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Rwjf Presentation

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Pacific Jurisdictions Presentation for RWJF

Pacific Jurisdictions Presentation for RWJF

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  • 1. Childhood Obesity: U.S Pacific George Cruz Pacific Partners for Tobacco Free Islands Pat Luces Pacific Chronic Disease Coalition Nia Aitaoto Advisor/Advocate
  • 2.  
  • 3. Pacific Islanders: Who we are?
    • Polynesians
      • Hawaiians, Samoans, Tongans, Maori, Tahitians, Cook Islanders, etc.
    • Micronesians
      • Chamorros, Carolinians, Chuukese, Pohnpeians, Yapese, Marshallese, Palauans, Kosraeans, etc .
    • Melanesians
      • Papuans, Solomon Islanders, Fijians, Vanuatu Islanders, etc.
  • 4. U.S Pacific
    • Territories (Guam & A.S)
    • Commonwealth (CNMI)
    • Freely Associated States (Republic of Belau, Republic of the Marshall Islands and the Federated States of Micronesia)
  • 5. History Rock Islands Republic of Palau
  • 6. Early 1800’s: What the first Europeans saw… Early 1800’s Carolinians on the Island of Tinian Source: Micronesian Seminar
  • 7. History & Colonization
    • Spanish
    • German
    • Japanese
    • American
  • 8. Early 1900’s: Germans & Japanese Era
  • 9. Early 1900’s: Germans & Japanese Era Palauan Traditional Healers Source: MicSem
  • 10. After World War II (mid 1940’s)
  • 11. Change of Diet & Physical Activities Marshall Islands Kwajalein Atoll 1944 Source: MicSem
  • 12. Relationship with U.S
    • The Promise
      • Health
      • Education
      • Protection
    • The Reality
      • High Poverty
      • Disparity in Health Spending
      • Migration to the United States
  • 13. Per Capita Health Budget
  • 14. WHO Top 10 Obese Countries
    • Nauru 94.5%
    • Micronesia 91.1%
    • *CNMI 91.1%
    • Cook Islands 90.9%
    • Tonga 90.8%
    • Niue 81.7%
    • Samoa 80.4%
    • Palau 91.1%
    • Kuwait 74.2%
    • U.S.A 74.1%
    • Kiribati 73.6%
  • 15. CNMI Saipan
    • Chamorro 33.6% overweight
    • 47.3% obese
    • 6.1% extremely obese
    • 87% overweight obese
    • Carolinians 22.2% overweight
    • 50% obese
    • 16.7% extremely obese
    • 88.9% overweight obese
    • Other Pacific 42.9% overweight
    • 50.0% obese
    • 7.1% extremely obese
    • 100% overweight obese
  • 16. Diabetes Rates
    • American Samoa 47.3%
    • CNMI 35.0%
    • FSM 24.4%
    • Guam 9.2%
    • Palau 38.9%
    • Marshall Islands 29.8%
  • 17. Health Concerns
    • Non-Communicable Disease
      • Heart Disease & Stroke
      • Diabetes
      • Cancer (Tobacco Related)
    • Communicable Disease
      • Tuberculosis
      • Measles
      • Sexually Transmitted Disease
  • 18. Health Concerns
    • Hansen’s Disease
    • Dengue
    • Hepatitis B
  • 19. That was not always the case…
    • 1940’s U.S Navy health survey
      • Found: intestinal parasites, yaws, tuberculosis and skin diseases
      • Complete absence of malnutrition or obesity
      • No indication of diabetes
      • Almost no hypertension
  • 20. Globalization & Health
    • Western Diet but lack
    • Western Med and Tech
    • Traditional Healing Model
      • Spirit – Mind - Body
      • Health Delivery
    • Western Medical Model
  • 21. Obesity & Pacific
    • Individual Level
      • Cultural beliefs
      • Attitudes
    • Relationship
      • Collectivistic
      • Strong Family/Clan influence
    • Community
      • Social Justice
      • Poverty and Hardship
      • Racism and Discrimination
    • Organization
      • Lack of Data and Analysis
      • Obesity NOT a priority
    • Societal
      • Health Policies
      • Access (health, housing, social services, etc.)
    Paddling to the Outer Islands Chuuk – Lagoon Islands
  • 22. Needs
    • Assessment (Information)
    • Research (Unique Health Issues)
    • Culturally appropriate health care system
    • Culturally appropriate outreach
    • More Pacific Islanders in Health Care Field
    • Pacific Islanders: learn how to navigate in the new system.
  • 23. Coalitions in the Pacific Driftwoods Laura, Marshall Islands
  • 24. Pacific Partnership for Tobacco-Free Islands
  • 25. Coalition Members
    • American Samoa
      • Dottie Siavii
      • Roseann Tuiasosopo
    • CNMI
      • Rebecca Robles
      • George Cruz
    • Guahan
      • Gil Suguitan
      • Roselie Zabalas
    • FSM
      • Wahlberg Hadley
      • Shra Alik
