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Background Belize is rich in rainforest and vast medicinal plants that have the potential for drug discoveries. Few studies have examined the use of medicinal plants in the management of chronic diseases in Belize. The present study appraised indigenous Belizeans' opinions, beliefs, and practices of medicinal plants used for hypertension management. Twenty-four hypertensive patients were interviewed using a semi-structured interview guide from January to May 2019. Interview results were transcribed using Microsoft Excel and loaded into qualitative data analysis (QDA) Miner Lite version 2.0.6 online software for coding. The integrated themes and sub-themes generated were presented in narrative passages and used to summarize study findings on medicinal plants used in the management of hypertension in Belize. Results Fifteen medicinal plants belonging to 15 plant families were reported by the participants as medicinal plants used to manage hypertension. The plants include Annona muricata, Artocarpus altilis, Cecropia peltata, Ananas comosus, Cymbopogon andropogoneae, Uncaria tomentosa, Allium sativum, Bixa orellana, Moringa oleifera, Momordica charantia, and Cassia grandis. Leaves were the most commonly used plant part; decoction was the most common method of preparation, while ½ to 1 glass was the daily recommended dose. Mild side effects were reported, while antioxidant activity was the perceived efficacy. Conclusion Hypertensive patients in Belize opined that medicinal plants and herbs were efficacious in lowering blood pressure, as evidenced by home monitoring and regular checkups at the hospital. They also reported minimal side effects in the use of the medicinal plants. There is a need for a comprehensive evaluation of Belize’s medicinal plants to unravel their potential for drug discovery.

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Background. Health issues have been associated with the consumption of high levels of nitrates in drinking water. Rural agricultural communities in Belize play a large role in the economic growth of the country. These communities obtain drinking water directly from the ground and may be susceptible to nitrate consumption and at risk of developing diseases associated with nitrates. Objectives. The present study examined nitrate levels in Belize's rural water supply with the aim of assessing its suitability for human and livestock consumption. The study also provides baseline data for monitoring the concentration of nitrates to prevent public health hazards in Belize. Methods. Forty-three (43) water samples from reservoirs, wells, vats, and standpipes were collected from 40 villages in Belize and analyzed for nitrates using the cadmium reduction method. Nitrates were detected with an Orion® AquaMate® 8000 UV-Vis spectrophotometer at 520 nm. The Belize Coastal Zone Management Authority and Institute laboratory analyzed all water samples for nitrates. Results. Except for four water samples from four different sites, all analyzed water samples were found to contain nitrate levels below 10 mg/L. Nitrate levels above 10 mg/L were seen in a few samples in the northern part of the country, probably due to agricultural activities in these areas. Conclusions. Belize's rural drinking water contains low levels of nitrates, except for a few villages where the levels exceeded the acceptable limit of 10 mg/L. Higher levels of nitrates detected in a few villages need regular evaluation and monitoring to avoid public health issues as well as prevent harm to livestock. Competing Interests. The authors declare no competing financial interests.

Belize is one of the countries in Latin America and the Caribbean with the lowest COVID-19 confirmed cases and deaths until recently. The success of a low community spread of the novel coronavirus-19 can be attributed to the government’s rapid response in effective community participation through communication, promoting personal hygiene, social distancing, quarantine, and rapid mapping to trace, identify, and test potentially COVID-19 exposed persons. In addition to effective public awareness, legal and spiritual approaches were utilized to curb the spread of COVID-19 in the country of Belize. From March 2020 when the first case was confirmed, the methods employed to curb spread were so effective that no new case was reported for over 50 days. In an attempt to reopen the country for business, the success of effectively preventing widespread of the COVID-19 made the government ease some of the strict preventive measures of community spread. Presently, new COVID-19 cases are being reported as a result of illegal border crossing, repatriations of Belizeans abroad, and the apparent lack of adherence to the earlier measures put in place by the government to curb community spread of the COVID-19. The rise in the number of COVID-19 confirmed cases and deaths in Belize seem to jeopardize the success story of community spread earlier recorded in the country. This article presents some of the earlier measures put in place by the government of Belize that effectively curbed the community spread of COVID-19 in the country of Belize. Effective community participation is still the most effective means of preventing COVID-19 spread.

Funding: La Sante Pharmacy provided support for this study in the form of a salary for CY. Friendly Pharmacy provided support for this study in the form of a salary for EG. CJS Pharmacy provided support for this study in the form of a salary for CB. Genesis Medical Clinic provided support for this study in the form of a salary for AP. Codd's Pharmacy provided support for this study in the form of a salary for IC. The specific roles of these Conclusion Most of the selected antibiotics passed performed tests when compared with their pharmacopeia. Only a few samples from both BP and USP antibiotics failed the tests conducted. There is need for regular quality assurance tests on all medications imported to Belize especially antibiotics.

Background Over the years, air pollution has garnered increased attention from researchers who continue to provide studies and suggestive data that prove there is an ever-increasing risk of air pollution on the health of humans, terrestrial, and aquatic animals. A measurement involved in the quantity of certain traceable particles within the air, namely: Particulate Matter (PM) 2.5 and 10, ozone (O3), Nitrogen dioxide (NO2), sulfur dioxide (SO2), and carbon monoxide (CO) emissions, all converted to Air Quality Index. Most studies are predominantly from developed nations with limited research conducted in developing nations such as those in Latin America and the Caribbean. Main body In this systematic review, we examined the impact of air pollution on public health. A database search produced 1,118 studies, of which four were selected for a quantitative meta-analysis that explored hazard ratios concerning exposure to elevated levels of PM2.5. The meta-analysis results show that exposure to PM2.5 increases the risk of an adverse health event by as much as 2% five days after exposure. Results also indicated a consensus on the negative impacts of air pollution on public health. The results also suggest that more can be done within the region to combat or at the very least minimize the impact of air pollution to public health. Conclusion The pooled data from the studies reviewed show that there is an increased risk of an adverse health event on the day of exposure to PM2.5 and every subsequent day after exposure. A pattern exists between hospitalization and air pollution due to increased susceptibility to respiratory infections and asthma development. Combating the harmful effects of air pollution should be a top priority in Latin America and the Caribbean.