HIVAIDS Campaign Week 1December is HIV/AIDS Awareness month.  It's a reminder that tremendous strides have been made, yet there is still much more to be done to end the epidemic. There are actions, supported by Hawaiian values, that we can take every month to monitor our HIV status and partake in activities that strengthen our bodies as well as our relationships with our ʻohana and community members who are living with HIV and AIDS.  

OLAKINO MAIKAʻI (maintaining a healthy person). This month we bring you up-to-date information about HIV/AIDS and advancements in medication. We will emphasize the importance of open dialogue, testing regularly, and promoting a healthy body. 

HOʻOMANAʻO (remember, learn from the past). December is a month of both remembrance and acknowledgement of how far we've come in testing, prevention and treatment of HIV and AIDS. Acquired Immunodeficiency Syndrome (AIDS) and Human Immunodeficiency Virus (HIV) has been among us for nearly 40 years.  It is fortunate that new, breakthrough treatments have have provided the opportunity, regardless of diagnosis, to enjoy greater longevity and mauli ola (healing).  Although HIV and AIDS are no longer considered deadly, the stigma around diagnosis, education and treatment remains.   

‘IMI ‘IKE (to seek knowledge). Available data and resources enables us to make more informed decisions, so we can be makaʻala (vigilant) around our own lives and mālama (protect/care for) our partners, ʻohana and community.

Looking at newly diagnosed rates by age, the Hawaiʻi State Department of Health reported in 2020 that the highest rates ranged between the age group of 20 – 29 years.  

Mālama kekahi i kekahi. To be proactive, if you fall within this age range, get tested, know your status, and consider other methods to protect yourself and others.  These include talking to your PCP about PrEP, as well as using condoms. If you are outside the 20-29 age group, you can still practice harm reduction techniques and talk openly with those within your family and friend circles, however awkward.  

The Centers for Disease Control and Prevention has an initiative to end the HIV epidemic (EHE) in the United States. The Hawaii State Department of Health Surveillance report identified 50 cumulative positive cases in 2020, which is a gradual annual decrease since 2016.  We are on a downward trajectory toward achieving the EHE campaign but it is still our kūleana (responsibility) to continue that stride and mālama one another.  We can learn from each other, for each other.   

HIV Undetectable = Untransmittable (U=U) is achieved by using Antiretroviral therapy (ART).  Though ART does not cure HIV, it does help suppress the viral load and can work effectively to prevent transmission by 96% according to World Health Organization. At a 2018 AIDS Conference, during a presentation on a study on condomless sex, there were no HIV transmissions among almost 77,000 condomless sex acts where the HIV-infected partner had an undetectable viral load.  Research and advance medicine also introduced pre-exposure prophylaxis (PrEP) and post-exposure prophylaxis (PEP) to prevent further transmission for those uncertain if they may have been exposed. If you're considering taking PrEP, you must be HIV-negative prior to starting and test regularly. For any of these therapies to be of any use, it is vital that the medications are taken early and as prescribed by your PCP.   

NA‘AU PONO (nurturing what is right or just). The safest measure is to know how HIV/AIDS can be transmitted in order to prevent it. HIV can be spread from an infected person through blood fluids, rectal fluids, and breast milk.  Having unprotected sex or sharing needles and syringes are some risky behaviors of those who have tested positive. Testing regularly as part of your routine health care practice is important for prevention of HIV infections that applies to everyone.  CDC notes that nearly 40% of new HIV infections are transmitted by people who don’t know they are infected.  Doing what you can as part of your kuleana (responsibility) protects your health.   

If you or anyone have questions or in need of services in Hawai’i, the Hawai’i State Department of Health has a list of agencies throughout the state listed below.  They provide a safe space for further resources, testing services, and support.  

Hawai’i (East) Kumukahi Health & Wellness 

     Hilo Lagoon Center, 101 Aupuni Street, Penthouse 1014C, Hilo, HI 96720 - (808) 982-8800 

Hawai’i (West) Kumukahi Health + Wellness 

     Palani court, 74-5620 Palani Road, Ste 101, Kailua-Kona, HI 96740 - 808) 331-8177 

Kaua’i – Malama-Pono Health Services 

     4370 Kukui Grove Street, Suite 115, Lihue, HI, 96766 – (808) 246-9577 

Maui County – Maui AIDS Foundation 

     1935 Main Street, Suite 101 Wailuku, HI 96793 – (808) 242-4900 

O’ahu – Hawai’i Health and Harm Reduction Center 

     677 Ala Moana Blvd Suite 226, Honolulu, HI 96813 – (808) 521-2437 

We are strengthened by our ala kūkui (guiding principles) to support our ‘ohana with HIV/AIDS and our kuleana (responsibility) to protect one another. 

