WELCOME TO INAUGURAL NIH ANNUAL
ASIAN AMERICAN NATIVE HAWAIIAN
PACIFIC ISLANDER HEALTH RESEARCH
CONFERENCE.
THIS CONFERENCE IS SPONSORED BY
THE NATIONAL CANCER INSTITUTE.
HOSTED BY THE NIH AA NHPI,
HEALTH SCIENTIFIC AND INTEREST
GROUP.
THIS 2 DAY CONFERENCE IS
RECORDED AND OPEN TO THE PUBLIC.
AND MY NAME IS [INDISCERNIBLE]
THE PROGRAM DIRECTOR AT THE NCI,
THE CHAIR OF THIS CONFERENCE.
ALONG WITH MY GREAT COLLEAGUES
FROM THE NIH AND ALSO THE OTHER
AGENCY ACROSS HHS, THE SUPPORT
FROM THE LEADERS AND YOU THE
SCIENTIFIC EXPERT FOR ALL
SPEAKERS, WE HAVE PUT TOGETHER
TODAY'S VERY IMPORTANT EVENT TO
THE AA AND NHPI RESEARCH AND ITS
COMMUNITIES.
TO THIS YEAR, THE MAIN THEME IS
THE MECHANISM AND TRANSLATIONAL
KNOWLEDGE RESEARCH TO IMPROVE
THE HEALTH AND THERAPEUTIC
OUTCOME FOR AA AND NHPI.
IN CONSIST WE START TO REINSTATE
WHITE HOUSE INITIATIVE ASIA
AMERICAN, NATIVE HAWAII AND
PACIFIC ISLANDERS SO THAT NIH
RECENTLY ISSUED THE FIRST TIME
THE REQUEST FOR THE INFORMATION,
VERY SPECIFICALLY FOCUS ON THE
AA AND NHPI HEALTH TO SEEK THE
FEEDBACK FROM THE SCIENTIFIC
COMMUNITY AND THE PUBLIC TO HELP
IDENTIFY THE GAPS, THE NEEDS AND
OPPORTUNITY THAT WILL ENHANCE
THE RESEARCH IN AA AND THE NHPI
HEALTH.
SO TODAY'S CONFERENCE HAVE 3
MAIN OBJECTIVES.
FIRST TO CELEBRATE AND PROVIDE
EDUCATION FROM AA NHPI HERITAGE,
SECOND TO HIGHLIGHT THE
ACHIEVEMENT OF HEALTH RESEARCH
IN THIS POPULATION, THIRD, TO
ADDRESS THE RESEARCH INITIATIVE
IN ORDER TO PROVIDE THE
RECOMMENDATIONS FOR AA AND THE
NHPI RESEARCH PRIORITY TO THE
NIH LEADERSHIP INCLUDING THE
CONTINUING OF THE DISCUSSION IN
THE AREA LISTED IN THE
[INDISCERNIBLE].
SO THE NEXT SLIDE, PLEASE.
SO THE AGENDA OUTLINES THE
HOUSEKEEPING AND LAY OUT OF
THESE SLIDES.
IT HAS A SPECIFIC SECTION AND
INCLUDED SEVERAL IMPORTANT
RESEARCH FIELD AND
[INDISCERNIBLE].
SUCH AS COVID-19,
[INDISCERNIBLE], CANCERS AND
DIABETES, MENTAL HEALTH, THE
LIFESTYLE AND CLINICAL TRIALS.
WE ARE VERY HONORED TO HAVE
SEVERAL LEADERS FROM THE NIH AND
THE WHITE HOUSE INITIATIVE FOR
AA NHPI WITH US TODAY FOR THE
OPENING REMARKS, SHOW THEIR
SUPPORT.
WE ARE VERY APPRECIATE THEM.
FURTHER WITH 2 OUTSTANDING KEY
NOTES, AND THEN AT 10:30 WE WILL
START WITH THE SPECIFIC TOPIC OF
THE SESSION.
SO NCI'S IT STAFF CONTACT
INFORMATION IS LISTED ON THIS
SLIDE.
NEXT SLIDE.
THIS SLIDE SHOWS INFORMATION
ABOUT AA AND NHPI HEALTH
INTEREST GROUP.
AND THE ACKNOWLEDGMENT ACROSS
THE AGENCY EFFORTS FOR PLAYING
TO THIS CONFERENCE. TO
INTRODUCE OUR FIRST OPENING
REMARK FROM LARRY TABAK.
>> I AM ELISEO PEREZ-STABLE, AND
IT IS MY PLEASURE AND DELIGHT TO
INTRODUCE THE ACTING DIRECTOR OF
THE NATIONAL
INSTITUTES OF HEALTH
AND FORMERLY PRINCIPAL DEPUTY
DIRECTOR OF THE NIH DR. LARRY
TABAK WHO I HAVE NOW KNOWN FOR 7
YEARS.
>> THANK YOU SO MUCH ELISEO, I
REALLY APPRECIATE THAT.
AND I WANT TO THANK THE NIH
HEALTH SCIENTIFIC INTEREST GROUP
FOR LAUNCHING THIS EXCITING
ANNUAL CONFERENCE TO CELEBRATE
ASIAN AMERICAN AND NATIVE
HIGHLAND PACIFIC ISLANDER
HERITAGE MONTH.
I'M DELIGHTED TO JOIN ALL OF YOU
IN REFLECTING UPON THE HISTORY
AND CELEBRATING ACHIEVEMENTS OF
ALL ASIAN AMERICANS AND NATIVE
HAWAIIANS AND PACIFIC ISLANDERS.
ADVANCING ASIAN AMERICAN NATIVE
HAWAIIAN AND PACIFIC ISLANDER
HEALTH IS AN INTEGGIC--STRATEGIC
GRAL PART OF NIH'S PART OF
MINORITY RESEARCH.
ASIAN AMERICAN AND NATIVE
HAWAIIAN/PACIFIC ISLANDER
POPULATIONS COLLECTIVELY ARE THE
FASTEST GROWING RACIAL ETHNIC
CATEGORY IN THE UNITED STATES.
AND THESE GROUPS EXPERIENCE AND
SUFFER FROM SIGNIFICANT HEALTH
DISPARITIES, INCLUDING HIGH
INCIDENCE AND MORTALITY FROM
VARIOUS DISEASES, OBSTACLES IN
SEEKING MEDICAL CARE AND NOT
BEING SUFFICIENTLY INCLUDED IN
MEDICAL AND PUBLIC HEALTH
RESEARCH.
FOR EXAMPLE, THE COVID-19
PANDEMIC IS DISPROPORTIONATELY
AFFECTED THE HEALTH OF ASIAN
AMERICANS AND NATIVE HAWAIIANS
AND PACIFIC ISLANDERS.
THESE GROUPS REPRESENT A
SIGNIFICANT SHARE OF ESSENTIAL
WORKERS INCLUDING THOSE SERVING
IN HELGT CARE AND OTHER
OCCUPATIONS ON THE FRONT LINES.
IN THE MEAN TIME, TO DRAMATIC
INCREASE AND ANTIASIAN HATE
CRIMES AND INCIDENCES OF
XENOPHOBIA SINCE THE ONSET OF
THE PANDEMIC COULD LONG HAVE
LONG LASTING EFFECT ON THE
MENTAL HEALTH AND EMOTIONAL WELL
BEING OF NP POPULATIONS.
NIHR IS WORKING TO DO ITS PART
TO ADDRESS THIS KIND OF RACISM
HEAD ON.
WE RECENTLY LAUNCHED THE UNITE
INITIATIVE TO IDENTIFY AND
ADDRESS STRUCTURAL RACISM WITHIN
THE SCIENTIFIC COMMUNITY.
DR. MARIE BERNARD, NIH'S CHIEF
OFFICER FOR SCIENTIFIC WORKFORCE
DIVERSITY LEAVES THE INITIATIVE
AND WILL PROVIDE MORE DETAILS A
LITTLE LATER.
THE SOON TO BE PUBLISHED NIH
WIDE DIVERSITY EEQUITY INCLUSION
AND ACCESSIBILITY STRATEGIC PLAN
WILL SET FORTH NIH'S VISION FOR
EMBRACING, INTEGRATING AND
STRENGTHENING DIVERSITY EQUITY
INCLUSION AND ACCESSIBILITY AND
FOR REDUCING STRUCTURAL RACISM.
THE PLAN WILL INCLUDE 3 PRIORITY
AREAS.
FIRST IMPLEMENTING PRACTICES TO
CENTER AND PRIORITIZE DIVERSITY,
EQUITY, INCLUSION AND
ACCESSIBILITY IN THE WORKFORCE.
SECOND, GROWING AND SUSTAINING
DEIA THROUGH STRUCTURAL AND
CULTURAL CHANGES AND FINALLY,
THIRD, TO ADVANCE DEIA THROUGH
RESEARCH.
THE ASIAN AMERICAN AND NATIVE
HAWAIIAN AND PACIFIC ISLANDER
POPULATIONS ARE AN EXTREMELY
VARIED RACIAL AND ETHNIC GROUP
SOCIOECONOMICALLY.
THEY COME FROM DIVERSE CULTURAL
BACKGROUNDS AND SPEAK MORE THAN
100 DIFFERENT LANGUAGES.
THIS POPULATIONS HAVE MANY
DIFFERENT HELT RELATED
CHALLENGES, SO 1 IMPORTANT AREA
OF NEED IS FOR DISAGGREGATED
DATA ACROSS SUBGROUPS WHICH THE
WHITE HOUSE INITIATIVE ON NP HAS
RECOMMENDED TO ADVANCE EQUITY,
JUSTICE AND OPPORTUNITY.
NIH HAS RECENTLY USED A REQUEST
FOR INFORMATION SEEKING
STAKEHOLDER ACTIONABLE INPUT TO
IMPROVE RESEARCH ON HEALTH AND
WELL BEING FOR NPs, THIS IS AN
INITIAL ATTEMPT TO GRAGHTER
FEEDBACK ON HEALTH RESEARCH
NEEDS FOR SUBGROUPS OF NATIVE
AMERICANS AND NATIVE HAWAIIANS
AND PACIFIC ISLANDERS.
A CAREFUL ANALYSIS OF THE
RESPONSES TO THIS QUESTION FOR
INFORMATION, PLUS DISCUSSIONS
DURING THIS CONFERENCE, AND THE
ONGOING ANALYSIS OF THE NIH NP
RESEARCH FUNDING PORTFOLIO, WILL
PROVIDE A SOLID FOUNDATION FOR A
WORKING GROUP LED BY DR. DAN XI
TO DEVELOP PRIORITY
RECOMMENDATIONS FOR HEALTH
RESEARCH TO NIH LEADERSHIP.
