In 1778 Captain James Cook made his first visit to the Hawaiian Islands. The members of his expedition and subsequent visitors brought to the previously isolated Hawaiian people new things, novel ideas, and, of greatest consequence, devastating alien germs. The infectious diseases introduced since 1778 have claimed more Hawaiian lives than all other causes of death combined. During their long isolation in space and time, Hawaiians had not been exposed to the many microbes that afflicted populations in other parts of the world. They had developed no immunity to those germs and gained no experiences to enable them to endure the sicknesses the newly introduced germs caused. That terrible vulnerability to foreigners' diseases has almost destroyed Hawaiian society and culture. The nine essays in this collection discuss the impact of these "gifts of civilization" upon the native Hawaiian people and upon the social history of Hawai‘i. Dr. Bushnell constructs a concise historical framework, including an examination of the native medical profession, and interprets the few facts known about it in light of present knowledge in the medical sciences. He presents information, opinions, and conclusions harvested from many years of thinking about the fate of native Hawaiian people, studying all the relevant documents, and writing about this and related subjects.

v. 1. Native and immigrant American families -- v. 2. African-American families.

Obesity has come to the forefront of the American public health agenda. The increased attention has led to a growing interest in quantifying obesity prevalence and determining how the prevalence has changed over time. Estimates of obesity prevalence and trends are fundamental to understanding and describing the scope of issue. Policy makers, program planners, and other stakeholders at the national, state, and local levels are among those who search for estimates relevant to their population(s) of interest to inform their decision-making. The differences in the collection, analysis, and interpretation of data have given rise to a body of evidence that is inconsistent and has created barriers to interpreting and applying published reports. As such, there is a need to provide guidance to those who seek to better understand and use estimates of obesity prevalence and trends. Assessing Prevalence and Trends in Obesity examines the approaches to data collection, analysis, and interpretation that have been used in recent reports on obesity prevalence and trends at the national, state, and local level, particularly among U.S. children, adolescents, and young adults. This report offers a framework for assessing studies on trends in obesity, principally among children and young adults, for policy making and program planning purposes, and recommends ways decision makers and others can move forward in assessing and interpreting reports on obesity trends.

Outstanding thinkers of the Western world are pulled into his creation, adding luster, interest, and academic panache to this highly readable book.

To battle the obesity epidemic in America, health care professionals and policymakers need relevant, useful data on the effectiveness of obesity prevention policies and programs. Bridging the Evidence Gap in Obesity Prevention identifies a new approach to decision making and research on obesity prevention to use a systems perspective to gain a broader understanding of the context of obesity and the many factors that influence it.

Asia and the Pacific have recently recorded high rates of not only economic growth but also overweight and obesity, which are important risk factors for diseases such as diabetes, cardiovascular diseases, and certain types of cancer. Both conditions reduce productivity and thus have a direct impact on economies. Both conditions are also typically chronic and often require lifelong treatment, which burdens households and governments. This book (i) summarizes the knowledge on overweight and obesity in the region; (ii) presents the main determinants of overweight and obesity across countries; (iii) evaluates the economic costs of overweight and obesity, including the negative impact on productivity and higher probability of premature death; and (iv) recommends ways to lower the incidence of overweight based on market and nonmarket-based instruments.

Of evidence-based recommendations -- Introduction -- Overweight and obesity: background -- Examination of randomized controlled trial evidence -- Treatment guidelines -- Summary of recommendations -- Future research.