FSM Department of Health and Social Affairs

The FSM Delegation joins the 76th Session of the World Health Organization (WHO) Regional Committee for the Western Pacific (RCM76) in Nadi, Fiji

NADI, Fiji— On October 20-25, 2025, the Federated States of Micronesia participated in the 76th Session of the World Health Organization (WHO) Regional Committee Meeting (RCM76) held in Nadi, Fiji. Bringing delegations from across the Asia and Pacific region, this year’s session focused on the ways to foster resilient, equitable, and people-centered health systems that address key issues in our region, including the impacts of climate change, the rising rates of noncommunicable diseases (NCDs), and digital transformation in the Western Pacific Region.

FSM underscored the importance of strong regional partnerships to ensure that all Pacific communities, no matter how remote or small, have access to quality and sustainable health services. The delegation highlighted key national initiatives in areas such as telepathy, clean water initiatives, and early warning detection and warning systems for disease outbreaks, reaffirming FSM’s commitment to innovation and health equity.

On the margins of RCM76, Secretary Marcus Samo, met with Fiji’s Minister for Health and Medical Services, Hon. Dr. Ratu Lalabalau, to seek support for FSM medical graduates to undertake medical internships in Fiji. Secretary Samo reaffirmed the value of continued collaboration with Fiji’s health sector in strengthening FSM’s health workforce and the two acknowledged the longstanding relationship between our nations. Both sides agreed to work together through a Memorandum of Understanding (MOU) to ensure FSM medical graduates are given opportunity in Fiji’s internship program.

The FSM delegation also paid a courtesy visit to the Fiji National University (FNU), meeting with Vice-Chancellor Professor Unaisi Nabobo-Baba, Dean Dr. Amelia Turagabeci, and Dr. Mai Perman, a FSM national on the faculty. Secretary Samo expressed appreciation for FNU’s continued support and reaffirmed FSM’s commitment to investing in its youth pursuing medical education in Fiji, recognizing them as the foundation of FSM’s future healthcare system and cornerstone of FSM’s national health resilience vision. Secretary Samo extended an invitation to FNU to support FSM in developing its internship program modeled after Fiji’s Internship Program.

The FSM Delegation also met with the Secretary of Health from the Philippines, Dr. Teodoro Herbosa, and the Director of Health Sector of the Asian Development Bank, Dr. Eduardo Banzon. In the meeting with Secretary Herbosa, the two Secretaries affirmed their willingness to collaborate in the area of specialized medical care and health workforce development and specialized training. In the meeting with the ADB, the two health leaders discussed and agreed to explore technical cooperation in primary health care development and training of critical health workforce, with special focus on gender related needs and issues.

Secretary Samo met with FSM medical students to discuss the challenges they face while studying abroad, emphasizing the nation’s urgent need for doctors and health professionals. Students spoke candidly about academic difficulties and, in particular, their concern over receiving formal internship and medical rotations upon returning home to FSM. This concern highlighted the need for a formal medical internship program in the FSM. The FSM delegation reaffirmed its commitment to addressing this gap to ensure FSM’s returning graduates are fully equipped to take up the posts critically needed at home.

Guided by the vision of a healthy, resilient nation where every citizen has equitable access to quality healthcare, the FSM’s participation in this year’s RCM76 acknowledges that it is through strengthened partnerships, investment in youth, and enhanced innovation in health systems that we can achieve a healthier, prosperous future for the nation.

The FSM delegation was led by T.H. Marcus Samo, Secretary of the Department of Health and Social Affairs (DHHS); joined by Dr. Joanes Sarofalpiy, Director for Non-Communicable Disease; Ms. Resel Elias, Director for National Pharmaceuticals & Medical License; Mr. Scott Mori, Chief Operating Officer; Mr. Augustus Elias, System Network Manager, Ms. Fancelyn P. Solomon, Financial Specialist, Mr. Saimone Vameau, Histopathology technician; and Ms. Chandra Legdesog, Deputy Chief of Mission of the FSM Mission in Suva, as Alternate Head of Delegation.

