Following the already confirmed cases of above 250 cases of Dengue fever since October 2015,the Mayor of Hawaii big Island declared a state of emergency on Monday this week.
According to the Mayor and the Hawaii health officers ,it is believed to be the highest outbreak since 1940. Dengue is spread by infected mosquitoes and causes flu-like symptoms and can develop into the deadly dengue hemorrhagic fever.
Hawaii Governor David Ige said in a statement he supported the efforts on the Big Island but would not issue a statewide emergency declaration unless the outbreak spread to other islands or expanded to include other diseases, such as the Zika virus. Dengue is not endemic to Hawaii but has occasionally spread after being imported by infected travelers. The outbreak on the Big Island is the first cluster of locally acquired dengue fever since a 2011 outbreak on Oahu, the Hawaii Department of Health 
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