A research collaboration focused on chronic disease in the Eastern Caribbean

The Eastern Caribbean Health Outcomes Research Network (ECHORN) is a collaborative research study that examines the lifestyles, eating habits, and health behaviors associated with cancer, diabetes and heart disease in adult men and women living in the Eastern Caribbean. Funded by the National Institute for Minority Health Disparities (NIMHD), ECHORN presents a unique opportunity to identify risk and protective factors for chronic disease in a diverse population over time.

ECHORN members include Yale University, the University of Puerto Rico, the University of the West Indies, Cave Hill, Barbados and St. Augustine, Trinidad & Tobago, and the University of the Virgin Islands.

Cohort Study: ECHORN recruits and collects data from adults living in the Eastern Caribbean to look at risk factors for chronic disease such as cancer, diabetes and heart disease over time.

Data Collection: ECHORN asks participants to complete a health questionnaire and a brief physical examination.

Biobanking: ECHORN collects blood samples from participants for use in future studies to identify genetic markers of health.

Virtual Curriculum (VC): An online learning platform for ECHORN network members. The VC engages users through interactive research skills and knowledge modules.

Learning Exchange Workshops (LEWs): Educational opportunities for site teams and their partnering academic institutions. LEWs are held each year at different island sites.

Research and Projects in Development (RAPID): Mentorship for Junior Research Faculty across the collaborating academic institutions.

Fellowships: A training opportunity for post-doctoral students interested in gaining skills in research leadership.

Symposia: An annual meeting to promote career development and cross-site networking and collaboration. Symposia rotate across the sites.

ECHORN engages with policymakers across the Caribbean region through its partnerships with local government leaders, community advisory boards and with global organizations such as the Yale Global Health Leadership Institute (GHLI) and the Pan American Health Education Foundation (PAHEF).


03.13.2019 | ECHORN Publications

Hassan S, Ojo T, Galusha D, Martinez-Brockman JL, Adams OP, Maharaj R, Nazario C, Nunez M, Nunez-Smith M. Obesity and weight misperception among adults in the Eastern Caribbean Health Outcomes Research Network (ECHORN) Cohort Study. Obes Sci Pract. 2018 Jun … Read More

10.25.2017 | Please donate to the ECHORN Hurricane Relief Fund to rebuild social services support for millions of affected Caribbean people.

DONATE HERE Hurricanes Irma and Maria (2017) have devastated the Caribbean islands of Puerto Rico, the US Virgin Islands, the British Virgin Islands, St. Martin/St. Maarten, Barbuda, Dominica, and many others. Beyond the immediate need for life sustaining supplies, the local … Read More

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Our Network

our network

The ECHORN network includes four island site teams, a coordinating center located at Yale University, and a steering committee. A faculty advisory board and community advisory board serve as resources to the network. Site teams recruit participants and gather study data. The teams include a site principal investigator, a junior faculty member, a project manager, research assistants, and a clinical research nurse. Site teams may also include a community outreach officer.



Our Four Islands

Puerto Rico
U.S. Virgin Island
Trinidad & Tobago
where we work

ECHORN’s inaugural sites are located in Puerto Rico, Trinidad & Tobago, Barbados and the U.S. Virgin Islands. The sites represent populations of substantial racial/ethnic, socioeconomic and linguistic diversity.

Participants are seen at community assessment centers located at each site.

Puerto Rico

Graduate School of Public Health
Main Building, 4th Floor,
Suite A477-C


U.S. Virgin Islands

Sugar Estate Park 52 F-1 Estate Thomas Unit K2012, St. Thomas, USVI 00802 1120
King Street, Christiansted, St. Croix, VI 00820



Winston Scott Polyclinic
Jemmott’s Lane, St. Michael


Trinidad & Tobago

#5 Sellier Street,


Our Meetings

our meetings


The annual ECHORN symposium is an opportunity for cross-island networking and collaboration. Activities at each symposia focus on strengthening network members’ skills and knowledge in research methods and strategies. Symposia rotate across the island sites.

ECHORN Hurricane Relief Fund

View Past Symposia

Learning Exchange Workshops

Each year, ECHORN hosts learning workshops for site teams and their partnering academic institutions. The workshops are taught by visiting faculty and feature a topic area chosen by the island site. Workshops are open to faculty, graduate students, fellows, and research professionals. LEWs rotate across the island sites.

April 3-4, 2014

Learning Exchange Workshop 3

St. Thomas, U.S. Virgin Islands

View Past Workshops
for paticipants and for researchers

For Participants

We know diseases such as cancer, diabetes and heart disease are on the rise in the Caribbean region. It is our hope that the ECHORN study will advance our understanding of the factors associated with these conditions. The information we get from every single participant in the ECHORN study makes a difference. We thank each of you for taking the time to be a part of this endeavor and hope you will continue to be active in the study.

View Participants Page

For Researchers

The Eastern Caribbean Health Outcomes Research Network (ECHORN) welcomes proposals from external investigators that seek to enhance the understanding of non-communicable chronic diseases in the Eastern Caribbean region. ECHORN facilitates the development of a population based cohort in Puerto Rico, Trinidad and Tobago, Barbados, and the U.S. Virgin Islands. Its main aim is to estimate the prevalence of both known and potential risk factors associated with the development of cancer, diabetes and heart disease.

View Researchers Page

Contact Us

Please contact us to:

  • - Be added to the ECHORN newsletter (KeyNotes) mailing list
  • - Attend an upcoming ECHORN meeting
  • - Get more information about the ECHORN network or project
  • - Get information about fellowships, internships, or other opportunities

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