WHO Provides Leprosy Medicines and Respiratory Virus Testing Supplies to Federated States of Micronesia as Part of Ongoing Public Health Support

As part of its ongoing support to Member States, the World Health Organization (WHO) has provided the Federated States of Micronesia (FSM) Department of Health and Social Affairs (DHSA) with its annual supply of Multidrug Therapy (MDT) medicines for leprosy. In addition, WHO handed over GeneXpert Flu/SC2/RSV cartridges: advanced diagnostic tools that enable simultaneous testing for influenza, SARS-CoV-2, and respiratory syncytial virus (RSV). These life-saving medications will be distributed across FSM’s four states: Yap, Chuuk, Pohnpei, and Kosrae, to ensure timely treatment and support for individuals affected by leprosy.

The donation was officially received by the Acting Secretary on behalf of DHSA, during a brief handover ceremony held in Pohnpei. Representing WHO was Dr. Sam Fullman, who reaffirmed WHO’s commitment to supporting FSM’s efforts to eliminate neglected tropical diseases and strengthen disease surveillance and response capacity.

Leprosy, also known as Hansen’s disease, is a chronic infectious disease caused by Mycobacterium leprae. It primarily affects the skin, peripheral nerves, and eyes, and if left untreated, can lead to permanent disabilities. However, leprosy is curable, and early treatment with MDT can prevent disability and halt transmission.

FSM has made commendable progress in reducing the burden of leprosy, but continued vigilance is essential. The donated medicines will strengthen the country’s capacity to detect and treat cases early, especially in remote communities where access to healthcare can be limited. The Mpox cartridges will further enhance FSM’s ability to respond to emerging health threats through rapid and accurate testing.

“This donation from WHO is more than just medicine and laboratory supplies; it’s a symbol of solidarity and shared commitment to health equity,” said T.H. Kasinda Ludwig, Acting Secretary, Department of Health and Social Affairs, FSM. “With these new treatments and testing supplies, we are better equipped to serve our communities in Yap, Chuuk, Pohnpei, and Kosrae. It means we can ensure diseases like leprosy aren’t just managed but are on the path to being eliminated from our islands. Our new multiplex PCR capabilities, like the GeneXpert for Flu, COVID-19, and RSV, allow for rapid, accurate diagnosis. This is critical for early outbreak containment, helping to reduce the rate of severe clinical presentations and the overall strain on our healthcare system.”

“Leprosy is curable, and no one should suffer its consequences in silence,” said Dr. Roderico Ofrin, WHO Representative. “By supporting FSM with these essential medicines and diagnostic tools, we are reinforcing our partnership and helping ensure that even the most remote communities have access to timely and effective care.”

This donation reflects the strong collaboration between the FSM Department of Health and Social Affairs and the World Health Organization. It supports FSM’s efforts to eliminate leprosy and strengthen disease surveillance, while aligning with WHO’s Global Leprosy Strategy 2021–2030, which envisions zero disease, zero disability, and zero discrimination. Together, FSM and WHO are working toward a healthier future for all communities across the Pacific.

FSM 10th Women’s Conference highlights gender as national priority for FSM

Weno, Chuuk FSM — September 29 to October 3, 2025 — The Vice President of FSM, The Honorable Aren B. Palik recognized women’s resilience and essential role in shaping the nation’s progress. ‘FSM is ongoing committed to advancing gender equality,’ he stated in his keynote address. He also highlighted the need to dismantle systemic barriers, challenge social norms, and create opportunities for women and girls.

The Federated States of Micronesia successfully convened its 10th National Women’s Conference from September 29 – October 3. The Conference theme is ‘Kieki,’ a Chuukese word meaning “woven mat,” symbolizing the strength, unity, and interconnected efforts of women across FSM and beyond. The Conference is held every two years and is a platform for dialogue between women, civil society organizations, and national and state governments.

About 500 mostly women and men from all four states gathered to celebrate achievements, exchange ideas, and chart a path toward gender equality and community resilience to improve the lives and wellbeing of families and communities in FSM. Development partners and diplomatic representatives were also at the event.

In his opening remarks, Chuuk Governor Honorable Alexander Narruhn praised Chuuk’s contributions to gender equality and socio-economic development, and thanked the FSM Women’s Council, delegates, and government for selecting Chuuk as the host, highlighting its rich culture and hospitality. He also called for support regarding the oil spill from WWII wrecks, which has led to a declared State of Emergency.

