Caribbean

Stories from the Caribbean track progress across the region’s diverse island nations and coastal communities. Coverage includes advances in climate resilience, marine conservation, public health, and economic development — reported with context and care.

People raising Cuban flag, for article on mother-to-child HIV transmission

Cuba is the first country in the world to eliminate mother-to-child HIV and syphilis transmission

Cuba’s WHO validation showed the world something remarkable: with the right system behind it, transmitting HIV from mother to child can be reduced to near zero. This was achieved by weaving HIV testing, antiretroviral treatment, and prenatal care into a single national program reaching virtually every pregnant woman — dropping transmission risk dramatically. The honest caveat is that Cuba’s centralized health system made consistent implementation possible in ways that under-resourced or decentralized systems genuinely struggle to match. Still, the core proof is there — and other countries are already working toward the same goal.