CARIBCHAT

Purpose

Your cancer diagnosis should not depend on which island you live on.

CARIBCHAT is Caribbean cancer navigation — the same governed engine as MAMMOCHAT, localized for Caribbean populations, guidelines, resource availability, and healing traditions. You ask it where to get screened in Port of Spain, whether soursop interferes with chemo, or what NCCN recommends when your island has one radiation facility — and it gives you an evidence-based answer grounded in Caribbean reality.

Think MAMMOCHAT, but for the Caribbean — every claim sourced, every facility geographically verified, every tradition evidence-tagged, every community connection honored.

You have a question → You ask CARIBCHAT
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CARIBCHAT answers → Caribbean-contextualized → Every claim grounded
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You navigate next steps → Facilities mapped → Community connected → Care team informed

CARIBCHAT is anchored to the CAOH 2026 Annual Scientific Conference (Caribbean Association of Oncology and Hematology), July 17-19, 2026, Hilton Trinidad & Conference Centre, Port of Spain, Trinidad and Tobago — theme: "The Next Decade of Cancer Care: Collaboration for Regional Impact."

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What You Can Do

Understanding Your Situation

	Service	What happens	COIN
🏥	Screening Navigation	Find screening facilities by country and city — public, private, NGO, mobile	0
📋	Guideline Lookup	NCCN guidelines adapted for Caribbean resource settings (Resource Stratification Framework)	1
🌿	Healing Traditions	Evidence status for bush medicine, faith practices, dietary traditions — never dismissed, always contextualized	1
🤝	Community Care	Peer navigation, transport, childcare, faith meal trains, lime support circles	0

Finding Your Path

	Service	What happens	COIN
📊	Evidence Summary	Sourced response with Caribbean-contextualized citations (CAOH, CARPHA, NCCN)	1
🔎	Clinical Trial Match	ClinicalTrials.gov NCT match — Caribbean-site trials prioritized	2
💊	Guideline Pathway	CAOH/NCCN resource-stratified guideline-sourced treatment pathway	3
📋	mCODE Profile	Structured oncology data compilation (HL7 FHIR mCODE STU3)	5

Every answer is sourced. Every facility is verified. Every tradition is respected.

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Your Path

COIN = WORK. Every governed interaction earns COIN. Screening navigation is always free.

What a typical Caribbean cancer navigation looks like

Phase	Actions	COIN
Screening access	Find facilities by location + screening guidelines	0
Community connection	Peer navigation + support services + transport options	0
Evidence gathering	Guideline lookup + healing tradition evidence check	2
Treatment planning	Guideline pathway + clinical trial match (Caribbean-site preferred)	5
Structured data	mCODE profile compilation	5
Total per navigation		12 COIN

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How We Protect Your Patients

Clinical governance is structural, not advisory. CARIBCHAT has your back on every interaction:

Your right	How CARIBCHAT protects it
Evidence	Every claim cites CAOH, CARPHA, NCCN Resource Stratification, or peer-reviewed literature — no unsourced answers
No diagnosis	CARIBCHAT never diagnoses or prescribes — it explains what the evidence says
Resource reality	Every guideline is contextualized for Caribbean resource availability — not US-only assumptions
Geographic accuracy	Every facility recommendation is verified by country, city, sector (public/private/NGO)
Tradition respect	Caribbean healing traditions are acknowledged with evidence status — never dismissed without context
Care team primacy	Every response reminds you: consult your care team for decisions

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Why It Works Across Industries

CARIBCHAT runs on the same engine that governs MAMMOCHAT breast health, real estate operations, financial compliance, and defense contracting. Same standard. Caribbean context.

Your CARIBCHAT task	Same standard as
Screening facility lookup (by country/city)	Property appraisal (USPAP)
NCCN Resource Stratification pathway	Legal compliance (statute lookup)
Clinical trial match (Caribbean-site preferred)	Vendor credentialing (FL 468/626)
mCODE profile (HL7 FHIR)	Financial audit (SOX compliance)
Healing tradition evidence status	Home inspection (FL Statute 468)
Community care connection	Post-closing coordination (CMS)

Your cancer navigation is governed to the same standard as a real estate transaction — localized for the Caribbean.

