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In an already challenging environment, the Western diet has introduced noncommunicable diseases (NCD) such as diabetes and cardiovascular disease to the Pacific Islands (PIC). Without modern medicine, many of these regions, including Melanesia, Micronesia, and Polynesia are ill equipped to handle the long-term effects of these noncommunicable diseases. A high percentage of the Pacific Island population is obese and overweight; and the Islands are struggling to combat the epidemic. Many programs and proposals have been implemented, such as changes in trade policy, local activism, and government modifications, but there has been no evidence of a decline in noncommunicable diseases. There is still a significant amount to be done. I argue that culturally relevant approaches in the Pacific Islands, modeled after a Native American program, could prove to be an effective solution to positive dietary changes. Introduction: Europeans colonized the Pacific Islands first, followed by the Japanese; after World War II the United States occupied the islands. Today, only American Samoa is a U.S. territory. Many islands are now independent, and some, such as, American Samoa and the French Polynesia Islands, are still territories of foreign countries. Due to foreign occupation, there has been significant change in the Pacific Island's diet over the last fifty years. As the islands modernized and started developing urban areas, the diet of the people shifted. Instead of eating traditional foods, the islanders turned to cheap imported, processed foods that were high in fats and carbohydrates. The link between

The Western diet's negative impact on the health of the Pacific Islands.