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Shopping, work and walking the dog: over 75% don’t quarantine after travel

SINT MAARTEN/THE NETHERLANDS – Just 155 of 728 travellers questioned by the public health institute RIVM followed the quarantine rules on their return to the Netherlands from a high-risk country, health minister Hugo de Jonge told MPs on Tuesday.

The RIVM’s behavioural unit carries out regular research into attitudes to coronavirus and on how well the rules are obeyed. This survey involved over 47,000 people.

Quarantine is not yet enforceable by law, but people who have been in a high-risk country are supposed to self-isolate for 10 days on their return, or five days if they have a negative coronavirus test five days after they get back.

Reasons given by people in the survey for not complying with the quarantine arrangements vary from ‘getting some fresh air’ and ‘walking the dog’ to the need to go shopping – which was cited by seven in 10 respondents.

Three in 10 left home to work. Senators are due to vote on May 18 on legislation which will make quarantine compulsory. Just a handful of countries, including Australia, New Zeeland and Singapore do not feature on the Dutch high-risk list.

MPs have criticized the quarantine legislation, particularly the enforcement which will be done on the basis of telephone checks. People who break the rules face a fine of €339.

(DutchNews)

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MP Emmanuel: SMMC’s Australian Director has messy history, calls for appointment reversal

SINT MAARTEN (PHILIPSBURG) - Independent Member of Parliament (MP) Christophe Emmanuel on Tuesday revealed that the newly appointed Australian Director of the St. Maarten Medical Center (SMMC) Dr. Grant Muddle had what he called a “messy history” at his previous hospital tenure and called for the reversal of the decision to appoint him post haste.

“If this is the same person, reverse the decision not only on those grounds, but for the simple fact that this nonsense of appointing people from half way across the world over our own qualified people must stop,” MP Emmanuel said. “The entire board at SMMC has to go. They are there too long and they feel like kings in their own castle. They have no respect for the people of St. Maarten,” he said.

After Muddle’s name was released on Tuesday by workers of the hospital via the media, the MP conducted research into Muddle’s background and his last stint at the Angua Memorial Hospital in Papua New Guinea and found that the staff of that facility and their union protested to have him removed as CEO in January 2020 according to media reports in that country.

About 300 nurses, doctors and ancillary staff including corporate, medical and nursing services signed a petition demanding the Australian’s removal. The union explained that as an expatriate, Muddle had been appointed CEO of the hospital illegally which contradicted general provisions concerning hospital staff that limits the amounts of expatriates that could be appointed to functions in that country.

According to the media in Papua New Guinea, some of the allegations labeled against Muddle include mis-appropriation of hospital funds (failure to reimburse the hospital with funds which were paid to him as advance salary), breach of public service laws in that country, mis-management and unilaterally putting a stop to all training programs funded by the hospital, when training and further education is an important component in upgrading staff. He was eventually sidelined until a replacement could be found according to the media.

MP Emmanuel questioned if a proper background check was conducted into Muddle to determine the validity of these claims and if these issues were resolved before selecting him to run St. Maarten’s hospital. “With his history appearing to be very messy, especially when it comes to dealing with people, the MP said, how is it that an Australian, half way across the world is apparently the only person who knew about a vacancy for a hospital director on St. Maarten?”

“When and where was this vacancy advertised? And for how long was it advertised? How is it that nobody on St. Maarten knew about this vacancy? What are we doing in this country by continuously relegating our people as onlookers while others get the opportunities at top positions? This is not right and stifles any form of nation building and insulting the people of St. Maarten,” the MP said.

He continued: “Was the position even offered to Dr. Holiday who has been running SMMC for almost a year and a half? I can imagine that Dr. Holiday might not have applied when he realized that he did not have the support of the board. We couldn’t find any local professional to run and manage the hospital? What about Dr. Bell? What about Dr. Lloyd Richardson? What about Keith Franca? So many professionals we have on this island and we had to go to Australia? Well the same speed he reached here from Australia, should be the same speed he is returned to Australia. The Minister of Public Health Omar Ottley need to let him know a ticket is waiting for him.”

