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The absence of a license as prescribed by the Health Facilities Licensing Act in essence means that a purported medical institution is operating illegally. This notion was underscored yesterday by Minister of Health, Dr Leslie Ramsammy, who said that since the introduction of the Act no medical operation would have been allowed to operate without being duly licensed.He recounted that those already in existence were given a chance to put measures in place as recommended by the Act. And according to the Minister, “I know all of those medical facilities that have applied…”His disclosure was forthcoming yesterday in response to concerns about a purported medical institution under the name Inter-American Medical Clinic situated at 5 Cummings Street, Georgetown.The Minister said, “As far as I know no one has ever applied for a license to operate a facility by this name.”Based on details provided to this newspaper for an advertisement, the facility professes to have capabilities to undertake medicals for travelling, all types of x-rays, special private tests, heart tests, tests for sexually transmitted diseases, complete joint pain test, special confidential service among others.But according to Minister Ramsammy, “If I am to see an advertisement to that effect I will send my people to check and close them down…They cannot offer such services if they are not licensed to do so.” This newspaper was able to confirm yesterday that the purported medical clinic is owned by a woman named Nanda Kissoon. Kissoon has over the years been the centre of several reported fraudulent activities in the medical field.On numerous occasions the Health Minister had had cause to highlight her illegitimate operations which included a medical school that saw several young people being scammed out of thousands of dollars.A short conversation with the woman yesterday saw this newspaper questioning her about the legality of the clinic.  In defensive mode the woman asserted, “We don’t need the Ministry of Health to approve our operation…Why is it that you always have to bring Ramsammy into this?  We have doctors but we don’t have to disclose who they are…”The Ministry of Health had three years ago started to phase in the Health Facilities Licensing Act.  Minister Ramsammy had revealed even then that potential operators of any new facilities including laboratories, dialysis centres,Cheap Jerseys For Sale, a radiology or imaging centre or hospital must obtain a provisional license before such facilities are even established.“They can’t build a health facility then come to us for a license because there is no automatic granting of a license simply because you have invested in putting up large buildings. You must obtain the provisional license and then you can proceed with construction.”He, however,Cheap NFL Jerseys China, noted that a final license will only become available to the operators after health officials would have inspected the facility.  And while every type of health facility, both public and private, will come under the Act, small health centers and private doctors’ offices were not being targeted.The implementation of the Act saw the Ministry carrying out two kinds of inspections which entailed the examination of the physical,Wholesale NFL Jerseys China, technical and human resources aspects of the facility.According to the Minister an inspectorate is normally dispatched to visit the facilities to ensure that they meet the requirements in the area of record keeping, solid waste management,NFL Jerseys China, and that they have the appropriate size for certain rooms such as x-ray and also that they have the  kind of staff to deliver the services.“We don’t expect that a laboratory will have no medical technologists. This doesn’t mean there is no place for an apprentice medical technician but they must be supervised,Cheap Authentic Jerseys, there must also be a pathologist…”Further,Cheap Jerseys, Minister Ramsammy said that it would also be expected that health facilities will have proper environment measures in place to protect people from infection. He disclosed that the regulation points out very clearly that an x-ray room for example should have lead walls or a certain thickness of solid concrete.And according to the Minister concrete blocks can in no way work to build the requisite solid concrete walls and ceiling to ensure that the radiation does not escape.And while inspectors are tasked with examining the physical structure of the facility, the Minister said that Assessors, a separate batch of the inspectorate, are dispatched to conduct clinical audits to ensure that a quality service is being provided.