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 reclamation of the foreshore mudflats, using fill from the Laventille Hills. This began with the area immediately east of the diverted St. Ann's River; the district is still called Sea Lots today. Gradually the landfill crept west and the area south of Plaza del Marina became solid land. Further major reclamation efforts took place in the 1840s, the 1870s, and in 1906. In 1935 the Deep Water Harbour Scheme dredged the offshore area along Port of Spain's western neighbourhoods, and the dredged material was used to fill in the area south of Woodbrook. Wrightson Road, linking downtown Port of Spain