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Virgin Islands Commences Reconstruction of Key Cancer Facility

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The U.S. Virgin Islands marked a significant stride in health services advancement with Governor Albert Bryan Jr., distinguished members of the 35th Legislature, and Congress Delegate Stacey Plaskett initiating the reconstruction of the Charlotte Kimelman Cancer Institute (CKCI) on November 4th. The institute’s renovation signals a resurgence following its suspension due to damage sustained from Hurricanes Irma and Maria in 2017.

Schneider Regional Medical Center’s CEO, Attorney Tina Comissiong, vocalized the local sentiment, stating, “Revitalizing the Charlotte Kimelman Cancer Institute is a pivotal component in our pursuit of medical excellence within our community, and the commencement of reconstruction is a heartening step toward that goal.”

The project’s launch was catalyzed by FEMA’s allocation of $50 million in June 2022, which facilitated the teardown and the search for a contracting partner to resurrect the once-inoperative center.

Darryl A. Smalls, head of the Territorial Redevelopment Team, regards the project as “a cornerstone in our collective goal to elevate the quality of healthcare services in the Virgin Islands.”

Dee Beacher-Brown, speaking on behalf of the Community Foundation of the Virgin Islands, relayed the Kimelman family’s profound dedication to the venture, remarking on their unwavering commitment and fervent support for the territory’s welfare.

The reconstruction blueprint, orchestrated by J. Benton Construction, outlines a design for a structure fortified against extreme weather, integrating cutting-edge infrastructure aligned with the apex of healthcare provision.

Adrienne L. Williams-Octalien, Office of Disaster Recovery’s Director, recognized FEMA’s vital contribution and the implications of the Bipartisan Budget Act of 2018, which secures the financial means for the territory to rebuild to contemporary industry specifications.

Congresswoman Plaskett’s advocacy has been central to obtaining the federal backing for the CKCI, reflecting the concerted effort spanning from the Virgin Islands’ local governance to the federal corridors of power.

Governor Bryan underlined the collective work ethic as a cornerstone for continual improvement, stating, “To maintain our trajectory toward ‘building back better,’ it is imperative that we work in unison, with a steadfast gaze upon our objective – ensuring that our citizens are afforded high-caliber healthcare, educational opportunities, workforce development, and housing.”

The CKCI’s groundbreaking represents not only a renewal of infrastructure but also reinforces the government’s commitment to a resilient healthcare system. Completion of the institute’s construction is anticipated by late 2025, signaling a new era for healthcare in the Virgin Islands.

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Howard University and U.S. Virgin Islands Embark on Pioneering Health Tech Ventures

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In a significant collaborative endeavor, the Howard University College of Pharmacy (HUCOP) and Governor Albert Bryan Jr.’s Office of Health Information Technology (OHIT) have unveiled two innovative health technology initiatives: the Public Health Informatics & Technology program for the US Virgin Islands (PHIT4VI), focusing on workforce training, and the Digital Research Initiative.

These initiatives mark a concerted effort to enhance public health informatics, health information, and telehealth services, bridging the gap between academic expertise and governmental action.

Spearheaded by Howard University Provost Anthony Wutoh and Dean Ranti Akiyode of HUCOP, along with Zane Networks LLC, a Washington D.C.-based company specializing in health transformation, these projects have been successfully initiated. Pivotal to their inception are Dr. Mary K. Awuonda, Dr. Pamela Carter-Nolan, and Dr. John Kwagyan, who have worked closely with USVI government agencies and Schneider Regional Medical Center.

OHIT, established in 2021, aims to revolutionize health and wellness in the USVI through cutting-edge health information technology. The two flagship initiatives encompass:

  1. Workforce Training Initiative (PHIT4VI Program): This program is uniquely tailored for the USVI, offering an exchange program for students and professionals from the Virgin Islands to engage in public health informatics and training at Howard University. The program includes elective courses, bootcamps, and workshops. Its inaugural cohort consists of eight individuals delving into public health informatics, health IT systems, and practical training on electronic health record and health information exchange data systems.
  2. Digital Research Initiative: This initiative focuses on collaborative telehealth research. Operated through HUCOP’s Telepharmacy and Population Health Center (HUTEPH) and led by Dr. Mary K. Awuonda, it was launched in April 2023. The initiative aims to establish a telehealth-supported, pharmacist-led care program and to improve the medication management program at the Schneider Regional Medical Center in St. Thomas.

Dean Akiyode emphasized the congruence of these initiatives with HUCOP’s strategic vision and expansion plans in research and training beyond mainland U.S. Michelle Francis, Director of OHIT, shared her excitement about these projects, noting their alignment with Governor Bryan’s vision of an integrated healthcare system. She highlighted the significant impact these efforts will have on health outcomes, workforce development, and the economy in the Virgin Islands.

These partnerships symbolize a long-term strategy to bolster training and research collaborations between the U.S. Virgin Islands and Howard University College of Pharmacy.

