Hawaii – Travel Health Alert
According to the Hawaii State Department of Health, 4 locally acquired (2 laboratory-confirmed and 2 suspected) cases of dengue fever were reported in late February 2011 in the Pearl City area of Honolulu, Oahu. This is the first report of local cases in Hawaii since 2002. There is no indication of sustained dengue transmission at this time; however, travelers are advised to practice daytime insect precautions pending more information on the nature of this outbreak.