OPEN LETTER B Hawai’i, September 2020 FROM: The Hawai’i Healthcare Provider Community TO: The Honorable David Ige, Governor of the State of Hawai’i The Honorable Josh Green, Lieutenant Governor of the State of Hawai’i Major General Kenneth Hara, Adjutant General, Department of Defense, State of Hawai'i Department of Health, State of Hawai'i; Ron Kouchi, President of the State Senate; J. Kalani English, Majority Leader Kurt Fevella, Minority Leader; Scott Saiki, Speaker of the State House of Representatives The Honorable Mayor Kirk Caldwell (Honolulu); The Honorable Mayor Michael Victorino (Maui) The Honorable Mayor Harry Kim (Hawai’i); The Honorable Mayor Derek S.K. Kawakami (Kauai) Hawai'i faces the most urgent public health crisis in at least a hundred years. It is imperative that we come together as a community and make critical decisions to reduce the threat COVID-19 poses to the health and lives of our citizens. We understand the difficulty in reaching sustainable, successful strategies for eliminating COVID-19, while meeting real community needs and opening up our economy. Our Hawai’i healthcare provider community would like to lend a voice to our leaders, as we humbly propose what we consider to be priorities with life or death implications. We are fortunate to have New Zealand as an example, where “national leaders decisively switched from a mitigation strategy to an elimination strategy...combating the pandemic as the work of a unified ‘team of 5 million’.” (“Successful Elimination of Covid-19 Transmission in New Zealand”, August, 7, 2020; New England Journal of Medicine). Today, with the benefit of perspective gained from Hawai’i’s long months attempting mitigation practices, we urge our Hawai’i leadership to adopt a COVID-19 elimination strategy, which is truly the solution for Hawai’i’s economic recovery. These are our recommendations to eliminate COVID-19 in Hawai’i: 1. 2. 3. Strengthen Contact Tracing a. Activate and utilize all 450 trained contact tracers and Medical Reserve Corps (MRC) volunteers. Continue active recruiting and training of case investigators/contact tracers. b. Formalize relationships with community health workers and community health centers to assist with tracing. Incorporate community leaders, such as the Pacific Islander community leaders. c. Develop a protocol for training case investigators/contact tracers. Implement use of HIPAA-compliant platform, facilitating communication for contact tracers. Provide contact tracers with electronic devices, forms, and tools they need to work effectively. d. Implement a voluntary, privacy protected and secured, app-based technology that allows for instant notification of close COVID+ contacts as soon as possible. Anonymity and data privacy are key priorities. COVID-19 Testing a. Purchase additional equipment and materials for COVID-19 testing in Hawai’i, with the goal of becoming self-sustainable in Hawai’i. We have identified and vetted vendors and stand ready to assist you with our recommendations. Also be aggressive about implementing the next generation of COVID-19 rapid testing. b. Implement routine testing for high risk groups (ie: hospitals; first responders; nursing homes; schools; airport; DOT; essential