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| − | Health And Social Services | + | ==Health And Social Services== |
| − | A. INTRODUCTION | + | |
| − | + | ===A. INTRODUCTION=== | |
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| − | + | Since a wide variety of health statistics for native Hawaiians and for the State of Hawaii were presented in the previous chapter, they will not be repeated here. Instead, this chapter will focus on the historical and cultural background of native Hawaiian health; and the State and federal programs that exist to address the health needs of all residents of the State, as well as programs specifically for native Hawaiians. | |
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| − | + | The Hawaii State Health Department administers a wide range of programs emphasizing health maintenance and promotion, risk reduction, and preventive services. <u>1</u>/ Total | |
| − | + | expenditures by the Department for the | |
| − | and | + | fiscal year ending June 30, 1980, were |
| − | Hawaiian | + | $116,368,576. The Federal Government provided 12.1 percent of this amount, |
| − | + | or $14,055,526. The various programs | |
| − | + | available to address health needs a re | |
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| − | The Hawaii | ||
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d e s c r i b e d below. D e s c r i p t i o n s i n c l u de | d e s c r i b e d below. D e s c r i p t i o n s i n c l u de | ||
the s e r v i c e s p r o v i d e d , the community | the s e r v i c e s p r o v i d e d , the community | ||
Revision as of 15:13, 26 March 2006
Health And Social Services
A. INTRODUCTION
Since a wide variety of health statistics for native Hawaiians and for the State of Hawaii were presented in the previous chapter, they will not be repeated here. Instead, this chapter will focus on the historical and cultural background of native Hawaiian health; and the State and federal programs that exist to address the health needs of all residents of the State, as well as programs specifically for native Hawaiians.
The Hawaii State Health Department administers a wide range of programs emphasizing health maintenance and promotion, risk reduction, and preventive services. 1/ Total expenditures by the Department for the fiscal year ending June 30, 1980, were $116,368,576. The Federal Government provided 12.1 percent of this amount, or $14,055,526. The various programs available to address health needs a re d e s c r i b e d below. D e s c r i p t i o n s i n c l u de the s e r v i c e s p r o v i d e d , the community s e r v e d , and the problems e n c o u n t e r e d. B. HISTORICAL AND CULTURAL BACKGROUND r i t i c a l h i s t o r i c a l e v e n t s and u n i q u e c u l t u r a l f e a t u r e s i n f l u e n c i ng
- / The f o l l o w i n o s e c t i o n on
h i s t o r i c a l and c u l t u r a l background is a complete r e p r o d u c t i o n of a s e c t i on of the paper p r e p a r e d by R i c h a rd Kekuni B l a i s d e l i , M.D., e n t i t l e d: " H e a l t h S e c t i o n of N a t i v e Hawaiians S t ' i d y Commission R e p o r t " (pages 1 t h r o u g h 18, F e b r u a r y , 1983), w r i t t en a t the d i r e c t i o n of and funded by t he O f f i c e of Hawaiian A f f a i r s . Dr. B l a i s d e l i is a P r o f e s s o r in the U n i v e r s i t y of H a w a i i ' s Medical S c h o o l. Minor e d i t o r i a l ~hangps have been made t o cor.lorrr to t h e F i r : a l R e p o r t 's f o r m a t , and the f o o t n o t e s have been r e d e s i g n a t e d for the c o n v e n i e n c e of t h e h e a l t h a:id i l l n e s s of n a t i ve H a w a i i a n s are c o n v e n i e n t l y c o n s i d e r ed i n t h r e e p e r i o d s : before c o n t a c t with t h e n o n - P o l y n e s i a n w o r l d ; c o n t a c t, b e g i n n i n g w i t h C a p t a i n James Cook in 1778 to t h e o v e r t h r o w of the monarchy i n 1893; and the end of the kinqdom to t h e p r e s e n t, P r e - c o n t a c t ( A n c i e n t to 17 78) H e a l t h and I l l n e ss P r i o r to and at the same time of t h e a r r i v a l of C a p t a i n Cook in J a n u a ry 1778, the H a w a i i a n s of old wer>- g e n e r a l l y h e a l t h y b e c a u s e they had a d a p t e d e f f e c t i v e l y to i s l a nd e c o s y s t e m s about them, and they had l i v e d in i s o l a t i o n from the r e s t of t h e p l a n e t for over 500 y e a r s . 2/ Gene s t r e n q t l i was e v i d e n t in a f l o u r i s h i n g p o p u l a t i o n of an e s t i m a t ed 3 0 0 , 0 0 0 at the time of C a p t a i n Cook. _3_/ These were d e s c e n d a n t s of p e r h a ps one hundred h a r d y , f i r s t s e t t l e r s who had a r r i v e d more than 1,000 y e a rs p r e v i o u s l y from the South P a c i f i c, a f t e r b r a v i n g over 2,000 m i l e s cf open s e a in d o u b i e - h u l i e d c a n o e s . Some g e n e weakness was p o s s i b l e b e c a u s e of ( c o n t ' d ) the r e a d e r . Except fgr t h e s e c h a n g e s , the s e c t i o n of Or. B l a i s d e l l ' s p a p e r a p p e a r s as s u b m i t t ed by OHA and is o t h e r w i s e u n c h a n g e d. The second p a r t of Dr. B l a i s d e l l 's p a p e r , " H e a l t h P r o f i l e , " is not i n c l u d e d h e r e - - i t i s c o n s i s t e n t with t h e h e a l t h d a t a p r e s e n t e d in the " D e m o g r a p h i c s " c h a p t e r of t h i s Report which i n c o r p o r a t e s p r e v i o u s comments s u b m i t t e d to the Commission by "T . B l a i s d e l i . Dr. b l a i s d e l l ' s e n t i re ed in the Appendix of
- he r e f e r e n c e s he used
p a p e r is reprodu t h i s Report and a r e marked w i t h " [ 1 ) " in the "Li' R e f e r e n c e s . "t
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