Seiji Yamada

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Verified

Seiji verified their affiliation via an institutional email.

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• MD, MPH
• Professor at University of Hawaii System

Paul Farmer would have been an unparalleled public servant. After all, one of his mottoes was “to move resources from where they are to where they are not.” Under him, there probably would have been fewer incompetent screw-ups like the pig extermination episode. But he had no illusions about the role of the U.S. in the world. Paul was buddies with...

Introduction Allopurinol, a first‐line treatment for gout and hyperuricemia, is associated with severe cutaneous adverse reactions (SCAR) in individuals carrying the HLA‐B*58:01 allele. Genotyping is conditionally recommended in Han Chinese, Korean, and Thai populations with an allele prevalence of 7.4%, and in African Americans at 3.8%. The preval...

This is a review of the memoirs of Frederick M. “Skip” Burkle, Jr., MD, Water on the Moon: A Physician's Memoir of Service from the Vietnam War to Humanitarian Crises Worldwide. Burkle’s account of witnessing violations of the Geneva Conventions during the Vietnam War led me to think that I should remind myself of the what that war was about. I ref...

Since October of 2023, we have been witnessing a live-streamed genocide. We feel sadness about the lives that are cut short and the suffering of the tortured, the starved, the maimed, and the dispossessed. We feel guilty and ashamed that we have failed to bring the genocide to an end. We are fearful that if this is what they do to the people of Fal...

As part of the U.S.’s efforts to hold onto its position in the global economy, RIMPAC is key to showcasing its military prowess. The point of RIMPAC is to prepare for the coming war with China. War between the U.S. and China could lead to thousands of casualties per day. On the day of the 2018 false missile alert, we in Hawaii thought to ourselves,...

During the summer of 2024, the peace and justice community will need to resist U.S. imperial overreach around the world. The 2024 annual North Atlantic Treaty Organization (NATO) Summit will be held in Washington, DC from July 9 to 22. The Rim of the Pacific (RIMPAC) wargames will be held on and around Hawaiʻi from June 29 to August 4. Marcos Jr....

April 24 is Cordillera Day, when many remember and honor Macliing Dulag, a key Pangat tribal elder in Kalinga whom Philippine government soldiers murdered on that day in 1980. Macliing Dulag unified the Cordillera people’s opposition to the World Bank-funded Chico Dam project. Since 1985, Cordillera Day has evolved into an indigenous peoples’ movem...

Tax Day is the day when millions remember their financial contributions to the federal government’s duty of protecting life and liberty and ensuring safety and happiness. However, our tax dollars continue to support the Philippine military and police who commit extrajudicial killings and other grave human rights violations against the Filipino peop...

Storylines of Family Medicine is a 12-part series of thematically linked mini-essays with accompanying illustrations that explore the many dimensions of family medicine, as interpreted by individual family physicians and medical educators in the USA and elsewhere around the world. In ‘II: foundational building blocks—context, community and health’,...

The last two iterations of the Humanism, Empathy, Social Justice, and Global Health Symposia were coordinated by Gregory Maskarinec, cultural anthropologist and University of Hawaiʻi (UH) John A. Burns School of Medicine (JABSOM)’s Director of the Office of Global Health and International Medicine at the time. Paul Farmer joined us remotely from Rw...

In May 2023, members of the UH Department of Family Medicine & Community Health participated in TB Free Chuuk, a multi-organization (CDC, WHO, Chuuk State TB program among others), public health initiative to decrease the burden of TB and Hansen’s disease in Chuuk by conducting nation-wide TB screening and treatment.

Gaza’s health system has been nearly completely destroyed. Under International Humanitarian Law, under the Geneva Conventions, it is prohibited to attack health workers and health infrastructure. There are actually rules of war that govern how militaries fight. That is why militaries paint their ambulances, field hospitals, and the helmets of medic...

BACKGROUND: Tuberculosis (TB) incidence rates in the Republic of the Marshall Islands are among the highest in the world, 480/100,000 in 2017. In response, the Health Ministry completed islandwide screening in Ebeye Island in 2017. METHODS: Participants were interviewed to obtain TB history, exposures, and symptoms. TB assessment included chest ra...

