“…This showed that whatever measures were implemented during that period was perhaps not sustainable. From the period Bahamas [11][12][13], Barbados [14,13], Belize [2], Cuba [2,5,13,15], Dominican Republic [2,5,13], French Guiana [2,5,13], Grenada [16], Guadeloupe [2,5,13], Guyana [2,5,13], Haiti [17], Jamaica [2,5,13,18], Martinique [19,20], Netherlands Antilles [21,22], Puerto Rico [2,5,13], Suriname [23,24], Trinidad and Tobago [25,26] Age-standardized incidence rates (ASIR) were reported in 18 publications for 16 Caribbean territories (Table 3). The ASIR observed by the Netherlands showed that there was a significant reduction from 15.…”