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Narrative Statement <br />Project Descdption <br />`Please indicate which of these Target Capahilitles your request outlined in this application will satisfy. Check all <br />that apply: <br />Responder Safety and Health <br />' Please provide your naraWe statement In the space provided below. Include in your narrative, details <br />regarding (1) your project's description and budget, (2) your organizaton's flnandal need, (3) the beneftt to be <br />derived from the cost of your project, and (4) how the actNttles requested in your application will help your <br />organization's daily operations and how this grant will protect life and property. <br />PROBLEM STATEMENT <br />Based on correlatlons with Hawaii Department o} Health statistics, the members of the Hawaii Fire Department <br />(HFD) are at slgnlftcanUy high risk for Cardiovascular Disease (CVD), Diabetes and Stroke. Furthermore, at this <br />point such an assertion can only be based on anecdotal evidence because there Is no system in place to identify <br />who and how many of our members are at risk. And even if such at-risk members oould lie Identified, the HFD <br />does not currently have a formal fitness and Injury preventlon program to address their health and fitness <br />concerns. <br />MAIN POINT <br />The HawaB Flre Department is confident that a formal, mandatory Wellness Fitness Program will be the best <br />way to protect and measure our fire ftghters' heahh and well being. Because of our department's Isolatlon and <br />relatively small size, members have to work harder and bnger in very hazardous wnditions that could be <br />leading to health problems that are currently going unidentified. If our members were healthier and filter, they <br />could work safer and harder in all aspects of the job. While our department is certified to NFPA 1001 standards, <br />and our minds and knowledge are up to the task, for many of our members-and as yet we have no way of <br />knowing exactly how many-the body is not. <br />SUPPORTING STATEMENTS <br />2 weeks of 15-hour days searching In blizzard conditions at a 14,000-foot elevation. Fighting a 30,000-acre <br />brush fire fanned by 50 MPH winds endangering hundreds of homes. Diving along a jagged shoreline in high <br />surf warring conditlons for a missing boy swept into the ocean by a huge wave. These are just a few of the <br />diverse calls that we have recently responded to. Our island Is unlike anywhere in the world, with 11 of the <br />world's 13 climate zones. You would have to travel from Alaska all the way to Costa RICA t0 fled the same <br />number of climate zones found here. Wa have the planets most active volcano forming vast expanses of lava <br />fields so barren and unforgiving that they were used by NASA to simulate the surface of the moon, two <br />mountains over 13,500 feet tall, and 268 miles of rugged coastline. Having only 347 career Fire Fighters to <br />protect these 4,028 square miles is a huge challenge for a department soley responsible for all EMS servkas, <br />search and rescue, HAZMAT, and fire suppression for an area twice the size of the state of Delaware. <br />Add to the mix having to recruit from a general population that has some severe health issues, and the task at <br />times seem insurmountable. If we base our assumptions on the health of the generel population the statistics <br />are frightening: <br />-Hawaii County has the states' highest Cardiovascular Disease mortality rate <br />-Native Hawaiians mortality rate is 50% higher then the state average <br />-Hawaii County has the highest smoking rate in the state <br />-Native Hawaiians are significantly higher at 27.1 <br />- 33% of adults are classified overweight with 18% considered obese <br />-Hawaii County has the highest diabetes rate in the country <br />-Hawaii County has the highest mortality rate for diabetes as cause of death <br />- 30°k higher chance to develop kidney disease <br />- 36% of our fire Hawaii County Fire Fighters are Native Hawaiian <br />EXHIBIT "A" <br />