E ‘Ilau Mai Kākou – We are in this together! 

 

Resources: 

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Report Cover COVID 19 Vaccination Experiences and Perceptions Among Communities of Hawaii 2022 1117

NEWS RELEASE

FOR IMMEDIATE RELEASE

NOVEMBER , 2022

 

MEDIA CONTACTS

Kim Ku'ulei Birnie

This email address is being protected from spambots. You need JavaScript enabled to view it.

808-383-1651

 

Brooks Baehr

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808-586-4417

 

New Report Documents Cultural Context and Recommendations for Pandemic Response in Native Hawaiian and Pacific Islander Communities


Hawai’i State Department of Health in collaboration with community and academic researchers releases “COVID-19 Vaccination Experiences and Perceptions among Communities of Hawaiʻi'” documenting COVID response in the context of Native Hawaiian and Pacific Islander communities.

 

HONOLULU – A new collaborative report, COVID-19 Vaccination Experiences and Perceptions among Communities of Hawaiʻi,” authored by the Hawaiʻi State Department of Health and community and academic researchers examines the COVID-19 vaccine effort in Hawaiʻi from December 2020 through June 2021 in order to better understand successful strategies and identify lessons learned from this large scale public health intervention. This report offers valuable insight into creating equity and access for underserved and marginalized communities.

  

 

 Scenes from community-based organizations’ collaborative outreach to extend COVID-19 testing and vaccine access in Native Hawaiian and Pacific Islander communities statewide. Photo Credit: COVID Pau; click here for hi-res files.

 

Key Recommendations from COVID-19 Vaccination Experiences and Perceptions among Communities of Hawaiʻi” to improve public health emergency response among Native Hawaiian & Pacific Islander communities:

  1.  Acknowledge the historical trauma and the lived experiences of marginalized communities to understand the adverse effects on one’s emotional and physical health. 
  1. Foster collaborative partnerships with trusted community messengers and organizations to promote messages of well-being. 
  1. Ensure transparency and diverse representation in decision-making processes at all levels and allocation of resources. 
  1. Utilize multidimensional approaches that promote holistic healthcare by prioritizing in-language services, cultural values, and traditional practices. 
  1. Document processes and protocols to create streamlined clinical responses that are replicable for future public health emergencies.

Following a series of interviews conducted in talanoa, or talk story style, the emerging themes highlighted the well-known impacts of colonization:  degradation of natural resources, urbanization fueled by consumerism, introduction of foreign diseases, systemic changes in social and economic systems, and generational traumas that have led to health disparities and inequities. 

The findings are a follow-up to DOH’s 2021 report entitled “Addressing Health Equity in Diverse Populations: COVID-19 in Hawaiʻi'' describing how long-standing structural inequalities were laid bare during the COVID-19 pandemic. The earlier report coincided with collaborative efforts to provide equitable access to the COVID-19 vaccine for every eligible individual in the state in the earliest months of vaccine availability. 

Recognizing the diversity of peoples from islands across the Pacific offers many unique experiences, histories, and cultures. Shared intergenerational traumas manifest today through ongoing structural racism, inadequate and often inappropriate health care, and broken promises from federal and state governments that further undermine trust enjoyed by other communities. Because the vaccination effort described here was situated within the ancestral lands of the kanaka ʻōiwi, the authors have used the history of the Hawaiian Islands to contextualize this report as it is representative of Pacific peoples’ lived experiences. The summaries are organized into the four key themes of moʻolelo (story), pilina (relationship), maopopo (understanding), and hoʻolālā (plan).

The stories and experiences shared under these themes inform five key recommendations provided to guide equitable pandemic recovery efforts as well as future public health preparedness and prevention.

This report recognizes the uneven burden borne by Pacific Islander and Native Hawaiian communities and identifies the root causes of those disparities. Trusted relationships and relevant public health communication and engagement are necessary strategies in any campaign to reduce the inequities across health, social, economic and other indicators. This report offers valuable insight into improving access and striving for equity for underserved and marginalized communities throughout a public health emergency.

