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Hermoso buceador. Rubia surfista Chica. Adolescente sentada en una roca en el mar. In , physicians were registered to practice in the territory; of these, 88 were actively practicing, 45 of whom worked in the public sector.
That same year, of the 13 dentists working in the territory, only 2 worked in the public sector 3.
Of the nurses registered to practice, worked in the public sector. Opportunities for continuing education of doctors and nurses are available locally.
Most private-sector providers, as well as the public health system, utilize electronic health records and other forms of electronic data management.
There also is an electronic reporting system for communicable diseases, which utilizes an online survey tool to report data on vector-borne diseases in real time to the Ministry of Health and the Environmental Health Division.
All other data are reported to the Ministry of Health on paper forms. Every home in the territory has a reliable supply of safe water through rainwater catchments, which are mandated by law unless the home has access to the municipal water supply.
Municipal water distribution, derived from seawater desalination, is limited. Ministry of Health personnel monitor the quality of the water supply. Municipal sewage mains serve 2.
With no heavy industry in the territory, outdoor air pollution is not a significant concern. Following concerns raised by surrounding communities regarding air pollution generated by the previous Pockwood Pond incinerator, the Ministry of Health has commissioned the installation of scrubbers on the new incinerator to further reduce emissions.
The management of solid waste is a critical issue in the British Virgin Islands. The territory has experienced a threefold increase in waste volume in the last decade; waste is either dumped or incinerated, and there are no recycling facilities currently in place.
In , a new incinerator was operationalized, with the scrubbers to be installed at a later date. The territory, like most small-island developing states, is expected to experience climate-change consequences such as rising sea levels, changes in rainfall pattern, and an increase in the intensity and frequency of hurricanes.
Immigration is a complex issue that directly touches on nationality and citizenship issues, which are governed by the British Nationality Act.
Persons born in the territory to foreign nationals are not automatically granted citizenship. Many births occur in the United States and, to a lesser extent, in other territories.
The proportion of transient migrants in the territory is considerably smaller, predominantly working-age; conditions in this group are not well documented.
This has implications for access to care, particularly for non-English speakers and undocumented persons who will not have National Health Insurance coverage and therefore will have to pay out-of-pocket for health care.
Since , public health care services have fallen under the responsibility of the BVI Health Services Authority, a statutory corporate body. Public primary health care services are provided through 10 health centers and 4 health posts; public secondary care is provided at the Peebles Hospital, a bed institution that offers services in the major medical disciplines.
There is a well-developed private health care system that includes a private hospital. Visiting specialists from the English-speaking Caribbean, Puerto Rico, and the United States provide care at public and private institutions, mostly on a monthly basis, depending on demand.
Visiting specialist services cover areas such as neurology, rheumatology, urology, ophthalmologic subspecialties, and plastic surgery.
Health services are financed through National Health Insurance, which was put in place in January The NHI receives contributions from employers and employees in addition to government direct investment and reimbursement for care provided in both the public and private sector.
All legal residents are mandated by law to participate in the National Health Insurance, which acts as the legal primary health insurer in the territory, covering a set, comprehensive benefits package that includes medical, dental, and vision benefits.
The Ministry of Health reviews and updates its legislative framework on an ongoing basis to improve its leadership and governance roles.
The improvements in the monitoring and evaluation of efficacy, customer service, quality of patient care, and access of all persons interfacing with the system will also be facilitated through improved access to care provided for by the National Health Insurance System.
These changes are expected to lead to overall strengthening and improvement of the entire health system. No maternal deaths have been recorded in the territory in the last 10 years.
All deliveries almost exclusively take place at Peebles Hospital and are all attended by skilled birth attendants. The proportion of low birthweight infants fluctuated between and with a high of Among the main findings of this evaluation was the need to strengthen quality control at the Peebles Hospital Laboratory; other elimination components were considered adequate.
From to , there were births recorded, with low birthweight infants accounting for 6. Infant mortality fluctuated between and , ranging between The leading causes of death in children under 5 years old were conditions originating in the perinatal period followed by congenital anomalies.
Acute respiratory infections and gastroenteritis are the leading causes of illnesses in this age group. IPV targeted children aged 2 months.
A well-organized school health system includes screening for vision, hearing, and disabilities; the program also includes dental health.
The program spans child and adolescent periods. The Global School-based Student Health Survey GSHS that covered students 13 15 years old showed that approximately one-third of students surveyed had at least one alcoholic drink in the 30 days prior to the survey.
Of students interviewed, One in every three Condom use at last sexual intercourse was high at Dependency is low, with the proportion of elderly being relatively small due to immigration of working-age groups.
According to the census, there were 1, persons 65 years and older. A study on the situation of the elderly in the British Virgin Islands in highlighted the need for more care for the elderly suffering from chronic diseases and better access to care.
There is no state-run residential housing for the elderly. In , there were deaths.
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