Vol. 3 #12

  The "Threshold Era" in Public Health -
Presented to the First International Symposium
on Public Health in Asia and the Pacific Basin
      Honolulu, Hawaii
        March 7,1983

The Public Health Service has had a long-time commitment to Hawaii and inasmuch as
the University of Hawaii and its School of Public Health has had a long-term
commitment to the Pacific Basin Countries, the United States Public Health Service and
the Pacific Rim have always worked in close collaboration.  Another factor in the close
relationship has been the presence on the Island of Kalaupapa of the second leprosarium
run by the United States to address the problems of Hansen's Disease. That colony is
now a domicile for all patients who were granted the privilege of living there for the rest
of their lives, and except for treating them for intercurrent problems, there is no active
anti-leprosy work going on at Kalaupapa, because all of those patients are cured.

In this lecture, I substituted the second paragraph in my prepared remarks with a more
informal presentation, which took into account some of these historical facts.

The speech was an important one to reunite the various divisions and factions in public
health working towards the same goal in the Pacific Rim Nations.
                         Alcohol
                  Bilateral Health Agreements with
                      Foreign Countries
                         Cancer
                   Diphtheria
                       Disease of Post Millennium
                   Drug abuse
                         Hawaii
                   Heart by-pass on television
                         Heart disease
                   Hepatitis B
                         Infectious diseases
                      Leprosy
                  Life expectancy
                    Maternal mortality
                         Polio
                   Pregnant women - mother & children
                         Research
                   Sexually transmitted disease
                    Small pox
                         Stroke
                          Tetanus
                         Vaccine


Vision of the future
Visiting Nurses Agencies

Australia
Canada
Dr. Carmichael
Dr. Edward R. Dietrick
President McKinley
Pacific Basin
St. Joseph's Hospital - Phoenix
Surgeon General Wyman