Publications - Ministry of Health, Environment & Sustainability
Publications
Reports
Appendix: Targeted Diagnostic Assessment of the Governance of the Health Services Authority
The accompanying appendix to the Targeted Diagnostic Assessment of the Governance of the Health Services Authority report.
Report: Targeted Diagnostic Assessment of the Governance of the Health Services Authority
Assessing the effectiveness of the Health Services Authority's governance structures and practices to identify areas for improvement.
STEPS 2023 National Health Survey Report
Understanding the prevalence of risk factors for non-communicable diseases in the Cayman Islands. The survey clearly captured the health status of the Cayman Islands and it highlights gaps in care that need to be addressed.
Credit Card Reports
MHES CC April 2026
Ministry of Health, Environment & Sustainabiity credit card expenses for the month of April 2026.
MHES CC December 2025
Ministry of Health, Environment & Sustainability credit card expenses for the month of December 2025.
MHES CC February 2026
Ministry of Health, Environment & Sustainabiity credit card expenses for the month of February 2026.
MHES CC January 2026
Ministry of Health, Environment & Sustainabiity credit card expenses for the month of January 2026.
MHES CC June 2026
Ministry of Health, Environment & Sustainabiity credit card expenses for the month of June 2026.
MHES CC March 2026
Ministry of Health, Environment & Sustainabiity credit card expenses for the month of March 2026.
Guidance and Policies
Cayman Islands National Cancer Policy
This National Cancer Policy establishes a framework for the implementation, monitoring, evaluation, and oversight of cancer screening programmes across the Cayman Islands. It adopts recognised cancer quality standards and clinical guidelines to promote standardised care pathways and ensure consistent, high-quality delivery of services. The policy prioritises evidence based population screening for three cancers: bowel (colorectal); cervical, and; female breast, selected due to their prevalence and the effectiveness of available screening tools. Other cancers remain under review as evidence evolves. This policy promotes the use of data collection systems within healthcare facilities offering cancer screening, helping to enable timely call and recall of individuals at recommended intervals. Oversight by the National Cancer Consultation Group will also help to ensure programmes are evidence-based, accessible, patient-centred, and aligned with international best practices.
Ebola Disease: Frequently Asked Questions May 2026
An outbreak of Ebola disease caused by the Bundibugyo virus has been declared in the Democratic Republic of Congo (DRC) and Uganda as of 15 May 2026. The World Health Organization (WHO) has declared this a Public Health Emergency of International Concern (PHEIC). The Cayman Islands Ministry of Health is monitoring this situation closely and has created this document to help answer questions around ebola disease. See the last section of this document for what to do if you are concerned.
Public Health Travel Advisory valid 12 December 2025- 30 January 2026
Public Health Travel Advisory
valid 12 December 2025- 30 January 2026
Arboviral Infections (Dengue, Chikungunya, Zika and Oropouche) pg.2
Bacterial Infections (Leptospirosis) pg. 4
Community Advisory - Prevent the Transmission of H5N1 Avian Flu
H5N1 Avian Flu has been detected among a select number of birds on Grand Cayman. Public Health and the Department of Agriculture are actively monitoring the situation and conducting containment activities. Decontamination stations have been established for prevention. Risk to the general public remains low. Follow the guidance below to prevent exposure.
H5N1 Advisory for Farmers and Poultry Owners
H5N1 Avian Flu has been detected among a select number of birds on Grand Cayman. Public Health and the Department of Agriculture are actively monitoring the situation, surveying the area and carrying out containment activities. Farmers and poultry owners are asked to take the following precautions to prevent further transmission among bird populations and reduce personal exposure risk.
My Resilient Home & Property Guide
The Cayman Islands is particularly vulnerable to the impacts of climate change because they are, on average, 7 feet above sea level, in the Caribbean hurricane belt, and generally contending with a drier climate. We are highly dependent on imported supplies of food, fuel, building materials and consumer goods. While we contribute very little to the cause of climate change (too much greenhouse gases in the atmosphere), we can lower our vulnerability and be prepared for whatever comes our way (by adapting). Many of the solutions that help us adapt to these emerging conditions also lower (or mitigate) the Islands’ greenhouse gas emissions.
This guide will help you do both for your home and property by suggesting a suite of practical tips to deal with the effects of heatwaves, drought and water stress, as well as flooding and storms.
Travel Expense Reports
MHES Official Travel Expenses Report April 2026
MHES official travel report for the month of April 2026.
MHES Official Travel Expenses Report August 2025
MHES official travel report for the month of August 2025
MHES Official Travel Expenses Report December 2025
MHES official travel report for the month of December 2025.
MHES Official Travel Expenses Report February 2026
MHES official travel report for the month of February 2026.
MHES Official Travel Expenses Report January 2026
MHES official travel report for the month of January 2026.
