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Culebra Residents Question Health Secretary’s Decision to Award a New Contract to Manage Their CDT  /  They Call for the Current Menonita Health System Contract to Be Extended for One Year While the House of Representatives Conducts an Investigation 

CULEBRA, August 26 – Three community organizations in Culebra questioned the decision, made against the wishes of Culebra residents, by Health Secretary Víctor Ramos to award a new contract to manage its Treatment and Diagnostic Center (CDT). In light of an investigation into the controversy surrounding the CDT ordered by the Speaker of the House of Representatives, they are calling for the current administrator, the Menonita Health System, to remain in place until the legislative investigation is completed.

The request was made by the organizations Foundation for a Better Puerto Rico, Fundación de Culebra, and Mujeres de Islas. They say that an overwhelming majority of Culebra residents support having Menonita continue as administrator, as it has for the past eight years, and that they already have 1,200 petitions—both online requests and signed letters—calling for the health system to remain in charge.

“We welcome the fact that House Speaker Johnny Méndez, who is Culebra’s district representative, has decided to launch an investigation into the process of changing the administration of our CDT and its effects on our people. Méndez correctly states in the resolution’s statement of reasons that this situation has caused uncertainty among the center’s employees and patients in Culebra. For that reason, we propose that, for now, the contract be extended for one year to avoid a rushed transition and that everything that needs to be investigated then be investigated so that the right decisions can be made. Menonita wanted to stay. It is leaving because they stopped paying it and did not renew its contract. That should be clear,” said Dennis Rivera, founder and president of Foundation for a Better Puerto Rico. This foundation contributed $3 million to restore the CDT following Hurricanes Irma and Maria, and since its renovation, the Menonita Health System has been responsible for health services in Culebra.

House Speaker Johnny Méndez introduced House Resolution 783 this week to investigate the process of changing the administration of the CDT in the municipality-island of Culebra. The resolution states that urgent action is needed after the Department of Health decided to directly assume the provision of medical services and given that the Menonita Health System will cease administering the center on August 31. Just as the investigation was announced, Health Secretary Víctor Ramos announced yesterday a contract with a new administrator that, according to him, would expand the range of services for Culebra, but he did not disclose the name of the company selected to operate beginning September 1.

“Since the intention to remove Menonita from the Culebra CDT first arose, the Health Secretary has repeated the same thing: that everything will remain the same, and now he announces a new administrator without saying who it is. What is the secrecy surrounding the new provider? How much will it be paid? Why does he say that no one will be fired, when six days before the date there is no one hired? We would like to know this provider’s credentials. It is promising more doctors, but it says nothing else that would inspire confidence in its statements. The Secretary’s statements are not credible. There will be no adequate transition here. We are being asked to go pick up our medical records. How can they say that everything will remain the same?” said Luz Rivera Cantwell, president of Fundación de Culebra.

For her part, Dulce del Río Pineda, coordinator and co-founder of the organization Mujeres de Islas, stated that “when there are doubts about something, it is necessary to investigate. What concerns me is the timing, less than a week before the closure of services. I signed the petition for Menonita to stay because it is difficult to trust that the government will do a better job than this company that has served us well for eight years. This is not the time to change it. We are in hurricane season, we are experiencing a crisis of heat and drought in the archipelago, with power outages and no water—and on top of that, they are causing another crisis for us with this contract with Menonita? How does the Secretary make these decisions without consulting the community at all? There has been no participation by us. This decision to change the contract does not respond to the needs and interests of the community.”

Amid the controversy, a meeting of Culebra residents will be held this Wednesday afternoon near the CDT to discuss their concerns about recent events. The Health Secretary was invited to attend the meeting, but he declined to attend in person.

Contacts:
Nelson Gabriel Berríos
(787) 502-5264
nelson@augepr.com

Adriana Berríos
(787) 586-4071
adriana@augepr.com

In the news: Flamenco Project  /  Concluyen la restauración del balneario de playa Flamenco en Culebra 

Sandra Torres Guzmán / El Nuevo Día

A cuatro años de firmar un acuerdo colaborativo con el gobierno municipal, la Fundación para un Mejor Puerto Rico completó los trabajos de restauración en el balneario de playa Flamenco, en Culebra, cuyas instalaciones fueron destruidas por los huracanes Irma y María. La restauración costó casi $4 millones, producto de donaciones privadas.

Allí, se construyeron nuevas duchas, baños y nueve kioscos erigidos en cemento armado y madera, además de reforestar la zona que, regresará a manos del ayuntamiento para su operación y manejo, a través de la Autoridad de Conservación y Desarrollo de Culebra (Acdec), una corporación pública municipal presidida por el alcalde Edilberto Romero.

Dennis Rivera, presidente de la Fundación para un Mejor Puerto Rico, expresó sentirse “increíblemente contento y lleno de ilusión porque esta nueva facilidad de playa Flamenco, que es la playa más hermosa del Caribe y una de las más bellas del mundo, puede tener un cambio y un impacto significativo para Culebra”.

In the news: Relief for Trauma  /  Seeking to strengthen the mental health of communities. 

