JULY 2013
HEALTH CARE
Directory2013
Part 3
www.hamiltonmedicalcenter.bm 9 Victoria Street, Hamilton HM 11 Behind the City Hall car park, less than 1 block from Hamilton Bus Terminal
Convenient location. Practical hours. COLA Accredited Laboratory.
Convenient HOURS Monday to Friday
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A Family Medical Practice Plus A Walk-in clinic for Medical Blood Tests & for TCD Physicals • No appointments required • Portuguese speaking staff on hand for translation
TEL 400-8378 FAX 295-9935 Accounts 495-4126 Dr. J.J. Soares MB.,BS. (Oxford), B.Sc. Hons. (McGill) 495-5745
Unable to get to a Lab to do your blood test? We can come to your own home, nursing home or place of employment. Just call us to make arrangements.
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Healthcare Directory Explore some alternatives this summer a special advertising Supplement of the bermuda sun July 5, 2013 page 1
Alternative medicine is growing in popularity in Bermuda, with more and more practitioners offering various treatments and services. But how does it work? In this edition of the AMANDA DALE Bermuda Bermuda Sun Sun’s Healthcare Directory we talk to John Fletcher of Peak Performance Professionals to discuss energy therapy and the benefits it can bring to you. Mr Fletcher says holistic healing can bring someone back to “wholeness, health and alignment” without any
invasive surgery or sideeffects from medicine. Read about his techniques, inside. Also in this edition, we focus on air quality and improving your home environment for asthma sufferers. Stephen Savage of Efftech explains how filtering the air in your home can remove particles and contaminants that trigger the condition. He recommends Mitsubishi Electric Cooling & Heating Systems to keep your air clean and healthy. Michele Smith of OBMI Bermuda also gives useful tips and advice on how to help children to breathe easier in the home. July is ‘Mosquito Awarness Month’ but in
Bermuda we have one of the best prevention programmes in the world, making bites rare for most island residents. Armell Thomas, programme manager for Vector Control/Port Health, explains how his team ‘search and destroy’ the tiny bloodsuckers, inside.
Replenish This month is also ‘Seniors’ Month’. Tawanna Wedderburn of the Bermuda Health Council explains the ‘what, where and how’ of long-term care, to ensure you get the service and care you need. Elsewhere in this supplement there is advice on how to handle anxiety attacks. Did you know that one in 10 people will have a panic
attack in their lifetime? Dr Shawnee Basden of the Bermuda Hospitals Board explains what causes them and how to get them under control. We also bring you advice on a healthy diet. Did you know that most foods labeled ‘low fat’ are much higher in sugar? The Bermuda Diabetes Association offers advice on cutting sugar from your diet, inside. Stephanie Simons, head pharmacist at Lindo’s Pharmacy in Devonshire, also explains the importance of daily vitamins in replenishing our bodies’ nutrients. Stay healthy this summer with a balanced diet, regular exercise, rehydration and lots of sunscreen. n
Inside this supplement How holistic healing can restore balance to your mind, body and spirit — an interview with John Fletcher of Peak Performance Professionals Pages 2-5 How poor air quality can affect your health, and what to do about, by Stephen Savage of Efftech Page 6 Exert your right to choose, by the Hamilton Medical Centre Pages 6 and 8
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.
Mosquito Awareness Month: How Government’s Vector Control team are ‘fighting the bite’ Pages 9 and 16 Seniors’ Month: Long-term care, by Tawanna Wedderburn of the Bermuda Health Council Page 11 How to deal with panic attacks, by Dr Shawnee Basden of the Bermuda Hospitals Board Page 13 Why you should cut sugar from your diet, by the Bermuda Diabetes Association Pages 13 and 15
Publisher Randy French President Lisa Beauchamp Editorial Amanda Dale Layout Amanda Dale Advertising Sales Carlita Burgess (deputy advertising manager), Larissa French, Diane Gilbert, Claire James Creative Services Christina White, Colby Medeiros Circulation & Distribution Michelle Furbert
How to help children avoid asthma attacks, by Michele Smith of OBMI Bermuda Pages 14 and 16 The importance of taking daily vitamins, by Stephanie Simons of Lindo’s Pharmacy Page 15 Coppertone beach volleyball tournament raises money to fight cancer 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
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Healthcare Directory: a special advertising supplement
THE BERMUDA SUN
n alternative medicine / Holistic healing
Restore your balance with energy therapy By Amanda Dale adale@bermudasun.bm
Increasing numbers of people are turning to alternative medicine as a means of treating various ailments and issues in their lives. In Bermuda we are fortunate to have a wide variety of practitioners in this field, which ranges from Reiki to Brazilian light energization, to RoHun and Crystal Sonic Rejuvenation. John Fletcher has been a practitioner of holistic healing, or energy therapy, for four years in Bermuda. Mr Fletcher has 18 years of training and established his own holistic healing service, Peak Performance Professionals, a year ago.
What is holistic healing? Holistic healing aims to bring someone back to “wholeness, health and
alignment”, according to Mr and the Planck field (named Fletcher. after Professor Max Planck “The basic concept is that who discovered it). So that our most fundamental founis the space itself. dation is actually energy as “They also called that opposed to matter,” he said. Zero Point. What’s inside “Since our core is actuthis ‘nothing’, this space, is ally energy, practitioners actually information and of holistic healing can use energy. energy to help to “The theory is that transform the mind, when dealing with body and spirit. every element — “Holistic healing whether physical, blends in well with mental, emotional, ‘modern medicine. spiritual, physical or My techniques comphysic/empathetic bine psychology, — all of our ailments quantum physics actually have enerfletcher and energy manipugetic contributions lation. and causes. “Scientists exploring “The most powerful genquantum physics have erator of electro-magnetic concluded that space itself frequency is the brain, and — the space between atoms then the heart. So, physical and electrons — is actually ailments are also symptoms information and energy. An of energetic distress or atom contains protons, elecblockage. trons and neutrons, but also “When someone takes quarks, particles, waves some medicine, herbs or
food, every single atom of this has a frequency. “Molecules, cells, tissues and organs; our bodies, and everything we sense with our five senses; the reason we can sense them is because they have a frequency. “The physical things we can sense are actually slowmoving energy. This is the basis behind energy therapy/holistic healing.” “My techniques combine psychology, quantum physics and energy manipulation.” Mr Fletcher employs two techniques — EFT (Emotional Freedom Technique) and the Midas Touch Method. EFT is a combination or Shiatsu (acu-pressure) and psychology, which “helps to identify and release the See energy, page 3
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energy: How natural therapies can relieve your ailments Continued from page 2 emotional causes of symptoms”. The Midas Touch Method combines chi or qi energy (energy used in martial arts such as Tai chi or Chigong). “I also use a combination of the Yuen Method, NLP and Law of Attraction techniques,” said Mr Fletcher.
