West Indies Research Articles

Comparative Analysis of Healthcare Quality Between the University Hospital of the West Indies and Public Hospitals in Jamaica

Comparative Analysis of Healthcare Quality Between the University Hospital of the West Indies and Public Hospitals in Jamaica

A Modern Form of the Sacred

Édouard Glissant’s Poetics of Relation is unlikely to strike most readers as a sacred text. True, the design of the 1997 English paperback edition hints at something mysterious within. The seventeenth century map on the cover, glowing green and only partially visible from the front, disrupts the geographic orientation a map might be expected to provide. The seeming clarity of the title, author, and translator, is likewise unsettled by their placement, suspended above the surrounding white expanse. Yet this trace of eeriness is easily dispelled by the physical book’s assertion of scholarly credentials. “Michigan,” the name of the university press publisher, prominent on the spine and back, also announces itself on the front cover, and the text on the back declares the book an aesthetic and political—but not sacred—project, with three blurbs praising the translator’s achievement and the author’s brilliance. The Library of Congress cataloguing information on the copyright page tells us that Poetics of Relation, Glissant’s third monograph, is first and foremost about his birthplace (Martinique--civilization, language, culture, nationalism, and literature of). Secondarily, according to the cataloguers, it is a book about the French connection (“6. Martinique—Dependency on France. 7. West Indies, French—Relations—France. 8. France—Relations—West Indies.”). Scholarly interpretations of Poetics of Relation are of course more expansive and exploratory than cataloguing’s brevity allows. Still, most who write about this strange and beautiful text focus on poetics and politics, with very few lingering over Glissant’s own claims about the importance of the sacred.

Caribbean Confederations as Relationalities

In this essay, I connect my work on Archipelago studies with Édouard Glissant’s notions of relationality and Caribbean confederations to formulate what I denominate as the erotics of archipelagic thinking. My main goal is to share my process of thinking with and through Glissant’s work to focus on a series of theoretical gestures that have allowed me to propose modes of reading literary depictions of Caribbean con/federations that go beyond the binary opposition between colonialism and nationalism. I am performing an exercise that I assign to my students when I teach the “Introduction to Critical Theory” course at the University of Miami. Instead of writing an essay with a short theoretical introduction followed by a detailed close reading of literary and cultural texts that illustrate a keyword or a theoretical insight, I conduct a methodological meditation in which I theorize the archipelagic as a form of relationality that configures an erotic imaginary beyond the nuclear family and towards affective networks. To think about the Caribbean as an archipelagic formation, I use my comparative work on the Antillean Confederation in the Hispanic Caribbean (1860-1898) and the West Indies Federation in the English Caribbean (1958-1962) as a historical context in which the region congealed as a network of locations “act[ing] in concert."

Viral rebound on antiretroviral therapy in France according to region of origin, sex, and HIV acquisition group. Results from the French Hospital Database on HIV (ANRS CO4-FHDH).

Assessing the potential increased risk of viral rebound (VR) in migrants requires adequate control for sex and acquisition risk groups. People living with HIV1, enrolled in the ANRS CO4-French Hospital Database on HIV, who achieved virological suppression with antiretroviral therapy (ART) initiated between 2006 and 2016 were included. We first compared the risk of VR, with loss to follow-up and death considered as competing events, across origin among the HIV acquisition groups, then across acquisition groups among the different origins, and finally across modality of a variable combining sex, acquisition group, and origin. Models were adjusted for clinical and biological confounding factors. We included 21 571 French natives (FRA), 10 148 migrants from sub-Saharan Africa (SSA), 1137 migrants from the non-French West Indies (NFWI), and 4205 other migrants (OTHER). The 5-year probability of VR was 19% (95% confidence interval [CI] 19-20) overall, 15% in FRA, 21% in OTHER, 26% in SSA, and 34% in NFWI (p < 0.0001). It was 14% in men who have sex with men (MSM), 23% in heterosexual men, and 23% in women (p < 0.0001). After adjustment, all acquisition groups had a higher risk of VR than MSM from FRA, with men and women from NFWI having the highest risk (adjusted hazard ratio [aHR] 2.46; 95% CI 2.12-2.86 and aHR 2.59; 95% CI 2.20-3.04, respectively). Within each acquisition group, all groups of origin had a higher risk of VR than FRA. Within each region of origin, except the NFWI, heterosexual men had a higher risk of VR than MSM. After accounting for sex and acquisition group, migration, especially from NFWI, remains prognostic of VR.

