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 rainforest containing a wide variety of plants and animal species. Port of Spain lies at the western end and the city climbs into the hills and valleys which are settled and largely deforested. The two tallest peaks are El Cerro del Aripo and El Tucuche which top 900 m (3,000 ft). The 3278 hectare protected Caroni Swamp has long formed a physical barrier to the city's expansion to the south, forcing urban growth relentlessly eastward at the expense of a traffic relieving ring road. This west coast mangrove area is the island's second largest wetland after the east coast Nariva