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The mission of the Department of Health is to plrottect and improve the health and environment for
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MAY 2017 all people in Hawaii. We believe that an optima staeofphsicalmental,social and environmental
well-being is a right and responsibility ofaloulyf
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Hawaii's people.
Virginia Pressler,M.D. What You Should Know About Rat Lungworm Disease
Director
t I W1,Ny now,you've heard of Ra ,, i N rrly uuuuuuViPIWWIiI J riir wu rN,g,,l,p,d,
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Keith Y.Yamamoto profile torye reported by local ouuhup",„ii 0Deputy Director 1°
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To date, DOH has confirmed 14 Angios ntonensrs pM1�t I "* a"rvl
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fi r, year.While we are continuing to � Rats NPI"'p ,i(I tl ihlJll�bll
I„- II 1 ,. .,;�''.>;»,))»)u»»/ monitor and investigate reported y))la)yI ,II, N 11111111'11''11'11111111')111411111ilii lll 'I;)ul,ll ll�lll6 �I I': ",J IIu” ntermediateH Hosts
��� l�. �t„ Jhl(// /1 ��� 1 cases of RLW, bear in mind these �11I1�N"Il m"Ir t Ir,I Photo credit Hawaii De tmentman Infections
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important facts to keep you and
your family safe:
101 „ .°'iiiiiiiii TIPS TO PREVENT RLW farmers' markets where flyers are
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• RLW,or Angiostrongyliasis, is a 70111110 . Make sure to properly store, passed out to vendors and
rare disease that affects the
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inspect and wash produce, shoppers. DOH's Food Safety
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�) � I� I 0 especially leafy greens. Program continues to inspect and
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III • Supervise young children educate food establishments
found in rats, slugs and snails. playing outdoors to prevent across the state for safe food
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aYt • Unlike many other diseases, them from putting a snail or handling and preparation. Food
Angiostrongyliasis cannot be slug in their mouths. establishments are reminded to
spread from person-to-person. • Take precautions to control use only approved and licensed
• People can get infected by slug, snails and rats around sources and carefully inspect and
leu";;,,;;;;,,,,,;,,;,,;;;;;,,;;;,, eating raw or undercooked homes and workplaces, wash all produce during food
I�I��\ snails or slugs that are infected especially home gardens. preparation.
with the parasite. People have • Farmers, as well as food The most common symptoms
fI �� f 1 rl also become infected by eating handlers and processors, of rat lungworm disease include
I,;P �51(6y� ' 1111111111111111111111 unwashed raw produce such as should control slugs, snails, and severe headache and neck
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stiffness, but symptoms may vary
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IIII snail or slug or parts of one. . Ifyou handle snails or slugs,g widely among individuals. If you
IIIJJ tl • There is no medication or weargloves and washyour
1IIII11111 Ulf 11 Illlly»INVIw I°� INN+ are experiencing headache,fever,
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'! . ;;�°°°y�uuuuuuuuuuuuuiiiiulllllUlllli"° p hands. stiff neck,tingling or painful
disease but most people The DOH stresses that locally- feelings in the skin or extremities,
recover fully without treatment. produce is safe to eat.Just seek immediate medical
Please direct all
q • Hawaii remains a very safe grown
remember to wash all vegetables attention.
•
travel destination.Of the 8.7
inquiries to
and fruits thoroughly no matter More information on the signs
Hawaii Dept.of Health million visitors to our state in where they come from.
Communications Office 2015,there was one(1)case of and symptoms of rat lungworm
1250 Punchbowl Street RLW reported in a visitor, one Food safety inspectors regularly infection are on the DOH website
Honolulu,HI 96813 (1)visitor case in 2016 and two distribute information to the food at:www.health.hawaii.gov.
Tel.586-4407 food industry, including at
(2)visitor cases in 2017.
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DOH Welcomes New TB Control Branch Chief
he State DOH has announced that States in the Western Pacific. Dr. Brostrom did a superb job
Dr. Elizabeth MacNeill is Hawaii'sIllv „111,11104„1,1,11),, as branch chief and strongly supported Dr. MacNeill's
new Tuberculosis (TB) Control (� �; ✓� selection as DOH's new TB Branch Chief. As a joint CDC-DOH
Branch Chief. Dr. MacNeill has been �� t t employee, Dr. Brostrom will continue to work with our
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with the TB Control Branch for the past program in a more advisory capacity.
seven years and has functioned as the TB ; 11 t , "We look forward to having Dr. Elizabeth MacNeill as our
Branch Chief on numerous occasions. i1 y, �� " new Chief of the DOH TB Control Branch," says Glenn M.
She takes the reins from Dr. Richard � ;'° "r � Wasserman, MD, MPH Chief, Communicable Disease and
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Brostrom, who has been requested by :, Public Health Nursing Division. I have every confidence in
the Centers for Disease Control and Prevention (CDC) to Dr. MacNeill's professionalism and competence as she
provide more time for activities in the Compact Affiliated assumes this new role."
LegislWature Approves $1 Million For RLW Public Education
hile much of the debate at "The Legislature has recognized that outreach about RLW, so some of the
the 2017 Legislative session RLW is an important threat that needs funds may be used towards those
focused on the financially- to be addressed now," says Keith efforts.
troubled rail project, there were also Kawaoka, deputy director of DOH appreciates the provision of
measures that directly affected the Environmental Health. funds from the Legislature and will work
Hawaii Department of Health. DOH has not yet determined a plan to ensure the money is used effectively
Topping the list was the $1 million in for use of the funds which would be to respond to and prevent the spread of
funds to combat rat lungworm disease available after the Governor's approval RLW. DOH remains committed to
(RLW). The funds were added to the no earlier than July 1, 2017. Legislators working with the counties, government
State budget during the final week of have expressed their concerns for agencies and other stakeholders to
the legislative session. increased public education and determine how to best use the funds.
