HikerSkier saidSad, but stupid.
Just in case everyone thinks their immune from this danger - you can get the same disease (and many people have) from eating any salad greens that have not been thoroughly washed in Hawaii, or other Pacific Islands. The Hawaii tourist office is never going to warn tourists about this though - it might hurt tourism if more people knew.
This is true and reports have surfaced. Not many, but I have read about several cases and I didn't like the news. I've lived on the Islands and I know about this issue. Wash all home grown foods well and other locally sourced Items I check to see how it's grown etc. I like local foods, but you need to wash them!
Which you can't do in a restaurant setting. I have been to Hawaii a number of times. I will never eat salad in a restaurant there (or any other location in the Pacific Islands) It is foolish to do so. You can never know how local produce was handled before it came to your plate. I believe the parasite (Angiostrongylus cantenosis
- "rat lungworm") originally was brought from southeast Asia in rats. It is a rat parasite that gets into snails and slugs, which are all over the tropics. Just having the snail or slug crawl across a vegetable such as lettuce, is enough to leave parasite eggs, which when ingested by a human, cause this horrible disease.