Rat lungworm disease, or neuroangiostrongyliasis, manifests with flu-like symptoms initially but can escalate to severe neurological issues. Hawaii Island is particularly affected, with cases often linked to accidental ingestion of contaminated snails or slugs. Kay Howe's son contracted the disease, resulting in a long hospital stay and significant life changes. Health advocates caution against consuming raw foods in Hawaii and emphasize proper washing techniques for vegetables to prevent infection. Experts discourage risky food choices like roadside smoothies unless the source is verified. Safety in food preparation is critical in tropical regions.
"Hawaii Island is really the epicenter of the disease for the entire country," Kay Howe told SFGATE. In late 2008, her son contracted the disease while living in the Puna District of Hawaii Island at the age of 23. He went into a coma and was in the hospital for months; it changed his life forever.
"Don't eat raw food in Hawaii," said Howe, who is even leery of restaurant safety protocols. "This is a tropical place. There's a parasite, and we advise to cook everything."
Franny Brewer, the program manager for the Big Island Invasive Species Committee, told SFGATE that she wouldn't recommend roadside smoothies with greens. "I know it's very popular. It's very healthy. But if you haven't been able to identify the origin of that food, it's better to err on the side of caution."
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