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Montserrat Survey of Living Conditions (MSLC) Executive Summary

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<strong>Montserrat</strong> <strong>Survey</strong> <strong>of</strong> <strong>Living</strong> <strong>Conditions</strong><strong>Executive</strong> <strong>Summary</strong>2.5 Education, Health and HousingEducation in <strong>Montserrat</strong> is compulsory for children between the ages <strong>of</strong> 5 and 14, and free up to the age<strong>of</strong> 17. Attendance is essentially 100% as is the transition from primary to secondary. Youth and adultliteracy is also very high.Health conditions in <strong>Montserrat</strong> are generally good:Life expectancy at birth was 81.0 years for women and 76.5 years for men with additional gainsexpected for both sexes. This compares favourably with other OECS islands.Only 1 infant death has been recorded since 1998 and none <strong>of</strong> children aged under 5 years.There were no reported cases <strong>of</strong> protein energy malnutrition.The most common recorded communicable diseases from 1998 to 2006 are respiratoryinfections (39%), influenza (33%) and gastroenteritis (14%). These diseases are prevalent invirtually every country. In contrast, there have been no cases <strong>of</strong> the communicable childhooddiseases (measles, etc.) since 1998.Only 2 cases <strong>of</strong> AIDS have been recorded on the island since 1998 although 21 persons testedpositive for HIV infection during the same period. Given that some <strong>of</strong> these left the island, theoverall rate <strong>of</strong> incidence amongst adults (15-49 years) would be substantially below theCaribbean average.The main medical concerns at present are diabetes and hypertension which respectively afflictapproximately 6% and 10% <strong>of</strong> the population; prevalence rates are not dissimilar to those in the USADiabetes along with heart disease are the main causes <strong>of</strong> death (respectively 21% and 44% <strong>of</strong> all deathsbetween 2003 and 2006) with cancers (13%) accounting for a large proportion <strong>of</strong> the remainder. Anotherhealth concern is an increasing prevalence <strong>of</strong> dementia with many elderly persons receiving psychologicalservices and with over 100 being cared for in government institutions.Housing tenure has changed considerably sincethe eruption (Figure ES4) with the proportion<strong>of</strong> households owning their property decreasingby almost half from 72% to 38% between 1991and 2001. Although there were increases inprivate renting and rent free housing, the majorincrease was in government rentedaccommodation which provided for one inevery 6 households in 2001. Currently, thesituation has improved substantially with theproportion <strong>of</strong> owned dwellings increasing to59% with a corresponding decline in the rentedsector – a reflection factors such as theconstruction <strong>of</strong> Lookout and the closure <strong>of</strong>temporary hostels.Figure ES4: Housing Tenure, 1991, 2001, 2008% <strong>of</strong> hholds80%72%70%59%60%50%43%38%40%31%30%20%20%12%10%10%7% 7%0%0%0%Owned Rented Rent Free Other1991 2001 2008/09 Housing Tenure<strong>Montserrat</strong> Country Poverty Assessment, Final ReportHalcrow Group Limited, July 2012.ES7

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