For more information or to read the full report, click here

MEDIA ASSETS: click here to access

  • Full report as a PDF file 
  • Video interview clips with Dr. Sarah Kemble, report authors Chantelle Matagi and Keʻalohilani Worthington
  • Video b-roll of community testing and vaccine outreach 
  • Photos from community testing and vaccine outreach 
  • News release as a PDF 



About the Native Hawaiian & Pacific Islander Hawaii COVID-19 Response, Recovery & Resilience Team (NHPI 3R) 

The Native Hawaiian & Pacific Islander Hawaii COVID-19 Response, Recovery & Resilience Team (NHPI 3R) was established in May 2020, in alignment with the national NHPI Response Team, to improve the collection and reporting of accurate data, identify and lend support to initiatives across the Hawaiian Islands working to address COVID-19 among Native Hawaiian & Pacific Islanders, and unify to establish a presence in the decision-making processes and policies that impact our communities. More than 60 agencies, organizations and departments comprise the NHPI 3R.Team. Papa Ola Lōkahi serves as the NHPI 3R backbone organization.

 

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“AUNTY” BETTY KAWOHIOKALANI ELLIS JENKINS

1928-2022

 

“Aunty” Betty Kawohiokalani Ellis Jenkins, hulu kupuna, passed peacefully this past weekend.

Aunty Betty liked to report that she was a first born of a first born, of a first born. She is a graduate of Kamehameha Schools and was the first student of color of then Muskingum College, now Muskingum University in Ohio.  A retired elementary teacher, Aunty Betty taught in Ohio, California, throughout Micronesia, Guam and Hawai’i.

More than a kupuna member of Papa Ola Lōkahi’s board, Aunty Betty was part of the POL ‘ohana for many years.  She served on the advisory councils for the Pacific Diabetes Education Program, ‘Imi Hale – Native Hawaiian Cancer Network, and as a cultural advisor to the traditional healing program, where she partnered with Babette Galang to deliver presentations on Hawaiian values, culture and beliefs for practitioners and providers at Tripler Medical Center and Veteran Affairs. For 10 years, she participated in the Wisdom of the Elders session at the annual convention of the American Public Health Association.

With an emphasis on Hawaiian language, tradition, history and cultural values through teaching, modeling and mentorship, Aunty Betty captivated audiences with her setting of the most relaxed impromptu educational backgrounds known as her “ambience.” Always the educator, she championed a code of ethics she called her “4Bs – Believe, Behave, Become and Belong.”

Her foundation came from her parents Richmond Kaliko Ellis of Nāwiliwili, Kaua‘i and Elizabeth Nālani Spencer Merseberg of Hāmākua, Hawai‘i.  Tutu Ellis, māmā and mentor, was manaleo who lived to be 100.

Aunty Betty wore many hats, even in her retirement. She was the alaka‘i of OHA’s Kupuna Team, which included Aunties Nalehua Knox, Ulu Garmon and Maile Vargo. She continued her relationships with Life Foundation, Haudenosaunee Nation, Native Hawaiian Education Council, Hawaiian Civic Clubs and her favorite North Shore community groups.

Aunty Betty was recognized for her lifetime achievements by the Hawai‘i House and Senate, Native Hawaiian Education Council, North Shore Chamber of Commerce, Office of Hawaiian Affairs and Kamehameha Schools.  She was awarded the Ka‘ōnohi Award by Papa Ola Lokahi, Ka Lama Kukui Award by the Association of Hawaiian Civic Clubs and was named a Living Treasure by the Honpa Hongwanji.

Aunty B was dedicated to her ‘ohana and their shared practice of unity, balance and harmony, and connection with Ke Akua and her Hawai‘i.

Our aloha to her children Kimo, Kaipo and Nālani, and her grandchildren and great-grandchildren.

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A Case for Us to Mālama ʻŌpio & End Vaping in Hawaiʻi

na Ikaika Regidor

 

Tobacco has long been targeting people in Hawaiʻi. Our community has seen Big Tobacco's tactics shift as they’ve gender-segregated (i.e., targeted) their marketing, and added subversive methods to get even younger people to pick up the habit. In recent years, there's been a marked rise in ʻōpio (youth) vaping and e-cigarettes usage across the pae ʻāina.