workers). Use a “Pooled Testing” method as available, followed by individualized PCR testing within COVID+ groups. c. Give attention to the opportunity of utilizing CARES act funding. Public Guidance a. Require mask-wearing, if unable to social distance 6+ feet when in the presence of non-household members. Enforce fines for non-compliance. b. Create a user-friendly online source with a simplified view of all current restrictions by county. To reduce public confusion, people should be able to select their location and access all updated public health orders. OPEN LETTER B Hawai’i, September 2020 FROM: The Hawai’i Healthcare Provider Community c. Use existing resources, such as community health center partners and local businesses, to launch a daily public education campaign reinforcing the 7 W’s (Wash hands, Wear a mask, Watch your distance, Wide open spaces, Wipe high touch surfaces, Wellness - stay home if you’re ill, WE are in this Together). Use all platforms, including social media, print/mail, electronic mail, visual signage, news media, and cable TV. 4. d. Minimize numbers of people in indoor and outdoor gatherings and enforce social distancing. Use scientific benchmarks as criteria for lifting restrictions. e. Be transparent with the public. Provide clear data on number of active contact tracers and dates, numbers and general locations of COVID+ exposures. Travel Requirements a. Ensure compliance with quarantine. Enhance quarantine compliance by using app-based technology as soon as available. Provide a written explanation of quarantine rules (translated as needed) to all arriving travelers. b. Encourage all incoming non-resident travelers to self-quarantine in a state approved quarantine hotel/lodging establishment or legal short-term rental facility. c. Work with representatives of Hawai'i’s hotel and lodging industry to establish state-wide COVID-19 safety standards for our hotel and lodging establishments. d. Adopt, at minimum, a two-step COVID-19 testing strategy for all travelers, including essential workers and returning residents. i. Encourage proof of a valid COVID-19 negative test, conducted by an authorized medical office, no less than 48 hours prior to departure. Travelers should be advised to stay home after the preflight test. ii. Encourage airlines to require mask-wearing during the entire flight. iii. Continue the requirement that all arriving persons must quarantine for 14 days. Quarantine only to be lifted with proof of a negative COVID-19 test, taken on island, 7 or more days after arrival. This should apply to persons of all ages. Consider the addition or substitution of other feasible test methods as they become available. Travel for essential workers: i. Encourage public/private employers to hire on-island workers to reduce frequency of travel. ii. Require an approval process for essential workers to break quarantine. Require documentation of: (1) Detailed “critical infrastructure function” and justification for need to break quarantine upon arrival, (2)Date of arrival and expected date of departure, (3) Workplace Name/address iii. Provide a written explanation of quarantine rules to essential workers upon arrival. Clearly indicate