Protecting Yourself Against the Mumps n
he State DOH is investigating an increasing number of The disease is spread �,
cases of mumps infection statewide. Since March when an infected
2017, DOH has become aware of two clusters of cases, person coughs or
together currently involving at least ten (10) individuals on sneezes. Transmission "U
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Oahu, bringing the total number of confirmed cases can also occur whenstatewide this year to twenty (20). To date, none of the sharing items such asinfected individuals have required hospitalization. cups or eating utensils,Because this disease is easily spread we expect additionalor by touchingcontaminated objectscases to be reported in the coming weeks, says State Epidemiologist Dr. Sarah Park. "Vaccination is still the best or surfaces and then (Fill'ililill Iiiil 1' IN' "pp1111 ,0 „\„, ,11111101
protection against this disease. We encourage everyone to touching the eyes, nose
review their immunization record and talk to their healthcare or mouth. Personswith
provider about mumps vaccination." mumps should stay homfrom school or work for %1,S
Mumps is a contagious disease caused by a virus. A classic t'%
(9) days after the onset of „� i
symptom of mumps is parotitis (swelling of the salivary n ,/
parotitis to keep from spreading I 1 � � � � ,
glands in front of the ears) resulting in a tender, swollen jaw. �' j/� p
the disease to others. ,,/i ��
Other symptoms include fever, headache, muscle aches, /�'thai
The vaccine is available at loc i phartha ;//Y
tiredness, and loss of appetite. Some people with mumps
vaccinating pharmacy, visit http://health.hawaiu «ov/docd/
have very mild or no symptoms. Persons should seek medical vacciines-immuinuuzations/vacciine-locators/or call the Aloha
attention immediately if they develop symptoms. United Way information and referral line at 2-1-1.
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Kinau Hale Toastmasters Club Finds Personal Success
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presentations at work, leading more ',10'%," ' Trio io,,,,,„
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productive staff meetings or relating �� ���! V )�9ri�; '�
better with coworkers and clients, % 11117 ')0411 ° 1. � �
imagine what we could accomplish if we a 4II ( � ! ra' ��
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Members of the Kinau Hale �,;,,, r ,,,,�� ��� � �I„�4 �� /�1,111 1111,11111 1111,�� u
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Toastmasters Club meet twice a month1.1 'w 1111 nommunnum
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during lunch to do just that.The club was /' ;, ,/1:, (///1,„ ,
founded in 2011 by Laura Arcibal,who at
the time was the All Hazards Kinau Hale Toastmasters Club members(from left)Nia Alers Barreto, Michele Nakata,
Preparedness program manager, and Kathleen Kromer Baker,Jules Kuo, Bridget Velasco, Howard Wiig, Ron Balajadia and Kanani
Kaina. Not pictured:Kellen Lovell, Dean Masai, Monica Pule and Matthew Turnure.
sanctioned by former DOH Director
Loretta Fuddy. Branch chief Michele
Nakata has played a key role in moving "In public health, we work in Delivering more speeches allows
the club forward.Today,the club is a collaborative groups and present members to fulfill leadership skills
DOH sponsored and approved activity by information in a variety of settings,” he requirements and earn awards such as
Director Virginia Pressler, MD. says. "Toastmasters has helped me gain the Competent Leader Award that look
experience and confidence as a great on one's resume.Toastmasters'
The Club provides an encouraging and speaker." training curriculum is evolving to include
supportive environment for members to
improve communication skills. But
BREAKING THE ICE learning techniques that utilize social
Toastmasters is more than simply At each meeting,there are short media and Internet formats.
delivering great speeches. It's also about speeches(about 7 minutes long)and TAKING THE PLUNGE
acquiring leadership skills, gaining self- table topics during which questions are Prospective members are
confidence and mentoring others. asked of members who give two minute encouraged to sit in and experience a
Ultimately,the experiences gained lead or shorter responses. Members or non- meeting to see if they would like to
to opportunities for further career members occasionally give longer join. They should also contact Kathleen at
enhancement and personal speeches on topics of interest, many to 586-4732 or go online to: http://
development. practice their presentation skills.A timer kinauhale.toastmastersclub.org.The Club
and grammarian are also present to meets on the second and fourth
"I've ve benefitted in so many ways,"says monitor time limit and word usage. Thursdays of each month from 11:30 am
Club President Kathleen Kromer Baker,
Ph.D.and research statistician in the The first speech new members give is to 12:30 pm in the DOH boardroom.
Office of Health Status Monitoring. "I've called the "Ice Breaker"which was The cost to join is a one-time fee of$20
gained valuable insight into expressing difficult for Kathleen who was more used and $51 twice a year. Mentoring is
my thoughts, becoming a better to giving formal presentations.She provided by Howard Wiig and Dean
listener and how best to give advice and received a rousing applause,which is Masai from the DBEDT Toastmasters
support. I have new friends who share typical of all speeches. New members Club.
common goals and my speaking skills and receive a standing ovation after their Kathleen takes great pride in witnessing
confidence have increased.The skills tenth speech, along with a Competent the tremendous personal and
learned have affected so many other Communicator Award from the professional growth of each club
areas of my life." International Toastmaster's Organization. member.
Matthew Turnure, an epidemiologist in "We not only improve our speaking, "I've watched those who gave their first
the Office of Planning, Policy and leadership and listening skills but we also speech grow to become more confident
Program Development,joined the Club to have fun and laugh a lot," Kathleen says. and self-assured speakers,"she says.
get speaking experience and improve his "If you're a first time visitor,you may find "That's what makes it especially
communication and leadership skills. the clapping unusual but it's our way of enjoyable and rewarding for me."
supporting members' efforts."
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