For further details on OHIT, please visit www.ohitusvi.com. Howard University, established in 1867, continues to uphold its tradition as a premier research university dedicated to serving the African American community and the broader global populace.

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Innovative Health Staffing Bill Advances for Virgin Islands Schools

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In a crucial step to bolster healthcare in public schools, the Virgin Islands Committee on Health, Hospitals, and Human Services has unanimously approved a significant bill. Bill No. 35-0194, championed by Senator Kenneth Gittens, seeks to appoint school health technicians in every public school, an initiative crucial for the welfare of students. These technicians will effectively fill the roles typically held by school nurses.

Highlighting a critical gap in the current system, Senator Gittens emphasized the challenge in hiring and retaining registered nurses for schools, citing competitive salaries elsewhere as a key factor. This situation has resulted in a significant shortfall in medical care in schools, with students left without basic medical services like medication administration and first aid.

The issue is pressing, as evidenced by nine current vacancies for school nurses across the territory’s two school districts. This challenge was further underscored by recent resignations of school nurses for better-paying opportunities.

Recognizing the urgency of the situation, Health Commissioner Justa Encarnacion lauded the bill as timely. Commissioner Encarnacion stressed the importance of having certified school health technicians, especially in the absence of registered nurses. The Department of Health, instrumental in drafting Bill No. 35-0194, believes the benefits of this approach are manifold.

Echoing this support, Deputy Commissioner of Education Victor Somme III linked healthcare directly to student success. He pointed out the Department of Education’s struggle to match the salaries offered by hospitals and private medical entities, making it challenging to attract and retain skilled school nurses.

The proposed bill outlines that the Education Commissioner will appoint a qualified school nurse supervisor in each district to oversee the health technicians. These supervisors would be highly qualified professionals – registered nurses, physician’s assistants, or physicians. The health technicians, potentially LPNs, CNAs, or EMTs, will be subject to clearly defined job descriptions and standard operating procedures, including telehealth provisions, all requiring approval from the Health Commissioner.

While the bill received widespread support, legislators raised questions regarding the attraction of qualified candidates, liability issues, and the efficacy of telehealth services. Currently, school nurses earn a starting salary akin to teachers, around $49,000, as per the American Federation of Teachers’ collective bargaining agreement. Deputy Commissioner Somme assured that salary negotiations are underway, with adjustments contingent on government affordability.

With strong committee endorsement, the bill is now poised for deliberation and potential passage by the full legislative body, marking a significant step towards enhancing healthcare in Virgin Islands schools.

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WAPA Chief Criticizes Lawsuit as Hazardous to Utility’s Financial Stability

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Andrew Smith, the CEO of the Virgin Islands Water & Power Authority (WAPA), has recently voiced his concern regarding a class action lawsuit filed against the utility. This lawsuit, centered around allegations of heavy metal contamination in St. Croix’s water system, has been characterized by Smith as an opportunistic move during a challenging period for the community.

Mr. Smith, reaffirming the Authority’s dedication to resolving the water quality issue, expressed his disappointment over the lawsuit’s intent, which he perceives as a financial exploit of St. Croix’s ongoing water situation. He emphasized the Authority’s commitment to the wellbeing of St. Croix’s residents.

The class action, spearheaded by Xiomara Torres and other St. Croix residents, raises serious concerns about the presence of lead and copper in the drinking water, alleging a considerable health threat. The lawsuit, filed by Lee Rohn and Associates, accuses WAPA and Seven Seas Water Solutions USA LLC of negligence and gross negligence.

The situation escalated on October 14, 2023, when WAPA issued a contamination notice. This prompted cautionary advisories from the V.I. Dept. of Health and Governor Albert Bryan Jr., impacting numerous residents with recommendations against water consumption.

In defense of WAPA, Mr. Smith highlighted the utility’s immediate and comprehensive response, including the Clean Water Action initiative, a testament to their commitment to customer safety and transparent communication.

The lawsuit details various alleged shortcomings of WAPA in upkeeping a reliable drinking water system, such as discolored and odorous water and frequent leaks. The plaintiffs are seeking both injunctive and monetary relief for a range of damages, including economic loss, property damage, personal injury, and the establishment of a medical monitoring program.

However, these claims have recently been called into question. Marc Edwards, a water expert from Virginia Tech, has raised doubts about the legitimacy of the toxicity levels reported, pointing to potentially flawed sampling methods. In a reassuring update, Governor Bryan announced new EPA test results indicating that the levels of lead and copper are significantly below actionable standards, with many samples showing no detectable contamination, challenging the initial alarming findings.

Attorney Lee Rohn, representing the plaintiffs, remains hopeful for a favorable outcome that prioritizes the health and safety of St. Croix’s residents. The law firm’s statement underscores their aim to ensure clean drinking water is provided at the expense of the responsible entities, not the taxpayers or ratepayers.

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