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Tourist hotspot named the ‘epicenter’ of parasitic brain disease

The Waikiki area of Honolulu, Hawaii
The Waikiki area of Honolulu, Hawaii (Getty Images)
  • Tourists visiting Hawaii are being warned the popular holiday destination has become the “epicenter” of rat lungworm disease, a serious parasitic illness.
  • Neuroangiostrongyliasis is contracted by consuming raw snails, slugs, or contaminated raw vegetables like kale and potatoes.
  • Symptoms range from flu-like illness to severe, long-term neurological problems and disabilities, with diagnosis often difficult and requiring a spinal tap.
  • Experts advise cooking all food thoroughly and meticulously washing and drying fresh produce to prevent infection, especially given the lack of awareness among visitors.
  • While 80 laboratory-confirmed cases occurred between 2014 and 2023, the disease is largely underdiagnosed.
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