Senator Dr. Perpetua Sappa Konman, Chair of the FSM Congress Committee on Health and Social Affairs, emphasized the cultural importance of “Kieki” as a call for unity, love, and respect. She paid tribute to pioneering women leaders, including the late Kiki Bill Stinnet and Shinobu Mailo Paul.

On the sides of the Conference, the Vice President Palik, the Second Lady, Congresswoman Dr. Abello Alfonso and conference participants visited Xavier High School students. The Vice President encouraged the students to take their education seriously as a foundation for their future, and the Congresswoman shared her inspiring journey from Xavier High School to her career as a physician and politician, motivating students to pursue their ambitions.

The Conference ended on a high with Heads of State Delegations signing an Outcomes Document with recommendations on empowering women through culture, women’s economic empowerment, education, and leadership, women’s health and gender-based violence (GBV), and women and climate change. A resolution of appreciation was also signed.

The FSM Department of Health and Social Affairs will serve as the conference secretariat, supporting the implementation of these commitments and preparations for the next national women’s conference scheduled in 2027. Pohnpei State will host the next Conference in 2027.

FSM National Communicable Diseases Unit Convenes 6th Program Collaboration and Service Integration (PCSI) Meeting in Chuuk

Weno, Chuuk — Immediately following the successful conclusion of the 10th FSM Women’s Conference, the FSM National Communicable Diseases (CD) Unit convened its 6th Program Collaboration and Service Integration (PCSI) Meeting October 6-10, 2025 at the L5 Conference Room in Chuuk.

The week-long meeting brought together National and State-level staff from the Tuberculosis (TB), and Human Immunodeficiency Virus/Sexually Transmitted Infection (HIV/STI) Programs, and Viral Hepatitis, including program coordinators, laboratory managers, data clerks, and nurses from all four FSM states. Representatives from the Pacific Islands Health Officers Association (PIHOA) and fellows of the Pacific Public Health Fellowship Program (PPHFP) were also in attendance—underscoring the importance of partnership, mentorship, and capacity-building for FSM’s next generation of public health professionals.

Since the first PCSI meeting, FSM’s CD programs have achieved significant progress in improving data collection and reporting. Although Standard Operating Procedures (SOPs) are yet to be fully developed or updated, the programs have made notable strides toward digital transformation, standardizing reporting templates, improving data accuracy, and strengthening inter-program collaboration.

Throughout the week, both National and State programs presented updates highlighting key accomplishments, challenges, and action steps. Accomplishments included the completion of refresher trainings, expansion of public awareness activities, increased screening and treatment coverage, and stronger cross-program collaboration. However, persistent challenges remain—among them, shortages of program-dedicated physicians, confidentiality issues in managing TB/HIV/STI clients, weak contact tracing, and inaccurate inventory reporting. Moving forward, participants agreed on the need to develop unified SOPs and data systems between National and State levels, and to initiate regular capacity-building webinars to sustain staff development and program quality.

A major highlight of this year’s PCSI meeting was the active participation of laboratory personnel, including managers and technicians, who presented outcomes from their breakout sessions. Their inclusion—a first in PCSI history—marked a milestone in bridging long-standing data gaps between laboratory and program teams, reinforcing the “service integration” spirit of the meeting.

Another first for this year’s PCSI was the awarding of Participation and Completion Certificates to all attendees, recognizing their active involvement, dedication, and contribution to FSM’s

ongoing efforts to strengthen communicable disease programs nationwide. This new initiative not only celebrates individual achievement but also encourages continued engagement and excellence across all levels of public health service delivery.

Representatives from PIHOA and PPHFP also presented ongoing collaborative projects being implemented by fellows across the FSM, ranging from laboratory strengthening to disease surveillance and program support. PIHOA encouraged the health sector to consider hiring fellows upon completion of their fellowship, noting that they will be well-trained and ready to serve. National and State program teams commended the fellows for their commitment to advancing healthcare in their respective states.

