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The island of St Helena is located in the South Atlantic Ocean and has a population of 4,534. St Helena is classified as a developing economy by the United Nations Conference on Trade and Development (UNCTADSTAT).1 Local data indicate that more than one-fifth of the resident population are diabetic, that over 40 percent of registered patients have been assessed as hypertensive, and that up to 7 in 10 people are overweight or obese. Food and other imports reach the island mainly by freight ship from Cape Town, South Africa. The schedule is every 6 weeks. Occasional disruption to the schedule or missed scheduling with ships that come to South Africa from the UK can often lead to significant supply shortages. Local food production is currently limited in nature and volume. Tobacco use is high, at 24.2 percent for men and women over 15 years; usage is particularly high among young men (50 percent) and women (46 percent) aged 20–29 years.