John A Burns School of Medicine | University of Hawaiʻi System News /news News from the University of Hawaii Tue, 21 Apr 2026 01:53:50 +0000 en-US hourly 1 /news/wp-content/uploads/2019/04/cropped-UHNews512-1-32x32.jpg John A Burns School of Medicine | University of Hawaiʻi System News /news 32 32 28449828 鶹ýmedical student earns fellowship for pediatric eye cancer research /news/2026/04/20/pediatric-eye-cancer-fellowship/ Tue, 21 Apr 2026 01:53:13 +0000 /news/?p=232609 Elizabeth Rooks earns national fellowship for retinoblastoma research advancing pediatric eye cancer care.

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Elizabeth Rooks (right) holds her fellowship award with a University of Washington research partner.

University of 鶹ý at ԴDz student Elizabeth Rooks is earning national recognition for her research on retinoblastoma, a pediatric eye cancer, during a dedicated research year.

Rooks was awarded the Research to Prevent Blindness Medical Student Eye Research Fellowship, a competitive program supporting students advancing the understanding and treatment of eye disease.

“It’s an incredible honor,” she said. “This fellowship feels like an investment in my future, but more importantly in work that directly impacts patients.”

Advancing retinoblastoma research

Collaborating with researchers at the University of Washington, Rooks examines the genetic mutations behind the retinoblastoma and how they are inherited.

“Some patients also go on to develop osteosarcomas or other cancers in their 40s and 50s, while others never do,” she said.

Her work uses long-read genetic sequencing, which can identify not only mutations but also which parent passed them on.

“Unlike traditional sequencing methods, long-read sequencing lets us see the parental origin of a mutation without needing to test the parents. This is important because earlier research shows that mutations inherited from the father can make retinoblastoma more aggressive,” she said.

Rooks also helps collect and sequence DNA from patients and return findings to clinicians, potentially informing care in a fast-progressing cancer. Understanding the origin may help identify high-risk children earlier and guide more precise treatment.

After her research year, Rooks will return to 鶹ý to complete her medical training.

“I am so grateful for this fellowship and for my team,” she said. “Working with them has taught me so much and has shown me the kind of physician I want to become.”

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Giving Day fuels future physician’s path to serve 鶹ý /news/2026/04/14/giving-day-jabsom-2026-pinnow/ Wed, 15 Apr 2026 01:24:39 +0000 /news/?p=232274 Emma Pinnow shares how donor support and ʻImi Hoʻōla helped her pursue medicine and serve 鶹ý.

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Kyle Chinen (Hawaii News Now), Winona Lee (JABSOM), Emma Pinnow and Casey Lund (Hawaii News Now)

At the University of 鶹ý, Giving Day is a 24-hour fundraising event to support our UH students and embrace the rich diversity and expansive reach of our university system.

At the (JABSOM), where more than 90% of students are awarded some form of scholarship, donors make a great impact in their journeys in medicine. For first-year medical student Emma Pinnow, that journey started with the ʻImi Hoʻōla Post Baccalaureate Program.

Read more UH Giving Day stories

Ahead of a Giving Day appearance on 鶹ý News Now, JABSOM sat down with Pinnow.

Q: How did ʻImi Hoʻōla put you on a path to medicine?

I come from a family deeply rooted in 鶹ý’s public school system, so while education was always the priority, medicine was a brand-new endeavor for me. My dream was always to stay home, to be near family and learn to provide care specifically tailored to our people here in 鶹ý. ʻImi Hoʻōla, which means “those who seek to heal” in ʻŌ 鶹ý, was the bridge to that dream. It’s a rigorous 12-month journey, and completing it provided me with automatic admission to JABSOM. But more than just a seat in the class, it gave me the foundational competence and the unshakeable support system I needed.

I didn’t just gain knowledge, I gained a cohort, mentors and a community that believed in my potential when I was just starting out. What truly changed the trajectory for me was the generosity of our donors. I was fully prepared to take on a massive financial burden to pursue this path, but because of their support, my experience was tuition-free. This didn’t just save money, it gave me the gift of time and focus. Instead of juggling my studies with a job, I can dedicate 100% of my energy to the rigors of medical school. It only takes one group of people to believe in you to open a door. For me, that door was ʻImi Hoʻōla. It allowed me to show my potential and has put me on a path to serve the community that raised me.

