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Hawaii hospitals see overcrowded EDs at the beginning of the year

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Hawaii hospitals see overcrowded EDs at the beginning of the year


By Nina Wu
The Honolulu Star-Advertiser

HONOLULU — The new year is starting off with a bang, and not in a good way, with emergency rooms across Oahu experiencing a surge in patients. Most are running at over capacity.

“We’re seeing four to five hospitals on Oahu being overwhelmed at the same time,” said Dr. Jim Ireland, director of the Honolulu Department of Emergency Services. “It’s getting harder to find places to take people.”

When ER departments are full, ambulances either have to make a longer drive to a different hospital or deal with longer wait times to transfer patients to doctors.

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“Historically, that transfer time is under 20 minutes,” said Ireland. “We’re seeing now one hour on a semi-regular basis and, in extreme cases, even up to three hours.”

When patients aren’t transferred to the ER right away, he said, the paramedics are also unable to respond to other 911 calls.

The uptick in ER room visits has been building over the past few months, he said, but growing more intensely in recent weeks, including over the Christmas and New Year’s holidays.

What’s behind the uptick?

Ireland said there may be numerous reasons, including delayed routine care and screening during the height of the pandemic, more illness and an aging population.

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“Overall, in certain sections of the population, health is worse,” he said. “There are more heart attacks, strokes, problems with blood pressure, diabetes and overall medical conditions,” he said.

Additionally, the return of tourists, and more people getting out and about means more potential accidents on roadways, in the ocean and on hiking trails.

It’s also respiratory virus season, with some COVID-19 cases and a spike in flu cases, resulting in 911 calls for breathing problems and very high fevers. There are still calls for overdosing on fentanyl and other narcotics, along with self-harm incidents.

Cumulatively, they add up to increased demand for emergency services.

EMS these days is conducting 160 to 180 transports a day, and a greater volume overall than during the same time in 2023.

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Ireland said EMS is discussing with the state how to balance out the load and potentially reroute less serious cases to less overwhelmed hospitals.

He also encourages patients with illnesses such as colds, minor sprains and constipation to seek treatment at urgent care rather than in crowded emergency rooms.

On Friday, Oahu’s ER rooms were at 181% capacity, according to Hilton Raethel, president and CEO of the Healthcare Association of Hawaii, according to a dashboard that went live in mid-November tracking hospitals in real-time.

The dashboard showed emergency departments at The Queen’s Medical Center-West Oahu, Pali Momi Medical Center, Kapiolani Medical Center for Women & Children and Straub Medical Center all to be at over-capacity.

That means more patients than available beds, which requires bringing out gurneys or treating patients sitting upright, and higher demands on ER staff.

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“It’s very challenging,” he said. “We were dealing with this over Christmas and New Year’s break, and in early January it’s not getting any better.”

Rise in West Oahu

What’s unprecedented, as well, is a rise in demand for ER services on Oahu’s West side.

“What’s been happening over the last few weeks is that Queen’s West on a regular basis now has more ER patients on any given day than Queen’s Punchbowl, which for years has been the biggest, busiest ER in the state,” said Raethel.

He believes the growth may have to do with new developments on the West side, along with more people working from home seeking care nearby.

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Ireland said some days, Queen’s West is the busiest hospital in the state for ER volume, with up to 40 or more ambulances, about 25% of all EMS transports for Oahu .

“If patients are in critical, we always take them to the closest facility,” said Ireland. “If it’s serious or minor, there’s definitely delays at many of the hospitals on Oahu getting care transferred from paramedics to the ER team.”

Queen’s West is the closest hospital available for the Leeward side, but if it’s full, then Raethel said patients will need to be diverted to Pali Momi or Straub, and if those are full, then possibly to Wahiawa, Kuakini or Adventist Castle.

Adventist Health Castle in Kailua recently became certified as a Level 3 trauma center, which means patients with traumatic injuries now can be taken there instead of over Pali Highway, easing the load at The Queen’s Medical Center in Honolulu.

On Oahu, Queen’s at Punchbowl is certified as a Level 1 Trauma Center for the most life-threatening and critical injuries, while Pali Momi and Castle are certified Level 3 Trauma Centers.

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Queen’s said despite the challenges, it remains committed to providing high-quality health care as Hawaii’s only Level 1 Trauma Center with a comprehensive stroke center.

“This distinction signifies our commitment to the people of Hawaii that when seconds count, Queen’s is prepared to provide comprehensive care for every aspect of injury using advanced life-saving technologies and the highest level of care and compassion,” said Dr. Rick Bruno, president of The Queen’s Medical Center, in a statement.

