduc t e di nt heL anAme r i c a nr e g i ona ndJ a ma i c a .T or e duc e t heNCDe pi de mi c ,t he s es t udi e ss ug g e s tt ha tt hemos te ffe cv ef or ma tf or a s s i sng c ons ume r s t o ma k e he a l t hi e r poi nt of pur c ha s e a nd poi nt of c ons ump ondi e t a r yc hoi c e si st heoc t a g ona l f r ont of pa c k a g ewa r ni ng l a be l ( F OPWL ) .

Pol y pha r ma c ya ndt heRi s ki nNonCommuni c a bl eDi s ea s eCa r e Dr . Ama ndaDa l e y

P ol y pha r ma c yi spopul a r l yde ﬁne da st heus eofmulpl edr ug s( ﬁv eormor e dr ug s ) .I ti nc l ude sa nyc ombi naonofpr e s c r i p ondr ug s ,ov e r t he c ount e r me di c aons ,a nddi e t a r yorhe r ba ls uppl e me nt s .T he r ei sa ni nc r e a s ei n pol y pha r ma c ywor l dwi dea ndi tha sbe c omeag l oba lpubl i che a l t hc onc e r n pa rc ul a r l yi nt hee l de r l ypopul aon. T he r ei sa s t r ong r e l aons hi p be t we e n pol y pha r ma c ya nd c e r t a i n nonc ommuni c a bl edi s e a s e s( NCDs ) .I ti sa s s oc i a t e dwi t hdi a be t e sme l l i t us , hy pe r t e ns i on,c a r di ov a s c ul a rdi s e a s e s ,a s t hma ,a nd dy s l i pi da e mi a .Wi t h a g e i ng ,t hepr e v a l e nc eofNCDsi nc r e a s e swhi c hne c e s s i t a t e st hene e df or me di c aont he r a py .Wi t ht hec ons ump onofmulpl eme di c aons ,t her i s k ofi na ppr opr i a t e dr ug u l i z aon,me di c aon nona dhe r e nc e ,dr ug dr ug i nt e r a cons ,dr ug di s e a s ei nt e r a consa nd a dv e r s e dr uge v e nt sma ybe a ug me nt e d. Me di c aonus ec a nbei mpr ov e dbybe e rc ommuni c aona mongpae nt s , phy s i c i a ns , a ndpha r ma c i s t s . Me a s ur e ss uc ha sde pr e s c r i bi ngc a nbeus e dt o l i mi tpol y pha r ma c yt oi t st r ul yl e g ima t ea nda ppr opr i a t ene e ds .

Medi cal As s oci at i onofJ amai ca-Vi r t ual Sympos i um 2022

acknowledgements Sympos i um Commi t t ee:Dr s .AnnJ acks onGi bs on,Br i anJ ames , Andr ew J os ephs ,Gi s el l eHar r i s onRowe, Car ol ynJ acks on,Si moneDundasByl es , andPr of .Mar vi nRei d T heMedi calAs s oci at i onofJ amai ca( MAJ )i sex t r emel yt ot he f ol l owi ngcompani esandor gani z at i onsf ort hei rgener ouss uppor t oft he2022Annual Sympos i um. gold sponsors:

S I L VE RS PONS ORS :

S E S S I ONS PONS ORS :