MP Emmanuel said the hospital board and/or the Minister of Public Health Omar Ottley cannot sit quiete on this one. “Answers must be given and that appointment must be pulled back and given to a local professional,” he said, adding that answers has to also be provided about the alleged golden handshake the former Director of the hospital received to the tune of NAf 500,000.

Emmanuel said this amount could balloon to approximately NAf 600,000 hen tax returns and other remunerations are included. “The most insulting part of this is that the board is telling our nurses, who put their lives on the front line daily, that they are valued at just a 5% increase in their salary, but the board of SMMC can give away half a million guilders as a going away present and bring in an Australian. That is a front and back-hand slap,” the MP said.

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Don’t relax rules until hospital admissions drop 20%, health experts say

SINT MAARTEN/THE NETHERLANDS – Government health advisors say no further coronavirus measures should be relaxed until the number of people being treated for coronavirus in hospital has gone down by 20% over an average of seven days.

There is no question of this being the case at the moment, the Outbreak Management Team says in its latest recommendations to ministers. The peak, of around 2,700 patients, would appear to have been reached and the likelihood of a further rise has reduced, the OMT said.

However, the advisors said, the crowds on King’s Day and the busy high streets make it extra important to make sure that there is a real drop in hospital admissions before making any more changes.

Last month the OMT recommended that no measures at all be relaxed until the number of hospital admissions had fallen by 10%. Ministers, however, decided to go ahead with scrapping the curfew and allowing limited pavement café opening, despite the lack of clear evidence of a reduction.

At the weekend health minister Hugo de Jonge said it is still too early to take the next step in the five-step plan to phase out the coronavirus restrictions, delaying any new relaxation of the rules until May 18 at the earliest. The decision means museums, zoos and gyms cannot reopen on May 11 as had been hoped.

Holidays

However, De Jonge has pledged to give people more clarity about the options for summer holidays next week, and, according to the AD, travel companies are expecting a run on sunshine breaks.

Holiday company Corendon, for example, expects that 60% to 70% of its customers this year will book no more than a month before their departure date. An increasing number of countries, such as Spain, Greece and Italy, have said that they will welcome tourists this summer, as long as they have been vaccinated.

The OMT has also recommended that no more experiments with ‘coronavirus-free’ events under the Fieldlab banner be carried out until the rules can be further relaxed.

(DutchNews)

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Rise in coronavirus hospital patients under 60 ‘concerning’, says RIVM

SINT MAARTEN/THE NETHERLANDS – The number of coronavirus cases fell by 5.5% in the last seven days, but the proportion of positive tests rose for the sixth consecutive week.

The decline in positive tests has not yet relieved pressure on hospitals, where more than 2,600 people are being treated for Covid-19. However, admissions to hospital fell by 7.9% while the number being transferred to intensive care was unchanged from the previous week.

The latest weekly bulletin by the public health agency RIVM shows infections and hospital admissions are increasingly concentrated in the unvaccinated younger age groups.

Cases increased in the 15 to 30 age group, with the 20 to 24 bracket surpassing the peak of the second wave, with 554 infections per 100,000 people. By contrast, infections in the oldest age groups have declined steadily since January.

In the 80-84 population there were 59 infections per 100,000 last week, compared to 351 at the end of December.

The RIVM said it was concerned about the rising trend in the number of people aged 40 to 59 being taken to hospital with Covid-19, which has almost doubled since the beginning of March.

People in this age group are particularly susceptible to so-called ‘long Covid’, where symptoms such as fatigue, breathlessness and ‘brain fog’ last for months.

Fewer admissions

In the last week another 1,633 coronavirus patients were admitted to Dutch hospitals, down from 1,774 the previous week, but the number currently being treated is virtually unchanged from a week ago at 2,613.

The Outbreak Management Team has advised the government that restrictions should not be eased further until the figure has dropped by 20%.

