Right Steps & Poui Trees


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Disaster Risk Management Order No. 11 Amendment – Dated November 18, 2021

The current Disaster Risk Management Order has now been posted on the Ministry of Justice website, which has a new look for the arrangement of its archive of these gazetted Orders. Perhaps the transition to this new arrangement was what was causing some glitches to the page over the past couple of days. Neither Order No. 11 nor this Amendment is posted on the OPM website yet.

Here is a copy of this gazetted Order, Disaster Risk Management (Enforcement Measures) (No. 11)(Amendment) Order, 2021:


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Disaster Risk Management Order No. 11, 2021 – Dated October 29, 2021

This is a copy of Disaster Risk Management Order No. 11, 2021, dated October 29, 2021. It is not the most recent Order, as Prime Minister Holness announced changes to the measures in Parliament last Tuesday (November 16, 2021). The new Order or Amendment to this Order has not yet been posted on either the OPM or Ministry of Justice website.

A copy of this gazetted Order is posted on the Ministry of Justice website but is not yet posted on the OPM website.


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Disaster Risk Management Order No. 10 Amendment – Dated Sept 25, 2021

A brief amendment to the current Disaster Risk Management Order No. 10 came into effect on September 25, 2021. I have posted a copy of the gazetted amendment below.

It is posted on the websites of the Office of the Prime Minister and the Ministry of Justice.


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Disaster Risk Management Order No. 10, 2021 – Dated Sept 18, 2021

Below is a copy of the Gazette of the latest Disaster Risk Management Order – No. 10, dated September 18, 2021. It contains Covid measures that are currently in force.

At the time I am posting this blog, Order No. 10 has been posted on the Ministry of Justice website, but not yet on the Office of the Prime Minister website.


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Disaster Risk Management Order No. 9, Amendment No. 2, 2021 – Dated Sept 3, 2021

The gazetted copy of Disaster Risk Management Order No. 9, Amendment No. 2 is available online on the Office of the Prime Minister website, though not yet on the Ministry of Justice website. I have also posted a copy below. With many of the measures in this amendment expiring this week, another announcement by the Prime Minister is expected, perhaps in Parliament on Wednesday, when the House of Representatives resumes its sittings after the summer break.


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Covid Reflections: Time for one of Dr Bisasor-McKenzie or Dr Webster-Kerr’s Covid-19 Updates

I’ve seen or heard pieces of information in the media about where we now are in the 3rd wave. For example, last week in an interview on Nationwide News Network, National Epidemiologist Dr Karen Webster-Kerr spoke about the expectation that the peak of this wave would occur in 2 weeks’ time and she gave projections for deaths in the coming weeks. During a discussion on Nationwide on Wednesday, Prof Winston Davidson mentioned that the reproductive number was now at 1.1. (For full disclosure, I was one of the other participants in the discussion.) In today’s Gleaner there is an article that refers to information said to have been obtained from Dr Webster-Kerr and the Ministry of Health and Wellness (MOHW):

“A hair-raising 250 COVID-19 deaths occurred in August, with another 60 fatalities still under investigation, said Dr Karen Webster-Kerr, national epidemiologist. Scores of other deaths reported in August occurred months earlier.

August 26 was the deadliest day for the month, with 20 persons succumbing to the COVID-19.

However, the 296 COVID-19-related deaths for March outstripped August’s.

Data from the Ministry of Health and Wellness obtained by The Gleaner showed that another 20 deaths in March are under investigation.

With the country recording a total of 69,054 COVID-19 cases as at September 2 and a total of 1,568 deaths as a result of the disease, the ministry is reporting that the overall (2020 to 2021) COVID-19 case death rate is 2.3 per cent.

The death rate in August (1.6 per cent) plunged only because infections soared almost fivefold, month-on-month, to more than 15,300.”

At the Office of the Prime Minister’s (OPM) press briefing on Wednesday (1-9-21), Prime Minister Holness included 3 of the slides that are normally included in the MOHW PowerPoint updates and he commented on them, something which he has done before, though moreso in Parliament. Although both the Chief Medical Officer (CMO) Dr Jacquiline Bisasor-McKenzie and Dr Webster-Kerr were present at the press briefing, neither spoke from the podium or gave the ususal update.

(Perhaps this was in keeping with the brief nature of the press briefing…only 3 slides, and only two questions allowed in the Q&A.)

The last of these MOHW Covid-19 updates that I can find is the one given at the OPM press briefing on August 19, 2021, by Dr Bisasor-McKenzie.