The role of mobile muds in basin form and fill in the tectonic and sedimentologically complex region of the Southeastern Margin of the Caribbean Plate, Trinidad and Tobago, West Indies

The southern portions of the Barbados Accretionary Prism and the eastern deepwater region of Trinidad and Tobago are a seafloor terrain marked by scattered mud volcanoes, mud walls, and mud canopies that rise several hundred meters above the modern seafloor. We use 3D seismic and recently drilled wells to examine this area, dividing it into three tectonomorphic provinces based on the nature of the mud architecture, the structuration, basin types developed, and sedimentary systems occupying the basins. Mud architectures become more massive as one moves northward toward the active tectonic prism. The mud wall in the far northern Mud Wall Province is classified as a mud canopy system, similar to those documented by workers in the North Sabah Pagasa Wedge, Borneo. The Trinidad mud canopy exhibits sutures in the mud mass margins (akin to salt sutures) that separate submasses likely composed of different materials and exhibiting different pressures and properties. These submasses and associated sutures are imageable using the sweetness attributes on the near-stack seismic volume. Anticlines in the isolated mud and distributive provinces, similar to those that are the dominant hydrocarbon-producing structures onshore and offshore Trinidad, show mobile mud cores and are associated with extensional and compressional faulting that provide pathways for hydrocarbon migration into the surrounding lutokinetic stratigraphy. A bottom simulating reflector associated with the base of the gas hydrate zone, extensive across the study area, may be a good indicator of fluid flux activity and subsurface pressure states in mud masses. It is important to use all the seismic data volumes (full, near, mid, and far seismic data stacks) to assess different aspects of these mud diapiric systems.

Lifetime clinical presentation of Still's disease in the Afro-descendant population of the French West Indies

Lifetime clinical presentation of Still's disease in the Afro-descendant population of the French West Indies

Looking for Pathogens in Dust from North Africa Arriving in the French West Indies Using Metabarcoding and Cultivable Analysis.

Periodically, the French West Indies receive dust originating from North Africa (NA). Microorganisms associated with desert dust can be transported over long distances through the atmosphere and could represent a means for the remote colonization of new habitats by putatively pathogenic microorganisms. The aim of this study was to determine the diversity and frequency of microbial agents (bacteria, eukaryotes) in NA dusts and the potential threat toward human and/or animal health by comparing microbial air composition during dust events and in control samples. In 2017 and 2018, 16 samples were collected during seven NA dust episodes and there were 9 controls. The microbial composition of the samples was characterized using a cultivable approach and by metabarcoding analyses (16S and 18S). A greater bacterial load and greater diversity were observed during the dust events, and some genera were significantly associated with the events. Some, such as Geodermatophilus, can be considered signature species of NA dust. No pathogenic species were found with the cultivable approach, whereas the metabarcoding analyses highlighted the presence of several potentially pathogenic species or known human pathogens such as Naegleria fowleri.

Analyzing Antibiotic Resistance: A Comparative Study of E. coli Isolates from Wastewater and Clinical UTI Samples at a University Community in Grenada, West Indies

