In the Caribbean coast, many Afro-Nicaraguans and creoles speak English and creole English as their first language, but they speak a very fluent Spanish as a second language. The languages in the North and South Atlantic Regions are influenced by English, Dutch, Portuguese, Spanish and French. Many of the indigenous people on the Caribbean coast speak native languages such as the Miskito, Sumo, Rama and Garifuna language. In addition, many ethnic groups in Nicaragua have maintained their ancestral languages, while also speaking Spanish or English; these include Chinese, Arabic, German, Hawaiian, and Italian.