Hawaii Cannabis logo

In the 2014-2020 Hawai‘i Coordinated Chronic Disease Framework, a plan for preventing and reducing the burden of chronic disease in the state.

from the Hawaii State Department of Health plan:

“The Framework document identifies an integrated approach and is meant to be used as a guide to enable coordination of multiple programs across common risk factors, interventions, and strategies.

The document represents the work of individuals, organizations, and stakeholders from communities across the state in the public, private, non-profit and volunteer sectors. The Framework was initially informed through a series of community town hall meetings across the state; these meetings identified health priorities for the following settings: worksite, education, community, and health care.

Our collective vision, goals, and objectives are set forth. These, along with the strategies to both prevent and manage the individual and societal factors that contribute to chronic disease are identified. Moving forward, it is important to focus on those populations most affected and most at-risk for chronic disease. This is a living document, and I both thank and welcome our partners—present and future—in working together to achieve the vision of “Healthy People, Healthy Communities, Healthy Hawai‘i.”

Sincerely,
Linda Rosen, M.D., M.P.H.
Director of Health
Hawai‘i State Department of Health

“In Hawaiʻi, 82 percent of adults have at least one of the following chronic diseases or conditions: heart disease, heart attack, stroke, diabetes, asthma, disability, cancer, chronic obstructive pulmonary disease, high blood pressure, high blood cholesterol, or obesity.1 Additionally, cardiovascular disease and cancer are the leading causes of death in the state, and deaths due to other chronic diseases such as chronic lower respiratory disease and diabetes are also very prevalent.2 In 2010, the cost of treating chronic disease in Hawai‘i totaled $3.6 billion and worker absenteeism contributed to an additional $221 million in costs for an annual economic loss of $3.8 billion. The cost of medical treatment alone is projected to increase to $6.7 billion by 2020.3

Purpose/Use of the Coordinated Framework
This framework for coordination is designed to focus resources and work on common areas of chronic disease prevention and control.
View / Download the 2014-2020 Hawai‘i Coordinated Chronic Disease Framework

The words cannabis, marijuana or alternative are are not found in the text of the document. This may be disturbing for patients and parents of patients to learn given the fact that, in 2003 the US Federal government was awarded a patent including specific claims related to diabetes;

“The pharmaceutical compositions of the present invention have potent antioxidant and/or free radical scavenging properties, that prevent or reduce oxidative damage in biological systems, such as occurs in ischemic/reperfusion injury, or in chronic neurodegenerative diseases such as Alzheimer’s disease, HIV dementia, and many other oxidation associated diseases.”

The patent further defines Oxidative Associated Diseases to include;

Oxidative associated diseases include, without limitation, free radical associated diseases, such as ischemia, ischemic reperfusion injury, inflammatory diseases, systemic lupus erythematosis, myocardial ischemia or infarction, cerebrovascular accidents (such as a thromboembolic or hemorrhagic stroke) that can lead to ischemia or an infarct in the brain, operative ischemia, traumatic hemorrhage (for example a hypovolemic stroke that can lead to CNS hypoxia or anoxia), spinal cord trauma, Down’s syndrome, Crohn’s disease, autoimmune diseases (e.g. rheumatoid arthritis or diabetes), cataract formation, uveitis, emphysema, gastric ulcers, oxygen toxicity, neoplasia, undesired cellular apoptosis, radiation sickness, and others.” –US Federal government 

Patent References

No mention of cannabis or marijuana on the Healthy Hawaii website.

No mention of cannabis or marijuana on the Hawaii State Health Connector website.

1 Pobutsky A, Bradbury E, Wong Tomiyasu D. (2011). Chronic Disease Disparities Report 2011: Social Determinants. Honolulu: Hawai‘i State Department of Health, Chronic Disease Management and Control Branch.
2 Hawai‘i State Department of Health, Office of Health Status Monitoring, Hawai‘i Health Data Warehouse. Leading Causes of Death in Hawai‘i. Vital%20Statistics_Leading%20Causes%20of%20Deaths_IND_00023.pdf. Accessed August 21, 2013.
3 The Chronic Disease Cost Calculator was developed by RTI International and was supported by the Centers for Disease Control and Prevention (CDC) in collaboration with the Agency for Healthcare Research and Quality (AHRQ), the National Association of Chronic Disease Directors (NACDD), and the National Pharmaceutical Council (NPC). Data here are from the Chronic Disease Cost Calculator Version 2.6.5058 build Nov 06, 2013.