To address delays in report submissions, a full session was dedicated to reviewing and clarifying program indicators and reporting definitions. National CD representatives presented the national indicators and standardized reporting templates used for departmental submissions, helping State program staff better understand reporting timelines, expectations, and the connection between their reports and national-level data.

The meeting concluded with a reception at Rachel’s Beach, celebrating the programs’ collective achievements and continued collaboration, followed by a team-building retreat at Pisiwi Island, which further strengthened inter-program relationships and morale.

The National Communicable Diseases Unit extends its sincere appreciation to the Chuuk Department of Health Services for their warm hospitality and logistical support. Participants closed the week with renewed commitment to applying lessons learned, strengthening systems, and continuing the shared mission of delivering quality health services for all the people of the FSM.

More Medical Teams from the Philippines to Provide Health Care in the FSM

In picture: Secretary Marcus Samo from the FSM and Secretary Teodoro J. Herbosa from the Philippines with their staff

MANILA, Philippines – October 10, 2025 – Further to the Memorandum of Understanding (MOU) between the Federated States of Micronesia (FSM) Department of Health and Social Affairs and the Republic of the Philippines Department of Health signed in November 2024 by their respective Secretaries, another commitment has been formalized that will deploy a Philippine medical team to Pohnpei State Hospital and expand cooperation across the FSM’s four states.

The Philippine medical team from Quirino Memorial Medical Center (QMMC) will deploy to Pohnpei State Hospital in November, following the successful two-week OB-GYN mission to Chuuk State in 2024. The Pohnpei deployment will include ENT specialists, internal medicine doctors, and specialized nursing staff to enhance medical services at the facility.

Dr. Jose Fabella Memorial Medical Center that sent a team last year will also return to Chuuk this year. “Our previous collaboration with the Philippine OB-GYN team in Chuuk State was so successful that we are expanding this model to serve more of our communities across the FSM. This partnership represents a new chapter in FSM healthcare cooperation,” said FSM Secretary Marcus Samo

The cooperation reflects the Philippines’ growing commitment to international medical diplomacy and regional healthcare leadership. The formalized partnership creates sustainable pathways for ongoing medical support and professional development between the two nations. Philippine Health Secretary Teodoro Herbosa emphasized the strategic importance of the partnership: “The Philippine healthcare professionals have always been at the forefront of international medical cooperation. This formalized partnership with FSM creates a sustainable model that strengthens healthcare delivery across Micronesian communities and demonstrates our commitment to our Pacific neighbors.”

In picture: Secretary Marcus Samo, Dr. Nick Santiago, and Mr. Kevin Tugruwfaimaw and management staff and team from Quirion Memorial Medical Center that will be deployed to Pohnpei State Hospital

Dr. Evelyn Victoria E. Reside, QMMC Medical Center Chief, noted: “We’re not just providing specialize medical services – we’re building lasting relationships and transferring knowledge that will strengthen healthcare systems across the FSM for years to come.”

The partnership includes plans for additional missions to Kosrae and Yap states to address the specific healthcare needs of each state hospital. The November deployments mark the beginning of what officials describe as a transformative approach to FSM healthcare cooperation, combining immediate medical intervention with sustainable capacity building.

Joining Secretary Samo on the trip were Dr. Nick Santiago, staff physician from Pohnpei State Hospital, and Mr. Kevin Tugruwfaimaw, Public Health Improvement Grant Evaluator.

WHO Representative Dr. Roderico Ofrin Pays Courtesy Call on Secretary Samo

On September 24, 2025, WHO Representative (WR) Dr. Roderico Ofrin paid a courtesy call on the Honorable Secretary Marcus Samo. The WR was accompanied by Mr. Wajid Shahid, WHO Partnerships & External Relations Support Officer. As his first official visit, Dr. Ofrin discussed ongoing collaborations and the continuing support provided by WHO to the FSM. Dr. Ofrin shared that he was very pleased with the timing of his arrival in the FSM, as it allowed him to participate in the 1st Pohnpei Health Symposium. He noted that the event gave him valuable insights into the health issues and priorities of Pohnpei State and the way forward in addressing them.

