The Gambia President Adama Barrow changed the name back to "Republic of The Gambia". Arab traders provided the first written accounts of the Gambia area in the ninth and tenth centuries. During the tenth century, Muslim merchants and scholars established communities in several West African commercial centres. Both groups established trans-Saharan trade routes, leading to a large export trade of local people as slaves, also gold and ivory, as well as imports of manufactured goods. By the 11th or 12th century, the rulers of kingdoms such as Takrur, a monarchy centred on the Senegal River just to the north, ancient Ghana and
Health in the Gambia births, is 106 and the neonatal mortality, as a percentage of under-5 mortality, is 31. In Gambia, the number of midwives per 1,000 live births is five and the lifetime risk of death for pregnant women is one in 49. In October 2012, it was reported that the Gambia had made significant improvements in polio, measles immunisation, and the PCV-7 vaccine. The Gambia was certified as polio-free in 2004. "The Gambia EPI program is one of the best in the World Health Organization African Region," Thomas Sukwa, a representative of the WHO, said, according to the "Foroyaa" newspaper. "It is