• '''''The Lancet'' medical journal''';  Role of USA in shortage of food and medicine. "The resultant lack of food and medicines to Cuba contributed to the worst epidemic of neurological disease this century." Nevertheless, Havana's infant mortality rate in 2009 was 4.9 per 1,000 live births, 5.12 in the country as a whole, which is lower than many developed nations, and the lowest in the developing world. Administration of the health care system for the nation is centered largely in Havana. Hospitals in Havana are run by the national government, and citizens are assigned hospitals and clinics to which they may go for attention.