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 in 2000 to a total daily production of 75 m.g.d. Another important facility, the new Beetham Waste Water Treatment Plant, began to treat domestic waste to international standards in 2004. The plant serves customers within Greater Port-of Spain and environs from Pt. Cumana in the west to Mt. Hope in the east including Diego Martin and Maraval. Most solid waste is disposed of in the Beetham Landfill, commonly known as "La Basse". Port of Spain is twinned or is a sister city with the following cities: Port of Spain Port of Spain, officially the City of Port of Spain (also