JANUARY 2014
HEALTH CARE DIRECTORY2014
Part 4
DELICIOUS DAILY DOSE OF
THE TASTIER WAY TO BOOST YOUR IMMUNITY
EACH TABLET CONTAINS 1000MG OF VITAMIN C, THE EQUIVALENT TO 12 ORANGES
ADDED ED VITAMINS NS & NUTRIENTS NTS
EVERY SATURDAY PIER SIX LOWER LEVEL, ONT ST., HAMILTON FRONT
8AM - 1PM
MID NOVEMBER TO JUNE
When we walk together
webigger arethan cancer
Join Bermuda Cancer and Health Centre for Bermuda’s Įrst Relay For Life, the world’s biggest Įght to end cancer. Walk with us to raise awareness and funds to support cancer prevenƟon, detecƟon and treatment in the Įght against cancer for all in Bermuda.
May 30-31, 6 pm start North Field, EĂƟŽŶal Stadium For more iŶformaƟoŶ coŶtact Deborah TiƩertoŶ Narraway 236-1297 | dŶarraway@chc.bm|bermudarelay.com
Celebrate. Remember. Fight Back.®
HEALTHCARE DIRECTORY Healthy heart advice for the new year W A SPECIAL ADVERTISING SUPPLEMENT OF THE BERMUDA SUN JANUARY 17, 2014 PAGE 1
e have a supplement filled with heart healthy advice –– from ways to keep the ticker ticking to how to eat healthy to ensure you’re not a candidate for some of the top chronic diseases, such as heart disease, stroke and diabetes.There is a healthy heart section that starts on page 10. There are some good tips on what types of food we should be increasing in our diet, as well as the big nonos that tend to sabotage us and are notorious for causing heart problems. These namely have to do with bad fats that cause blood to become thick and sticky and can cause the formation of clots. Read on page 11 the food items we should be trying to eliminate from our diet. Other ideas for remaining heart healthy include quit-
ting smoking, exercising more regularly and working off any excess weight. On page 12, Dr Sam Mir, Bermuda Hospitals Board’s director of cardiology, explains more about how making these life choices can make a big deal to our health.
Relay for Life For those who have been hit by cancer –– another of the top most devastating chronic diseases –– the Bermuda Cancer and Health Centre will be bringing the popular Relay for Life Event to Bermuda this May. The event will see people in the community who have either suffered from cancer or who have been affected by cancer take laps around a track cheered on by their families and friends. Read more about this incredible fundraiser starting on page 2. ■
Inside this supplement Pull an all-nighter for cancer with May’s Relay for Life event organised by the Bermuda Cancer and Health Centre Page 2-3 The City Market is an experience for the mind, body and soul Page 4-5 Pamper yourself with good health the next time you go for a beauty treatment Page 6 Winter Health: Tips to combat winter colds and flu Page 8 Take care of your air filters for better indoor air and lower your risk of getting sick this winter Pages 9 Heart Healt: Make better choices for a healthy heart Pages 10-11 Tips for remaining heart healthy Page 12
Bermuda Sun 19 Elliott Street, Hamilton, Bermuda HM 10 Tel 295-3902 Fax 292-5597 E-mail feedback@bermudasun.bm This special supplement is produced and published by Bermuda Sun Limited and printed in Bermuda by Island Press Limited.
Publisher Randy French President Lisa Beauchamp Editorial Robyn Bardgett Layout Robyn Bardgett Advertising Sales Carlita Burgess (deputy advertising manager), Larissa French, Diane Gilbert, Claire James Creative Services Christina White, Colby Medeiros Circulation & Distribution Michelle Furbert
Know the facts about HPV and cervical cancer Page 13 The Bermuda Health Council’s Health Disparities report has some eye-opening statistics that will move you to action. Page 14-15 The Bermuda Hospitals Board service directory for anyone who has suffered from a heart-related disease. Page 16
The Bermuda Sun publishes twice weekly and is a subsidiary of MediaHouse Limited. We are members of the Inland Press Association, International Newspaper Marketing Association and the Newspaper Association of America. We are located at: 19 Elliott Street, Hamilton HM 10; P.O. Box HM 1241, Hamilton HM FX Tel: 295-3902 Fax: 292-5597. Visit our website: www.bermudasun.bm
2 ■ JANUARY 17, 2014
HEALTHCARE DIRECTORY: A SPECIAL ADVERTISING SUPPLEMENT
THE BERMUDA SUN
Pull an all-nighter to fight cancer Bermuda Cancer and Health Centre to host popular 24-hour relay event BY DARLENE MCCARTHY BARNFIELD Just before Christmas I read that the former president of one of the world’s most prestigious universities, MIT, had died at the age of 72. “Oh, how young,” I thought, relatively speaking, MCCARTHY that is. BARNFIELD I combed the obituary and found what I had already suspected. Cancer. For me, the worst kind. Pancreatic. The same disease that took my father at exactly the same age. I miss him so much. I desperately fear having to miss that much again. And I have never been as angry at anything as I am at cancer.
Fury But anger alone is a bitter pill. You must “do” something with all that fury. And that is where Bermuda Cancer and Health Centre (The Centre) comes in. For the first time The
■ PHOTOS SUPPLIED
REMEMBER: Bags with lighted candles to symbolize those that have been touched by cancer line a track at a past Relay for Life in the US. Centre is now licensed to hold the American Cancer Society’s premier fundraising event in Bermuda. And 95 per cent of all the money raised from the RELAY FOR LIFE challenge
SUPPORT: Young cancer survivors show their support during a past Relay for Life in the US.
will stay right here. “It is an extraordinary event that begs everyone to participate,” says The Centre’s Executive Director, Tara Soares. And why should they? If you do not have cancer yourself, you undoubtedly know someone who does. Cancer used to strike one out of every three people according to the American Cancer Society. Now that figure is rising to almost two in three people says Ms Soares. "Everyone will get cancer if we live long enough” she says. I have great respect for cancer. It respects no one. "It is so unfair," says Ms Soares' colleague, Deborah Titteron Narraway who is the marketing and fundraising manager for The Centre. "Cancer shows no preference,” she says. “It strikes the old, young, mothers, fathers, sisters, brothers, it doesn't care how beautiful
you are." The pervasiveness of cancer is impossible to ignore. And that is part of what May's Relay event is about. “It is a 24 hour fundraiser,” says event supporter Katrina Van Pelt. “Teams walking around a track for 24 hours ... to remind everyone that cancer never sleeps.”