There were 377 admissions to intensive care, two fewer than the previous week, while the total number of patients is currently 818, also two below last Tuesday’s number. Another 128 deaths from Covid-19 were reported in the last seven days, one fewer than the previous week.

Positive rate rising

The positive test rate increased from 10.6% to 11.7%, the highest level since the end of January. Fewer tests were carried out partly because of the King’s Day public holiday, while technical issues at the weekend left some local health boards unable to book tests.

The latest daily figures, which include a partial correction for the weekend disruption, showed another 7,830 cases were reported in the 24 hours to Tuesday morning. The latest calculation of the reproductive number R, dated April 19, is 0.94, down from 1.05 the previous week.

If the number is below 1 it indicates the virus is in decline. Around the 25 health board (GGD) regions infections per 100,000 people range from 180.5 in Drenthe to 438 in Brabant-Noord.

Seventeen areas are above the 250 mark, classing them as ‘very severe’ on the government’s four-step scale. No region is close to the benchmark of 27 hospital admissions per 100,000 people per week which would allow it to move down from level 4 (very severe) to level 3 (severe).

(DutchNews)

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Cay Hill residents threaten legal action if illegal development not stopped

SINT MAARTEN (CAY HILL) - Residents of Cay Hill on Tuesday called on government to immediately inform the owners of an illegal commercial development in their neighborhood that they have to stop the ongoing construction and relocate their business or face legal action.

In the wake of submitting a petition to government on April 20, government has informed the residents that a building stop had already been issued on April 16, pending a decision of the building permit request. Government has allowed minor work, such as tiling, to proceed in the meantime. However, the owner of the establishment, who has claimed he has government in his pocket, is continuing with major work and started to pour a roof on Tuesday with concrete.

The residents said that this response by government only proves one thing; the entire development is illegal because no permit has been issued. They are also asking why government has not outright stopped the development if there is no permit. Also, by allowing minor work to proceed, is government saying it is considering allowing a commercial development on a residential lot?

“They do not have a permit and it is a residential lot. So what exactly is government making a decision on other than the obvious? We are asking government again to do what is clearly right or we will have to do what we have to based on the law to protect ourselves and our properties,” the residents said.

"To our knowledge the lots in the outlined area/location has been pegged for residential use. However, the proprietor of this property has placed over twenty (20) forty foot containers on said lot and seemed to have commenced an illegal commercial operation of some sort from the location as of March 22, 2021," the petition read.

"As a result, all residents have had to put up with an influx of noise, dangerously parked cars, unknown personnel and daily heavy equipment and container movement at various hours and on holidays. This raises our level of concern for the safety and security of our neighborhood in addition to how this sort of operation will affect the valuation of our properties. The double stacked 40 foot containers pose a serious hurricane hazard to the direct and surrounding area," the petition read.

The residents are once again asking the Minister and by extension the government and Parliament for their urgent attention to this matter.

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Island, Executive Council discuss four main themes during retreat

SABA (THE BOTTOM) - Government has been working over the last years on numerous developments, contributing to the wellbeing on the Saba people. It was therefore that a retreat was recently organized between the Executive Council and the Island Council. The meeting was to inform, discuss, and allow the Island Council Members to reflect on the developments and the priorities set in four theme areas.

The four themes were: 1. infrastructure, 2. the social domain, 3. policies, projects and legislation, and 4. public service. During the retreat at Queen’s Garden Hotel, the Executive Council provided an update on the various topics, whereby there was ample opportunity for in-depth discussions and brainstorming with the members of the Island Council. Many of the topics will again be discussed in a public meeting of the Island Council slated for late May. In this article, an update on the construction of a new harbor and water bottling plant, the continued upgrading of waste management, and the concept of waste water treatment.

Harbor

The COVID-19 pandemic has caused a great delay in the construction of a new harbor. This affected the geo-technical surveys, which now have been completed. Based on the results of the surveys, significant work has been done on model testing and reference designs. The model tests show that at the new location at Black Rocks, the impact of the waves on the new breakwater are five times lower than at the Fort Bay Harbor.

