© 2008 American Public Health Association DOI: 10.2105/AJPH.2007.131086
Bernadette Theodore-Gandi and Gillian Barclay are with the Office of Caribbean Program Coordination, Pan American Health Organization/World Health Organization, St. Michael, Barbados. Correspondence: Requests for reprints should be sent to Bernadette Theodore-Gandi, MB, BCh, MPH, DTM&H, FFPH, Caribbean Program Coordinator, Dayrells Rd and Navy Gardens, St. Michael, Barbados (e-mail: gandiber@cpc.paho.org).
The 21st century has brought new opportunities and challenges for the health of the populations in the Caribbean region whose countries are linked by geography, history, and culture. The region ranges from mainland territories, such as Guyana of geographic size 219 470 km2 and a population of 813 000, to small-island states, such as St. Kitts and Nevis, with geographic size 360 km2 and a population of 48 393.1 These small-island states are typified by vulnerable economies based on tourism and agriculture and are exposed to the effects of climate change and natural disasters.1,2
The recognition of a lack of
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