Zion - Fear to Faith Magazine

Fear into
Faith
System Focus
Diseases within:
Circulatory
Integumentary
Reproductive
Respiratory
Life with
Chronic
Bronchitis – a
sufferers point
of view
Spiritual Focus
How to shed fear by
focusing on God
Issue No. 1 – June 2020

Congratulations
Fear to Faith
on the launch of
your health
magazine!
All the best from
the Doctors and
Staff of North
Shore Medical &
Aesthetics Center
7 North Shore Road
Devonshire DV 01
Bermuda
(441) 293-5476
kyjuanbrown@nmac.bm

Brought to you by:
Department of National Drug Control

IN
THIS
ISSUE
03
04 06 08
Editors
Message
Corona
Virus
Medical
Puzzles
Circulatory
System
10 16
20 26
Interview:
Dr. John
Gaugain
Integumentary
System
Reproductive
System
Respiratory
System
30
Interview:
Maxine
Smith
35
Spiritual
Focus
36
Puzzle
Answers
On
The
Back
Cover
Tribute to
Kijani
Burgess

Editors Message
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CORONA VIRUS
(COVID-19)
The virus appears to spread
easily among people, and more
continues to be discovered over
time about how it spreads. Data
has shown that it spreads from
person to person among those
in close contact (within about 6
feet, or 2 meters). The virus
spreads by respiratory droplets
released when someone with the
virus coughs, sneezes or talks.
These droplets can be inhaled
or land in the mouth or nose of
a person nearby. It can also
spread if a person touches a
surface with the virus on it and
then touches his or her mouth,
nose or eyes, although this isn't
considered to be a main way it
spreads.
4

Answers on page 36
6

CIRCULATORY
SYSTEM
Heart Failure
Congenital Heart Disease
High Blood Pressure
8

HEART FAILURE
Heart failure, sometimes known as congestive heart failure, occurs when your heart
muscle doesn't pump blood as well as it should. Certain conditions, such as
narrowed arteries in your heart (coronary artery disease) or high blood pressure,
gradually leave your heart too weak or stiff to fill and pump efficiently. Not all
conditions that lead to heart failure can be reversed, but treatments can improve
the signs and symptoms of heart failure and help you live longer. Lifestyle changes
— such as exercising, reducing sodium in your diet, managing stress and losing
weight — can improve your quality of life. One way to prevent heart failure is to
prevent and control conditions that cause heart failure, such as coronary artery
disease, high blood pressure, diabetes or obesity. Heart failure can be ongoing
(chronic), or your condition may start suddenly (acute).
WAYS TO PREVENT HEART FAILURE:
• exercise regularly
• eat fruits and vegetables, whole grains, and lean proteins
• limit bad fats, added sugars, salt, and alcohol
• Don't smoke
• Reduce your stress
• Get enough sleep

Inside the Mind
By: ZiggyZoo
Bermudian Anesthesiologist,
Dr. John Gaugain, sees all
sorts of medical conditions
on a daily basis. ZiggyZoo
sat with Dr. Gaugain to get a
doctors perspective when it
comes to dealing with a
patient suffering with heart
failure
How do you deal with patients with heart failure?
We first find what caused it. Finding the cause helps to decide
the course of action. Diabetes and high blood pressure are the
main reasons for heart failure but there’s also lack of blood
flow and increased heart beat. If there is too much blood we
have to take out blood. There are a lot of ways of treating it
because it comes in different forms. We may need to speed
someone's heart up or slow it down.
How can we prevent heart failure?
Preventative care. It's all about lifestyle. If you have a sugary
diet you have a higher chance. So have a healthy diet. Weight
control, watch your weight. Exercise regularly, doesn't have to
be aerobics. Recommended is 20 minutes a day. If you have
high blood pressure control that as best as you can. It can also
be a hereditary thing. African Americans have a higher rate of
heart failure and diseases that can lead to heart failure. There
are things you can and can't do. A lot of problems are caused
by smoking. So to prevent heart failure, watch your lifestyle as
best as you can.
10

