Hawaii Island Mayor Mitch Roth slowly returns to work after heart attack recovery Hawaii County Mayor Mitch Roth smiles as he slowly returns to working in office following a heart attack on Jan. 9. (Source: County of Hawaii) By HNN Staff | February 8, 2021 at 3:35 PM HST - Updated February 8 at 3:35 PM HONOLULU, Hawaii (HawaiiNewsNow) - Hawaii County Mayor Mitch Roth is slowly returning to the office following a heart attack last month. In the latest update provided Monday, county officials said doctors gave Roth clearance to return to work on a limited, part-time basis on Feb. 3. He’s been working from home on a minimal basis, and the county says he is expected to take on his full workload in the coming weeks.