Benefits “The benefits of holistic healing/energy therapy are that, first of all, it gets to the true source of the symptoms of an illness, and the second thing is, it brings the body back to wholeness and balance. The third thing is, there are no side effects,” he said. “When the mind, body and spirit are in alignment, people are completely whole. This also has to do with the Law of Attraction. “If someone is not in alignment, even though they are taking physical actions, they will not achieve their goal. They are not in the right vibration on a consistent basis.” He explained being ‘not in alignment’ as, “when a person has a higher quantity and intensity of negative thoughts or mental pictures about what they are trying to accomplish”. Mr Fletcher also runs a carpet cleaning business, Abu’s Carpet & Upholstery Cleaning. He grew up in Houston, Texas, and said his mother also had a keen interest in psychology and sociology. “At a very young age she was teaching the family all about psychology, meditation and self-help,” he said. “I then enjoyed psychology in high school and started reading books on how to achieve your goals, on body language and the basics of psychology, including Sigmund Freud. “In college I was introduced to a field called Neuro-Linguistic Programming, or NLP, popularized by Anthony Robbins.
n Photo supplied
consultation: John Fletcher and a client discuss addressing issues with energy therapy.
‘Since our core is actually energy, practitioners of holistic healing can use energy to help to transform the mind, body and spirit.’ John Fletcher Holistic healer
“That was an eye-opener for me because with it I could decode my own patterns and habits, both mentally and physically, and help others to decode and change their habits. “The other important thing was that I also learned how to ‘model’ other people. Once you decode someone’s habits you then have a ‘recipe’ and can then modify it to create similar results.” He explained modeling behaviours as, “finding out a person’s ‘recipe’ of thoughts, mental pictures, words, steps and actions, as they perform the behaviour you want to emulate”. “It is putting yourself completely in someone else’s shoes, as if you were them. By doing so and
adjusting the ‘recipe’ to suit your own personal style, you can quickly produce similar results,” he said. After college Mr Fletcher continued to study the field of psychology and NLP. He said: “In 2008 in Houston I met a master practitioner of NLP, Victor Escalante. He was a life coach and inspired me to become a life coach. “NLP, to the best of my knowledge, is the fastest and most comprehensive way to change identity and ‘model’ behaviour. “It’s one of the fastest resistance removal techniques and is excellent with helping to overcome phobias, addictions, recurring physical ailments, self-esteem issues and even
relationship problems. “But to bring instant healing to someone’s mind, body and spirit, you need years of application and study with a master practitioner.” Mr Fletcher added: “NLP led me to discover something called the Yuen Method, that utilizes chi energy. “I began using this in early 2010, with phenomenal results. I’ve helped pregnant women get over morning sickness, healed migraines within 15 minutes and I’ve helped to bring resolution and forgiveness to many people troubled by issues from the past. “I’ve helped to cure back problems, reduce high-blood pressure and help clients’ metabolism. I’ve relieved anger issues and removed phobias and addictions, such as smoking, alcohol and chocolate. “Phobias can be anything from a fear of spiders to fear of success or failure. “One of my clients had an incredible fear of cockroaches. Since part of her house was under construction, roaches were getting inside and flying around, and she wouldn’t go home. “But I managed to remove the phobia and helped to empower her. See energy, page 4
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“I help to remove the road blocks, whether they are mental, physical, emotional, spiritual or other. Mr Fletcher said he believes most illnesses are a result of negative energy/ emotions, such as hate, anger, stress or depression. “Once these issues are resolved and the person forgives, or moves on, then the body recalibrates itself from its fighting state,” he said. He has also treated people with cancer, and believes holistic healing brings more benefits than traditional medicine, as there are “no side effects”. “Every time someone has surgery, the body interprets the surgery as a trauma, and reacts with ‘protective measures’ such as swelling and inflammation. Pharmaceutical medicines can also have potential side effects, and sometimes the body has to recuperate from the medicines themselves. “I hope the general public will become more aware of the amazing alternative healing techniques that are
Continued from page 3 “Now she is comfortable at home and doesn’t flee when she sees a cockroach.” Mr Fletcher started practicing energy therapy in Bermuda in 2009. He is certified in EFT and has also taken holistic healing training courses such as Reiki. “I help to remove people’s energy ‘blocks’ and ‘limiting beliefs’. This can lead them to manifest money, new jobs, careers and opportunities, and so on.” Although Bermuda is a religious country, most people are open to the concept of energy therapy, said Mr Fletcher. “My holistic healing techniques integrate well into religious beliefs,” he said. “Occasionally I will receive a concern or objection, but my general answer is that this is just another tool to employ in order to help someone to become the best person they can be.
available here in Bermuda. “Once people have had a session they are usually so amazed with the results that they tell their friends and family members.”