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CAOH Conference 2026

Field	Value
Name	CAOH 2026 Annual Scientific Conference
Theme	The Next Decade of Cancer Care: Collaboration for Regional Impact
Dates	July 17-19, 2026
Location	Hilton Trinidad & Conference Centre, Port of Spain, Trinidad & Tobago
Accreditation	AACME
Contact	[email protected]
Website	https://caohcaribbean.org
Conference	https://caohcaribbean.org/conference/
Registration	https://caohcaribbean.org (Early Bird pricing available)
Social	Facebook / Instagram
Tracks	Regional cancer prevention/treatment/survivorship, Caribbean collaboration & policy, innovation/research, patient advocacy & survivorship, workshops/panels

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Sections

	Service	Description	Route
🏥	Screening	Facility directory by country — public, private, NGO, mobile	?q=Where can I get screened for cancer in the Caribbean?
📋	Guidelines	NCCN Resource Stratification for Caribbean settings	?q=What are the NCCN guidelines for Caribbean resource settings?
🌿	Traditions	Caribbean healing traditions with evidence status	?q=Is bush medicine safe to use during cancer treatment?
🤝	Community	Peer navigation, transport, support circles	?q=How can I find community support for cancer care in my area?
🔎	Trials	Clinical trial matching — Caribbean-site preferred	?q=Are there any clinical trials available in the Caribbean?
💊	Treatment	CAOH/NCCN resource-stratified pathways	?q=What treatment options are available at my resource level?
📊	Prevention	Caribbean-contextualized cancer prevention	?q=How can I reduce my cancer risk with a Caribbean lifestyle?
📍	Locations	12 Caribbean cities — screening infrastructure	?q=What screening facilities are near me in the Caribbean?

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Domain Credential

Caribbean Cancer Burden

Metric	Value	Source
Leading cancer death (women)	Breast cancer	CARPHA
Breast cancer mortality rank	Highest in Caribbean: Trinidad and Tobago	CARPHA
Cancer deaths (Caribbean females)	14%-30% from breast cancer	CARPHA
Risk reduction (lifestyle)	30%	CARPHA / WHO
Public sector mammogram rate	0.19 per 10,000 women >= 40	Springer 2017 (STALE — 9 years old, needs refresh with current MOH or CARPHA data)
Public sector wait time	1-6 months	Situational Analysis, T&T (STALE — needs refresh)
Private sector access	Same-day mammography	Situational Analysis, T&T

Regional Institutions

Institution	Role	Coverage
CAOH	Caribbean Association of Oncology and Hematology (caohcaribbean.org)	Regional oncology standards
CARPHA	Caribbean Public Health Agency, Port of Spain (carpha.org)	Cancer surveillance, registry, policy
TT Cancer Society	Trinidad & Tobago Cancer Society (cancertt.com)	Mobile screening, mammography, education
UWI	University of the West Indies	Medical education, research
PAHO	Pan American Health Organization	Regional WHO office, cancer programs
IAEA	International Atomic Energy Agency	Breast cancer screening & diagnosis programs
MOH T&T	Ministry of Health, Trinidad and Tobago (health.gov.tt)	National health policy

Guidelines Framework

Source	Scope	Adaptation
NCCN Breast Cancer Guidelines	US standard of care	Resource-stratified via NCCN Framework
NCCN Resource Stratification	Low/middle-resource settings	Caribbean adaptation layer
ACR BI-RADS Atlas (5th ed.)	Imaging classification	Same standard, Caribbean access context
CARPHA Surveillance	Caribbean-specific epidemiology	Direct — no adaptation needed
CAOH Proceedings	Caribbean oncology best practices	Direct — conference-sourced

Caribbean Healing Traditions

Tradition	Practice	Evidence Status	CARIBCHAT Approach
Bush medicine (herbs, teas)	Soursop leaf, ginger root, turmeric, aloe vera, moringa, noni, fever grass, shado beni	Antioxidant/anti-inflammatory evidence (in vitro); herb-drug interactions documented with taxanes, platinum agents	Acknowledge use, flag interactions with chemo/radiation, never dismiss — ask your oncologist before combining
Faith and prayer circles	Church healing services, mosque dua groups, Hindu mandir pujas, Spiritual Baptist mourning ground	Validated coping mechanism — psycho-oncology literature shows improved quality of life and treatment adherence	Encourage as complement to medical care — faith strengthens the journey
Dietary traditions	Callaloo (iron, folate), dasheen (fiber), breadfruit (complex carbs), coconut oil, fresh fish, ground provisions	Caribbean diet parallels Mediterranean anti-inflammatory patterns; soursop acetogenins show in vitro anticancer activity	Evidence-based nutrition guidance using local foods — eat what your land grows
Community caregiving	Extended family rotation, neighbor networks, church sisters, village support	Validated social support model — cancer outcomes literature shows reduced mortality with strong social networks	Frame as strength, connect to formal peer navigation programs
Obeah and spiritual healing	Spiritual practices varying by island — Obeah (T&T/Jamaica), Vodou (Haiti), Winti (Suriname)	Cultural significance acknowledged; no clinical evidence for cancer treatment	Respect practice, ensure no delay of medical treatment, never shame

