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<br /> The mission of the Department of Health is to plrottect and improve the health and environment for
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<br /> MAY 2017 all people in Hawaii. We believe that an optima staeofphsicalmental,social and environmental
<br /> well-being is a right and responsibility ofaloulyf
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<br /> Hawaii's people.
<br /> Virginia Pressler,M.D. What You Should Know About Rat Lungworm Disease
<br /> Director
<br /> t I W1,Ny now,you've heard of Ra ,, i N rrly uuuuuuViPIWWIiI J riir wu rN,g,,l,p,d,
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<br /> " 011111011Lungworm (RLW)disease (11\ ...no
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<br /> Keith Y.Yamamoto profile torye reported by local ouuhup",„ii 0Deputy Director 1°
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<br /> and international news � ,,, °'°IVu,I M 'gory II
<br /> To date, DOH has confirmed 14 Angios ntonensrs pM1�t I "* a"rvl
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<br /> fi r, year.While we are continuing to � Rats NPI"'p ,i(I tl ihlJll�bll
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<br /> ��� l�. �t„ Jhl(// /1 ��� 1 cases of RLW, bear in mind these �11I1�N"Il m"Ir t Ir,I Photo credit Hawaii De tmentman Infections
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<br /> important facts to keep you and
<br /> your family safe:
<br /> 101 „ .°'iiiiiiiii TIPS TO PREVENT RLW farmers' markets where flyers are
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<br /> • RLW,or Angiostrongyliasis, is a 70111110 . Make sure to properly store, passed out to vendors and
<br /> rare disease that affects the
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<br /> inspect and wash produce, shoppers. DOH's Food Safety
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<br /> �) � I� I 0 especially leafy greens. Program continues to inspect and
<br /> 011p11000001000„,„1.1„1,,,,1111111,1110.„11;1,"'llcaused by a parasitic worm
<br /> III • Supervise young children educate food establishments
<br /> found in rats, slugs and snails. playing outdoors to prevent across the state for safe food
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<br /> aYt • Unlike many other diseases, them from putting a snail or handling and preparation. Food
<br /> Angiostrongyliasis cannot be slug in their mouths. establishments are reminded to
<br /> spread from person-to-person. • Take precautions to control use only approved and licensed
<br /> • People can get infected by slug, snails and rats around sources and carefully inspect and
<br /> leu";;,,;;;;,,,,,;,,;,,;;;;;,,;;;,, eating raw or undercooked homes and workplaces, wash all produce during food
<br /> I�I��\ snails or slugs that are infected especially home gardens. preparation.
<br /> with the parasite. People have • Farmers, as well as food The most common symptoms
<br /> fI �� f 1 rl also become infected by eating handlers and processors, of rat lungworm disease include
<br /> I,;P �51(6y� ' 1111111111111111111111 unwashed raw produce such as should control slugs, snails, and severe headache and neck
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<br /> stiffness, but symptoms may vary
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<br /> IIII snail or slug or parts of one. . Ifyou handle snails or slugs,g widely among individuals. If you
<br /> IIIJJ tl • There is no medication or weargloves and washyour
<br /> 1IIII11111 Ulf 11 Illlly»INVIw I°� INN+ are experiencing headache,fever,
<br /> VIII;IIiliilti1114yh IwWii911,11.'N IIllllllllllllllllllllllllllllljlllllllllllllll�l it ll,l,l BVI specific treatment for the
<br /> '! . ;;�°°°y�uuuuuuuuuuuuuiiiiulllllUlllli"° p hands. stiff neck,tingling or painful
<br /> disease but most people The DOH stresses that locally- feelings in the skin or extremities,
<br /> recover fully without treatment. produce is safe to eat.Just seek immediate medical
<br /> Please direct all
<br /> q • Hawaii remains a very safe grown
<br /> remember to wash all vegetables attention.
<br /> •
<br /> travel destination.Of the 8.7
<br /> inquiries to
<br /> and fruits thoroughly no matter More information on the signs
<br /> Hawaii Dept.of Health million visitors to our state in where they come from.
<br /> Communications Office 2015,there was one(1)case of and symptoms of rat lungworm
<br /> 1250 Punchbowl Street RLW reported in a visitor, one Food safety inspectors regularly infection are on the DOH website
<br /> Honolulu,HI 96813 (1)visitor case in 2016 and two distribute information to the food at:www.health.hawaii.gov.
<br /> Tel.586-4407 food industry, including at
<br /> (2)visitor cases in 2017.
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