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Involvement in international activities is not new for Onaka. Before returning home in 1981 he worked for the U.S. National Academy of Sciences as a Research Associate in the Department of Epidemiology and Statistics at the Radiation Effects Research Foundation in Hiroshima, Japan for two years. Between 1974 and 1978 he worked for the U.S. Agency for International Development in Washington, D.C. from where he traveled to over 60 countries working on population and health projects mostly in the less developed countries of Africa, Latin America, the Middle East, and Asia.