Hawaii Confirms Fifth Cyclosporiasis Case, Investigates Hilo Wastewater Trace
The Hawaii Department of Health (DOH) confirmed a fifth cyclosporiasis case in 2026, bringing the state's total to five (four confirmed, one probable). The latest patient is a military member who traveled internationally and to a U.S. state with high case counts. DOH is investigating a low-level Cyclospora detection in Hilo wastewater but notes no link to the cases. Hawaii has no connection to the national iceberg lettuce outbreak.