Bigger Most of us have pulled allnighters at least once in our lives, right? This one on May 30 from 6pm to 6pm on May 31 will just be bigger. There are three elements to this 24-hour relay. The first is the survivors lap where people who have battled cancer take their laps around the track cheered on by friends, families and neighbours. A ceremony follows to remember those who have See ALL-NIGHTER, page 3
THE BERMUDA SUN
‘It’s so unfair. Cancer shows no preference. It strikes the old, young, mothers, fathers, sisters, brothers, it doesn’t care how beautiful you are.’
ALL-NIGHTER Continued from page 2 lost their lives to cancer as well as those who are battling the disease today. Personalized bags with lighted candles line the track to symbolize each individual touched by sickness. The event ends with a “fight back” ceremony, which organizers hope will inspire participants to work, not just for 24 hours, but all year long consciously waging war against the enemy through support and prevention. Yet, it is a lot to ask of people to organize a team, raise money and then give up 24-hours of their lives especially when there are thousands of other charities asking for their help as well. So I asked the Relay organizers why they thought Bermuda would step up to the plate and support this cause. "This is what Bermudians do," says Ms Soares. It’s true. People on this island turn out by the hundreds expressing their love of team and sport at a cricket match. And that's a game. “This is about life or death,” says Ms Soares. “They'll come out for this." ■
FOR MORE information go to www.bermudarelay.com or email dnarraway@chc. bm
HEALTHCARE DIRECTORY: A SPECIAL ADVERTISING SUPPLEMENT
JANUARY 17, 2014 ■ 3
WORLDWIDE: Over 5,000 Relay for Life events take place across the world.
4 ■ JANUARY 17, 2014
HEALTHCARE DIRECTORY: A SPECIAL ADVERTISING SUPPLEMENT
THE BERMUDA SUN
An experience for the mind, body and soul
L
eading a healthy lifestyle means caring for our mind, body and soul. The City Market has that trifecta wrapped up in the perfect package. Every Saturday from mid-November until June (with a little break over Christmas) vendors can be found selling their goods and services at the City Market’s new location at Pier 6 on Front St. And, yes, the healthy and delicious fruit and vegetables are available, as are health-minded goods and services, such as organic products, homemade bread, handmade soaps and jewellery. But what makes the City Market a place to venture for the perfect mind, body and soul treatment comes from the atmosphere. “I will see someone early on when the City Market opens and then they are still there talking away by the time we wrap things up,” says Kevin Smith, events and marketing manager for the Corporation of Hamilton and one of the coordinators of the City Market. “It’s a
■ PHOTOS SUPPLIED
REVAMPED: The new location of the City Market in the lower level of Pier 6 on Front St. really social environment.” The Market reopened last November in its brand-new
location at Pier 6 – a newly renovated space that has offered up some advantages for the sellers. “We have tourists that come and whenever a cruise ship is in we will set up in the parking lot outside weather permitting,” says Mr Smith. “The diversity of people
has changed and it has been really good,” he adds. Kuni Frith-Black, who is known as the Tea/Herb Lady and offers naturopathic remedies has noticed that the new location has brought the Market more visibility. See EXPERIENCE, page 5
HOLISTIC: Organic and non-GMO products for sale at the City Market.
THE BERMUDA SUN
HEALTHCARE DIRECTORY: A SPECIAL ADVERTISING SUPPLEMENT
EXPERIENCE
an uncovered parking lot behind Bull’s Head parking lot. The market eventually moved inside the covered parking lot until its most recent move to the lower level of Pier 6.
Continued from page 4 “What I see is more people are making a conscious effort to introduce a healthy option into their daily life,” says Ms Frith-Black. “The atmosphere at the City Market lends a holistic vibe. People are drawn there not just for healthy food options but also for a healthy social environment.” Many of the vendors that sell at the Market have been involved since the days of the Farmers’ Market when the stalls were set up in
Family “It’s like an extended family here,” says Ms Frith-Black. “There are a lot of people who have been doing this for a long time but we are also welcoming to newcomers. So we have that support from seasoned vendors.” Scott Pitcher, owner of East End Organics, adds:
“We feel the atmosphere is more upbeat. We are fortunate that we have a great group of people and the Corporation staff is very helpful and accommodating.” At his stall he sells his popular organic and/or nongmo products and has also found the new venue has provided better exposure. He says: “Shopping at local markets is good for a number of reasons. You are supporting the local economy insofar as we have local farmers and local artists. The produce at the market is much fresher
JANUARY 17, 2014 ■ 5
than what is brought in on a ship travelling sometimes a great distance before it reaches Bermuda –– you actually know where your food comes from. Markets are a good opportunity to support new local businesses. At the City Market, you can buy just about anything from your produce, fresh flowers, hand made items to organic health products and specialty items.” ■
THE CITY MARKET runs from 8am-1pm on Saturdays. For more information, go to the Corporation website at cityhall.bm or call 292-1234.
WEEKLY CLASS SCHEDULE
JANUARY SPECIAL $150 DISCOUNT on joining to anyone bringing a card from another gym! CROSS TRAINING MONDAY WEDNESDAY AT 5:30PM WITH ANDREA.
