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Hawaii - DOH confirms 264 cases of locally-acquired dengue fever to date

Pathfinder

Editor, Senior Moderator
DOH Investigates Possible Big Island Dengue Fever Cases

Posted on October 26, 2015
by Jamilia Epping

Two potential cases of dengue fever on the Big Island are being investigated by the Hawai?i State Department of Health.

A DOH spokesperson told Big Island Now that the two possible cases involve Big Island residents.

The unidentified, potentially infected individuals are recovering at home. DOH assessed areas that could be potential exposures areas for mosquito activity and did not find anything.

According to the spokesperson, the department is looking not only at dengue, but is also testing for other potential diseases.

Results from laboratory testing are expected to be completed next week.
...

http://bigislandnow.com/2015/10/26/doh-investigates-possible-big-island-dengue-fever-cases/
 
DOH confirms 2 cases of locally-acquired dengue fever; investigating 4 others

Posted: Oct 29, 2015 7:16 PM CDT
Updated: Oct 30, 2015 6:07 AM CDT
By HNN Staff

HONOLULU (HawaiiNewsNow) -

For the first time since 2011, health officials are investigating cases of locally-acquired dengue fever in the islands.

Two cases have been confirmed; four other cases were described as probable.

The six people were residents and visitors who apparently got dengue fever while on the Big Island.
...
Dr. Melissa Viray, state Department of Health deputy epidemiologist, said investigators are looking into "different cases on the Big Island and we're looking at their different exposures, and we're trying to see where their exposures might have been in common."

Viray isn't calling it an outbreak...
...
The two new cases bring the total number of confirmed cases of dengue fever in Hawaii to 15 so far this year, all but two of which were people who contracted the illness outside of the islands.

There were 14 cases in 2014, and 10 in 2013.
...
http://www.hawaiinewsnow.com/story/...quired-dengue-fever-investigating-four-others

----------------------------------------------------------------------------------------------------------------------------------------------------

State of Hawaii, Department of Health
News Releases from Department of Health

Oct. 29, 2015

DOH INVESTIGATES CASES OF DENGUE FEVER
 
10 Confirmed Cases Of Dengue Fever On Hawaii Island

November 2, 2015 at 5:34 pm

HAWAII ISLAND ? The Hawaii Department of Health has confirmed 10 cases of ?locally-acquired? dengue fever on Hawaii Island, and now says that one of the vector hotspots for infected mosquitoes is in South Kona, in the Ho?okena / Honaunau area. Health officials caution there are potentially more hotspots ? and cases of infection ? yet to be identified.
...
Dr. Park stressed that residents should not focus too much on South Kona as a problem area, because they are dealing with a possible cross-island situation. Additional hotspots may be identified.

Dr. Park says the health department plans to create a specific page on the DOH website to serve as a repository for the latest information, including updated numbers of confirmed cases. Park says they do not expect to maintain a ?probable case? count from this point forward, because diagnoses and conformation should be faster now that the island is on the look-out for dengue fever.
...
http://www.bigislandvideonews.com/2015/11/02/10-confirmed-cases-of-dengue-fever-on-hawaii-island/
 
http://health.hawaii.gov/docd/dib/
IN THE NEWS:

November 2015
HDOH investigates cluster of dengue fever on the Big Island
The Hawaii Department of Health (HDOH) is currently investigating a cluster of locally-acquired cases of dengue fever on the Big Island of Hawaii. As of November 2, 2015, there have been 10 confirmed cases identified.
Dengue is not endemic in Hawaii, however it is intermittently imported from endemic areas by infected travelers. This is the first cluster of locally-acquired dengue fever since the 2011 outbreak on Oahu.
For more information on dengue fever, click here.
**Please note that updates to case counts, when available, will be posted by 1 p.m. HST daily**

There is an ongoing homelessness emergency in Hawaii that would increase vulnerability to vector-borne illnesses.

