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The parasite infects an amphibic snail (Segmentina nitidella, Segmentina hemisphaerula, Hippeutis schmackerie, Gyraulus, Lymnaea, Pila, Planorbis (Indoplanorbis)) after being released by infected feces; from this intermediate host, metacercaria infest on aquatic plants like water spinach, which are eaten raw by pigs and humans.
Fermented bean curd can also be added in small amounts, together with its brine, to flavor stir-fried or braised vegetable dishes (particularly leafy green vegetables such as water spinach).
Earlier, Lee Khai Loon has organised a flash mob by stuffing kangkung (water spinach) into an effigy of Malaysian Prime Minister Datuk Seri Najib Tun Razak in Alma, Bukit Mertajam.