81. National Flu Surveillance Network Singapore Battles Rise in dengue fever Cases Note from the National Flu SurveillanceNetwork When reading the following article, please keep in mind that many http://www.fluwatch.com/output_news_1.cfm?pageid=65&ID=162

82. Dengue Fever Information dengue fever. This information courtesy of the State of New JerseyHealth Senior Services, Disease Index. What is dengue fever? http://www.geocities.com/Yosemite/Trails/3660/dengue.html

The Hawaiian Trail and Mountain Club Dengue Fever http://www.state.nj.us/health/cd/f_dengue.htm What is Dengue Fever? Dengue Fever is an illness caused by infection with one of four serotypes of a virus belonging to the genus Flavivirus. Infection with one of these serotypes does not provide cross-protective immunity, so a person living in an area where Dengue Fever transmission occurs can have four dengue fever infections during his or her lifetime. Who gets Dengue Fever? Dengue Fever occurs primarily in tropical areas, including the Caribbean and Mexico in North America. Anyone living in or visiting tropical areas may become ill with Dengue Fever. How is Dengue Fever spread? Dengue Fever is spread through the bite of certain species of mosquitoes, but only if they are infected with the Dengue Fever virus. Capable species of mosquitoes pick up the Dengue Fever infection by biting a human who is ill with Dengue Fever. Two capable mosquito vectors are present in the Americas, including the United States, Aedes aegypti, and Aedes albopictus. Nearly all cases of Dengue Fever which are diagnosed in the United States are a direct result of recent travel to tropical areas outside the United States. What are the symptoms of Dengue Fever?

83. Dengue Fever: Division Director's Bulletins - Division Of Animal Industry Florida Past Stowaway Aboard William J. Bigler, PhD In Florida, we are continuallyreminded about the possibility that dengue fever and other arthropod-borne http://www.doacs.state.fl.us/ai/dengue.htm

Text Navigation Index to Website Disease Reporting Form Dengue Fever Information Page Table of Contents 3/20/2002 Department of Health Enhances Surveillance for Dengue Fever ( Epidemic Currently Sweeping South and Central Americas and The Caribbean) Formats: .doc .txt Dengue Fever Outbreak along Texas-Mexico Border Florida Past - Stowaway Aboard ... Back to the Top of this Page Florida Past - Stowaway Aboard William J. Bigler, PhD In Florida, we are continually reminded about the possibility that Dengue Fever and other arthropod-borne diseases could be brought into the state by infected mosquitoes arriving on airplanes. Most recently there is some mystery about the introduction of West Nile Virus into New York. Could it have been brought in by a stowaway mosquito? T. H. D. Griffitts, M.D., Director of Malaria Control Studies for the State Board of Health penned an interesting article on the subject that appeared in the February 1933 issue of Florida Health Notes. Some excerpts follow: Mosquitoes Travel by Airplanes Owing to the potential danger, at least, of the spread of yellow fever foci of infection in one country to another by means of the rapid transit by aircraft, the United States Public Health Service has carried on some exact experiments to determine how long mosquitoes will remain aboard airplanes. The results of some of these tests have been little short of astonishing.

84. Infection Control Online dengue fever. DENGUE IN SINGAPORE In 1998, there were 5183 cases of dengue fevernotified, and another 751 cases of dengue haemorrhagic fever reported. http://infectionctrl-online.com/dengue_fever.html

window.defaultStatus = "Infection Control Online"; WWW.INFECTIONCTRL-ONLINE.COM FORUM Create an account here GENERAL Viewpoint With Dr. Elaine Larson Immunization Schedule In Singapore ... Hot Tips From CDC/WHO ALERTS Facts On Hospital Infections Major Infectious Agents Identified Since 1973 ... Outbreak Information TRAVEL Travel Clinics Travel Health Vaccinations For International Travel SITE INFO About Us Our Goal Our Mission Contact Us ... Advisory Panel DENGUE FEVER By: Dr Oon Chong Teik Clinical Description Dengue fever is an acute febrile illness characterized by frontal headache, retro-obital pain, muscle, joint pain and rash. The principal vector is the Aedes aegypti mosquito. Breeding and transmission usually occur in tropical or subtropical countries. Severe manifestations, eg. dengue haemorrhagic fever and dengue shock syndrome are rare but can be fatal. Incidence 2.5 billion people worldwide are at risk with 60 million cases, and a case fatality of 30,000 yearly reported. Virology 4 serotypes have been identified: DEN 1, DEN 2, DEN 3 and DEN 4. Serious disease occurs with DEN 2, DEN 3, and in second attacks due to enhancing antibodies. Transmission The disease is transmitted by the Aedes mosquito, Aedes aegypti. It is a day biter and breeds indoor and outdoor in clean water. All eggs laid by an infected female Aedes mosquito are infected. The mosquito has a flight of 200 meters.

