The Republic of Mauritius consists of several groups of small islands, spread over a large area of the south-west Indian Ocean. The largest two islands are Mauritius, 800 km east of Madagascar, and Rodrigues, a further 600 km east of Mauritius (Figure 1). Mauritius is well served by shipping routes and numerous daily international flights. Rodrigues is linked to Mauritius by several daily flights, and less frequently by cargo ships. It is geographically linked to the African continent, but most inhabitants are descended from immigrants from Asia. The main ethnicities are Indian, Creole, Chinese, and European. The population of Mauritius as of December 31,2019 was 1,265,475 people, and there is an ageing population structure compared with most African countries (1). Figure 1. The islands of Mauritius in the south-west Indian Ocean off the coast of East Africa, with details of the hemodialysis centers on the two larger islands. 1, Sir Seewoosagur Ramgoolam National Hospital; 2, Dr AG Jeetoo Hospital; 3, Dr Bruno Cheong Hospital; 4, Victoria Hospital; 5, Jawaharlal Nehru Hospital; 6, Queen Elizabeth Hospital; 7, Long Mountain Hospital; and 8, Souillac Hospital. Mauritius, an upper-middle–income country for many years, was classified as a high income country (2) for the first time in July 2020, just as the devastating coronavirus disease 2019 pandemic struck. In 2017, the Mauritius Gini coefficient was 36.8 (3) and the health expenditure was 6% of GDP (4). The Mauritius welfare system provides a network of community and area health centers, mediclinics, district and specialized hospitals, administered from five larger regional hospitals. Although all aspects of health care are free of charge, a sizeable proportion of the population prefer to pay for the services of general practitioners, specialists, and clinics in the private sector. The burden of noncommunicable disease is considerable. Mauritius has ranked in the top …
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