ʻO kēia ʻatikala, i kākau ʻia e ka IAOMT a paʻi ʻia e ka Children's Health Defense i Ianuali 2018, e wehewehe ana i ka pōʻino e hiki mai ana i kēia subpopulation susceptible.  E heluhelu i ka ʻatikala holoʻokoʻa ma Pale Kaua Ola Kamaliʻi.