Washington, D.C.: PAHO, © 2010
Part 1 of the Paper is a preliminary section stating the objectives of the study, its methodology and variables of analysis, and sources of information utilized, as well as its structural requirements as set out in the contractual document. Challenges posed are identified.  Part 2 of the Paper outlines the fi ndings of the study. In the majority of cases, although countries and territories may have pre-hospital emergency medical ambulance service, such services are not supported by legislative enactments. Th e supportive role that emergency ambulance service can provide in the disaster preparedness and response context of the English-speaking Caribbean is noted. 
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