Abstract Introduction/Objective The rise of antibiotic resistance poses a significant global health threat, needing a robust monitoring system to track its emergence and spread. However, most developing countries lack the infrastructure to monitor such resistance effectively. Wastewater-based epidemiology (WBE) has been proven effective in surveilling various outbreaks and offers a promising method for monitoring antibiotic resistance at the community level. This study aims to assess and compare the antibiotic resistance of Escherichia coli isolated from raw wastewater with those isolated from clinical urinary tract infection (UTI) samples from the same community. Methods/Case Report Conducted from January 2022 to October 2023, this study analyzed antibiogram data from eighty-six Escherichia coli isolates sourced from wastewater and thirty-four isolates derived from clinical urinary tract infections (UTIs). The clinical samples were obtained and processed at the Clinical Microbiology Laboratory of a university campus. The isolates were evaluated against the eleven most prescribed antibiotics for UTIs in the University Clinic including: Amoxicillin/Clavulanic Acid, Ampicillin, Cefazolin, Cefoxitin, Ceftriaxone, Cefuroxime, Ciprofloxacin, Gentamicin, Nalidixic Acid, Nitrofurantoin, and Sulfamethoxazole-trimethoprim. Results (if a Case Study enter NA) Explaining the observed trends in both wastewater and clinical samples from the perspective of AWaRE-WHO classification (Access, Watch, Reserve), we see similar trends of resistance in both data sets. A) The antibiotics used in the Access category (Empiric first or second choice for treatment of most common infections) demonstrates similar resistance patterns for both wastewater and clinical isolates except for Nitrofurantoin. B) The antibiotics used in the Watch category (Antibiotics that have higher toxicity issues and higher potential to negatively impact AMR) resistance pattern shows negligible risk in the university community evaluated. Conclusion It is recommended that the university clinic prescribe Nitrofurantoin as the last antibiotic from the Access list to the university community to treat UTI patients. Furthermore, WBE is a useful tool to determine patterns of resistance under the studied settings.

Weather events influence survival and recruitment of Coereba flaveola (Bananaquit) in the Caribbean

Abstract The West Indies is considered a biodiversity hotspot and a priority for ecological conservation efforts. Understanding how environmental conditions influence survival of resident avifauna is an important information need given the predicted increases of drought and frequency and intensity of severe storms in the region. Throughout much of the Caribbean, Coereba flaveola (Bananaquit) are widespread and abundant, traits that may facilitate understanding their response to environmental changes in the region. We used a 10-yr capture–mark–recapture data set to examine C. flaveola survival, recruitment, population growth, and age structure in context of monthly and seasonal precipitation and temperatures, drought conditions, and occurrence and intensity of storm events. Our models suggested wing length, occurrence of storms, and drought all influenced survival. Both the incidence of storms and drier than average conditions in the preceding wet season (April–June) decreased survival. Sex of bird and net hours influenced capture probability, but weather influences on recruitment were equivocal. During non-storm years, mean population growth was stable at 1.019 (95% CI: 0.962, 1.098), but dropped to 0.843 (95% CI: 0.795, 0.846) in storm years. Increasing frequency of storms, such as back-to-back years, would likely push the growth rate lower. A protracted pattern of increased storm frequency, especially if coupled with a subsequent drought during the wet season, may lead to localized extirpations or strongly reduced populations.

Elucidating the Fate of the Organochlorine Pesticide Chlordecone under Abiotic Reductive and Oxidative Processes: Kinetics, Transformation Products, and C vs Cl Isotope Fractionation.

Pollution of French West Indies (FWI) soils by the organochlorine pesticide chlordecone poses environmental and societal concerns due to its long-term persistence. Assessing chlordecone degradation remains challenging due to analytical constraints to identify transformation products. Here, multielement compound-specific isotope analysis (ME-CSIA) was used to identify changes in stable isotope signatures of chlordecone produced during abiotic transformation reactions under reducing and oxidative conditions. Effective chlordecone transformation was shown in reactions with zerovalent iron (ZVI), vitamin B12 and sodium sulfide (VSS), alkaline ascorbic acid (AA), and sodium persulfate activated by microwave irradiation (MWPS). Significant enrichment of 13C and 37Cl was observed in all abiotic reactions, with εC,bulk and εCl,bulk values ranging from -4.3 ± 0.4‰ to -2.3 ± 0.2‰ and from -2.6 ± 0.4‰ to -1.3 ± 0.3‰, respectively. Distinct mechanisms were evidenced in dual isotope plots, resulting in Λ values of 1.17 ± 0.28 for ZVI, 1.26 ± 0.50 for VSS, 2.06 ± 0.30 for AA, and 2.90 ± 0.50 for MWPS. Two major products were formed, 10-monohydrochlordecone and 8-monohydrochlordecone. Cl-CSIA data suggested that the first Cl substitution at the C10-position likely produced secondary Cl isotope effects (via nucleophilic substitution). Overall, results suggest that ME-CSIA can help quantify in situ chlordecone degradation, distinguishing between different ongoing degradation mechanisms and fingerprinting pollutant sources from chlordecone formulations (Curlone).

