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
People of the Dominican Republic time mostly from the lower-class. Today, emigration from the Dominican Republic remains high, facilitated by the social networks of now-established Dominican communities in the United States. Besides the United States, significant numbers of Dominicans have also settled in Spain and in the nearby U.S. territory of Puerto Rico. The culture of the Dominican Republic, like its Caribbean neighbors, is a blend of the cultures of the European colonists, African slaves, and Taíno natives. Spanish is the official language. Other languages, such as English, French, German, Italian, and Chinese are also spoken to varying degrees. European, African, and Taíno cultural elements