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Volume XVI, Issue 1 • Spring 2009

The Newsletter of the Waikiki Health Center

How Waikiki Health Center boosts Hawaii’s economy


merica’s leaders, including Presi­ dent Barack Obama, recognize the importance of community health centers to patients and to the economy. “(Health centers relieve) the burden on emergency rooms across the country, which have become primary care clinics for too many who lack coverage—often at taxpayer expense.” (President Obama; 3/2/09.) Hawaii’s traditionally low unemploy­ ment rate climbed to 7.1 percent in March, the highest in 31 years. If Hawaii

Center receives Stimulus Funding Waikiki Health Center will receive approximately $700,000 over 2 years in American Recovery and Reinvestment Act funding to expand services, add and retain personnel, and upgrade infrastructure: • Part-time Nurse Practitioner to serve more homeless patients • Part-time Electronic Medical Records (EMR) Training Coordinator to help us transition to EMR, a critical component of quality medical care • Small pay increases to retain current medical providers • Critical upgrades to electrical wiring and plumbing for our 60-year-old Ohua Clinic building in order to meet 21st century building standards The funding provides much-needed relief in the face of state cut-backs and our community’s growing demand for affordable healthcare. In March, we provided about 1,400 patient visits, more than in any other month in our 42-year history.

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Healthy beginnings: Meet our new pediatrician


Head-to-toe care! Dr. Lisa Kahikina checks out Addy’s blistered big toe in Waikiki Health Center’s new Pediatric Services exam room.

r. Lisa Kahikina is Waikiki Health Center’s new and first staff pediatrician. She will divide her time between Waikiki Health Center’s Ohua Avenue clinic and Kapiolani Medical Center for Women & Children, offering fami­ lies a choice of whichever location is most convenient. Dr. Kahikina helps give keiki a healthy start through regular checkups, preventive care, and treatment. Other Pediatric Services include immu­ nizations and physical exams that are required for school enrollment. “Children are not just little adults,”

Dr. Kahikina says, explaining why children need pediatric care. Child­ hood illnesses can have long-term con­ sequences. Uncontrolled asthma can de­ crease the lung capacity the person has as an adult. And, vaccine-preventable bacterial illnesses can affect a child’s brain development and cause hearing and vision problems. Hawaii’s keiki have particular health care needs, Dr. Kahikina points out. Many children experience high rates of obesity, diabetes, and high blood pres­ sure. Blood tests to detect diabetes are continued on page 6

How to add exam rooms: Get creative!


aikiki Health Center’s Ohua Avenue clinic, which sees the majority of our patients, has been stretching the walls to make the best use of every inch of space. The chief “architect” (or magician) in reconfiguring the building’s space assignments has been Sheila Beckham, the Center’s Executive Director. Our clinic is “at capacity,” Beckham explains. “The only way we can con­tinue to grow our programs, add ser­vices, and see more patients is by adding exam rooms and other patient service areas. We’re now up to 12 exam rooms —5 more than we had a year ago—plus a behavioral health area.”

The Center’s kitchen was turned into the Family Exam Room, which doubles as a large, wheelchair-accessible exam room whenever needed. The Medical Director’s office was requisitioned to provide a home for Pediatric Services. The mailroom will become a behav­ ioral health counseling area. And, more improvements are on the way. “We’re here for the entire commu­ nity: condo residents, hotel employees, tourists who don’t come to Hawaii for medical care but get scrapes or cuts while hiking or swimming, for those with insurance, and for uninsured people who have no other option,” Beckham says.

Waiting can be fun – in our Ifuku Healthy Beginnings Corner. Addy (left) and Ava enjoy the new keiki reception area at our Ohua Avenue clinic as they wait to see Dr. Lisa Kahikina. Books, artwork, and children’s furniture, along with pediatric medical equipment, were purchased with a $3,000 grant from the Ifuku Family Foundation.

Home Sweet (new) Home for Care-A-Van


he Center’s Care-A-Van home­ less outreach program—which was forced to move four times in the last five years after its rented fa­ cilities were sold—is enjoying its new home base at 3020 Waialae Avenue. Care-A-Van’s drop-in center and clinic are housed at the new location. Services include primary and preven­ tive medical care, behavioral health

services and substance abuse counsel­ ing. Families and individuals also can get help enrolling into health insur­ ance plans; receive mail and messages at the facility; get emergency food, clothing and hygiene items, and learn about other community resources where they can go to obtain help. The program also uses medicallyequipped vehicles to take its services

“on the road,” locating and serving homeless families and individuals wherever they are situated. Care-A-Van accepts donations of clothing, canned and packaged foods, sample-size personal care products and other essential items. For further information, please phone 922-4790.