Q: What are your goals in medicine?

I’m currently a little more than halfway through my first year, and honestly, it’s been very exciting. Every week I’m exposed to a new specialty or a different organ system, and I’m making it my goal to learn as much as I can and to lean into every opportunity to the fullest extent. While I haven’t settled on a specific specialty yet, I have settled on the where and the who. No matter what field I choose, I am committed to serving the people of 鶹ý. This is my home, and I truly can’t imagine being anywhere else.

Being Native Hawaiian, I am especially aware of the health disparities our community faces, particularly with cardiometabolic disease. One of my primary goals in medicine is to directly address these inequities. I want to take the education we receive here at JABSOM, which emphasizes culturally-competent care, and apply it in a way that resonates with our local population. Ultimately, my goal is to bridge the gap between high-level medical science and the unique cultural needs of our islands. Giving back to the community that raised me is my way of honoring where I come from.

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$61.2M in NIH funding advances 鶹ýhealth research in FY2025 /news/2026/04/14/nih-impact-research-funding-fy2025/ Tue, 14 Apr 2026 23:41:39 +0000 /news/?p=232122 UH researchers NIH funding supporting health innovation, genomics and AI-driven nutrition research.

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buildings and ocean

The University of 鶹ý accounted for more than $61.2 million—92% of all federal biomedical research funding awarded in the state from the (NIH)—in fiscal year 2025.

鶹ý received $66.7 million overall in NIH funding, according to a new report from . The investment supported 902 jobs and generated $188.7 million in economic activity statewide.

two scientists working in lab
Youping Deng and Lang Wu working in the lab.

NIH funding supports a wide range of research across UH, from improving disease detection and treatment to addressing health disparities and strengthening public health systems that serve island communities, reinforcing the university’s role in advancing health research and innovation in 鶹ý.

had the largest share, with 72 awards totaling $60.7 million, while the received two awards totaling $468,391. While overall funding remained strong, NIH’s shift to multi-year funding—which obligates the full grant value upfront—resulted in 5,564 fewer grants being funded in FY2025 compared to FY2024.

“Even in a highly competitive and uncertain federal funding environment, University of 鶹ý researchers continue to deliver work that improves lives here at home and beyond,” said Chad Walton, UH interim vice president for research and innovation. “These investments fuel discoveries, support high-quality jobs and strengthen our local economy. Every dollar makes a difference for our communities.”

Research highlights

Recent awards reflect the diversity of NIH-funded research at UH:

  • $322,891 from the National Cancer Institute supports Shugeng Zhao Cao, professor at the at UH Hilo. The project, Discovery of novel natural TEAD inhibitors for the chemoprevention of liver tumors, explores natural compounds from Hawaiian microorganisms to develop the first preventive therapy for liver cancer.
  • Shugeng Cao with lab team
    Shugeng Cao and lab team at UH Hilo.
  • $2,039,744 from the National Human Genome Research Institute supports Lang Wu, associate professor at the at the UH Cancer Center. The research advances genomic tools and approaches to better understand complex diseases and support precision health applications. (Related UH News story)
  • $459,287 from the National Institute of Diabetes and Digestive and Kidney Diseases supports Youping Deng, professor at the . The project, Hawaii Advanced Training in Artificial Intelligence for Precision Nutrition Science Research, strengthens training in the use of artificial intelligence for nutrition and metabolic health research. (Related UH News story)
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New guidance on overlooked uterine condition affecting 1 in 3 women /news/2026/04/09/new-guidance-on-adenomyosis/ Thu, 09 Apr 2026 23:51:59 +0000 /news/?p=232022 Kimberly Kho provides new guidance to help physicians better diagnose and treat adenomyosi

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zalud and kho
JABSOM OBGYN Chair Ivica Zalud and Kimberly Kho

A University of 鶹ý at ԴDz physician is working to change how a common but often overlooked gynecologic condition is diagnosed and treated.

