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@pjas972j

Thanks, Sue. Yes, your perspective makes sense. It's a big decision - financially, physically, emotionally, etc. I'm trying to make the wisest decision based on all of the factors. I appreciate your input!

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Replies to "Thanks, Sue. Yes, your perspective makes sense. It's a big decision - financially, physically, emotionally, etc...."

Hi.
You might be interested in the following articles ---
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9328927/
This one has NTM cases by ethnic groups in Hawaii.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5079566/
This one has the data collected from water and soil in Hawaii.
Hope this helps you to make the decision. 
Some thought:
If the bacterium is isolated in the water and soil in Hawaii, would that be enough if we take the same measures as we do in the mainland? I am Asian, this study shows that Asians are at high risk. Lucky me. I have booked 2 trips to Hawaii, one in Nov. for a week, one for 4 weeks next Jan. Last year I was so scared after the diagnosis of bronchiectasis, so I cancelled our Hawaii trips. To me, to live the life we want is more important. 
Best,
Ling