The West Oahu campus is using additional space at its hospital at this time to evaluate patients for their illnesses, along with high-quality video telemedicine technology.

Queen’s is also in the midst of expansion projects for the emergency departments at both its West and Punchbowl locations.

Statewide there are 304 emergency department beds — 160 on Oahu, 76 on Hawaii Island, 42 on Maui, and 26 on Kauai, according to the Healthcare Association of Hawaii.

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Hospitals overall are also at full capacity, according to Raethel, with more than 2,400 patients in hospital beds per day since Jan. 3, which is putting a strain on the system.

(c)2024 The Honolulu Star-Advertiser
Visit The Honolulu Star-Advertiser at www.staradvertiser.com
Distributed by Tribune Content Agency, LLC.



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I took my 30-year-old son on a vacation to Hawaii. We had to set ground rules first.

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I took my 30-year-old son on a vacation to Hawaii. We had to set ground rules first.


I live in New York City. My 30-year-old son, Alec, lives across the country in Southern California. When I visit, I respect that he has his own busy, adult life. While I’d like nothing more than to spend every minute with him, I’m proud of his independence and try not to monopolize his time.

Alec has a roommate and no space for an overnight guest. When I’m on his home turf, I stay in a hotel or with a friend.

When he comes to NYC for the holidays, his schedule is packed. Plus, with the entire family under one roof, it can be tough to carve out one-on-one time.

I don’t feel shut out of Alec’s life, but I do miss spending quality time with him, so I floated the idea of a mother-son vacation.

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He set a few ground rules before we started planning

Alec was vocal that for our getaway to work, we’d need to approach it as equals. This may sound deceptively simple, but it took lots of self-control on my part.

Little kids and I pair like milk and cookies. I did my graduate studies in early childhood education and taught preschool for years. Parenting young kids is never easy, but it felt instinctive. It grew harder as my children grew older.

Alec is my firstborn, and my parental grip was tightest around him. When he was a teenager, he told me I didn’t understand that teens needed autonomy. At the time, he was correct, but over the years, I’ve worked hard to pacify my bossy instincts.

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This time, I would welcome his voice in planning our vacation.

Alec brought up another rule: that part of being equal should include sharing expenses. I gifted Alec his airline ticket using miles, and we split additional expenses.

Choosing a destination

Alec had four days off work over Memorial Day Weekend. I advocated for a location that wasn’t too hot, as I had suffered a bout of heatstroke in Greece last summer. A yoga class nearby would be a bonus.

Alec made a case for Hawaii. He’d never been, but its laidback reputation appealed to him. He said he wanted to destress at a resort and eat poke every day.

Hawaii is special to me. I first visited when I was a kid, spending a summer at my aunt and uncle’s home in Waianae on Oahu. The idea of sharing Hawaii with Alec was exciting.

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From a practical point of view, Hawaii made sense. There are numerous nonstop flights from LAX, Alec’s home airport. I was going to be in Denver for work, so I was already heading in a westerly direction.


Allison Tibaldi  and her son in front of the ocean in Hawaii wearing leis

The author loved spending time with her adult son. 

Courtesy of Allison Tibaldi



Each of the Hawaiian Islands has its own flavor. We had lots of options and weren’t quite sure how to narrow them down.

Alec is a fan of the television cooking show “Top Chef.” During his online research, he learned that former contestant Sheldon Simeon was scheduled to be the visiting chef at the Ritz-Carlton O’ahu, Turtle Bay on the island’s North Shore on the Saturday night of our trip.

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The Hawaiian-born chef would be preparing a multi-course dinner using island-grown ingredients. I’m all about exploring local culture through food, so it seemed like a jackpot for both of us.

After we booked the dinner, we figured it made sense to stay at the Ritz-Carlton.

Balancing time together and separately was key

Another boundary we set for our vacation was balancing time together with time apart.

Each morning, Alec surfed, and I swam laps in the pool. I signed up for a lei-making workshop while he attended a tennis clinic.

In a perfect world, we would have reserved individual rooms; however, we shared a room for economic reasons.

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We were still able to maintain boundaries and give each other privacy as our room had a comfortable ocean-view patio, perfect for reading and relaxing.

Meaningful conversations are what stand out

Time together sparked the meaningful conversations and connection I had longed for.

On May 24, I mentioned that it was my beloved dad’s heavenly birthday. Alec shared tender memories of his grandpa and told me that my dad had been a father figure for him, too, teaching him lessons that continue to impact his life. It made me teary.