What goes
through your
mind when you
have to help
someone with
heart failure?
The immediate thing is
to look for the cause.
Next is to regulate the
heart and do anything
we may need to do to
stabilize any problems.
The secondary phase
is to find out what is
causing the problem in
the long term and
treating it. And Keep
the patience as calm as
possible as well as stay
calm ourselves.
How long does it take to treat heart failure?
It depends on the person and how severe it is. You get various degrees
of heart failure and we treat people based on the problem. If their heart
is beating too fast we have to slow it down, if it is beating too slow we
have to speed it up, and if they have too much blood we have to treat
that. Then it's all about recovery. We don't let people off ICU until they
are stable. And some people are able to have a fast recovery and others
never get back to their old selves.
Is heart failure a lifestyle problem or hereditary?
It can be both. Because certain diseases run in people's families they
have higher chances. Lifestyle is a more common reason but there have
been cases where if a person has high blood pressure or diabetes in their
family that could be the reason that they have heart failure. But the
main thing is to do what you can to avoid it by watching your diet and
lifestyle.

CONGENITAL HEART DISEASE
Congenital heart disease is a birth defect, occurring when a baby is born with a
heart that hasn’t formed properly. There are many different types of congenital
heart disease. Some are uncomplicated and don’t need any treatment, while some
can be very serious and require many surgical procedures over several years.
Types of congenital heart disease:
A hole in the heart: Babies can be born with a hole in the wall between the heart
chambers or in one of the blood vessels. This can mean not enough oxygen is
pumped around the body.
Problems with the blood vessels: Sometimes the large blood vessels entering the
heart aren't formed properly and are too narrow, or they are in the wrong position.
This affects how the heart works.
Problems with heart valves: If a valve is too narrow (called aortic stenosis), the
heart has to work much harder to pump blood through. Sometimes the valve allows
blood to leak backwards, putting an extra load on the heart.
Often babies are born with a combination of different defects, such as a hole in the
heart, a valve problem, thickening of the heart muscle and problems with the blood
vessels.

Congenital heart disease symptoms
Sometimes congenital heart disease doesn't cause any symptoms. But it may be
suspected in a newborn if:
• their skin, lips or fingernails are sometimes blue (called `cyanosis')
• they are breathing very quickly
• their blood isn't circulating properly
• their legs, ankles, hands or tummy or the skin around the eyes is swollen
• they don't feed or gain weight well
• the doctor can hear a heart murmur
In older children, the symptoms of congenital heart disease include:
• becoming very tired and breathless during exercise
• fainting during or after exercise
• not being able to keep up with friends
• having a lot of chest infections
• not growing very well
Congenital heart disease treatment
A baby or child with congenital heart disease will be treated by a pediatric
cardiologist (a heart doctor who specialises in children) and if necessary a pediatric
heart surgeon. They may need to keep seeing specialists for the rest of their life.
Some congenital heart problems don't need any treatment. For example, small
holes in the heart usually fix themselves as the child grows up. Sometimes
medicines may be used to improve how the heart works or to lower blood
pressure.
Some heart defects can be fixed using cardiac catheterisation, when a thin tube is
threaded through the heart and tiny instruments are used to repair the defect.
In more serious cases, heart surgery may be needed. Sometimes a baby can have
heart surgery while they are still in the womb. If the defects are very serious, a
heart transplant may be the only option.

HIGH BLOOD PRESSURE
Blood pressure is the force of blood pushing against blood vessel
walls. It is measured in millimeters of mercury (mm Hg). High
blood pressure (HBP) means the pressure in your arteries is
higher than it should be. Another name for high blood pressure
is hypertension. Blood pressure is written as two numbers, such
as 112/78 mm Hg. The top (systolic) number is the pressure
when the heart beats. The bottom (diastolic) number is the
pressure when the heart rests between beats. Normal blood
pressure is below 120/80 mm Hg. If you’re an adult and your
systolic pressure is 120 to 129, and your diastolic pressure is less
than 80, you have elevated blood pressure. High blood pressure
is a systolic pressure of 130 or higher or a diastolic pressure of 80
or higher, that stays high over time.

