scholarly journals Micronesian Migrant Health Issues in Hawaii

2009 ◽  
Vol 7 (2) ◽  
pp. 32-55 ◽  
Author(s):  
Ann M. Pobutsky ◽  
Dmitry Krupitsky ◽  
Seiji Yamada

Up to 15,000 or more Micronesian migrants currently live in Hawaii. Factors driving this recent emigration include inadequate employment opportunities, a limited economic base, and insufficient health and educational infrastructures in the U.S. affiliated Micronesian island entities in the Western Pacific. The aim of this study was to examine reasons why Micronesians were relocating to Hawaii, since there was evidence of healthcare related migration. This study provides the results of an assessment of health and key social determinants among Micronesian migrants conducted in 2007. Results show that diabetes is the most prevalent reported medical condition (35%) among adults >40 years of age. Micronesian migrants in Hawaii report coming to Hawaii for health care, but also for educational and employment opportunities.

2001 ◽  
Vol 16 (3) ◽  
pp. 94-98
Author(s):  
Marc Brodsky

The Kabuki Actors Study set out to explore the health status of Kabuki actors, their performance-related medical problems, and the nature and extent of their health care. Two hundred sixteen Kabuki performers voluntarily completed an anonymous three-page survey addressing their health issues. Thirty-eight percent of the actors reported a history of at least one significant medical condition, and 88% of them identified at least one musculoskeletal or nonmusculoskeletal problem associated with performance. Sixty-nine percent of the performers had visited a physician over the preceding year, and 30% of them had consulted nonphysician medical practitioners. Kabuki actors, the Kabuki management, and physicians can use the findings of this study as a starting point to investigate why these injuries occur and how to prevent and treat them. Pain severity scales or other measurable outcomes of therapy can be used to compare the efficacies of physician and nonphysician treatments.


2016 ◽  
Vol 41 (1) ◽  
pp. 7-48 ◽  
Author(s):  
Stephen Biddle ◽  
Ivan Oelrich

Many analysts worry that improvements in Chinese missile, sensor, guidance, and other technologies will enable China to deny the U.S. military access to parts of the Western Pacific that the United States has long controlled. Although these “antiaccess, area denial” (A2/AD) capabilities are real, they are a geographically limited long-term threat. As both the United States and China deploy A2/AD capabilities, a new era will emerge in which the U.S. military no longer enjoys today's command of the global commons, but is still able to deny China military hegemony in the Western Pacific. In this new era, the United States will possess a sphere of influence around allied landmasses; China will maintain a sphere of influence over its own mainland; and a contested battlespace will cover much of the South and East China Seas wherein neither power enjoys wartime freedom of surface or air movement. This in turn suggests that the Chinese A2/AD threat to U.S. allies is real but more limited than often supposed. With astute U.S. choices, most U.S. allies in this new system will be imperfectly, but substantially, secure.


The U.S. Navy ◽  
2019 ◽  
pp. 263-286
Author(s):  
Donald C. Daniel ◽  
Gael D. Tarleton

2018 ◽  
Vol 30 (5) ◽  
pp. 458-469 ◽  
Author(s):  
Sungkyoung Choi ◽  
Sanghyun Park ◽  
So Yoon Kim

We examined the constitutional provisions on the right to health in the Western Pacific region countries and compared universal health coverage (UHC) achievement. In 9 of the 11 countries, the constitution had provisions related to health rights, of which 7 countries also included details related to the health care system. Additionally, 5 countries also had provisions for the vulnerable. The countries with weak state obligation and no clear provisions on health rights (China and Laos) all recorded low UHC achievement scores. Australia and Malaysia, which do not have constitutional provisions regarding health, have achieved high UHC achievement scores. Constitution is the supreme law of a country and the basis for developing and implementing health and medical laws and policies. In addition, laws or constitutions that regulate the rights to health can help gain access to health care. Follow-up research related to the constitutional right to health will be needed.


2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
A Gil-Salmerón ◽  
E Riza ◽  
P Karnaki ◽  
D Zota ◽  
A Linos

Abstract The Mig-HealthCare systematically searched to identify the key health areas of refugee/migrant health in order to facilitate interventions that help access to care services for migrants and refugees. The literature review was carried out in March 2018 using 3 large scientific databases using a combination of search terms following the PRISMA methodology and a standard set of items used to report on systematic reviews. Based on the predefined inclusion and exclusion criteria, a total of 118 publications were used for data extraction. It is important to note, that in almost all of the sources identified, the following cross-cutting factors were described as influencing access to healthcare: Continuity of Information, how it relates to policy, how it differs between health services and across-borders. Furthermore, the organizational coordination among social and health care providers in the host country determinates the successful access to healthcare of migrants/refugees.Language & Communication takes into consideration both the healthcare service and its provision of translators and cultural mediators, and the host country language proficiency of the migrant/refugee.Organizational improvement of access and delivery of health care services for migrants and refugees in addition to Cultural Competence of the healthcare providers meaning the ability to maximize their sensitivity in the service of care to culturally diverse groups.Health literacy understood as the motivation and competences of the migrant population to access, understand, appraise, and apply health information. Additionally, the health issues of particular importance for migrants/refugees as emerged from the systematic review, including mental health, maternal/child health, health promotion, NCDs and chronic diseases, Oral/|Dental health, and Vaccinations should be included in planning future needs and healthcare access.


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