Traditional local medicines in the republic of Palau and non-communicable diseases (NCD), signs of effectiveness.

ETHNOPHARMACOLOGICAL RELEVANCE: The aim of this survey was to describe which traditional medicines (TM) are most commonly used for non-communicable diseases (NCD - diabetes, hypertension related to excess weight and obesity) in Pacific islands and with what perceived effectiveness. NCD, especially prevalent in the Pacific, have been subject to many public health interventions, often with rather disappointing results. Innovative interventions are required; one hypothesis is that some local, traditional approaches may have been overlooked. MATERIALS AND METHODS: The method used was a retrospective treatment-outcome study in a nation-wide representative sample of the adult population (about 15,000 individuals) of the Republic of Palau, an archipelago of Micronesia. RESULTS: From 188 respondents (61% female, age 16-87, median 48,), 30 different plants were used, mostly self-prepared (69%), or from a traditional healer (18%). For excess weight, when comparing the two most frequent plants, Morinda citrifolia L. was associated with more adequate outcome than Phaleria nishidae Kaneh. (P=0.05). In case of diabetes, when comparing Phaleria nishidae (=Phaleria nisidai) and Morinda citrifolia, the former was statistically more often associated with the reported outcome "lower blood sugar" (P=0.01). CONCLUSIONS: Statistical association between a plant used and reported outcome is not a proof of effectiveness or safety, but it can help select plants of interest for further studies, e.g. through a reverse pharmacology process, in search of local products which may have a positive impact on population health

Palau's rare and threatened palm Ponapea palauensis (Arecaceae): Population density, distribution, and threat assessment

Ponapea palauensis Kaneh., a palm endemic to the Palau archipelago in the western Caroline Islands, has previously been reported to be threatened and in decline due to predation by two species of introduced parrots, Cactua galerita Lath, and Eclectus roratus P. L. S. Mull., and potential predation by introduced rats. Here we assess its threatened status under the IUCN Red List Criteria and provide the first quantitative assessment of its population size. A complete distribution map is also provided establishing its total area of occupancy and maximum extent of occurrence. We find that the species qualifies for a minimum of Vulnerable status on the IUCN Red List, and it potentially qualifies for Critically Endangered status pending confirmation of a continuous population decline. Historical records of predation on the palms by parrots are consistent with current observations indicating that the species is threatened and in need of a management plan for conservation action and long-term monitoring of the stability of the extant population.Craig M. Costion, Ann Hillmann-Kitalong, Steve Perlman, and Will Edward

Using the ancient past for establishing current threat in poorly inventoried regions

The need for a global priority list for threatened plants has been widely recognized by the conservation community, yet the threatened status of the majority of the world’s plants species remains poorly known. This is especially true in the tropics and the oceanic islands of the Pacific, where progress towards the targets of the Global Strategy for Plant Conservation (GSPC) 2011–2020 is hindered by the paucity of complete species distribution data. Here we outline a new methodology to undertake threatened species assessments where detailed contemporary population data is lacking. This new interdisciplinary methodology draws upon the synthesis of archaeological and botanical data to calculate a percentage of long-term decline in habitat quality. We use this method to assess the threatened status of the endemic flora of Palau, Micronesia, a Pacific island nation known for its high levels of plant diversity and endemism, by utilizing data extending back to human colonization of the archipelago. For Palau, we calculate the percentage of a long-term decline in habitat quality to be 31–39% of the total available range of 55% of the endemic plant species. These data are also used to address a long debated question in the western Pacific: Are the origins of the savanna vegetation anthropogenic? Strong evidence for anthropogenic savannas in Micronesia support the estimated extent of historic deforestation in Palau. This new method worked well in our case study, and can be used in other locations with incomplete species distribution data to establish a first basis for conservation prioritization.Craig M. Costion, Jolie Liston, Ann H. Kitalong, Akiko Iida, Andrew J. Low