Causes of high blood pressure include:
• Smoking
• Being overweight or obese
• Lack of physical activity
• Too much salt in the diet.
• Too much alcohol consumption (more than 1 to 2 drinks per day)
• Stress
• Older age
• Genetics
Symptoms of high blood pressure may include:
• Severe headache
• Fatigue or confusion
• Vision problems
• Chest pain
• Difficulty breathing
• Irregular heartbeat
• Blood in the urine
• Pounding in your chest, neck, or ears
Ways to prevent high blood pressure:
• Lose extra pounds and watch your waistline
• Exercise regularly
• Eat a healthy diet
• Reduce sodium in your diet
• Limit alcohol intake
• Quit smoking
• Cut back on caffeine
• Reduce stress

INTEGUMENTARY
SYSTEM
MELANOMA
BASAL CELL CARCINOMA
SQUAMOUS CELL CARCINOMA
16

MELANOMA
Melanoma is a serious form of skin cancer that begins in cells known
as melanocytes. While it is less common than basal cell carcinoma
(BCC) and squamous cell carcinoma (SCC), melanoma is far more
dangerous because of its ability to spread to other organs more rapidly
if it is not treated at an early stage. Skin cancers like melanoma have
damaged DNA (mutations) in skin cells that lead to uncontrolled
growth of these cells. Ultraviolet (UV) rays from the sun or tanning
beds can cause mutations in DNA and is a major cause of melanoma.
Many other factors also play a role in increasing the risk for melanoma
including genetics (family history), skin type or color, hair color,
freckling and number of moles on the body. Melanomas commonly
appear on the legs of women, and the number one place they develop
on men is the trunk. Keep in mind, though, that melanomas can arise
anywhere on the skin, even in areas where the sun doesn’t shine.
While melanoma is one of the most dangerous forms of skin cancer,
promising new treatment options are improving quality of life and
increasing survival rates for patients with advanced melanoma.
If you’ve been diagnosed, your treatment choices depend on the stage of
the disease, the location of the tumor and your overall health. Options
include:
•Surgical removal of the melanoma
•Immunotherapy
•Targeted therapy
•Chemotherapy
•Radiation

SQUAMOUS CELL
CARCINOMA
Squamous cell carcinoma: Squamous cell carcinoma (SCC) of the skin is
the second most common form of skin cancer, characterized by
abnormal, accelerated growth of squamous cells. When caught early,
most SCCs are curable. Squamous cell carcinoma (SCC) of the skin is
caused by DNA damage that leads to abnormal changes (mutations) in
the squamous cells in the outermost layer of skin. Understanding what
causes this damage and the factors that increase your risk of
developing SCC can help you detect the disease early or prevent it
from happening in the first place. When caught promptly, almost all
squamous cell carcinomas (SCCs) of the skin can be successfully
treated. But when they become more advanced, these skin cancers
can become dangerous.
Most squamous cell carcinomas (SCCs) of the skin can be cured when
found and treated early. Treatment should happen as soon as possible
after diagnosis, since more advanced SCCs of the skin are more
difficult to treat and can become dangerous, spreading to local lymph
nodes, distant tissues and organs. If you’ve been diagnosed with an
SCC that has not spread, there are several effective treatments that
can usually be performed on an outpatient basis. The choices available
to you depend on the tumor type, size, location and depth, as well as
your age and overall health. About 95 percent of squamous cell
carcinomas (SCCs) of the skin are detected early, when they are easiest
to treat and cure. The remaining 5 percent of SCC cases have advanced
to such an extent that they are far more dangerous and challenging to
treat.
Fortunately, the field of immunotherapy is growing, giving patients
with advanced SCC a new option for treating and managing the
disease.

BASAL CELL CARCINOMA
Basal cell carcinoma is a type of skin cancer. Basal cell carcinoma
begins in the basal cells — a type of cell within the skin that produces
new skin cells as old ones die off. Basal cell carcinoma often appears as
a slightly transparent bump on the skin, though it can take other
forms. Basal cell carcinoma occurs most often on areas of the skin that
are exposed to the sun, such as your head and neck. Most basal cell
carcinomas are thought to be caused by long-term exposure to
ultraviolet (UV) radiation from sunlight. Avoiding the sun and using
sunscreen may help protect against basal cell carcinoma. In order to
assess any growths or changes in your skin, your doctor or a specialist
in skin conditions (dermatologist) will conduct a medical history and
exam. Your doctor may do a skin biopsy, which involves removing a
small sample of a lesion for testing in a laboratory. This will reveal
whether you have skin cancer and, if so, what type of skin cancer. The
type of skin biopsy you undergo will depend on the type and size of
the lesion.