Children in Gaza

The Hawaii Committee for Human Rights in the Philippines calls on the U.S. Congress to pass the Philippines Human Rights Act (PHRA), which would cut off U.S. government funding to the Philippine military and police. The goal is to prevent the use of our tax money to fund human rights violations of the Philippine government against its people. The F...

We health care and public health workers and future health workers of Hawaii call for an immediate ceasefire in Israel’s assault on Palestine. As health workers, we hold all lives to be precious, and we cannot be silent. We therefore condemn Hamas’s Oct. 7 killings of Israeli civilians. Israel’s assault on Gaza has gone beyond retaliation for Oct....

Maui as an idea and experience to be consumed by visitors permeated our work even in the aftermath of the disaster. The attacks on our resources are ongoing and insidious. The tourist industry of Hawaiʻi, dependent on international commercial air travel and private jets, contributes directly to the climate catastrophe. We are advocates for healt...

Was Oppenheimer a war criminal? In a moment of contrition, Oppenheimer bemoaned the blood on his hands to Truman. For his part, Truman later noted, “he hasn’t half as much blood on his hands as I have.” Of course, Truman was the true war criminal. Were the members of the Scientific Panel mere yes-men? The “just following orders” defense did not wor...

One year into the term of Philippine President Ferdinand Marcos Jr., we see no improvement in the rampant human rights abuses that characterized the Duterte administration. In fact, according to the human rights group Karapatan, extrajudicial killings have not only continued, but the policies that spur them are firmly in place. The Marcos Jr. admin...

The conduct of the Pacific War is seen by many as reflect of the racism toward the Japanese prevalent in American society during World War II. Historian John Dower examines the documentary and propaganda record in War Without Mercy. Japanese and Japanese-Americans had been herded into internment camps in 1942. By mid-1945, most major Japanese citie...

The hegemons of medical orthodoxy, e.g. the New England Journal of Medicine, continue to lionize Anthony Fauci. Should they? Did he not work to cover up the origins of the coronavirus? Moreover, he was instrumental in backing gain-of-function research. Should he not be called to account for this? Should we not all be working to bring gain-of-functi...

In January, the Philippine and U.S. governments announced plans to allow U.S. military access to four additional bases in the Philippines. This agreement to base more U.S. military assets in the Philippines poses a threat to peace. U.S. military presence in the Philippines makes it a target in a conflict. The Biden administration’s policy continues...

During the Vietnam War, U.S. Naval Base Subic Bay and Clark Air Base were among the largest overseas U.S. military bases. The U.S. military presence in the Philippines was characterized by environmental contamination, the exploitation of women, and many documented human rights violations. According to a 1992 U.S. Government Accounting Office report...

In the Philippines, the Marcos government continues to red-tag activists, and perpetrate extra-judicial killings. Today, on international Human Rights Day, we must recognize that the human rights situation has not improved since Marcos took over from Duterte. This, too, is the price that the people pay for global domination by the U.S. military. D...

In The Myth of Normal: Trauma, Illness, and Healing in a Toxic Culture, family physician Gabor Maté presents a new formulation for understanding health and illness. Perhaps it is fair to call it a paradigm shift. Maté's formulation implies that those of us who work in health care should be practicing differently. What might such a healing practice...

Increasing numbers of medical students participate in international electives. However, this recent trend has yet to be examined in non-Western high-income countries such as Japan. The aim of this study is to assess recent trends in Japan, and to suggest ways in which those trends might be influenced. A retrospective cross-sectional analysis of res...

Some estimate that as many as 30,000 extrajudicial killings were perpetrated under the Duterte administration. Having assumed office on June 30, 2022, the Ferdinand “Bongbong” Marcos, Jr./Sara Duterte administration is not wasting any time in continuing the de facto martial law regime of Rodrigo Duterte. Walden Bello is internationally known as a s...