    • Marshall Islands
      • Ione deBrum
      • Donny Andrike
    • Palau
      • Kambes Kesolei
      • Roman Oseked Sr.
  • 26. Partners
    • Legacy
    • Papa Ola Lokahi
    • Tobacco Technical Assistance Consortium
    • Queens Medical Center (Hawaii)
    • American Cancer Society
    • Kellogg Foundation
    • Asian Pacific Partners for Empowerment, Advocacy and Leadership
    • Asian Pacific Island Health Forum
    • Pacific Chronic Disease Coalition
    • Cancer Council of the Pacific Islands
  • 27. Mission Statement
    • To weave together our resources, appropriate practices and experiences; and drawing strength from our cultures and relationships for a Tobacco-Free Pacific
  • 28. Five Year Action Plan 2008-2013
      • Share successes, struggles and experiences
        • Guam Meeting March 2007
        • NCTOH - Minnesota, Oct. 2007
        • Hawaii Gathering April 2008
        • NCTOH - Arizona, June 2009
      • Improve tobacco programs in the region
        • Brief tobacco intervention training in CNMI and FSM (Trainers from Guam)
        • Regional Intense tobacco intervention training in Guam
  • 29.
    • Advocacy
      • International
        • World Tobacco Conference (India)
        • WHO Philippines World Tobacco Framework
      • U.S Federal
        • CDC Office of Smoking and Health
        • Office of Minority Health
        • NIH NCMHD
        • HRSA
      • Pacific Regional
        • WHO – Western Pacific Regional Office
        • Pacific Islands Alliance of Non-government Organizations
        • Pacific Islands Health Officers Association
      • Pacific Jurisdiction
        • FSM – Tobacco Law Amendment
        • Guam – Increase Tobacco Tax ($3.00 tax per pack)
        • CNMI – Smoke-Free Air Act
        • Palau – RJ Reynolds donation to Palau
  • 30. Five Year Action Plan 2008-2013 continue
    • Develop a monograph of successes and resources
    • Establish and publish local best practices
      • SOPHE Journal of Health Promotion and Practice (in progress)
  • 31. Regional Challenges
    • Legislation for Tobacco Control & Taxes
    • Enforcement of Existing Laws
    • Increase Tobacco Sponsorship of Events
    • Little or No Implementation of the FCTC
    • Betel Nut and Tobacco
  • 32.  
  • 33.
    • American Samoa: (2)
      • Loata Sipili
      • TBA
    • Commonwealth of the Northern Mariana Islands: (2)
      • Tayna Camacho
      • TBA
    • Federates States of Micronesia: (5)
      • Kipier Lippwe (National Coordinator) – Vice Chairman
      • Robina Anson (Pohnpei)
      • Moria Shomour (Chuuk)
      • Frank Limfang (Yap)
      • Maria Mongkeya (Kosrae)
    Members
    • Guam: (2)
      • Patrick S Luces - Chairman
      • Lawrence O. Alam
    • Republic of the Marshall Islands: (3)
      • Ione deBrum (Majuro) – Secretary/Treasurer
      • Johannes Seremai (Ebye)
      • Donny Andrike (Outer Islands)
    • Republic of Palau: (2)
      • Yorah Demei
      • TBA
  • 34.  
  • 35. Pacific Chronic Disease Coalition’s Vision
    • Prosperous Pacific people living a healthy lifestyle in a healthy Pacific environment.
  • 36. Pacific Chronic Disease Coalition’s Mission
    • Reduce the Chronic Disease Burden
    • Bridge the Gap in Disparities
    • Share & Mobilize Resources
    • Advocate with Policy Makers and
    • Recognize the Uniqueness of the Pacific Islands.
  • 37. PCDC Activities
    • Collaborated w/ Pacific Partners for Tobacco Free Islands
      • Hosted an integrated Diabetes, Tobacco, Cancer conference in Honolulu, May 2008
    • UH – Dept of Native Hawaiian Health Collaboration
      • NIH Funded – Diabetes needs assessment in all PIJ.
    • FASC Recommendations for improving capacity and infrastructure for diabetes programs in the PIJ.
      • Office of Global Health & CDC
    • Professional development training
      • NACDD Academy
      • PDEP
  • 38. PCDC Collaboration
    • Pacific Chronic Disease Coalition & Pacific Partners for Tobacco Free Islands
    • PIHOA – Policies & Human Resources
    • PCDC & PITCA collaboration
      • Association of Diabetes & TB
      • Sharing Resources
      • Improving service for DM & TB patients
      • Sharing of data and technology
  • 39. Obesity Project
    • Technical Assistance: Planning, Implementation and Evaluation
    • Resources: Pacific Island Obesity Council
    • Training
  • 40. Kinnisow – Kommol – Kulo

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