Port of Spain of the Caribbean, exporting both agricultural products and manufactured goods. Bauxite from Guyana is trans-shipped via facilities at Chaguaramas, about west of the city. The pre-lenten Carnival is the city's main annual cultural festival and tourist attraction. Today, Port of Spain is a leading city in the Caribbean region. Trinidad and Tobago hosted the Fifth Summit of the Americas in 2009 whose guests included US President Barack Obama and US Secretary of State Hillary Clinton. Port of Spain is also home to the biggest and most successful stock exchange in the Caribbean, the Trinidad and Tobago Stock Exchange (TTSE). The
Port of Spain Complex and 16 health centres that serve a catchment area of 500,000 people. The Port of Spain General Hospital is one of the major trauma centres in the nation and in the Southern Caribbean. The demand for speedy quality health service has led to the establishment of private hospitals. The major ones are: In the greater Port of Spain area, the public and fully state-funded Eric Williams Medical Sciences Complex, run by the North Central RHA, is also a major provider of medical services. It includes the Wendy Fitzwilliam Children's Ward and the Mt. Hope Women's Hospital. Port of Spain