Through RIMPAC, Balikatan, and other similar exercises, the US is already setting the stage for the horrors of death and destruction. There is no other choice for us but to respond by bringing together the peoples of Hawaiʻi, the Philippines, and other nations to frustrate these threats of war, protect life, and promote lasting global peace and jus...

While the U.S. has counted the Philippines as a strategic ally since the end of formal colonial rule, by vying to be the first to congratulate Marcos Jr., Biden angles for a stronger alliance. Marcos Jr. denies any accountability to the martyrs and victims of his father’s martial law regime, and ignores the restitution to which his family is obliga...

This study updates the previously-reported impact of the University of Hawaiʻi Family Medicine Residency Program (UHFMRP) on the state of Hawaiʻi family physician workforce. This study is a retrospective examination of all UHFMRP graduates from the program between 1996 and 2020. Graduate data regarding country or state of medical school, allopathic...

Given that medicine has made such scientific advances, will they be delivered or denied to those who need them most? Most people around the world do not have the right to a healthy life. On what basis, then, should care to the poor be delivered: through charity, through development, or through social justice? Drawing upon liberation theology, Farme...

Dr. Castro is an epitome of a true servant not only in her work as a medical doctor but also in defense of those who have been treated unjustly. Her life has been dedicated to service to her people. As healthcare workers in the U.S., we believe that Dr. Castro’s treatment is arbitrary and shameful. We demand that Dr. Castro be released immediately...

With orders from the governor to stop using the tanks, the Navy just says, “we can’t” as if they haven’t already dumped tens of thousands of gallons of petroleum into our water systems. They say they need that fuel to continue their fueling of fleets of ships and jets. They need to continue to rain hellfire on the global south from their convenient...

In The Dawn of Everything, the late anthropologist David Graeber and the archaeologist David Wengrow ask how we got stuck in the ways of thinking and the ways of life we have now. Because we live in a world divided into nation-states, because capitalism rules our lives, because the boss tells us what we can and cannot do – we forget that things wer...

With Social Medicine and the Coming Transformation, Howard Waitzkin, Alina Pérez, and Matthew Anderson, give us a how-to manual on how to become a social medicine practitioner. They invite all of us involved in health work to re-invent ourselves and adopt social medicine as career path 2.0. It should become, as the British say, the primer on the su...

In retrospect, it is obvious how the desire for revenge in the immediate aftermath of 9/11 has led us to where we are now. What if, instead, the pain engendered by 9/11 had encouraged us to recognize the pain of others – those who suffer from hunger, poverty, ill health, and exploitation? What if narrative and images death and destruction had promp...

The U.S. military’s 65-year lease of 30,000 acres of Hawaiian land – at the Pōhakuloa Training Area (on the Big Island of Hawai‘i), the Kawailoa/Poamoho Training Area, the Kahuku Training Area, and the Mākua Military Reservation (on O‘ahu) – will end in 2029. On August 10 and 11, the U.S. Army held public scoping hearings for an Environmental Impac...

During May, we three participated as subcommissioners in the Independent International Commission of Investigation Into Human Rights Violations in the Philippines (Investigate PH). We listened to the testimony of witnesses, victims and survivors of human rights. The Second Report of the commission was released on July 6 — and it includes a series o...

COVID-19 vaccine access needs to be a global effort. We must hasten to provide vaccines to the rest of our world now, not in six months or a year, and we must support adequate funding for cold chain storage and efficient, equitable distribution where the need is greatest. The University of Hawaii System Global Health and Social Justice Work Group u...

By August 2020, non-Hawaiian Pacific Islanders—4% of Hawaii’s population—accounted for 30% of the cumulative COVID-19 cases in the state. Micronesians, mostly Chuukese and Marshallese, were the most severely affected. Disproportionate COVID-19 infection in racial or ethnic groups in the US occur because of socioeconomic factors. The COVID-19 pandem...

