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 Spanish settlers, who established a port here: "Puerto de los Españoles", later "Puerto de España". In 1560, a Spanish garrison was posted near the foot of the Laventille Hills, which today form the city's eastern boundary. The part of today's downtown Port of Spain closest to the sea was once an area of tidal mudflats covered by mangroves. The first Spanish buildings here, in the 16th and 17th centuries, were open mud-plastered ajoupas, interspersed between large silk cotton trees and other trees. The fort was a mud-walled enclosure with a shack inside, a flagpole, two or three cannon, and few