Kimberly Kho, who holds the nation’s first professorship in advanced gynecological surgery in the (JABSOM), recently authored a clinical expert series review on adenomyosis in . The publication places Kho among a select group of internationally recognized experts in women’s health.

“These articles are meant to synthesize the existing medical literature and turn it into meaningful clinical guidance,” Kho said. “The goal is that a physician could read it, deepen their understanding of the disease, and immediately apply what they learned in their practice on Monday morning.”

Adenomyosis occurs when tissue similar to the lining of the uterus grows into the uterine muscle, causing severe menstrual bleeding, chronic pelvic pain and fertility challenges. Despite affecting roughly one in three women, the condition remains underdiagnosed and under-researched.

“It’s astonishing how common it is,” Kho said. “But if you look at the research funding for adenomyosis, which then correlates to our scientific understanding of the disease and specific therapies, it’s just a drop in the proverbial bucket compared to how much and how many this disease impacts.”

Advances in diagnosis, care

Kho’s review provides a practical roadmap for OBGYN physicians, covering disease mechanisms, diagnostic advances and modern treatment options. A major shift highlighted is the move toward noninvasive diagnosis using imaging tools such as ultrasound and MRI, rather than relying on hysterectomy for confirmation.

“Our paradigm for diagnosing has really evolved because our technologies have evolved. This allows us to name the condition and start treating it, rather than the alternative, which was often to write off the symptoms,” Kho said.

The review also challenges the idea that hysterectomy is the only effective treatment.

“There are many excellent uterine-preserving options,” Kho said. “Medical, interventional and surgical treatments can manage symptoms while preserving uterine function and future fertility.”

Kho hopes the publication will help establish clearer guidance for physicians worldwide while expanding access to advanced gynecologic care in 鶹ý.

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Heart tech, mini medical robot breakthrough: 鶹ýresearcher earns $230K award /news/2026/04/08/heart-tech-mini-robot/ Thu, 09 Apr 2026 00:17:52 +0000 /news/?p=231968 Tianlu Wang’s project focuses on developing miniature soft robotics combined with artificial intelligence.

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small robot next to a penny
An example miniature robot developed by Wang’s lab. The miniature robot can access the complex and narrow spaces to retrieve samples and deliver cargo. This work, led by PhD student Debasish Roy, was recently published at the International Conference on Manipulation, Automation and Robotics at Small Scales.

, an assistant professor in the University of 鶹ý at Mānoa , has received the Career Development Award from the to advance medical research and technology for vascular and heart health. The three-year, $230,727 award supports promising early-career investigators working on innovative solutions in cardiovascular and related biomedical research.

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Tianlu Wang

“I am very honored to receive this award,” Wang said. “This support allows us to explore bold ideas that could change how we approach medical treatment inside the human body, while building a strong network of collaborators who bring different expertise to the table. It’s a great opportunity to train the next generation of engineers and create technologies that could one day make procedures safer and less invasive.”

Wang’s project focuses on developing miniature soft robotics combined with artificial intelligence to create new medical devices that can navigate hard-to-reach areas of the body and enhance the function of cardiovascular and neurovascular systems. The work builds on Wang’s previous research on soft robotics inspired by diverse marine life. By studying how small aquatic animals move efficiently through complex environments, his team designs flexible robots that can safely operate in delicate spaces, such as inside the human body.

Related UH News stories:

The award also supports collaboration and mentorship with scientists from UH Mānoa’s , The Queen’s Medical Center, and Massachusetts Institute of Technology. These partnerships aim to strengthen research and expand real-world applications of miniature soft robotics in healthcare.

Wang also serves as an adjunct assistant professor at The Queen’s Medical Center and a cooperating faculty in UH Mānoa’s .

The project highlights UH Mānoa’s growing role in robotics and biomedical engineering, with a focus on developing technologies that can improve patient care and address complex health challenges such as sudden cardiac arrest.

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鶹ýgrad programs earn national recognition in U.S. News and World Report rankings /news/2026/04/08/us-news-best-grad-program-rankings-2026/ Wed, 08 Apr 2026 18:08:19 +0000 /news/?p=231895 The 2026 U.S. News and World Report’s Best Graduate Schools rankings were released on April 6.

