title: Health in Barbados in the 20th century.
abstract: At the beginning of the 20th century, Barbados was described as the most unhealthy place in the British Empire; at the end of the century, it is considered amongst the healthiest of developing countries. At the start of the century the statistics were harsh; for example, there was an infant mortality rate of 400 per 1000 live births. It is now between 10 and 15 per 1000 live births. In the last two-thirds of the century, there was a series of ongoing revolutions in Education, Public Health and Hospital Services that affected the health status favourably. The revolution in education was enhanced by the provision of University education starting with Medicine at Mona, Jamaica. Training of doctors expanded to Barbados in 1967 and has been an essential ingredient in the medical care revolution of the last third of the century. In 1953, the first Public Health Centre was opened and Barbados can now boast the most modern public health and primary care facilities. However, modern lifestyles are associated with an epidemic of obesity, diabetes mellitus and hypertension. HIV/AIDS has emerged as a major problem. Health in the 21st century will need to look at lifestyles--the effects of the internal combustion engine, the availability of tools of violence, the lure of 'illegal drugs', personal relationships and gender as well as the driving forces behind the associated lifestyles.
authors.affiliation: Department of Surgery, School of Clinical Medicine and Research, University of the West Indies, Bridgetown, Barbados.
authors.forename: E R
authors.initials: ER
authors.lastname: Walrond
mesh_terms: D001460:Barbados; D003695:Delivery of Health Care / Q000266:history*; D049673:History, 20th Century; D006761:Hospitals / Q000266:history; D006801:Humans; D011320:Primary Health Care / Q000266:history; D011634:Public Health / Q000266:history*