How does holistic healing work? Mr Fletcher’s treatment sessions can last from just 10 minutes to up to threeand-a-half hours, but are an hour in length on average. He gave an example of how one of his techniques, EFT, works. “With EFT, a client will give me a ‘target’ of what they want to work on, for example, a phobia of spiders. “They will have stronger subconscious and conscious negative thoughts of spiders than positive ones, and their subconscious mind tells their conscious mind to recognize that this issue or phobia needs a resolution, by producing the feeling of fear. “Once I know the target I ask the client to tell me on
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a scale of 0 to 10 — 10 being the highest level — how strong the phobia is. “I then get them to visualize where in the body they feel the discomfort, because this may be different for everyone. “I then get them to visualize the discomfort by giving it a colour, size and shape. This brings their subconscious references to the conscious mind. “Then I start ‘tapping’ on their (physical) meridians, while telling them to repeat ‘reminder phrases’ such as, ‘I completely release and let go of this fear of spiders’.” Tapping involves using his hand to tap, or pat, someone on the head or another part of the body where key meridians are located. At the same time the person is encouraged to think of how the ‘target’ makes them feel, and to repeat the reminder phrase. “As I tap I ask the client to repeat after me the phrase ‘ I release and let go of this See energy, page 5
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Healthcare Directory: a special advertising supplement
energy Continued from page 4 phobia’, and ‘It’s safe to let it go now’,” he said. “The tapping helps to move toxins and ‘blocks’ from the body. When someone is opposed to, or in conflict with something, they produce chemicals that have receptor sites on cells. This gives the person a physiological effect which the brain perceives of as an emotion. “Meridians are connected to the nervous system and subconscious mind,” said Mr Fletcher. “As the person ‘feels’ their phobia and generates negative bio-electrical distress, we tap on the meridians to send positive energy through their body. “The vibration over a particular issue changes from negative to positive and this leads to the person’s manifestations changing, such as money, health and relationships. “If someone is no longer
‘Once the phobia or manifestation is changed, it doesn’t come back at the same intensity.’ john fletcher Holistic healer
angry at their spouse or partner, or another person connected to an issue, then they will no longer generate negative energy. This therefore leads to more positive energy, and improved health and manifestations.” Mr Fletcher said: “I use the ‘reminder’ phrases in the hope that the positive energy will start to displace the negative. When it does have an impact, the person physically feels the difference. “Because their subconscious references have changed, their conscious
ones will also change in intensity, in colour, shape and size.” He will describe another scenario involving the person’s phobia or issue and then ask them how they feel about it on a scale of 0-10. After the tapping, usually the number given in response is lower in strength relating to the fear or anxiety. “Once the phobia or manifestation is changed, it doesn’t come back at the same intensity,” he said. “If it does come back it will be a weaker level of
July 5, 2013 n 5
intensity and duration. “Once the negative energy is reduced to a scale of three or less, the body and mind are now ready to accept and replace the phobia with a positive mental construct instead.” The brain recalibrates to a new balance. Mr Fletcher said: “Many medical experts agree that most of our physical ailments are caused by stress, depression or low selfesteem. “There’s a Bible phrase which states, ‘As a man thinketh in his heart, so is he’. “The subconscious mind focuses your beliefs, and manifests accordingly.” n
Contact Mr Fletcher on 531-1001 or e-mail peak. performance.profs@gmail. com. He also works with groups and companies to lower stress levels, decrease sick days and increase productivity. Website www. peakperformanceprofs.com or ‘John holistichealer’ on Facebook.
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THE BERMUDA SUN
How air quality can affect your health By Stephen Savage Efftech
Home sweet home isn’t so sweet when poor air quality affects your health. And since air quality inside our homes is often worse than the air outside, this happens more frequently than many people realize. Poor air quality inside the home can be caused by chemical vapours from things such as carpets and furniture, and from dust, mould (often made worse by Bermuda’s humid climate) and animal dander. Common physical signs of poor indoor air quality include headaches, fatigue, congestion, coughing and sneezing, dizziness, nausea and for allergy and asthma sufferers, worsening symptoms.
Filtration And that is a big concern. According to Open Airways, Bermuda has one of the highest rates of asthma in the world, affecting 9,000 people. It is the most common long-term condition on the island and Bermuda Hospitals Board reports that up to 2,000 people a year are treated in Accident & Emergency at KEMH (King Edward VII Memorial Hospital) for breathing difficulties related to asthma. The airways in a person with asthma are sensitive and react to a variety of ‘triggers’. This can vary from person to person but they
n Photo supplied
protection: Ultra-violet light can destroy mould and is available in Mitsubishi air conditioning systems. include infections, exercise, weather, and allergens such as dust, dust mites, pollens, pets and mould spores. Thousands of us also suffer from allergies, an abnormal response of the immune system, which can be worsened by the same allergens, many of which are regularly found in our homes. So many of us suffer from reactions to the air at home, but this can be managed by addressing the source of the trigger or allergen, and through the effective use of filtration and ventilation. Have carpets and rugs professionally cleaned a few times a year so that mould and dust don’t settle on the fibres. Keep the rest of your house clean, especially the shelves and closets where dust and mould can linger. Clean under beds regularly
and air out bedding. Filtering the air in your home to remove airborne particles and contaminants is also a significant step in reducing asthma symptoms and allergic reactions. Fortunately this is easy; most homes in Bermuda use air conditioning to keep the environment cool and to reduce humidity. Many of today’s air conditioning systems provide advanced filtration systems. Popular options, such as Mitsubishi Electric Cooling & Heating Systems, offer sophisticated multi-stage filter systems to trap dust, pollen, mites and other particles, and to reduce germs, bacteria and viruses. These units use continuous fan operation which ensures good air circulation and ventilation. Beyond the filter, air conditioning units can attract
and grow moulds on and near the cooling coils and blowers inside the machine. Ultra-violet light, a wellproven weapon against germs and moulds, is available in Mitsubishi split air conditioning systems. This adds an additional layer of protection against allergens and asthma-inducing particles, by attacking them in these hard to reach places, so all of the air coming out of your air conditioner and heating system is clean and healthy. However, your system will only keep your air clean if you keep it clean. Again, this is easy with the popular models in Bermuda, such as the Mr Slim split units, because they feature easy-to-clean filters. Clean once a month and service as recommended and these systems will keep you breathing easy for years. Managing the air quality in your home to reduce allergic reactions and asthma symptoms is easy with today’s technology and a few simple steps, and it can make time spent at home significantly more comfortable, healthy — and sweet, as it should be. n
Stephen Savage is the sales and marketing manager at Efftech. He has more than 23 years’ experience in heating, ventilation and air conditioning (HVAC) and in refrigeration. For more information call 249-3570 or e-mail ssavage@efftech.bm.