As we prepare to file our federal income taxes, traditionally on April 15, it’s also a time to reflect on how our hard-earned tax dollars are spent. Sadly, a portion of our tax dollars fund human rights abuses in the Philippines. Since 2016, when Rodrigo Duterte was elected president, the U.S. has sent $550 million in military aid to the Philippine...

This essay might be construed as something of a missive in the vein of Kropotkin’s “An Appeal to the Young,” from old radicals who accomplished little, to young radicals who must accomplish much. We intend our remarks as preliminary, for it will be the young who will re-make the world, and in the process they will learn much to teach their descenda...

Este ensayo podría interpretarse como una especie de misiva en la línea de "An Appeal to the Young [Un llamado a los jóvenes]," de Kropotkin, desde viejos radicales que lograron poco hasta jóvenes radicales que deben lograr mucho. Pretendemos que nuestros comentarios sean preliminares, porque serán los jóvenes los que reconstruirán el mundo y, en e...

The current Delta wave will also pass. Many will die, but because many of the elderly and infirm have been vaccinated, not as many as in the dark days of January. Regardless of what the future may bring, the task at hand is to deliver life-saving vaccines to the world. To stave off more India-like disasters around the world, we must support an acce...

With Epidemic Illusions: On the Coloniality of Global Public Health, Eugene Richardson takes to task the discipline of epidemiology, and with it, global public health. Utilizing the West Africa Ebola epidemic of 2013-2016 as his canvas, Richardson paints a picture that highlights the racism that undergirds the conventional medical and public health...

By “creative constructions” within postcapitalism, Waitzkin means affordable housing, sustainable, local agriculture, and non-exploitative work. He means opting out of the economic system that enriches the few and immiserates the many. As it has become evident that consumption based on burning fossil fuels is destroying the planet, postcapitalism w...

The grotesque inequalities of our present world require fundamental changes. We must strive for a revolutionary reorganization of the bases of our economy and social relations. Human health and security, not profit, must become the drivers of human activity. To begin, we need to agree that Micronesian Lives Matter. We cannot write off anybody. We...

Instituting hepatitis B therapy in a low-resource Pacific Island setting is challenging. The question is how to institute a vertical hepatitis B elimination program that dovetails with strengthening the primary health care system. In this discussion, parallels are drawn with how treatment became available for HIV/AIDS and hepatitis C, two other vir...

The disproportionate COVID-19 infection in our non-Hawaiian Pacific Islander population is the end result of years of socio-economic and housing vulnerability, as well as our state and federal government’s unwillingness to meet the health and economic needs of COFA citizens. We must resist blaming groups for the rise in COVID-19 infections in Honol...

As we approach 75 years since the use of atomic weapons on civilians in Hiroshima and Nagasaki, as we find our lives turned upside down by a pandemic, as we breathe after another hurricane — let us pause to reflect on what we can do about existential threats. The drive toward war has continued unabated with the Rim of the Pacific, the largest naval...

The scientists in the know are always going to know more than the rest of us. But the rest of us, that is to say, everybody else in a democratic society, have to impose some limits on the dangerous stuff that scientists do. It’s pretty clear that so-called “biodefense” research is a cover for bioweapons development. It’s just a matter of semantics...

Weapons systems, such as nuclear weapons, missiles, or drones, are developed with the intent of gaining a military advantage over one’s enemies. Inevitably, though, enemies catch up – and the end result is proliferation. As with other weapons, the downsides, the risks, and the costs of bioweapons research are becoming more obvious. Also obvious is...

In this essay, we discuss what we in medicine in Hawaiʻi can do about racism. We need to address the systemic racism against Native Hawaiians and Pacific Islanders. We need to address the distrust that Native Hawaiians and Pacific Islanders have toward the health system and its practitioners to improve access. We need a health insurance system that...

Maybe your remote Pacific Island jurisdiction hasn’t had SARS-CoV-2 introduced yet. In this day and age, perhaps that’s not likely. But if you don’t get too many visitors from outside, maybe you’re lucky. If your people are still able to live off of the land and aren’t completely dependent on canned food and toilet paper—last month was the time to...