In their discussion on future collaboration in technical health matters, Secretary Samo shared with the WHO Representative the oil spill issue in Chuuk and its potential impact on health and requested WHO for technical guidance and information. In addition to his prior experience with WHO management, Dr. Ofrin is also an Emergency Room Physician and expressed his readiness to support the FSM by providing training opportunities for EMTs and other frontline health workers. Dr. Ofrin is serving as the WHO Representative for the Federated States of Micronesia, Palau, and the Republic of the Marshall Islands based in Pohnpei, FSM.

The FSM Department of Health and Social Affairs extends a warm welcome to Dr. Roderico Ofrin in his new post and looks forward to continued collaboration with WHO in advancing the nation’s health priorities.

The Federated States of Micronesia (FSM) stands better prepared to face future emergencies after WHO-led risk profiling and emergency surge workforce exercise

From 15–19 September 2025, the Federated States of Micronesia (FSM), in collaboration with the World Health Organization (WHO), hosted a five-day national workshop aimed at strengthening the country’s preparedness for health emergencies. The event included a three-day exercise to develop FSM’s national emergency risk profile, a one-day session focused on mapping and strengthening the emergency surge workforce, and a one-day training for national facilitators to lead future preparedness activities.

Over 25 participants—representing multi-sectoral agencies—worked to identify hazards facing the country, prioritize actions to mitigate risks and strengthen emergency workforce capacities. This multisectoral collaboration reflects the need for integrated action to better prepare for future emergencies that lie at the intersection of human, animal and environmental health.

 The workshop also emphasized the One Health approach, which recognizes that the health of people is closely connected to the health of animals and the environment. This focus directly responds to a priority identified by the FSM Government. Through group exercises and discussions, the workshop provided a valuable opportunity for FSM’s One Health coordination body to come together, share perspectives, and agree on practical next steps to strengthen collaboration across sectors. Participants worked together to identify health hazards specific to FSM’s unique contexts, laying the groundwork for a risk-informed national emergency plan.

To further drive home the importance of multi-hazard, multisectoral approaches to emergency preparedness, the workshop included analysis of the national emergency surge workforce to better understand enablers and constraints to scaling up a response.  Experts from health, disaster management, logistics, and security sectors came together to explore how their agencies can work more effectively together during complex emergencies. These cross-sector discussions clarified roles, strengthened partnerships, and identified practical ways to improve coordination, forming the foundation for a more unified and agile national response.

“This workshop was a vital step in strengthening FSM’s emergency preparedness,” said Mr. Sean Casey, Officer-in-Charge (OIC), WHO Country Office for Northern Micronesia “It introduced the Strategic Toolkit for Assessing Risks (STAR), a practical tool that helps countries identify, prioritize, and plan for hazards. By applying the STAR methodology in a collaborative setting, participants from across sectors were able to assess risks, clarify roles, and explore ways to improve coordination. This kind of structured, multisectoral engagement is essential for building a resilient response system that can act swiftly and effectively when emergencies arise.”

 “In FSM, our communities are spread across many islands, which can make emergency coordination challenging,” said Marcus Samo, Secretary of the Department of Health and Social Affairs. “That’s why bringing together voices from across sectors is so important. This workshop helped us connect, plan together, and build a stronger foundation for responding to future emergencies as one.”

This work was enabled with support from the Gates Foundation and the Institute of Philanthropy.

Yap Hosts 4th Annual FSM Digital Health Conference

Advancing Digital Health Technology to Transform Health Outcome

Yap, FSM – In its effort to improve access to and better health outcome, the FSM Department of Health and Social Affairs held its 4th Annual digital health conference in the State of Yap from September 1-5, 2025.  This is a significant milestone in its journey toward a digital health environment.  The weeklong event brought together key national and state stakeholders, global partners, and technical experts to align efforts, share challenges, and build actionable strategies around FSM’s digital health transformation.

Building on the themes of strategic alignment, infrastructure development, cybersecurity, capacity building, and action planning, this conference emphasized intergovernmental collaboration, capacity development, and the responsible advancement of digital health tools and policies.