Exert your choice at the Hamilton Medical Centre Supplied by the Hamilton Medical Centre The motto of the Hamilton Medical Centre is service, service, service! The centre is dedicated to bringing both convenience and confidence to blood testing. We believe patients
should have some degree of autonomy and insist on the right to choose when and where they wish to have their blood testing done, on the basis of what is convenient for them. Traditionally, when the average patient in Bermuda is told to have a blood test by their doctor, they are essentially given no choice
as to where that test can be taken. Typically they are directed to the hospital or to their doctor’s own laboratory. The Hamilton Medical Centre strives to create a pleasant environment with a North American feel. We believe the choice on where to have a blood test or any medical investiga-
tion should be yours. The Hamilton Medical Centre is situated in the centre of Hamilton (behind City Hall car park) and no appointment is necessary — just pop by with a blood request form from your doctor. You will be seen quickly See blood, page 8
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Healthcare Directory: a special advertising supplement
How to Drink responsibly Submitted by the Research Unit, Department for National Drug Control
In Bermuda, alcohol has become engrained into our social culture. For those who enjoy drinking, it is essential to understand how to drink responsibly and stay within your alcohol tolerance level. Maintaining a level of self-control and staying responsible while drinking alcohol is within everyone’s ability, whether at a party, at the bar, or elsewhere. Drinking responsibly is about enjoying alcohol rather than letting it take control of you. Hints to Help you drink responsibly: 1. Know your limit. 2. Eat food while you drink. 3. Sip your drink. 4. Accept a drink only when you really want one. 5. Cultivate taste. Choose quality rather than quantity. 6. Skip a drink now and then. 7. When drinking out, if you must drive home, have your drinks with a meal, not afterwards. 8. Beware of unfamiliar drinks. 9. Make sure that drinking improves social relationships rather than impairs them. 10. Appoint a designated driver. 11. Avoid drinking mixed drinks on an empty stomach on a hot day. 12. If you know that you will have to drive after consuming alcohol, limit your consumption to no more than one drink an hour. 13. Upper limit of drinks for males is 21 and for females is 14 drinks per week. Most studies suggest that these limits are safe for your health. In older individuals, moderate drinking may help prevent against heart disease. This amount, of course, is spread out over a week’s period. This means for males no more than 2 to 3 drinks and for females 1 to 2 drinks per day, preferably with meals. When it comes to drinking alcohol, the key is doing so responsibly and in moderation. Certainly, you do not have to drink any alcohol, and if you currently do not drink, do not start! Enjoy the Summer and as you celebrate the Cup Match holiday; remember, if you drink, drink responsibly!
Suite 304 Melbourne House | 11 Parliament St. | Hamilton | HM 12 292-3049 | www.dndc.gov.bm
July 5, 2013 n 7
FACts 9 in 10 adults 16 – 65 years drank alcohol in their lifetime and 6 in 10 reported drinking alcohol in the 30 days prior to the survey. National Household Survey, 2009
2 in 3 adults 16 – 65 years said NO to having felt like decreasing the amount of alcohol that you drank. National Household Survey, 2009
7.6 million litres of alcohol and alcoholic beverages were in circulation for home consumption, whether from imports or removed from bonded warehouses; valued at $28.9 million. H.M. Customs, 2012
72 of 106 emergency room drug-related cases were primarily diagnosed as alcohol abuse and 11 as acute alcoholic intoxication. KEMH VII, 2012
About 1 in 5 reception inmates at the Westgate Correctional Facility said alcohol was connected to their current offence(s) and 1 in 4 said it was connected to previous offence(s). Drug Abuse Monitoring Survey, 2012
179 of 205 persons, who gave a brethalyser sample, when stopped, failed the brethalyser test. 63 persons were one to two times above limit, 96 persons, were two to three times above limit, and 19 persons were three to four times above limit. Brethalyser readings were as high as 330 vs. the legal limit of 80 (mg/100 dl). Bermuda Police Service, 2012
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insurance, including HIP and Future Care (with only a few exceptions). You won’t be required to pay anything out of pocket above what your insurance covers. We charge less to your insurance company than other laboratories, thereby providing a cost saving to the Bermuda healthcare system. When it comes to results, the centre will confidentially fax your results to your doctor within two to three hours on average. Our laboratory is fully accredited by COLA
Continued from page 7 by one of our highly-skilled phlebotomists (technicians). At our lab you won’t be a ‘pin cushion’! Our highlytrained staff know that a blood test can be a stressful experience. That is why it was a priority for us to select only the most skilled phlebotomists to do the job. The Hamilton Medical Center is open from 6:45am to 5:30pm, and from 9am to 1pm on Saturdays. Your blood tests are completely covered by medical
(Commission on Office Laboratory Accreditation), one of the most respected laboratory accreditation bodies worldwide. We also have Portuguesespeaking staff and walk-in TCD (Transport Control Department) physical examinations. No more waiting until next week for an appointment with your doctor; just walk in. The Hamilton Medical Centre has TCD forms on hand and will do your TCD medical instantly. The Hamilton Medical Centre also performs drug screening, STD (sexually
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transmitted disease) testing, paternity testing, immigration physicals, as well as life insurance and health insurance medicals. The next time you have to do a blood test why not try out this new way of doing medicine? You may have to persuade your doctor a little, but remember, the choice is yours. n
Hamilton Medical Centre, 9 Victoria Street, Hamilton. Telephone 4008378. Website www.hamiltonmedicalcenter.bm
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n july / Fight the Bite — Mosquito Awareness Month
Taking the sting out of mosquitoes By Amanda Dale adale@bermudasun.bm
July is Mosquito Awareness Month but in Bermuda you could be forgiven for asking, “What mosquitoes?” The island has one of the most proactive prevention programmes in the world and bites are rare fo residents. Armell Thomas, the man in charge of keeping the mosquito at bay, told the Bermuda Sun: “Bermuda is unique in terms of our people and culture, and also when it comes to vector control — especially mosquito control. “We have one of the best control systems in the world, something many people have tried to duplicate.” The size of Bermuda is also an advantage in keeping the tiny bloodsuckers under control.