REPRODUCTIVE
SYSTEM
HIV/AIDS
ENDOMETRIOSIS
INTERSTITIAL CYSTITIS
20

HIV infection is caused by the human immunodeficiency virus.
You can get HIV from contact with infected blood, semen, or
vaginal fluids. Most people get the virus by having unprotected
sex with someone who has HIV. Another common way of
getting it is by sharing drug needles with someone who is
infected with HIV.
If you didn't know earlier that you were infected with HIV, you
may realize it after you have some of these symptoms:
• Being tired all the time
• Swollen lymph nodes in your neck or groin
• Fever that lasts more than 10 days
• Night sweats
• Weight loss with no obvious reason
• Purplish spots on your skin that don't go away
HIV is treated with antiretroviral medications, which work by
stopping the virus replicating in the body. This allows the
immune system to repair itself and prevent further damage. A
combination of HIV drugs is used because HIV can quickly
adapt and become resistant.
Use treatment as prevention (TasP). ...
Use post-exposure prophylaxis (PEP) if you've been exposed to
HIV . ...
Use a new condom every time you have sex. ...
Consider pre-exposure prophylaxis (PrEP). ...
Tell your sexual partners if you have HIV . ...
Use a clean needle. ...
If you're pregnant, get medical care right away.

A disorder in which tissue that
normally lines the uterus grows
outside the uterus.
With endometriosis, the tissue can be
found on the ovaries, fallopian tubes
or the intestines.
The most common symptoms are
pain and menstrual irregularities.
Effective treatments, such as
hormones and excision surgery, are
available.

CAUSES
Problems with menstrual period
flow. Retrograde menstrual flow
is the most likely cause of
endometriosis
Genetic factors. Because
endometriosis runs in families,
it may be inherited in the genes
Immune system problems
Hormones
Surgery
SYMPTOMS
Painful periods (dysmenorrhea)
Pelvic pain and cramping may
begin before and extend several
days into a menstrual period
Pain with intercourse
THERAPIES
Hormonal contraceptives - Birth
control pills, patches and
vaginal rings help control the
hormones responsible for the
buildup of endometrial tissue
each month
Pain with bowel movements or
urination
Excessive bleeding
Infertility
Gonadotropin-releasing
hormone (Gn-RH) agonists and
antagonists
Progestin therapy
Aromatase inhibitors
PREVENTION
Talk to your doctor about
hormonal birth control methods
such as pills, patches or rings
with lower doses of estrogen
Exercise regularly (more than 4
hours a week)
Avoid large amounts of alcohol
Avoid large amountS of drinks
with caffeine

Interstitial Cystitis (IC) is a chronic condition causing
bladder pressure, bladder pain and sometimes pelvic
pain. The pain ranges from mild discomfort to severe
pain. The condition is a part of a spectrum of diseases
known as painful bladder syndrome.
Signs and Symptoms:
• Pain in the pelvis or
between the vagina
and anus in women
• Pain between the
scrotum and anus in
men (perineum)
• Chronic pelvic pain
• A persistent, urgent
need to urinate
• Frequent urination,
often of small
amounts,
throughout the day
and night (up to 60
times a day)
Possible Causes:
• defects in the lining of
the urinary bladder that
cause irritation
• bladder trauma or
overstretching
• pelvic floor muscle
dysfunction
• autoimmune disorders
• primary neurogenic
inflammation
• spinal cord trauma
• genetics
• Allergy

RESPIRATORY
SYSTEM
ASTHMA
CHRONIC BRONCHITIS
PNEUMONIA
26

Asthma Causes and
Triggers
• Infectionslike sinusitis,
colds, andflu
• Allergenssuchas pollens,
mold, pet dander,and dust
mites
• Irritantslike strongodors
fromperfumes or cleaning
solutions
• Airpollution.
• Tobacco smoke
• Exercise
• Coldair or changesto the
weather, suchaschangesin
temperatureor humidity
Asthma Signs and
Symptoms
• Shortness of breath
• Chest tightness or pain
• Trouble sleeping caused
by shortness of breath,
coughing or wheezing
• A whistling or wheezing
sound when exhaling
(wheezing is a common
sign of asthma in
children)
Quick Relief
Medications
• Short-acting beta
agonists. These inhaled,
quick-relief
bronchodilators act
within minutes to rapidly
ease symptoms during an
asthma attack
• Ipratropium (Atrovent)
• Oral and intravenous
corticosteroids
Steps to Control
Asthma
• Identify Asthma Triggers
• Stay Away From
Allergens
• Avoid Smoke of Any Type
• Prevent Colds
• Allergy-Proof Your Home
• Get Your Vaccinations
• Consider Immunotherapy
Allergy Shots
• Take Asthma Medications
as Prescribed