News from Oct 17 to today:
Hawaii governor declares state of emergency amid homelessness crisis

Maui County mayor suggests establishing homeless sanctuaries

Monday, November 2, 2015 9:43 AM EST
 
11th case of locally-acquired dengue fever confirmed on Big Island

Posted: Nov 03, 2015 7:00 PM CST
Updated: Nov 03, 2015 7:00 PM CST
By HNN StaffCONNECT

HONOLULU (HawaiiNewsNow) -

An 11th case of locally-acquired dengue fever has been confirmed on Hawaii Island.

Those who fell ill over the last several weeks were residents and visitors, the Health Department said.
...
The Health Department is focusing its vector control efforts on areas of Kona. However, cases have been found elsewhere on the island.

Officials said no other islands have reported cases.

The 11 cases bring the total number of confirmed cases of dengue fever in Hawaii to 24 so far this year, but the previous 13 cases were not locally-acquired.
...

http://www.hawaiinewsnow.com/story/...acquired-dengue-fever-confirmed-on-big-island
 
Dengue Fever Count Rises to 15

Posted on November 4, 2015
by Jamilia Epping

As of 1 p.m. Wednesday, a total of 15 “locally-acquired” cases of dengue fever have been reported on the Big Island, according to reports from the State of Hawai’i Department of Health.

The Wednesday case count rose by four since Tuesday afternoon.

Hawai’i County Civil Defense reports that Hookena Beach Park has been closed until further notice as the site is one identified by the DOH earlier this week that is linked to some of the dengue cases.

Darryl Oliveira, Civil Defense Administrator, said in a radio message that, “As a proactive and preventative measure, Ho’okena Beach Park will be closed until further notice. This action is necessary to allow for health and Parks Department staff to conduct mosquito control and pesticide treatments.”
...

http://bigislandnow.com/2015/11/04/d...t-rises-to-15/

---------------------------------------------------------------------------------------------------------------------------------------------

November 2015

HDOH investigates cluster of dengue fever on the Big Island

The Hawaii Department of Health (HDOH) is currently investigating a cluster of locally-acquired cases of dengue fever on the Big Island of Hawaii. As of November 4, 2015, there have been 15 confirmed cases identified.

Dengue is not endemic in Hawaii, however it is intermittently imported from endemic areas by infected travelers. This is the first cluster of locally-acquired dengue fever since the 2011 outbreak on Oahu.

For more information on dengue fever, click here.


**Please note that updates to case counts, when available, will be posted by 1 p.m. HST daily**

http://health.hawaii.gov/docd/
 
November 2015

HDOH investigates cluster of dengue fever on the Big Island

The Hawaii Department of Health (HDOH) is currently investigating a cluster of locally-acquired cases of dengue fever on the Big Island of Hawaii. As of November 5, 2015, there have been 19 confirmed cases identified.

Confirmed cases, TOTAL 19
Hawaii Island residents 12
Visitors 7


Of the 19 cases, 17 are adults and two are pediatric cases. All have either recovered or are recovering.

The onset of illness has ranged between 9/15/15 – 10/27/15.


Dengue is not endemic in Hawaii, however it is intermittently imported from endemic areas by infected travelers. This is the first cluster of locally-acquired dengue fever since the 2011 outbreak on Oahu.


For more information on dengue fever, click here.

http://health.hawaii.gov/docd/
 
11/05/2015

(snip)


Will dengue become endemic in Hawaii?


Dengue fever is endemic, or permanently established in the human population, in a number of tropical places around the world, including Puerto Rico and popular tourism spots in Latin America and Southeast Asia, according to the CDC.
However, the virus is unlikely to become endemic in Hawaii, said Jonathan Day, a professor of medical entomology at the University of Florida.

Dengue is different from other mosquito-transmitted viruses that have become endemic in recent years in parts of the U.S., he said. For instance, West Nile virus is carried by birds, and mosquitoes can spread the disease from birds to people because they bite both. But dengue doesn't have such an animal "reservoir," except for monkeys in Africa and Southeast Asia, the CDC said. Therefore, the virus is unlikely to persist in the mosquito population for long, once the human outbreak ends.