The Gross Anatomical and Histological Features of the Humerus in African Green Monkeys (Chlorocebus sabaeus) from Saint Kitts and Nevis, West Indies

This paper presents a detailed gross description of all anatomical elements of the humerus in the African green monkey and provides comparative and differential elements on monkey osteology. The osteometric investigation adds value to the gross morphological investigation, adjoining metric data to the gross descriptive data set. An in-depth investigation of the microstructural aspects of the humeral bone tissue is provided, with qualitative and quantitative details and potential for diagnostic applications. Of the gross morphological elements described, several unique features specific to this species include the humeral head shape that presents with distinctive low convexity and caudal placement, the shape of the intertubercular groove, the less developed greater tubercle, and the disposition of the rotator cuff muscle insertion. Furthermore, the overall cranio-lateral curvature of the bone shaft was found to have a distinctive 154–155 degree of angulation of the diaphysis, and the well-developed medial epicondyle was observed with its distinctive medio-caudal retroflexion. The histological investigation was more indicative of a typical non-primate organization of the bone tissue, with laminar vascular and avascular structures combined with the presence of the secondary Haversian system involving a mixture of scattered and dense unorganized secondary osteonal structures. The histomorphometric investigation yielded metrical data for the secondary osteonal structures in terms of area (20,331 ± 5105 µm2), perimeter, and vascular canal area (64,769 ± 257 µm2).

Guadeloupe and Haiti's coffee genetic resources reflect the crop's regional and global history

Societal Impact StatementDespite strong historical declines, Guadeloupe and Haiti's coffee sectors remain important to rural communities' livelihood and resilience. Coffee also holds value as part of the islands' historical legacy and cultural identities. Furthermore, it is often grown in agroforestry systems providing important ecosystem services, which will become more important as these vulnerable islands work to adapt to a changing climate. Current efforts to revitalize coffee farms and target strategically important specialty markets would benefit from understanding existing genetic resources and the historical factors that shaped them. Our study reveals the rich history reflected in current coffee stands on the islands.Summary The West Indies, particularly former French colonies like Haiti and Guadeloupe, were central to the spread of coffee in the Americas. The histories of these Islands are shared until the 19th century, where they diverged significantly. Still, both Islands experienced a strong decline in their coffee sector. Characterizing the genetic and varietal diversity of their coffee resources and understanding historical factors shaping them can help support revitalization efforts. To that end, we performed Kompetitve Allele‐Specific PCR (KASP) genotyping of 80 informative single nucleotide polymorphism (SNP) markers on field samples from across main coffee‐growing region of Guadeloupe, and two historically important ones in Haiti, as well as 146 reference accessions from international collections. We also compared bioclimatic variables from sampled geographic areas and searched for historical determinants of present coffee resources. At least five Coffea arabica varietal groups were found in Haiti, versus two in Guadeloupe, with admixed individuals in both. The traditional Typica variety is still present in both islands, growing across a variety of climatic environments. We also found Coffea canephora on both islands, with multiple likely origins, and identified C. liberica var. liberica in Guadeloupe. These differences are explained by the Islands' respective histories. Overall, Guadeloupe experienced fewer, but older introductions of non‐Typica coffee. By contrast, several recent introductions have taken place in Haiti, driven by local and global factors and reflecting the history of Arabica varietal development and spread. Diversity on these islands is dynamic, and our results reveal opportunities and limits to the future of Guadeloupean and Haitian coffee.

GIS-Enhanced Survey of Potential Aedes aegypti and Aedes albopictus Artificial Oviposition Containers Distributed across Communities in Trinidad, West Indies.

Dengue and other arboviruses remain a global threat, and enhanced efforts to control the mosquitoes that transmit them are urgently needed. A survey of potential manmade Aedes aegypti (L.) and Aedes albopictus (Skuse) oviposition containers was performed in four communities near the end of the typical dry season in 2018 in Trinidad, West Indies. The purpose was to conduct individual premise surveys and use GIS mapping to visualize premises within communities that had Aedes-positive containers, as this information could be used for the prioritization of mosquito control efforts in potential high risk areas as the wet season progressed. Accessible premises were surveyed following standard inspection protocols used by the Insect Vector Control Division (IVCD), Ministry of Health (MOH). The results indicated that two of the four locations would be at high risk for arbovirus transmission going into the wet season. The GIS mapping of premises with Aedes-positive containers facilitated the identification of potential hot spots for arbovirus transmission risk within communities that should be prioritized for enhanced monitoring and vector control efforts, emphasizing the need to increase community participation in standard surveys by IVCD.