Deterrent “Because the island is only 21 square miles in size, it is just the right size to capture and handle any mosquitoes,” said Mr Thomas. “In Bermuda we are not considered a Third World country. Mosquitoes are a bigger problem in some of the Caribbean islands which are a little less developed and which don’t have screens on their windows.” Mr Thomas, programme manager for Vector Control/Port Health, said the Government of Bermuda also placed an emphasis on education. “We educate the public constantly; my team go into all the schools and speak to the children,” he said. The main weapon however, in deterring any outbreaks is the 600 or so ovi-traps placed around the island. The traps contain stagnant water and ‘paddles’, on which female mosquitoes lay their eggs. Each week, Mr Thomas’ team go around collecting the paddles from inside the
n mct graphic by laurie mcadam
protection: Mosquitoes are not a big problem in Bermuda but space sprays and repellent will help to keep you bite-free. traps in order to remove them from the water. Mr Thomas said: “These traps are 12 ounce cups which are very dark and filled halfway with water. The paddles placed inside create an environment for the mosquitoes to grow. “Once we take the paddles out we can see what kind of mosquito is present, from their eggs. And once they are removed from the water, the eggs will die. “We do this every week to prevent the eggs from hatching. We change the ovitrap system every Friday throughout the island. “We can have up to 60 traps in each parish.” Success in deterring mosquito outbreaks is down to being proactive rather than reactive, said Mr Thomas. “We don’t wait for people to complain about getting mosquito bites, we seek out these pests. “But if we have a serious outbreak, with a number of different eggs on a paddle, then we will bring in a team and go from house to house,
asking people to get rid of any standing water.” The Vector Control team are mainly concerned about the presence of aedes aegypti, the yellow fever mosquito which carries dengue fever. “This is very dangerous and so we try to ensure it is not breeding in Bermuda,” said Mr Thomas. “However, the last time we found an example of it was in 1998 in Pembroke. We have not come across it since. “The ovi-trap system lets us see what’s coming here, and how many eggs are growing in each particular area.” In addition to the weekly checks, the team of 20 staff will “comb the whole island” once a year, said Mr Thomas. They look for areas of potential problems, such as standing water and bromeliad plants, which hold rainwater. “These plants hold a lot of water in the stem and so mosquitoes breed inside them,” said Mr Thomas.
“We drill holes in the bottom of the plants so that if it rains, the water will then just then drain out. “We also try to get the public to keep their properties free of any outside containers that may hold water, such as buckets, old tyres and plant pots. “Even a discarded (cardboard) chip bag will collect water and can then cause issues, so that’s another reason why people shouldn’t litter.” He said: “A homeowner can take the following steps to prevent mosquitoes from breeding. “Dispose of outside plastic sheeting, containers, buckets and anything that holds water. “Don’t let water accumulate in your plant pots for more than two days. “Clean rain gutters of debris and remove any standing water in and around flat roofs and faucets. Also check for any leaks. “You should also change your bird bath, wading pool or ornamental pool water once a week, and drain puddles in swampy areas. “Without water, mosquitoes can’t survive.” Mr Thomas said his team avoids using chemical sprays due to Bermuda’s system of harvesting rainwater from roofs and down into water tanks. “We do have an insecticide we can use if there is an outbreak but I keep it in my ‘backpocket’ as a last resort,” he said. “Bermuda is unique in our prevention methods; that’s why we don’t do too much spraying,” he said. “We will only spray in certain areas, such as at a marsh, because of protecting local wildlife such as the tree frogs and to avoid chemicals from getting into people’s water tanks. “We are very eco-conscious and also have to avoid the possibility of any chemicals reaching the See mosquitoes, page 16
10 n July 5, 2013
Healthcare Directory: a special advertising supplement
THE BERMUDA SUN
THE BERMUDA SUN
Healthcare Directory: a special advertising supplement
July 5, 2013 n 11
n july / Seniors’ Month
The what, where and how of long-term care agencies is available at our Healthcare Directory, at www.bhec.bm.
By Tawanna Wedderburn Bermuda Health Council
Long-term care (LTC) refers to a variety of services which help to meet the medical and non-medical needs of people with a chronic disease or disability, who cannot care for themselves for long periods of time. In Bermuda, long-term care is primarily focused on seniors. According to the 2010 census, seniors represent 14 per cent of the population, or 8,683 people. Long-term care can be provided at home, within the hospital, in the community, or in assisted living or nursing care facilities. Services range from skilled level nursing and medical care, to low-level intermittent care, where nursing and other care services are available for shorter periods. Available services include residential and nursing care, respite, home care, day care, seniors clubs and centres, caregiver support groups, food and meal programmes, transportation and personal care services. Responsibility for these services and the delivery of care is shared by several Government departments, private agencies and charities.
What services are available? Bermuda has 18 residential care homes that cater mainly to seniors, including the Continuing Care Units at KEMH (King Edward VII Memorial Hospital), Lefroy House Care Community, Sylvia Richardson Care Facility, Summerhaven and private care homes. There are several group homes operated by the MidAtlantic Wellness Institute that provide long-term care for persons with cognitive disabilities. Bermuda Housing Trust manages facilities such as Ferguson Park and Elizabeth Hills, which allow independent living with supportive services.
