South Kona, HI (March 24, 2026) – A pedestrian was critically injured following a crash on Sunday morning, March 22, along Māmalahoa Highway near Koa Road in the Captain Cook area of Hawai‘i Island.
Authorities said the incident occurred around 8:38 a.m. near the 109-mile marker. According to investigators, a 19-year-old man was crouching on the shoulder of the roadway before entering the path of a northbound 2020 Toyota Tundra.
The vehicle, driven by a 64-year-old man, struck the pedestrian. Emergency crews responded and transported the injured man to Kona Community Hospital. He was later transferred to a medical facility on O‘ahu, where he remains in critical condition.
The driver of the pickup truck was not injured in the crash.
The roadway was closed for nearly three hours while authorities conducted an on-scene investigation. Officials reported that speed, alcohol, and drugs are not believed to be contributing factors.
Authorities continue to investigate the crash, and more details will be released as they become available.
We are thinking of the injured victim as he receives medical care.
What Factors Contribute to Pedestrian Roadway Incidents
Pedestrian crashes can occur when individuals enter active roadways unexpectedly. Visibility, timing, and driver reaction all play important roles in these situations.
Even at moderate speeds, drivers may have limited time to react when someone suddenly moves into traffic. Roadside positioning and awareness are key factors in preventing such incidents.
Investigators typically review driver statements, roadway conditions, and witness accounts to determine how the event unfolded.