Le mythe de la Pennsylvanie, l’Histoire des deux Indes et les Recherches sur les États-Unis de Filippo Mazzei

The “Myth of Pennsylvania,” an overly idealized representation of Pennsylvania, its founder William Penn, and the Quakers, was embraced by many 18th-century French philosophes. It appears in Voltaire’s Philosophical Letters (1734), Diderot and d’Alembert’s Encyclopédie (1751-65), and most prominently in Raynal’s influential History of the East and West Indies (1780). According to the myth, Penn’s colony offered an image of the Golden Age and a model of good government. William Penn was portrayed as a great legislator who established a popular representative government and gave laws that guaranteed civil liberties, maintained equality and ensured religious tolerance. As for the Quakers, their morals and customs were deemed to revive the virtues of early Christians. However, around the time of the American Revolution, many liberal intellectuals on both sides of the Atlantic responded critically to such idealistic distortions of American reality, no matter how well intended. Filippo Mazzei, a naturalized American citizen from Italy who played an important role in the War of Independence, is a good case in point. In the third of his four-volume Researches on the United States (1788), Mazzei develops an extended refutation of Raynal’s version of the myth of Pennsylvania. Penn is now depicted as a greedy, sly opportunist who mostly looked after his own interests and those of his family. Similarly, the Quakers are criticized for having always deftly advanced their own political and commercial interests, and for not having clearly supported the Revolution. Mazzei—and his friends Jefferson and Condorcet, who collaborated with him on the Researches in Paris—could only feel irritated by the propagation of utopian myths or fanciful notions about America when the goal of the Revolution was to establish a large modern republic founded upon human rights and a complex legal and constitutional apparatus. Refuting the myth of Pennsylvania meant also discrediting the outdated ideals of the philosopher king and the primitive virtuous utopia.

Elite persistence and inequality in the Danish West Indies, 1760–1914

The issue of how elites as a social group form, maintain their position, and influence the society they control is central to the debate on inequality. This paper studies one of the most extremely unequal societies ever recorded — the sugar-based economies in the West Indies — by focusing on the island of St. Croix in the Danish West Indies and examines the emergence and persistence of its economic elite. The study relies on a novel dataset that covers the entire population of the island over 154 years, allowing for a long-run analysis of elite persistence and the effects of significant economic, institutional, and social changes. Our study shows that elite persistence remained high in global comparison throughout the period of interest, despite several 'critical junctures'. These junctures only had a temporary effect. We contend that this result can be attributed to three mechanisms of persistence: inheritance, institutional co-optation and limited franchise. Finally, we find that although the Crucian elite maintained its relative standing, it came at the cost of severe impoverishment in absolute terms.

Irish Immigrants in Colonial Port Cities of Cuba: Havana, Santiago, and Cienfuegos

Abstract The port city of Havana, central to the Spanish colonial fleet system since the late sixteenth century, remained an important nexus for nineteenth-century Atlantic trade networks of sugar, coffee, tobacco, and the slave trade. Positioning Irish immigrants in this global hub allows us to examine their presence in Cuba and their participation in global circuits of commodities, trade, and labor. Drawing on local colonial sources, we evaluate the opportunities and experiences of Irish immigrants as social actors in the multi-ethnic urban spaces of Havana and other strategically located port cities of Santiago and Cienfuegos. The Irish who converged on Cuba rarely came directly from Ireland. Hence, we explore three migration trajectories mediated through the British West Indies, the Spanish metropole, and globally connected cities of North America. The most prominent were high-ranking military men who arrived in Cuba in the eighteenth century through Iberian-Irish connections; a smaller number of propertied Irish who migrated from the West Indies; and lastly, distinct flows of largely anonymous nineteenth-century immigrants who came through emerging Atlantic networks of colonial labour via the United States. This study explores the entangled histories of Irish, African, and European diasporas in the social and political worlds of three Spanish Caribbean port cities. Through an analysis of how Irish immigrants negotiated processes of class, religion, race, and gender in colonial Cuba, we highlight their participation in key economic and social dynamics of white colonization strategies, plantation slavery, and the Atlantic slave trade.