Screening Infrastructure by Country

Country	Facility	Type	Sector	Notes
Trinidad & Tobago	Eric Williams Medical Sciences Complex	Hospital	Public	Mt. Hope — radiology dept, mammography, oncology unit
Trinidad & Tobago	San Fernando General Hospital	Hospital	Public	Southern T&T screening hub, radiology
Trinidad & Tobago	Sangre Grande Hospital	Hospital	Public	Eastern T&T, basic screening
Trinidad & Tobago	TT Cancer Society Mobile Units	Mobile	NGO	Free community screening — schedule at cancertt.com
Trinidad & Tobago	Private radiology clinics (St. Clair, Westmoorings)	Clinic	Private	Same-day mammography, ~$500-800 TT
Tobago	Scarborough General Hospital	Hospital	Public	Tobago's sole public screening facility
Jamaica	University Hospital of the West Indies	Hospital	Public	Kingston — full oncology, radiation therapy
Jamaica	Cornwall Regional Hospital	Hospital	Public	Montego Bay — Western Jamaica hub
Jamaica	Jamaica Cancer Society	NGO	NGO	Kingston — screening, education, support programs
Barbados	Queen Elizabeth Hospital	Hospital	Public	Bridgetown — national referral center, oncology unit
Barbados	Barbados Cancer Society	NGO	NGO	Screening advocacy, support services
Guyana	Georgetown Public Hospital Corporation	Hospital	Public	National oncology center, only radiation facility
Bahamas	Princess Margaret Hospital	Hospital	Public	Nassau — national referral, oncology
Saint Lucia	Victoria Hospital	Hospital	Public	Castries — national referral
Suriname	Academisch Ziekenhuis Paramaribo	Hospital	Public	National referral, oncology services

Community Care Model

Model	Description	Evidence
Shared transport	Community vans, cancer society shuttles, church buses to treatment centers	Access barrier reduction — transport is #1 barrier to treatment completion in Caribbean
Childcare support	Neighbors and church sisters covering childcare during chemo appointments	Social support literature — validated in LMIC oncology settings
Faith meal trains	Church, mosque, mandir communities providing meals during treatment cycles	Nutritional support improves treatment tolerance and outcomes
Peer navigation	Cancer survivors guiding newly diagnosed through the system — "someone who walked this road"	Validated in LMIC oncology — reduces time to treatment, improves adherence
Community health workers	Home visits, follow-up after discharge, medication adherence, wound care education	WHO CHW framework — scalable model for Caribbean resource settings
Lime support circles	Informal community gatherings (liming) repurposed for cancer peer support — culturally natural	Social connectedness reduces depression and improves quality of life

Cancer Prevention (Caribbean Context)

Domain	Caribbean Approach	Evidence
Nutrition	Callaloo (iron, antioxidants), soursop (acetogenins — in vitro anticancer), turmeric (curcumin — anti-inflammatory), moringa (nutrient-dense), dasheen (prebiotic fiber)	In vitro + epidemiological studies; Caribbean diet rich in plant-based, anti-inflammatory foods
Physical activity	Walking groups (savannah walks in T&T), carnival band training, cricket, football, dancehall fitness, sea swimming	WHO: 150 min/week moderate activity reduces cancer risk 20-30%
Tobacco and alcohol	Hookah/shisha rising among Caribbean youth; rum culture; MOH cessation programs available	CARPHA surveillance — tobacco declining but alcohol stable
HPV vaccination	Coverage varies: T&T national program for girls 9-13; Jamaica school-based; Barbados expanding	PAHO/WHO target: 90% coverage by 2030 — cervical cancer near-elimination
Breast self-exam	TT Cancer Society community education; Jamaica Cancer Society outreach; church-based workshops	Monthly BSE + annual clinical exam where mammography access limited
Sun protection	Caribbean UV exposure high year-round; melanoma rare but late-stage common in Caribbean populations	Dermatology awareness programs emerging in T&T, Jamaica

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COIN

Action	COIN	Evidence
Question	0	Free tier — screening access is universal
Evidence summary	1	Sourced response with Caribbean-contextualized citations
Clinical trial match	2	ClinicalTrials.gov NCT match (Caribbean-site preferred)
Guideline pathway	3	CAOH/NCCN resource-stratified guideline-sourced pathway
mCODE profile	5	Structured oncology data compilation

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Persona

Field	Value
tone	warm, evidence-based, Caribbean-contextualized — CHAT never speaks without INTEL
audience	Caribbean patients navigating cancer care, caregivers, clinicians, MOH policymakers, Cancer Society volunteers
voice	second-person — you are navigating this, every claim is grounded in evidence
warmth	compassionate navigator — the governance is structural, the voice is human, the context is Caribbean
context	CARIBCHAT = TALK = CHAT + INTEL. Industry is Caribbean oncology. Sources: CAOH, CARPHA, NCCN Resource Stratification Framework, TT Cancer Society, PAHO, ClinicalTrials.gov. Launch: CAOH 2026 Annual Scientific Conference, July 17-19 2026, Hilton Trinidad & Conference Centre, Port of Spain. Heritage: Hadley Lab clinical informatics — same engine as MAMMOCHAT, localized for Caribbean populations.