that the worker is not exempt from quarantine, other than to perform critical infrastructure functions. Require workers to wear appropriate PPE and follow safe practices while working. We must not allow essential workers to become an unaddressed gap in COVID-19 prevention measures. e. f. CONTINUED Review the following papers we support: “Prevention of Travel-related Reintroduction of COVID-19 Infection in the State of Hawai’i”, published by UHERO East-Center John A. Burns School of Medicine and “Plan for Safely Re-Opening Hawai’i: Kaua’i as a Model”. OPEN LETTER B Hawai’i, September 2020 FROM: The Hawai’i Healthcare Provider Community We, in Hawai’i, have the opportunity to become a “team of 1.4 million”, uniting to eliminate COVID-19. This letter embodies this sentiment, as it represents a unified effort between scientists, epidemiologists, nurses, physicians, dentists, public health workers, healthcare professionals, administrators, hotel/tourism representatives, economists, and teachers across the islands of Hawai’i (Moloka’i, Lana’i, Kaua’i, Hawai’i, O’ahu and Maui). We strongly advocate collaboration, and urge that state-wide decisions regarding COVID-19 reflect a solid consensus between state leaders and the health sciences advisory committees. Sincerely, Our Hawai’i Healthcare Community THE HICOVID TASK FORCE HAWAII PUBLIC HEALTH INSTITUTE (HIPHI) HAWAII MEDICAL ASSOCIATION (HMA) And over 500 additional supporters... AM,MA Management Grand Wailea Andrew Fox, MD Pediatrics Andrew Grandinetti, PhD Associate Prof/Epidemiology Aaron Williams, RN Anita Bascar, RN Acacia Awai Anjali Ohri, MD Adam Escobar Anne Aileen Tamura, MD Internal Medicine Aireen Yagyagan, RN TMSU/Oncology Aitulagi V. Tuiasosopo, MA Teacher Anne Uyeda, MA Antonia Ramirez, MA Education Alana Huck, RN Aoi Shinagawa Aleena Paragas, RN April Olsen, RN Alex Nelson, MEdT Alfred M Arensdorf, MD Alicia S Jacobson, MA Alicia Turlington, MD Alika Maunakea, PhD Allan Cunanan Allison Chun, PhD Allison Crha, RN, BSN Family Medicine Ashley Baldauf, DO Psychiatry & Child/Adolescent Psychiatry Ashley Domanay, RN, BSN, CCRN Elementary Upper Elmentary Ashley John, RN Pediatrics Ashley Maekawa, OD, FAAO Associate Professor Ashley Marie Tookes, RN Aya Kwong, BSN, RN, CCRN, College Lecturer VA-BC Emergency Department Nurse B Yamada, RN Teacher Retired teacher Family Medicine OB Allison Pereira, RN Barbara Bezdicek, MD Obstetrician-Gynecologist Alysha L., RN Bernadette Tiburcio, RN Bernard Meyer, MD, MSc, DTMH Physician community medicine Alyssa Ho, RN Amanda LeClere, RN Amber Corrales, MEd. Bilingual/ Multicultural Education ICU Amber Tyndzik Teacher Bill W Chang, ARCHITECT Public School Teacher Amy Martin, RN Amy Perruso, PhD Amy Walton Andrea Rodriguez Andrea Snow, MPH Andres Mariano, RN Andrew Barnes Representative, Hawaii State House Billy Craft, RN Boki Chung, DDS General Dentistry Brandon Cha Teacher Brandon T Shimabukuro, RN Operating Room Nurse Breanna Asam-Balicanta, RN Oncology Brenda Chase, MeDTech Army Veteran /Student/Homemaker/Parent Brenna Shackelford, MD CRRN Teacher Emergency Medicine Brett Kodish, MD Emergency Physician Brian R. Bianchin, RN CCRN, CSC Brian Rose, RN OPEN LETTER B Hawai’i, September 2020 