By NewsDesk @infectiousdiseasenews
The Cook Islands Ministry of Health reported nine dengue fever cases in the month of September, bringing the outbreak total this year to 91.

A Dengue-type1 outbreak was declared on the 27th of February 2019 following a laboratory confirmation of seven dengue-type1 cases.
The northern part of the island of Rarotonga, is still the hot spot, with 70% of the total cases reported on Rarotonga.
A total of 46 cases have been hospitalized and discharged. No deaths have been reported.
A block by block, aerial spraying, to kill adult mosquitoes have started at the hotspot areas.
Routine vector control intervention program is ongoing which includes:
- Mosquito larvae/adult trapping at high risk areas
- Peri-focal spraying – new cases being reported
- Fortnightly larvacidal application at swampy areas
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