LAUSR

Demographic trends showabsolute and relative increases of older persons worldwide. It has been estimated that 7.7% and 1.6% of the world population are today older than 65 and 80 years, respectively.1 High-income countries will need to adapt their health care systems to meet the challenges arising from population aging. TheCaribbeanregion isavastgeographicalzoneofabout43,489,000 million inhabitants.1 It consists of a heterogeneous and multicultural population. This region is characterizedby the coexistenceof developed countries (French, American, and Dutch territories) and underdevelopedcountries suchasHaiti and theDominicanRepublicoftensuffering the aftermaths of natural disasters. Considering the unfavorable economic conditions of certain countries, the climatic stakes, and the existence of specific infectious pathologies (dengue fever, leptospirosis, Zika, etc), natural evolution of aging and dependence in this region mightbe special andwouldhave tobe studied. Fewconsiderationshave been given to ageing and its resulting effects in the Caribbean region.2 The lack of interest for the effects of ageing in the Caribbean region is worrying considering it is highly populated (especially in absolute numbers). The ageing of this population is starting to represent a real issue for public health. Its population of older people (aged 60 years) has steadily increased during the past decades and is projected to reach more than 1 million by 2030. The identification of cost-effective interventions that improve the health status and prevent disability in old age is one of the most important public health challenges. In this regard, it is necessary to identify older people at risk of negative outcome, those we call frail persons.