Ford Kuramoto, DSW, LCSW, national director of the National Asian Pacific American Families Against Substance Abuse (
NAPAFASA) in Los Angeles, describes it as going from Pakistan up the globe into China, turning east to Korea, Japan, and parts of China, going south to Thailand, Indonesia, and Malaysia, and continuing into the Pacific to Guam and the six Pacific Island jurisdictions--American Samoa, the Federated States of Micronesia, Guam, the Marshall Islands, the Northern Mariana Islands, and Palau.