Primitive koa finch viscosa") berries, as these were observed being eaten by other species in the genus. The primitive koa finch is believed to have gone extinct some time after Polynesians first arrived in Hawaii, however very little else is known about this species. Due to its early extinction it is only known from fossil remains. Other Hawaiian honeycreepers are known to have become extinct or very rare due to habitat loss, introduced predators and avian diseases. It is possible the extinction of the primitive koa finch also involved these factors. BirdLife International 2004. Himatione sanguinea. 2006 IUCN Red List of Threatened Species.
Nin Jiom Pei Pa Koa in 1962, and continue to manufacture and sell the product worldwide. "Pei pa koa" had annual sales of HK$350 million in 2014. A study at the China Academy of Traditional Chinese Medicine published in a 1994 article, "Pharmacological studies of nin jion pei pa koa", states that Nin Jiom Pei Pa Koa had significant cough relieving and sputum removing effects. In four acute or sub-acute inflammatory models, the anti-inflammatory effect was marked.." "Pei pa koa" is made up of a blend of herbal ingredients including the fritillary bulb ("Bulbus fritillariae cirrhosae", 川貝母), loquat leaf ("Eriobotrya japonica", 枇鈀葉), ladybell root ("Adenophora