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This paper presents Native Hawaiian cultural practices of prevention and mitigation of leptospirosis. Indigenous cultural practices are described. Relatively high prevalence of leptospirosis is found in Hawai'i. Standard diagnosis and treatment are outlined. Theories are offered of how it was introduced to the Hawaiian Islands.We used data from the Surveillance, Epidemiology, and End Results Program to examine trends in breast cancer treatment and survival among a large sample of American Indian and Alaska Native women diagnosed from 200
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