MHES Official Travel Expenses Report June 2026
MHES official travel report for the month of June 2026
Legislation
- Consultation Draft – The Human Tissue Donation and Transplant Regulations (2018)
- Health Care Decisions Act (2022 Revision)
- Health Insurance Act (2021 Revision)
- Code of Practice: Administrative Fines for Health Insurance Offences (SL 73 of 2014)
- Health Insurance Regulations (2017 Revision)
- Standard Health Insurance Fees for the Cayman Islands – June 2005 (SL 72 of 2014)
- Health Insurance Commission Act (2016 Revision)
- Health Practice Act (2021 Revision)
- Health Practice (Designated Health Care Facilities) (No. 2) Order (SL 163 of 2020)
- Health Practice (Designated Health Care Facilities) Order (SL 41 of 2013)
- Health Practice (Designated Health Care Facilities) Order (SL 30 of 2020)
- Health Practice (Medical Tourism Facility) (Health City Cayman Islands) Order (SL 36 of 2014)
- Health Practice (Medical Tourism Provider and Facility) (Seven Mile Medical Clinic) Order (SL 51 of 2014)
- Health Practice (Medical Tourism Provider and Medical Tourism Facility) (NovoClinic Ltd.) Order, 2021 (SL 38 of 2021)
- Health Practice (Medical Tourism Provider) (Health City Cayman Islands Ltd) Order (SL 7 of 2014)
- Health Practice (Medical Tourism Providers and Medical Tourism Facilities) Order (SL 54 of 2014)
- amended by… Health Practice (Medical Tourism Providers and Medical Tourism Facilities) (Amendment) (No. 2) Order, 2015
- amended by… Health Practice (Medical Tourism Providers and Medical Tourism Facilities) (Amendment) (No. 2) Order, 2016
- amended by… Health Practice (Medical Tourism Providers and Medical Tourism Facilities) (Amendment) Order, 2015
- amended by… Health Practice (Medical Tourism Providers and Medical Tourism Facilities) (Amendment) Order, 2016
- Health Practice Act (Medical Tourism Provider and Medical Tourism Facility) (Cayman IVF Limited) Order (SL 42 of 2018)
- Health Practice Regulations (2021 Revision)
- Nursing Regulations (SL 74 of 2016)
- Health Services Authority Act (2018 Revision)
- Health Services Authority Charge Master
- Health Services (Fees) Act (2002 Revision)
- Health Services (Fees and Charges) Regulations (2008 Revision)
- Human Tissue Transplant Act (2013)
- Human Tissue Donation and Transplant Regulations (SL 40 of 2018)
- Medical Negligence (Non-Economic Damages) Act, 2011
- Mental Health Act (2021 Revision)
- Mental Health Regulations
- Mental Health Commission Act (2013)
- Mental Health Commission Law, 2013 (Commencement) Order, 2013
- Misuse of Drugs Act (2017 Revision)
- Misuse of Drugs (Drug Trafficking Offences) (Designated Countries) Order
- Mosquito (Research and Control) Act (2007 Revision)
- Mosquito (Research and Control) Regulations (2006 Revision)
- Aerial Spraying and Protection Act (1997 Revision)
- Aerial Spraying and Protection Regulations (2006 Revision)
- National Drug Council Act (2010 Revision)
- Dangerous Substances Handling and Storage Amendment Act (2015)
- The Litter Act 12 of 1982 (1997 Revision)
- Pharmacy Act, 2024
- Pharmacy Act, 1979
- Pharmacy (Poisons and Restricted Pharmaceuticals) Regulations (2017 Revision)
- amended by… Pharmacy (Poisons and Restricted Pharmaceuticals) (Amendment) Regulations
- Tobacco Act, 2008
- amended by… Tobacco Act, 2008 (Amendment of Commencement Order) Order, 2009 (SL 35 of 2009)
- Tobacco Law 2008 (Commencement) Order, 2009 (SL 20 of 2009)
- Tobacco Regulations (2017 Revision)
- Public Health Act (2021 Revision)
- Public Health (Garbage and Refuse Disposal) Regulations (2003 Revision)
- Public Health (Miscellaneous Fees) (Amendment) Regulations (2003)
- Public Health (Infections Waste) Regulations (2002 Revision)
- Control and Management of Covid-19 Regulations, 2021 (SL 68 of 2021)
- amended by… Control and Management of Covid-19 (Amendment) Regulations, 2021 (SL 69 of 2021)
- Control of Covid-19 (No. 2) Regulations, 2021 (SL 39 of 2021)
- Control of Covid-19 (No. 3) Regulations, 2021 (SL 67 of 2021)
- Control of Covid-19 (Vaccination) Regulations, 2021 (SL 59 of 2021)
- Prevention, Control and Suppression of Covid-19 (Cayman Brac) Regulations, 2020 (SL 46 of 2020)
- Prevention, Control and Suppression of Covid-19 (Cayman Gay Pride Parade) Regulations, 2021 (SL 56 of 2021)
- Prevention, Control and Suppression of Covid-19 (CayMAS Parade) Regulations, 2021 (SL 57 of 2021)
- Prevention, Control and Suppression of Covid-19 (Little Cayman) Regulations, 2020 (SL 45 of 2020)
- Prevention, Control and Suppression of Covid-19 (Partial Lifting of Restrictions) (Travel and Boating) Regulations, 2021 (SL 40 of 2021)
- amended by… Notice – Prevention, Control and Suppression of Covid-19 (Partial Lifting of Restrictions) (Travel and Boating) Regulations, 2021 (SL 63 of 2021)
- amended by… Notice – Prevention, Control and Suppression of Covid-19 (Partial Lifting of Restrictions) (Travel and Boating) Regulations, 2021 (SL 53 of 2021)
- Prevention, Control and Suppression of Covid-19 (Processions) Regulations, 2021 (SL 6 of 2021)
- Prevention, Control and Suppression of Covid-19 (Travel and Boating) Regulations, 2021 (SL 64 of 2021)
- Public Health (Communicable Diseases) Regulations (1997 Revision)
- Public Health (Garbage and Refuse Disposal) Regulations (2011 Revision)
- Public Health (Infectious Waste) Regulations (2002 Revision)
- Public Health (Miscellaneous Fees) Regulations (2011 Revision)
- Public Health (Prevention, Control and Suppression of Covid-19) (Ticket) Regulations, 2020 (SL 32 of 2020)
- Public Health (Quarantine) (Infected Place) (Repeal) Order, 2021 (SL 11 of 2021)
- Public Health (Quarantine) Regulations (2021 Revision)
- Public Health Notice 2 of 2020 – Travel Restrictions Countries