Chronic Bronchitis
The main cause of COPD in developed countries is tobacco
smoking. In the developing world, COPD often occurs in
people exposed to fumes from burning fuel for cooking and
heating in poorly ventilated homes.
Only about 20 to 30 percent of chronic smokers may develop
clinically apparent COPD, although many smokers with long
smoking histories may develop reduced lung function. Some
smokers develop less common lung conditions. They may be
misdiagnosed as having COPD until a more thorough
evaluation is performed.
How your lungs are affected
Air travels down your windpipe (trachea) and into your lungs
through two large tubes (bronchi). Inside your lungs, these
tubes divide many times — like the branches of a tree — into
many smaller tubes (bronchioles) that end in clusters of tiny
air sacs (alveoli).
The air sacs have very thin walls full of tiny blood vessels
(capillaries). The oxygen in the air you inhale passes into
these blood vessels and enters your bloodstream. At the same
time, carbon dioxide — a gas that is a waste product of
metabolism — is exhaled.
Your lungs rely on the natural elasticity of the bronchial tubes
and air sacs to force air out of your body. COPD causes them
to lose their elasticity and over expand, which leaves some air
trapped in your lungs when you exhale.

Symptoms
• Frequent coughing or a cough that
produces a lot of mucus
• Wheezing
• A whistling or squeaky sound
when you breathe
• Shortness of breath, especially
with physical activity
• Tightness in your chest
Treatment
• Bronchodilator
Medications Inhaled
as aerosol sprays or
taken orally,
bronchodilator
medications may
help to relieve
symptoms of chronic
bronchitis by
relaxing and opening
the air passages in
the lungs
• Steroids Inhaled as
an aerosol spray,
steroids can help
relieve symptoms of
chronic bronchitis
Prevention
• Stop smoking
• The dangers of
secondhand smoke
are well documented
• Avoid exposure to
irritants
• Avoiding long
exposure to air
pollution from heavy
traffic may help
prevent bronchitis
• Stay away from
others you know
have a cold or the flu

Life with
Bronchitis
By: Iron Lion Zion
Maxine Smith, 70, has been living with chronic
bronchitis for many years. After returning to
Bermuda from Florida, where she had lived for a
number of years, she started to develop a dry
cough which caused her to seek medical attention.
In this interview, we get an inside look into daily
life with this incurable medical condition.
When did you first find out you had chronic bronchitis
and what symptoms led you to be checked for this
disease?
A long time ago when I came back to Bermuda from living in
Florida a few weeks after we returned I started to have a dry
cough. It wasn't a cough that had a lot of mucus like I had a cold;
it was just very dry. So I thought it was just the change of climate
so I let it go for a bit and it somewhat continued so I went to the
doctor. They said I had three different ailments which are all
around the same family. They were asthma, rhino-virus, and
bronchitis. So they did all sorts of little tests. So the lady figured
out that I had chronic bronchitis.
Were you scared when you found out you had chronic
Bronchitis?
I wasn't scared. I think having a baby was scarier. So no. Because
I was keeping on top of it. I made sure to take the medication I
was prescribed.
30

How does this affect you?
It is annoying. It is absolutely annoying because there are so many
little triggers and many different scents. It can be a very pleasant
scent and it will cause my tubes to block. Especially if someone is in
the area smoking that will cause my tubes to block and I will start
coughing and coughing and it will stop when it feels like stopping. I
also have to watch my food. Which I don't half the time. A lot of
starches will make me cough. Because it blocks my tubes. Dust is
another trigger for me. Also if I feel stressed and sometimes
depressed and tired it will trigger it.
In what ways does it affect the people around you?
It's funny because everyone thinks they have a remedy. When I start
coughing I get questions like do you want some water or do you
want a lozenger. I try to tell them that it wont work and some
lozenges trigger my coughs. It just has to run its course. My throat is
not sore. That's one great thing. But this one lady would tell me if
you start coughing, put your hands way above your head. I thought
it was so funny because I imagined if I was in a grocery store and I
started coughing someone would think someone has a gun to my
back.
Does it have any negative impact on what you can and
can't do everyday?
Yes it does but I try to override that. There are times when I'm
hanging up clothes and if I get winded at the clothes line and I try to
walk up the steps to my house I start huffing and puffing and
wheezing. But I keep preserving and I keep telling myself this will
soon pass. Maxine just continues doing what you have to do.
Do you look at this condition as a negative thing?
No not really I believe I said to you earlier was the only thing
negative about it is that annoying cough. If I go to a church service
or funeral or a wedding it may trigger my cough because there may
be different scents where I am. Then everyone turns around
especially at church and thinks OMG what's happening to that lady.
That's the only negative thing.
What ways do you try to limit the effect on your life?
I do take my medication regularly. That's very important and I
indicated earlier about the clothesline I try my best to walk slowly. If
I'm hanging up clothes I make sure to go slow because raising my
arms may cause wheezing and that will start my coughing. But all in
all at this time in my life I think I've done very well.