Other dengue outbreaks in the United States have typically lasted a year or two. In an outbreak in Brownsville, Texas, 25 people became ill with dengue in 2005, and in Key West, Florida, 90 people got dengue from 2009 to 2011, according to the CDC. [7 Devastating Infectious Diseases]

These outbreaks usually end with the help of public education campaigns and mosquito control measures. People in these areas also typically have air conditioning in their homes, which removes the humidity mosquitoes need in order to live, Day said.

MORE:
 
DENGUE OUTBREAK 2015

Dengue Fever – Hawaii Island Outbreak

Updates and information on current investigation


The Hawaii Department of Health (HDOH) is investigating a cluster of locally-acquired cases of dengue fever on Hawaii Island. Dengue is not endemic to Hawaii. However, it is intermittently imported from endemic areas by infected travelers. This is the first cluster of locally-acquired dengue fever since the 2011 outbreak on Oahu.

As of November 6, 2015*:
[TABLE="border: 1, width: 961, height: 22"]
[TR="bgcolor: #F0EBEB"]
[TD]Hawaii Island residents[/TD]
[TD]15[/TD]
[/TR]
[TR="bgcolor: #F0EBEB"]
[TD]Visitors[/TD]
[TD]8[/TD]
[/TR]
[TR="bgcolor: #C7C3C3"]
[TD]Confirmed cases, TOTAL[/TD]
[TD]23[/TD]
[/TR]
[/TABLE]

Of the confirmed case, 15 are Hawaii residents and 8 are visitors. 21 cases have been in adults; two have been pediatric. All are recovering.

Onset of illness has ranged between 9/15/15 – 10/30/15


Dengue Fever and Mosquitoes — Information and Resources
• Frequently Asked Questions (11/04/2015)
• Letter to Hawaii Island Residents and Visitors
• Bug Off! Using Mosquito Repellants
• Eliminate Mosquito Breeding Sites (11”x17”)


Call Aloha United Way 2-1-1 for more information.

To report a suspect case, contact the Department of Health, Disease Outbreak Control Division at 808-586-4586. If you are ill and worried that you might have dengue fever, call your healthcare provider.

Clinicians: for updates go to http://health.hawaii.gov/docd/update...or-clinicians/


*Updates to case counts, when available, will be posted Monday-Friday at 1:00 p.m. HST

http://health.hawaii.gov/docd/dengue-outbreak-2015/
 
Dengue Fever – Hawaii Island Outbreak
...
As of November 9, 2015*:
[TABLE="border: 1, width: 961, height: 22"]
[TR="bgcolor: #F0EBEB"]
[TD]Hawaii Island residents[/TD]
[TD]19[/TD]
[/TR]
[TR="bgcolor: #F0EBEB"]
[TD]Visitors[/TD]
[TD]8[/TD]
[/TR]
[TR="bgcolor: #C7C3C3"]
[TD]Confirmed cases, TOTAL[/TD]
[TD]27[/TD]
[/TR]
[/TABLE]

Of the confirmed case, 19 are Hawaii residents and 8 are visitors. 25 cases have been in adults; two have been pediatric. All are recovering. Onset of illness has ranged between 9/15/15 – 11/2/15.

For a map of potential exposure areas reported by cases, click HERE.


HDOH continues to routinely monitor for cases of imported dengue infection on ALL islands and will continue to have Vector Control perform mosquito site assessments and abatement as needed. Since the beginning of our current investigation on Hawaii island, one imported dengue fever case has been confirmed (on Oahu). This case is not associated with the Hawaii island investigation.
...

http://health.hawaii.gov/docd/dengue-outbreak-2015/
 
Dengue Fever – Hawaii Island Outbreak
...
As of November 10, 2015*:
[TABLE="border: 1, width: 961, height: 22"]
[TR="bgcolor: #F0EBEB"]
[TD]Hawaii Island residents[/TD]
[TD]25[/TD]
[/TR]
[TR="bgcolor: #F0EBEB"]
[TD]Visitors[/TD]
[TD]8[/TD]
[/TR]
[TR="bgcolor: #C7C3C3"]
[TD]Confirmed cases, TOTAL[/TD]
[TD]33[/TD]
[/TR]
[/TABLE]

Of the confirmed case, 25 are Hawaii residents and 8 are visitors.