85. Dengue Fever Alert - Fight The Ades Aegypti Mosquito! dengue fever Alert Fight the Ades Aegypti Mosquito! What is dengue fever? Howis dengue fever Spread? What are the signs and symptoms of dengue fever? http://www.stlucia.gov.lc/agencies/health/alerts/dengue_fever_alert_-_fight_the_

Feedback Site Map Contact Us Dengue Fever Alert - Fight the Ades Aegypti Mosquito! Governor General Prime Minister The Cabinet The Senate ... Site Help What is Dengue Fever? How is Dengue Fever Spread? Dengue fever is an infectious disease caused by a virus. The virus is injected into humans by the bite of an infective mosquito carrying the Dengue fever virus. In Saint Lucia Dengue fever is spread by the Aedes Aegypti mosquito. This mosquito has black and white strips on the body and breeds in any container containing clear water, e.g. coconut shells, old tires, drums, flower vases, etc. What are the signs and symptoms of Dengue fever? How to manage Dengue fever: Fever Intense headache Eye pains Joint and muscle pains If you have those signs contact the nearest Health Center or Doctor. Rest Drink plenty of fluids, e.g. juice, water and coconut water Sponge with slightly warm water Use treatment as directed Is Dengue fever preventable?

86. CHIHUAHUA STATE ON ALERT AGAINST DENGUE FEVER RISK CHIHUAHUA STATE ON ALERT AGAINST dengue fever RISK. By It carries twotypes of dengue fever classic dengue and hemorragic dengue. This http://www.nmsu.edu/~frontera/old_1996/oct96/1096heal.html

CHIHUAHUA STATE ON ALERT AGAINST DENGUE FEVER RISK By Kelly Simmons, Managing Editor and Senior Writer The mosquito that is a carrier of the disease dengue fever has been detected in 3 out of 10 homes in selected colonias in the border state of Chihuahua, according to Cesar Ponce, the Chief of Epidemiology and Preventive Medicine with the state Secretary of Health. The insect has been detected in seven colonias in the capital city and twelve in Ciudad Juarez after a thorough search by health officials. It is estimated by the Health Department that 35 percent of the community living in the affected colonias in Cd. Chihuahua could contract the disease, if it were present in the local mosquito population. The increased risk of dengue fever has been blamed on record rains throughout the region over the past two months. The rains have exacerbated conditions under which the virus spreads. At this point, the Health Department has not received any reports of cases of dengue fever, nor have any mosquitos been found who have been infected with the disease, but efforts to eradicate the carrier have begun. The mosquito, Aedes Aegyptes, is a small black and white insect with stripes on its torso and legs. It carries two types of dengue fever: classic dengue and hemorragic dengue. This mosquito, like others, breeds in rain puddles and standing water that collects inside automobile tires, flower pots, and refuse. It rests inside homes, closed buildings, and other dark places such as dairy barns, sinks, tubs, and abandoned structures.

87. Bangladesh Development Gateway Dengue and Dengue Haemorrhagic Fever; dengue fever; Mosquitoes and the DiseasesThey Can Carry; Treatment. There is no specific treatment for dengue fever. http://www.bangladeshgateway.org/sdnp/health/dengue/

Home My Gateway Feedback Bookstore ... Webmail Policy Document Government Policy Five Year Plan Agenda21-Bangladesh The Jakarta Declaration on Leading Health Promotion into the 21st Century Present Situation General Database on Health Situation in Bangladesh World Bank's View RIO+5 Assessment Achievements Progress in Health Sector Statistics Projects/ Research Govt. Organization World Bank WHO UNDP ... Others Immerging Issues Arsenic Calamity Dengue Fever Health Yellowpage List of Doctors 24 Hours Pharmacy Ambulance Service Disease FAQ by SDNP Bangladesh DENGUE THE DEADLY KILLER TABLE OF CONTENTS: Dengue and Dengue Haemorrhagic Fever Dengue Fever Mosquitoes and the Diseases They Can Carry Civil Society at its Best: Dengue Awareness Campaigne in City DENGUE AND DENGUE HAEMORRHAGIC FEVER Prevalence Some other statistics: During epidemics of dengue, attack rates among susceptibles are often 40 – 50%, but may reach 80 – 90%.

