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
History of the Caribbean two-thirds of Hispaniola were conquered by Haitian forces in 1821. In 1844, the newly formed Dominican Republic declared its independence from Haiti. The nations bordering the Caribbean in Central America gained independence with the 1821 establishment of the First Mexican Empire—which at that time included the modern states of Mexico, Guatemala, El Salvador, Honduras, Nicaragua, and Costa Rica. The nations bordering the Caribbean in South America also gained independence from Spain in 1821 with the establishment of Gran Colombia—which comprised the modern states of Venezuela, Colombia, Ecuador, and Panama. Cuba and Puerto Rico remained as Spanish colonies until the Spanish–American