Marga Parés Arroyo / mpares@elnuevodia.com

Under the “Train-the-Trainer Model” community leaders and health and human behavior professionals from different parts of Puerto Rico will be trained to respond to natural disasters or emergencies so that in turn, they could transfer their knowledge and skills to the general population.

The goal is that the community might develop resilience to minimize the traumatic effects of these events on their mental health.

This initiative is directed by the Foundation for a Better Puerto Rico, a community organization created on 2014 to help in the search for solutions for the problems confronting Puerto Rico. Their most recent project is to bring help to the people affected by the earthquakes and aftershocks that have impacted the southwest region of Puerto Rico since last year.

To achieve this, the Foundation has partnered with The Center for Mind-Body Medicine (CMBM). This organization, founded on 1991 by Dr. James Gordon, a Psychiatry and Family Medicine professor at the Georgetown University School of Medicine, is renounced for the development of self- help and  self-care group support programs rooted in community activation. These programs deal with situations of trauma and educate children and adults by training health professionals and community leaders to help care for their communities.

“All of Puerto Rico was impacted by Hurricane María and recovery is taking so long… There has been an increase in depression and suicides and almost everyone has some level of post-traumatic stress”, said Theresa Bischoff who is part of the board of  the Foundation for a Better Puerto Rico.

Bischoff explained that the Foundation and CMBM have been working together since last year to create a healing program after Hurricane María.  In total, 70 people from the communities of Culebra, Vieques and the eastern towns of the island were trained. They learned skills to help them deal with their own stress, trauma and burnout for the purpose of applying this knowledge through mind-body skills small groups and workshops within their communities. 

After the earthquakes and aftershocks that have been occurring since December of last year some of the previously trained community leaders have gone to the southern part of the island to offer immediate help particularly for the impacted children.

“There are many people that have come to the island to give first aid for psychological emergencies, but they usually leave. With this program community leaders and health professionals that bring much needed help, stay  in Puerto Rico,” Bischoff emphasized.

This effort is programed to have three phases with the intent that 20 people receiving advanced training will become part of the CMBM faculty. Also, with this effort there is an aspiration that the training program can be extended all over the island in order for the population to learn to deal with future emergencies and minimize their psychological impact.

For the first phase, CMBM seeks to train 150 people that can provide trauma and stress relief services in the south to approximately 27,000 children and adults in the earthquake impacted areas.

Breathing and relaxation excercises, yoga meditation and art will be used in the workshops as part of this initiative.

“I went to Guánica and Ponce a few weeks ago. People are so anxious about what will happen next. Not everyone can go to a psychologist or psychiatrist. This could be a wonderful alternative,” Bischoff said.

She commented that Dr. Gordon will give a seminar in the island this week. Also, highlighting that CMBM programs have helped relieve post-traumatic in over 80% of the children and adults who participate in the program.

According to Bischoff the cost of the program for the earthquake impacted areas is $1,045,000 but so far, only $200,000 has been raised. Individuals or organizations that would like to make a donation can do so at betterpuertorico.org.

In the news: Center for Mind-Body Medicine Initiative

Flamenco Project Update

Since the signing of the collaborative agreement the Foundation has been active in moving the project forward.

  • Over 200 volunteers have participated in three volunteer beach clean up days. Over 50,000 pounds of debris have been removed. These efforts have allowed for the reopening of the camp grounds.
  • The Foundation performed repairs to the kiosko area, bathrooms and showers to allow them to be operational while the new infrastructure and facilities are built.
  • We’ve hired workers to manage the beach while ACDEC developed a financial plan to be self sufficient. The workers include security, life guard, beach maintenance workers, cleaning staff and fee collectors.
  • A Project Manager, Andrea Bauza, and an architect, BZ Architect, have been hired and are at work in moving the project plan forward. The plans have moved from the conceptual design to full drawings. Surveyors and engineers have been at work to support the development of the detailed drawings that are being submitted for permitting.
  • Para la Naturaleza has supervised the volunteer beach clean up to ensure that it is being done properly. They have also hired Rosana Vaccarino, a renowned beach architect who will lead the and be in charge of the design and the supervision of the reproduction and sowing of the new plants.
  • The campgrounds have reopened and camping fees are being collected.
  • A financial plan has been developed to assure that ACDEC can operate the beach with the fees that are generated at the beach. The workers, contracted by the foundation have been moved to ACDEC.
  •  In addition to the camp grounds and kiosko fees, ACDEC will now collect $2 from beach visitors as well as parking fees of $5 for cars, $4 for golf cart and $3 for scooters. Resident annual stickers are available.
  •  All fees collected are being used to support the workers and operations of the beach.

The Foundation is actively raising the $3 million required for the project. To date, $1.8 million has been raised from the following donors:

We hope that Culebra’s experience in becoming a sustainable community with the highest quality of life will become a model that others will want to replicate in Puerto Rico and the Caribbean.

Subscribe below to follow our progress and stay up to date with the latest news. We are continuing to seek funding for all these important initiatives and truly appreciate your support. 

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