Officials with the Hawaii Department of Health (HDOH) reported five additional dengue fever cases on Hawaii Island Friday, bringing the total to 223, of which, 201 are residents.

Image/CDC
Image/CDC

In addition, the Department of Land and Natural Resources has closed the Muliwai hiking trail on the far cliff side of Waipio Valley and its Waimanu Valley campground,  following the closure of Waipio valley access road on Wednesday to residents only by Hawaii County officials following confirmation of two cases of dengue in Waipio residents.

Muliwai trail and Waimanu Valley can only be accessed via Waipio valley. Campers with existing permits will be contacted by DLNR’s Division of Forestry and Wildlife. No new permits will be issued until further notice.

As a precaution to prevent the spread of dengue fever, the Waipio Valley Access Road and valley area was been closed to all traffic yesterday afternoon.  Access will be limited to valley residents only.  This restricted access will remain closed for 8-12 weeks after no new cases are diagnosed in the area by health officials.

Symptoms of dengue include a high fever, intense headache and joint pain, and rash on the arms. If you suspect you may have dengue, contact your health care provider and remain indoors to prevent the possibility of being bitten and infecting mosquitoes.

Related: Oahu: Zika infection confirmed in baby with microcephaly