29 cases have been in adults; four have been pediatric. Onset of illness has ranged between 9/11/15 – 11/2/15.


For a map of potential exposure areas reported by cases, click HERE.


HDOH continues to routinely monitor for cases of imported dengue infection on ALL islands and will continue to have Vector Control perform mosquito site assessments and abatement as needed. Since the beginning of our current investigation on Hawaii island, one imported dengue fever case has been confirmed (on Oahu). This case is not associated with the Hawaii island investigation.
...


http://health.hawaii.gov/docd/dengue-outbreak-2015/
 
Dengue: Another Confirmed Case Brings Total to 34

Posted on November 12, 2015
by Jamilia Epping

One new confirmed case of dengue fever on the Big Island was announced by the Hawai?i Department of Health Thursday.

The total of confirmed cases of dengue has risen to 34 since Oct. 26, when two cases were initially being investigated by DOH.

Twenty-six of the confirmed cases are Hawai?i residents, while the other eight are visitors to the islands. Four children have been impacted by dengue. The DOH defines children as individuals under the age of 18.

Onset of illness ranges between Sept. 11 and Nov. 2.
...
Spraying operations continues throughout the island, including various locations in Honaunau and Kailua-Kona. A follow-up treatment at Hookena Beach Park is also being conducted as a precaution.
...
http://bigislandnow.com/2015/11/12/dengue-another-confirmed-case-brings-total-to-34/
 
Dengue Fever – Hawaii Island Outbreak

Updates and information on current investigation
...
As of November 14, 2015*:
[TABLE="border: 1, width: 961, height: 22"]
[TR="bgcolor: #F0EBEB"]
[TD]Hawaii Island residents[/TD]
[TD]39[/TD]
[/TR]
[TR="bgcolor: #F0EBEB"]
[TD]Visitors[/TD]
[TD]10[/TD]
[/TR]
[TR="bgcolor: #C7C3C3"]
[TD]Confirmed cases, TOTAL[/TD]
[TD]49[/TD]
[/TR]
[/TABLE]

Of the confirmed cases, 39 are Hawaii residents and 10 are visitors.

39 cases have been adults; ten have been children (<18 years of age). Onset of illness has ranged between 9/11/15 &#150; 11/7/15.

For a map of potential exposure areas reported by cases, click HERE. (Data as of November 12, 2015)
...

http://health.hawaii.gov/docd/dengue-outbreak-2015/
 
DENGUE OUTBREAK 2015

Dengue Fever &#150; Hawaii Island Outbreak

Updates and information on current investigation


The Hawaii Department of Health (HDOH) is investigating a cluster of locally-acquired cases of dengue fever on Hawaii Island. Dengue is not endemic to Hawaii.

However, it is intermittently imported from endemic areas by infected travelers. This is the first cluster of locally-acquired dengue fever since the 2011 outbreak on Oahu.


As of November 16, 2015*:
[TABLE="border: 1, width: 961, height: 22"]
[TR="bgcolor: #F0EBEB"]
[TD]Hawaii Island residents[/TD]
[TD]46[/TD]
[/TR]
[TR="bgcolor: #F0EBEB"]
[TD]Visitors[/TD]
[TD]10[/TD]
[/TR]
[TR="bgcolor: #C7C3C3"]
[TD]Confirmed cases, TOTAL[/TD]
[TD]56[/TD]
[/TR]
[/TABLE]

Of the confirmed cases, 46 are Hawaii residents and 10 are visitors.

41 cases have been adults; Fifteen have been children (<18 years of age). Onset of illness has ranged between 9/11/15 &#150; 11/7/15.