How do I access services?
n Photo supplied
support: A variety of care options is available for seniors. The Department of Health offers day, respite, residential, nursing, recreational and environmental care and services through two multi-level care homes (Lefroy House and Sylvia Richardson). If you are at home, the Department has community nurses and home resource aides who deliver personal and nursing care services. There is also a complement of allied health services such as physiotherapy and occupational therapy. In addition, the Department’s care homes allow seniors living in the community and their caregivers to attend the recreational programmes. The National Office for Seniors and the Physically Challenged (NOSPC) offers a case management and
referral service that assists seniors to identify the services they need. Age Concern offers information and advice about long-term care resources that are available to families and their caregivers. Hardship support is offered for groceries, electricity, home repairs, prescriptions and food. Private community homes offer respite care, day care, nursing care and residential care. They are categorized into rest, semi-nursing and skilled nursing homes. Home care agencies provide professional healthcare services, personal care services (eg. bathing and grooming) and homemaker services such as housekeeping and meal preparation. A list of long-term care facilities and home care
Physician referral is required for access to some day care, residential and respite services. Your physician will make a referral to the Geriatric Assessment Planning and Placement (GAPP) team. The GAPP team serves as a single point of entry for care, and provides a comprehensive assessment. The assessment determines the level and type of services required and identifies suitable provider options. Assessments can occur in the patient’s home, hospital or any other setting the patient may be in. The Department of Health offers a range of free services that are also accessible via physician referral. Patients may access private facilities and agencies directly for all other types of long-term care such as day care, respite, home care, and support groups. Some agencies will require additional information from your physician to process the referral.
How do I pay for services? Many patients absorb the costs of care themselves; some benefit from Financial Assistance, limited health insurance benefits that cover skilled professional care in the home. The services offered by the Department of Health and the Bermuda Hospitals Board are paid for by the Government. Day care, respite care and residential care for war veterans or their widows may be covered by the Department of Social Insurance. n
Tawanna Wedderburn is the director of health regulations for the Bermuda Health Council. For more information contact 292-6420 or see www.bhec.bm
12 n July 5, 2013
Healthcare Directory: a special advertising supplement
THE BERMUDA SUN
THE BERMUDA SUN
Healthcare Directory: a special advertising supplement
July 5, 2013 n 13
n anxiety disorders
What to do when a panic attack strikes
By Dr Shawnée Basden Bermuda Hospitals Board
We’ve all experienced it — a sudden feeling that your heart is pounding so much it might leap out of your chest, along with feeling hot, dizzy and nauseous. You may write it off as being stressed, as something you ate, or feeling nervous about a presentation or social event, but when this happens more than once, you may worry that you are experiencing a heart attack or a nervous breakdown. Many people will go to Accident and Emergency (A&E) when experiencing these symptoms. Doctors will determine if you are having a heart attack. If this is ruled out, then they may conclude you have had a panic attack. Panic attacks often occur in the context of anxiety disorders and may occur randomly, without an obvious trigger. In fact one out of 10 people will experience a panic attack in their lifetime. Panic attacks account for more emergency room visits than any other psychiatric illness. Despite this, few people will go on to develop an actual anxiety disorder. When experiencing anxiety for the first time, it is important to assess if there may be any obvious causes, such as medications or a
medical condition. For instance, caffeine found in tea or coffee, as well as some tobacco products, can cause anxiety symptoms. Additionally, some prescription and non-prescription drugs, including steroids, asthma medications and some cough/cold remedies, can cause anxiety symptoms. Anxiety may also be associated with medical conditions, such as having an overactive thyroid (hyperthyroidism) or hormonal changes associated with the menopause.
Phobias As a result, it is always important when you are experiencing anxiety to speak with your doctor about your concerns. A complete and full assessment will rule out any medical or medication causes of anxiety. Anxiety disorders are the most commonly-occurring psychiatric conditions, and include panic disorder, social phobia, generalized anxiety disorder, posttraumatic stress disorder (PTSD) and specific phobias. Panic disorder is characterized by having panic attacks that can be triggered by situations or sensations or that may occur out of the
blue. As a result of these attacks, an individual may learn to avoid certain situations, such as crowds, to prevent an attack from occurring. Specific phobias involve anxiety related to triggers, such as flying, spiders or enclosed spaces. Social phobia is characterized by feeling fearful and sometimes avoiding social situations. Generalized anxiety disorder is characterized by excessive worry and associated agitation. PTSD is less common and perhaps the most complicated. It is associated with the experience of a significant trauma such as war, rape, or any situation where one’s life feels threatened. In the past this was referred to as shell shock or battle fatigue. Although anxiety disorders may look very different in their presentation, treatments for these conditions are typically the same. Your doctor or psychiatrist may prescribe an antianxiety medication or a psychoactive drug such as valium. However, it is important to only take these in the short-term as they can be very addictive and can worsen anxiety in the longterm. The best medications for
anxiety are the same that a doctor would give for depression; a class of medications called SSRI’s (selective serotonin reuptake inhibitors) such as Prozac. These are taken daily and after a two-week period, can lessen the experience of anxiety considerably. Psychotherapies, especially cognitive-behavioural therapy, have been shown to be the most effective longterm treatments for anxiety disorders. This treatment often involves facing anxietyprovoking situations and altering thoughts that might act to increase feelings of anxiety. It is important to note that not all anxiety is bad for us. We’ve all experienced anxiety, and in some ways it can help us to achieve more. Anxiety can save you from a speeding car by helping you to get out of the way quicker, and it can help you at work by encouraging you to make the extra effort. In the end, anxiety is a human experience. However, when it becomes persistent or starts to impact your life in a significant way, it is best to seek professional help. n
Dr Shawnée Basden is a clinical psychologist at Bermuda Hospitals Board.