IN CLOSING, I WOULD LIKE TO
THANK AGAIN, THE NIH NP HEALTH
SCIENTIFIC INTEREST GROUP.
THE TRANSAGENCY'S PLANNING
COMMITTEE, ALL OF TODAY'S
DISTINGUISHED SPEAKERS AND LAST
BUT CERTAINLY NOT LEAST, EVERY
PERSON WHOSE ATTENDING THIS
INAUGURAL CONFERENCE.
I LOOK FORWARD TO SEAING THE
OUTCOME OF YOUR DISCUSSIONS.
AND SO NOW I WOULD LIKE TO
RECIPROCATE THE INTRODUCTION AND
INTRODUCE A VERY IMPORTANT NIH
LEADER DR. ELISEO PEREZ-STABLE
DIRECTOR OF OUR NATIONAL
EN--STRATEGIESITUTE ON MINOR
HEALTH AND HEALTH DISPARITIES.
IN THIS ROLE, HE OVERSEES NIMH
FUNDING PORTFOLIO TO ADVANCE THE
SCIENCE OF MINORITY HEALTH AND
HEALTH DISPARITIES RESEARCH:
RECENTLY DR. PEREZ-STABLE ALONG
WITH DR. GARY GIBBONS DIRECTOR
OF THE NATIONAL HEART, LUNG AND
BLOOD INSTITUTE WERE AWARDED THE
SIMMUAL J. HYMEN SERVICE TOOL
AMERICAN MEDAL KNOWN AS THE
SAMI, THEY RECEIVED THE COVID-19
MEDAL FOR THEIR EXTRAORDINARY
ROLE IN FIGHTING THE PANDEMIC IN
COMMUNITIES OF COLOR.
SO WITHOUT FURTHER ADO, LET ME
TURN THESE I THINKS OVER TO
DR. PEREZ-STABLE.
>> THANK YOU SO MUCH LARRY AND
THANKS FOR THAT FRAMING AND
INTRODUCTION, I WANT TO ECHO TO
WELCOME TO ALL THE SCIENTISTS
AND THE PUBLIC THAT'S INVOLVED
IN THIS WEBINAR AND CERTAINLY,
DAN DESERVES A HUGE AMOUNT OF
CREDIT FOR REALLY PUSHING THIS
FORWARD AS WELL AS THE
SCIENTIFIC INTEREST GROUP ON
ASIAN AMERICAN AND NATIVE
HAWAIIAN AND PACIFIC ISLANDER
HEALTH AND SCIENCE.
NATIONAL INNSITUTE ON MINOR
ETICS HEALTH AND HEGHT
DISPARITIES HAS HAD A FOCUS ON
HE'S POPULATIONS, ASIAN
AMERICANS, NATIVE HAWAIIANS AND
PACIFIC ISLANDERS IN ITS
FOUNDING IN THE YEAR 2000 AS A
CENTER, ALL RACIAL AND ETHNIC
MINORITY GROUPS ARE INCLUDED AS
POPULATION WITH HEALTH
DISPARITIES, AND I WANT TO JUST
MAKE ADDITIONAL COMMENTS ON
3-POINTS.
FIRST OF ALL, THE TOPIC OF
DISAGGREGATION HAS BEEN HIGH ON
THE LIST OF PRIORITIES, FOR
ASIAN AMERICANS AND IT'S
IMPORTANT ACTUALLY FOR ALL
POPULATION CATEGORIES, ALL OF
THESE BIG RACE ETHNIC CATEGORIES
THAT LEGAL HAVE MANY DIFFERENT
SUBPOPULATIONS SO IT IS NOT
EXCLUSIVELY THAT.
HOWEVER, IT IS CRITICALLY
IMPORTANT THAT WE SEPARATE ASIAN
AMERICANS FROM NATIVE HAWAIIAN,
PACIFIC ISLANDERS AS A FIRST
STEP.
THESE ARE 2 DIFFERENT GROUPS AND
I WOULD SAY IT'S LIKE LATINO
HISPANICS AND AMERICAN INDIAN
ALASKA NATIVE PUT IN TOGETHER, I
THINK IT'S THE SAME LEVEL OF
INCONGRUITY AND DOESN'T MAKE ANY
SCIENTIFIC SENSE, SO I THINK
THIS IS A HUGE FIRST STEP IN
ADDRESSING THAT.
ASIANS MAKE UP ABOUT 6% OF THE
U.S. POPULATION, WHILE NATIVE
HAWAIIANS AND PACIFIC ISLANDERS
ARE SOMEWHERE AROUND .2-5%
DEPENDING ON HOW YOU COUNT AND
SMALL POPULATIONS BRINGS
DIFFERENT CHALLENGES, ALREADY
WITH ASIANS IT'S A CHALLENGE
BECAUSE OF WHERE THE REGIONAL
AREAS ARE AND THE LANGUAGE
ISSUES SO KEEP ALL OF THAT IN
MIND.
AND THEN WITHIN THIS LARGE GROUP
OF ASIAN AMERICANS WE HAVE CLEAR
DIFFERENCES BETWEEN WHAT I WOULD
SAY IS EAST ASIANS, AND SOUTH
ASIANS IN HEALTH OUTCOMES AND
BECAUSE OF THE SAME CONTINENT
DOESN'T MAKE THEM THE SAME
IDENTITY GROUP AND I THINK IT'S
A CHALLENGE TO THIS AUDIENCE AND
TO YOU, THE SCIENTISTS TO BRING
THIS BACK UP IN THE FUTURE AS WE
MAKE PROGRESS IN THIS AREA.
WE CAN ALWAYS SUBDIVIDE LARGE
POPULATIONS INTO SMALLER GROUPS
ONCE YOU GET THERE, AND IF YOU
GET INTO TOO SMALL OF A CELL,
YOU ALL ARE OFTEN UNABLE TO MAKE
MUCH OF ANY CONCLUSION ABOUT ANY
DATA.
SO KEEP THAT IN MIND AS WELL.
I WON'T DWELL ON THE
EPIDEMIOLOGY OF THE DISEASE, I
THINK YOU WILL HEAR MORE ABOUT
THAT IN THE CONFERENCE, THERE'S
CLEAR EXCESS DIABETES IN MOST OF
OUR POPULATIONS OF COLOR AND
THAT'S A CRITICALLY IMPORTANT
CHRONIC DISEASE, SOME CANCERS
CLEARLY ARE MORE COMMON IN SOME
GROUPS AND NOW THAT WOO HAVE
BETTER DATA DISAGGREGATING
NATIVE PACIFIC ISLANDERS WE CAN
TOM PAIR THAT ALL STATES HAVE
IMPLEMENTED AND CATEGORY OF
DIFFERENT RACES.
IT TOOK 17, 18 YEARS FOR THAT TO
BE COMPLETED AND THEN THERE'S
HISTORICAL ISSUES WITH HEPATITIS
B, PARTICULARLY TUBERCULOSIS,
COVID AS DR. TABAK ALLUDED
CARDIOVASCULAR DISEASE
PARTICULARLY FOR SOUTH ASIANS
AND THEN SOME FORMS OF STROKE IN
EAST ASIANS MPLET I WILL CLOSE
BY JUST EMPHASIZING THE CRITICAL
IMPORTANCE OF ACCESS TO QUALITY
HEALTHCARE.
I THINK THIS IS PROBABLY THE
AREA OF RESEARCH, CLINICAL
RESEARCH WHERE WE HAVE THE MOST
TO LEARN AND DO WITH NATIVE
AMERICAN ILABDERS AND PACIFIC
ISLANDERS, MENTIONED A HUNDRED
DIFFERENT LANGUAGES, ALL KINDS
OF ISSUES WITH INTERPRETERS AND
ACCESS.
THERE ARE CULTURAL FACTORS IN
DIFFERENCES, GENERATIONAL
FACTORS, IMGRAPTS, 70% OF ASIAN
AMERICANS ARE IMMIGRANTS, HOW
DOES THAT PLAY OUT IN HELT CARE
AND THEN THE PERCEIVED QUALITY
OF CARE THAT ASIANS REPORT
TRENDS TO BE LESS THAN ALMOST
ANY GROUP THAT'S BEEN STUDIED
AND I THINK THIS IS AREAS THAT
NEED TO BE FURTHER INVESTIGATED.
SO ANYWAY, I WILL CLOSE THERE.
I'M REALLY DELIGHTED TO BE PART
OF THIS EFFORT WITH THE INTEREST
GROUP AND I WILL NOW TURN TO
INTRODUCING THE 2 SUBSEQUENT
SPEAKERS.
THESE ARE BOTH PRERECORDED
PRESENTATIONS FIRST BY CRYSTAL
AI, EXECUTIVE DIRECTOR OF THE
WHYS HOUSE INITIATIVE AND THE
PRESIDENT'S ADVICERY COMMISSION
ON NATIVE AMERICANS AND PACIFIC
OOH LANDERS AND SHE IS A
CRITICAL PERSON IN THE
PRESIDENT'S ADVISORY GROUP AND
IT WILL BE IMMEDIATELY FOLLOWED
BY ERICA [INDISCERNIBLE] WHO IS
THE DEPUTY ASSISTANT TO THE
PRESIDENT ON ASIAN AMERICAN AND
NATIVE HAWAIIAN PACIFIC
ISLANDERS.
SHE'S THE SENIOR LIAISON ON
THESE ISSUES IN THE WHITE HOUSE.
SO DAN.
>> ALOHA, THANK YOU, DEPUTY
NATIVE AMERICAN PACIFIC
ALINEDDERS HERE AT THE
WHITE HOUSE AND I AM CRYSTAL
[INDISCERNIBLE] EXECUTIVE
DIRECTOR OF THE WHITE HOUSE
INITIATIVE ON THE NATIVE
HAWAIIANS AND PACIFIC REMARKS
LANDERS IN THE
1970S--COMMEMORATING KEY MOMENTS
OF OUR HISTORY OF THE ARRIVAL OF
THE FIRST IMMIGRANTS IN 1843 AND
THE COMPLETION OF THE RAILROAD
IN 1816 DRIVEN BY LABOR OF
THOUSANDS OF CHINESE IMMIGRANTS.