FROM: The Hawai’i Healthcare Provider Community Bridget Baynes Hammerquist, JD, BSN Bryan Mih, MD MPH Connie H, RN Periop Crystal Sonson, RN Pediatric ICU Pediatrician Health Promotions Manager Cara P Flores, BS EET Cyd L. Hoffeld, CHT Executive Secretary, Pacific Science Association Cynthia McAnish ICU Cynthia Toth Advanced respiratory and Infectious diseaseDania RN Hiill, Masters in HALE Hawai'i community organizer Secondary Education cari forbes, RN EDNURSE Daniel Brandes, MD Emergency Medicine Caroline Encomienda, MA Teacher Daniel P Ross, RN Burke Burnett C.P, MSN, BSN, RN, CCRN Candace Silva, RN Caron Badis, RN Carrie Giordano, DO, FACOG Ob/Gyn Carrie Martinez, RN Caryn Fukuda, Maed Teacher Casey Joseph, RN Catherine Dichner Teacher Cathryn S Gonzalez Chad Taniguchi, JD Safe Streets Community Advocate Chanda Min, RN High School Teacher Dara Luangphinith, RN Intensive Care Darwin C Raquel, RN Telemetry david d derauf, MD MPH Executive Director KKV David J Weeks David Negaard Teacher David Picken, MD MPH Family and Preventative (Aerospace) Medicin Dawn Lyon, RN NICU Dayna Moore, BSN MRC Nurse Volunteer Dayva Escobar Chantelle, RN Telemetry Chantil Kealoha, RN Charlene Au, MPH, BSN, CNOR Oncology Infusion Operating Room Deborah Baumung, RN Deborah V. Anderson, M.Ed. in SpEd, M.L.I.S. NBCT Retired Labor & Delivery Librarianship/Learning Disabilities Dedania Tyau, RN TMSU, Oncology Charlene Pang, RN Denise Mazurik, JD Media Teacher Charles Hellam, LPN Denise Quinn, RN ER Education Cherilyn Harrison Teacher Diane Iwaoka, PhD Cheryl Alega, RN Critical Care RN Dianne Lim-Tam, MA, MPA Cheryl Borney, RN, BSN same day surgery Honolulu Firefighter Cheryl Villareal, MD Emergency Medicine Physician Dominic Badis Jr Donald E Harris, MS Biostatistics/Epidemiology Donella Yamaguchi, RN Ob/gyn, SCN Cheyl Lynn YT Miller, RN Chris Gaarder Christina Ma, RN Float Pool Christina Villanueva, RN Med-Surg/Tele CHRISTINE ANDRUS, MD Pediatrics/ retired Christine Chun, RN Christine Kim, MD Internal medicine + Pediatric Hospitalist Christine Lopez, RN RN-BC Christine m O'Brien, RN Christopher Raguindin-Yara, MA Chulee C Grove, MS, MPH Cielito Matias-Schwartz, MSN, RN Claudia Imperato, LMT,CNA Cleota Brown Clifton Dobson Donna Hano Edward T Ellenson Edwina Gosnell, RN Elisa M Junqueira Teacher Elizabeth Bush, APRN Psychiatric NP Elizabeth Favila, RN HOSPICE Elizabeth Fukuda, RN Elizabeth Godinez, RN, BSN Teacher Elizabeth Ranft, DO Professor (ret) Elizabeth Yee Emilio de Guia, RN, BSN RN Case Manager/ Neuro ICU Cindy Nawilis, MBA Clarice Smart State of Hawaii Health Dept Retiree ICU Staff Nurse Erik Kollist Erin Rayl, BSN, RN Health Educator Eugenia Cole, RN, CCRN F. DeWolfe Miller, MS. MPH, PhD, FACE Senior Labor Relations Specialist- Private Sector Fay Lindsey ER Emeritus Prof of Epidemiology School Health Assistant OPEN LETTER B Hawai’i, September 2020 FROM: The Hawai’i Healthcare Provider Community Forrest Batz, PharmD Frances Salvato, LMT Gabrielle Gouveia, RN, BSN, CCRN-I GAIL N. KANESHIROCARBONEL, RN Public Health Pharmacist Resource team Hospice CCU Gayle R Arakaki, RN Gemel Sagisi, RN Emergency Department Geoffrey Hajim, MA Gerald S. Murphy, MD Gina Wong, RN Glenn Takaki, Dds Glory Abad, RN