Fukino, C L

eVols at University of Hawaii at Manoa

Januar 31. 2005fo: Norman Goldstein Ml). Editor. Hawaii Medical JournalEr: Chivome I.. FukinoMl). Director of HealthRe: Reporting Eosinophilic MeningitisIn response to several cases of eosinophilic meningitis attributed toangiostrongyhasis, the Hawaii Department of Health (HDOH. willhe investigating apossihle increase in the prevalence ofeosinophilicmeningitis/angiostrongylus inlection in Hawaii.Pursuant to the authority vested in the Director of Health inHawaii Revised Statutes § 11-156-3(c), effective immediately,health care providers in Hawaii are required to report patientswith cosinophilic meningitis, i.e., signs andJor symptoms consistant with meningitis plus eosinophils in the cerebrospinalfluid (CSF).Stale of HawaiiDepartment of HealthIO. Bo 3378Honolulu. RI 96801-3378The Hawaii Administrative Rules. Title I 1 . Department of Health.Chapter 156. max be viewed at the CR1: vww.hawaii.gov/health!about/rules! II I 56.pdf.Thank you for your assistance and cooperation.Sincerely,Chivome Leinaala Fukino MDDirector of HealthReports of eusinophilic meningitis should be communicated withinthree days of identitication by telephone to the (HDOH). preferablyas soon as (or other notiliable conditions and are listed below.Contact Phone No. After HoursOahu. Field Investigation Section 586-4586 808-566-5049Hawaii. District Health Office iHilo) 933-0912 808-360-2575Hawaii. District Health Office lKona) 322-4877 808-360-2575Maui District Health Office 984-8213 808-360-2575Kauai District Health Office 241 -3563 808-360-2575.4n,ffo)s11’om’u/us cantonensis has been documented in variousFla\\aiian snail and slug species since at least the 1960’s hut thefrequenc of human infection here has not been ss dl characterized.13 making eosinophi lie meningitis notitiable. e hope to obtain theinformation needed to assess potential trends and identify moditiahierisk Iactors.Angiostrongyliasis should he considered in any meningitic personsx oh CSFeosinophilia. Diagiiostic -.tis pieion should be increased forsuch patients who also have exposure histor consistent with eating]nadeluatel\ \vashed fresh vegetables and/or mollusks (i.e.. snailsand their ielativest or crustaceails i.e.. shrimp and their relativeshere in I la an, Definitix c diagnostic testing is limited: cliniciansshould contact investigators in the H DOl I Disease Investigations13 ranch for assistance,FOR SALE (FS)Medical Clinic1’Office / RetailKapahulu-Waikiki District750 Palani Avenue• Built out medical clinic• Concrete 2 story• Elevator• ADA, ample parkingI\ew Offering Price53.975 mi.l.Rod Sugai (5)808-441-0516Urubh&E111scB1Properiy Solutions Worldwidu

Re: Reporting Eosinophilic Meningitis

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Re: Reporting Eosinophilic Meningitis

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eVols at University of Hawaii at Manoa