The Hawaii Department of Health (HDOH) has disclosed the dengue fever confirmed case tally at 122, which is a rise of five cases since yesterday. The Southern Taiwan has reported all the deaths due to the mosquito-borne disease, including Tainan, has reported 112 deaths, followed by 70 in Kaohsiung and two in Pingtung County.

Dengue is not endemic in Hawaii but at times is brought in along with infected travelers, which according to state health officials is the way through which the outbreak has started.

As per Hawaii health officials, since the 2011 outbreak on Oahu, it’s the first cluster of locally-acquired dengue fever the Big Island has faced.

Mosquitoes are common in most continental areas but are not native to many oceanic islands. Since the first introduction of the species, the number of biting mosquitoes species in Hawaii has gone up to six.

Mosquitoes have become much more than just annoyance in Hawaii as they have now started carrying dengue fever.

Since May, 184 people had lost their lives due to dengue fever in around Taiwan, as of Tuesday. Dengue fever is nicknamed ‘bone fever’, and its symptoms often include severe joint and muscle pain and a high fever.

According to authorities, 106 of the cases belong to Hawaii residents, with the rest 16 being affected visitors. The update read that this case was not linked to the Hawaii Island investigation.