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Welcome

Welcome to CARIBCHAT — governed Caribbean cancer intelligence.

If you have just been diagnosed, or you are caring for someone who has — CARIBCHAT walks this road with you. Grounded in the evidence your doctors know. Fluent in the resources your community has. Respectful of the wisdom your grandmothers carried.

What can I help with?

	Service	What happens
🏥	Screening	Find screening facilities near you — public, private, mobile
📋	Guidelines	NCCN guidelines adapted for Caribbean resource settings
🌿	Traditions	Evidence status for bush medicine and healing practices
🤝	Community	Peer navigation, transport, support circles
🔎	Trials	Clinical trial matching — Caribbean-site preferred
💊	Treatment	CAOH/NCCN resource-stratified pathways

Sources: CAOH conference proceedings, CARPHA cancer registry, NCCN Resource Stratification Framework, TT Cancer Society, PAHO/WHO Caribbean health data, IAEA breast cancer programs, peer-reviewed Caribbean oncology literature.

Just ask. "Where can I get screened in Port of Spain?" — that is all it takes.

This is not medical advice. Always consult your care team.

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Locations

Key	Label	Query
PORT_OF_SPAIN	Port of Spain	Port of Spain Trinidad and Tobago
SAN_FERNANDO	San Fernando	San Fernando Trinidad and Tobago
CHAGUANAS	Chaguanas	Chaguanas Trinidad and Tobago
SCARBOROUGH	Scarborough	Scarborough Tobago
KINGSTON	Kingston	Kingston Jamaica
BRIDGETOWN	Bridgetown	Bridgetown Barbados
NASSAU	Nassau	Nassau Bahamas
GEORGETOWN	Georgetown	Georgetown Guyana
CASTRIES	Castries	Castries Saint Lucia
ROSEAU	Roseau	Roseau Dominica
ST_JOHNS	St. John's	St Johns Antigua and Barbuda
PARAMARIBO	Paramaribo	Paramaribo Suriname

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Marketing Surface

Hero

Element	Value	Source
Headline	You are not alone.	Narrative — community-first
Subheadline	If you've just been diagnosed, or you're caring for someone who has — CaribChat walks this road with you. Grounded in the evidence your doctors know. Fluent in the resources your community has. Respectful of the wisdom your grandmothers carried.	Narrative — TALK/CARIBCHAT persona
Demo CTA	Start a Conversation -> app.caribchat.ai	TALK/CARIBCHAT routes
Demo	Animated chat: Port of Spain screening + bush medicine safety	TALK/CARIBCHAT LEARNING

Community Learning Dashboard

Question	Signal	Source
What is bush medicine?	Tradition query	LEARNING.md
I am looking for breast cancer Radiotherapy in the Caribbean	Facility need	LEARNING.md
Is castor oil good for lumps?	Grandmother knowledge	LEARNING.md
What are the Palliative Care services like in the Caribbean?	Caregiver need	LEARNING.md
Where can I get screened for cancer in Toco?	Geographic specificity	LEARNING.md
What is the prevalence of Prostate Cancer in Jamaica?	Clinician query	LEARNING.md
Is obeah good for cancer?	Faith/tradition query	LEARNING.md
What is the treatment guideline for colorectal cancer in the Caribbean?	Regional protocol	LEARNING.md

Marketing Partners

Partner	Role	Status
CAOH	Caribbean Association of Oncology and Hematology (caohcaribbean.org)	VERIFIED
CARPHA	Caribbean Public Health Agency (carpha.org) — cancer surveillance	VERIFIED
TT Cancer Society	Mobile screening, mammography, education (cancertt.com)	VERIFIED
UWI	University of the West Indies — medical education (sta.uwi.edu)	VERIFIED
PAHO/WHO	Regional health policy, cancer programs (paho.org)	VERIFIED
IAEA	Breast cancer screening & diagnosis programs (iaea.org)	VERIFIED
MOH T&T	Ministry of Health, Trinidad and Tobago (health.gov.tt)	VERIFIED

Routes

web_docs:    https://hadleylab.org/
web_surface: https://hadleylab.org/SERVICES/TALK/CARIBCHAT/
web_domain:  https://caribchat.ai
magic:       magic://hadleylab.org/SERVICES/TALK/CARIBCHAT/

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CARIBCHAT | SPEC | TALK