Care-A-Van expands homeless services in Windward Oahu Waikiki Health Center received a $25,000 grant from the Harold K.L. Castle Foundation to utilize its mobile medical clinic and medicallyequipped vans to provide expanded medical, mental health and social services to homeless residents of the Windward Coast. Care-A-Van’s new drop-in-center and clinic: First stop for homeless families and individuals seeking medical and social services and help transitioning out of homelessness.


PEOPLE CARE is published quarterly by the Waikiki Health Center, 277 Ohua Ave., Honolulu, HI 96815

Tackling chronic illness: “The Sweet Side of Diabetes”


he positive, or “sweet,” side to diabetes is being able to “prevent it, control it, and not let the dis­ ease control you,” says Shane Millard, a physician assistant at Waikiki Health Center. Millard chairs the Center’s weekly “Sweet Side of Diabetes” groups and monthly lectures which aim to help patients self-manage their disease and reduce complications. Quarterly, 5-week educational sessions augment patients’ clinical visits with the Center’s medical providers. Participants “learn every­ thing they need to know about diabe­ tes,” Millard says. Topics range from “Diet and Carb (carbohydrate) Count­ ing” to “Addressing Diabetes Burnout.” Diabetes is a particular concern in Hawaii, where Native Hawaiians, Pacific Islanders and those of Asian descent suffer greatly from the disease and its complications, which can include kid­ ney disease, amputation, loss of sight, and early death. Last year, 234 patients were seen for diabetes at our Waikiki Clinic. “Diabetes is something a person has to take ownership of, and set self-man­ agement goals,” Millard says. The group aims to “look at diabetes in a more positive light; and provide education and support.” Waikiki Health Center uses a vari­ ety of approaches to help its diabetic patients, including traditional Hawai­ ian healing, medical nutrition therapy,

and behavioral health counseling. Monthly talks are given by a podiatrist, massage therapist, and others. While other health centers take measures to help their patients with diabetes, Waikiki Health Center places greater emphasis on Native Hawaiian healing, which is integrated into the Center’s clinical, educational and sup­ port programs. Over the past few years, The Cen­ ter’s diabetes self-management and support groups have received grant support from the Chamber of Commerce of Hawaii Public Health Fund, Cooke Foundation, Limited, Bank of Hawaii Charitable Foundation, and Novo Nordisk.

How-to’s of living longer and healthier with diabetes. Physician assistant Shane Millard and other staff help empower our diabetic patients like Margarita L. Cedillo and Victoria Midado to make important lifestyle changes.

$20,000 Ulu Network grant to fund cardiometabolic health support groups Waikiki Health Center was awarded a grant of $20,000 by the Department of Native Hawaiian Health at the University of Hawaii’s medical school. The funding is to help reduce health complications among our Native Hawaiian and other Pacific Islander patients who are disproportionately affected by diabetes, heart disease and obesity. Our “Malama Ko Kakou Hale” (Caring for Our Health) Support Groups will address lifestyle risk factors that affect cardiometabolic health. The project will look to culture-based solutions to help patients lead healthier lifestyles, incorporating Pacific Islanders’ values and practices. The funding is supported through the National Institutes for Health, Center for Minority Health and Health Disparities. In 2002 the Department of Native Hawaiian Health organized the Ulu Network as a community coalition primarily composed of the Native Hawaiian Healthcare Systems and Community Health Centers in Hawai‘i. If you, a family member, or friend could benefit from attending a “Malama Ko Kakou Hale” Support Group, please phone 922-3776 for further information.

