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
Port of Spain east with an estimated population of 600,000. The city serves primarily as a retail and administrative centre and it has been the capital of the island since 1757. It is also an important financial services centre for the Caribbean and is home to two of the largest banks in the region. Port of Spain was also the "de facto" capital of the short-lived West Indies Federation, which united the Caribbean. Caricom was established in Chaguaramas, west of Port of Spain. The city is also home to the largest container port on the island and is one of several shipping hubs