Question: is this a 2) strong advice, 1) weak advice 0) no advice?

Per the State-by-State Vision Screening Requirements posted on the website by the AAPOS (updated in 2011),39 Hawai‘i has no state policy on early childhood vision screening despite the report to the 24th legislature, State of Hawai‘i, 2008 prepared by the Department of Health which mentions improving vision screening for preschool and school-aged children as an area for further action 40. 
user
This is no advice
assistant