ADMINISTRATION Mission Statements: FIRST: To provide and facilitate effective management of the resources of the Centre to enable the organisation to achieve its mission. FINAL: To provide efficient administrative support using high performance teams in the areas of finance, human resources, information technology, Fig. 2.1. Dr Patrick Hamilton Fig. 2.2. Dr Peter Diggory Fig. 2.3. Dr David Bassett procurement and general services to enable the organisation to achieve its mission in a safe and healthy working environment. Directors Dr Patrick Hamilton (1975 – 1982) Dr Peter H. Diggory (1982 – 1988) Dr David C. J. Bassett (Acting) (1988 - 1989) Dr Franklin White (1989 – 1995) Dr Stephen Blount (1995 – 1997) Dr C James Hospedales (1998 - 2006) Dr Glenda Maynard (2006 - 2008) Dr Jose Campione-Piccardo (2008 - 2009) Fig. 2.4. Dr Franklin White Fig. 2.5. Dr Stephen Blount Fig. 2.6. Dr James Hospedales Dr Beryl Irons (2009 - 2012) Administrators/Managers Mr Orlando Succhi (October - December 1974 and February-April 1975) Mr Arthur Maul (August 1975 - 1984) Mr Jean Pierre Scioville (1984 - 1985) Ms Ava Cameo (1986 - 1995) Ms Carol Gayle (1997 - 1999) Mr Stephen Glover (August-October, 2000) Dr Elton Bobb (2001) Mr Gilberto de Barros (July 2004 - 2009) Ms Anna Maria Frixone (2009-2012) Fig. 2.7. Dr Glenda Maynard Fig. 2.8. Dr Jose Campione-Piccardo Fig. 2.9. Dr Beryl Irons the The Caribbean Epidemiology Centre: Contributions to Public Health 1975 - 2012 17 CAREC story ADMINISTRATION (continued) On 1st October 1974 the buildings, equipment to Trinidad, the Rio Bravo virus. Another project and staff of the Trinidad Regional Virus Laboratory was the study on the taxonomy of two mosquito (TRVL) was transferred officially to PAHO/CAREC. species, Culex portesi and C. taeniopus. These Thus, TRVL moved from the administration of the two species were singled out for study, as University of the West Indies to a PAHO/WHO arboviruses were commonly isolated from them. administration. Dr Miles C Williams, a PAHO/ Dr John B. Davies was the project leader. The WHO epidemiologist and Acting Director of third UK MRC project under Dr Christopher TRVL, became the Acting Director of CAREC. Everard was a study on rabies and the ecology of Ms Y Lumsden, the administrator of TRVL mongooses in Grenada. remained until the end of December 1974 and worked with Mr Orlando Succhi, a retired PAHO/ A study of post-streptococcal rheumatic fever was WHO administrator re-hired as a PAHO/WHO another project which was conducted at the time consultant to act as administrator for the period of transfer of TRVL to CAREC. Mr Hugo Reid October-December, 1974. (Fig. 2.13) was the investigator of the project Fig. 2.10. Mr Arthur Maul, Administrator (right) being congratulated by two staff which was funded by the Rockefeller University members at his retirement function. The transfer of TRVL to CAREC was completed by of New York. the end of December 1974 and CAREC became operational on 1st January 1975. Shortly after Dr There were two other projects that were being Elisha Tikasingh (Fig. 1.4.) acted as Director until conducted at TRVL which were concluded in the arrival of Dr Patrick Hamilton in late February 1975. One was a project on scorpion venom to take up duties as Director. Mr Arthur Maul and pancreatitis undertaken by Dr Courtenay (Fig.2.10) was appointed Administrator in August Bartholomew and Dr Barbara Hosein. TRVL/ 1975 and succeeding him was Jean-Pierre CAREC’s involvement was the provision of Scioville (Fig. 2.12) followed by Ava Camejo (Fig. space, maintenance of the scorpion colony, and 2.11). the ‘milking’ of the scorpions’ venom. In addition to the buildings, equipment and staff, When Dr Hamilton arrived, he encouraged the CAREC also inherited a number of projects continuation of these projects and incorporated which were fully funded by external sources. The them in the new structure of the Centre. In the United Kingdom Medical Research Council (UK new Organogram of the Centre, there were MRC) funded three, one of which was a study on three basic units: Surveillance, Laboratory and arboviruses in bats. Dr J. C. Price led the project Training. Dr Peter Diggory (Fig. 2.2) headed the which ended in 1975. During the course of his surveillance Unit which had responsibility for data study, Dr Price discovered an arbovirus new to collection, statistical analysis and the preparation Fig. 2.11. Ms Ava Camejo Administrator Fig. 2.12. Mr Jean Pierre Scioville, (1986-1995). Administrator (1984-1985). science, the Tamana bat virus and another, new of reports for the dissemination of information to the CAREC story 18 The Caribbean Epidemiology Centre: Contributions to Public Health 1975 - 2012 ADMINISTRATION (continued) CAREC Member Countries (CMCs) and PAHO/WHO, with the bi-lateral agreement signed by PAHO/WHO and while Mr Ken Latimer (Fig. 2.14) was in charge of the the