Grace G Bantay, RN Optometrist Haley Agbayani Teacher Emerita professor, UHM Jeane Ruston Retired Medical Admin Jen Murthi, RN Realtor Broker Jen Williams, RN Jenna Sheehan, RN Critical Care Jennifer Kramer, M. Ed. Teacher Jennifer Lum Teacher Founder & Director, Maui Face Mask Project Executive Director RN/Neuro critical care Joan Kutzer, RN Joanne Kamei, RN Urgent care Joanne Luu EL Coordinator/Parttime Teacher Jody Dajay, RN CDU Joe Edwards, MBA Hotel General Manager Joelle Cabiara, RN, MSN Perioperative RN Johanna Kaupu Secondary English teacher John A H Tomoso+, MSW Episcopal Priest and Social Worker John Grove, BA, MS, PhD Professor Emeritus Jon M Portis, MD Ophthalmology Covid Virtual Clinic, Covid Urgent Care Jonathan Dworkin, MD Infectious Diseases AICU Jonna Zane, Ed.D Speech-Language Pathologist Joseph Humphry, MD Internal Medicine PICU Hilda Baroza Holly Lee Hope McKeen, MED, SPED certified Ed/peds Hyacinth M Lozada, RN Irah May Kelley, RN Jean Yamasaki Toyama, PhD Former Kaua'i mayor and council member Heidi Lea Imelda Leung, RN RN PACU JoAnn A. Yukimura, JD Heather Kimball HUI, RN Jayson Corrales, RN Jennifer Oberg Infectious Disease, Intern Med, Tropical Medicine Jesse Hollander, DMD Case Management Jesse Hutchison, PhD President of Premier dental group Hawai’i Jill Lowry ER Joan craft, RN Gregory Mueller, OD Heather Lynn Devaris, RN Pediatric Dentist Jen Tempchin Gary Pascua, RN Gayle Kojiro, RN Jason Ching, DDS J Torii jack chan, MD Emergency Medicine Josephine Hanta, RN Icu Jacqueline Salinas, RN Nicu Joshua Masslon, RN ICU Joy Cabonce, RN Jacquelyn Valencia, RN Jamela Casica, RN Hemodialysis Joy Que, RN James Raymond, Esq. Deputy Attorney General (Retired) Joyanne Galiza-Franco, MA Jamie Kawauchi Kupuna, Community Advocate Joyce Mitsunaga Jamie Oneha, RN Registered Nurse/Medsurg Juilenne Mateo, RN Patient Care Coordinator Jamie Stidger TEACHER Julia Herrington, NP-BC Adult & Geriatric Nurse Practitioner Jamie-Sue West Clinical Research Julian Lipsher, MPH Public Health Jan abigail Diego, RN Juliana Janalyn Kekawa, RN Charge Nurse/Obstetrica Jane Aquino Julie Kim, RN Urgent care JULIE LEWIS Julienne Imperial Campos, RN NICU Junariza Yago, RN O.R NURSE K. Leong, RN Registered Nurse Senior Citizen, Artist Janelle Ocot, RN Janet Martin, BSE Janette Wolff, RN Janice Morgan, RN Janine Arlidge Jasmine Waipa, MD Pediatrics Kai Duponte Telemetry/Med-Surg OPEN LETTER B Hawai’i, September 2020 FROM: The Hawai’i Healthcare Provider Community Kristen Lehua Dircks Ah Sam, MA Kohala Food Hub Director & Lecturer at Hawa Kristi Takaki, MD Physician kristine e oman, Ed.M. School and Mental Health Counselor Kai Matthes, MD, PhD Anesthesiology Kaichi, PhD, JD candidate Hua Kana Maeji, DO Kapono Chong-Hanssen, MD Family Medicine Karen Keesing, EdD Director of Library Services Kristy Colbert Resource Teacher Karly Kanehiro, MEdT Teacher Lance Whitney, MD Anesthesiologist Family Med, Med Director - Ho’ola Lahui Kristy Hawai’i/Kaua’i Chun, PT, DPT Community Physical Health therapist C Karri Ayasanonda, RN Lannie L. Domligan, RN Karuna Torres, RN, CCRN MICU Larry Geller Project Co-Director, GreenWheel Food Hub Kassia Atnip, RN BSN, RN, CCRN, SCRN, CNRN Laura Lapenes, RN Laurie