...
http://health.hawaii.gov/docd/dengue-outbreak-2015/
 
Dengue Fever &#150; Hawaii Island Outbreak
...
As of November 17, 2015*:
[TABLE="border: 1, width: 961, height: 22"]
[TR="bgcolor: #F0EBEB"]
[TD]Hawaii Island residents[/TD]
[TD]55[/TD]
[/TR]
[TR="bgcolor: #F0EBEB"]
[TD]Visitors[/TD]
[TD]10[/TD]
[/TR]
[TR="bgcolor: #C7C3C3"]
[TD]Confirmed cases, TOTAL[/TD]
[TD]65[/TD]
[/TR]
[/TABLE]
Of the confirmed cases, 55 are Hawaii residents and 10 are visitors.
48 cases have been adults; Seventeen have been children (<18 years of age). Onset of illness has ranged between 9/11/15 &#150; 11/10/15.
...


http://health.hawaii.gov/docd/dengue-outbreak-2015/
 
Source: http://www.hawaiinewsnow.com/story/...ficials-continue-efforts-to-stem-the-outbreak


7 new cases of dengue fever confirmed, as health officials continue efforts to stem the outbreak
Posted: Nov 18, 2015 5:21 PM EST
Updated: Nov 18, 2015 5:21 PM EST
By Chelsea Davis

HILO, BIG ISLAND (HawaiiNewsNow) -

Seven new cases of dengue fever have been confirmed on Hawaii Island, bringing the total number of people who have gotten sick in the outbreak to 72.

Health officials said 62 of the cases are Hawaii Island residents, and 19 are children...
 
Source: http://www.hawaiinewsnow.com/story/30552701/state-says-dengue-fever-outbreak-could-last-months


State says dengue fever outbreak could last for 'months'
Posted: Nov 18, 2015 5:21 PM EST
Updated: Nov 20, 2015 2:29 AM EST
By Chelsea Davis

HILO, BIG ISLAND (HawaiiNewsNow) -

State health officials said Thursday the dengue fever outbreak could last for months, and renewed their call for residents to take precautions to prevent mosquito bites.

"We're at the beginning of a marathon," said Dr. Sarah Park, state epidemiologist, at a news conference. "These outbreaks tend to go for months."

Officials said there are 79 confirmed cases of dengue fever; that's up from 72 confirmed Wednesday. Some 68 of the cases are Hawaii Island residents, and 20 are children.

Meanwhile Thursday, the governor and state Health Department officials said the Hawaii National Guard is assisting with outbreak control efforts...
 
Source: http://hawaiitribune-herald.com/news/local-news/dengue-outbreak-now-88-cases

Dengue outbreak now at 88 cases
Published November 21, 2015 - 1:30am

By BRET YAGER West Hawaii Today

KAILUA-KONA ? Friday was day two of the state Department of Health defending its response to the dengue outbreak on the Big Island, with the agency and Civil Defense working to paint a more complete picture of the steps planned and already taken.

The House Committee on Health and the Senate Committee on Commerce, Consumer Protection and Health held a joint meeting as the tally of people sickened by the disease reached 88...
 
Dengue Fever &#150; Hawaii Island Outbreak
Aedes aegypti and Aedes albopictus mosquitoes can transmit the viruses that cause dengue fever.
Updates and information on current investigation
The Hawaii Department of Health (HDOH) is investigating a cluster of locally-acquired cases of dengue fever on Hawaii Island. Dengue is not endemic to Hawaii. However, it is intermittently imported from endemic areas by infected travelers. This is the first cluster of locally-acquired dengue fever since the 2011 outbreak on Oahu.
As of November 24, 2015*: [TABLE="border: 1, width: 961, height: 22"]
[TR="bgcolor: #F0EBEB"]
[TD]Hawaii Island residents[/TD]
[TD]80[/TD]
[/TR]
[TR="bgcolor: #F0EBEB"]
[TD]Visitors[/TD]
[TD]13[/TD]
[/TR]
[TR="bgcolor: #C7C3C3"]
[TD]Confirmed cases, TOTAL[/TD]
[TD]93[/TD]
[/TR]
[/TABLE]
Of the confirmed cases, 80 are Hawaii residents and 13 are visitors.
70 cases have been adults; 23 have been children (<18 years of age). Onset of illness has ranged between 9/11/15 &#150; 11/17/15.

As of today, a total of 143 reported potential cases have been excluded based on test results and/or not meeting case criteria.
For a map of potential areas of infection by mosquito for confirmed dengue fever cases, click HERE**. (Updated November 18, 2015)

http://health.hawaii.gov/docd/dengue-outbreak-2015/
 
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