This document discusses major diet-related health problems in the Caribbean region. It notes that chronic non-communicable diseases like heart disease, cancer, and stroke are the top killers. These diseases are largely lifestyle-related and preventable. However, West Indians currently suffer disproportionately from these conditions due to high rates of obesity (60% of men and 78% of women are overweight) and related risk factors. The document outlines how diet and lifestyle choices can significantly impact rates of chronic diseases in the Caribbean population.