Tanner, Highly qualified HI-CA Public School Teacher Registered Nurse Lee Altenberg, Ph.D. Theoretical Population Biologist Lee Evslin, MD Peds/Admin Kauai Covid Group Lee Krusa, MLA Landscape Architect Kate Deans, AGACNP-BC Kate Oertli, RN CCRN Katherine Percy, DO Emergency Medicine Kathleen E Tomasa, RN RN-BC Kathleen Myers, RN Kathleen Sheehan, Hha Home health aide Kathryn Jennings, RN, BSN Nurse KATHRYN REYES, RN Pediatric Nurse Kathryn Takara, RN ER staff nurse Kathy Lyn Rocha, RN Keiki Injury Prevention Coalition Telemetry Keiko Walford, RN Keith McCloskey, BSN, RN, CNN Nephrology Nurse Kelesia Perreira Educational Assistant Kelli Kaanaana, BA Kelly E. Duell, M.A., NBCT, M.A., NBCT Educator Kelly J Yeun, RN, BSN Wilcox Hospital RN Kelly Sugano Wedding Planner Kelly Sylva, RN MSN CCM Case Manager Educator Kenji Yamazaki, RN Kenneth B. Kepler, MD Internal Medicine Kenneth Fischer, OD Optometrist Keokeana Elaban Kevin S., MBA Hotel General Manager Kiana-Rae Vendetta, RBT Kim Binsted, PhD Professor Kim Rowley KIM TRAN CEO Kimathie Shook School Health Assistant II Kimberley Haines Kimberly Apo, RN Kira D Smith, RN, CNOR SDS Kourtnei Krishok, RN Advanced Medical-Surgical Kristen Anderson, MPH Education Lehuanani Peltier, RN Leigh Lasher, RNFA Surgery Leilani Kahoano, RN NICU/Perinatal/Pediatrics/Hospice Leilani Roberts Leilani Wright, CNOR, RNFA LeNore M Vincent, MEd. Leyna Dabrowski, RN, BSN, CNOR Liana Romana C. Arnobit, RNC Special Education Teacher Liann Sanerivi Special Education Teacher NICU Lianne Malepeai, RN Liewelyn Favis, RN Ligaya M Ricafrente, BSE/MAEd PCCN Lila Mower President, Kokua Council Linda J Weiner, MD Pediatrics Linda Shea M.H. Spec ret. Linda Tetor, MD Family Medicine Lindell Saelua, BSN RN/Neuro ICU Lindsey Borg, MA, BS Special Education Teacher, Server Lisa Dau, RN Injury Prevention Lisa Ho, Psy.D. Clinical Psychologist Lisa Rodrigues Lisa Splittstoesser, MD Internal Medicine Lisa Vegas, M.Ed. Liwayway Hattal, RN Lois Oku, RN NICU Lori DiRienzo, RN Staff Nurse Lorna Strand, MA Lucia Litchfield, RN Lucille Morelli-Vine OPEN LETTER B Hawai’i, September 2020 FROM: The Hawai’i Healthcare Provider Community Luree Ohigashi Oasay, MLIS Librarian, UH Sch of Medicine Michael Hershberger, RN Angio Lydia Brandes, RN ICU Michael Schwartz, MD Professor of Medicine, University of Washing Lynda von Tempsky, RN PACU Michael Tan, RN TMSU Lynn Higa, RN Lynn M Otaguro, MET, JD Michele A Van retired teacher, attorney M Ho, RN MA, RN Mae A, RN Telemetry Margaret Cheung, MD Ophthalmology Margarita Alo-Chu Maria Batol, MD family medicine Maria Elena Hill, MEd Sped Teacher Marian Lehn Huff, MEd Education Marieh Qureshi, RN Emergency Marieliese Ramirez, RN Dialysis Marilyn Requena Mark C Lum, MD Internal Medicine Mark Levin, J.D., LL.M. Professor of Law Mark Luppino, MD, MPH Mark Takaki, MD, MD Diagnostic Radiology Marlyn A Agarma, RN CWCN Marnie Honeycutt, LCSW MENTAL HEALTH Marta Derieg, MD Pediatrics Martin Winkler Mary K Montgomery, DO Emergency Medicine Physician Matthew Iannaccio Realtor Matthew Yarberry, BAT Teacher/ Social Studies, ELA May Rose Dela Cruz, DrPH Assistant Researcher Maya Maxym, MD PhD Peds Hospital Medicine Michelle Escobar Michelle Maramag, RN, BSN, CPAN