"Guadeloupe's reputation is clearly posing a problem for us. (...) It's tough to sell the university hospital at a time when it's been blocked, vandalised and sabotaged," says Cedric Zolezzi, the interim director of the Pointe-à-Pitre hospital, which is struggling to recruit staff and is forced to limit access to the emergency department at night, admitting only patients who are brought in by emergency services. IMAGES AND SOUNDBITES