That is now more than two weeks ago, two weeks in which we have moved towards the peak of the 3rd wave. In that time there have been dramatic increases in the number of cases, the number of hospitalizations, the number of deaths. But we are being told that with the reproductive rate reducing and the positivity rate down from the high of 54%, there may be glimmerings of hope. This is exactly the time at which we need a full update from the CMO or the National Epidemiologist. To place us now in the context of indicators that the MOHW has used for so long.

Why haven’t we had one of these updates, at one of the times when we perhaps need it most, since the start of the pandemic?

We have been getting these periodically. They have been a useful way of tracking changes. Whatever problems some may have with aspects of the data, this is a way of following what the MOHW says the position is, what they are using to base decisions on, what the government is basing decisions on.

There was no MOHW Covid Conversation yesterday; Thursday is the ususal day for them if they are being held. No presentation at the OPM press briefing on Wednesday. No presentation at Parliament’s Joint Select Committee dealing with Covid-related matters on Tuesday; Parliament is on summer break. These are the three places that the public usually gains access to these updates. A presentation with commentary by Dr Bisasor-McKenzie or Dr Webster-Kerr would be best. But if that’s not going to happen, post the PowerPoint online on the MOHW website. In fact, press briefing or no press briefing, Covid Conversation or no Covid Conversation, Joint Select Committee or no Joint Select Committee, post it at regular intervals on the MOHW website.

During a crisis such as this pandemic, information to the public is crucial. With this Delta-variant-fueled 3rd wave, with our public hospitals not offering anything but emergency services, with bed capacity overwhelmed, with dangerous oxygen shortages, we are in a crisis within the crisis. We need more information, not less.


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Disaster Risk Management Order No. 9, 2021 & Amendment – Dated August 11 & 20, 2021

These are the most recent Disaster Risk Management Orders – No. 9 & its Amendment, dated August 11 & 20 respectively:

The Office of the Prime Minister and Ministry of Justice websites are the two government websites that usually/eventually post the Gazetted copies.


Covid Reflections: With Public Hospitals Accepting Emergencies Only, We Have Entered Another Phase in Our 3rd Wave

Yesterday Jamaica’s Ministry of Health and Wellness issued a press release stating that the country’s public hospitals would be accepting emergency cases only, until further notice. The large number of people confirmed with or suspected of having Covid-19 who need hospitalisation has resulted in the hospitals exceeding their Covid-19 isolation capacity. So other hospital spaces and resources have to be dedicated to treating people with Covid-19. General hospital service has been suspended, including elective surgeries, and people who can be cared for at home are being discharged. The Chief Medical Officer (CMO), Dr Bisasor-McKenzie, is quoted as saying that “The rising demand for oxygen also threatens to overwhelm the supply.”

Curiously, this press release has not (yet) been posted on the MOHW website.

This decision by the MOHW signals that the country has entered into a new phase in the 3rd wave of Covid infections in Jamaica but it does not come as a surprise if you have been following the news and numbers in the past couple of months. And the news and numbers over the last week or two have clearly shown the deepening crisis.

People in government and outside of government have been speaking about the increasing numbers of Covid-19 cases, the increasing numbers of hospital admissions, the pressure for space within the hospitals, the pressure on staff within the hospitals. These comments and information have come through official statements at government press conferences, through media interviews, in press releases, on social media.

A small sampling of examples…

Dr Melody Ennis of MOHW was speaking with Dionne Jackson Miller on RJR
Nurse Patsy Edwards-Henry, President of Jamaica Nurses Association, was speaking with Sanjay Lewis on Power 106
MOHW PS Dunstan Bryan speaking with RJR
Slide shown at OPM press conference on August 9, 2021, while PM Andrew Holness spoke & said “I want us to pay attention to this graph. It shows our daily confirmed cases of Covid-19 in blue, while the red line shows the 7-day moving average of new hospitalisations. You can see that our daily hospital admissions are now at the same level as our previous peak in March/April 2021. We now have approximately 500 of 700 beds allocated for Covid-19 occupied islandwide and a number of our large hospitals are over capacity.”
(Transcribed from PBCJ recording of OPM press conference, August 9, 2021.)
Slide presented at MOHW press conference August 12, 2021. CMO Dr Bisasor-McKenzie said: “We can see now, compared to last week, that our bed occupancy now is at over 600 beds occupied with both confirmed cases and suspected cases…Our peak, March/April, we were at just over 700 and now we are just over 600.”
(Transcribed from PBCJ recording of MOHW press conference.)
In a report on August 17, 2021, JIS covered this point made by Dr Bisasor-McKenzie, where she said “We are fast approaching that peak, which will put us in a very dangerous zone in terms of the care for COVID patients in our hospitals. It puts us in a very high level of pressure on the hospital system.”
Dr Andrew Manning, Medical Association of Jamaica President, in a news report on RJR, August 16-8-21 – MAJ Alarmed at Record High COVID Positivity Rate
Slide showing hospital capacity – OPM press briefing on August 19, 2021 – CMO Dr Bisasor-McKenzie said. ” And this is what is happening in our hospitals. Across the regions, what we are seeing is that the four regions are in an alert phase in terms of Covid capacity. For the southern region, we have gone over the capacity for Covid beds; we’re at 162% occupancy. For the western region, 142%. For the north east region, 125% and for the south east region at 97%. It means that most of our major hospitals, our main hospitals, are really full….As you can imagine, our health care workers are tired, they’re frustrated, they’re overworked, they’re stressed.”
(Transcribed from PBCJ recording.)
This week Wednesday (August 25, 2021) All Angles on TVJ did a special report about the Savanna-La-Mar Hospital, which is struggling with an influx of Covid-19 patients. Dionne Jackson Miller interviewed members of staff – doctors, nurses, a porter, the CEO – about conditions at the hospital. It was a harrowing and moving programme.

