Template:Nhsc-v1-96
Butch, Chief, Research and Statistics Office, State of Hawaii, Department of Health, dated January 13, 1983. Hereinafter referred to as "Burch, Hawaii State Department of Health.") 66/ Comment received from Robert C. Schmitt, p. 2. Also mentioned in comment received from Richard Kekuni Blaisdell, p. 1. 67/ The remainder of this paragraph based on information provided by Richard Kekuni Blaisdell, p. 2. 68/ Department of Health, State of Hawaii, Annual Report, Statistical Supplement, 1980, September 1981, p. 19. 69/ Ibid., p. 9. 70/ The information on infant death rates that appeared in the Commission's Draft Report was s u b s t a n t i a l l y revised as the result of comments received from the Hawaii Department of Health. This quotation is from Burch, Hawaii State Department of Health. 71/ Comments received from Richard Kekuni Blaisdell point out that in examininq cause of death over time the reader should be aware that the data will r.ot be s t r i c t l y comparable since "concepts of i l l n e s s and diagnostic c r i t e r i a for ' d i s e a s e s ' vary with time and recorder" (p. 3). The Hawaii Department of Health has produced a Study in which death c e r t i f i c a t e s from 1910 to i960 were re-coded using current c l a s s i f i c a t i o n of diseases to attempt to address this problem, and i t is this data that is used in the Rele A. Look study discussed below. 72/ Information provided to the Commission by Dr. Burch, Hawaii State Department of Health. Comments from Richard Kekuni Blaisdell also suggested including such information. 73/ Me^ A. Look, A Mortality Study of the Hawaiian People, B & .- Report, Issue No. 38 (Honolulu: Hawaii State Department of Health, Research and S t a t i s t i c s Office, February 1982). 74/ The l i s t presented here is taken from Look's study. Comments received from Richard Kekuni Blaisdell suggest the following reasons: "lower income level; inadequate health rar^.; different cultural concepts of health and i l l n e s s " (p. 3). See »lsb, <-. B l a i s d e l l , pap.:-- e n t i t l e d , "Health Section of Native Hawaiians tudy :• ~ mission Report," written at tne d i r e c t i o n of and funded by trie Office of Hawaiian Affairs. This pa\^r reproduced in the comments section of the Appendix of this Report. 75/ This section contr :v >uted by Dr. Burch, Hawaii State Department of Health. Comments from Richard Kekuni Blaisdell also suggested including such information. 76/ Other data en the health s t a t u s of native Hawaiian* exist that have not been included in this report, but that confirm that the native Hawaiian population has special health problems. For example: data on the highest incidence of coronary atheros c l e r o t i c heart disease in Hawaiians/ Part-Hawaiians; data on the highest prevalence of end-staqe renal disease (kidney f a i l u r e , in Hawaiians; data on c o n g e n i t a l / i n h e r i t e d disorders, such as the highest incidence of club-foot among Hawaiians; data on the highest rates of teen-acre pregancies among Hawaiian g i r l s ; data on elderly Hawaiians, such as published by Alu Like, Indicating that 75.9% of Hawaiians vs. 66.3% of non-Hawaiians over 65 years of >a" stated they had major chronic i llnf»ss«*8j data on medical care, su< h as cited by A]u Like, that 15.7% of Hawaiians over ' I years had no health insurance vs. 9% of non—Hawaiians; data or, the
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