SINCE THEN THE NAA AND NHPI HAVE
GROWN TO BE THE FEAOF THEST
GROWING MINORITY GROUP IN THE
NATION, THIS INCLUDES 1.9 KOREAN
AMERICANS, 4.69 AMERICAN INDIANS
AND AND OTHERS JUST TO NAME A
FEW.
WE ARE HONORED TO JOIN US IN THE
MONTH LONG CELEBRATION AND HOPE
THAT YOU AND YOUR FAMILIES ARE
SAFE AND HEALTHY.
THE AAPHI, THAT WHILE OUR
CULTURES AND STRUGGLES MAY BE
DIFFERENT, THEY MOVE TOGETHER
THROUGH A SHARED AMERICAN
EXPERIENCE.
>> GENERATIONS OF AA NHPI,
INCLUDE NOOG IMMIGRANTS HAVE
SHAPED AND STRENGTHENED THE
FABRIC OF OUR NATION, SEARCHING
AND PAVING THE WAY FOR
OPPORTUNITIES THAT WE STRIVE FOR
TODAY, IT'S NOT ONLY A TRIBUTE
TO THOSE WHO CAME BEFORE US AND
A SHOWCASE OF OUR VIBRANCES,
IT'S ALSO AN IMPORTANT PERIOD OF
REFLECTION CAN CONVERSATION, A
TIME TO ACKNOWLEDGE AND PAINFUL
THE PARTS OF OUR HISTORY AND TO
LOOK BRACKOT PROGRESS WE'VE MADE
TOGETHER.
OVER THE PAST YEAR, TOO MANY
AA AND NHPI HAVE FACED
UNACCEPTABLE BARRIERS TO
PROSPERITY AND SAFETY.
BENEFITS SILENCE ALONG WITH
HEALTH IMPACTS OF PAN DEMHAVE
AFFECTED A DISPROPORTIONATE
TELOMERE SHORTENING ON OUR
COMMUNITIES AND ESPECIALLY ON
WOMEN AND ELDER WHO IS CONTINUE
TO FEEL THE BRUNT OF HATE
INSDEBT DENTS.
WE ALL KNOW SOMEONE WHO HAS BEEN
PERSONALLY AFFECTED BY THEE
CRISIS, WE ALL HURT FROM THE
ANXIETY AND DISSTRUSES THEY
BRING AND WE KNOW THAT SOMETIMES
IT CAN FEEL BIKE THINGS AREN'T
GETTING BETTER BUT EVER SINCE
CRYSTAL AND I CAME ON BOARD 1
YEAR AGO, WE'VE INVIGORATED THE
FEDERAL GOVERNMENT'S
RELATIONSHIP WITH THESE
CONCERNS, DELIBERATED YOUR
SUCCESSES AND ELEVATED OUR
COMMUNITIES INSURING THAT AA AND
NHPI HAVE A SEAT AT THE TABLE.
THE CURRENT ADMINISTRATION IS
ADVANCING SAFETY FOR THE AAPAYS
AND NFPHI, THE PRESIDENT
ANNOUNCED IT IS THE OFFICIAL
POLICY OF THIS ADMINISTRATION TO
CONDEMN AAPAYS AND NHPI
VIOLENCE, THIS FALL YOU MAY
RECALL THAT THEY TOOK PLACE TO
THE STATE OF THE UNION ADDRESS
TO REAFFIRM HIS COMMITMENT TO
OUR AA AND NHPI, I WAS ALSO
HUMBLED TO DELIVER MESSAGES TO
COMMUNITY MEMBERS IN ATLANTA IN
MARCH WHEN WE COMMEMORATED THE
HEINOUS MURDERERS THERE,
HONORING THE 8 INDIVIDUALS WHO
WERE KILLED, 6 OF WHOM WERE OF
ASIAN DESCENT, THIS
ADMINISTRATION SUPPORTED AA AND
NHPIs IN OTHER WAYS WHETHER
IT'S PROVIDING RELIEF TO THE
AMERICAN RESCUE PLAN, RECORDING
THE ISLAND INSTIEWGS AND
ACKNOWLEDGING THE INJUSTICES OF
OUR PAST.
IT WAS A PROUD MEMORY CLONE WENT
PRESIDENT BIDEN SIGNED THE
AMACHI, HISTORIC SITE INTO LAW
LAST MONTH THIS ESTABLISHED THE
NATIONAL HISTORIC SITE WHERE
THOUSANDS WERE WRONGFULLY TAKEN
FROM THEIR HOME AND INCARCERATED
DURING WORLD WAR II.
>> THE BIDEN HARRIS
ADMINISTRATION HAS TAKEN
DEICIZIVE ADACTION TO ADVANCE
JUSTICE AND OPPORTUNITIES IF ARE
OUR COMMUNITIES.
ONE YEAR -ING THIS MONTH
PRESIDENT BIDEN SIGNED EXECUTIVE
ORDER 140-0131 WHICH
REESTABLISHED THE WHITE HOUSE
INITIATIVE AND REAUTHORIZED THIS
ONINATE I HAWAIIANS AND PACIFIC
OOH LANDERS THIS GAVE US
CRITICAL TOOLS THAT WE HAVE USED
TO EMPOWER AND SUPPORT
HISTORICALLY UNDERSERVED AND
UNDERREPRESENTED COMMUNITIES,
LAST MAY, THE PRESIDENT ALSO
BROUGHT BROADER VISIBILITY TO
THE NEED OF NATIVE HIGH AN AND
PACIFIC ISLANDER COMMUNITIES
INCLUDING THROUGH MY APPOINT AS
THE FIRST PERSON OF NATIVE
HAWAIIAN DESCENT TO SERVE AS THE
DIRECTOR OF THIS INITIATIVE.
AS DIRECTORS OF THE INITIATIVE
AND THE THIS RAMPS UP WE LOOK TO
WORKING HAND IN HAND WITH YOU SO
MAKE SURE THAT WE ARE NOT ONLY
VESSIBLE IN THE
ADMACHINEISTRATION'S WORK BUT
ACTIVE PARTNERS TO CREATE A MORE
INCLUSIVE GOVERNMENT THAT TRULY
SERVES ALL AMERICANS.
LOOKING AHEAD, KNOW THAT WE ARE
WORKING HARD TO ADVANCE JUSTICE
ON THOSE CHALLENGES MEETING US
TODAY, WE PROMISE TO SAY CLOSELY
PLUGGED IN AND SERVE AS A VOICE
FOR OUR COMMUNITY AND POLICY
DECISIONS THAT REMAIN.
>> IT IS THROUGH SOLIDARITY AND
HEAL THAGOREAN WE CAN CONFRONT
THE CHALLENGES FROM TODAY TO
EDUCATIONAL ACCESS TO PROMOTING
SAFETY AND WELL BEING OF OUR
COMMUNITIES, THE BIDEN HARRIS
ADMINISTRATION WILL CONTINUE TO
WORK WITH YOU TO BUILD A LEGACY
THAT BENEFITS THE NEXT
GENERATION AND BUILDINGS A
BRIGHTER FUTURE FOR US ALL.
THANK YOU.
>> WE HOP YOU HAVE A WONDER
ASIAN AMERICAN PACIFIC ISLAND
HER TAN MONTH.
>> NEXT WILL BE A RECORDING OF
AN INTRODUCTION FROM
[INDISCERNIBLE].
>> IT IS MY PLEASURE TO
INTRODUCE THE CHIEF SCIENTIFIC
BOARD DIRECTOR OF THE NIEKS H,
DR. BERNARD HAS BEEN CRITICAL IN
PROMOTING DIVERSITY, PRIOR TO
JOIN THANKSGIVING OFFICE SHE WAS
A DEPUTY DIRECTOR OF THE
NATIONAL INSTITUTE ON AGING,
WHERE SHE HELPED DEVELOP
DIFREBTIATORS SPECIFICALLY
RELATED TO PEOPLE WITH
ALZHEIMER'S DISEASE AND
DEMENTIA.
BEING AN GERIATRICIAN,
DR. BERNARD HAD A SPECIAL
AFFINITY FOR IMPROVING THE LIFE
OF OLDER POPULATIONS ESPECIALLY
THE MINORITY POPULATIONS.
SHE HAS CANNED WHAT NIH MORE
NUMEROUS AWARDS.
BEFORE JOINING NIH SHE WAS
PROFESSOR OF GERIATRIC MEDICINE
AT UNIVERSITY OF OKLAHOMA
COLLEGE OF MEDICINE.
UNDERGRAD DEGREE FROM
[INDISCERNIBLE] COLLEGE AND
MEDICAL DEGREE FROM THE
UNIVERSITY OF PENNSYLVANIA,
PLEASE WELCOME MARIE BERNARD.
>> HELLO, I WOULD LIKE TO
WELCOME YOU TO THIS ANNUAL
CONFERENCE ON ASIAN AMERICAN
NATIVE PACIFIC HAWAIIAN ALANDER
CONFERENCE.
WE RECOGNIZE THAT THE POPULATION
IS VERY HETEROGEANIOUS AND UNTIL
YOU UNRAVEL AND CAREFULLY
EXAMINE DIFFERENCES AMONG
POPULATIONS, YOU ARE NOT ABLE TO
REALLY COME UP WITH GOOD HEALTH
SOLUTIONS FOR THE FULL POPULOUS.
I BELIEVE THAT THE NIH
UNITE INITIATIVE AND SERVE AS
THE WORK DIVERSITY IN BOTH
REALMS WE REALLY VALUE THE
IMPORTANCE OF DIVERSITY AND
DIVERSE PERSPECTIVES.
WE RECOGNIZE THAT IF YOU DON'T
HAVE DIVERSE PEOPLE AT THE
TABLE, TRYING TO UNDERSTAND
THINGS, TRYING TO UNRAVEL
THINGS, RECOGNIZING THAT THERE'S
DIVERSITY AMONG THE POPULATIONS
THAT YOU MIGHT BE ADDRESSING,
YOU DO NOT GET THE FULL PICTURE
AND YOU DON'T GET THE
OPPORTUNITY TO FULLY OPTIMIZE
THE HEALTH OF THE POPULATION.
