After four separate attempts to rein in the companies failed, an estimated 10,000 people marched through Honolulu’s Waikiki tourist district.
Credit: Christopher Pala for the Guardian

Pediatrician Carla Nelson remembers catching sight of the unusually pale newborn, then hearing an abnormal heartbeat through the stethoscope and thinking that something was terribly wrong.

The baby was born minutes before with a severe heart malformation that would require complex surgery. What worried her as she waited for the ambulance plane to take the infant from Waimea, on the island of Kauai, to the main children’s hospital in Honolulu, on another Hawaiian island, was that it was the fourth one shehad seen in three years.

In all of Waimea, there have been at least nine in five years, she says, shaking her head. That’s more than 10 times the national rate, according to analysis by local doctors.

Nelson, […]