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Hepatitis epidemic hits Hawaii harder than other states

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Hepatitis epidemic hits Hawaii harder than other states


HONOLULU (KHON2) — Viral hepatitis C is curable. Hepatitis B is treatable. Both are preventable — so, why does one U.S. state have such high rates of it?

Did you know that Hawaii has higher liver cancer mortality due to hepatitis B and C than the continental United States?

“When we look at hepatitis B, and hepatitis C specifically, we also see higher death rates of both of those compared to the continental U.S.,” says Hawaii Department of Health’s Viral Hepatitis Prevention Coordinator Thaddeus Pham. “People who die from hepatitis in Hawaii — hepatitis C specifically — can die up to 20 years earlier than residents in the rest of the state.”

That’s right. There’s a 20-year difference in life expectancy between those who contract the curable hepatitis C and those who don’t have it.

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Pham and the DOH are in the middle of developing a surveillance infrastructure as part of the HepFree by 2030 campaign, which will track the spread of viral hepatitis and hopefully begin pinpointing specifics on who is contracting hepatitis and how.

Now, don’t let the word surveillance scare you. It’s not what you may think. This is a system that will allow the DOH to help those who have contracted viral hepatitis in order to get them link to care and help develop prevention strategies.

There are three types of hepatitis.

Hepatitis A

Hepatitis A is contracted when a person comes into contact with contaminated fecal matter in their mouth. This has been seen with foods that have been the conduit that spreads hepatitis. These foods are oftentimes imported into the United States.

It is preventable with a vaccine, but some people will develop a natural immunity to it. However, if you do contract it through contaminated food, then it is important to know the source. This is one of the ways where the surveillance system that Pham is working on comes into play.

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Hepatitis B

Hepatitis B is spread in much the same way as HIV. So, from mother to child, through sexual transmission or by coming into contact with blood that is contaminated. There is no cure for hepatitis B. Pham said that is can be controlled through simple and safe medication.

So, if you get chronic hepatitis B, then you are going to take treatment to keep the virus down. But you will always have it. However, you can prevent contraction by getting vaccinated.

Hepatitis C

Hepatitis C is spread from blood to blood. Typically, this is the hepatitis that comes along with sharing drug paraphernalia, things like needles. Although hepatitis C is curable through short, safe treatment, there is no immunity or vaccine.

The numbers

Pham provided KHON2.com with some statistics on how hepatitis is impacting Hawaii. He pointed out that because the surveillance system is still being developed, there is still much to learn from collecting data and observation.

  • Hepatitis B mortality rates – DOH report.
    • Hawaii has higher rates than U.S. from 2000 to 2020.
      • Hawaii rate was 3 times higher than U.S. in 2019.
    • Within Hawaii, higher rates among Asian and Pacific Islander (1.2 to 1.4 times) residents, compared to state average.
  • Liver cancer mortality rates – DOH report.
    • Hawaii has higher rates than U.S. from 2000 to 2020.
    • Hawaii rates increased from 2000 to 2020 with 7.96 per 100,000 to 9.41 per 100,000.
    • Rates partially driven by disparities among Asian and Pacific Islander residents.
    • Note: HBV and HCV are leading causes of liver cancer in Hawaii, per journal article.
  • HCV mortality rates – Journal article and CDC data.
    • HCV is associated with up to 20 year lower life expectancy compared to the rest of the state.
    • Hawaii is the state with highest proportion of NHAPI decedents among HCV-listed deaths (2016-17).

The spread of hepatitis C is why things like syringe exchanges are so important for prevention. You can visit HepFree2030 for information and resources.

Pham said that the Centers for Disease Control and Prevention recommends that all adults, regardless of your perceived risk, be tested at least one time for both hepatitis B and C.

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Hawaii

Hawaii woman sent 'alarming' text before vanishing from L.A., family says

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Hawaii woman sent 'alarming' text before vanishing from L.A., family says


The family of a 30-year-old Hawaii resident is searching for her in Los Angeles after she missed a connecting flight, sent unusual text messages and then went silent, the relatives said.

Hannah Kobayashi arrived in Los Angeles on Nov. 8 en route to New York City but missed a connecting flight because a 30- to 45-minute window to get to its departure terminal may not have been enough, aunt Larie Pidgeon said in an interview.

Kobayashi, of Maui, stayed in Los Angeles as she awaited an opening for a last-minute flight to New York and used the time for sightseeing, family members said. She went to The Grove shopping center in the Beverly Grove neighborhood, about 12 miles north of Los Angeles International Airport, to see a Nike marketing event on Nov. 10, they said.

Kobayashi’s Instagram account, verified by NBC News, includes a photo she posted that depicts a Nike notice of filming, apparently at or near The Grove.

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The next day, she sent concerning text messages to loved ones, family members said.

“Hannah’s last message to us was alarming — she mentioned feeling scared, and that someone might be trying to steal her money and identity,” Pidgeon said on Facebook.

“She hasn’t been heard from since, and we are gravely concerned for her safety,” she wrote.

Pidgeon confirmed her Facebook account name, Larie Ingrum, by text. She was one of three relatives who recently sat for an interview about Kobayashi.

The three were part of a larger group of family members and loved ones who gathered in Los Angeles in recent days to launch a search effort.

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Hannah Midori Eve Kobayashi.via Facebook

Pidgeon said Kobayashi, an art fan and aspiring photographer, saved for the trip to New York City and was excited before she left Honolulu on Nov. 8.

She planned to visit the Museum of Modern Art and absorb Manhattan’s art scene as part of her effort to establish a career, Pidgeon said.

“She was really trying to school herself on how to become ‘it’ in New York,” she said.

