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Pacific Partners for Tobacco Free Islands American Samoa, Commonwealth of the Northern Mariana Islands, Federated States of Micronesia,

Republic of the Marshall Islands, Republic of Palau and Territory of Guahan

20th ANNUAL APPEAL CONFERENCE

“Pathways Of Change”

George J. Cruz San Francisco, California

Co-Chairman September 24, 2014

Pacific Partners for Tobacco Free Islands

USAPI – UNITED STATES AFFILIATED PACIFIC ISLANDS

US Flag Islands Non-US Flag Islands

American Samoa (AS) Federates States of Micronesia

Commonwealth of the Northern Mariana Islands (FSM – Pohnpei, Kosrae, Chuuk & Yap)

(CNMI – Saipan, Tinian, Rota & Northern Islands) Republic of the Marshall Islands (RMI)

Territory of Guam (Guam) Republic of Palau (RoP)


Pacific Islanders: Who we are?

• Polynesians

• Hawaiians, Samoans, Tongans, Maori, Tahitians, Cook Islanders, etc.

• Micronesians

• Chamorros, Carolinians, Chuukese, Pohnpeians, Yapese, Marshallese, Palauans, Kosraeans, etc.

• Melanesians

• Papuans, Solomon Islanders, Fijians, Vanuatu Islanders, etc.


MISSION STATEMENT

Our mission is to weave together our resources, appropriate practices and experiences, and drawing strength from our

cultures and relationships for a Tobacco-Free Pacific.

VISION

We envision a Tobacco-Free Pacific and its people


“Before you know where you are going, You must be aware of where you came from.”

- Lino Taitano

Elder & Chief Carolinian Community, Saipan


PRE-WORLD WAR II:

THE PACIFIC ISLANDS


Early 1800’s Carolinians on the Island of Tinian

Source: Micronesian Seminar

http://www.micsem.org/photos/europeans/09.htm




Palauan

Traditional

Healers

Source: MicSem


• 1940’s U.S Navy health survey • Found: intestinal parasites, yaws,

tuberculosis and skin diseases

• Complete absence of malnutrition or obesity

• No indication of diabetes

• Almost no hypertension


POST-WORLD WAR II:

THE PACIFIC ISLANDS…TODAY


http://www.micsem.org/photos/transition/02.htm




Marshall Islands Kwajalein Atoll

1944

Source: MicSem





0.0%

5.0%

10.0%

15.0%

20.0%

25.0%

30.0%

35.0%

40.0%

Guam* Federated States of

Micronesia+

Republic of the Marshall Islands+

Republic of Palau+

U.S. National*

[VALUE] [VALUE]

[VALUE] [VALUE]

[VALUE]

2009 Tobacco Prevalence Rates Among Men

* BRFSS +STePS


* World Health Organization, USAPI NCD Core Surveillance Indicators, 2013


THE PACIFIC ISLANDS:

HEALTH EQUITY?


Cost of Goods Avg. Cost / Various within each PJ

Spam $2.62 /can Cabbage $2.29/lb.

Corn Beef $3.75 /can Tomatoes $1.69/lb.

Gas/Petro $5.26/gal Apples $2.25/lb.

Rice (50lbs) $35.00/sack Grapes $2.79/lb.


Average Minimum Wage per Hour

Guam $7.25 (increases to $10.10 over 3 years)

American Samoa $5.59 (next increase 9/2015)

CNMI $5.55 (next increase 10/2014)

Palau $3.50 (last increase was 16 years ago)

RMI $2.00

FSM $1.56 (Average – varies in each state)


$0

$2,000

$4,000

$6,000

$8,000

$10,000

Federated States of Micronesia

Republic of the Marshall Islands

Republic of Palau United States

[VALUE] [VALUE] [VALUE]

[VALUE]

2011 Per Capita Health Expenditures

CIA World Factbook


PACIFIC PARTNERS:

OUR ROLE IN CHANGING THE PACIFIC


Our Role

Policy:

• Promote Smoke Free Air & other Tobacco Control Legislation (i.e. betel nut, Clean Indoor Air Laws, etc.)

Education:

• Provide publication opportunities for PJ programs (i.e. Pacific Tobacco Control & Prevention Monograph)

Training:

• Provide Basic Tobacco Intervention (BTI) & Advance Tobacco Training for adults/providers

Direct Service:

• Provide & Certify Advanced Tobacco Cessation Counselors


Our Contribution

Education:

• Developed youth & adult forums within schools & community to provide education & awareness

Policy:

• At least three USAPI have tobacco tax rates of at least $2.75 – only 7 U.S. states have higher taxes. Palau will go from $3.00 to $4.00 as of January 1, 2015.

Training:

• Collaborated with local chiefs of most PJ’s such as Council of Chiefs in Palau, Chiefs in American Samoa & Faith Based Leaders (Catholic, Protestants, etc.)


Our Regional-Collaborative Needs

a. FUNDING – For Our Jurisdictions

1. Data Collection – Support for Collection & Analysis

2. Quarterly Conference Calls

3. Annual Regional Conference & Face-To-Face Meeting

b. TECHNICAL ASSISTANCE/TRAINING

1. Program Evaluations, Development & Expertise (Tools, Maintenance, Sustainability)

2. On-island Coalition Support for grass-root NGO’s & CBO’s

c. REGIONALLY

1. Increase BTI & Advanced Tobacco Cessation Trainings


20th ANNUAL APPEAL CONFERENCE “Pathways To Change”

Un Dangkulo Na Si Yu’us Ma’ase, Ghilisow,

Thank You Very Much!

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