Dominica

Executive summary

Cuba's medical mission to Dominica, active since 1997 and formalised through the 2016 Health Collaboration Agreement, has operated continuously for nearly three decades under the Comprehensive Health Program and Operation Miracle, with personnel figures fluctuating between 45 and 123 across reporting years, reflecting inconsistent official tallies rather than transparent workforce tracking. Documented labour rights violations include restrictions under Cuba's Migration Law, Decree 306, and MINCEX Resolution 368, alongside forced repatriation practices and contractual controls consistent with UN-condemned patterns of coercive labour export. No direct evidence of electoral mobilisation or overt propaganda is detailed, though the mission's political utility persists. A death abroad, its cause concealed. Behind the white coats, an invisible chain of state control.

Mission data

Research profile