We also had an intelligent discussion on income inequality. Alec overheard a group of vacationing doctors and a group of vacationing teachers chatting in the Jacuzzi. He said the doctors worked very long hours without complaint, while the teachers complained nonstop about their overwhelming workload. This led to a conversation between Alec and me about teachers being underpaid and undervalued.

As a former teacher, I found that my son’s thinking about socio-economic issues that hit so close to home really resonated with me.

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Our mother-son vacation brought us closer

Our mother-son vacation was a success. Alec ate plenty of poke. I got to practice yoga. Together, we swam in the Pacific, walked trails surrounded by gardenias, and enjoyed a delectable Hawaiian dinner.

As much as I loved our activities, it’s the memories of our personal and poignant conversations that are etched in my heart.

I can’t wait to travel with Alec again.





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Waianae encampment deadline extended amid pushback from lawmaker, community

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Waianae encampment deadline extended amid pushback from lawmaker, community


HONOLULU (HawaiiNewsNow) – A state senator is challenging the Department of Land and Natural Resources’ (DLNR) decision to extend the deadline for the Puuhonua O Waianae (POW) encampment at Waianae Boat Harbor.

It comes as state and community leaders continue efforts to relocate residents to a permanent site.

The deadline was originally set for the end of June and has been pushed to Oct. 16.

State Sen. Samantha DeCorte said the extension marks the third delay in the relocation process since the original notice to vacate was issued last year. The initial deadline was Nov. 27, 2025, followed by extensions to April 30 and June 25 before the most recent extension.

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DeCorte criticized the repeated delays during a press conference on Saturday.

“We are calling on DLNR Acting Chair Ryan Kanakaole, members of Puuhonua O Waianae, and the governor’s office to do what they said they would do. Complete the transition, honor the commitment, and bring this process to a close. After 20 years, another extension is not the solution,” DeCorte said.

She added concerns remain around public safety near the harbor, including reports of vandalism involving fishing equipment and conditions she says affect families and students traveling through the area.

“Fishermen have dealt with vandalism (and) theft of their equipment. Public safety concerns have persisted, and kids have to walk past unsafe conditions just to get to school.”

DLNR said the extension is intended to provide additional time for the relocation of the POW community to a nearly 20-acre site in Waianae Valley, while construction continues at the mauka housing development.

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Kanakaole said in an email sent to DeCorte Friday that POW requested a deadline extension to vacate by the end of November, and the department, along with the governor’s office, reached an agreement on the October move-out deadline.

“DLNR, POW, and the Governor’s Office worked through what remains to be completed and established a reasonable timeline tied to actual relocation, cleanup, and closure activities and to provide for the most orderly and voluntary transition, which will ultimately lead to a solution that will last,” Kanakaole’s email said in part.

He added that more than 100 people remain at the site and POW leaders said that number should substantially reduce over the next several weeks, “potentially by nearly half within the next month.”

Read Kanakaole’s full email to DeCorte here.

The agency said it is coordinating with community leaders to ensure residents can relocate safely and to support cleanup and transition efforts at the harbor.

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The relocation site has been part of a long-term plan tied to the late community leader Twinkle Borge, who envisioned moving families from the harbor into permanent housing.

Community leaders with Puuhonua O Waianae said the process remains complex and cannot be completed immediately.

Kala Paishon, a community leader with the encampment, said some residents are still unable to move because housing units at the new site are not yet complete. He also said limited transportation and volunteer support make moving difficult for some families.

“We do have some people that volunteer their time to help our people move. We’re limited on our vehicles, but we do what we got to do to move the people up there,” Paishon said.

He added that many residents have deep ties to the harbor after years of living there.

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“Some people have been here 10-plus years,” Paishon said. “This is the memory they have, and this is where they felt like home.”

Paishon also said crews are working to gradually transition residents while maintaining cleanup efforts at the site.

“We’re making sure everybody moves up there safely… at the same time, we’re still cleaning up our opala down here.”

DLNR said it continues to work with community leaders and the governor’s office to move the relocation process forward in the coming months.

Copyright 2026 Hawaii News Now. All rights reserved.

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Office of Hawaiian Affairs Responds to Senate Bill Involving Pōhakuloa – Big Island Video News

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Office of Hawaiian Affairs Responds to Senate Bill Involving Pōhakuloa – Big Island Video News


(BIVN) – The Office of Hawaiian Affairs (OHA) says it is in alignment with provisions in the Fiscal Year 2027 National Defense Authorization Act dealing with military-leased lands in Hawaiʻi, including the Pōhakuloa Training Area. 

