The Republic of the Marshall islands consists of 29 atolls each made up of many islets and 5 islands in the central Pacific between 4 degrees and 14 degrees North, and 160 degrees and 173 degrees East.
Marshall Islanders are known throughout the Pacific and the world for their friendly and peaceful nature. Sharing with family and friends, a warm welcome for the stranger, and caring consideration for others are values inherent to the Marshallese culture. The people have nurtured these values over the centuries. Cooperation and caring are necessary elements of survival on these small islands, surrounded by the sea.
The people of the Marshall Islands face considerable challenges to maintain the health of its citizens. Recently, high population growth and crowded conditions in urban areas, have given rise to diseases, such as tuberculosis and leprosy. These conditions typically come about in rapid growth areas of the world that have limited economic and medical resources. In addition, exposure to the influence of Western culture has brought about a rise in the levels of adult obesity, non-communicable diseases, teenage pregnancy, suicide, and alcoholism, and tobacco use.