RN/Perioperative/PostAnesthesia Mike, RN ER Mireille C. Ellsworth, MHR English Teacher Molly Palmer, APRN-Rx Prescriber/Psychiatry Mugs Ivanovich Mya Moe Hla, MD, PHD Psychiatry NANCY CHEN, MD OPHTHALMOLOGIST Nancy McMahon Nanna Lindberg, MSc PhD Scientist and teacher Naomi Burr, MD MPH Family Practice Naomi Calistro Napua Sumida, Education Education Assistant Nash Witten, MD Family Medicine Natalie Chien, DDS Dentist Natalie Jacob, RN Telemetry Natasha Ifuku, RN Nicole Yokotake, BSN, RN-BC Psychiatry Ofelia Opal Vanessa Buchthal, DrPH Rn Paola Pompl, APRN Hospitalist Patricia, RN MICU Patti Brummel Substitute teacher family medicine Megan Sakamoto-Chun, DO Family Medicine Paul T. Esaki, MD Paul Wermager, BPh, BSN, MLIS, MPH (Ret.) Melanie A Van Sickle, RN IV Therapy MC Lai, PhD Assistant professor Paulette N. Vasu, RNC Labor and Delivery Melissa Allshouse, RN Peggy Taylor, RN-C Labor and Delivery HPH Melissa Dawn Franklin Phaedra Robinson, PhD Special education Piper Selden, MA, MFA Pratisha Budhiraja, MS/ MPH Teacher Rachel Patrick, RN Critical Care Melissa Eisenhart, LMT Melissa Kahili-Heede, MLIS, MEd Melissa M.C. Sutherland, MSN APRN-Rx Licenced clinical massage therapist Melissa McKinney, DO Family Medicine Melody Hall Teacher Health sciences librarian Rajani Dhakhwa Morita Melody Lynn Hall, RN Merleene P Kirkland, PCNC Parent Community Network Coordinator Micah Licuanan, RN MichaÅ‚ Nowicki Michael D. Hershberger, RN Michael Donahue, RN research/ artist Hospice Randall Gammon, RN Emergency Raquel Chan-Ikeda, MD Medical Director Rasa Thom, RRT Respiratory therapist Rayna Pia, BSN, RN Case Manager Rebekah Alexander, RN Float pool nurse/COVID nurse Regina Carvalho, RN Rev. Brittani Alexander, Mdiv Chaplain OPEN LETTER B Hawai’i, September 2020 FROM: The Hawai’i Healthcare Provider Community Rev. Dennis Barger, MPH Health Promotion Shirley M Yamauchi, BA Public school educator Richard Akamine Educator Sonia Gupta, DDS Hospital Dentistry Richard F. Moore, RN Clinical Coordinator Richard Stange, B.Ed. & B.A. Teacher Rick Tabor, LMHC, CDDS Rinalynn Rose Orso, RN Stacey Kakowski, RN Stephanie Capllonch, CPSTI, AAHCC Ment Health Professional, Eldercare Specislist Stephanie Higa, RN Robert Hagebak, MD Anesthesiologist Robert S Coombes, RN Mr Robert S. Weiner, MD Surgery, Hospice and Palliative Medicine Rodney Choy, RN Pacu Rojealyn Keen, BSN, RN TMSU Roselyn, RN OR nurse Rosemarie Rawlins Rowena, RN Trauma Rupert Gregor Edra, RN Charge Nurse Emergency department Family Educator,Childbirth instructor,Child Pa Stephanie Yan, MD Stephen O'Neal, Economics and Psychology Degrees General, Trauma and Critical Care Surgeon Sumner La Croix, PhD Emeritus Professor, Economics Human Behavior Susan F Lau, RN Susan Frost Teacher Susan Pcola-Davis Susan T Lamb, RNC Suzanne Aina, MEd C&I and Educational Administration Grades K-12 Certified& Highly Qualified Teach Ruth Dorn, RN Suzanne Braun Ryan Uyechi, RN Sydney Ann Young, RN Advanced Respiratory and Infectious Disease Tamara Bexton, DMD Dentist Tammy Hornbeck, Teacher Special Education Tanya D, RN Med Surg/ Tele, Oncology, Infectious Disease Tanya Isaacs, RN Mental Health Tauna-Louise Ainslie, RN Crisis Nurse, ICU,Er/TRAUMA, Terri