2014-01-09 Windward Exh B - Items 5 & 6

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excess of the Department of Health standards, nine to eleven times per year. See the Environmental Impact Statement. The National Institute of Health has already given John Burns School of Medicine, according to their website, $2.5M for research infrastructure, $3M for statewide research and education partnerships, and $1M for a Native and Pacific health disparities research, $160,000 for the Hawai‘i Island community lung assessment and scientific studies. The NIH is the appropriate source for the funding for John Burn School of Medicine studies. This fund, mitigation fund, should be used for our particular health study that focuses on treatment. Okay, so, if you’d like, I already submitted a synopsis of my, to the Mayor’s Office. I’ve already asked for the gas mask. I use them. They work great. I’ve had an incident on our property where somebody made a huge mistake they shouldn’t have made, just because I was wearing a gas mask and they weren’t. I’ve got a letter dated back this up; I’d like to have a chance to present it. I want to thank you again for hearing the PGV problems and for beginning the process of hearing our claims. GONZALES: Thank you. Any questions, Commissioners? HENKEL: I do. GONZALES: Mr. Henkel. HENKEL: I’m not sure whom I address this to, but as a layman, what are the components of a comprehensive health study that a lot of people are asking for? Can anybody? GREEN: Well, for example, mine includes treatment, and it includes analysis, it includes -. It’s, it start-. Is there somebody else who’d rather answer this? Comprehensive means trying to include everything. Now, what I do is I make it as limited as possible in the variables, so I try to control as many variables as possible. Human beings are very complicated. We need to make sure that we have the right control subjects, the right design. We want to make sure that it takes into consideration the entire health of the person, not just their lungs, not just their cardiovascular system. We want to make sure that the treatments are pretty much a sample of all the treatments that are effective for this particular thing. So we can’t afford this right now, but we will pretty soon have a hyperbaric chamber on this island hopefully. And we already have, there are already people who are getting treatment for hydrogen sulfide exposure. ROSANOFF: I would just like to say in my opinion I would like it to include not only respiratory and, of course, death, which is a gross statement of it, but respiratory and neurological things, and include cognition and memory of low levels, of continuous low levels of people living in this area. I would consider that part of a comprehensive health study to include that. And then, again, finding a control area, because we don’t have numbers from 38 years ago in Puna, we are handicapped by that. That’s why we have to start as soon as possible, because people are growing and moving into the area and we need to have a baseline of these health statistics for the area as soon as we possibly can. And then we will need to have, find a control group that to compare it to, maybe somewhere off this island, maybe on Kaua‘i, I just don’t know. That’s what the RFP should include in it so that you can compare these numbers of these fine, fine differences in health study where you have to have some good statistics to find small changes. HILTNER: One of the recommendations from our Health Study Group was the central nervous system; this is one of the areas of the health study that we are duly concerned about, and is in our report. And I think René can give you more on that. She is very experienced in all this. 17 EXHIBIT B