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
6:15-7:15am Island Flava (Zumba Toning®) - Bertha
6:15am-7:15am Challenge Ride (Spinning) - Gladwin
6:15am-7:15am X-Treme Passion Ride (Spinning) - Bertha
6:15am-7:15am X-Treme Fitness - Bertha
6:15am-7:15am X-Treme Fitness - Bertha
7:30am- 8:30am X-Treme Passion Ride (Spinning) - Bertha
9:30am-10:30am Les Mills Body Combat® - Nerseh
9:30-10:30am Total Fit - Andrea
9:30-10:30am Les Mills Body Combat® - Beks
9:30-10:30am Total Fit - Andrea
9:30am-10:30am Les Mills Body Combat® - Beks
9:00am- 10:00am Les Mills Body Combat® - Nerseh/Alnisha/ Beks
12:15-1:00pm Step/Kick - Mara
1:15pm-2:00pm Lunchtime Express (Spinning®) -Bertha
12:00pm-1:00pm Les Mills Body Combat® - Nerseh
1:00-1:45pm Core Fit - Sharlene
5:15- 6:00pm Les Mills Body Combat® - Alnisha
5:15-6:15pm Island Flava (Zumba Toning®) - Bertha
6:15- 7:30pm X-Treme Passion Ride (Spinning) - Bertha
6:30-7:15pm Rock Hard - Andrea
10:30pm-11:30am Les Mills Body Combat® - Christina
10:00am-11:15am Cardio Combo - Mara
12:15-1:00pm Body Blast - Beks
12:00-1:00pm Les Mills Body Combat® - Nerseh
12:15-1:00pm Body Blast (Weights) - Beks
11:30am- 12:30pm Spin ® / Spin Toning ® - Bertha
1:15pm-2:00pm Lunchtime Express (Spinning®) -Bertha
1:15-2:00pm Insanity® - Paul
1:00pm-1:30pm Core Strength Training - Mara
1:00pm-2:30pm Jujitsu - Master Burnell
5:30pm-7:30pm Xtreme Fitness -Bertha
5:30pm-6:15pm Insanity® - Paul
5:30pm-7:30pm Xtreme Fitness - Bertha
Sunday
9:05am-11:00am Xtreme Fitness - Bertha
* Jujitsu classes are not included with club membership or punch cards. Please inquire with Mater Burnell for further details. AEROBIC CLASSES ARE SUITABLE FOR ALL LEVELS OF FITNESS - SCHEDULE EFFECTIVE JANUARY 2014
HOURS: Monday – Thursday 6:00am – 8:30pm • Friday: 6:00AM – 8:00PM • Saturday: 8:00AM- 3:00PM • Sunday: 9:00AM – 1:00PM Location: 12 Dundonald Street West, Hamilton • Tel: (441) 292-4095
Health is Wealth - Call 292-4095 today and invest in yourself for less!
6 ■ JANUARY 17, 2014
HEALTHCARE DIRECTORY: A SPECIAL ADVERTISING SUPPLEMENT
THE BERMUDA SUN
Feel pampered in a healthy environment BY ROBYN BARDGETT rbardgett@bermudasun.bm
With some recent health scares at local beauty shops it’s important that we remain vigilant when we book a pampering beauty treatment. While it may seem strange to think of a beauty treatment like a hospital procedure, when someone has to come in contact with your skin –– whether it be having your nails manicured or going into surgery –– hygiene is of utmost importance. “I can’t emphasize enough that you need to keep your eyes open when you go in for a treatment,” says Nicci Ellis-Cole, senior therapist at Clarins Skin Spa at Strands.
Clean “There should be evidence that implements are cleaned after every treatment, and it should be clear from giving a good look around that the place is clean,” she says. Obvious indications that tools such as nail clippers, scissors and tweezers are cleaned after each client include the presence of Barbicide –– that quintessential blue disinfectant solutuion –– or cavicide. “It’s not always obvious to clients that sterilization is taking place,” says Ms EllisCole, “as most sterilization takes place after a client has left and before the next client arrives.” But she advises that there is no harm in asking whether sterilization of tools takes place. At the Clarins Skin Spa, tools are not only left in Barbicide to sterilize but the business also has an autoclave – a high pressure machine that sterilizes items by subjecting them to high pressure steam over 100 degrees. “With some implements, such as nail files, which we don’t necessarily throw away after every use they are sprayed down with alcohol and put in to the
■ PHOTO SUPPLIED
IN GOOD HANDS: Nicci Ellis-Cole, senior therapist at Clarins Skin Spa, takes the hygiene of both herself and her clients seriously. UV sterilizer. All the steel instruments we use can be put in the autoclave. “Every bowl that we use after pedicures gets sterilized after every single treatment so that is important to look out for. “I don’t get a lot of people asking us about the hygiene of the Spa but I really think that’s because they can see that everything is clean, impeccable and we are tidy in our appearance.”
Professional She says that you should feel comfortable with your therapist and they should look professional and welcoming. “Keep your eyes open and if there are things that come to your attention, ask. If they don’t have anything to hide they will be open with you. There’s nothing wrong with asking, ‘When did you last sterilize your instruments?’” Ms Ellis-Cole sterilizes her hands with disinfectant as well as her client’s hands before beginning a nail treatment. She also wears a
‘There’s nothing wrong with asking, “When did you last steralize your instruments”.’ mask when providing any waxing treatments. “At the end of the day, we as therapists also have to care for our own health as well,” she says. “The common cold can get around very quickly. For waxing treatments, Ms Ellis-Cole advises people to ensure that the therapist only dips a spatula once into wax –– especially for treatments like Brazilian waxing. “I also have a look at the client’s skin and make sure to ask them about any problems that I might see. “Especially when doing a wax treatment, I will always ask about any cuts or sores I might see or I look for any inflammation or weeping from a cut. The first contra-
indication is to avoid that area. We also do not proceed with a treatment if someone has a cold sore on their lip. That can easily spread.” As with nail treatments, Ms Ellis-Cole says to make sure the area where any treatments take place are clean and wax pots look clean. “You should feel comfortable with your therapist and the therapist should take into account any concerns you may have and do their best to make you feel pampered in a safe and healthy environment.” ■
CLARINS SKIN SPA is located at 31 Reid St, Hamilton. For more information about treatment and services, call 295-0353.
THE BERMUDA SUN
HEALTHCARE DIRECTORY: A SPECIAL ADVERTISING SUPPLEMENT
JANUARY 17, 2014 ■ 7
8 ■ JANUARY 17, 2014
HEALTHCARE DIRECTORY: A SPECIAL ADVERTISING SUPPLEMENT
THE BERMUDA SUN
■ WINTER HEALTH / Cold & flus
Stay healthy during the cooler months SUBMITTED BY BERMUDA HOSPITALS BOARD It’s January, someone next to you just sneezed and you’re thinking, “I don’t want to get sick!” While there are higher rates of illness during the winter months, there are ways to minimize your risk of getting sick explains Dr Cathryn Siddle, employee health physician for the Bermuda Hospitals Board. The good news is with a bit of planning, steps can be taken to minimize our risk of catching a cold or getting the flu.” Here are tips for a sickfree winter.