Koyanagi, MD Family Medicine/Geriatrics Tess, RN Rehabilitation Theodora M. Harrison, RN President, Vietnam Nurse Statue Campaign Ryan Watada, B.E.D Elementary Teacher Samantha Zepeda Silva, RN Santa Vargas, MEd Sarah “Mili― MiliantaLaffin Special Education Sarah Forsythe, RN ICU/Critical Care Teacher Sarah Hofstadter Sarah M., MA Manager Hilton Hawaiian Village Sarah Thom, RN ICU Sasha Tokuda, RN NICU Scott J Miscovich, MD Sean Hyum-Sung Plank, MSN APRN-Rx FNP-BC Nurse Practitioner Seema Misra, MD Seiji Yamada, MD, MPH Selina Chen, MD, MPH Serena S Okita, RN Serina Souza Theresa Yee, RN President and Founder Premier Medical Group Hawaii Thomas Bacon Emergency Medicine Physician Tiffanie Johnson, RN ICU Tiffany Gollero, RN Tim Brown, PhD Professor, Family Medicine & Community Health Tina Stewart, JD Hospitalist Tina Wildberger Medical ICU Tiyana Fernandez, PMA Registered Behavioral Technician (Retired) Shannon Kaaa Shannon Matson Sharon Gottfried, VMD, DACVS Sharon Latkovich Valente, PhD Theresa Kelly, RN Senior Fellow/Researcher Maui Representative Tobi Hoff, RN Todd Miller, MD Veterinary Surgeon Tom Bacon Tom Kowalick, MSPT Physical therapist Assessment, Evaluation, & Accreditation; Mother Tracey of au,a Beo Special Needs son in K-12 Shauna Fujita, RN Trina Mitchell, RN Shelly Marcello-Vina, BEO Independent Cosmetologist/Hair Stylist valerie kulesa Sheri Ka’ae, RN RN Case Manager Vickie Parker Kam, M. Ed Sherilyn Fernandez, RN Victoria Amaro Sherilyn Lonng, RN Sheryl R Yoshimura, MPH, RD Vijak Ayasanonda, md Virginia "Ginny" Tanji, MSLS, MEd Program Coordinator hospital based staff nurse Educator emergency medicine Librarian Emerita, UH School of Medicine OPEN LETTER B Hawai’i, September 2020 FROM: The Hawai’i Healthcare Provider Community Virginia Nazareno, RN Dialysis Anonymous, PharmD Virginia Wendehorst, BS Special education teacher Anonymous, RN Med surg Vivien Tham, MD Ophthalmology Anonymous, RN Med surg Walter Corpuz, RN Vascular Access Service Anonymous, RN Med surg Anonymous, RN Telemetry & Med-Surge Med/surge Wendy Shyer Sayles, BSN Wendy Wells, MA Teacher Anonymous, RN William J King, PhD, MPH Political Scientist (ret) Anonymous, RN Yan Yan Leung, RN Anonymous, RN Yan-Yan Cho, RN Anonymous, RN Yvette Chang, RN Anonymous, RN Yvonne Lum, MD Dr/Internal Medicine Anonymous, RN Zachary T Johnson, RN Registered Nurse Case Manager Anonymous, RN Anonymous Respiratory Sales Anonymous, RN Nephrology Anonymous Anonymous, RN Anonymous Anonymous, RN Anonymous Anonymous, RN Anonymous Anonymous, RN Anonymous Anonymous, RN Anonymous Anonymous, RN Anonymous Anonymous, RN Anonymous Anonymous, RN Anonymous Anonymous, RN Anonymous Anonymous, RN Medical Surgical nurse Anonymous Anonymous, RN ED Trauma RN Anonymous Anonymous, RN Anonymous Anonymous, RN Anonymous Anonymous, RN Anonymous Anonymous, RN Surgery Anonymous Anonymous, RN, BSN Perioperative/Postoperative Anonymous Anonymous Anonymous Anonymous Anonymous Anonymous Anonymous, LMFT Anonymous, MD Anonymous, MD Medical Anonymous, MD Physician Anonymous, MD Anonymous, MD Anonymous, MD Surgeon Anonymous, MD Physician Anonymous, MEd Anonymous, MS Animal Science Teacher Educator Med-surg Staff RN Emergency Room RN Rn Emergency Department