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U H Manoa students walking together

Ten graduate programs at the are in the nation’s top 50, and an additional 17 programs are in the top 100, according to the 2026 , released on April 7.

UH Mānoa’s (JABSOM) also placed in the nation’s top tier (tier 1) for best medical schools for primary care, and UH ᾱ’s ranked in a in the nation.

The highest ranked UH Mānoa programs were in the , ranking No. 18 (tied) for best environmental law programs and law schools with most grads in federal clerkships, No. 24 for best part-time law programs, No. 41 (tied) for best international law programs, No. 47 (tied) for best dispute resolution programs and No. 48 (tied) for best legal writing programs.

The ranked No. 22 (tied) for best international programs, and the (SOEST) placed No. 40 (tied) for best Earth sciences programs. JABSOM ranked No. 42 for most graduates practicing in rural areas and No. 45 for most graduates practicing in primary care.

UH Mānoa’s strong showing in the latest U.S. News and World Report rankings underscores our commitment to excellence in teaching, research and student success,” said UH Mānoa Interim Provost Vassilis L. Syrmos. “These results reflect the talent and dedication of our faculty, students and staff, and 鶹ý can take pride in knowing their university is preparing the next generation of leaders and changemakers for our community and the world.”

Rankings were based on multiple factors, including research activity (such as publications and citations), student and alumni outcomes (employment and earnings), quality assessments (from peers and recruiters), student selectivity (GPA and test scores), and faculty resources (doctoral degrees awarded and student-to-faculty ratios).

Note: not all programs are ranked every year. See these UH News stories on previous years’ rankings: 2025, 2024, 2023, 2022, 2021, 2020 and 2019.

Jump to program rankings:
William S. Richardson School of Law  |  John A. Burns School of Medicine  |  Shidler College of Business  |  School of Ocean and Earth Science and Technology  |  School of Nursing and Dental Hygiene  |  College of Education  |  Thompson School of Social Work & Public Health  |  College of Social Sciences  |  College of Engineering  |  College of Natural Sciences  |  College of Arts, Languages & Letters

William S. Richardson School of Law

The William S. Richardson School of Law was ranked in 16 categories by U.S. News and World Report. In addition to its ranking of No. 18 (tied) for best environmental law programs and law schools with most grads in federal clerkships, No. 24 for best part-time law programs, No. 41 (tied) for best international law programs, No. 47 (tied) for best dispute resolution programs and No. 48 (tied) for best legal writing programs, the 鶹ýlaw school placed No. 91 (tied) among the top law schools in the nation.

Other law school rankings include:

  • Tax law: No. 80 (tied)
  • Criminal law: No. 88 (tied)
  • Contracts/commercial law: No. 92 (tied)
  • Health care law: No. 92 (tied)
  • Constitutional law: No. 95 (tied)
  • Business/corporate law: No. 101 (tied)
  • Clinical training: No. 102 (tied)
  • Intellectual property law: No. 127 (tied)
  • Trial advocacy: No. 175 (tied)

John A. Burns School of Medicine

JABSOM was one of 16 schools that placed in the nation’s top tier (tier 1) for best medical schools for primary care. JABSOM also placed in tier 3 for best medical schools for research.
In addition, JABSOM ranked No. 42 for most graduates practicing in rural areas, No. 45 for most graduates practicing in primary care, No. 139 for speech language pathology and No. 171 for most graduates practicing in medically underserved areas. .

Shidler College of Business

The Shidler College of Business placed in nine subject areas. Leading the way were international programs at No. 22 (tied), accounting programs at No. 68 (tied), information systems programs at No. 72 (tied) and marketing programs at No. 91 (tied). In addition, Shidler ranked at No. 104 (tied) for best management programs, No. 113 (tied) for best executive programs, No. 123 (tied) for best finance programs, No. 125 (tied) for best entrepreneurship programs and No. 142 (tied) for best part-time MBA programs.

School of Ocean and Earth Science and Technology

SOEST placed No. 40 (tied) among the nation’s best Earth sciences programs.