Practice good hand hygiene “Perhaps the single most important thing you can do to prevent exposure to germs is to practise good hand hygiene,” Dr Siddle adds. “Flu viruses and cold germs can survive on surfaces for over two hours, so wash your hands after you have been out in public or use a hand sanitizer, especially after touching door handles, menus, elevator buttons and grocery carts.”
Get vaccinated There are many winter viruses that circulate in Bermuda, but the real flu is unpredictable and deadly –– even for those of us who are healthy. The flu vaccine is safe and effective and has proven to reduce the risk of getting the flu. If you have not already done so, get vaccinated. This is especially important for patients with underlying lung disease, the young, the elderly, pregnant patients, and the immunecompromised.
Maintain a healthy lifestyle Consume plenty of fresh fruits and vegetables, as your immune system needs the nutrients found in fresh
■ FILE PHOTO
TAKE CARE: With a bit of planning, you can avoid getting sick this winter. produce to prevent viruses from replicating and making you sick. “Include green vegetables, like spinach, kale, collard greens, bok choy, Brussels sprouts, lettuce and broccoli in your daily diet,” Dr Siddle suggests. “Exercise is good for you in general, and some studies indicate that this exercise is also important in maintaining your immune system.”
Caring for yourself or your sick child Dr Siddle recommends drinking plenty of fluids, such as chicken soup or hot tea, if you have a cold or the flu. Oral decongestants such as pseudoephedrine may relieve congestion and acetaminophen may relieve fever or sinus pain. Do not combine two or
more medications that contain acetaminophen, as this can damage your liver. “NEVER give aspirin to children younger than 18 years old as this can cause Reye Syndrome, which can be life threatening,” warns Dr Siddle. “Do not use nasal decongestant sprays for more than five days as these medications are addictive. Seek medical attention if you have chest pain, difficulty breathing or have a fever with underlying lung disease, such as emphysema. Seek medical attention for your child if he or she is under three months, refuses to drink anything for a long time, or has red eyes with a discharge. “Call 911 if your child has difficulty breathing or becomes confused or unresponsive.”
Antibiotics won’t help that cold or flu Colds and flu are caused by viruses, not bacteria. For this reason, avoid taking antibiotics unless there is evidence you have a bacterial infection. If you get the flu, talk to your doctor about an antiviral drug like Tamiflu. But act fast –– studies have found that these drugs work best within 48 hours of the first symptoms. Preventative antivirals may also be helpful in certain situations such as in nursing homes or after exposure to the flu. ■
FOR MORE information, check the BHB website’s Health and Wellness page at http://www.bermudahospitals.bm/health-wellness/ index.asp
THE WAIT IS OVER!
Announcing Bermuda’s first WALK-IN medical center C
No more appointments
C
For immediate diagnosis and treatment anyone can WALK IN
C
No referral from your doctor is necessary
C
We are conveniently located on Victoria Street behind City Hall
C
We will assess you and administer the appropriate treatment or refer you to more specialized care as needed
C
Your visit will cost only as much as a normal doctor’s visit
C
All testing is paid for by your medical insurance including Major Medical, HIP, Future Care and GEHI
Open 8 am to 5:30 pm Monday to Friday and 9 am to 1 pm on Saturdays THE HAMILTON MEDICAL CENTER LTD. 9 VICTORIA STREET, HAMILTON, TELEPHONE 400.8378
SolusHealth Work in your own business without going it alone. If you are used to being independent and making important decisions for yourself, Solus is a health plan just for you. It will provide the same high quality service and care that you can expect with a large company health plan. Solus is perfect for: $ # $ ! # Call 296-3200 or visit www.cgigroup.com
COLONIAL MEDICAL INSURANCE CO. LTD. Jardine House, 33-35 Reid Street, Hamilton HM 12 Tel. 296-3200 www.cgigroup.com A member of Colonial Group International insurance, health, pensions, life
THE BERMUDA SUN
HEALTHCARE DIRECTORY: A SPECIAL ADVERTISING SUPPLEMENT
JANUARY 17, 2014 ■ 9
Fight germs in the air this winter season BY STEPHEN SAVAGE Sales & Marketing Manager, EFF-Tech
We should all listen to the phrase “go outside and get some fresh air.” Recent studies have shown that the level of airborne biological contaminants in our indoor air is generally two to five times higher than the levels found outdoors. (Resource: http:// www.epa.gov/iaq/pubs/ insidestory.html). As more and more homes and offices are sealed tightly for energy efficiency, the germs that get inside have nowhere to exit.
Susceptible It’s these germs that can make you more susceptible to becoming ill during cold and flu season. Fortunately, technology now has given new meaning to air conditioning. It’s not only just about cooling, but it’s also about cleaning the air. Mitsubishi Electric Heating and Cooling systems feature multi-stage allergen filtration for cleaner, healthier air. The various layers of filters include the large hybrid catechin pre-filter, which absorbs odour-causing gases. Then there’s a blueenzyme, anti-allergen filter that helps reduce germs, bacteria and viruses, and helps trap dust, pollens, mites and other particles that plague allergy sufferers and provide a healthier breathing environment. By reducing the amount of germs to which you are exposed, you give your body a better chance of fighting off cold and flu. Another issue in Bermuda is mould, which can trigger different illnesses, particularly if you have allergies or asthma. The filtration system on the Mitsubishi Electric Heating and Cooling units also helps to reduce mould as does running the unit on the dehumidification mode.
■ PHOTO SUPPLIED
CLEAN AIR: Ensure the quality of your indoor air is good with proper filtration systems on your air conditioning unit. Also, remember that since the filtration system is capturing all sorts of airborne particles, it does need to be cleaned and maintained to continue operating at its best. You can perform this task in a matter of minutes. Simply open the indoor unit's filter access, slide the screens out, wash them off, allow them to dry completely, and then slide them back into the unit. With regular cleaning, the hybrid catechin filters can last up to 10 years. Ultraviolet lights can be a helpful addition to your arsenal against colds and the flu. For over a century scientists have known of the germ-killing properties of ultraviolet light. As a chemical-free disinfectant, UV light is used in water treatment facilities,
in the food industry and in hospitals.