88. Travel Medicine - Dengue Fever - Methodist Health Care System, Houston, Texas dengue fever What is dengue fever? Dengue is a viral disease What arethe symptoms of dengue fever? dengue fever may confused with http://www.methodisthealth.com/travel/dengue.htm

Travel Health Home La medicina para los viajes y medicina para el medio ambiente (en español) Travel Health Service at Methodist Site Index ... Online Resources Dengue Fever What is dengue fever? Dengue is a viral disease transmitted by Aedes mosquitoes mainly in tropical and subtropical areas of the world, with the greatest risks occurring in: the Indian subcontinent Southeast Asia Southern China Taiwan the Pacific Islands Caribbean (except Cuba and the Cayman Islands) Mexico Africa Central and South America (except Chile, Paraguay, and Argentina) Dengue fever occurs most often in urban areas, but may be found in rural areas also, particularly in areas with elevation less than 4000 feet. Transmission of the virus, via Aedes mosquitoes, usually occurs during and shortly after the rainy season. These mosquitoes are most active during the day and are often found near human dwellings, often indoors. What are the symptoms of dengue fever?

89. TIME Asia Magazine: A Tropical Disease Gets Topical -- Oct. 21, 2002 But dengue fever holds a special, painful place in his memory. ARTS SOCIETYTibet FirstEver Beauty Pageant Health dengue fever Returns. http://www.time.com/time/asia/magazine/article/0,13673,501021021-364426,00.html

WAR ON IRAQ Complete Coverage of Gulf War II SPECIAL REPORT Islam in Asia Muslims Stand Up All of TIMEasia.com Past 30 Days Current Issue Advanced Search October 21, 2002 / VOL. 160 NO. 15 Asia A Tropical Disease Gets Topical The dengue virus is spreading throughout Asia. Protect yourself from painful 'break-bone fever' BY BRYAN WALSH Graphic: How the Virus Spreads As a TIME correspondent in Mexico, India, Pakistan and other countries where rogue germs abound, Tim McGirk has had his share of firsthand epidemiological experience. But dengue fever holds a special, painful place in his memory. "There's a reason they call it break-bone fever," says McGirk, who contracted the virus in New Delhi and suffered for three weeks. "You feel like there's this deep, painful itching happening inside your bones. You're on this horrible roller-coaster ride of hot spells and chills, like you're being shaken around. It just racks your body." Millions of others are being taken on the same ride. According to the World Health Organization (WHO), dengue infects more than 100 million people a year—and the mosquito-borne sickness is on the rise. Once confined to tropical regions like Southeast Asia, 100 countries are now classified as dengue risk areas, up from nine prior to 1970. "Dengue is being seen in places it hasn't been seen before," says Dr. John Simon, a tropical disease specialist in Hong Kong, where a furor over the fever has been roiling local newspapers since the first locally contracted case was reported last month. "Dengue is a huge problem."

90. Dengue Fever: Essential Data dengue fever essential data. Viral weapon active against humans. SafetyPrecautions for dengue fever Casualties. Standard Precautions http://www.cbwinfo.com/Biological/Pathogens/DENV.html

Home News History General ... Radiological Gateway Dengue fever: essential data Viral weapon active against humans. Synopsis, Diagnosis, Symptoms, Countermeasures, ... IDC Codes Safety Precautions for Dengue Fever Casualties Standard Precautions defined by the 1996 CDC guidelines should be adopted for handling patients. Droplet precautions may also be necessary. Mosquito control should be practiced. Biosafety level 2 practices should be adopted for handling of samples. Return to Top Synopsis of Agent Properties Causative organism: (Systematic name in 1997) Dengue virus ICTV Acronym DENV-1 DENV-2 DENV-3 DENV-4 There are four distinct serotypes of the virus. Alternative disease names: Breakbone fever Properties: Family: Flaviviridae Genus: Flavivirus A positive-sense, single-stranded RNA virus. Click here for a detailed description of Flaviviruses Vector Involvement: Transmitted by culicine mosquitoes of the genus Aedes Return to Top Key Diagnostic Tests. The disease is typified by the sudden onset of a severe fever, chills, headache, pain behind the eyes (retro-orbital pain), photophobia, and joint and muscle pain. The victim may appear flushed at the onset of the fever and a rash may appear on the torso after 3-4 days and spread to the rest of the body. Lymph nodes are often inflamed.