Pneumonia is a lung disease characterized by
inflammation of the airspaces in the lungs, most
commonly due to an infection. Pneumonia may be
caused by viral infections, bacterial infections, or fungi;
less frequently by other causes. The most common
bacterial type that causes pneumonia is Streptococcus
pneumoniae.
Signs and Symptoms
• Chest pain when you
breathe or cough
• Confusion or changes
in mental awareness
(in adults age 65 and
older)
• Cough, which may
produce phlegm
• Fatigue
• Fever, sweating and
shaking chills
• Lower than normal
body temperature (in
adults older than age
65 and people with
weak immune systems)
• Nausea, vomiting or
diarrhea
• Shortness of breath
How to Manage Symptoms
• Control your fever with aspirin,
nonsteroidal anti-inflammatory
drugs or acetaminophen.
• Drink plenty of fluids to help loosen
secretions and bring up phlegm
• Do not take cough medicines
without first talking to your doctor.
Coughing is one way your body
works to get rid of an infection
• Drink warm beverages, take
steamy baths and use a humidifier
to help open your airways and ease
your breathing
• Stay away from smoke to let your
lungs heal.
• Get lots of rest. Get as much help
as you can with meal preparation
and household chores until you are
feeling stronger. It is important not
to overdo daily activities until you
are fully recovered

When you get a pneumonia diagnosis, your doctor will
work with you to develop a treatment plan. Treatment
for pneumonia depends on the type of pneumonia you
have, how sick you are feeling, your age, and whether
you have other health conditions. The goals of
treatment are to cure the infection and prevent
complications. It is important to follow your treatment
plan carefully until you are fully recovered.
Take any medications as prescribed by your doctor. If
your pneumonia is caused by bacteria, you will be
given an antibiotic. It is important to take all the
antibiotic until it is gone, even though you will
probably start to feel better in a couple of days. If you
stop, you risk having the infection come back, and you
increase the chances that the germs will be resistant to
treatment in the future.
Typical antibiotics do not work against viruses. If you
have viral pneumonia, your doctor may prescribe an
antiviral medication to treat it. Sometimes, though,
symptom management and rest are all that is needed.

Spiritual
Focus
Our June issue’s spiritual focus is about
faith. When something goes wrong in your
life, keep the faith. “Be strong and
courageous. Do not be afraid or terrified
because of them, for the Lord your God goes
with you; he will never leave you nor
forsake you.” (Deuteronomy 31:6) The
challenge to stay strong is hard and makes
you question life but the creator of the
world will always be there. Don't be afraid
because of the situation you are in. Try and
find the positive and focus your attention on
that. When you do, you will see that things
will start to get better. Remove stress from
your life and give it to God. He can handle
it. God has a plan for your life and will
guide you and protect you. You are one of a
kind and God made you for a reason so
trust Him.
35

Puzzle Answers
36

Bermuda Institute of Seventh Day Adventists
Christian Education in Bermuda
We believe that every student at Bermuda Institute is special, that
each is filled with great potential and has a vast variety of Godgiven
talents and abilities. It is our firm belief that with the
guidance and help of a dedicated Christian teaching staff, the
potential of those talents and abilities can be developed to the
honor and glory of God.
Elementary School Middle School High School
Kindergarten to 6 th Grade 7 th – 8 th Grade 9 th – 12 th Grade
Principle: Wayne Edwards
234 Middle Road, Southampton, Bermuda SN 04
Telephone: 441-238-1566

In Loving Memory
Kijani
Burgess
Bermuda Institute
class of 2021
US$7.99/CAD$10.87