Site specific cancer incidence in the Republic of the Marshall Islands

Palafox, Neal A.; Johnson, David B.; Katz, Alan R.; Minami, Jill S.; Briand, Kennar

doi:10.1002/(sici)1097-0142(19981015)83:8+<1821::aid-cncr30>3.3.co;2-x

Cited by 4 publications

(6 citation statements)

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“…Women in the Marshall Islands have high breast and cervical cancer rates in their home islands, along with high rates of thyroid cancers (Palafox, Yamada, Ou et al, 2004). Cervical cancer rates are also very high in some of the islands in the FSM (Kosrae) and the Republic of Palau (Katz, Palafox, Johnson et al, 2004).…”

Section: Non-communicable Diseases Among Micronesians In Hawaiimentioning

confidence: 99%

Micronesian Migrant Health Issues in Hawaii

Pobutsky

Krupitsky

Yamada

2009

CALIF J HEALTH PROMOT

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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.

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Section: Non-communicable Diseases Among Micronesians In Hawaiimentioning

confidence: 99%

Micronesian Migrant Health Issues in Hawaii

Pobutsky

Krupitsky

Yamada

2009

CALIF J HEALTH PROMOT

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“…Noting the caveats above about relying on clinical diagnoses, a comparative study of island districts conducted in 1998-1999 found that Yap state in the FSM was the district with the highest period prevalence of liver cancer (Palafox, Yamada, Ou, et al, 2004). Using Hawaii cancer registry data from 1993 to 2008, a retrospective analysis comparing 72 Pacific Islander (which includes Hawaiians and other Polynesians, as well as people from the FAS) and 85 Caucasian patients with hepatomas showed that Pacific Islander patients were more likely to be infected with hepatitis B, to present with symptoms, and to present with larger tumors.…”

Section: Hepatomamentioning

confidence: 99%

Micronesian Migrant Health Issues in Hawaii

Yamada

Pobutsky

2009

CALIF J HEALTH PROMOT

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Increasing numbers of people from the Federated States of Micronesia and the Republic of the Marshall Islands are presenting for clinical and public health services across the U.S., especially in Hawaii. We review the impact of historical and contemporary relationships between the U.S. and these Freely Associated States on the health status and health care access of these migrants. We draw upon both epidemiological evidence and clinical experience to suggest measures to assure health care access and appropriate clinical care for these populations. We also point to potential public health measures, and indicate directions for future research.

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“…[1][2][3] The USAPI refers to six separate and distinct island-based jurisdictions in the Pacific that have formal relationships with the US government: American Samoa, Guam, Inherent in these political relationships is conflict over the extent of the responsibility of the United States to provide for health, education, and welfare of these jurisdictions. 1,6,8 Despite economic aid, most jurisdictions are economically unstable with only marginal health and educational systems. They have experienced rapid cultural upheaval and are heavily dependent on the US as well as other foreign aid.…”

mentioning

confidence: 99%

“…The cancer prevention and control capacity of the USAPI also is challenged by geographic, social, and political constraints and multiple in-country demands for sparse funding. [1][2][3] The USAPI refers to six separate and distinct island-based jurisdictions in the Pacific that have formal relationships with the US government: American Samoa, Guam, the Commonwealth of the Northern Mariana Islands (CNMI), the Federated States of Micronesia (FSM, inclusive of the four states of Chuuk, Kosrae, Pohnpei, and Yap), the Republic of the Marshall Islands (RMI), and the Republic of Belau (Palau). Each jurisdiction has a unique and distinct culture and language, but they share a history of colonization.…”

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confidence: 99%

Reducing Cancer Health Disparities in the US-associated Pacific

Tsark

Braun

2007

Journal of Public Health Management and Practice

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Purpose-To assess cancer prevention and control capacity in the US-associated Pacific Islands (USAPI, including American Samoa, Northern Mariana Islands, Micronesia, Guam, Marshall Islands, and Palau) and to support indigenous leadership in reducing cancer health disparities.Methods-Jurisdiction-specific needs assessments were conducted to assess cancer prevention and control capacity and challenges, The Cancer Council of the Pacific islands (CCPI), an indigenous health leadership team from public health and medicine, was supported to review assessment findings, develop priorities, and build capacity to address recommendations.Results-Capacity varied across jurisdictions, but generally there is limited ability to measure cancer burden and a lack of programs, equipment, and trained personnel to detect and treat cancer. Most cancers are diagnosed in late stages when survival is compromised and care is most costly. Jurisdictions also are challenged by geographic, social, and political constraints and multiple incountry demands for funding. Based on findings, strategies were developed by the CCPI to guide efforts, including fund seeking, to expand cancer prevention and control capacity in regionally appropriate ways.Conclusions-Concerted planning, training, and funding efforts are needed to overcome challenges and upgrade capacity in cancer education, prevention, detection, and treatment in the USAPI. Indigenous leadership and local capacity building are essential to this process. NIH-PA Author ManuscriptNIH-PA Author Manuscript NIH-PA Author Manuscript health crisis occurring in the United States-associated Pacific Islands (USAPI). The region's limited ability to detect, diagnose, and treat cancer is believed to contribute to late detection, when survival is compromised and care is most costly. The cancer prevention and control capacity of the USAPI also is challenged by geographic, social, and political constraints and multiple in-country demands for sparse funding. [1][2][3] The USAPI refers to six separate and distinct island-based jurisdictions in the Pacific that have formal relationships with the US government: American Samoa, Guam, Inherent in these political relationships is conflict over the extent of the responsibility of the United States to provide for health, education, and welfare of these jurisdictions. 1,6,8 Despite economic aid, most jurisdictions are economically unstable with only marginal health and educational systems. They have experienced rapid cultural upheaval and are heavily dependent on the US as well as other foreign aid. 5,6 Most jurisdictions are burdened with health conditions found in both developing countries (eg, malnutrition, filariasis, and dengue fever), and diseases associated with developed countries (eg, diabetes, heart disease, and cancer). 8Cancer in this region has gained US attention in the past decade because of newly released information associated with US thermonuclear weapons testing. For the CCPI, the assessment of cancer prevention and control capacity prov...

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Site specific cancer incidence in the Republic of the Marshall Islands

Cited by 4 publications

References 0 publications

Micronesian Migrant Health Issues in Hawaii

Micronesian Migrant Health Issues in Hawaii

Micronesian Migrant Health Issues in Hawaii

Reducing Cancer Health Disparities in the US-associated Pacific

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