WE RECOGNIZE AS WELL, THAT YOU
IF DON'T HAVE THAT DIVERSITY
THERE, WE LOSE OUT ON CREATIVITY
AND INNOVATION, AND WE CAN
POTENTIALLY--
SO THANKS
DR. BERNARD, FOR YOUR WONDERFUL
REMARKS, I HAVE HEARD HERS, NOW
IT IS MY GREAT HONOR TO
INTRODUCE OUR FINAL OPENING
REMARKS BUT NOT THE LEAST FROM
DR. KATRINA [INDISCERNIBLE], THE
DIRECTOR OF THE DIVISION OF
CANCER CONTROL AND POPULATION
SCIENCES AT THE NATIONAL CANCER
AND THE NATIONAL CANCER
INSTITUTE, SHE HAS MANAGED
ACADEMIC AND LEADERSHIP
POSITIONS.
SHE HAS CONTRIBUTED TO THE
KNOWLEDGE AND SYNTHESIS PRODUCT
THAT HAVE FAR REACHING SUCH
IMPACT FOR SUCH NIEWM EROZANNOUS
ORGANIZATIONS SO WITHOUT FURTHER
ADO, I NOW TURN IT OVER TO
DR. [INDISCERNIBLE].
>> GREAT, THANK YOU DAN.
AND I AM REALLY PLEASED TO BE
HERE TO OFFER REMARKS ON BEHALF
OF NCI LEADERSHIP AND TO OFFER
MY WELCOME TO ALL THESE
DISTINGUISHED LEADER, I WOULD
REALLY LIKE TO THANK DAN AND
ALSO THE INN TIRE ENTER GROUP
FOR ORGANIZING THIS 2 DAY
CONFERENCE DURING AA AND NHPI
HERITAGE MONTH ON PART OF A
FOCUS ON ADVANCING THE MISSION
OF IMPROVING MINORITY HEALTH AND
REDUCING DISPARITIES.
I'M REALLY EXCITED TO SEE
SEVERAL PRESENTATION THIS IS
MORNING THAT ARE RELATED TO
CANCER RESEARCH AND COLLEAGUES
FROM NCI AND I ARE LOOKING
FORWARD TO LEARNING ABOUT
RESEARCH PRIORITIES AND NEEDS
FROM YOU.
BUT FIRST I WANT TO SPEAK TO THE
IMPORTANCE OF STUDYING AA AND
NHPI POPULATIONS AS PART OF THE
NCI CANCER RESEARCH PORTFOLIO.
WE RECOGNIZE THAT THESE
POPULATIONS ARE THE ONLY RACIAL
AND ETHNIC GROUPS IN THE UNITED
STATES FOR WHOM CANCER IS THE
LEADING CAUSE OF DEATH IN BOTH
MEN AND WOMEN.
AA AND NHPI POPULATIONS HAVE
HIGH RATES OF CANCER INDEMMIC TO
THEIR COUNTRIES OF ORIGIN DUE
TOIN FECTIOUS AND CULTURAL
REASONS BUT IN ADDITION, THERE
ARE ALSO INCREASING RATES OF
WESTERN CANCERS THAT ARE DUE IN
PART TO ASSIMILATION TO THE
AMERICAN DIET AND LIFESTYLE.
AS ALREADY MENTIONED PREVIOUSLY
BY ELIS EO AND OTHERS WE
RECOGNIZE THAT OTHER GROUP VS
VARYING INCIDENCE AND MORTALITY
RATES THROUGH THE DISAGGREGATION
OF DATA IS AN IMPORTANT CHAL
TOAMPLEG THE RESEARCH AGENDA.
WE ACKNOWLEDGE THE
UNDERREPRESENTATION OF AA AND
NHPI POPULATIONS IN CLINICAL
TRIALS AND OBSERVATIONAL
STUDIES.
IN NCIA FUNDED PORTFOLIO,
REPRESENTATION OF THESE
POPULATIONS IS PARTICULARLY LOW
COMPARED TO OTHER RACIAL AND
ETHNIC GROUPS.
INCLUDING LOWER THAN AFRICAN
AMERICANS AND HISPANIC
POPULATIONS.
DESPITE KNOWING THE PICTURE
ABOUT THE CURRENT STATE NEAR
RESEARCH, THERE'S STILL ROOM FOR
OPTIMISM FOR THE FUTURE.
SO JUST TO GIVE A FEW EXAMPLES,
OUR DIVISION IN CANCER CONTROL
AND POPULATION SCIENCES SUPPORTS
THE MULTIETHNIC COHORT STUDY OR
THE MEK, THIS COHORT HAS THE
LARGEST ASIAN AMERICAN AND
NATIVE HAWAIIAN ENROLLMENT WITH
57,000 JAPANESE-AMERICANS AND
1400 NATIVE HAWAIIANS.
WE ALSO RECENTLY EXPANDED THE
SEER REGISTRY IN 2021 WHICH NOW
COVERS ABOUT 50% OF THE U.S.
POPULATION AND THIS INCLUDES 72%
OF THE U.S. ASIAN POPULATION,
75% OF THE NATIVE HAWAIIAN AND
PACIFIC ISLANDER POPULATION AND
80% OF THE CHINESE POPULATION IN
THE UNITED STATES.
SO PLEASE ENJOY ALL THE
PRESENTATION AND WE LOOK FORWARD
TO LEARNING ABOUT YOU FROM
FUTURE CANCER RESEARCH NEEDS.
THANK YOU.
>> THANK THOWCH FOR THE REMARKS
AND NOW WE MOVE TO THE AGENDA TO
THE KEY NOTE SO
DR. [INDISCERNIBLE] WILL DO THE
INTRODUCTIONS.
>> GOOD MORNING.
CAN YOU HEAR ME.
>> YES, THANK YOU.
GOOD MORNING IT'S OUR FIRST KEY
NOTE SPEAKER OF THE DAY,
DR. VICTOR CHOW, HE IS THE
PRESIDENT OF NATIONAL ACADEMY OF
MEDICINE AND THE GEM DUKE
MEDICINE PROFESSOR THE DUKE
UNIVERSITY.
HE HELD MANY PROMINENT
LEADERSHIP POSITIONS DURING HIS
MAGNIFICENT CAREER INCLUDING
CANC LORA RODRIGUEZ FOR HEALTH
AFFAIRS FOR DUKE UNIVERSITY,
PRESIDENT AND CEO OF THE DUKE
UNIVERSITY MEDICAL CENTER,
CHAIRMAN OF DEPARTMENT OF
MEDICINE AT HARVARD UNIVERSITY,
MEDICAL SCHOOL CHAIRMAN OF
DEPARTMENT OF MEDICINE AT
STANFORD UNIVERSITY SCHOOL OF
MEDICINE.
AND A MEMBER OF THE ADVISORY
COMMITTEE TO THE DIRECTOR OF
NIHR.
DR. CHOW IS A TRUE TRAIL PLASSER
AND MEDICAL INNOVATOR IN MEDICAL
RESEARCH AND GLOBAL HEALTH.
HIS SEMINOLE WORK LAID THE
FOUNDATION FOR THE DEVELOPMENT
OF ACE INHIBITORS THAT HAVE
SAVED MANY LIVES OF HYPER
TENSION AND CONJESTIVE HEART
FAILURE PATIENTS AROUND THE
GLOBE.
HE ALSO PIONEERED GENE THERAPY
FOR VASCULAR DISEASE.
DR. CHOW FOUNDED THE DUKE GLOBAL
HEALTH INSTITUTE, THE DIVISION
OF GLOBAL HEALTH EQUITY AT
HARVARD UNIVERSITY AS WELL AS
THE DUKE NATIONAL UNIVERSITY OF
SINGAPORE MEDICAL SCHOOL.
AT THE HOME OF THE THE NATIONAL
ACADEMY OF MEDICINE, DR. CHOW
HAS LAUNCHED VISIONARY
INITIATIVES INCLUDING THE GLOBAL
HEALTH RISK FRAMEWORK
INTEGRATING CLINICAL RESEARCH
INTO EPIDEMIC RESPONSES, THE
EBOLA EXPERIENCE, AND HUMAN GENE
EDITING THAT ADDRESS THE NEEDS
AND CHALLENGES OF MEDICAL
RESEARCH.
TODAY HE WILL DISCUSS THE TIMELY
TOPIC OF AA NHPHI COMMUNITY AND
COVID-19.
LET'S WELCOME DR. CHOW.
>> WE CANNOT HEAR YOU.
YOU ARE MUTED.
>> THANK YOU.
>> THANK YOU VERY MUCH FOR
INVITING ME, IT'S A GREAT HONOR
TO BE HERE, I AM VERY EXCITED
ABOUT THIS CONFERENCE INAUGURAL
ANNUAL NIH CONFERENCE ON ASIAN
AMERICAN, NATIVE HAWAIIAN AND
PACIFIC ISLANDER HEALTH RESEARCH
PROGRAMS.
I COMMEND THE NIH INTEREST GROUP
OF AANPI HEAR ORGANIZING THIS
AND FOR THE NCI TO SPONSOR THIS.
THIS IS THE HERITAGE MONTH OF
AA AND NHPI AND I AM VERY PROUD
TO BE ANAZZIAN AMERICAN, AS MANY
OF YOU KNOW I WAS BORN IN CHINA
AND WE FLED CHINA IN THE 1950S
TO HONG KONG WHEN I WAS A YOUNG
MAN AND IN ORDER TO ESCAPE THE
COMMUNIST REGIME AT THE TIME AND
AT THE AGE OF 18 I WAS ABLE TO
LEAVE HONG KONG TO COME TO NORTH
AMERICA TO STUDY, FIRST IN
CANADA AND LATER ON THE UNITED
STATES.
CERTAINLY A GREAT PRIVILEGE FOR
ME TO BE ANAZZIAN AMERICAN
IMMIGRANT AND LIKE MANY OF YOU,
IDENTIFY MANY OF THESE ISSUES
THAT YOU ALL HAVE FACED WITH
REGARDS TO YOUR PERSONAL LIFE
AND CAREER.
I HAVE TO SAY THAT I AM GRATEFUL
TO THIS COUNTRY FOR GIVING ME
THE OPPORTUNITY AND I'M GRATEFUL
TO ALL OF YOU FOR GIVING ME THE
OPPORTUNITY TO SPEAK TO ALL OF
YOU.
>> SO TD TOPIC I HAVE BEEN ASKED
TO PEEK ABOUT IS COVID-19 AND
AA AND NHPI, AND THAT WE'RE ALL
EXPERIENCES COVID-19, WE HAVE
SEWN OVERALL STRATEGY 80 MILLION
REPORTED CASES AND CLES TO
SEVERAL DEATHS AND CERTAINLY I
BELIEVE IN THIS COUNTRY OUR
RESPONSE HAVE MANY SHORT COMINGS
IN THE EARLY PANDEMIC AND EVEN
NOW, THE ISSUE OF COORDINATED
FEDERAL RESPONSE FROM THE PUBLIC
HEALTH MANDATE, MESSAGES AND
POLITICIZATION OF PUBLIC HEALTH
PRESSURES HAVA ALL BEEN
PUBLISHED.
