Home' Trinidad and Tobago Guardian : December 28th 2015 Contents A28
body & soul
Guardian www.guardian.co.tt Monday, December 28, 2015
THE BOARD OF INLAND REVENUE
WISHES TO ADVISE THE PUBLIC THAT
ALL ITS OFFICES WILL BE CLOSED AT:-
THURSDAY DECEMBER 24, 2015
THURSDAY DECEMBER 31, 2015
THIS INCLUDES THE OFFICES AT --
• TRINIDAD HOUSE ST. VINCENT STREET -- PORT OF SPAIN;
• VICTORIA COURTS - QUEEN STREET, PORT OF SPAIN;
• SOUTH REGIONAL OFFICE -- CIPERO STREET, S/F'DO;
• EAST REGIONAL OFFICE -- 6 PRINCE STREET, ARIMA;
• TOBAGO REGIONAL OFFICE -- VICTOR E BRUCE, FINANCIAL
COMPLEX, 14-16 WILSON ROAD, SCARBOROUGH, TOBAGO;
• ALL DISTRICT REVENUE OFFICES IN TRINIDAD AND TOBAGO.
NB: The Cashiers' Units at these offices will close at 11:00 A.M.
PAY YOUR TAX EARLY AND AVOID INTEREST
ANY INCONVENIENCE CAUSED IS REGRETTED
TAXPAYER RELATIONS SECTION
"Changing the way we interact with People!"
YOUR DAILY HEALTH
News and advice
Imagine your doctor knocking at your door to
give not just you, but your whole family, an annual
As well as taking blood pressure, checking hearts
and asking all sorts of questions about your job and
your lifestyle, this doctor is also taking careful note
of the state of your home, assessing anything which
could be affecting the health of you and your fam-
ily.This is what happens in Cuba and although it
might not go down well everywhere, it s a proactive
approach to healthcare that yields some impressive
In terms of having healthy people, the Cuban
health service outperforms other low and medium
income countries and in some cases, outperforms
much richer ones too.
Despite spending a fraction of what the United
States spends on healthcare (the World Bank reports
Cuba spends US$431 per head per year compared
with US$8,553 in the US) Cuba has a lower infant
mortality rate than the US and a similar life expectan-
cy.So how do they do it, and could other countries,
rich and poor, learn from the Cuban example?
World Health Organisation director-general Mar-
garet Chan certainly thinks so.
She has praised the preventative nature of the
Cuban health system and called on other countries
to follow the Cuban example.
Healthcare in Cuba is free and universal, enshrined
in the Cuban constitution as a fundamental human
right, guaranteed by the state.
And the foundation of their preventative health
care model is at primary care level, the family doctors
who oversee the health of those who live around the
And Cuba does have lots of doctors. To serve its
population of 11 million, the country has 90,000 of
them. That s eight for every 1,000 citizens---more
than double the rate in the US and in the UK (the
US has 2.5 doctors per 1,000, the UK 2.7 per 1,000
according to the World Bank).
And many of these doctors are based in neigh-
bourhood medical centres and, along with a nurse
and support from visiting specialists, they monitor
closely the health and wellbeing of every single Cuban.
Tanya Rosa de la Cuevas Hill is a specialist in com-
prehensive medicine and she runs a neighbourhood
clinic in Old Havana. Along with her nurse, she looks
after 334 families who live in the surrounding streets.
"Being a family doctor, I love it," she says. "The
first mission we have is to prevent illness. That s the
wonderful thing about my job. Prevention of diseases,
prevention of accidents, that s what I like best."
Key to the prevention model is the annual health
assessment, a full health check-up which every single
one of their 1,287 patients will undergo, often at their
And there s no getting out of it either.
"My nurse knows where they live," Dr Quevas Hill
jokes. "They can run, but they can t hide!"
The data from this check-up allows the family
doctor to put her patients into categories according
their "risk". If they re healthy, the annual check-up
is enough. But if they re showing signs of ill-health,
if they drink too much, smoke or have a continuing
health condition, they re seen much more regular-
ly.It s an integrated, whole-person approach to health-
care, perhaps too intrusive for some, but widely
accepted within Cuba. The aim is to stop people get-
ting ill in the first place.
According to Gail Read, executive editor of the
Prevention better than cure
in Cuban healthcare system
international health journal, MEDICC Review, Cuba
had to focus on prevention precisely because it is a
"It s much more cost-effective to treat hypertension
by exercise than to do a coronary by-pass," she says.
"It makes sense to go upstream, to catch the problem
before it begins or very soon afterwards."
So in this highly-centralised country, data is gath-
ered at the local level, fed up to the second tier of
healthcare, the neighbourhood policlinic. (BBC)
Cuba does have
lots of doctors.
To serve its
population of 11
90,000 of them.
That's eight for
than double the
rate in the US
and in the UK
(the US has 2.5
1,000, the UK 2.7
according to the
Links Archive December 27th 2015 December 29th 2015 Navigation Previous Page Next Page