The environmental impact study, which is important for the building permit to be issued by the Dutch Government, is also almost complete. The trials for the coral relocation are complete. The corals are monitored regularly in two different locations to see which environment is most suitable for their growth. It is still the intention to start the bidding process for the new harbor this year so that construction can start during the first quarter of 2022.

The US-based company ATM is drafting the marina design. The facilities will be outfitted with industry standards so the harbor can attract high-end traffic. Discussions are ongoing with the Ministry of Infrastructure and Water Management (I&W) and the Ministry of Finance for additional funding so that a cargo pier and facility can be tendered during this project.

In the meantime, the construction of a new road to connect to the new harbor continues. Within a month the excavation works should be completed. The Public Works Department will build the retaining and safety walls for this phase of the road. The road will not be paved until the harbor project nears completion. The second phase of the road is slated to be tendered locally in the near future. The engineering for the utilities (electric, data and water) is ongoing and these will be in place before the harbor project starts. 

Waste management

The Island Council asked for further improvements at the waste management facility. The Members asked Commissioner Bruce Zagers to further upgrade the overall quality of waste management, to keep working on reducing the output of smoke, and to improve the skills of management and personnel at the waste management facility.

The Executive Council explained during the retreat that many improvements have been made in the area of waste management with the training of personnel, a better separation of garbage. All plastics are now removed. This has resulting a reduction of the burning of non- recyclable waste from 4 to 5 times per week to once a week, and a larger number of recyclables having to be exported.

A scale has been installed at the waste management facility to gather statistics about the waste that comes in.

Additionally, the Island Council has requested the Executive branch to research the possibility of incorporating a compostable material project to mitigate the high volume of materials to be shipped out. The efficiency of separation of the garbage has shown that the human capacity is not the main challenge for sustainability but rather the high cost to have the materials removed from the island. The Executive Council is working on securing additional funds to offset the high shipping cost.

Areas related to the collection of garbage are still being refined and a campaign to further educate the community on reducing waste overall by recycling and reusing.

Bottling Plant

The water bottling plant project was also greatly affected by the pandemic. The bottling plant is in the building, and the bottles are here too. An important component for the project is an electric switch board, which has been built in the Netherlands and will arrive shortly. The remaining infrastructure works at the facility are being worked on, after which the manufacturer of the bottling plant will finish the installation and commission the plant. 

Sewage and waste water

The Island Council indicated during the retreat that it wanted to see more progress in the area of sewage and waste water treatment. A sewage processing plant is part of the phase II social housing complex. The possibility of connecting or expanding to other areas will be looked into.

(Saba GIS)

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Power cut stopped oxygen machines, two coronavirus patients die

SINT MAARTEN/THE NETHERLANDS – At least one person may have died after a power cut stopped a machine giving extra oxygen to coronavirus patients on a small ward, Maastricht University’s teaching hospital said on Sunday.

‘It has become clear that the power cut played a role in the death of one patient,’ Maastricht UMC patient care chief Karin Faber told a news conference. ‘We are not sure about the second patient, but we cannot rule it out.’

The power cut, affecting one ward with four patients, took place on Thursday night and was discovered around midnight. The emergency power supply did not kick in because the power cut was so localised, officials said.

Two patients, aged 67 and 76, died after the machinery stopped working. The other two did not experience any serious problems. Relatives of the two people who died have called for an independent inquiry.

(DutchNews)

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Average coronavirus cases back to 7,000 after technical issues fixed

SINT MAARTEN/THE NETHERLANDS – More than 9,000 coronavirus infections were reported on Monday morning, after a weekend when the reported figures were affected by technical problems.

The figure of 9,263 includes adjustments for the previous two days, when some data was processed late, and appointments were delayed as the network of local health boards (GGD) worked to fix the issues in their computer systems.

In the last week infections have decreased by approximately 10%, but the positive test rate has risen to 11.5% nationally and is as high as 15.1% in the worst affected region, Zuid-Holland-Zuid.