AND OF COURSE, WE HAVE SO AND
CONSISTENT WITH SHORTAGES,
SURGES AND OF COURSE IN
VACCINATION AND ANTIBODIES AND
ANTIVIRALS.
THE GOOD NEWS IS THAT THE
SCIENCE HAS GONE REALLY WELL
WHEREBY WE'RE RECORD SETTING
PACE AND IMPROVED VACCINES,
TODAY 77% OF U.S. POPULATION
RECEIVE AT LEAST 1 DOSE AND 66%
OF AMERICANS AGE 5 AND OLDER ARE
FULLY VACCINATED.
BUT WE STILL HAVE PERSISTENT
VACCINE HESITANCY THAT WE MUST
ADDRESS.
WE SEE EMERGENCE OF VIRAL
VARIANTS, MOST LENIENTLY OMICRON
AND THE BA.2 VARIANT WHICH IS
HIGHLY TRANSMITTIBLE.
SO ALTHOUGH IN MANY WAYS OUR
LIVES RETURNING TOWARDS NORMAL,
WE ARE NONAPOPTOTIC THE IN THE
CLEAR YET.
BUT I THINK IT'S REALLY
IMPORTANT TO DISCUSS TODAY IS
THE COVID UNMASK INEQUITY.
THIS IMPACTED MORTALITY RATES
AMONG BLACK, LATINO, ASIANS AND
NATIVE AMERICANS.
NEXT SLIDE, PLEASE.
SO THE QUESTION IS WHY DO THESE
INIQUITIES EXIST?
WELL THAT'S DUE TO A NUMBER OF
FACTORS RELATED TO WHERE THEY
LIVE, HOUSING AND LIVING
CONDITIONS AND FREQUENTLY AND
CROWDED CONDITIONS, THE TYPES OF
JOBS INVOLVED, EXAMPLE FRONT
LINE WORKERS, THE ABILITY TO
ACCESS HEALTHCARE DUE TO ACCESS
AND AFFORDABLE AND OF COURSE
EXISTS OF CO MORBIDITIES AND
MANY MORE.
NOW MANY OF THESE FACTORS ARE
ROOTED IN RACISM AND BIAS,
RACISM AND LEAD TO CHRONIC AND
TOXIC STRESS AND SOCIAL AND
ECONOMIC FACTORS THAT PUT THESE
POPULATIONS PARTICULARLY FROM
RACIAL ETHNIC MINORITY GROUPS AT
GREATER RISK FOR COVID-19.
NEXT SLIDE.
FIRST WE NEED TO ADDRESS SOCIAL
CONDITIONS, AS I SAID MANY
CONDITIONS WHERE PEOPLE LIVE,
WORKS SETTING THE STATION OF
VULNERABILITY.
WE NEED TO INSURE THAT PUBLIC
HEALTH MEASURES AND RESOURCES OF
THE PANDEMIC ARE TARGETED TO
MINORITY AND UNDERSERVED
COMMUNITIES.
WE HAVE TO COLLECT MUCH BETTER
RACIAL DEMOGRAPHIC DATA,
HOSPITALIZATIONS MORTALITY FROM
INFECTIOUS DISEASE OUTBREAKS TO
BETTER UNDERSTAND THE IMPACT OF
COMMUNITIES OF COLOR AND WE NEED
TO SUPPORT SAFETY NET FOR OUR
SYSTEM THAT SERVE COMMUNITIES OF
COLOR.
NEXT SLIDE, SOAZIAN AMERICANS,
ASIAN AMERICANS ARE
DISPROPORTIONATELY AFFECTED BY
COVID-19.
NOW WE DON'T HAVE VERY GOOD DATA
SO HERE ARE SOME LIMITED DATA
THAT TALK ABOUT THE CASE OF THE
RATE OF COVID-19, IT APPEARS
THATAZZIAN AMERICANS HAVE HIGHER
CASE MORTALITY RATE 3 TIMES OVER
THE POPULATION OF CALIFORNIA AND
SEES 10% IN LOS ANGELES CHICAGO
IN LOS ANGELES, CHICAGO,
NEW YORK AND NEW JERSEY VERSUS
2.6% OF MORTALITY RATE IN
CALIFORNIA.
CASE FATALITY DOESN'T INFECT THE
POPULATION RATE AND
[INDISCERNIBLE].
YOU CAN SEE THAT FORTUNATE IN
CASE FATALITY.
IT'S IMPORTANT TO POINT OUT THAT
ASIAN AMERICANS ALSO MEANS DROP
LOSS DURING PANDEMIC AND SLOW TO
REGAIN THEM WHY BECAUSE THE
INDUSTRY ARE DISPROPORTIONATELY
REPRESENTED BY ASIAN AMERICANS.
FOR EXAMPLE, AS CAN YOU SEE IN
THIS SLIDE, 1 IF 4 ASIAN
AMERICANS WORK IN FOOD INDUSTRY
AND 1 IN 5 IN RETAIL INDUSTRY
AND YET WE ONLY MAKE UP 6% OF
THE U.S. POPULATION AND WE HAVE
THE GREATEST SHARE OF FRONT LINE
AND WORKERS WITH THE HEALTHCARE.
NEXT SLIDE.
I THINK IT'S GENERALLY THERE'S A
MYTH ABOUT ASIAN AMERICANS
NATIVE ISLAND AND PACIFIC
ISLANDERS.
MOST PEOPLE THINK ABOUT THIS AS
THE MODEL MINORITY, BETTER
EDUCATED, HIGHER
OUTCOME,--INCOME.
WELL, WE'RE WHILE IT MAY BE TRUE
THAT ASIAN AMERICANS HAVE A HIGH
MEDIAN INCOME, OF $78,000 A
YEAR, THAN THE NATIONAL MEDIAN,
BUT BUT THE STATISTICS OBSCURES
IF YOU USE THIS OVERALL
STATISTICS OBSCURES LARGE
DIFFERENCES AMONG DIFFERENT
ASIAN ORIGIN GROUPS AND THESE
ECONOMIC DISPARITIES ARE DRIVEN
BY SIMILAR DISPARITIES AND
EDUCATION LEVEL AMONG ASIAN
AMERICANS.
SO I THINK STEREOTYPING THAT WE
ARE ALL DOING WELL, IS NOT QUITE
RIGHT BECAUSE THERE ARE A LARGE
PORTIONS WHO ARE POOR AND
VULNERABLE, PARTICULARLY THOSE
IMMIGRANTS LIVING IN CHINA TOWN,
KOREAN TOWN AND OTHERS.
THIS ALSO IS QUITE AAMAZING IF
59% OF AGESSIAN AMERICANS ARE
BORN OUTSIDE THE UNITED STATES
AND ALMOST A THIRD HAVE
DIFFICULTY.
IF YOU LOOK AT UNDOCUMENTED
IMMIGRANTS, ESTIMATE INDEED THE
UNITED STATES, ABOUT 14% ARE
FROM ASIA.
NEXT SLIDE.
SO I THINK WHEN WE TALK ABOUT US
AS A WHOLE POPULATION WE ARE
CERTAINLY IGNORING THE PACIFIC
ISLANDER AND NATIVE AMERICAN
HAWAIIANS, AN IMPORTANTLY WE'RE
NOT UNDERSTANDING THOSE WHO ARE
GREATLY AFFECTED AND THOSE WHO
ARE LESS AFFECTED.
SO THE LACK OF DATA AND A LOOK
AT DATA TO USE IMPORTANT
DISPARITIES, FOR EXAMPLE, U.S.
CONSENSUS SHOWS THAT ASIANS AS A
WHOLE ARE LESS LIKELY TO LIVE IN
POVERTY BUT IF YOU
[INDISCERNIBLE] THE DATA BY
RACIAL GROUP THAT SHOW THAT
28.3% OF HMONG, AND 33% OF
BHUTANESE AND 35% OF BURMESE
LIVE IN POVERTY.
ALSO STUDY VS SHOWN THAT
FILIPINO AMERICANS ARE GREATER
RISK FOR CHRONIC CONDITIONS LIKE
HEART DISEASE, BUT CLINICAL
GUIDANCE FROM THE AMERICAN HEART
DISASSOCIATION MAKE MOW MENTION
OF THESE HIGH RISK GROUPS.
NEXT SLIDE.
SO THIS IS A REALLY IMPORTANT
DATA, THIS DATA, DISAGGREGATES
THE ASIAN AMERICANS DATA.
THIS IS A RETROSPECTIVE ANALYSIS
OF ADULTS, TESTED POSITIVE FOR
COVID-19 IN NEW YORK CITIES
PUBLIC HOSPITAL SYSTEMS FROM
MARCH 1 TO MARCH 31st, 2020.
AND OF THIS, 11% ARE ASIAN
AMERICANS, ABOUT 9000 IF YOU
LOOK AT THE DATA IT SHOWS
THAT--AND 20% OTHER ASIAN ETHNIC
GROUPS.
HERE YOU CAN SEE THIS DATA ALL
ASIANS ARE IN PURPLE SHOWN IN
THIS SQUARE RECTANGLE THAT I
HIGHLIGHTED, SOUTH ASIANS IN
BLUE, CHINESE IN RED, OTHER
ASIANS IN LAVENDAR, WHITE
PATIENTS IN ORANGE, HISPANIC IN
YELLOW, BLACK PATIENTS ARE IN
GREEN AND OTHERS ARE IN GOLD, SO
YOU CAN SEE SOUTH ASIANS HAVE
THE HIGHEST RATE WHICH IS IN
BLUE 38%, AND 50%.
AMONG ASIAN PATIENTS.
SECOND ONLY TO HISPANIC AND
NONHISPANIC [INDISCERNIBLE].
CHINESE SHOWN IN RED, HAVE
MORETALLITY RATE WHICH IS HIGHER
AND 35% FOR ALL RACIAL GROUPS.
SO NOW YOU CAN SEE THAT NOT
AUGHT ASIANS ARE THE SAME AND
THIS DATA [INDISCERNIBLE]
VULNERABILITY AND HEALTH
INTERVENTIONS.
NEXT SLIDE.
