A neighbor friend told me this morning about her infestation of flukes and other parasites. She loves raw sushi and hadn’t known the Japanese eat it with a large amount of ginger and Wasabi because these spices fight parasites in raw fish. Public health concerns have been raised over the risk of parasitic helminth (roundworm, tapeworm and fluke) infections from eating raw fish, an increasing US consumer trend. Hawaii consumers eat seafood at nearly 3 times the US national average rate, with a long tradition and high level of raw fish consumption. The local fish species commonly eaten raw in Hawaii include tuna (bigeye, yellowfin, albacore and skipjack), marlin (blue and striped) and deepwater snappers (long-tailed red, pink and blue green). Forty-eight Hawaii based physicians (gastroenterologists, internists, general and family practitioners) were surveyed to count known cases of parasitic worm infection. Cooking fish thoroughly is a smart idea! We enjoyed a fish dinner last night, tilapia which I coated with low cal mayo and then panko crumbs before frying with butter spray. I served it alongside peas and a tossed salad.