And today a number of media houses have carried reports that there is a severe shortage of medical oxygen in the country, which is now affecting the supply to hospitals, some of which are said to be out of oxygen. There has not at this point been an official statement on this from the Ministry of Health & Wellness.

There is an urgent need for a press conference to be held focusing on the dire crisis in the hospitals. Despite the many warnings that this was where we were heading, now that we are here, the public of Jamaica deserves a full update. This is particularly urgent in light of the fact that the Dr Karen Webster-Kerr, National Epidemiologist, has said that this 3rd wave won’t peak for another two weeks. That thereafter it is likely to take several months to come down from that peak. That, although she is reluctant to give predictions about deaths, we are likely to see 140-150 deaths over the next week and an additional 10-20 on top of that number the following week. (She was speaking in an interview on Nationwide News Network on Thursday, August 26, 2021). This means that the pressure on the hospitals is likely to continue for weeks to come, increasing further before it decreases.

It is Saturday night. The curfew started at 6pm. For the next 3 days, Jamaicans are under 24-hour curfews, with the curfew ending at 5am Tuesday morning. Tomorrow – Sunday – would be a good time to hold a press conference. Let us know what time. Most of us will be at home…


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Disaster Risk Management Orders 6 – 8, dated May 5, 2021 – July 27, 2021

For a number of months now I have been unable to keep up with posting the Disaster Risk Management Orders in a timely manner and am no longer going to try to do so. I will try to post them all for archival purposes, so that they are available here in the future if government websites eventually remove them, which has happened with other documents in the past.

If you don’t find the most recent Orders on my blog, I recommend checking two government sites, which are the two that post them most reliably nowadays – the Office of the Prime Minister & the Ministry of Justice‘s websites. The Office of the Prime Minister’s list is incomplete, however, not having some of the earliest orders. The Ministry of Justice’s list seems to be complete at this time.

Neither site has yet posted the current Order, which would contain the new measures announced by PM Holness on Monday of this week.

Below are links to Orders 6, 7 and 8 and their amendments. (One thing I need to follow up on is the absence of a first amendment to Order No. 6, as there is a second amendment.)

Disaster Risk Management (Enforcement Measures) (No. 6) Order, 2021- May 5, 2021

Disaster Risk Management (Enforcement Measures) (No. 6) (Amendment) (No. 2) Order 2021 – May 25, 2021

Disaster Risk Management (Enforcement Measures) (No. 7) Order, 2021 – June 3 2021

Disaster Risk Management (Enforcement Measures) (No. 7) (Amendment) Order, 2021 – June 17, 2021

Disaster Risk Management (Enforcement Measures) (No. 7) (Amendment) (No. 2) Order, 2021 – June 24, 2021

Disaster Risk Management (Enforcement Measures) (No. 8) Order 2021 – July 1 2021

Disaster Risk Management (Enforcement Measures) (No. 8) (Amendment) Order 2021 – July 27 2021

Link to PBCJ recording of Office of the Prime Minister’s media briefing held on August 9, 2021, at which changes to the Disaster Risk Management measures were announced.


Disaster Risk Management Order No. 5, 2021 – Dated April 13, 2021 (& Amendment to Order No. 4)

On Tuesday (April 13, 2021) in Parliament, Prime Minister Andrew Holness announced new measures under the Disaster Risk Management. The gazetted order has been posted online on the Office of the Prime Minister’s website. It has not yet been posted on the Ministry of Justice website. I have posted a copy of the Gazette below.

For completeness, I have posted the amendment to Order No. 4 2021, although its provisions have now been replaced by Order No. 5