[AUDYE CUTS OUT ]--AUDIO CUTS OUT
]
--WHERE WE LOOK AT RECENT
WORKFORCE, WE DID NOT MENTION AS
IF A VULNERABLE POPULATION.
IF YOU LOOK AT POLITICAL AND
MANY [INDISCERNIBLE], IT SAYS
ASIAN AMERICANS ARE INCONSIST
ENSEL INCLUDED IN THE COVID
SPONSOR POLICIES, NEXT SLIDE.
AND ON TOP OF ALL THIS, AS YOU
ALL KNOW WE'RE FACING OVER THE
PAST YEAR, OUR COMMUNITY HAS
FACED AN ADDITIONAL BURDEN, THE
RISE OF HATRED AND BIGOTRY.
AS YOU KNOW, THIS DATES BACK TO
1850S WHEN EAST ASIAN IMMIGRANTS
TO CAME TO THE UNITED STATES,
WITH HUNDREDS OF YEARS OF
EXCLUSIONARY POLICY.
THE GOVERNMENT--[AUDIO CUTS OUT
]--TO ILLNESS COUPLED WITH
XENOPHOBIC POLITICIZATION OF THE
COVID-19 RISING HATE RHYMES
AGAINST ASIANS IN THE UNITED
STATES AND WORLD TITLES WOOD.
IF YOU LOOK AT THESE ASIANS
LARGEST CITIES SHOW THAT IN 2020
OVERALL HATE CRIMES REDUCED BY
10% AND THOSE TARGET ASIAN
PEOPLE ROSE BY NEARLY 150%.
THERE'S ALMOST AS 11,000 HATE
INCIDENCE IN THE UNITED STATES,
WITH MARCH AND DECEMBER 2020.
THIS JUST HIGHLIGHTS THE ISSUE
THAT WE ARE FACED WITH.
NEXT SLIDE.
SO WHAT DO WE NEED TO DO, HOW
CAN WE AS A COMMUNITY CONTRIBUTE
FIRST AS COMMUNITY AND SOCIETY,
WE MUST ELIMINATE THE STRUCTURE
AND INIQUITIES AND ASSOCIATE
TERMS OF HEALTH WE MUST INVEST
IN ASIAN AMERICANS SERVING
ORGANIZATIONS, GRASS ROOTS
ORGANIZATIONS, AND
MULTISECTORRAL PARTNERSHIP, WE
HAVE TO SPEAK UP AS I AM DOING
TO INCREASE AWARENESS.
WE HAVE MUCH STRONGER POLITICAL
REPRESENTATION AND DECISION
MAKING AREAS.
ASIAN AMERICANS HAVE LOW
PRESENTATION [INDISCERNIBLE]
COMPARED TO ANY OF THE RACIAL OR
ETHNIC GROUPS.
MANY OF YOU IN THIS AUDIENCE ARE
RESEARCHERS, WE MUST DEMAND MORE
RESEARCH AND WE MUST DO MORE
RESEARCH ON AAPI AND ON THIS
POPULATION ON THEIR HEALTH, WE
MUST HAVE A LOT MORE INCLUSION
OF THIS POPULATION OF CLINICAL
RESEARCH, AND WE NEED TO AS I
SHOWED YOU,Y THE NEED FOR DATA
DISAGGREGATION, AND AS
CLINICIANS, AND HEALTH LEADERS
WE HAVE TO OUTREACH TO OUR
PATIENTS IN THE COMMUNITIES.
WE HAVE TO ADVANCE TRUST,
COMMUNICATIONS, AND CULTURAL
COMPETENCE IN A SHORT ACCESS
INEQUITY AND HEALTHCARE, NEXT
SLIDE.
FIRST MORE RESEARCH, IF YOU LOOK
AT THIS POPULATION POPULATION
AND MOST UNDER TODAYED UNITED
STATES ETHNIC AND RACIAL GROUPS.
ON 2% OF FEDERAL GRANTS,
ACTUALLY TARGETED TO STUDY
HEALTH IN AA AND NHPI
POPULATION.
YOU KNOW AND ALSO MEDLINE SEARCH
SHOWED--.01% OF ARTICLES
INCLUDED ANY ASIAN AMERICANS IN
THE STUDY SAMPLE.
I THINK WE NEED TO RECRUIT A LOT
MORE PEOPLE INTO CLINICAL
RESEARCH.
SO THAT REQUIRE LINGUISTICALLY
CULTURALLY RELEVANT SOURCES AND
PARTNER WITH COMMUNITY BASED
ORGANIZATION, AND OF COURSE
ADDRESSING MISTRUST.
NEXT SLIDE.
AND WE MUST WORK IN THE
COMMUNITY.
IN OUR SOCIETY, TO DEVELOP TRUST
TO ADDRESS SOCIAL DETERMINANTS
OF HEALTH.
WE MUST BOOST OUR COMMUNITY
CAPACITY THROUGH INVESTMENT
ACCIDENT INCREASE RESOURCES AND
STRENGTHEN THE TRANSFORMATIVE
COALITION AND ETHNIC GROUPS WITH
OUR BRACK AND BROWN FRIENDS WITH
COMMON ISSUES AFFECTING
COMMUNITIES OF COLOR.
WE MUST SPEAK UP, RAISE
AWARENESS AND WE MUST HAVE A LOT
MORE LEADERSHIP REPRESENTATION.
NEXT SLIDE.
THIS LEADS ME TO MY FINAL
DISCUSSION ABOUT ASYARN
AMERICANS AND LEADERS.
WE NEED TO DO--WHAT WE NEED TO
DO AS LEADERS BUT THERE ARE NOT
ENOUGH OF US IN THE LEADERSHIP
POSITION.
AS YOU CAN SEE, NEW YORK TIMES
SAYS ASIAN AMERICANS ARE
UNDERREPRESENTED IN THESE
POSITION OF POWER, SENIOR
POSITIONS WITHIN AMERICAN
COMPANIES, POLITICS, MEDIA AND
OTHER GROUNDS, ABOUT 3% OF THESE
POSITIONS COMPARED TO 7% OF OUR
POPULATION THAT WE REPRESENT.
AND MOST RECENTLY, BY GOOD
FRIEND LARRY TAKEN--THEY BACK
WROTE TO ALL OF YOU, SAYS WHILE
ASIAN AMERICAN AND NHPI
DIVISIONS REPRESENT 20% OF THE
NIH WORKFORCE, THEY REPRESENT IN
SENIOR POSITIONS IS LOW
[INDISCERNIBLE] IN THE PRESENCE
IN THE OVERALL WORKFORCE, WE
MUST CHANGE THIS AND I KNOW
LARRY AND THE NIH IS COMMITTED
TO CHANGING THIS.
NEXT SLIDE.
LET ME SHOW YOU SOME DATA.
MY GOOD FRIEND TOM LEE WHO IS A
MAJOR LEADER AND ALONG WITH
[INDISCERNIBLE], A JAPANESE
JAPANESE AMERICAN AND I WROTE
THIS ARTICLE IN THE CATALYST AND
WHAT WE DID IS WE LOOKEDDA THE
DATA LOOKINGA THE LEADERS IN
HEALTH AND HEALTHCARE WHERE SOME
20% OF PHYSICIANS ARE RESERVED
BY ASIANS AND MEDICAL SCHOOL
ENROLLEES ARE 23% ONLY 6%
POSSIBLE LEADERSHIP AND 13%
MEDICAL LEADERSHIP ARE PRESENTED
BY ASIANS.
NEXT SLIDE.
AND WHEN YOU LOOK AT THIS
ANALYSIS, YOU REALIZE THERE'S A
CEILING AND THIS IS DUE TO
CULTURAL STIGMA AND THOSE
ALREADY IN TOP MANAGEMENT.
SO AS CAN YOU SEE IN THIS
QUOTATION, WHICH IS PUBLISHED IN
I THINK [INDISCERNIBLE] JOURNAL.
GENERALLY ASMANS AMERICAN ARE
PERCEIVED AS SMART, HARD WORKING
AND EASY TO MANAGE EMPLOYEES,
THE PROBLEM WITH THAT MODEL IS
THAT WE'RE ALSO SEEN AS GOOD
WORKERS BUT NOT GREAT LEADERS.
RUSSELL REYNOLDS ASSOCIATES
WHICH IS A MAJOR RESEARCH FIRM
WHICH HAS A LEADERSHIP SPAN
MODEL THAT CATEGORIZES
LEADERSHIP OF C-SUITE LEADERSHIP
BY SOFT AND LOUD QUALITIES.
SOFTQUALITIES ARE PRAGMATIC
RELUCTANT VULNERABLE AND
CONNECTING.
THE LOUD 1S ARE DISRUPTIVE, RISK
TAKING, HEROIC, GALVANIZING,
GUESS WHAT, PEOPLE TEND TO
CHOOSE U.S. BASED EXECUTIVES ON
THIS, LOUD QUALITIES AND
EXPRESSIVELY, [INDISCERNIBLE],
OF REFLECTION, THOUGHTFULNESS
AND SACRIFICING AND THESE ARE
LEADERSHIP SKILLS BUT THESE ARE
NOT RECOGNIZED BY THE SELECTION
COMMITTEES AND PEOPLE WHO MADE
THOSE DETERMINATION NATIONS,
NEXT SLIDE, AND IN RESEARCH, I'M
SURE YOU ALL HAVE SEEN THE PAPER
IN CELL.
THE UNDERREPRESENTATION ASIAN
AWARDEES AND AMERICAN BIOMEDICAL
RESEARCH PRICES.
WE MAKE ABOUT 7% OF POPULATION
AND FOR 20% OF OUR MEDICAL
RESEARCH [INDISCERNIBLE], AND IF
YOU LOOK AT THE AMOUNT OF
RECIPIENTS OF NIH GRANTS, ABOUT
23% RECIPIENTS OVERALL, AND 17%
AND YET, ASIAN BUSINESS AMERICAN
SCIENTISTS BARELY RECEIVE
RECOGNITION, 57 OUT OF
[INDISCERNIBLE] IN THE HEIGHT OF
THIS STUDY INCLUDE AWARD, BREAK
THROUGH PRIZE GROUP OF PRIZE,
MARCH OF DIMES AND OTHERS.
AS CAN YOU SEE, THE NUMBERS YOU
ARE RECEIVING LESS THAN 1%
[INDISCERNIBLE] NEXT SLIDE.
