[FONT="] August 9, 2017
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[FONT="]DOH CONFIRMS FIRST CASE OF RAT LUNGWORM DISEASE ON OAHU IN 2017[/FONT]
DEPARTMENT OF HEALTH
D A V I D Y . I G E
G O V E R N O R
V I R G I N I A P R E S S L E R , M . D .
D I R E C T O R
FOR IMMEDIATE RELEASE
August 9, 2017 17-069
Hawaii Department of Health confirms first case of
rat lungworm disease on Oahu in 2017
HONOLULU ? The Hawaii State Department of Health (DOH) confirmed one new case of rat
lungworm disease in an Oahu resident. This is the first case of rat lungworm disease contracted
on Oahu in 2017, bringing the statewide total of confirmed cases to 16 for this year. The adult
case is currently hospitalized and the department confirmed their illness late on Tuesday
afternoon.
The Oahu resident began experiencing symptoms consistent with rat lungworm disease in July.
DOH staff from the Vector Control Program and Disease Investigation Branch started
conducting onsite property assessments this morning in East Oahu. Vector Control staff
surveyed for slug, snail and rat activity. Current findings do not show evidence of slugs or semislugs
nearby. The source of the individual?s infection is still unknown at this time, but DOH will
continue investigations based on the information gathered today. The last reported case of rat
lungworm disease on Oahu was in 2010.
?This is a serious disease that can be acquired on any of our islands because slugs and snails
throughout the state carry the parasite responsible for the illness,? said Keith Kawaoka, deputy
director of Environmental Health. ?This is a grim reminder that we all need to take precautions
when working in our gardens and on farms, and eliminate slugs, snails and rats from our
communities to reduce the risks posed by this parasitic disease.?
DOH recently announced plans to ramp up efforts to prevent rat lungworm disease statewide.
This includes efforts to increase public outreach and education throughout the state?a top
initiative identified by the Governor?s Rat Lungworm Disease Joint Task Force, which was
convened in 2016. The Joint Task Force is comprised of local experts in medical, scientific,
environmental, and public health fields from across the state.
The public is urged to take the following precautions to prevent rat lungworm disease:
? Carefully inspect, wash and store produce in sealed containers, regardless of whether it
came from a local retailer, farmer?s market, or backyard garden.
? All fruits and vegetables should be washed and rubbed under running water, especially
leafy greens, in order to remove any tiny slugs or snails.
? Controlling snail, slug, and rat populations is one of the most important steps in fighting
the spread of rat lungworm disease. Eliminate slugs, snails, and rats around properties,
and especially around home gardens.
? Farmers as well as food handlers and processors should increase diligence in controlling
slugs, snails, and rats on the farm.
Rat lungworm disease (angiostrongyliasis) is contracted when a person becomes infected with
the parasite Angiostrongylus cantonensis. This often happens when a person accidentally
consumes raw or undercooked infected slugs, snails, freshwater shrimp, land crabs or frogs.
The most common symptoms include severe headaches and neck stiffness, but symptoms may
vary widely among cases. The most serious cases experience neurological problems, pain and
severe disability.
More information about the signs and symptoms of rat lungworm disease may be found at
http://health.hawaii.gov/docd/disease_listing/rat-lungworm-angiostrongyliasis/ and
https://health.hawaii.gov/docd/files/2017/01/RLD-rackcard-version1_06152017.pdf. The first of a
series of public service announcements about rat lungworm disease prevention is posted on the
Hawaii Department of Agriculture?s website at
http://hdoa.hawaii.gov/blog/main/rat-lungworminformation/.
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