Healthier Today this technology is available for our homes and businesses resulting in healthier, safer, indoor environments. We now offer a germicidal ultraviolet light system from Fresh-Aire UV. These mini-UV lights fit inside your heating and cooling system and will not only reduce airborne contaminants and odours but will also help save energy and decrease maintenance costs. The UV light keeps the interior of your split system free of microbials and keeps the coils clean, buildup-free and operating at peak efficiency. As germs pass through lights they’re hit with powerful UV rays, which get
inside the cell and reaches the DNA. At this point, the bonds at the molecular level are broken, so the cell is essentially no longer capable of reproducing itself and germs will no longer be recirculated throughout your home, keeping you and your family healthier during this high flu season. So in addition to other lifestyle preventions such as hand-washing, getting enough sleep and eating healthily, remember also to consider your indoor air environment and how it could be affecting your health. ■
STEPHEN SAVAGE has more than 23 years experience in HVAC and refrigeration. For more information on EFF-Tech contact Mr Savage at 249-3570 or ssavage@efftech.bm.
10 ■ JANUARY 17, 2014
HEALTHCARE DIRECTORY: A SPECIAL ADVERTISING SUPPLEMENT
THE BERMUDA SUN
Healthy lifestyles can reverse some heart BY BRENDA DALE Assistant Vice President and Project Manager, The Argus Group
W
e all know that eating healthily and exercising help to improve heart health. In fact, adopting a healthy lifestyle can even reverse some heart disease risk factors. DALE
Get moving As we enter into a new year, many people will have set goals to be healthier, including starting an exercise programme. While it’s great to be motivated, it’s also important to ease into exercise to avoid injury and discomfort that may prompt you to give up altogether. Following are some tips to help you to establish an exercise programme that you’ll be able to maintain. First, see your doctor before you start an exercise programme. This is especially important for men over the age of 45 and women over 55. In addition, if you are more than 25 pounds overweight, have high blood pressure, a heart condition
or a chronic injury, such as back pain, you should visit your doctor for guidelines on the amount and kind of exercise that is right for you. Progress gradually to avoid injury. You don’t have to exercise for an hour every day to see benefits. Start with half an hour, three times a week doing at least 10 minutes of activity at a time. It’s okay to have two or more 10- to 15-minute sessions daily if this fits best into your schedule. You don’t have to do the entire 30-60 minutes at one time. Once you get going, increase your exercise gradually over weeks and months, not days. That way, you’ll hardly notice it and your body will have time to adjust to the added demands of exercise. Remember to take five to 10 minutes to warm up before exercise and five minutes to cool down after, and stay hydrated with water at all times. The key to sticking with an exercise programme is doing something you enjoy. Bermuda is the perfect place to enjoy a dip in the ocean, a walk on the beach
NUTRITION: Take care of yourself by eating right and execising.
■ ISTOCK PHOTOS
or bicycle ride along one of the picturesque trails.
Eat healthy Eating healthy is all about balance, variety and moderation. You can start enjoying a healthy balanced diet today simply by following these five tips: ■ Eat a variety of foods. ■ Include vegetables, whole grains, fruit, nuts and seeds every day. ■ Choose healthier fats and oils. ■ Try to limit sugary, fatty and salty take-away meals and snacks. ■ Drink mainly water. In addition, every meal should consist of nutrientrich foods from the four food groups: breads and cereals; milk and milk prod-
ucts; fruit and vegetables; and lean meat, seafood, eggs, nuts and beans. Eat moderate portions at regular intervals and don’t skip meals, as it may cause you to overeat in the next meal.
Snack the healthy way Always take fruit or vegetable sticks to work or have nuts available to snack on when needed. A handful of nuts a day is enough and will prevent you from snacking on unhealthy foods such as cake, biscuits, and chips.
Eat breakfast It’ll energize you for the day and keep your diet in check. Also, finish eating three hours before bedtime. Your metabolism slows
THE BERMUDA SUN
HEALTHCARE DIRECTORY: A SPECIAL ADVERTISING SUPPLEMENT
disease risk factors
JANUARY 17, 2014 ■ 11
A guide to heart healthy foods BY BRENDA DALE The Argus Group
Heart disease is a leading cause of death in Bermuda yet making a few lifestyle changes can go a long way to protect your heart. For starters you can help to keep your blood pressure and cholesterol in check by improving your diet. This may seem easier said than done as the overabundance of food choices available can be overwhelming. But by separating foods into categories of what to increase and decrease in your diet, eating nutritiously might be easier than you think.
Foods to increase
down when you sleep so you shift from fat burning to fat storage. Though it can be timeconsuming, opt for homecooked meals as you can control how you prepare the food as well as the amount of fats, salt and sugar going into them. The same applies to lunch. Choose to brown-bag it over going out for lunch.
Finally, eat slowly so that you not only enjoy your food, but also you feel satisfied or full with the right amount of food on your plate. ■
FOR MORE heart-healthy tips and walking routes around the island, visit the Argus Wellness section at www.argus.bm/wellness.
Brenda Dale Brenda Dale is an Assistant Vice President and Project Manager at the Argus Group, with responsibility for managing the Wellness Programme. She joined the company in 2009 and has 30 years of experience at a senior management level, mostly in the public sector, including 18 months as the Health Promotion Coordinator for the Bermuda Government. Brenda has a Masters of Public Administration as well as several industry certifications. www.argus.bm
Fibre reduces “bad” LDL cholesterol. Whole grains, fruits and vegetables are all rich in fibre. Oats and apples are particularly good at helping to remove excess cholesterol from the body, so try oatmeal for breakfast with grated apple and cinnamon on top! Choose whole oats over “quick cook” refined oats for even more fibre. Fruits and vegetables are also packed with vitamin C, which helps fibre remove cholesterol from the body and inhibits excessive cholesterol production. In addition, fruits and vegetables are rich in the antioxidants that help to prevent cholesterol from becoming oxidized within the body. For controlling blood pressure, look for foods rich in fibre and the minerals calcium, magnesium and potassium, such as whole grains, beans, lentils and green leafy vegetables. Kashi and Nature’s Path make excellent wholegrain cereals. For easy side dishes, try the Lundberg brand of brown rice and Eden Organic tinned lentils. Broccoli, kale and spinach are ideal leafy greens. Increase your celery intake as it contains a natural ingredient that has been shown to lower blood pressure as do garlic and onions so use them liberally in your cooking. Fish, especially oily fish such as salmon, mackerel, tuna and sardines, have an excellent omega 3 “good fat” content as do various nuts and seeds. Omega 3 has been shown to help thin the blood and reduce blood pressure. Aim to eat oily fish –– baked or grilled –– three times a week. In addition, use canola, safflower or olive oil when cooking. Snack on one-ounce servings of raw healthy nuts such as walnuts and almonds.