91. Subject Index: Health Effects Of Temperature (Dengue Fever) Health Effects of Temperature (dengue fever) Material in this sectionoriginates from the following categories in our Subject Index http://www.co2science.org/subject/h/healtheffectsdengue.htm

Health Effects of Temperature (Dengue Fever) Material in this section originates from the following categories in our Subject Index: Health Effects Temperature Dengue Fever Temperature Health Effects Dengue Fever Mortality Dengue Fever Summary Mosquito-Borne Diseases Center for the Study of Carbon Dioxide and Global Change (www.co2science.org).

92. Dengue Fever Issue 4 On The Mat - Video Magazine! OntheMat.com, dengue fever Issue 4 Warning! dengue fever is contagious! Thistape may make you reevauate your life and come join us for the fun! http://www.onthemat.com/dengue-fever.html

Get QuickTime Here Buy this Video Dengue Fever - Issue 4 Filmed over the summer of 2002 in Rio de Janeiro in this video OTM shows you what Rio has to offer from baddest fighters to best asses. Ever wonder what a summer in Rio is like? Well we hit the beach and every competetion we could take a bus to or find a ride to. Now you can enjoy a summer in Rio in your own livining room. Just make sure the kids are sleeping and you old lady is not around. Warning! Dengue Fever is contagious! This tape may make you reevauate your life and come join us for the fun! Margarida and Terere come from. We never hear about them in the USA but everyone here know of them. Well we got those new up and coming superstars here for ya. So if you see some names on the list below you don't know these are the guys to watch. Remember you saw them as purple's and browns On the Mat first! But the OTM crew would not let Dengue Fever be stopped! It was much to importenat for everyone everywhere. So the fever is finally done and can be enjoyed by you and your mature friends. Kids under 18 not advised. Here is what the tape features: A tour of Gracie Camp Fight footage of from Oswaldo Alves 2 Jiu Jitsu vs Luta Livra Challenge Matches w/ Daniel Morais 2 Matches featuring Nino protege Largarto Shaolin vs Bruno Fernandes 2 Fights of Tales Leite of Nova Uniao

93. Community Health Services - Dengue Fever ("Breakbone Fever") dengue fever ( Breakbone Fever ). This page was reviewed or revised on Friday,October 25, 2002. Travel Facts. Chagas Disease. dengue fever (Breakbone Fever). http://www.lambtonhealth.on.ca/immunization/travel/dengue.asp

About Us Media Releases Advisories Health Information ... Home County of Lambton Community Health Services Department 160 Exmouth St. Point Edward, ON, Canada phone: (519) 383-8331 fax: (519) 383-7092 toll free: 1-800-667-1839 email: chsd@county-lambton.on.ca Forest Office 59 King Street West Forest, ON, Canada phone: (519) 786-2148 fax: (519) 786-2149 Home Health Information Immunization Travel Dengue Fever Dengue Fever ("Breakbone Fever") This page was reviewed or revised on Friday, October 25, 2002. Travel Facts What is it? a viral disease causing sudden high fever, joint and muscle aches, headache, and skin rash the severe form called dengue hemorrhagic fever, usually occurs in those who have had previous infections with another strain, and does not usually affect travellers complications of shock, and possible death especially in children, and those experiencing a second infection

94. New York City Department Of Health And Mental Hygiene - Communicable Disease - D dengue fever (breakbone fever, dengue hemorrhagic fever). What is denguefever? dengue fever, an Who gets dengue fever? dengue fever may http://www.nyc.gov/html/doh/html/cd/cdden.html