Rx for diabetes: the Patient Safety Pharmacy Collaborative Waikiki Health Center is the only community health center (CHC) in Hawaii participating in the Patient Safety Pharmacy Collaborative. Our partners include the University of Hawaii John A. Burns School of Medicine Telehealth Research Institute, Safeway Kapahulu, and UH Hilo’s School of Pharmacy. “We’re focusing on diabetes, and working to improve disease and medi­cation management through the use of chronic disease management soft­ware (CDMP). Only a handful of CHC’s in the country are participating in this collaboration,” Sheila Beckham, the Center’s Executive Director, says. CDMP software will enable pharmacists to monitor patients’ health records to ensure that they are taking their medications as directed, and that the combination of medications won’t cause adverse reactions. The pharmacist also will reinforce information given to the patient by medical providers, answer questions, and help them take ownership of their condition.

Spring 2009

The Newsletter of the Waikiki Health Center • PEOPLE CARE


Treating obesity culturally: “We have solutions”


n Hawaii one out of five people —20% of the population—is obese. Nationally, it’s one-third of the population. People who are obese are twothirds more likely to die from heart disease and stroke, and up to four times more likely to die of diabetes, kidney or liver problems. And, people are dying at earlier ages. “Heart attacks are being seen at age 30; mas­ sive strokes at age 30,” Auntie Francine Dudoit-Tagupa, the Center’s Director of Native Hawaiian Healing, says. Native Hawaiians are twice as likely to be obese as the rest of the state’s populations. Obesity is based on Body Mass Index (BMI), a measure of body fat based on height and weight. Adult men and women who have a BMI of 30 or greater are considered obese. “Waikiki Health Center has a fair share of patients who are obese,” Auntie Francine says. “70 percent of it is nutrition…we need to make better choices in what we eat.” If a store advertises a sale on

Spam, it’s hard to resist the savings. “But, instead of serving Spam and two scoops of white rice, the solution is to add veggies…corn or green beans, and make it a healthier meal,” Auntie Francine suggests. “And, instead of two scoops of white rice, have one. It’s important to understand that rice turns into sugar, and sugar turns into fat.” Society’s influence Auntie Fran finds that modern soci­ ety is partially responsible for its focus on making things quicker and easier, and encouraging sedentary lifestyles. “Before in Hawaii, people climbed co­ conut trees for milk, worked in the taro fields, and went fishing. Then, cows were introduced to Hawaii. There was no need to climb coconut trees, or go fishing. Society made it very easy.” “People may say that they can’t ex­ ercise because they can’t afford to join a gym. Every movement, like cleaning, is exercise.” The more movement—the more benefit. “We have solutions,” Auntie Fran


says. If a person can’t come to the clinic, the family can meet with Auntie Fran or other providers to learn how to care for the person at home. “We’re your support team.” Data from Lancet medical journal (USA Today),


Waikiki Health Center receives $50,000 grant from OHA The Center has received a $50,000 grant from The Office of Hawaiian Affairs (OHA) in support of the Center’s expansion of services that focus on the health needs of ku¯puna and the Native Hawaiian community on the North Shore. This project will enable Waikiki Health Center to expand two signature programs: Ho‘ola Like (“Healers Together”) North Shore Primary Care Clinic, which offers traditional Hawaiian healing integrated with Western primary medical care, and the Care-A-Van homeless outreach program. The grant will also enable the Center to add new services for seniors in low-income housing. Waikiki Health Center expects that ku¯puna will influence their children and grandchildren to seek the help of the Center and ultimately improve the health of their families and the community.

“We’re your support team.” Auntie Francine Dudoit-Tagupa and Center staff help treat obesity through an integrated, culturally sensitive program, incorporating Western medicine, medical nutrition therapy, behavioral health counseling, and Native Hawaiian Healing.

Planned Giving

Never lose your zeal for building a better world.

– Mary McLeod Bethune


aking a planned gift is a wonderful way to show your support and belief in Waikiki Health Center and its mission, while accommodating your own personal, financial and philanthropic goals. Your professional financial advisor can help you with a tax-effective strategy for gift and estate plan­ ning. Please call Adrianna O’Donnell at 791-9331 for more information.