Foods to decrease Reducing bad fat is the single most important heart healthy step you can take as bad fats cause blood to become thick and sticky, encouraging the formation of clots. Avoid saturated, hydrogenated and trans fats, such as those found in fried foods, margarines, cookies, full-fat dairy produce, red meat, cakes, pastries, creamy sauces and other See HEALTHY HEART, page 13
12 ■ JANUARY 17, 2014
HEALTHCARE DIRECTORY: A SPECIAL ADVERTISING SUPPLEMENT
THE BERMUDA SUN
Tips for remaining heart-healthy SUBMITTED BY BERMUDA HOSPITALS BOARD (BHB) While heart disease remains the number one cause of death for both men and women in Bermuda and around the world, the good news is each of us can take steps to lower our risk of suffering from a heart attack. By adopting a healthy lifestyle, you can increase your chances or remaining heart-healthy. Here are tips that just may save your life.
Quit smoking “When it comes to hearthealth, no amount of smoking is safe,” says Dr Sam Mir, BHB Director of Cardiology. “This includes smokeless tobacco, low-tar and low-nicotine cigarettes and exposure to secondhand smoke. Women over 35 greatly increase their risk of a heart attack or stroke if they smoke and take birth control pills.” Nicotine replacement therapies such as the nicotine patch, gum, pills like Chantix, or electronic cigarettes are proven in clinical trials to increase the odds of quitting tobacco.
Regular exercise Not only is physical activity good for your heart, it will help control your weight and reduce your chances of developing other risk factors, such as high blood pressure, high cholesterol and diabetes. “Combining physical activity with other lifestyle changes, such as eating heart-healthy foods and maintaining an appropriate weight, is even more effective in preventing heart disease,” Dr Mir adds. Aim to exercise between 30 to 60 minutes every day. Take the stairs, park further from work and walk each way. You don’t have to restrict yourself to a formal workout regime –– walking is one of the best ways to remain active. Other ways to incorporate
moving include dancing, playing outside with your kids, engaging in sports, going for a swim, gardening, housekeeping and walking the dog. While you don’t have to exercise strenuously to achieve benefits, increasing the intensity, duration and frequency of your workouts will improve your fitness level and general wellbeing.
DASH Diet The Dietary Approaches to Stop Hypertension (DASH) plan means eating foods that are low in fat, cholesterol and salt and rich in fruits, vegetables, whole grains and low-fat dairy products. Limiting saturated and trans fats are especially important as both increase the risk of coronary disease. Major sources of saturated fat include red meat, dairy products and coconut and palm oils. Sources of trans fat include deep-fried fast foods, bakery products, packaged snack foods, margarines and crackers “Include five to ten servings of fruits and vegetables a day,” advises Dr Mir. “Omega-3 fatty acids, found in salmon and mackerel, may decrease your risk of heart attack and lower blood pressure. Flaxseed, walnut, soybean and canola oils are good sources of omega-3 fatty acids. Limit alcohol consumption- no more than two drinks a day for men and one a day for women. At moderate levels, alcohol can have a protective effect on your heart. More than that becomes a health hazard.”
Drop the weight Determine your body mass index (BMI), which is based on your height and weight “BMI numbers 25 and higher are associated with higher blood fats, higher blood pressure and an increased risk of heart disease and stroke,” Dr Mir notes. “Waist circumference is also a useful tool to
■ MCT PHOTO
LOVE YOUR HEART: Simple lifestyle changes can make a big difference for your heart health. measure how much abdominal fat you have. Men are considered overweight if their waist measurement is greater than 40 inches. Women are overweight if their waist measurement is greater than 35 inches.” Reducing your weight by just 10 per cent can decrease your blood pressure, lower your blood cholesterol level and reduce your risk of diabetes.
Regular health screenings Have your blood pressure checked at least every two years. You may need morefrequent checks if your numbers aren’t ideal or if you have other risk factors for heart disease. Optimal blood pressure is less than 120/80. Have your cholesterol
measured at least once every five years starting at age 20. “Since diabetes is prevalent in Bermuda and a risk factor for developing heart disease, you may want to be screened for this,” conclude Dr Mir. “Talk to your doctor about when you should have a fasting blood sugar test to check for diabetes. Depending on your risk factors, your doctor may recommend testing you for diabetes sometime between ages 30 and 45, and then retesting every three to five years.” ■
FOR MORE information about heart health, check the BHB website’s Health and Wellness page at www.bermudahospitals.bm/healthwellness/index.asp.
THE BERMUDA SUN
HEALTHCARE DIRECTORY: A SPECIAL ADVERTISING SUPPLEMENT
Know the facts about HPV SUBMITTED BY BERMUDA HOSPITALS BOARD (BHB) Being proactive and informed about your health is a great way to protect yourself against illness. “The more you know about cervical health, the better your chances are for preventing cervical cancer. “The DR DALE most WILMOTT important step you can take to protect your cervical health is detecting abnormal cell changes early with scheduled pap tests only or combined pap test and human papilloma virus (HPV) testing,” explains Dr Dale Wilmot, BHB Chief of Obstetrics. “Most abnormal cell changes are caused by the HPV. Specific testing methods used for screening will depend on your age, medical history and physical exam.” HPV is one of the most common sexually transmitted virus and it has been estimated that as many as 75 per cent of sexually active individuals may be exposed. “However, despite its prevalence, only a small percentage of exposed women will develop cervical cell changes that will progress to cervical cancer,” Dr Wilmot adds. Dr Wilmot says there are two main reasons for this. “Firstly, in most cases the women’s immune system will keep the HPV under control. As a matter of fact, in a significant minority of women, the immune system will rid the body of the virus completely.Which women will clear the virus cannot be predicted. “Secondly, most types of the HPV are not cancer causing. They may cause mild abnormal changes on the cervix and cause growths of warts around the genatalia, but usually not the more concerning cervi-
■ FILE PHOTO
PROTECT: Quitting smoking is one of the most important things a woman with HPV can do for her health.
