Port of Spain of the Caribbean, exporting both agricultural products and manufactured goods. Bauxite from Guyana is trans-shipped via facilities at Chaguaramas, about west of the city. The pre-lenten Carnival is the city's main annual cultural festival and tourist attraction. Today, Port of Spain is a leading city in the Caribbean region. Trinidad and Tobago hosted the Fifth Summit of the Americas in 2009 whose guests included US President Barack Obama and US Secretary of State Hillary Clinton. Port of Spain is also home to the biggest and most successful stock exchange in the Caribbean, the Trinidad and Tobago Stock Exchange (TTSE). The
Port of Spain General Hospital Street in the city and serves as the main hospital for the North West Region of Trinidad, the most densely populated region in the island. Among its services are obstetric and gynecological care, outpatient medical care, surgical specialties such as orthopaedics and plastic surgery, therapeutic support and emergency care. It also serves as a teaching hospital to medical students from the University of the West Indies, St. Augustine campus. This Institution falls under the North West Regional Health Authority (NWRHA). Port of Spain General Hospital Port of Spain General Hospital is a public hospital in Port of Spain, Trinidad and