Port of Spain rise a few years ago have declined dramatically since 2006. However, theft and violent crimes remain prevalent to this date, while crime and the perception of crime continues to hamper the economic prospects of the city. Five RHAs deliver public health care services to the population of Trinidad and Tobago. RHAs (Regional Health Authorities) are autonomous bodies that own and operate health facilities in their respective regions. The Port of Spain municipality is served by the North West Regional Health Authority (NWRHA). The NWRHA administers and manages the Port of Spain General Hospital, St Ann's Psychiatric Hospital, St. James Medical
Piracy in the Caribbean Spanish garrisons. In these cities European manufactured goods could command premium prices for sale to the colonists, while the trade goods of the New World—tobacco, cocoa and other raw materials, were shipped back to Europe. By 1600, Porto Bello had replaced Nombre de Dios (where Sir Francis Drake had first attacked a Spanish settlement) as the Isthmus of Panama's Caribbean port for the Spanish Silver Train and the annual treasure fleet. Veracruz, the only port city open to trans-Atlantic trade in New Spain, continued to serve the vast interior of New Spain as its window on the Caribbean. By the