PEOPLE CARE is published quarterly by the Waikiki Health Center, 277 Ohua Ave., Honolulu, HI 96815

Our clients’ success is our success


aikiki Health Center’s Youth Outreach Project (YO) was established in 1989 in response to the unmet medical and social service needs of homeless and runaway youths. With few exceptions, our “YO Kids” dropped out of school; however, they know that education is their key to im­proving their self-esteem, learning essential skills, and getting a fresh start in life. YO offers GED (General Educational Development) classes that help our stu­ dents attain a skill level needed to pass the GED (General Education Develop­ ment) Test and promote continued learning. The program has attracted 20 students in the last year, with two graduates. Tiffany, who recently received her GED, is registered for classes at Lee­

ward Community College this fall. “I heard about YO and all the differ­ ent ways they helped, so I decided to see how they could help me,” says Tiffany. Support for our 2009 GED classes was provided through a $5,000 grant from NFL Charities, Inc. and $1,000 from Kaiser Permanente Hawaii.


Spring 2009

Back-to-School Physicals and Health Fair Saturday, June 13 9:00 a.m. – 2:00 p.m. Lili‘uokalani Church, Haleiwa Waikiki Health Center’s Healthy Keiki Fair will provide children with school and sports physicals, along with required immunizations, to get them ready for the new school year. All families are welcome. For those without medical insurance, sliding-scale fees will be charged, and no one will be turned away for inability to pay.

Cheryl Soo Hoo prepares YO clients for the math portion of the GED exam.

Mahalo to our founder, Dr. Neal Winn or over 40 years, Dr. Neal Winn has been an essen­ tial part of Waikiki Health Center’s his­ tory and growth. As a young resident at the University of Dr. Neal Winn Hawaii in 1967, he saw the need to help troubled teen­ agers struggling with substance abuse problems and co-founded the Waikiki Drug Clinic. The Clinic evolved into Waikiki Health Center, with Dr. Winn as the nonprofit agency’s first Director. Over the years, he served the Center as its Medical Director, Chairman of the Board, leader of the Board’s People Who Care Campaign, and in numerous other key roles. “Dr. Winn is deeply committed to Waikiki Health Center, and contributed

Healthy Keiki

so much to its growth. He has had a distinguished career in medicine, al­ ways believing in patient-centered care, patient safety, and the highest quality service,” says Dr. Elliot J. Kalauawa, the Center’s Medical Director. Today, he is the Chief Medical Officer and co-founder of Ho‘okele (“navigate”) Personal Health Planners, LLC. “Most of our work is in navigating the health care system for the elderly,” he says. Dr. Winn recently completed the maximum nine-year term on the Cen­ ter’s Board of Directors but still devotes his time to the organization by chairing the property committee. As the founder of Hawaii’s first community health cen­ ter, which serves nearly 5,500 patients annually, he continues to place a high value on the Center’s work. The Waikiki Health Center of today is a reflection of Dr. Winn’s long hours of dedicated work, selfless support of the mission and compassion for our commu­ nity’s neediest residents. Mahalo Dr. Winn!

Hana hou! Longs Drugs and UHA to sponsor our Back-to-School fundraiser to help needy keiki For the fourth year running, Longs Drugs and health insurer, UHA, will be teaming up to champion Waikiki Health Center's Backto-School Campaign. Beginning in June, all Longs Drugs statewide will accept donations to help provide immunizations, physical exams and general medical care to children whose families are uninsured, have lowincomes, are homeless, or who face other obstacles to accessing healthcare. For more information visit our website at

The Newsletter of the Waikiki Health Center • PEOPLE CARE


Dr. Lisa Kahikina

continued from front page

given to children as young as 11 if they meet certain criteria, such as Polynesian ethnicity, obesity, and a family history of the chronic illness. Dr. Kahikina can easily relate to her Dr. Lisa Kahikina patients and their families: She has 28-month-old twin girls of her own. Her pediatric clients will range from babies up to 21-year-olds. A graduate of Kamehameha Schools,

Dr. Kahikina has been a committed mentor, tutor and champion of Native Hawaiian and other Pacific Islander stu­ dents. While at the University of Hawaii John A. Burns School of Medicine, she volunteered for programs that encourage Native Hawaiians to pursue their inter­ est in medicine. Native Hawaiians are an under-represented minority in the medical profession, and have one of the highest college drop-out rates at UH. Dr. Kahikina completed her resi­ dency at the UH Department of Pedi­ atrics last year.

