Nhsc-v1-96

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nhsc-v1-96

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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 substantially 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 not be strictly comparable since "concepts of illness and diagnostic criteria for 'diseases' vary with time and recorder" (p. 3). The Hawaii Department of Health has produced a Study in which death certificates from 1910 to 1960 were re-coded using current classification of diseases to attempt to address this problem, and it 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/ Mele A. Look, A Mortality Study of the Hawaiian People, R & S Report, Issue No. 38 (Honolulu: Hawaii State Department of Health, Research and Statistics Office, February 1982).

74/ The list presented here is taken from Look's study. Comments received from Richard Kekuni Blaisdell suggest the following reasons: "lower income level; inadequate health care; different cultural concepts of health and illness" (p. 3). See also, by Blaisdell, paper entitled, "Health Section of Native Hawaiians Study: Commission Report," written at tne direction of and funded by the Office of Hawaiian Affairs. This paper reproduced in the comments section of the Appendix of this Report.

75/ This section contributed by Dr. Burch, Hawaii State Department of Health. Comments from Richard Kekuni Blaisdell also suggested including such information.

76/ Other data on the health status of native Hawaiians 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 atherosclerotic heart disease in Hawaiians/ Part-Hawaiians; data on the highest prevalence of end-staqe renal disease (kidney failure) in Hawaiians; data on congenital/inherited disorders, such as the highest incidence of club-foot among Hawaiians; data on the highest rates of teen-age pregancies among Hawaiian girls; 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 age" stated they had major chronic illnesses; data on medical care, such as cited by Alu Like, that 15.7% of Hawaiians over 60 years had no health insurance vs. 9% of non—Hawaiians; data on the

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