‘Smoking increases the chances of abnormal cell changes progressing to more severe changes like cervical cancer.’ cal cancer.” The handful of HPV strains that are associated with cervical cancer are referred to as high risk strains or oncogenic strains. It is exposure to these strains that increases the risks for not only cervical cancer but also vaginal, oral, vulva and even penile cancers. It is important to note that because most men and women are not aware they have the virus and because condoms do not protect 100 per cent against the virus, your risk of exposure increases as the number of your sexual partners increase. “Of note, if a woman with HPV smokes, one of the most important things that she can do for her health is to quit smoking,” advises Dr Wilmot. “This is
because smoking increases the chances of abnormal cell changes progressing to more severe changes like cervical cancer.” In summary, HPV is very common. However, it is usually well controlled by the immune system and with scheduled cervical surveillance, the most serious condition –– invasive cervical cancer –– can be effectively prevented. Furthermore, even early non-invasive cervical cancers, if detected early, can be treated with relatively simple outpatient procedures. ■
FOR MORE information about cervical cancer, check the BHB website’s Health and Wellness page at www. bermudahospitals.bm/ health-wellness/conditionsA-Z.asp?chunkiid=11969.
JANUARY 17, 2014 ■ 13
HEALTHY HEART Continued from page 14 processed foods. Refined, processed carbohydrates such as sugar and white bread, rice and pasta, lack the nutritional value and fibre of their whole grain counterparts and can contribute to type 2 diabetes –– one of the greatest risk factors for heart disease. Caffeine is a stimulant that releases stress hormones that elevate blood pressure. Avoid caffeinated drinks and replace with decaffeinated, herbal/fruit teas and lots of water. Limit your alcohol intake to two drinks daily for men and one for women. Alcohol interferes with blood sugar balance and increases the production of free radicals, both of which damage arteries.
Moderation While there are some benefits to drinking red wine, moderation is key. Too much sodium and too little potassium can increase blood pressure. Aim for less than 1200mg of sodium daily while at the same time increasing potassium rich foods. Read labels because ready meals, sauces, deli meats and snack foods often contain lots of sodium. Be careful of foods that are naturally high in cholesterol –– especially shrimp, meat, eggs and dairy products. However, if you are following the other steps well, it’s okay to have these foods occasionally. Finally, don’t ruin a healthy food by cooking it in an unhealthy way. Bake, grill or steam when you cook –– never deep fry. To ensure you’re making healthy choices at the grocery store, plan ahead and take a shopping list containing the healthy items to be increased in your diet. ■
GO TO THE WELLNESS section on www.argus.bm for a ready-made shopping list, as well as other heart-healthy advice.
14 ■ JANUARY 17, 2014
HEALTHCARE DIRECTORY: A SPECIAL ADVERTISING SUPPLEMENT
THE BERMUDA SUN
Turn over a new leaf for your health BY ROBYN SKINNER AND JENNIFER ATTRIDE-STIRLING Bermuda Health Council
Welcome to a new year where we have a chance to turn over a new leaf and take a fresh look at our health. Not sure where to start? Maybe we can help with some concrete facts from our Health Disparities Report 2013. This report looked at health outcomes, access to care, health related behaviours and health spending in Bermuda; and compared people by age, gender, race, marital status, household income, and education. If you see yourself reflected in the findings, maybe you’ll give yourself a much-deserved pat on the back…. or find inspiration for change! ■ MCT PHOTO
Chronic To start, the report showed that nearly 1 in 3 adults have been diagnosed with hypertension (high blood pressure), high cholesterol, or another chronic health condition such as coronary heart disease, asthma, depression, diabetes, stroke, kidney disease, etc. Think about it: one third of the island’s adults have at least one chronic health condition. Persons of higher income were least likely to have high blood pressure (10 per cent) compared to 39 per cent of persons in the lowest income bracket; and blacks and other races (minorities) were more likely to have been diagnosed with high blood pressure (37 per cent and 38 per cent respectively) compared to whites (25 per cent). High blood pressure should be of concern for everyone as it can lead to damage to your arteries, heart and brain. It might seem normal if most people around you have it; but it isn’t normal or healthy. Talk to your doctor to get
TIME TO QUIT: Twenty per cent of men smoke in Bermuda compared to only 9 per cent of women. Smoking has risk factors that include high blood pressure and other chronic diseases. on the right track. High cholesterol also affects those in the lowincome bracket (51 per cent) more than those in the highest income (21 per cent). In terms of chronic conditions persons with a higher level of education (ie university degree or higher) were less likely to have been diagnosed with a chronic health condition. To add to this, the new year concerns must include
the “elephant in the room”: obesity. Overall 68 per cent of Bermuda’s adults are overweight or obese and those aged between 40 and 64 are the most likely to be overweight compared with younger adults (18-39) and seniors. The good news is that all of these things can be changed. Unlike fixing the economy, it is possible to reverse these trends with
some small (and some not-so-small) individual changes. The report found five areas where Bermuda can achieve improvements: Smoking: 14 per cent of us smoke and it’s time to put down the cigarettes. One segment of the population may need to work on this a little more than others: men. According to the Report, 20 per cent of men smoke some days or every day, compared to 9 per cent of women. Smoking is one of the risk factors in high blood pressure, angina and other chronic diseases. Alcohol: At 35 per cent, younger adults aged 18 to 39 were over three times more likely to binge-drink than seniors (4 per cent) and almost double the rate of 40 to 64 year-olds (19 per cent). Those in the highest income bracket and education level were most likely to report binge drinking ––
1 2
■ GRAPH SUPPLIED
THE GRAPH above shows condom use by singles.
