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Diet—Follow these Dietary Guidelines."
The Federal Government currently funds several programs in the priority medical health problem areas for native Hawaiians. 155/ The National Heart, Lung, and Blood Institute currently funds two large-scale programs in Hawaii concerning heart disease. The first is an epidemiologic study of heart disease conducted by the Geographic Diseases Section of the Honolulu Heart Study. The second is a high blood pressure education program directed at communication problems among ethnic groups.
There is also a great deal of activity in relation to cancer in the State of Hawaii. The National Cancer Institute, Public Health Service currently supports almost $2.5 million in grants and contracts in Hawaii specifically directed at cancer. Among the subjects under study are alcohol and cancer, diet and prostate cancer, lung cancer and dietary vitamin A, and clinical cancer education programs.
E. FAMILY HEALTH SERVICES
The Family Health Services Division of the Hawaii State Department of Health offers several programs. Among them are: maternal and child health, school health, crippled children services, and community services for the developmentally disabled. The goal of the Maternal and Child Health Branch is to "interrupt the cycle of medical and psychosocial problems which tend to be passed from one generation to another, particularly in the more disadvantaged families." 156/ In order to reach this goal, programs are offered in the areas of family planning, perinatal care, and growth and development from infancy through adolescence. The combined programs serve approximately 45,000 individual clients annually. Specific programs include:
- Maternity and infant care project clinics for low-income families in Hilo, Waimanalo, and Nanakuli;
- Attempts to prevent child/spouse abuse and neglect through identification of families at high risk and an integrated system of community support;
- Screening and referral for vision, hearing, and development delays of children attending preschools; and
- Children and youth project for low-income families in Waimanalo. 157/
Special mention should be made of a project in Waimanalo, where the population consists of a high proportion of native Hawaiians. The Waimanalo Health Clinic is a combined Maternity and Infant Care/Children and Youth project. The Clinic offers a full range of services for mothers and children, and is staffed by a multidisciplinary team that includes specialists in speech and hearing, nutrition, public health nursing, social services, and medical services. The Clinic has developed unique projects in the areas of community public health nursing, adolescent health care, nutrition, and dental health programs. The Waimanalo Health Clinic is the only one of its kind in the State of Hawaii and "serves as a model to demonstrate the ideal in delivery of maternal and child health services in the community setting." 158/
Under the School Health Program, health aides, supervised by school nurses, provide preventive and
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