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Cases of dengue fever have been reported from Big Island in the US state of Hawaii. A total of 19 confirmed cases have been recorded and of those, 15 are locally acquired infections.
Avoidance of mosquito bites, particularly during daylight hours, is recommended. Bite avoidance measures include: covering up with clothing, the use of insect repellent and bed nets impregnated with insecticide. Reduction of mosquito breeding sites around hotel rooms/homes is advised for longer term stays.