SARS-CoV-2 is very contagious. SARS-CoV-2 is very wily. It transmits quite efficiently before the infected individual manifests with any symptoms. It causes no symptoms at all in a high percentage of individuals. Some physicians reason, “It doesn’t matter if we don’t identify the minimally symptomatic people, because everybody who is sick is suppos...

The unrelenting encroachment into nature of the global capitalist economic system has led to the climate catastrophe, rising sea levels, ecological collapse, deforestation, water and air pollution, and mass species extinction. SARS-CoV-2, the coronavirus that causes COVID-19 disease, emerged in this context. When the casinos of Wall Street went bro...

Do you like your primary care doctor or your primary care nurse practitioner? Do you want her to keep taking care of you, and other patients like you? If so, you shouldn’t walk into her office with your cough and maybe fever and ask her to test you for the coronavirus. Because community transmission is inevitable, we have crossed the threshold from...

Certainly it’s true in the U.S.A. it is easier to imagine the end of the world than to imagine the end of capitalism. On the other hand, it’s also obvious that capitalist health care is going to faceplant in the face of the coronavirus. It’s going to be a choice between Medicare for All or Coronavirus for All. Our government will compensate the pet...

Americans may point fingers at China for burning coal, but who is watching that TV? Not the migrant worker who mined that coal. Not the laborer in the Congo who mined the rare earth elements for the electronics. Not the steelworker in the foundry in Wuhan. Not the factory worker who sorted transistors into sockets. Not the Filipino merchant seaman...

As we watch the numbers of cases in China of the novel coronavirus increase exponentially every day, we should prepare for its arrival in our midst.We must approach this rationally, utilizing population-based public health principles.

The post-revolutionary health worker will be a global citizen, helping to create cohesive, equitable, socially just societies that address health everywhere. Otherwise, all of us face increasing threats to our own health and well-being. Revolutionary medicine is required to create such a society.

This commentary outlines the health insurance disparities of Compact of Free Association (COFA) migrants living in the United States. Compact of Free Association migrants are citizens of the Republic of the Marshall Islands, the Federated States of Micronesia, and the Republic of Palau who can live, work, and study in the United States without a vi...

This commentary outlines the health insurance disparities of Compact of Free Association (COFA) migrants living in the United States. Compact of Free Association migrants are citizens of the Republic of the Marshall Islands, the Federated States of Micronesia, and the Republic of Palau who can live, work, and study in the United States without a vi...

Dr. Nisperos is a physician and educator who works tirelessly for Health for All. Dr. Nisperos and Dr. Caguiat are targeted for advocating for better health services for the poor. These death threats directed against them constitute violations of human rights, workers’ rights, free speech, and academic freedom. Health workers around the world shoul...

Over the past three years, an estimated 27,000 Filipinos, mostly from poor communities, have been killed without trial by police, military officers, and unknown assailants in the name of the Duterte government’s so-called “war on drugs.” Human rights defenders who have called for an end to the killings have been harassed and detained. It is time th...

Since Duterte became president in June 2016, more than 27,000 individuals have been killed. The majority of these killings have been extrajudicial killings (EJKs) of the poor who have been labeled drug users or drug traffickers. In EJKs, police, military operatives or unknown persons accost or apprehend individuals on the street or at their homes a...

In the present day, the denial of the human right to health is an insidious step toward the denial of other human rights. The first clause of Article 25 of the Universal Declaration of Human Rights, adopted by the United Nations in 1948, reads: “Everyone has the right to a standard of living adequate for the health and well-being of himself and of...

It’s been reported that interceptor missiles might be deployed soon at the Pacific Missile Range Facility on the leeward coast of Kauai. Defense against missiles from North Korea is the stated purpose. For the people of Hawaii, who experienced the false missile alert of January 2018, a defensive system might sound like a good idea. Despite the nome...

Today, the largest looming threat to public health in the Pacific and worldwide is climate change, and Seiji worries that the coming changes will disproportionately impact people in low- and middle-income countries. “In my writings, I have highlighted how those who are not responsible for carbon emissions are the most vulnerable to its consequences...