SO I THINK IT'S VERY CLEAR TO ME
THAT WE CAN CONCLUDE THAT WE
HAVE BEEN DISPROPORTIONATELY
INCLUDED IN COVID-19 AND RACISM
AND INCREASE IN ANTIASIAN
RACISM, WE HAVE MORE MENTAL
DISORDERS AND TO PICK STIGMA IN
OUR COMMUNITY, WE DON'T SEEK
HEALTH AND OF COURSE BURN OUT AS
WELL, AND I THINK IT'S REALLY
IMPORTANT TO ADDRESS THE ISSUE
OF HEALTH OF ASIAN AMERICAN
NATIVE HAWAII RAN AND PACIFIC
ISLANDER COMMUNITY THE HEALTH OF
THEM AND IMPORTANTLY OVERCOMING
THE BIAS AND INCREASE THE
LEADERSHIP IN SCIENCE AND
HEALTH, NEXT SLIDE.
I WOULD LOAMACYIC TO END WITH
GOOD NEWS, NOT ENOUGH FOR
PROGRESS BEING MADE, AS YOU HAVE
HEARD EARLIER, THE EXECUTIVE
ORDER ON ADVANCING EQUITY
JUSTICE AND OPPORTUNITY FOR
ASIAN AMERICANS, NATIVE
HAWAIIANS AND PACIFIC ISLANDERS.
WE HAVE A WORKSHOP FOCUSED
SPECIFICALLY ON HEALTH EQUITY
[INDISCERNIBLE] FOR NATIVE
HAWAIIAN COMMUNITIES.
AND [AUDIO CUTTING OUT ] AND OF
COURSE THE MEETING IS SO
IMPORTANT AS A VOICE FOR ALL OF
US AND AT LEAST WE HAVE A LOT TO
BE DONE AND I'M WITH YOU ALL THE
WAY.
WE ARE READY TO ACT, THOWCH.
>> OKAY, NOW IT'S MY HONOR TO
INTRODUCE OUR NEXT KEY NOTE
SPEAKER, DR. HOWARD KOH, DR. KOH
IS HARVEY FUND BERG PROFESSOR OF
THE PRACTICE OF PUBLIC HEALTH
LEADERSHIP AT THE HARVARD
UNIVERSITY SCHOOL OF PUBLIC
HEALTH.
AND HARVARD KENNEDY SCHOOL, HE
ALSO CO CHAIRS HARVARD'S
LEADERSHIP INIAATIVE IN THIS
ROLE HE PROVIDES VISIONARY
LEADERSHIP AND ADVANCING
INTERDISCIPLINARY LEADERSHIP AND
EDUCATION AND TRAINING AN AREA
OF PARTICULAR IMPORTANCE TO OUR
COMMUNITY AS DR. CHOW JUST
ARTICULATED ELOQUENTLY: DR. KOH
IS A LEADER SCHOLAR OF PUBLIC
HEALTH.
HE IS INAUGURAL CHAIR OF THE
HARVARD'S CHAIR OF HEALTH AND
HOMELESSNESS AND CO DIRECTOR OF
THE INITIATIVE ON HEALTH,
SPIRITUALITY AND THE RELIGION.
HIS CURRENT RESEARCH PROGRAM
MAKING A CULTURE OF HEALTH OF
BUSINESS LEADERSHIP IMPERATIVE,
IS FUNDED BY THE ROBERT WOOD
JOHNSON FOUNDATION.
DR. KO HIS ALSO THE DEPARTMENT
HEGHT AND HUMAN SERVICE IN
PRESIDENT OBAMA'S
ADMINISTRATION.
PRIOR TO THAT HE WAS THE
COMMISSIONER OF PUBLIC HEALTH
FOR THE COMMONWEALTH OF
MASSACHUSETTS.
WHERE HE LED MORE THAN 3000
HEALTH PROFESSIONALS,
DR. KOHGRADUATED FROM YALE
COLLEGE CAN YAWL UNIVERSITY
SCHOOL OF MEDICINE AND HE ALSO
EARNED MASTER OF PUBLIC HEALTH
GREE FROM BOSTON UNIVERSITY.
HE IS BOARD CERTIFIED IN 4
MEDICAL FIELDS.
INTERNAL MEDICINE, HEMATOLOGY,
MEDICAL ONCOLOGY AND
DERMATOLOGY, HE HAS PRE'S CORDED
HIS LECTURE TODAY, AANHPI AND
PUBLIC HEALTH DUE TO A SCHEDULES
CONFLICT.
LET'S WELCOME DR. KOH.
>> WELCOME EVERYBODY I'M
DR. HOWARD KOH AND IT'S MY ARE
GREAT PLEASURE TO GIVE BRIEF KEY
NOTE REMARKS FOLLOWING BY GOOD
FRIEND DR. VICTOR DZAU.
I'M SO DELIGHTED TO BE HERE AND
LET ME START BY THANKING THE
ORGANIZING COMMITTEE FOR PUTTING
TOGETHER THIS REALLY IMPORTANT
INAUGURAL NIH AANHPI HEALTH
RESEARCH 1 FERENCE.
YOU KNOW BACK FROM WHEN I WAS A
MEDICAL STUDENT I WAS ALWAYS
LOOKING FOR DATA AND SCIENCE IN
RESEARCH RELATED TO ASIAN
AMERICAN NATIVE HAWAIIAN AND
PACIFIC ISLANDER POPULATIONS AND
THE PROGRESS OVER DECADES HAS
BEEN VERY SLOW BUT RECENTLY IT'S
REALLY ACCELERATED IN ATTENTION
TO OUR COMMUNITY IS AT A VERY
HIGH LEVEL RIGHT NOW IN THE
COUNTRY FOR A WHOLE HOST OF
REASONS.
SO WHAT I WOULD LIKE TO DO IN MY
BRIEF TIME WITH YOU IS TO FIRST
THANK YOU AND THEN TO ALSO PUT
THIS VERY IMPORTANT CONFERENCE
IF CONTEXT.
SO I'M GOING TO BE SHOWING YOU
SLIDES HERE.
SO LET ME JUST SAY THAT SERVING
IN THE OBAMA ADMINISTRATION AND
WORKING WITH NIH AND HHS, WAS
THE HIGHLIGHT OF MY LIFE.
I THINK BACK TO THOSE TIMES WITH
GREAT FONDNESS AND I STILL HAVE
SO MANY FRIENDS AT HHS AND NIH
SO THANK YOUAL FOR YOUR
CONTINUED SUPPORT.
WORKING WITH ALL OF YOU AND THIS
ADMINISTRATION THROUGH THE
AFFORDABLE CARE ACT WAS AN
INCREDIBLE PRIVILEGE, I WORKED
WITH THE SECRETARY AND THE
PRESIDENT AND THEN VICE
PRESIDENT OF COURSE NOW
PRESIDENT BIDEN AND ON THE RIGHT
IS A PICTURE THAT I PERSONALLY
TREASURE, THE TIME IN THE FALL
OF 2009 AND THE PRESIDENT SIGNED
AN EXECUTIVE ORDER REVITALIZING
THE WHITE HOUSE INITIATIVE ON
NATIVE AMERICANS AND PACIFIC
ISLANDERS, AND I HAVE THE HONOR
OF STANDING BEHIND THE PRESIDENT
THERE IN MY PLURIBU TIE AND
STANDING NEXT TO ME WAS MY
BROTHER HAROLDER PEOPLE KOH WHO
WAS THE TOP LAUREATE UNDER
SECRETARY CLINTON AT THE TIME SO
A CONS FERENCE LIKE THIS BRINGS
ALL THOSE MEMORIES BACK FOR ME
BOTH PROFESSIONALLY AND
PERSONALLY.
NOW THIS CONFERENCE IS BEING
HELD AT A CRITICAL TIME IN OUR
HISTORY BECAUSE ON THE 1 HAND
ASIAN AMERICANS CONTINUE TO
CONTRIBUTE TO THE SOCIAL FABRIC
IN OUR COUNTRY AND THEY ARE
CELEBRATED, SO FOR EXAMPLE, WE
ALL KNOW HOW MUCH ATTENTION
NATHAN CHEN RECEIVED WHEN HE WON
THE GOLD MEDAL IN BEIJING A
COUPLE MONTHS AGO AND OTHER
ANHPI ATHLETES RECOGNIZED AT THE
SAME TIME BUT AND THAT'S GREAT
OF COURSE BUT AT SAT TIME WE ARE
AT A MOMENT IN HISTORY WHERE
NATIONAL HATE INCIDENCE AGAINST
THE AANHPI POPULATION ARE AT AN
ALL TIME HIGH AND WE ARE ALL TOO
FAMILIES WITH THIS.
OVEROT RIGHT WE SEE THE PICTURE
OF THIS VERY COURAGEOUS MEDICAL
CITY MEDICAL STUDENT WHO IS
ASSAULTED AND ROBBED BY A MAN
YELLING XENOPHOBIC LANGUAGE,
THIS IS EARLIER LAST YEAR AND TO
HER GREAT CREDIT SHE IN RESPONSE
ORGANIZED AN ANTIHATEERALLY WITH
MANY SUPPORTERS CALLED WHITE
COATS AGAINST ASIAN AMERICAN AND
PACIFIC ILABDER HATE.
AND WE ALL HEARD ABOUT ATLANTA
WHEN A LONE SHOOTER KILLED 8
PEOPLE, 6 OF WHICH WERE WOMEN OF
ASIAN DESCENT.
SO THIS HAS IMPACTED THE AAPHI
COMMUNITY, I WANT TO CALL YOUR
ATTENTION TO THE ARTICLE THAT I
HAD THE PRIVILEGE OF CO
AUTHORING, AND FOR THE SCHOOL OF
PUBLIC HEALTH AFFAIRS, THIS WAS
A UNIQUE ROBUST ANALYSIS OF 12
NATIONALLY REPRESENTATIVE PUBLIC
OPINION POLES AND THIS IS
VALUABLE INFORMATION BECAUSE
MOST POLLS EXCLUDE ANY RESPONSES
FROM OUR COMMUNITY MANY NUMBERS
AND RESULTS IN THIS STUDY BUT
MOST IMPORTANTLY OVER HALF, 58%
OF ASIAN AMERICANS REPORT THAT
THEIR OWN MENTAL HEALTH WAS
AFFECTED BY THESE NATIONAL
INCIDENTS OF DISCRIMINATION
VIOLENCE, AND SIMILAR 57%
REPORTED THEY OFTEN SOMETIMES
FEEL UNSAFE IN PUBLIC BECAUSE OF
THEIR RACE OR ETHNICITY.