n food and diet
Sugar is sweet but can ruin your health Supplied by the Bermuda Diabetes Association There are few things everyone agrees on, but a love of sugar is one of them. However, when 25 per cent of your population may have diabetes, this sweet tooth is a big problem. According to US medical expert Dr Robert Lustig, the amount of sugar hidden in
processed food and people’s healthy lifestyle choices. everyday diets has Sugar may taste increased significantgood but it offers no ly since the 1980’s nutritional benefits. and, in Bermuda, it’s Unfortunately, diets causing a diabetes that are high in epidemic. sugar cause probThe Bermuda lems in the liver Diabetes Association because there is a wants to give you limit to how much Dr lustig tools and informaour bodies can protion to prevent cess, like alcohol. diabetes and to nurture This liver disease causes
insulin resistance, a key factor in the development of Type 2 diabetes. The addition of sugar to 80 per cent of our foods makes them taste sweeter. Many foods that are labelled ‘low fat’ are much higher in sugar. Removing the fat reduces the flavour, so sugar is added to make See diabetes, page 15
14 n July 5, 2013
Healthcare Directory: a special advertising supplement
THE BERMUDA SUN
n asthma
How to help your children breathe easier By Michele Smith OBMI Bermuda
The Oxford English Dictionary says asthma is “a disease of respiration, marked by intermittent paroxysms of difficulty breathing with a wheezing sound, cough and expectoration”. That sounds awful. I do wish they would mention that it is treatable and that no one need suffer with such awful symptoms. One in five children in Bermuda have asthma – one of the highest rates of childhood asthma in the world. In the US, one in 10 has the condition. The first signs of asthma usually appear in childhood, and about 45 per cent of all children will cough and wheeze and be prescribed an inhaler. They do not all have
asthma but they do have asthma symptoms, because their airways are smith tiny. How do we know which children will go on to have asthma? There is no simple test for children and that is why your doctor may keep saying, ‘Let’s wait and see.’
Children at risk Those more likely to develop asthma are: n Children with a family history of asthma and allergies. n Children with other signs of sensitivity such as eczema. n Children with food allergies.
n Children who cough and wheeze with colds and viruses, and also in between in response to cigarette smoke, pets, cold air, etc. (Known as multiple trigger wheeze). n Children exposed to cigarette smoke especially before birth and in the first few months of life as their tiny airways develop.
The triggers There are five groups of triggers: n Allergens — including mould, dust-mites, pet dander, pollen, etc. n Irritants — household sprays, aerosols, cleaning products, fresh air sprays and plug-in air fresheners and perfume. n Infection — colds and flu viruses. n The weather.
n Emotions/stress. You can avoid some allergens by stopping the use of perfume, household sprays and chemicals. Keep seasonal allergens outside by having a ‘shoesoff’ policy to avoid tracking pollen into living spaces. Making sure that your windows and doors are properly sealed will go a long way to keeping the outside allergens outside. Make sure any venting to outdoors from the kitchen, dryer or bathroom vents have a screening cover to keep pests like mice and cockroaches from coming in. Their droppings can cause breathing irritations.
Banish mould and mildew Most major mould problems start in the basement See asthma, page 16
ARCHITECTURE • INTERIOR DESIGN • LANDSCAPE ARCHITECTURE
obm international • T +1.441.278.3561 • msmith@obmi.com • obmi.com
THE BERMUDA SUN
Healthcare Directory: a special advertising supplement
July 5, 2013 n 15
Why you need to take your daily vitamins By Stephanie Simons
Probiotics
Lindo’s Pharmacy
The human body needs to be replenished every day with a variety of vitamins and minerals. Conveniently, these nutrients are found in the foods we eat. A diet that includes vegetables and fruit, whole grain, lower fat dairy products, meat and alternatives will provide your body with all the vitamins and minerals it needs. The problem is that many of us still don’t eat enough nutrient-rich foods, and we may not even realize it. By taking note of the vitamins and nutrients your diet may be missing, you can adjust what you are eating, or enhance your diet with vitamin supplements.
Multivitamins Taking a daily multivitamin is an easy way to be sure you are getting the vitamins and minerals you need. Many basic multivitamins contain the 13 essentials: A, C, D, E, K, B1 (thiamine), B2 (riboflavin), B3 (niacin), pantothenic acid, biotin, B6, B12, and folate and minerals such as iron. Brands include One-ADay Women’s and Men’s multivitamins, Centrum and Centrum Silver, Seven Seas Multibionta and Nature’s Bounty ABC Plus.
Calcium and vitamin D Although most people drink lots of milk as chil-
diabetes Continued from page 13 these foods more palatable. This completely deletes the potential health benefits of reduced dietary fat. Because these foods taste sweet, we like them and buy more and eat more of them. You don’t have to be obese to get diabetes. Obesity in Bermuda is similar to US levels, likely because of our food environment where everything is imported. “In a Bermuda supermar-
Foods like yogurt and fermented foods naturally contain bacteria called probiotics. These bacteria are similar to the friendly bacteria normally found in your digestive system. Probiotics are also available as dietary supplements and may be beneficial for people with irritable bowel syndrome and diarrhoea. They are also useful to help restore the friendly bacteria in your digestive tract after a course of antibiotics. n Photo supplied
boost: Supplements can replenish your body with nutrients. dren, it’s a habit you may have grown out of as you became an adult. As a result, many adults lack sufficient calcium in their diet. In fact, you may be losing calcium. This is because the body needs a certain blood calcium level to stay healthy. When it drops below an acceptable level, the blood borrows it from the bones. Calcium contributes to bone and teeth strength and density. It keeps you from developing bone problems like osteoporosis and osteopenia. Some of the vitamin D you need comes from the food you eat, but most of it is made by your body after exposure to sun. Vitamin D is important for calcium absorption and the two nutrients are often
combined into one supplement. Viactiv, Caltrate and Citracal are popular brands that offer both nutrients.
ket it’s cheaper to buy a bag of chips than a mango,” notes Dr Lustig. “This is exactly the pricing structure that foments diabetes.”
this cost into a budget which is already stretched due to the cost of medications, health insurance, etc, can be a strain. Taking a walk after meals may lower the risk of Type 2 diabetes in seniors by helping to reduce spikes in blood sugar that occur after eating. A healthy diet and regular exercise not only helps to manage or prevent diabetes, but also helps to prevent common health problems associated with ageing. “The best way to avoid
Exercise Type 2 diabetes is often preventable, so awareness and education is key. Diabetes management for seniors can be challenging due to many issues. A not insignificant factor is the cost of fresh foods compared with the processed varieties. Factoring
Fish oil You may think that adding fat to your diet is a weight loss disaster, but omega-3 fatty acids play a big part in keeping the body healthy. They help to reduce the risk of heart disease and stroke as well as lowering blood pressure and cholesterol. Good, natural sources of Omega-3 fatty acids are found in coldwater fish such as salmon, herring, mackerel, sturgeon and anchovies, as well as in flax, walnuts and pecans. You could also consider an Omega-3 supplement, such as fish oil or flaxseed oil.