HEALTHY LUNG MONTH 1 Page 1

Papa Ola Lōkahi, along with our partners, is releasing a tri-fold brochure in the coming months to support our ʻōpio in getting accurate information about the chemicals found in vape products, better understanding vaping's impact on one's kino (body), and ways to stop vaping. Below is a preview of some of that information.

YOUTH VAPING POSTER 2022

In a world where our very survival depends on the transmission of ʻike from kūpuna to the next generations, it's vital that we ensure our moʻopuna are around to take that ʻike and perpetuate it for future generations.

No ka ʻōpio (For the youth):  The pressures and curiosities of today are not the same as those generations before you. You have the power to forge your future, without the influence of nicotine. E ola no ke kino; life for the body. Be steadfast toward your future goals and don't let tobacco use cloud your pathway.

No nā mākua (For the Parents):  Raising your keiki isn't always the easiest. We know it can feel like you're making it day by day. Be makaʻala. Vaping is not safer than cigarettes for your child. We, as a community, need to make sure our kids have the best shot in life, and that must be a future without nicotine. Keep raising your kids right, and make sure you're modeling the best behaviors possible.

Whether ʻōpio, mākua or kūpuna, if you're ready to stop smoking (cigarettes or vaping), we are here to help. There are resources available, so you don't have to walk that path alone.

HEALTHY LUNG MONTH 1 Page 2

Resources:

Artist Credit: We mahalo Kimo Apaka, artist from Moku o Keawe, who contributed the beautiful artwork for this campaign.

Additional questions? Please email Ikaika Regidor at This email address is being protected from spambots. You need JavaScript enabled to view it.

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 OHA Logo standard

 

FOR IMMEDIATE RELEASE                                                                                              February 23, 2022

 

(Kaka‘ako, O‘ahu, Hawai‘i)   Papa Ola Lōkahi has been awarded $20,000 from the Office of Hawaiian Affairs to support COVID-19 testing and vaccination events in rural and predominantly Hawaiian communities throughout the islands. 

Since early 2021, Papa Ola Lōkahi (POL) and the Native Hawaiian & Pacific Islander Hawai‘i COVID-19 Response, Recovery & Resilience Team (NHPI 3R) have been supporting community-friendly events in rural communities to offer health education, COVID-19 testing, and vaccinations.

“These community pop-ups have been incredibly successful in the way they have been based in communities, featured local celebrities, local entertainment and local doctors, and offered services and educational materials to the public,” waxes Dr. Sheri Daniels, Papa Ola Lōkahi executive director. “They have attracted neighbors, friends and whole families to come out and learn more.”

In partnership with the Department of Health, medical providers such as Project Vision Hawai‘i, COVIDpau, Honolulu Community Action Program, Ke Ola Mamo and other health care providers, Honolulu Fire Department, Keiki Heroes and others, the funding will enable POL, which serves as the backbone organization for the NHPI 3R, to maintain the quality of outreach that has been  successful, and broaden its reach to neighbor island rural communities.

OHA is also demonstrating its support of the NHPI 3R, whose collective work includes standardizing the way COVID-related data is collected, analyzed and reported,” Daniels continues. “Papa Ola Lōkahi has been tracking emerging research and guidance, evaluating social services and safety net programs, and implementing innovative outreach into Native Hawaiian (and Pacific Islander) communities.”

OHA serves on the board of Papa Ola Lōkahi .

The funding will support testing and vaccination events through the end of June on all islands in partnership with the five Native Hawaiian Health Care Systems and other Hawaiian-serving community partners.

 

Papa Ola Lōkahi, the Hawaiian Health Board established in 1988, is charged with raising the health status of Native Hawaiians to the highest possible level, which it achieves through partnership, programs and public policy. Learn more at papaolalokahi.org

Native Hawaiian & Pacific Islander Hawai‘i COVID-19 Response, Recovery & Resiliency Team was established in May 2020 to improve the collection and reporting of accurate data, identify and lend support to initiatives across Hawai‘i to address COVID-19 among Native Hawaiians and Pacific Islanders, and unify to establish a presence in the decision-making processes and policies that impact our communities. Learn more at NHPICOVIDHawaii.net

Office of Hawaiian Affairs, established by the state Constitutional Convention in 1978, is a semi-autonomous state agency mandated to better conditions of Native Hawaiians.  Guided by a board of nine publicly-elected trustees, OHA fulfills its mandate through advocacy, research, community engagement, land management and the funding of community programs.  Learn more at oha.org

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PDF attached

 

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