IN FACT ONLY 12% REPORT THAT
NEVER FEEL SAFE IN PUBLIC.
SOPHISTICATEDY THIS IS A
CRITICAL TIME FOR OUR COMMUNITY
NATIONWIDE AND IT'S A VERY
IMPORTANT TIME FOR RESEARCH
BECAUSE DESPITE THE FACT THAT
THE AAPHI MAKES UP 57% OF THE
POETIC PORTION OF THE
POPULATION, SO STOCK EXCHANGE
STATE THE THEME THAT WE ALL KNOW
TOO WELL, SOMETIMES WE ARE
VIEWED AS A MODEL MINORITY,
OTHER TIMES WE ARE VIEWED AS
[INDISCERNIBLE] IN OUR OWN
COUNTRY AND WE ARE STILL IN 2022
INVISIBLE OR MISUNDERSTOOD
POPULATION.
AND SO WE HAVE LOTS OF ISSUES IN
TERMS OF IMPROVING UNDERSTANDING
OF THE AA NHPI COMMUNITY HAVING
PEOPLE REALIZE THAT WE ARE VERY
HETEROGEANIOUS AS A GROUP WE ARE
UNDERREPRESENTED WITH RESPECT TO
LEADERSHIP POSITIONS WITH ALL
SECTORS OF AMERICAN SOCIETY
PARTICULARLY IN INCLUDING THE
HEALTH SECTOR IS SOME OF THESE
ISSUES ARE THE PROGRAMS
SUMMARIZING IN THIS VIEW POINT
IN JAMA LAST SUMMER ALONG WITH
MY DEAR COLLEAGUES.
I'M SURE IN THE NEXT 2 DAYS YOU
WILL HEAR SO MUCH ABOUT THE
HETEROGENERATED AITY OF THE
AANHPI POPULATION THIS GRAPH
CAPTURES THE DISPARITIES AND
DIFFERENCES IN INCOME AND
EDUCATION AS YOU CAN SEE HERE IN
THIS GRAPH WE HAVE INCOMEOT
Y-AXIS AND EDUCATION AS MEASURED
BY HAVING A BACHELOR'S DEGREEOT
X-AXIS AND YOU CAN SEE A
TREMENDOUS RANGE OF OUTCOMES AND
DISPARITIES WITHIN, THIS IS
WITHIN AA/NHPI GROUPS SO JUST TO
EMPHASIZE THE MAJOR THEME COMING
OUT OF THE NEXT 2 DAYS, WE ARE
HETEROGEANIOUS WE NEED
DISAGGREGATED ATTENTION TO EACH
AND ALL OF THESE GROUPS, AND
HOPEFULLY IF WE CAN DO THAT, WE
CAN MOVE MORE TOWARD HEALTH
EQUITY AT THIS CRITICAL TIME IN
OUR NATION'S HISTORY.
NOW IT'S VERY IMPORTANT TO SAY,
MORE ABOUT THE NATIVE HAWAIIAN
AND PACIFIC ISLANDER GROUPS, AND
BY THE WAY, 1 OF MY MOST POINTED
MEMBERS AS ASSISTANT SECRETARY
OF HEALTH IS VISITING THROUGH
MICRONEEZIA, BACK THEN, THERE'S
A MAP OVER IN THE LEFT TO SHOW
YOU EXACTLY WHERE THAT IS, I
HAVE SOME PHOTOS HERE OF MYSELF
AND THE U.S. AMBASSADOR TO MIKE
ON NEEZIA, WE TOURED ON A COUPLE
DAY TRIP, AND I WILL NEVER
FORGET, WALKING AROUND THAT
ISLAND VISITING THE HEGHT CARE
CENTERS BY THESE PICTURES HERE
ON THE RIGHT, THESE HEALTHCARE
CENTERS WERE USUALLY SMALL WITH
1 ROOM, 1 BED, THE SMALL BUT
VERY HEROIC STAFFING OVER IN THE
TOP RIGHT HAND PATIENTS IN THE
CLINIC URT WITH A COUPLE MEMBERS
OF THE STAFF AND THIS 1 CLINIC,
ON THE BOTTOM, THE AMBASSADOR
AND I ARE OPPOSING BEFORE THE
PHARMACY IN THIS CLINIC WHICH IS
BASICALLY A BOOK CASE WITH
MEDICATIONS STACKED INSIDE AS
YOU CAN SEE.
SO I WILL NEVER FORGET THIS TRIP
BECAUSE I REMEMBER THE COURAGE
OF THE PEOPLE AND TD TREMENDOUS
CHALLENGES THEY'RE FACING IN
REACHING THE HIGHEST ATTAINABLE
STANDARD IN HEALTH.
NOW WHEN I WAS ASHES CYST ANT
SECRETARY, I HAD THE INCREDIBLE
PRIVILEGE OF WORKING WITH SO
MANY OF AND YOU SO MANY
ADVOCATES ON THE COUNTRY ON
IMPROVING INSURANCE FOR THE
AANPPHI, AND WHEN I CAME BACK
FROM HARVARD I HAD THE PRIVILEGE
TO WORK WITH SEVERAL
COLLABORATORS TO DEMONSTRATE
THROUGH THIS ANALYSIS THAT WAS
PUBLISHED IN JUDGE, AMA HEALTH
AFFAIRS AND ALSO ARK CAD ME OF
HEALTH THAT OVER1 MILLION AANHPI
GAINED HEALTH INSURANCE COVERAGE
UP TO 2016 BECAUSE OF THE ACA
AND YOU CAN SEE FROM THIS GRAPH,
COVERAGE IMPROVED FROM THE
SUBGROUPS.
I'M KOREAN AMERICAN SO I WAS
ALWAYS AWARE AND CONCERNED THAT
KOREAN AMERICANS HAD THE HIGHEST
RATES INSURANCE AS PREDICTED BY
THE BLACK LINE YOU BUT CAN YOU
SEE FROM 2009 TO 2016, ALL THOSE
COVERAGE RATES WENT UP AND I
ATTRIBUTE THOSE OUGHT COMES TO
THE TREMENDOUS PASSION OF THE
ADVOCATES AND ASSIST ORPS AND
BEAM WHO WELCOMERRED AROUND THE
CO UNT RADIOY TO EDUCATE PEOPLE
TO DO OUTREACH AND MULTIPLE
LANGUAGES AND TO HELP PEOPLE GET
THE HEALTH INSURANCE COVERAGE
THEY NEED AND DESERVE.
SO TODAY, AND TOMORROW, YOU WILL
BE HEARING ABOUT SO MANY HEALTH
CONCERNS AND IF I LOOK AT THIS 1
SLIDE, I THINK ALL THE
COLLEAGUES OVER THE YEAR, I'VE
WORKED WITH MANY OF WHOM ARE
PRESENTING OVER THE NEXT 2 DAYS
ON THESE TOPICS, LUNG CANCER,
LIVER CANCER, DIABETES,
DISPARITIES, MENTAL HEALTH NEEDS
MUCH MORE ATTENTION GIVEN ALL
THE XENOPHOBIC HATE IN THIS
COUNTRY RIGHT NOW, IT IS REALLY
IMPORTANT FOR THIS WORK TO
CONTINUE WITH YOUR PASSION AND
LEADERSHIP, SO I'M SO, SO
GRATEFUL FOR THIS CONFERENCE ASK
LOOKING FORWARD TO THE OUTCOMES
AND AS WE DO THIS WORK, WE HAVE
REMEMBER THAT WE HAVE A LOT OF
CHALLENGES EVEN NOW IN TERMS OF
ADVANCING THIS AJEANED WITHIN
THE HEALTHCARE SYSTEM AND WITHIN
PUBLIC HEALTH.
WE NEED MORE LEADERSHIP IN
MEDICAL EDUCATION, SO FEW OF
MEDICAL SCHOOL DEANS OF AA/NHPI
BACKGROUND DESPITE THE FACT THAT
FULL-TIME FACULTY ARE PART OF
OUR COMMUNITY AND THEN WITH WHEN
ANYONE IS CARING FOR AA/NHPI
PATIENTS THE BIG THEME IS THAT
WE CANNOT MAKE ASSUMPTION SAYS
ABOUT ANYBODY.
NOT HAVE ANY ASSUMPTIONS ABOUT A
PERSON'S RACE OR ETHNICITY,
BIRTH PLACE, LANGUAGE, CULTURE,
SPOUSE, SEXUAL ORIENTATION OR
GENDER IDENTITY OR WORLD VIEW.
BECAUSE RIGHT NOW, OUR COMMUNITY
IS FACING SO MUCH DISCRIMINATION
AND IT'S REALLY IMPORTANT TO
CONNECT WITH EACH INDIVIDUAL
PERSON AS PART OF A CULTURAL AND
APPROPRIATE CARE, AND PRIORITIZE
THE AA/NHPI IN THE AGENDA MY
WONDERFUL COLLEAGUES, DR. KAREN
KIM AND DR. HOLLY HUMPHREY AND I
JUST WROTE ABOUT THIS IN
PUBLISHED THIS IN ACADEMIC
MEDICINE A KOWPILE MIENUTES AGO
AND WE'RE HOPING THAT MEDICAL
SCHOOLS AND HOSPITALS AROUND THE
CO UNTRY THERE'S MORE ATTENTION
TO OUR COMMUNITY GOING FORWARD.
SO I'M HOPING WITH ALL THE
TREMENDOUS EFFORTS OF THE GROUPS
GATHERED HERE, WE WILL HELP EACH
PERSON TRULY ENJOY THE HIGHEST
ATTAINABLE STANDARD OF HEALTH AS
A FUNDAMENTAL RIGHT AND I JUST
WANT TO ASSURE YOU AS I CLOSE, I
TURNOVER THE SLIDES OFF, THAT
THIS IS SOMETHING THAT I FEEL SO
PASSIONATELY ABOUT IN TERMS OF
CO-WORKERSING WITH ALL OF YOU
GOING FORWARD AND I WILL PLEDGE
TO YOU THAT I WILL BE WORKING
WITH YOU FOR THE REST OF MY
CAREER ON THESE CRITICAL ISSUES
AND WE WANT THE PRIORITIES OF
THE AA/NHPI POPULATION TO KEEP
GOING FORWARD AT THIS VERY
IMPORTANT TIME FOR THE COUNTRY.
THANK YOU FOR HAVING ME