The strategy of wringing every last dollar out of child, prison, and slave labor for the sake of private profit is nearing the point of diminishing returns. By wrecking the neoliberal-driven global economy, President Trump may just push the world into embodying that final section of the post-climate catastrophe, post-Ebola, post-rat fever world of...

Together these stories, from healthcare providers and community members paint a picture of not only a community facing many barriers to care, including racial discrimination, but one that has a clear vision for healing and reconciliation. To overcome harmful stereotypes, misinformation, mistaken assumptions, and indifference, many are working to bu...

En conjunto, estas historias del personal de los servicios de salud y los miembros de la comunidad representan una imagen no sólo de una comunidad que enfrenta muchas barreras para la atención a su salud, incluida la discriminación racial, sino de una que tiene una visión clara de curación y reconciliación. Para superar estereotipos dañinos, la des...

Westworld serves as a cautionary tale for us in health care. Whom do we choose to serve? Those who will reward us handsomely? Or the vast majority of humanity? What are the potential downsides to amassing troves of medical data? Let us exert our will freely. Let us make our choices.

Since Compact Migrants in Hawaii were removed from the Medicaid rolls, many have become uninsured. This makes it more difficult for me to take care of their medical needs. It is difficult enough to deliver medicine to vulnerable populations. It becomes more difficult when the state ignores the human right to health.

A recent news article outlined how Hawaii's health care system is not able to handle the casualties from a nuclear attack. The scenario discussed was one in which a 150 kiloton (equivalent to 150,000 tons of TNT) blast over Waikiki causes 142,000 fatalities and 167,700 injuries. The scenario considered how our hospitals can increase capacity by mov...

Administrative oversight to micromanage physicians has burgeoned in recent decades. Insurance requirements, including prior authorization for tests or therapies and increasing documentation requirements, force physicians to spend two additional hours on electronic health records and desk work for every hour with patients, plus an hour or two in the...

Hawai`i's 1/13/18 nuclear missile false alarm shows that education and prevention are the only solutions to avoid Armageddon. The war of words between Donald Trump and Kim Jong Un brings the world perilously close to nuclear Armageddon. As North Korea tests nuclear devices and delivery systems, the U.S. conducts military exercises and draws up plan...

More than 6000 people died in Typhoon Yolanda/Haiyan in November 2013. Four years later, the people of the Eastern Visayas are the most impoverished in the Republic. This is a consequence of the Aquino and Duterte governments' approach to postdisaster reconstruction. The approach can be characterized as disaster capitalism, undergirded by neolibera...

We practice in a time when EHR confounds us by freezing, crashing and chaining us continuously to our work, as we spend evenings and weekends on documentation. For reimbursement purposes, we are instructed to include more and more useless details. As we pay more attention to the “iPatient” than to the real patient, we have confused the map for the...

What would medical education that is relevant for the here and now — for America in the early 21st century — address? It is impossible to teach the content relevant for an entire career. It is important to educate practitioners able to adapt to the changing landscape of medicine. We must consider what the future might hold. Watching science fictio...

Presentation on TB and NCD Screening Campaign in Ebeye, Republic of the Marshall Islands. Not all slides are included due to sensitive nature of data.

The trend in recent decades is for states to contract out Medicaid to private insurance corporations. Medicaid reimburses at lower rates than Medicare or private insurance, a problem Senator Schatz proposes to fix. However, low reimbursement is just one reason why private and group practices accept few Medicaid patients. Another reason is the admin...

1st place winner for the 2017 Hawaii Health Workforce Summit Poster Competition, Resident Category.

Humanitarian assistance and disaster relief (HADR) should, as the term itself implies, be driven by humanitarian concern for the welfare of others. To use HADR for political or strategic ends distorts its purpose and introduces the potential for suspicion and distrust. In the aftermath of the November 2013 Typhoon Yolanda/Haiyan, the U.S. military...

