Malta (island) built first fortifications in Malta. Malta was later ruled by the Phoenicians, Carthaginians, Romans, Byzantines and Arabs before it was occupied by the County of Sicily in 1091. The island then became part of the Kingdom of Sicily until it was given to the Order of Saint John along with Gozo and Tripoli in 1530. In 1565, the Order and the Maltese withstood a major Ottoman invasion which became known as the Great Siege of Malta. The Order ruled Malta for over 250 years and built many great pieces of architecture, including the capital city Valletta. In 1798 the French
Malta (island) now travel abroad on holiday. In recent years, Malta has advertised itself as a medical tourism destination, and a number of health tourism providers are developing the industry. However, no Maltese hospital has undergone independent international healthcare accreditation. Malta is popular with British medical tourists, pointing Maltese hospitals towards seeking UK-sourced accreditation, such as with the Trent Accreditation Scheme. Dual accreditation with the American-oriented Joint Commission is necessary if hospitals in Malta wish to compete with the Far East and Latin America for medical tourists from the United States. Native Maltese people make up the majority of the island. However,