Dietary supplement safety In general, dietary supplements are safe. However, multivitamins and other supplements will not replace an unhealthy diet. Focus on eating healthy first. Also, ‘more is better’ does not apply to vitamins. Taking more than the recommended amount is ineffective and can even be harmful. Speak with your physician or pharmacist to choose the right formulation of vitamins that will help you achieve the best health outcomes. Don’t forget to tell them about all the supplements and medications you take, to avoid any adverse reactions. n
Stephanie Simons is the head pharmacist at Lindo’s Pharmacy in Devonshire. For more information visit Lindo’s at www.lindos.bm. diabetes is to eat real food,” says Dr Lustig. “What makes Bermuda unique is that most of the food is imported and highlyprocessed. Since Bermuda’s food goes through distributors, unhealthy food is promoted because it’s cheaper and easier to sell.” While everyone may love the taste of those sugary foods, it’s safe to say we’re all looking for a healthier and happier life. n
for more information visit www.diabetes.bm
16 n July 5, 2013
Healthcare Directory: a special advertising supplement
THE BERMUDA SUN
mosquitoes Continued from page 9 ocean. But the key to mosquito control is to seek and destroy, using traps. We try to eradicate the mosquito at the larvae stage.” The five species of mosquito found in Bermuda are: The aedes aegypti; the aedes albopictus, also known as the Asian or tiger mosquito; the culex, or house mosquito — the most common variety; the eastern salt marsh mosquito; and the black salt marsh mosquito. Only a female mosquito will bite, as she needs blood to provide the nutrients for her eggs. Mosquitoes will target animals first, followed by humans, said Mr Thomas. “There are 2,500 different species of mosquito around the world and in Bermuda we have five of them. You can tell which type they are from their bites.” If you do get bitten, Mr Thomas recommends applying baby oil or alcohol to the area to remove the itch. “There are all sorts of different products you can apply,” he added. Mosquito sprays and repellents are available at pharmacies, grocery and hardware stores across the island. “You can use space sprays
asthma Continued from page 14 or crawlspace and are caused by excessive moisture that wicks its way up through the house, feeding mould and mildew along the way. So you will want to take steps to prevent damp areas. Cleaning and disinfecting all surfaces regularly and using bath exhaust fans to remove the water vapour that can settle and create a breeding ground for mould and mildew will help. Also, launder kitchen and bath linens frequently, and be attentive to plumbing leaks that can lead to hidden mould issues. Closet heaters will help keep leather shoes form growing mould as the humidity rises.
‘... the key to mosquito control is to seek and destroy, using traps.’ armell thomas Programme manager, Vector Control/Port Health
to kill mosquitoes or repellents to prevent bites, and several products are effective,” said Mr Thomas. “All the insect repellents have to have an active ingredient, such as citronella oil, or you can try Avon (Skin-So-Soft) lotion. “If anyone has a water fountain at home, I also have some Aquataine I can give you to help to kill off any mosquitoes. “This is an oil-based product which spreads across the water, and it is safe for pets and children.” n
n Photo supplied
cover up: Coppertone protects your skin from the sun.
Players have a ball for charity By Amanda Dale adale@bermudasun.bm
Coppertone representatives Avarie Graham and Yannick Dill sprayed the players at Horseshoe Bay with sunscreen. Jenika McKinnie, brand manager, health and beauty, for BGA distributors, said: “The players look forward to this event every year. It’s a nice day out and is all for a good cause. “Coppertone is a broad spectrum sun block that protects you from harmful UVA and UVB rays which can cause sunburn, skin ageing and cancer.” n
This year’s Coppertone Co-ed Beach Volleyball Tournament raised more than $3,000 for the Bermuda Cancer and Health Centre. The annual event, organized by Coppertone and the Bermuda Volleyball Association is now in its fifth year. It is sponsored by the sunscreen brand to raise awareness of protecting your skin from the sun. Up to 80 players took part, each paying $40 to register. This included lunch, beverages and giveaways.
for advice on skin protection see www.coppertone.com
For allergy sufferers, carpet is just about the worst choice for floor covering. Carpeting tends to trap and hold allergens of all kinds, and is especially welcoming to dust mites. Wherever possible, replace carpet with wood or tile and use washable throw rugs. By doing so, you will banish 90 per cent of dust mites from a space. For children, keep the stuffed animals to a minimum or throw them in the freezer now and then to kill the mites and then wash them in cold water.
tral air conditioning, use it. Keeping windows closed and attic fans off minimizes the amount of pollens that can float into your house. You can also prevent the development of other indoor allergens like mould by keeping home humidity at about 55 per cent with the help of whole home dehumidifiers and inexpensive at-home humidity monitors. In Bermuda the cost of keeping air conditioning on all the time can be prohibitive so a good general clean of the house once a week and AC filter cleaning twice a year will keep your allergens down.
grabbing accents can all contribute to your allergy misery. Instead of filling your home with those materials, select washable slip-covers and pillow shams, cleanlined décor and a clutterfree design. Consider using Sunbrella fabric or an equivalent fabric on upholstered furniture as an alternative. While trying to eliminate dust and mould in Bermuda homes can seem practically impossible, paying attention to these tips for a cleaner home will be helpful in keeping your family breathing easy. n
Clean the air
Choose dust-free décor
Michele Smith is the managing director and interior designer of OBM International/Bermuda. Contact 278-3550.
For more information contact Vector Control on 278-5397.
Cut out carpet
Those soothing springtime breezes also carry allergens, so if you are lucky enough to have cen-
Just like carpet, the presence of upholstered furnishings, fabric-heavy window treatments and ornate, dust-
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