Dr. Dexter James urges primary healthcare to ‘step up’ its management of non-communicable diseases in Dominica


Chief Executive Officer (CEO) of the Dominica-China Friendship Hospital (DCFH), Dr. Dexter James

Chief Executive Officer (CEO) of the Dominica-China Friendship Hospital (DCFH), Dr. Dexter James said primary healthcare must “step up to the plate” in order to manage Non-Communicable Diseases (NCDs).

He was speaking during a press conference held at the Dominica-China Friendship Hospital recently.

NCDs include heart disease, stroke, cancer, diabetes, chronic lung disease, high blood pressure, and mental disorder, to name a few, and are said to be the leading cause of death in Dominica.

“Primary healthcare must step up to the plate at this point in time,” Dr. James said. “This is a tertiary care facility and therefore, the arrangement for the seamless movement of patients between primary and tertiary care requires that primary care manage these NCDs.”

He continued, “If that doesn’t happen we are going to have a big problem in the next 3 to 4 years.”


Furthermore, Dr. James stated that the average age of patients in the medical ward is 65 years and over.

“These are patients with chronic conditions, meaning the NCDs or patients having cardiac problems,” he explained

He said the Ministry of Health also needs to step up screening programs, including vision checks.

In June 2022, Health Minister Dr. Irving McIntyre who was addressing the Ministry of Health ceremony urged Dominicans to transfer all the energy and effort used during their fight against Covid-19 to the country’s next challenge, which is combating NCDs which he said is a major issue in Dominica.

He revealed that 80% of all deaths now are due to Non-Communicable Diseases and 63% of all premature deaths are due to Non-Communicable Diseases.

Copyright 2012 Dominica News Online, DURAVISION INC. All Rights Reserved. This material may not be published, broadcast, rewritten or distributed.

Disclaimer: The comments on this page do not necessarily reflect the views of DominicaNewsOnline.com/Duravision Inc. All comments are approved by DominicaNewsOnline.com before they are posted. We never censor based on political or ideological points of view, but we do try to maintain a sensible balance between free speech and responsible moderating.

We will delete comments that:

  • violate or infringe the rights of any person, are defamatory or harassing or include personal attacks
  • a reasonable person would consider abusive or profane
  • contain material which violates or encourages others to violate any applicable law
  • promote hatred of any kind
  • refer to people arrested or charged with a crime as though they had been found guilty
  • contain links to "chain letters", pornographic or obscene movies or graphic images
  • are excessively long and off-topic

See our full comment/user policy/agreement.


  1. derp
    September 15, 2022

    Fat and thick is nice in Dominica, until that mentality changes nothing will stop people from dying from non-communicable diseases in Dominica

    Well-loved. Like or Dislike: Thumb up 7 Thumb down 0
    • Gary
      September 16, 2022

      What about your mentality, does it not need to be examined. If you look around the world is it only in Dominica, people are dying from non-communicable diseases. Look at what is being done with such a facility with the services it will provide, isn’t that an achievement to be proud of. Let us be cognizant that the fight against non-communicable diseases starts with our people taking responsibility for their lifestyle.

      Hot debate. What do you think? Thumb up 2 Thumb down 9
  2. Marie
    September 15, 2022

    Where we not told recently that he resigned??? Was he resurrected? OMG, my country is definitely in a mess.

    Well-loved. Like or Dislike: Thumb up 8 Thumb down 2
    • We the People
      September 16, 2022

      I think his contract ends September 30th, 2022. Now is the time for him to blahjay :mrgreen:

Post a Comment

Your email address will not be published. Required fields are marked *

:) :-D :wink: :( 8-O :lol: :-| :cry: 8) :-? :-P :-x :?: :oops: :twisted: :mrgreen: more »

 characters available