Kauaʻi's annual Community Assessment for Public Health Emergency Response survey reveals valuable insights into the island's preparedness and resilience in the face of potential disasters. The 2026 survey, conducted door-to-door from June 15-19, collected data on Kauaʻi residents' health, well-being, and emergency plans. This comprehensive assessment, a validated tool developed by the U.S. Centers for Disease Control and Prevention, provides a snapshot of the community's readiness and highlights areas for improvement.
One of the key findings is the residents' preference for seeking public shelters during severe storms. As the storm category increases, the likelihood of households opting for public shelters rises significantly. This trend, however, shows no statistically significant changes since 2019, indicating a consistent pattern of behavior. The survey also reveals that the majority of households have an emergency communication plan and designated meeting places, ensuring better coordination during emergencies. Additionally, Kauaʻi residents have made progress in wildfire preparedness, with 70% implementing measures to protect their homes, compared to 60% in 2024.
In terms of health concerns, mosquito-borne diseases are a top priority for Kauaʻi residents. The majority of households are actively following the state Health Department's recommendation to reduce mosquito breeding by dumping standing water. This proactive approach is a positive step towards disease prevention. However, the survey also highlights a disparity in vaccine awareness and access. While a majority of households recognize the importance of staying up-to-date with vaccines, only 41% are aware of the availability of Naloxone, a life-saving medication for opioid overdoses, which is offered for free on the island.
The survey also sheds light on financial barriers to healthcare. Despite having regular access to healthcare providers, 14% of Kauaʻi households reported delaying or skipping medical care due to affordability issues. This finding underscores the need for improved healthcare accessibility and financial support for vulnerable residents. Furthermore, food insecurity is a concern for 20% of households, with 17% relying on government programs or charitable organizations for food assistance.
The Kauaʻi District Health Office and partner agencies have played a crucial role in this survey, training over 150 staff members and volunteers in the methodology over the past nine years. This annual assessment not only strengthens the office's capacity but also raises local awareness of available services. The collaboration with the Hawaiʻi Department of Health has further expanded this capability statewide, building on the success of the Hawaiʻi Island Community Assessment for Public Health Emergency Response survey conducted in May 2025.
In conclusion, the 2026 Community Assessment for Public Health Emergency Response survey provides a comprehensive understanding of Kauaʻi's preparedness and resilience. While the island has made significant progress in certain areas, there are still gaps to address, such as vaccine awareness and healthcare accessibility. By analyzing these findings, the Kauaʻi District Health Office can continue to enhance its programs and initiatives, ensuring the well-being and safety of the community in the face of potential emergencies.
