title: Notes from the Field: Outbreak of Locally Acquired Cases of Dengue Fever--Hawaii, 2015.
abstract: On October 21, 2015, the Hawaii Department of Health (HDOH) was notified of a positive dengue immunoglobulin M (IgM) antibody result in a woman residing on Hawaii Island (also known as the Big Island). The patient had no history of travel off the island, and other family members reported having similar signs and symptoms, which consisted of fever, headache, myalgias and arthralgias, and a generalized erythematous rash. HDOH initiated an investigation to identify any additional cases and potential exposure sources. On October 24, HDOH received report of a group of mainland U.S. visitors who had traveled together on Hawaii Island, including several who had developed a febrile illness. Additionally, on October 27, HDOH was notified of an unrelated person, also on Hawaii Island, with a positive dengue IgM result. As of November 26, 2015, HDOH had identified 107 laboratory-confirmed cases of dengue fever, with dates of onset ranging from September 11 to November 18, 2015.
authors.forename: David
authors.initials: D
authors.lastname: Johnston
authors.forename: Melissa
authors.initials: M
authors.lastname: Viray
authors.forename: Jenny
authors.initials: J
authors.lastname: Ushiroda
authors.forename: A Christian
authors.initials: AC
authors.lastname: Whelen
authors.forename: Rebecca
authors.initials: R
authors.lastname: Sciulli
authors.forename: Remedios
authors.initials: R
authors.lastname: Gose
authors.forename: Roland
authors.initials: R
authors.lastname: Lee
authors.forename: Eric
authors.initials: E
authors.lastname: Honda
authors.forename: Sarah Y
authors.initials: SY
authors.lastname: Park
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000914:Antibodies, Viral / Q000302:isolation & purification; D002648:Child; D002675:Child, Preschool; D003715:Dengue / Q000175:diagnosis* / Q000453:epidemiology*; D003716:Dengue Virus / Q000276:immunology; D004196:Disease Outbreaks; D005260:Female; D006254:Hawaii / Q000453:epidemiology; D006801:Humans; D007075:Immunoglobulin M / Q000302:isolation & purification; D007223:Infant; D007231:Infant, Newborn; D008297:Male; D008875:Middle Aged; D014195:Travel / Q000706:statistics & numerical data; D055815:Young Adult
chemical_list: D000914:Antibodies, Viral; D007075:Immunoglobulin M