New York City Department of Health and Mental Hygiene Bureau of Communicable Disease Dengue Fever (breakbone fever, dengue hemorrhagic fever) What is dengue fever? Dengue fever, an acute mosquito-borne febrile disease, is caused by the dengue viruses. The disease is mainly tropical in origin but occasionally residents or visitors from other countries may arrive in this country with dengue fever. Although cases originating in the United States are virtually unknown, outbreaks have recently been reported in parts of the Caribbean and Central and South America. Who gets dengue fever? Dengue fever may occur in people of all ages exposed to infected mosquitoes. The disease primarily occurs in tropical Asia and the Caribbean, usually during the rainy seasons in areas with high numbers of infected mosquitoes. How is dengue fever spread? Dengue is spread by the bite of a mosquito infected with a dengue viruses. What are the symptoms of dengue fever? Dengue fever is characterized by high fever, severe headache, backache, joint pains, nausea and vomiting, eye pain and rash. Dengue hemorrhagic fever is first characterized by a fever that lasts from 5 to 7 days with symptoms that can occur with many other illnesses (e.g., nausea, vomiting, abdominal pain, and headache). This stage is followed by hemorrhagic manifestations, tendency to bruise easily or other types of skin hemorrhages, bleeding nose or gums, and possibly internal bleeding. Circulatory failure and shock may occur, which if untreated, can result in death.

95. Gale Encyclopedia Of Medicine: Dengue Fever dengue fever. Author/s Rosalyn S. CarsonDeWitt. Definition. dengue fever isa disease caused by one of a number of viruses that are carried by mosquitoes. http://www.findarticles.com/cf_dls/g2601/0004/2601000415/p1/article.jhtml

Find Articles Home View By Subject View By Name Search Tips ... Help Search all magazines this magazine Arts/Entertain. Automotive Business/Fin. Comp./Tech. Health/Fitness Home/Family News/Society Reference/Ed. Sports for Search Tips : Use quotes to find a specific phrase, e.g. "Abe Lincoln" or "New York". Use the + sign for words that MUST be in the article, e.g. +Ford +SUV Terms related to this article: Aedes aegypti Antibody screening tests Arboviruses Blood transfusions ... More links to Related Terms Buy and sell " " and millions of other items at eBay Gale Encyclopedia of Medicine Search this Magazine Go to Web site Print this article Email this article Page: Next Dengue fever Author/s: Rosalyn S. Carson-DeWitt Definition Dengue fever is a disease caused by one of a number of viruses that are carried by mosquitoes. These mosquitoes then transmit the virus to humans. Description The virus that causes dengue fever is called an arbovirus, which stands for arthropod-borne virus. Mosquitoes are a type of arthropod. In a number of regions, mosquitoes carry this virus and are responsible for passing it along to humans. These regions include the Middle East, the far East, Africa, and the Caribbean Islands. In these locations, the dengue fever arbovirus is endemic, meaning that the virus naturally and consistently lives in that location. The disease only shows up in the United States sporadically. In order to understand how dengue fever is transmitted, several terms need to be defined. The word "host" means an animal (including a human) that can be infected with a particular disease. The word "vector" means an organism that can carry a particular disease-causing agent (like a virus or bacteria) without actually developing the disease. The vector can then pass the virus or bacteria on to a new host.

96. AMNews: Oct. 15, 2001. Hawaii Reports Outbreak Of Dengue Fever ... American Medi amednews.com. HEALTH SCIENCE. Hawaii reports outbreak of dengue fever. Backto top. ADDITIONAL INFORMATION dengue fever rare and difficult to diagnose. http://www.ama-assn.org/sci-pubs/amnews/pick_01/hlsc1015.htm

@import url(http://www.ama-assn.org/sci-pubs/amnews/site/amnbasic.css); @import url(http://www.ama-assn.org/sci-pubs/amnews/site/amnprint.css) print; American Medical News LISTINGS '01 By date '01 By region Map '01 By health plan ... Search SERVICES Mobile edition E-mail alert Subscribe! Staff directory ... Send feedback ADVERTISEMENT Hawaii reports outbreak of dengue fever Local health officials are working to control the spread of first endemic transmission of the tropical disease since World War II. By Victoria Stagg Elliott AMNews staff. Oct. 15, 2001. The Hawaii Dept. of Health is struggling to control an outbreak of dengue fever in a rural area of east Maui, according to the state agency. Since the middle of September, 18 cases have been confirmed. None of those with the infection had a history of travel to dengue fever areas. The outbreak is being considered the first endemic transmission on the island in more than 50 years. With this article Dengue fever: rare and difficult to diagnose Links "We'd never seen folks who hadn't traveled become infected," said Paul Effler, MD, MPH, a state epidemiologist in Hawaii. "It's puzzling to us. Why this time? Why this location?" The new situation is being watched closely by public health officials around the country, including Texas. Although there have been no reported cases in the state, this year or last, recent outbreaks south of the border have the health department there braced for possible impending trouble.

