HONOLULU (AP) — A University of Hawaii study examining the health effects of last year’s deadly wildfires on Maui found that up to 74% of participants may have difficulty breathing and otherwise have poor respiratory health, and almost half showed signs of compromised lung function.

The data, gathered from 679 people in January and February, comes from what researchers hope will be a long-term study of wildfire survivors lasting at least a decade. Researchers released early results from that research on Wednesday. They eventually hope to enroll 2,000 people in their study to generate what they call a snapshot of the estimated 10,000 people affected by the fires.

Dr. Alika Maunakea, one of the researchers and a professor at the university’s John A. Burns School of Medicine, said those who reported higher exposure to the wildfire tended to have more symptoms.

Many study participants hadn’t seen a doctor, he said. Some study participants said they weren’t able to because clinics had burned down or because they prioritized getting housing, jobs and food after the disaster. Maunakea urged people exposed to the wildfires to get checked.

“There might be some problems that might manifest in the future,” he said. “Please see your doctor. Just pay more attention to your health because of this.”

Two-thirds of study participants lived in Lahaina at the time of the fires. About half of the participants reported daily or weekly exposure to smoke, ash or debris.

The Aug. 8 blaze killed at least 101 people, making it the deadliest wildfire in the U.S. in more than a century. It burned thousands of buildings, displaced 12,000 residents and destroyed the historic town on Maui.

The report shows Maui doesn’t have enough pulmonary health specialists to care for those who will need this expertise, said Ruben Juarez, a professor of health economics at the university and one of the study’s leaders. Researchers are talking with Hawaii’s congressional delegation to figure out how to bring these resources to Maui, he said.

Maunakea said researchers want to avoid the higher cancer and death rates experienced 20 years later by people affected by the Sept. 11, 2001, attacks.

“We’ll hopefully be able to prevent this tragedy from compounding to higher mortality rates in the future, like we saw with other events like 9/11,” Maunakea said.

Dr. Gopal Allada, an associate professor of medicine specializing in pulmonary and critical care at the Oregon Science & Health University who wasn’t involved in the research, said it would have been great if the study participants had undergone similar lung function tests before the fire. But he acknowledged that wasn’t possible, as is often the case in similar studies.

He hopes the researchers will get funding to continue their research over time.

Allada noted most scientific studies on the health effects of wildfires have focused on what happens to people in the days and the week of exposure and less is known about the long-term effects.

He commended the researchers for showing there’s a problem and for collecting data that can influence policymakers.

“This is important work that hopefully influences policymakers and people who control budgets and where trainees train and that sort of thing,” he said.

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Kamaaina discounts, exclusive deals for Hawaii residents, have long been touted as a perk to ease the high cost of living in the islands. And we’ve written about them previously because Hawaii visitors and residents have asked about them so many times. Today, we received a question from our prolific 600-comment reader Rod W., who asked:

“The taxes (we pay) might be at the same rate (for visitors and residents). But, aren’t there discounts on the room rates for local folks?“

There’s growing skepticism about several aspects of the Kamaaina discount. First, is its value real? Are these discounts genuinely the most beneficial, or have they become just another marketing gimmick? Furthermore, are these discounts fair to Hawaii visitors who cannot access them?

The fairness debate about Kamaaina discount and visitor perspectives.

Visitors have often expressed frustration and feelings of exclusion regarding Kamaaina discounts. Kathy from Lake Tahoe remarked, “Here in Lake Tahoe, locals get zero discounts. Why are we bent over when we travel to Hawaii?” This sentiment is echoed by many who feel that the discounts create an unequal playing field. At the other end of the spectrum, Eva added, “Considering high prices inflated by tourists, I am glad that Kamaaina rates exist.” These highlight the tension between tourist spending and resident affordability.

Mike J humorously commented, “Usually, I just wish I had a Hawaii driver’s license. Given the amount of money I have spent on my visits, I should be given an honorary one.” Mike illustrates well the desire of frequent visitors to benefit from the same perks as residents. Meanwhile, Steve O. pointed out, “Why do visitors think they have the right or are ‘owed’ the right to visit Hawaii… Imagine wanting to go to a local beach, local park, or restaurant and not being able to get in because of the mass of tourists.”

Adam M. chimed in about this, expressing his frustration and stating, “As much as I’ve loved my 10 trips to Hawaii, I find the constant anti-tourist policies, rules, and sentiment off-putting. Rising prices and falling service quality make the travel future look bleak.”

Another commenter, Mike, echoed a common sentiment: “It’s discrimination. This viewpoint suggests that offering special rates exclusively to residents might be seen as unfair to visitors who also contribute significantly to the local economy.”

These comments and others reflect a broader concern that while Kamaaina discounts are intended to support travel by residents, they inadvertently alienate and frustrate visitors who feel they are not receiving fair treatment despite their significant contributions to the local economy.

How much ongoing value is there in Kamaaina discounts?

Before visitors get too worked up in us versus them regarding these discounts, realize that things have evolved greatly. In the past, Kamaaina discounts offered substantial savings, sometimes up to 30% or more. But today, it is clear that these discounts have dwindled.