School of Nursing and Dental Hygiene

The School of Nursing and Dental Hygiene placed No. 55 (tied) for best nursing school–master’s and No. 62 (tied) for best nursing school–doctor of nursing practice (DNP). Both were the only programs in 鶹ý to be ranked by U.S. News and World Report.

College of Education

The College of Education ranked No. 57 (tied) in the U.S., the 21st straight year the college has been listed as one of the nation’s top 100 education programs. Nationally accredited since 2000, the College of Education continues to be recognized for its award-winning programs and people.

Thompson School of Social Work & Public Health

The ranked No. 89 (tied) among the nation’s top public health schools and programs in the U.S. accredited by the Council on Education for Public Health. The Department of Public Health Sciences offers a ; a , with specializations in , , and , and a , as well as PhD program in , specializing in community-based and translational research and a PhD in . The Department of Public Health Sciences is also home to an online master of public health program to meet workforce demands.

College of Social Sciences

The College of Social Sciences placed among the nation’s best in at No. 90 (tied) and at No. 92 (tied).

College of Engineering

The ranked among the nation’s best in at No. 91 (tied), at No. 92 (tied), and at No. 128 (tied). The College of Engineering overall ranked No. 164 (tied) among the top engineering schools in the U.S. that grant doctoral degrees.

College of Natural Sciences

The placed among the nation’s best in at No. 97 (tied), and at No. 115 (tied), and at No. 125 (tied).

College of Arts, Languages & Letters

UH Mānoa placed No. 106 (tied) among the nation’s best for fine arts programs.

Other rankings

UH Mānoa also received these notable rankings:

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Bringing hands-on medical learning to 鶹ý classrooms /news/2026/03/31/jabsom-school-health-ed-program/ Tue, 31 Mar 2026 23:06:37 +0000 /news/?p=231489 Medical students bring hands-on health education to 鶹ý classrooms, inspiring future healthcare careers statewide.

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SHEP students at Queen''s North Hawaii Hospital
Tracie Okumura, Quan Lac and Aaron Yamaaki at Queen’s North Hawaii Community Hospital.

Laughter and a quick shuffle of chairs fill the air as Tracie Okumura steps to the front of a bright classroom, lifting a model heart. “Who can tell me what this is?” she asks, and nearly every hand goes up.

For Okumura, some of the most meaningful moments in her medical school journey at the University of 鶹ý at ԴDz (JABSOM) happen through its School Health Education Program (SHEP), which sends students into public schools to introduce medicine and teach basic health concepts. For 25 years, the program has reached thousands of students in more than 33 Department of Education middle and high schools across 鶹ý.

During a recent visit to Queen’s North 鶹ý Community Hospital, Okumura and fellow third-year medical students Quan Lac and Aaron Yamasaki led hands-on activities for students, giving them a closer look at clinical skills—from suturing to ultrasound—and also shared insights on the path to becoming a physician.

“We try to make the sessions very interactive,” Okumura said. “They get the chance to kind of dip their toes into medicine and see what it’s like.”

For many in attendance, it may be the first time they’ve met someone close to their own age pursuing a career in healthcare. SHEP‘s outreach focuses on exposing students to medical careers and opportunities that they may not otherwise have access to.

Building essential physician skills

The program also helps medical students strengthen communication skills.

“I’ve used the skills I developed in SHEP almost daily,” Okumura said. “Whether it’s in the clinic or on the hospital wards, you learn how to take medicine and break it down into something more digestible. As I’m talking, I’m looking at people and thinking, ‘Is what I’m saying clicking, or is it not clicking?’”

By teaching others, students deepen their own understanding. Okumura and her classmates said their experience in SHEP was invaluable.

“We’re going to need doctors one day,” she said. “Programs like this help recruit the best of the best and make sure students know these opportunities exist.”

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Global recognition for 鶹ýMānoa: 14 programs shine in new rankings /news/2026/03/25/qs-subject-rankings-2026/ Wed, 25 Mar 2026 10:01:35 +0000 /news/?p=231221 The 2026 edition analyzed the performance of more than 18,300 university programs taken by students at more than 1,700 universities.

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U H Manoa students walking

Fourteen University of 鶹ý at Mānoa academic subjects were ranked among the world’s best in the 2026 , released on March 25.

