This analysis of colorectal anastomoses at a tertiary institution in Jamaica demonstrates acceptable leak and mortality rates. No modifiable risk factors were identified as contributing to anastomotic leaks.

The majority of transferred head-injured patients sustained mild injuries with a third requiring surgical procedures and 19% requiring Intensive Care Unit care. Appropriate educational, training and transfer programmes and transfer policies must be implemented to minimize inappropriate transfers.

An observational cross-sectional study of seatbelt utilization conducted in Kingston, Jamaica, showed 81.2% utilization by private motor vehicle drivers and 74.0%, by front seat passengers. This was significantly improved compared to 21.1% and 13.6% respectively in 1996, before the introduction of legislation in 1999 (p < 0.001). Females were significantly more likely than males to wear seat belts, both when driving (92.5% vs 77.3%; p < 0.001) and as front seat passengers (79.9% vs 66.3%; p < 0 001).

The transfer of head-injured patients, many with multiple injuries, is not being performed in a manner consistent with modern medical practice. There is urgent need for implementation of a standardized protocol for the transfer of such patients in Jamaica.