Trinidad and Tobago Government, the Director of Training Unit responsible for the planning of courses in TPHL, Dr W Swanston, was made Assistant Director of conjunction with the Surveillance and Laboratory Units, CAREC. The relationship of all these entities is shown in as well as provision of audio-visual services. Organogram I. (See page 14) The Laboratory, which existed before the change to At its start in 1975 CAREC had a budget of US$348,171 CAREC, had to be reorganised as a support for the which was woefully inadequate. The budget was based Surveillance Unit. Virology - headed by Barbara Hull on 1973 prices and, added to that, there was rapid (Fig. 2.15) - remained, but the Entomology section had inflation. Staffing was inadequate as TRVL had cut parasitology added to it as a completely new section and its staff to an absolute minimum at the end of 1974. was headed by Dr Elisha Tikasingh. Bacteriology was Fig. 2.13. Dr Hugo Reid, Immunologist Some parts of the building had to be modified to meet expected to be developed. Dr Miles Williams was head training obligations and supplies and equipment were of the Laboratory Unit. also needed. The lecture hall, too, was greatly improved by the installation of new lighting, the purchase of new The Administration Unit had under its direction, finance, furniture and updating of visual aids. In order to meet personnel, library services, maintenance, supplies and these commitments, CAREC’s Council at its second transport. The CAREC Director reported to the PAHO/ meeting in 1976 recommended an increase in quota WHO Director through the newly- formed Division contributions of 20% by member countries. There was of Disease Control. It should be noted, that CAREC rapid expansion under Dr Hamilton’s leadership: from a was formed under the Department of Research and total staff of 38 in 1975, to a total of 101 in 1982 when he Development with Dr Mauricio Martins da Silva who had left. The administrative staff, too, increased from 12 in a large role in the creation of CAREC. CAREC’s Director 1975 to 22 in 1982. Fig. 2.14. Mr Ken Latimer, first Training Officer at CAREC was guided by a Scientific Advisory Committee (SAC) explaining a section of the exhibition to Mrs Fiona Hamilton, made up of eminent scientists and other observers (Annex wife of Dr Patrick Hamilton. As Director, Dr Hamilton laid a sound foundation for the 6.), and a CAREC Council looked after financial matters development of CAREC. His infectious enthusiasm was (Annex 5). There was also a close relationship between caught by staff members who were also excited and CAREC and PAHO/WHO’s Country Representatives in participated in this new adventure in raising the standard the various countries. of health in the Caribbean. Governments, too, were excited as requests from them for assistance in disease Located in the same building as CAREC, was the outbreaks saw CAREC staff leaving on first available Trinidad and Tobago Public Health Laboratory (TPHL) flights to the countries. Countries saw quality and value and both entities shared some common facilities and Fig. 2.15. Dr Barbara Hull, in this service and supported the work of the Centre. workload. However, the staff at TPHL were employees Virologist of the Trinidad and Tobago Government. In accordance the The Caribbean Epidemiology Centre: Contributions to Public Health 1975 - 2012 19 CAREC story ADMINISTRATION (continued) In 1982 Dr Hamilton was succeeded by Dr Peter H Diggory who recognised Organogram II that CAREC should be a resource for HIV/AIDS surveillance, research, and the development of relevant programmes for member countries. Accordingly, a special programme on STD/HIV/AIDS was formalised in 1987. CAREC then became part of the Global Network of Information Centres on AIDS, which was developed to support national programmes. Sadly, Dr Diggory died suddenly in 1988. The Annual Report for 1988 noted that the “loss of a man with such a breadth of expert knowledge, selfless devotion to public health and long experience of work in the Caribbean was felt deeply, not only in CAREC, but throughout the sub-region and in many places further afield.” Following Dr Diggory’s demise, Dr David Bassett, microbiologist at CAREC, acted as Director for the next nine months until the arrival of Dr Franklin White in 1989. Some Directors altered CAREC’s basic structure over the years as they interpreted the role of CAREC and its mandate. In 1989-1990 Dr Franklin White made a major revision, the purpose of which was to emphasise both laboratory and epidemiology as broadly based foundations of the Centre. Sexually transmitted diseases, HIV/AIDS, the Expanded Programme on Immunisation (EPI) and Zoonoses/Mammalogy were viewed as focused programmes. Within epidemiology, there was to be greater visibility for chronic diseases, health situation and trend assessment (HST) – all with programme evaluations.