Boosting Hawaii’s economy continues to see an increase in people losing their jobs and insurance, more families will need to turn to community heath centers, America’s healthcare safety net. Waikiki Health Center offers quality medical and social services to every­ one, with special emphasis on helping uninsured and low-income families. Last year, the Center provided 18,350 patient visits to 5,480 individuals. Fees are based on a sliding-fee scale, and no one is turned away for inability to pay. Now in its 42nd year, the Center is recognized nationally and in the Islands for its expertise in certain areas of focus. We offer one of the most comprehensive HIV programs in Hawaii. Our Medical Director, Dr. Elliot J. Kalauawa, has earned the national designation Credentialed HIV Specialist™ from the American Academy of HIV Medi­ cine, one of only nine providers in Hawaii who is so designated.

Did you know? Hawaii’s 14 community heath centers served 110,000 patients last year.


“I’m excited to be working here,” Dr. Kahikina says of Waikiki Health Center. “I’m just where I want to be. I always believed in working in the community I live in…It helps me to better under­ stand my patients, and know what resources there are in the community.” To make an appointment with Dr. Lisa Kahikina, please call our Waikiki Clinic reception desk, at 922-4787. Visits are available Tuesday and Thursday, from 1:30 to 5:30 p.m. The clinic is located at 277 Ohua Avenue. Parking is available.

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“Health centers, primary care, and prevention are at the heart of my plan for an affordable, accessible health care system.” – President Barack Obama

Because of the long history and excellence of its homeless services, Waikiki Health Center is the only one of Hawaii’s 14 community health cen­ ters that receives federal Healthcare for the Homeless funding; we subcontract with other Hawaii CHCs that also emphasize services to the home­ less. Our Care-A-Van program operates

both drop-in and mobile medical services, and utilizes the only mobile medical clinic on Oahu, bringing traditionally clinic-based services to the homeless wherever they are situated. Native Hawaiian Healing is fully integrated into the Center’s primary care program. We provide a point of entry for Native Hawaiians and others who are not comfortable with western medicine. “Over 22 percent of our agency bud­ get comes from private sources—trusts and foundations, corporate support and gifts from caring individuals. We can’t thank the people of Oahu enough for their generosity—along with other friends who love Hawaii and want to help our community,” said Sheila Beckham, Wai­ kiki Health Center’s Executive Director.

Family Planning and other health services offered Our primary care clinics provide Family Planning and Reproductive Health Services to promote increased health education, timely medical care, and better health for Oahu’s women and men. Screenings for breast cancer, testing for STIs (sexually transmitted infections), basic health information, and other services are available agency-wide, regardless of ability to pay. For an appointment, or for more information about our services, please phone 922-4787. We thank the Hawaii Department of Health for supporting our Family Planning Services.

PEOPLE CARE is published quarterly by the Waikiki Health Center, 277 Ohua Ave., Honolulu, HI 96815

Chris Estes: Her legacy of compassion is not forgotten


e are grateful that many caring people support the work of Waikiki Health Center. One of these special people was Chris Estes. Chris was a devoted wife, mother, and volunteer—whose passion was to try to make her com­ munity and world better in every way. Chris passed away in April 2008, and since that time Waikiki Health Center has received an outpouring of gifts in her memory. Robby Estes, Chris’ husband of 34 years, visited Waikiki Health Center, and told us more about Chris’ generous spirit, love of healthful, active living, and how these traditions were passed down to their sons, Luke, Will and Andrew. Chris was a longtime friend of the Center, who increased the aloha and kindness in our community by helping Oahu’s less fortunate residents.

& Ms. Dominic Cameli, Barry A. Cline, Mr. & Mrs. Bates Cole, Mark K. Cooper, Brad Coppens, Wendy B. Crabb, Christine E. David, Mr. & Ms. Peter A. Dudgeon, Ann Hogan Ezer, Mr. & Mrs. James S. Greenwell, Martha L. Greenwell, Mr. & Ms. Sam Greer, Mary Greig, Nancy Kern, Maureen A. Kilcoyne, David and Lydia Kumasaka, Dawn LaMorte, Camille D. Lyons, John F. Mattos, Kathy Merrill Chris Estes Kelley, Mr. & Mrs. Arthur Mersereau, Janis Minyard, Sally Mist, Kristen Monroe, We’d like to thank the Estes Family Jeffery Muller, Tracy Nagata, Mr. & Mrs. Robin Otagaki, PBR Hawaii and Associates, and friends who honored the wishes Inc., Mr. & Mrs. David Pietsch, G. Markus of Chris Estes in donating to Waikiki Polivka, Teri Riha, Mr. & Ms. Frederick E. Health Center in her memory. Salassa, Mr. & Mrs. Irwin Setilles, Michael Francis M. Anderson, Cynthia K. Au, Susan Bahrenburg Matthews, Mr. & Mrs. Schuller, Kathleen A. Sharp, D.C. and A.R.P Snakenberg, Mr. Dudley K. Smith III William Bailey, Mr. & Ms. R. Douglas & Ms. Carol Childerhose, Mr. & Ms. Peter Bennett, Bank of America, Mr. & Mrs. C. Taaffe, Morgan Thompkins, Amy Winn, Gabriel F. Bifano, Beryl B. Blaich, Frank Mr. & Ms. Clement L. Yee. Brandt, Mr. & Mrs. Alan K. Cambra, Mr.