Plastome phylogenomics and new fossil evidence from Dominican amber shed light on the evolutionary history of the Neotropical fern genus Pecluma.

Molecular studies based on chloroplast markers have questioned the monophyly of the fern genus Pecluma (Polypodioideae, Polypodiaceae), which has several species of Polypodium nested within it. We explored the delimitation of Pecluma and its biogeographic pattern by evaluating the phylogenetic position of four Polypodium species not sequenced thus far and integrating the first fossil evidence of Pecluma. Using herbarium material, we applied a genome-skimming approach to obtain a phylogenetic hypothesis of Polypodioideae; assessed the combination of character states observed in the fossil from Miocene Dominican amber using a previously published phylogeny of Polypodioideae based on four plastid markers as framework; calculated divergence times; and conducted an ancestral area estimation. Within Polypodioideae, Pecluma was recovered as sister to Phlebodium. Three of the newly sequenced species-Polypodium otites, P. pinnatissimum, and P. ursipes-were recovered with maximum support within the Pecluma clade, whereas P. christensenii remained within Polypodium. The closest combination of character states of the fossil was found within Pecluma. Our biogeographic analyses suggest an Eocene origin of the genus in South America, with several subsequent Oligocene and Miocene colonization events to Mexico-Central America and to the West Indies. Although the circumscription of Pecluma is still challenging, our results elucidate the origin and age of the genus. The newly described fossil, Pecluma hispaniolae sp. nov., supports the hypothesis that the epiphytic communities of the Greater Antilles exhibit a constant generic composition since the Miocene. We propose new combinations (Pecluma otites, Pecluma pinnatissima, and Pecluma ursipes) to accommodate three species previously classified in Polypodium.

Editorial

This first issue of the School of Criminology’s working paper series focuses on international interdisciplinary collaborations by showcasing a series of articles, reflections and poems written by participants at the 2023 University of West Indies–University of Leicester International Summer School, held at the University of Leicester and hosted by the School of Criminology. In the first week of June 2023, Dr Sonjah Stanley Niaah (University of West Indies, Mona) and Professor Michael A. Bucknor (University of Alberta) joined Leicester academics Dr Tammy Ayres, Dr Lucy Evans and Professor Martin Halliwell to co-deliver an intensive week-long cross-disciplinary programme, with an emphasis on both interdisciplinary exploration and professional development.

What Happens When Academics Self-Organise?

This reflective piece is based on my attendance at the University of the West Indies and the University of Leicester International Summer School held from the 5th to 10th of June 2023 at the Leicester Institute for Advanced Studies (LIAS), under the theme ‘Crime, (In)Justice, and Human Rights’. My research interest includes women, violence, well-being and the criminal justice system, so I was eager to participate in what was happening. I experienced apprehension and uncertainty because my background is more rooted in practice than academia, so the questions of belonging and ability flooded my mind. However, the week provided the tools I needed to bring confirmation, reassurance, and motivation to continue my journey.

Truths and Reconciliation: Reflections on the University of the West Indies and University of Leicester International Summer School 2023

The University of the West Indies and University of Leicester International Summer School is an annual event, a week-long programme of lectures, workshops and social activities aimed at supporting postgraduate research students and early career researchers predominantly from the UK and Caribbean. It is hosted alternately at the University of Leicester and the different campuses of the University of the West Indies, and since its inception has been spearheaded by Dr Lucy Evans and Professor Martin Halliwell at the University of Leicester, Dr Sonjah Stanley Niaah at the University of the West Indies, Mona, and Professor Michael A. Bucknor at the University of Alberta. The 2023 edition was hosted by University of Leicester’s School of Criminology from 5th to 10th of June, under the theme of ‘Crime, (In)Justice, Human Rights’. Sub-topics included crime and culture, histories and legacies, security, surveillance, the police and the state, human rights, gender and sexualities, reproductive rights, the environment, and race. It promised an opportunity to connect with researchers in similar or related fields from around the world, who we may have otherwise not met.