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Problems of Health and Disease in the Commonwealth Caribbean

Introduction The countries which comprise the Commonwealth Caribbean, though of a relatively small land mass, extend over a considerable segment of the globe, from latitude 1° to 19° North and from longitude 57° to 90° West. Several countries are over 1,000 miles apart. If we try to superimpose the map of this region over that of southern Europe the former would extend over the full length of the Mediterranean Sea from east to west. The total population is less than five million and the population density per acre of cultivable land ranges from 0'56 (Dominica) to 3'74 (Barbados). Certain characteristics are common to the various territories. Their economy is now based mainly on agriculture, Mining and manufacturing have developed considerably in the past decade, but the economy of the whole area is still dependent on outside forces. The countries have many health problems in common, A large portion of the population cannot afford to pay for the medical care it needs; governments are therefore responsible for providing this for them, But very often the available resources are limited. There may be at times a lack of manpower, as members of the health professions for various reasons prefer not to work in rural areas. Gastroenteritis and malnutrition among children are two of the more important health problems in the Caribbean region. The infant and the young child are extremely vulnerable. They succumb readily to adverse environmental conditions, such as poor sanitation, poor housing, poor maternal care, lack of paternal responsibility, and poor diet, with ignorance playing its part in this.