In a news release, OHA said it is encouraged by the bill’s “clear movement away from condemnation and toward negotiated solutions” for the approximately 19,700 acres of state lands at Pōhakuloa, and 450 acres at Kahuku. “The process outlined is consistent with OHA’s long-standing position opposing condemnation – whether forcible or ‘friendly’ – and insisting that lands held in public trust remain in the public trust and continue benefiting Native Hawaiians and future generations of Hawaiʻi’s people.” 

The U.S. Senate Armed Services Committee recently passed the Fiscal Year 2027 National Defense Authorization Act, or NDAA. The bill is expected to advance to the full United States Senate for consideration by the end of July 2026, OHA says. 

In a June 12th news release, U.S. Senator Mazie Hirono (D, Hawaiʻi) said she voted against the NDAA. Hirono is a senior member of the Senate Armed Services Committee (SASC) and Ranking Member of the Readiness and Management Support Subcommittee. 

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“I’m proud to have secured numerous provisions in the Senate’s FY27 NDAA that invest in military readiness, Hawaii, the Indo-Pacific Region, and our servicemembers and their families, while also holding the Army accountable on the military training land lease negotiations,” Hirono stated at the time. “However, I could not in good conscience vote to advance a bill that paves the way for an up to 40% increase in year-over-year Department of Defense spending, especially as this administration wages an illegal war in Iran with no plan or end in sight.” 

Hirono said the bill “directs the Secretary of the Army to seek from the State of Hawaii, on terms acceptable to both the Army and the State, a renewal of expiring training land leases. As part of this, requires the Army to expeditiously resubmit their Environmental Impact Statements (EISs) for the leased lands and address deficiencies identified by the Hawaii Board of Land and Natural Resources.” 

Soldiers assigned to the 209th Aviation Support Battalion, 25th Combat Aviation Bridge qualify on the M2 Machine Gun during a training rotation at Pohakuloa Training Area, Hawaii on March 1, 2026. Soldiers conducted live-fire training, improving their proficiency with crew-served weapon systems and enhanced force protection capabilities in an expeditionary advanced base operations environment. (U.S. Army Photo by Sgt. Olivia Cowart)


OHA noted Section 2864 of the NDAA also requires a report to Congress on the steps and proposals taken to advance lease renewals, within 60 days from the NDAA’s enactment.

“The Senate Armed Services Committee’s action reflects meaningful progress in acknowledging Hawaiʻi’s unique legal and cultural context,” stated OHA chair Kaialiʻi Kahele. “The removal of condemnation as an option and the requirement for renewed environmental review are consistent with what OHA has long advocated – that these lands must not be permanently alienated and that Hawaiʻi’s concerns must be fully addressed in good faith. Congress appears willing to respect Hawaiʻi’s laws and institutions. The opportunity before us now is to fully embrace the responsibilities and authorities those laws entrust to us. OHA will continue to ensure Native Hawaiian rights and public trust responsibilities remain central to any future decisions.”

OHA has been holding high-level meetings in Washington, D.C. concerning the military lease renewals.

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An AH-64 Apache Helicopter flight crew assigned to 2nd Squadron, 6th Cavalry Regiment “Sabers”, 25th Combat Aviation Brigade, execute an aerial gunnery designed to certify pilots on their weapons systems at Pohakuloa Training Area, Hawaii from February 2-25, 2026. (U.S. Army Photo by Sgt. Olivia Cowart)

OHA says it is also actively moving forward with a comprehensive Ka Paʻakai Analysis for Pōhakuloa Training Area. “The Board of Trustees has already approved a Permitted Interaction Group allocation of $60,000 to support this work, and OHA is finalizing a memorandum of understanding with DLNR to complete the work,” the Office stated. The analysis “will help create a more complete record of the cultural, historical, and community connections to these lands, providing decision makers with information necessary to evaluate potential impacts, identify appropriate protections, and fulfill their responsibilities under Hawaiʻi law.”

From the OHA news release:

OHA also notes that the NDAA contemplates the pursuit of future lease arrangements pursuant to Section 2667 of Title 10, United States Code. As discussions continue regarding potential lease terms, community benefit commitments, land-back and lease-back models, and other components of any future agreement, OHA believes those arrangements must remain consistent with Hawaiʻi’s environmental laws and public trust obligations. Any benefits derived from renewed use of these lands should reinforce the purposes of the public trust, protect traditional and customary Native Hawaiian practices, honor the history and significance of these lands, and preserve the value they were intended to provide for Native Hawaiian beneficiaries and future generations of Hawaiʻi’s people.



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