See HEALTH, page 15
THE BERMUDA SUN
HEALTHCARE DIRECTORY: A SPECIAL ADVERTISING SUPPLEMENT
HEALTH New Year’s Resolution:
Drink more water! This is the time of year when we get back on track to healthier eating and exercise. Pure Water is great tasting and an environmentally responsible choice. Start your 2014 with Pure Water Taste the Pure Difference
Continued from page 14 39 per cent and 26 per cent respectively. Fruits and vegetables: Eat more of them! Nearly one in three adults in Bermuda reported having less than one serving of fruits per day. The recommendation is five a day. Nearly one in ten reported having less than one serving of vegetables per day. Adults aged under 40 are nearly three times more likely than seniors to have less than one serving of fruits per day; and over three times more likely than seniors to have less than one serving of vegetables per day. Exercise: Get some! Seniors and the middle-aged are more likely to engage in moderate activities than adults aged under 40. However, they are less likely to engage in vigorous activities, and 7 per cent of under-40 adults exercise vigorously five or more times a week. Safe sex: Should be the only option. Only half of single adults in Bermuda said they had used a condom the last time they had sex. (See Graph 1, opposite.). Use of condoms reduces the risk of sexually transmitted disease (STD) and HIV transmission. This result is a strong indicator of sexual risk tak-
3
4 5
JANUARY 17, 2014 ■ 15
Bermuda Health Council Established in January 2006, the Bermuda Health Council (BHeC) is tasked with regulating, coordinating and enhancing the provision of health services in Bermuda. Led by a board representing a broad range of sectors in Bermuda’s community, and staffed by a team of committed professionals, the Bermuda Health Council works with health system stakeholders towards a quality, equitable and sustainable health system for the Island. ing, which was more prevalent among older adults. While younger adults were more likely to have multiple sex partners, they were also more likely to use condoms. Older individuals had fewer sexual partners, but they were less likely to use a condom. This is a concerning statistic as worldwide the number of STDs in older adults has grown. So there you have it: the SAFES recommendations. If we each tackle our own behaviours regarding Smoking, Alcohol, Fruits and veg, Exercise and Safe sex, we’ll be well on our way to a brand new you for years to come. ■
FOR MORE information and results from the Health Disparities Report 2013, visit our website: http://www. bhec.bm/reports-studies/.
Did you know Pure Water costs less when collected at our plant! 32 Parsons Lane, Devonshire Tel: 236-1288 Fax: 236-7784/299-2837 E-mail: purewater@bwl.bm Web: www.bwl.bm A DIVISION OF BERMUDA WATERWORKS LIMITED
■ ISTOCK PHOTO
EAT THE RAINBOW: Eat more produce to stay healthy.
16 ■ JANUARY 17, 2014
HEALTHCARE DIRECTORY: A SPECIAL ADVERTISING SUPPLEMENT
THE BERMUDA SUN
Bermuda Hospitals Board service directory Bermuda Hospitals Board provides a range of services that will benefit patients following a cardiac event, a stroke and other related health issues.
Cardiac Rehabilitation Services treats patients following a cardiac incident and includes Heartline, a fourweek education course, and a six to twelve-week Cardiac Exercise programme that teaches safe exercising and heart monitoring. Physical activity education, stress management and nutrition counselling are included. This service is covered by insurance and requires a physician referral. ■ Monday to Friday at specific times Heddington Gym, First Floor, King Edward VII Memorial Hospital CONTACT 239-2114 for more details. Pressure Point is a fourweek course designed for patients with high blood pressure, as well as those with pre-existing conditions such as stroke, heart disease or diabetes. Topics cover understanding blood pressure, good nutrition, medications and the impact of exercise and stress. This service is covered by insurance and requires a physician referral. Chronic Disease Centre, Fairview Court, Devon Springs Road, Devonshire. CONTACT 239-2027 for details. The Rehabilitation Day Hospital offers an eightweek outpatient programme for people who have had a stroke and includes physiatry, physiotherapy, occupational therapy, speech and language therapy, clinical dietetics, medical social work and clinical psychology. This service is covered by
■ FILE PHOTO
THE ENTRANCE: of King Edward Memorial Hospital. insurance and requires a physician referral. ■ Monday to Friday, 8.00am to 4.00pm Rehabilitation Day Hospital, First Floor, King Edward VII Memorial Hospital CONTACT 239-1180 for more details. Outpatient Rehabilitation Single Services include physiotherapy, occupational therapy, speech and language therapy, clinical dietetics and clinical psychology. Home therapy can be provided by a clinical psychologist and speech and language pathologist after an initial evaluation. This service is covered by insurance and requires a physician referral. ■ Monday to Friday, 8.00am to 4.00pm Heddington Gym, First Floor, King Edward VII Memorial Hospital CONTACT 239-2114 for more details. Fall Prevention and Staying Steady Group provides treatment for people who
have had a history of falling or who are afraid of falling. The group runs from six to eight weeks for two hours per week. This service is covered by insurance and requires a physician referral. ■ Tuesdays and Thursdays, 2.00 to 4.00pm Rehabilitation Day Hospital, First Floor, King Edward VII Memorial Hospital CONTACT 239-1180 for more details. Mood and Memory Clinic is designed for people who may be showing signs of dementia. Our consultant Geriatrician and clinical psychologist advise on appropriate investigations and provide treatment options. This service is covered by insurance and requires a physician referral. ■ Thursdays, 9.00am to noon Rehabilitation Day Hospital, First Floor, King Edward VII Memorial Hospital CONTACT 239-1180 for more details. Outpatient Dietetic Service
Registered Clinical Dietitians provide nutrition screening, assessment, intervention and counselling for outpatients, helping them adapt to diets appropriate to their medical needs. This service is covered by insurance and requires a physician referral. ■ Monday to Friday, 8.00am to 4.00pm Outpatient Physiotherapy Department, Ground Floor, King Edward VII Memorial Hospital CONTACT 239-1603 for further details. Wheelchair Clinic A physiotherapist will assess, measure, prescribe and fit people with new, existing or changing wheelchairs, Initial assessment and review covered by insurance; 80 per cent cost of wheelchair covered by insurance. Physician’s referral required. ■ Wednesdays, 1.00 to 3.00pm Heddington Gym, First Floor, King Edward VII Memorial Hospital CONTACT 239-1299 for more information.
www.bfm.bm
Whether you are self-employed, part of a small business or enrolled via a big company, good health cover is critical. That’s why BF&M offers several benefit-rich plans to suit your needs like dental coverage, vision care, prescription drug plans, major medical benefits and unlimited access to our on-line wellness programme, Wellness Matters.
insurancematters
112 Pitts Bay Road, Pembroke HM 08, Bermuda
BF&M LIFE