Day 1: Opening & Strategic Alignment

The conference opened with a prayer by Fr. Rich McAuliff, SJ, followed by welcoming remarks from Director Theo Thinnifel, setting an optimistic tone grounded in Yapese hospitality and FSM’s vision for a modern and equitable health system.  Secretary Marcus Samo delivered the keynote address, articulating the FSM Department of Health and Social Affairs vision on digital health, which boils down to making the health work environment digitally user-friendly, modern, secure, and robust that advances access to health and better health outcome for all.  This vision is premised on an interoperable and resilient health system. This was complemented by a presentation from WHO Consultant Mr. Mugagga Malimbo, who introduced the WHO Digital Health Strategic Plan, showcasing its alignment with FSM’s national goals. Health Planner Joey Wichep outlined FSM’s health KPIs within the broader Sustainable Development Goals (SDGs) framework, stressing the importance of data-driven planning. Les De Wit, from the BES program, presented an overview of the Tamanu Electronic Medical Records System, detailing its phased implementation across FSM.  The afternoon featured state-level presentations from Kosrae, Chuuk, Yap, and Pohnpei, where IT and data teams candidly shared their unique challenges and opportunities, from workforce shortages to infrastructure gaps and data governance issues.


Day 2: Infrastructure & Network Upgrades

With a focus on building a digital health foundation, Day 2 began with a virtual session led by Nathan Bonnice from National ICT & Caedeus, mapping out the current network capacity across FSM. Assistant Secretary Edward Albert (TC&I) discussed the FSM Digital Project, addressing infrastructure goals to support evolving health services. A critical panel facilitated by SPC’s Dr. Rumanusina Maua and Dr Jeff Montgomery explored the intersection of Health Information Systems (HIS), Civil Registration and Vital Statistics (CRVS), climate change, and public health. The day closed with WHO Consultant Dr. Mugagga Malimbo leading a forward-looking discussion on vision alignment and goal setting, culminating in a multi-stakeholder panel with representatives from all FSM states reaffirming their commitment to a unified digital health future.

Day 3: Cybersecurity in Health Systems

As digital tools scale, FSM recognizes that trust and data security are foundational. Alex Wheatley (ASTHO) opened the day with a session on Data Quality and Modernization, covering policy standards and federal alignment.

Assistant Secretary Minoru Stephen and Security Specialist David Loyola from the Division of Cyber Security introduced cybersecurity essentials, highlighting threat mitigation and protection strategies tailored to FSM’s context.

In the afternoon, state IT managers presented real-life cybersecurity incidents, walked participants through risk assessments, and shared recovery frameworks—underscoring the urgent need for robust, localized security protocols.

Day 4: Consensus Building & Capacity Development

Dedicated to workforce development and collaboration, the fourth day opened with a virtual session led by Ms. Ursula Phoenix Weir (PHIG Branch Chief), who shared PHIG’s commitment to advance implementation and accomplishments in capacity building across FSM’s four states and the Pacific Region. Augustus Elias, FSM Health ICT Administrator, led a Skills Gap Analysis Workshop, identifying critical talent shortages, training needs, and potential partnerships to support FSM’s digital health workforce. The afternoon session, led by Mae Balderrama, focused on the FSM Health Lab’s HCLAB system, detailing SOPs, implementation updates, and the essential role of quality assurance in laboratory systems.

To provide first-hand experience of the challenges and success the health assistants are facing, a site visit to Ulithi and Fais was arranged for the FSM Secretary of Health & Social Affairs, Mr. Marcus Samo; the Yap Director Health Services, Mr. Theo Thinnifel; Consultant and former Director of Health Service in Chuuk, Dr. Bosco Buliche; and Chief Financial Officer of the FSM Department of Health and Social Affairs, Mr. Scott Mori. It was evident that the dispensaries on these islands need  renovation, water catchment system, reliable power supply, and communication system. With reliable Internet, medical consultation with doctors at Yap hospital will be possible, let alone regular training and access to online resources for continuing medical education.

Day 5: Action Planning & Closing

The final day brought the week’s work together in an engaging review of key themes and takeaways. Participants engaged in drafting state-level action plans with short-term goals and realistic timelines. Each state presented their tailored roadmap, reflecting local realities while aligned with the national framework.

