ORGANIZATIONAL BACKGROUND. PIHOA’s mission is to improve the health and well-being of the USAPI by providing,  through consensus, a unified credible voice on health issues of regional significance. Established in 1986, the Pacific Island Health Officers Association (PIHOA) represents the collective health interests of the U.S. Affiliated Pacific Islands (USAPIs), which include American Samoa, Commonwealth of the Northern Mariana Islands (CNMI),  Federated States of Micronesia (FSM), Guam, Republic of the Marshall Islands (RMI), and the Republic of Palau (ROP). Operating as an independent nonprofit organization with headquarters in Honolulu, Hawaii, and a field office in Hagåtña, Guam,  P