Mahalo to all Waikiki Health Center supporters that donated in honor or in memory of a loved one. A full listing of these special gifts can be found on our website at

From the heart, mahalo! Thank you to all our contributors for making our work possible, including the following businesses, foundations, and organizations that donated a gift of $5,000 or more: Primary Care: McInerny Founda­ tion ($75,000), G.N. Wilcox Trust ($30,000), Wal-Mart Foundation ($20,000), Movie Museum ($10,000), Henry & Colene Wong Foundation ($9,334), Sidney Stern Memorial Trust ($5,000), Kosasa Foundation ($5,000), Hawaii Women’s Legal Foundation ($5,000) Youth Outreach (YO): Hart Foundation ($15,000), Kaneta Foundation ($15,000), Okumura Family Fund ($5,295), Friends of Hawaii Charities Inc. ($5,000), First Presbyterian Church ($5,000), Bank of Hawaii Charitable Foundation ($2,500), Episcopal Diocese of Hawaii ($2,000), Roshan Cultural Heritage

Spring 2009

Institute ($2,000) Care-A-Van: Wai­ kiki Business Improvement District Association ($25,000) Capitol and Equipment: Marshall Fund of Hawaii Community Foundation ($50,000) Children’s Medical Services: Outrig­ ger Hotels ($5,577.75), Longs Drugs ($5,000) Women’s Health Services: Hawaii Affiliate of Susan G. Komen for the Cure ($30,000), Safeway Founda­ tion ($10,000) Youth Outreach GED Program: NFL Charities ($5,000) Special Projects: Jessie Ann Chalmers Charitable Trust ($40,000), Chamber of Commerce of Hawaii Public Health Fund ($35,000), Harold K.L. Castle Foundation ($25,000), MAC AIDS

Fund ($20,000), Atherton Family Foundation ($15,000), Cooke Founda­ tion Ltd. ($15,000), Novo Nordisk Inc. ($5,000) Your Support makes all the difference. We would like to thank the following donors for their generous donations of $1,000 or more: Dr. and Mrs. Max Botticelli, Mr. Donald Clements, Mr. and Mrs. Charles Hardy, Mr. and Mrs. Herbert N. Conley, Jr., Mr. William Lamberton III, Mr. and Ms. Howard Lee, Mr. and Mrs. Don Lichty, Mr. and Mrs. Robert Bruce Luxton, Ms. Nancy Makowski, Mr. and Ms. Peter C. Taaffe, Daniel Tschudi.

The Newsletter of the Waikiki Health Center • PEOPLE CARE


Left: Seeing Double? Two Toyota Sienna vans donated in one week! Our heartfelt thanks go to Melanie Holt and Mr. and Mrs. Howard Lee for generously donating their vans, which will be used to bring medical and social services to Oahu’s homeless population, and transport supplies to Youth Outreach (YO) and our other programs.

Melanie Holt (center); Adrianna O’Donnell, Director of Develop­ ment & Public Relations; and Jeff Kaplan, Director of Youth & Senior Services

Howard Lee

Above: Little Things Mean a Lot! Mahalo to Valenti Print Group and Sheraton Waikiki for donating travel-size personal care items for our clients who are homeless. Care-A-Van and Youth Outreach (YO) offer them to teens living out of their backpacks and others. These products are always in high demand—but in short supply.

An Aloha United Way Agency

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Spring 2009  
Spring 2009  

Waikiki Health Center's newsletter: Spring 2009 issue