On a recent hotel stay, we were offered a 40% Kamaaina discount, yet the actual savings were far less, about 10%, due to other discounts that were available for non-residents. Sometimes, however, we find that in addition to a much smaller discount, better terms may be available for Kamaaina reservations. These can include no resort fee, reduced parking charge, or a better cancellation policy.

Joerg H noted, “The Kamaaina rates I’ve encountered recently are nowhere near what they used to be.” This experience is shared by many residents who remember more significant savings in the past. Joel L. had a similar experience at a high-end hotel, where he found the Kamaaina rate was still prohibitively expensive.

Even when hotels advertise up to 40% off, the fine print often reveals much smaller actual savings. Jim M. reported that non-resident deals on platforms like Hotels.com sometimes offer even better rates than Kamaaina discounts.

This is confusing, leading to questions about just who feels cheated and who is receiving better deals, visitors or residents. In fact, the difference might be minimal.

The marketing angle of Kamaaina discounts.

Hotels and other businesses have increasingly used Kamaaina discounts as a marketing strategy focused on attracting Hawaii residents more than a genuine benefit. Chris F. pointed out, “Hotels use Kamaaina rates to fill their rooms when tourism numbers are down.” Thus, these discounts might be more of a marketing strategy for managing occupancy rates than offering real value to residents.

Rich called these discounts “Just another tax on visitors that everyone knows that visitors cannot avoid. You come, you pay.” This perspective suggests that the allure of discounts is just another way to attract business without providing substantial savings.

Where, then, can the best Hawaii accommodation discounts be found?

This is a great question that many of you have also asked. The answer isn’t one that you’ll like to hear, albeit familiar. When booking accommodations or any other travel expense, you can’t expect to find the lowest rate in one place. If you are convinced that the best deal is always at booking.com, Costco Travel, or via a Kamaaina discount, you will definitely not be getting the best rate. The reality is that it is a shell game.

Navigating discounts in Hawaii (or elsewhere in travel) can often be challenging, with the best deals constantly shifting and often hidden. Whether you’re looking for Hawaii hotels, vacation rentals, or car rentals, it’s crucial to check all available sources.

Also try to avoid pre-paying at least until the very last minute so that you have the flexibility to keep looking. Kamaaina discounts might seem appealing to residents and insulting to visitors, but non-resident deals on various platforms or third-party websites can sometimes offer even better savings. To ensure you get the best deal, always compare rates and all available discounts, as prices fluctuate almost faster than you can blink an eye.

Balancing benefits and reality of Kamaaina.

While the tangible savings from Kamaaina discounts have decreased, they can still offer some benefits for Hawaii residents. One resident, Jason T., highlighted how these discounts help offset the high costs of travel within the islands for medical appointments or other necessities. While Kimberly, a healthcare worker, pointed out the essential role of such discounts in a state where tourism strains local resources.

Pam S. added, “I think it’s fair to offer Kamaaina discounts to residents. Their cost of living is so high that they need all the help they can get just to survive.”

Conclusion on Kamaaina? While it’s a mixed bag, it’s also a good reminder.

First, Kamaaina discounts are undoubtedly less generous than they once were, often reduced to mere marketing tactics. However, they still provide some relief to residents, even if the savings are not as substantial. The debate on fairness remains heated, with valid points on both sides.

In the bigger picture, discounts such as Kamaaina are a good reminder that you need to keep checking to get the best Hawaii travel deals or any travel deals.

Editor Jeff recently rented a car in Europe. For a five-week rental, he paid $1,300. He found that deal via Kayak using the rental car company Sixt. That’s one he’s never really used before, but it worked out fine. The exact same car via Costco Travel was $600 more, while the pricing via Autoslash was even worse. Not that there is anything at all wrong with those sources. It’s just that the best deals are literally never found in the same place twice.

Your thoughts on the current state of Kamaaina discounts and finding the best deal overall? Getting past the marketing ploys is a challenge. Please share your experiences below!

Savannah Gankiewicz of Hawaii was crowned Miss USA 2023 on Wednesday, more than a week after the previous titleholder resigned citing her mental health.

Gankiewicz, a model who leads a female empowerment nonprofit, will hold the title until August — the remainder of the pagaent’s term, the Honolulu Star-Advertiser reported.

“I am ready to make a positive impact with this organization that I hold dear to my heart,” said Gankiewicz, of Maui, during a ceremony at the Alohilani Resort Waikiki Beach.

As the first runner-up, Gankiewicz was announced as the replacement for former Miss USA 2023 Noelia Voigt, who stepped aside May 6. In a statement, Voigt thanked her fans and wrote, “Never compromise your physical and mental well-being.”

Voigt, a former Miss Utah, was crowned in September 2023.

Miss Teen USA, UmaSofia Srivastava, also resigned her title within days of Voigt’s resignation in a shock to the Miss Universe Organization, which runs both pageants.

Srivastava, the former Miss New Jersey Teen USA, wrote in a statement that her personal values no longer fully align with the direction of the organization.”