Relatives have said they reported Kobayashi missing to the Los Angeles International Airport Police Department and the FBI, but the Los Angeles Police Department said it is the primary investigating agency on the case. Officer Tony Im, an LAPD spokesman, said Kobayashi was reported missing to the department Friday.

Pidgeon said texts sent Nov. 11 were alarming and at times didn’t sound like they were written in Kobayashi’s voice.

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Family members quoted one of the texts, according to a video report from NBC affiliate KHNL of Honolulu: “I got tricked pretty much into giving away all my funds for someone I thought I loved.”  

Pidgeon said the texts describe what amounts to identity theft.

“She said that someone was stealing her identity, that she felt scared,” Pidgeon said.

It appeared Kobayashi was at Los Angeles International Airport at the time, she said. Another aunt, Geordan Montalvo, whom Kobayashi was to visit in New York, tried to reach her, Pidgeon said.

“Her phone pinged at LAX at 4 p.m. and then after that, Geordan kept trying to talk to her, and then it went dark. Her phone went dead, and her communication cut off completely,” Pidgeon said.

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The Nov. 11 texts were the last family members heard from her.

On a Facebook group called Help Us Find Hanna, which includes the participation of family members, a post by the RAD Movement — a San Diego County, California, missing persons nonprofit group — says security video in the area of Pico Boulevard and Hill Street in downtown Los Angeles shows Kobayashi with someone and has sparked concern.

Family members said they couldn’t speak about it in detail because they don’t want to hinder investigators. It’s not clear when the video was recorded. Pidgeon said that based on the video, there’s reason to believe Kobayashi “is not OK.”

Relatives say Kobayashi booked her trip to New York with a boyfriend with whom she has since broken up. They said the unidentified man was on the same flight to Los Angeles but didn’t have contact with Kobayashi and made the connection to New York City. They described him as very cooperative.

The group gathered in Los Angeles is focusing its own search on the intersection of Pico Boulevard and Hill Street, near the Convention Center, LA Live and Crypto Arena, family members said.

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Father Ryan Kobayashi is among them.

“Everything is just a blur it seems, because I haven’t slept well since I’ve heard the news, and I really don’t know … it’s just really concerning,” he told KHNL earlier.

In 2013, the story of missing Canadian tourist Elsa Lam, 21, sparked international headlines when her body was found in a water tank on the roof of a run-down hotel in downtown Los Angeles. Security video of Lam pacing inside a hotel elevator and pressing multiple buttons before her death helped inspire conspiracy theories, but the Los Angeles County medical examiner determined she drowned accidentally in an event influenced by her bipolar disorder.

On Monday, citing speculation that Kobayashi needed a “break,” Pidgeon sought to reassure the public that she didn’t suffer from mental illness.

“Hannah has never once suffered from a mental illness,” she said. “She has no record on that. She is not on medication. Hannah’s someone that we can call and she’s going to call us back within an hour.”

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Local artists to tell stories of Oahu’s historical, cultural landmarks

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Local artists to tell stories of Oahu’s historical, cultural landmarks


HONOLULU (HawaiiNewsNow) – Local artists will help tell the stories of Oahu’s historical and cultural landmarks through a new public art initiative launching next year.

“Wahi Pana: Storied Places” will explore the layered and profound histories of Oahu’s aina, or land, to inspire respect and provide educational experiences for residents and visitors alike.

The initiative will feature 12 artists and 11 sites across the island, such as Waimea Valley, Haleiwa Beach Park and Hanauma Bay.

“The art will be expressed through various forms of storytelling, including sculpture, video, photography, poetry, painting, and mele,” said Kaʻili Trask O’Connell, executive director, Mayor’s Office of Culture and the Arts. “By deepening historical and cultural awareness with residents and visitors, the initiative encourages more meaningful engagement with Hawaii’s aina and its people.”

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Cory Kamehanaokalā Holt Taum will create vinyl bus wraps for selected city buses that will depict the journey of Hiiaka, Pele’s youngest sister.

“This project is a chance for us as artists to connect with our communities and to bring the spirit of each wahi pana, each storied place to life,” he said.

Carl F.K. Pao will create tiled murals at Fort Street Mall that transform Hawaiian into a visual language.

Brandy Nālani McDougall, 2023–2025 Hawaii State Poet Laureate, will compose poetry relating to the presence and perception of Leahi, or Diamond Head.

The project, supported by a $1 million grant from Bloomberg Philanthropies Public Art Challenge, will begin installations in February 2025 and will run through March 2028.

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Navy wife found guilty in baby’s death in Hawaii military housing

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Navy wife found guilty in baby’s death in Hawaii military housing


A jury in Hawaii has found a Navy wife guilty of manslaughter in connection with the overdose death of a 7-month-old baby in military housing, according to local news reports.

Dixie Denise Villa is scheduled to be sentenced on Feb. 26, according to a report from Hawaii News Now. Abigail Lobisch was found dead Feb. 24, 2019, in Villa’s house at Aliamanu Military Reservation in Hawaii, where Villa was babysitting her.

An overdose of antihistamine was determined to be the cause of Abigail Lobisch’s death, according to court documents.

The trial, which began Nov. 4, was held in Hawaii’s civilian court system.

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In September 2019, in the wake of the baby’s death, the Defense Department’s personnel chief called for officials to investigate reports of unauthorized daycare operations on installations. James Stewart, then-acting under secretary of defense for personnel and readiness, said officials should take appropriate steps to shut down these unauthorized operations.

Karen has covered military families, quality of life and consumer issues for Military Times for more than 30 years, and is co-author of a chapter on media coverage of military families in the book “A Battle Plan for Supporting Military Families.” She previously worked for newspapers in Guam, Norfolk, Jacksonville, Fla., and Athens, Ga.



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