Emerging Infectious Diseases • www.cdc.gov/eid • Vol. 13, No. 7, July 2007 1131 and vinegar mixture, locally known as kinilaw. Other methods of fi sh preparation were tinola (boiled), ginataan (stewed in coconut milk), and sinugba (charcoal-grilled). All echinostomeinfected patients had a history of having eaten snails, kuhol and kiambu-ay, prepared raw with coconut milk and lime juice (kinilaw...