Daily Rules, Proposed Rules, and Notices of the Federal Government
Sections 241 and 301 of the Public Health Service Act, as amended (42 U.S.C. 238J and 241 respectively); Title 3 Section 330(k), 330(m), 333(d) of the Public Health Service Act, as amended (42 U.S.C. 254b and 254c respectively).
The public health data systems in the U.S.-affiliated Pacific Islands (USAPI) are inadequate as a result of poor infrastructure capacity. There is inconsistency in data collection and analysis among the jurisdictions. The result is that the prevalence of disease conditions in the USAPI is underestimated. In addition, the lack of data increases the communicable disease threats to USAPI populations and to the U.S. communities which experience high migration of residents from these jurisdictions. Furthermore, the current health workforce in the USAPI is impacted by chronic health worker shortages and under-training of its current workforce. The workforce problems are serious, chronic, and unique to insular areas which have fewer resources to address them. A Pacific PCO will provide regional
Lynnette S. Araki, via e-mail