Four subjects placed in the top 22 in the nation and top 100 in the world. Leading the way was geology (No. 19 in the U.S. and No. 51–100 in the world), geophysics (No. 19 in the U.S. and No. 51–100 in the world), Earth and marine sciences (No. 21 in the U.S. and No. 51–100 in the world) and linguistics (No. 22 in the U.S. and No. 61 in the world).

Ten additional subjects placed in the world’s top 2% (within top 500 in the world out of ):

  • English language and literature: No. 28 U.S., No. 101–150 world
  • Agriculture and forestry: No. 30 U.S., No. 151–200 world
  • Anthropology: No. 31 U.S., No. 101–200 world
  • Modern languages: No. 41 U.S., No. 251–300 world
  • Environmental sciences: No. 66 U.S., No. 351–400 world
  • Communication and media studies: No. 68 U.S., No. 251–275 world
  • Physics and astronomy: No. 70 U.S., No. 401–450 world
  • Education: No. 78 U.S., No. 351–400 world
  • Medicine: No. 99 U.S., No. 451–500 world
  • Biological sciences: No. 100 U.S., No. 451–500 world

“These rankings highlight the exceptional work and commitment of our faculty, students and staff,” UH Mānoa Interim Provost Vassilis L. Syrmos said. “They showcase the university’s global standing and reinforce that UH Mānoa offers outstanding educational opportunities and experiences for both our local community and those joining us from around the world.”

UH Mānoa was ranked in three broad subject areas and 14 narrow subject areas. The QS World University Rankings by Subject are calculated using five criteria: academic reputation (measures the reputation of institutions and their programs by asking academic experts to nominate universities based on their subject area of expertise), employer reputation (measures the reputation of institutions and their programs among employers), research citations per paper (measures the impact and quality of the scientific work done by institutions, on average per publication), H-index (measures both the productivity and impact of the published work of a scientist or scholar) and international research network (measure of an institution’s success in creating and sustaining research partnerships with institutions in other locations).

The 2026 edition of the rankings by global higher education analyst Quacquarelli Symonds analyzed the performance of more than 18,300 university programs, taken by students at more than 1,700 universities in 100 locations around the world.

Other rankings

UH Mānoa also received these notable rankings:

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鶹ýmedical students deliver care to flood-hit North Shore /news/2026/03/24/jabsom-mobile-clinic-in-waialua/ Tue, 24 Mar 2026 23:34:11 +0000 /news/?p=231199 JABSOM students provide free medical care to North Shore communities impacted by flooding and limited access.

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H.O.M.E. Project Clinic in Waialua

In the wake of historic flooding on Oʻahu’s North Shore, University of 鶹ý at ԴDz (JABSOM) students continue to provide care where it’s urgently needed. On March 23, JABSOM’s Houseless Outreach and Medical Education (H.O.M.E.) Project—a student-run initiative that provides free healthcare to unsheltered and underserved communities—set up an on-site clinic at Waialua Elementary, treating 25 patients with a team of 16 student volunteers under the guidance of faculty.

“We’ve been seeing a wide range of patients. We’ve seen a fair amount with wounds and infections, probably from the storm water,” said Jill Omori, H.O.M.E. Project director.

Other patients sought care for back pain, joint pain and eye infections, conditions that can worsen when access to routine care is disrupted.

“We also saw people with GI (gastrointestinal) problems because of the contaminated water, but also just regular medical issues like hypertension or diabetes that still need to be controlled,” Omori said.

Student dedication and rural health disparities

The clinic weaves hands-on care into the JABSOM curriculum, but Omori said the majority of the students today came on their own time.

H.O.M.E. Project Clinic in Waialua

“A lot of times, the students come down to the North Shore and do service projects here and there,” Omori said. “But something like this really hits home for them. It’s really nice for them to be able to give back to the community this way.”

Second-year medical student Michael Ajimura saw that impact firsthand.

“A lot of people weren’t able to get care because of the past few days of flooding, as well as those who were injured helping out or because of the flooding,” Ajimura said. “Just being able to help them has been really rewarding. When we say that we care for the community, it’s everyone. Being out here is fulfilling, and it’s something a lot of the students are more than willing to do.”

