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Issue 14 Cover Banner Sml 

Accident Prevention in Health

By Derek Emmanuel

Accident Prevention in Health... The term "accident prevention" can be loosely defined as "A set of precautionary measures taken to avoid possible bodily harm" (DOH 1993). Accidents may also include an unexpected and medically important bodily event especially when injurious, as in the case of a cerebrovascular accident or accidental heart attack ... The Ministry of Health's Annual Statistical Report (2004-2005), lists Diseases of the Heart as the number one cause of death in Trinidad and Tobago; accounting for 24.8 % of all deaths and 189.5 deaths per 100, 000 individuals (9). It is well known that great strides have been made in preventing and treating heart disease and stroke, causing the death rates from cardiovascular disease (CVD) to decline... Generally, in order to keep accident numbers at an acceptable level, accident prevention needs to shift from a reactive mode to a proactive mode... This approach includes knowing how to effectively use the many strategies available to achieve good health. Prevention costs less than expensive medical interventions, and in the long run brings more benefits...

The Climate Change Regime

By Howard Robin

... The issue of climate change is of global significance in context of its potential impacts as well as the strategies that are needed to address the phenomenon. This is evident in the high level of participation of individual countries as well as non-governmental organisations (NGOs) in the climate change regime... Many countries have recognised the need to address the issue of climate change.  However, their ability to influence a global policy varies due to their unique economic, political, technological and military capacity.  Some countries have been able to significantly influence decisions on international policy, while others have hampered or retarded the implementation of those policies.  Therefore, this inequity of economic and political power has encouraged political alliances to be forged...the presence of all these groups has positive implication especially for the least powerful political and economic states. The position and needs of these states would not have been heard if they were standing on their own. These states are able to make a more forceful statement by their numbers, using their collective resources and expertise and articulating their position through the most influential parties.

Exploring Performance-based Building and Fire Prevention Codes

By Stacy-Ann Balfour

... In the Caribbean, there is a lack of fire safety codes or fire prevention codes that specifically address the issue of fire prevention in different types of buildings.  Instead, fire safety issues are usually addressed within general building codes, which may not allow for thorough management of fire prevention issues. Moreover, these building codes are largely based on prescriptive international codes... The importance of building codes in Caribbean countries has already been established.  This fact is reflected in the creation of the Caribbean Uniform Building Code (CUBiC), as well as in efforts by the Caribbean Community (CARICOM)  Regional Organization for Standards and Quality (CROSQ) to develop revised Regional Building Standards and to encourage CARICOM member states to develop or revise their own building codes (Preparation of Revised Building Standards 2009).  Unfortunately, codes that emphasize fire prevention goals are significantly less prominent, and many of the building codes that include fire prevention issues are yet to become legal...

Stacy-Ann Balfour

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