The conference closed with remarks from the Secretary of the FSM Department of Health and Social Affairs, Mr. Marcus Samo, reminding participants that “Everyone in this room has a role in the digital health technology space; we are all stewards of applying health systems technology to improve health of the FSM people”.  Mr. Secretary highlighted a simple use of technology for telepathology to improve diagnostics in real-time between FSM and Japan.  Mr. Augustus Elias expressed gratitude to all participants for their continued collaboration and announced preparations for next year’s gathering.

Signifying the importance of Internet connectivity for health, the FSM Department of Health had the opportunity to handover 5 Starlink units to the Yap Director of Health of Services to be used for the dispensaries that have power (electricity or solar).  The other states will also receive some Starlink units.

The conference celebrations culminated in a cultural reception hosted at Pine Bar, featuring an opening prayer by Fr. Rich McAuliff, SJ, and farewell remarks by Theo Thinnifel. FSM Secretary Marcus Samo offered special remarks, applauding the week’s progress and reaffirming national support for digital transformation. The evening featured traditional dances from Gagil (Ladies) and Rumung (Men), gift presentations, and an open remarks session where consultants and state delegations reflected on the week’s achievements over dinner.

Successful 14th Biennial National Food Safety and Health Certification Training

KOSRAE, FSM – The 14th Biennial National Food Safety and Health Certification Training was held from August 22nd to 28th, 2025. This session included the A+ Food Safety Verification Services Consultant, Mr. Hans A. Buik, The National Environmental Health staff, state Sanitation and EPA representatives, as well as kitchen staff from Chuuk State Hospital. This event focused on enhancing food safety knowledge among food inspectors at both national and state levels across all four states. Participants gained valuable insights into the government’s role in regulatory controls and the importance of maintaining safe food practices.

During the training, inspectors learned to distinguish between safe and unsafe foods, the consequences of foodborne illnesses, and the risks associated with various food types and businesses. A risk-based approach to food safety was emphasized, alongside the introduction of the World Health Organization’s 5 Keys to Food Safety. The training also covered the seven principles of Hazard Analysis Critical Control Point (HACCP) and its prerequisite programs.

Furthermore, attendees explored the monitoring of food safety controls, the understanding of food safety legislation, and the significance of planning and conducting risk-based inspections. They learned about the requirements for becoming a verifier of HACCP plans, the importance of documentation in audits, and the proper use of thermometers for inspection purposes. This comprehensive approach ensured a thorough understanding of food safety standards and practices.

At the conclusion of the training, an examination was administered to assess the knowledge and understanding of the participants. The results demonstrated the training’s effectiveness, as 21 out of 30 participants passed the examination. The training was both successful and rewarding, as everyone returned home with more knowledge and friendships formed.

FSM Health Advisory: Measles Prevention & Vaccination Reminder

PALIKIR, Pohnpei—The FSM Department of Health and Social Affairs, in partnership with State Health Services, is monitoring the measles outbreak in the U.S. and advising residents to take preventive measures. Measles spreads through the air and is highly contagious.

While FSM has no reported cases, exposure overseas poses a risk. As of July 15, 2025, the U.S. CDC has reported 1,309 confirmed measles cases and three deaths among unvaccinated children.

Vaccination Coverage for 2 doses of Measles vaccine (Ages 13 Months to 4 Years) as of July 15, 2025

  • Pohnpei: 68%
  • Chuuk: 81%
  • Yap: 97%
  • Kosrae: 99%

Vaccination is the Best Protection: The CDC recommends the MMR (Measles, Mumps, and Rubella) vaccine:

  • Children: Two doses—first at 12 months, second between 13 months up to 6 years.
  • Students: Two doses, at least 28 days apart.
  • International travelers: Infants 6-11 months need one dose; older children and teens require two doses, at least 28 days apart.

Routine vaccines are available at no cost to families through the FSM State Immunization Programs.

FSM’s target coverage is 95%, and residents are urged to ensure children receive their full doses.

Measles Symptoms & Action Steps Early symptoms include high fever, cough, runny nose, and red, watery eyes. If measles is suspected:

  1. Isolate at home.
  2. Wear a mask if leaving home.
  3. Maintain good hygiene.
  4. Contact a healthcare provider.
  5. Follow medical guidance.

The FSM Health Department urges all residents to stay vigilant and ensure vaccinations are up to date to protect children and the communities.