The response also highlighted the broader issue of rural health in 鶹ý, which is exacerbated during a disaster.

“Rural health doesn’t just mean the neighbor islands,” Omori said. “Waialua is a great example of a rural community right here on Oʻahu. They have some of the same problems that other rural communities have, even without storms. I think it just emphasizes some of the rural health disparities and the need for more equitable care.”

As recovery continues on the North Shore, JABSOM’s H.O.M.E. Project plans to hold a pop-up clinic every day during the week of March 23. They will either be at Waialua District Park or at Haleiwa Beach Park. .

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H.O.M.E. Project Clinic in Waialua

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Red Hill fuel leak follow-up urges careful documentation, ongoing care, registry participation /news/2026/03/24/red-hill-nasem-report/ Tue, 24 Mar 2026 21:07:47 +0000 /news/?p=231189 The report examined health risks tied to leaks of JP-5 fuel from the Red Hill Bulk Fuel Storage Facility.

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tap water

A new (NASEM) is urging clinicians to prioritize ongoing symptom evaluation and continuity of care for individuals potentially exposed to jet fuel contaminated drinking water on Oʻahu in 2021.

The report examined health risks tied to leaks of JP-5 fuel from the Red Hill Bulk Fuel Storage Facility that affected the water supply serving Joint Base Pearl Harbor-Hickam and nearby communities. As many as 93,000 people may have been exposed to the jet fuel through drinking water, inhalation of vapors or skin contact.

University of 鶹ý at Mānoa (JABSOM) Dean Emeritus Jerris R. Hedges, JABSOM Chair and Professor Joseph Keaweʻaimoku Kaholokula, JABSOM graduate and clinical faculty member Marcus Kawika Iwane, and JABSOM graduate and UH West Oʻahu Professor Ricardo Custodio served on the 16-member multi-disciplinary National Academies “committee on the clinical follow-up and care for those impacted by the JP-5 releases at Red Hill,” which authored this report. UH Mānoa Professor of Public Health Sciences Catherine Pirkle and Assistant Professor Aurora Kagawa-Viviani served on the multi-disciplinary peer-review team.

Key NASEM report findings

Researchers found limited evidence linking exposure to short-term respiratory, gastrointestinal, skin and mental health symptoms. However, data remains insufficient to determine specific long-term health effects, and no validated medical tests exist to confirm past exposure or the extent of exposure. As a result, the report recommends clinicians carefully document patient histories and symptoms while ensuring ongoing, patient-centered care.

The report also calls for expanded research and improved environmental monitoring to better understand exposure levels and potential health outcomes. Recommendations include developing biomarkers to detect jet fuel exposure, standardizing water testing methods and conducting long-term studies of exposed populations.

“This report highlights the importance of a registry to collect long-term health information to fill the gaps in truly understanding how JP-5 exposure may impact the community over time,” Kaholokula said. “The more people who enroll in the , the more impactful the research and information becomes.”

“Continued enrollment in the Red Hill Registry and similar programs is critical for future studies and research,” Hedges said. “Such registries will provide important additional knowledge related to the exposure, especially regarding potential long-term effects on women and children.”

The report further highlights the need for improved coordination among federal, state and local agencies to ensure drinking water safety and rebuild public trust following the contamination incident.

“The release of this report reminds families that even though we are removed in time from the May 2021 and November 2021 fuel spills, the voices of the individuals and families who lived through the water crisis are still being heard,” said Rosana “Sanie” Weldon, director of the Red Hill Registry. “By enrolling in the Red Hill Registry, whether you had symptoms or not, you help researchers establish accurate baseline data, detect even small health differences which may present years from now, and ensure that findings truly reflect the whole community.”

Red Hill registry table

Importance of Red Hill Registry

The Red Hill Registry aims to track health outcomes and provide resources and education for those who experienced jet fuel in their drinking water from the Red Hill Bulk Fuel Storage Facility. Based in the at UH, the registry has dozens of partners supporting the registry from across the UH System with technology infrastructure, data security, questionnaire integrity, clinical guidance, water science and more.

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