97. Ke Kalahea: Dengue Fever dengue fever Outbreak Hits Islands Erin Boyle News Editor. An outbreak todeath. Currently, there is no vaccine available for dengue fever. http://www.uhh.hawaii.edu/~kalahea/issue07/articles/dengue.html

Campus News Comics Editorials Entertainment ... Students and Faculty Speak Out Send e-mail to: kalahea@hawaii.edu Dengue Fever Outbreak Hits Islands Erin Boyle News Editor An outbreak of a virus that causes victims to suffer severe symptoms has been reported on four major islands. The Department of Health is concerned with more than a hundred suspected cases of Dengue Fever being reported on Maui, Kaua'i, O'ahu, and the Big Island. Although laboratory test have confirmed only thirty-four cases on Maui and one case on Kauai, the outbreak has health officials worried. The virus is believed to have been introduced to Hawai'i by people vacationing in Samoa and French Polynesia then returning to Hawai'i after being infected. Dengue fever is a virus that is spread by mosquitoes, more specifically the Aedes aegypti, a day-biting insect that prefers humans. The disease cannot be spread by direct human contact, and usually is not fatal. Only about 5% of the cases result in death, and the fatality risks are highest in children and young adults. Symptoms of Dengue include fever, severe headaches, eye pain, chills, body and joint pains, nausea and/or vomiting, transient rashes, and occasionally shock and hemorrhage. Anyone exhibiting these symptoms is urged to see a doctor immediately. The shock and hemorrhage can lead to death. Currently, there is no vaccine available for Dengue fever.

98. BioMed Central Full Text Dengue Fever In Pregnancy A Case dengue fever in pregnancy a case report Vorapong Phupong Department of Obstetrics Gynecology, Faculty of Medicine, Chulalongkorn University, Rama IV Road http://www.biomedcentral.com/1471-2393/1/7

99. TDH News Release: Texas Records Dengue Fever Death Texas Records dengue fever Death. The Texas Department of Health (TDH)has confirmed that a South Texas girl has died from dengue fever. http://www.tdh.state.tx.us/news/b_new300.htm

TDH News Release December 22, 1999 Texas Records Dengue Fever Death The Texas Department of Health (TDH) has confirmed that a South Texas girl has died from dengue fever. The girl's death earlier this month is the first caused by dengue fever in Texas in several decades. Health officials believe she contracted the viral mosquito-borne illness during a visit to Mexico. TDH officials said the girl died from dengue hemorrhagic fever, a variation of dengue fever marked by internal bleeding. They said medical confidentiality requirements prevented the release of more specific information about the girl. TDH has confirmed 51 cases of dengue fever this year. Health officials have determined that 16 of the cases were contracted in South Texas. The other 35 cases are believed to have been contracted in Mexico or Brazil. The South Texas girl who died is the only confirmed case of hemorrhagic dengue fever in the state this year. The 16 Texas-acquired cases of dengue fever this year were contracted in Cameron, Hidalgo, Starr, Webb and Willacy counties. Dengue fever is prevalent in many South and Central American countries and in Asia. Texas is the only state in the United States that has recorded locally-acquired cases of dengue fever in recent years.

100. On Maui: Dengue Fever Assaults Maui dengue fever Stalks Hawai'i. (Wailuku, Maui October, 2001) JK There hasbeen a lot of news recently about dengue fever and with good reason. http://www.onmaui.org/OctDengue.html

Dengue Fever Stalks Hawai'i FEEDBACK Your Comments on This Story Your Thoughts on This Issue Story Follow-Suggestions Home Page Outbreak Originates in East Maui Produced by Jeff King Reporter, On Maui Follow this key to identify the speaker: JK = Jeff King, Reporter, On Maui GI = Gen Iinuma ,Public Health Educator, Hawai'i State Department of Health LP = Dr. Lorrin Pang Maui District Health Officer, Hawai'i State Department of Health (Wailuku, Maui - October, 2001) JK: There has been a lot of news recently about Dengue Fever and with good reason. It's an epidemic on Maui that threatens the entire state. The Education Director for the Maui County Department of Health says this outbreak on Maui most likely originated from off-island. GI: "It had to come from somewhere else because right now what we're looking at is transmission of people getting the disease here - the infection here - who have not gone anywhere. So that could be someone from some place other than here. Probably some other country." JK: And it really could not have happened at a worse time.

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