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"Angiostrongyliasis, or rat lungworm disease, is caused by a parasitic worm and can have severe effects on a person's brain and spinal cord. Most people are infected when they accidentally consume one of the worms, the health department says."
https://www.usatoday.com/story/news/health/2019/05/24/hawaii-3-new-rat-lungworm-disease-cases-confirmed-tourists-infected/1219183001/