La asistencia humanitaria para desastres debiera, como su nombre lo indica, tener como eje motivos humanitarios y el bienestar de los otros. El uso de dicha ayuda para fines políticos o estratégicos ditorsiona su propósito e introduce la sombra de la suspicacia y la desconfianza. Tras el paso del tifón Yolanda/Haiyan el ejército de los EEUU ofreció...

People who have little responsibility for industrial capitalism must pay the price for global warming. The Marshall Islands of the central Pacific Ocean are among the most vulnerable locations threatened by sea-level rise and may cease to be habitable within this generation. Under its Compact of Free Association (COFA) with the United States, citiz...

The Republic of the Philippines is characterized by severe social and economic inequalities, with 26% of the population in poverty. Government spending on health and access to healthcare services has been limited. Garnering the vote of many poor Filipinos, Rodrigo Duterte was elected to the Presidency of the Republic of the Philippines on May 9 and...

La República de Filipinas se caracteriza por severas desigualdades sociales y económicas, con 26% de la población viviendo en la pobreza. El gasto gubernamental en salud y el acceso a servicios ha sido limitado. Con el voto de los filipinos pobres, Rodrigo Duterte fue elegido presidente el 9 de mayo y tomó posesión el 30 de junio 2016. En los medio...

Approximately one in two hundred persons in the Marshall Islands have active tuberculosis (TB). We examine the historical antecedents of this situation in order to assign ethical responsibility for the present situation. Examining the antecedents in terms of Galtung's dialectic of personal versus structural violence, we can identify instances in th...

Considerable interest exists in health care costs for the growing Micronesian population in the United States (US) due to their significant health care needs, poor average socioeconomic status, and unique immigration status, which impacts their access to public health care coverage. Using Hawai’i statewide impatient data from 2010 to 2012 for Micro...

Objectives: We compared the age at admission and the severity of illness of hospitalized Micronesians with 3 other racial/ethnic groups in Hawaii. Methods: With Hawaii Health Information Corporation inpatient data, we determined the age at admission and the severity of illness for 162 152 adult, non-pregnancy-related hospital discharges in Hawai...

The Federated States of Micronesia and the Republics of Palau and the Marshall Islands signed a series of treaties known as the Compacts of Free Association (COFA) with the United States (U.S.). While the islands became independent nations, certain rights and responsibilities were assigned to the U.S. However since the signing of the treaties, U.S....

TO THE EDITOR: With regard to the case scenario posed in this article, I would like to comment as a family physician with an interest in the care of patients with hepatitis B. Although we should be circumspect about using scare tactics with our patients, I believe that one should emphasize the need for surveillance for cirrhosis and hepatoma in a 4...

The Republic of the Marshall Islands is a sovereign nation previously under the administrative control of the United States. Since 1986, the Compacts of Free Association (COFA) between the Republic of the Marshall Islands and the United States allows Marshall Islands citizens to freely enter, lawfully reside, and work in the United States, and prov...

US government research on the health effects of exposure to radiation from nuclear weapons in-volved gross violations of the human rights of peo-ple in the Marshall Islands. In all likelihood, fallout from US nuclear weapons testing in the Pacific was deposited on other Micronesian islands. The US government should release the classified data it po...

The extreme weather events that the world is experiencing are consistent with the effects of anthropogenic climate change. The western North Pacific is the area of the world with the most intense tropical cyclones. Increased sea surface temperatures directly contribute to the wind speed of storms. The 2013 Typhoon Yolanda/Haiyan was the strongest t...

Introducción Desde el primer uso de armas atómicas al final de la Segunda Guerra Mundial, los esfuerzos del gobierno de EUA para probar sus efectos en los seres humanos han sido razón para la violación de los derechos humanos. El caso de las islas del Pacífico es muy instructivo: a comienzos del periodo de hostilidad, pruebas nucleares extensivas s...

In the current rapidly evolving healthcare environment of the United States, social justice programs in pre-medical and medical education are needed to cultivate socially conscious and health professionals inclined to interdisciplinary collaborations. To address ongoing healthcare inequalities, medical education must help medical students to become...