Another reason why we need to stop listening to the loud and persistent, hypocritical Washington D.C. -based lobbyists who spread unwarranted fear about Hawaii's farmers and modern agriculture. This illness can be prevented by effective vector control....yes, the use of pesticides to control rats, snails, and slugs....and thorough washing of produce. 

There are no known cases of RLW disease in Hawaii from produce grown on commercial farms.