On average just over 7,000 new cases have been reported per day in the last week. The number of reported deaths has declined to an average of 18 per day, including 17 in the last 24 hours.

Hospital admissions have not yet started to decline, with the number of patients being treated for coronavirus going up by 42 to 2,642 on Monday. Another 21 people are in intensive care, taking the number to 825.

‘Extremely serious’ in north

Hospitals in the north of the country warned on Monday that they were on the brink of having to postpone emergency surgery because of the shortage of intensive care beds. Peter van der Voort, who co-ordinates intensive care across the northern provinces, told Omrop Fryslân that the situation was ‘extremely serious’.

Infections are relatively low in the north of the country, but around 30% of patients have been transferred from hospitals elsewhere, while the high level of staff sickness has also restricted capacity.

‘In Groningen we have had to cancel all operations in what we call class 3. That means that planned operations for people with cancer of the oesophagus, for example, have been postponed,’ Van der Voort said.

‘We can still just about offer acute care, but we are getting close to the limit.’

(DutchNews)

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Conflict erupts over testing costs for ‘Coronavirus-free’ events: FD

SINT MAARTEN/THE NETHERLANDS – The foundation running a programme of ‘coronavirus-free events’ in the Netherlands is involved in a major conflict about costs with the company running the testing side of the operation, the Financieele Dagblad reported at the weekend.

The dispute follows widespread criticism at the cost of the ‘testen voor toegang’ programme, which has a budget of €1.1bn up to August. The paper says the foundation SON is refusing to pay the €35m bill for setting up and organizing the test centres – based on an agreed fee of €30 per person, excluding the actual test itself.

That fee, charged by sole provider Lead Healthcare, was based on calculations by EY and Deloitte. However, research by purchasing advisory group Procurance has suggested €8.92 per test would be a more reasonable figure, the FD said.

Lead Healthcare chief executive David van Hartskamp told the paper that the fee is ‘impossible’, given all the costs that have to be met – from renting space to developing the IT platform and hiring medical staff for the 34 test centres.

Now the health ministry has called in a fourth consultancy IG&H to look at the actual cost again. It has also brokered a €24m interim settlement.

Dismantle

Meanwhile, SON is demanding that Lead Healthcare start dismantling its test locations from May 15. Its contract for providing test services expires on June 1. From June, testing will be contracted out to seven other operators, who tendered for a contract.

But whether they will be ready or not remains uncertain, the FD said. ‘It is SON’s responsibility to make sure there is sufficient capacity at the moment the government wants to start using proof of testing [for admittance to events],’ a health ministry spokesman told the paper.

The ‘testen voor toegang’ events are different to Fieldlab experiments, which study visitor behaviour.

(DutchNews)

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Strict Protestant churches ignored calls for online services, no singing

SINT MAARTEN/THE NETHERLANDS – Dozens of Protestant churches in the Netherlands have ignored official advice and held services for more than 30 worshippers over the past six months.

In total, some 75% of churches which are part of the orthodox ‘reformist’ strand of Protestantism ignored the call to limit numbers, according to research by the Nederlands Dagblad, a staunchly Christian newspaper.

In total, 100 churches took part in the research and 50 said they had allowed more than 100 worshippers to take part in services. Nine in 10 of the churches also allowed singing, which also went against the official recommendations.

In mid-December, the church umbrella organisation CIO recommended that services be held online, with only officials present in the building itself. Last week, the CIO relaxed that advice, saying it would now be responsible to allow churches with capacity for 300 worshippers to fill 10% of their seats.

At the end of March two fundamentalist Protestant churches hit the headlines after saying they would ignore the guidelines out of concern for their congregations’ spiritual welfare.

The decision by the churches on the former island of Urk and in the Zuid-Holland town of Krimpen aan de Ijssel led to confrontations between churchgoers and journalists. In December, figures from public health institute RIVM showed that nine of the 10 biggest coronavirus hotbeds in the Netherlands were classified as Christian council areas.

(DutchNews)

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