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tlAentsl FlsaNh Auoclatlon In Hawall County <br /> HCR 1 Box i@2, Kaaw Hawaii !6749 <br /> (606) 9N-D7~6 fix: 666.662b <br /> e~nall: <br /> Survey of Social /ndicatora -February 2001 <br /> The AAerrtal hlsaMh Aswaafion in Hewail County has compiled its eighth Survey of Sopal InaMcators in <br /> which vre'take the tamperaktro' d Harrah County in rogard to a number d public measurements, and, <br /> in some cases, comparo the rosulb to olMr corarliss in the state. <br /> As in our pravbus Swreys, when oomparod to oUrar oountiaa, <br /> - ~ <br /> senotla menu xa~siRS tuj in i~ woe re i+:area nsrv - nvrno io onry iZSe or ine aorta's popuiauom. <br /> These figuros, and aH that foflow in our Survey, contirrrr th an d the most acute needs for human <br /> ssrvbss aro found in Hawaii Count~i. ' ' ' ' ' - ' <br /> wrsu~rerr. exw+.aud~ <br /> ' This term is roplacrng the <br /> ass who also had substance <br /> abuse problems. Ws raw ase that the sill phraa is IlmRing, because R doesn't take into account the <br /> effect d other abressas, ouch as diabetes, hspatpfs C, chronic asthma, HIV, chronic pain, brain injury or <br /> developmental dsabilifiss. AN d these dMordars can exaosrbate mental illnesses, or their symptoms <br /> can be mistaken for psychiatric disorders, or their suffedng can stimulate substance abuse, or a subtle <br /> combination d a1 d the above. The s6gms, Ignorance and need for moro-informed medical attention <br /> rolatsd to those with any, or ssved, d these medical 'cocktaib' needs to be addressed. <br /> A special note about data-coN~fing this year. The Stets d Hawaii has no coordinated ayslem of <br /> rocording information, wNhin or among dNiaans. The State d Hawaii Data Book for 1999 (the most <br /> recent) , a valuable rosource, is now available only on the intamet and can omy be read by newer <br /> <br /> computers vnlh sophisticated programs, a change which makes d inaccesaibla to much d the public. <br /> Figuros in final annual repoAs can be badly skewed because there was a 'shortage d staff to record <br /> daU, workers'put the fpures in wrorq' or, simply, that tharo wero errors because the roport was not <br /> adequalsly proof road, even though it may have looked professionally generated. ARhough we found <br /> stale employees very responsive and helpful, such lapses undermine publ~ oonfldence in the final <br /> rosulta <br /> We have marked with " any fpuros that we think may be auspicious, flawed or incomplete. <br /> <br /> Beverley B. Grogan <br /> <br /> Branch Director <br /> <br />