Japan’s Abe pays respects at Hawaii memorials on eve of Pearl Harbor trip

Japan's Prime Minister Shinzo Abe presents a wreath at the National Memorial Cemetery of the Pacific at Punchbowl in Honolulu, Hawaii, U.S.

By Emily Stephenson

HONOLULU (Reuters) – Japanese Prime Minister Shinzo Abe on Monday stopped at several memorials in Hawaii, one day before he visits the site of the 1941 bombing of Pearl Harbor during a trip intended to show a strong alliance between his country and the United States.

Abe made no public remarks and stood in silence before a wreath of flowers at the National Memorial Cemetery of the Pacific, a memorial to those who died while serving in the U.S. Armed Forces.

Abe, joined by two of his Cabinet members, bowed his head before wreaths of white flowers and greenery laid at the feet of stone monuments at Makiki Cemetery in Honolulu dedicated to Japanese who settled in Hawaii in the 1800s.

The crowning event of the trip comes Tuesday, when Abe and U.S. President Barack Obama will visit Pearl Harbor, the site of the Japanese attack 75 years ago that drew the United States into World War Two. Obama, who was born in Hawaii, is spending his winter vacation there.

Abe does not plan to apologize for the 1941 attack but to console the souls of those who died in the war, his aides said this month.

Japan hopes to present a strong alliance with the United States amid concerns about China’s expanding military capability. Japan was monitoring a group of Chinese warships that entered the top half of the South China Sea earlier on Monday.

“I am very much looking forward to sending out a strong message on the value of reconciliation, as well as our sincere prayer for the souls of the war dead,” Abe, speaking through an interpreter, said at the Hawaii Convention Center in Honolulu.

Abe has called U.S.-Japan relations an “alliance of hope” and said the devastation of war should not be repeated.

In China, where the government has repeatedly urged Japan to show greater repentance for World War Two and Japan’s invasion of China, Foreign Ministry spokeswoman Hua Chunying said it was “wishful thinking” for Abe if he hoped to use the visit to “settle the accounts” for the war.

“No matter the posture, no matter what show is put on, only sincere reflection can realize the key to reconciliation,” Hua told reporters.

Japanese leaders hope to send a message of unity as well to President-elect Donald Trump, who triggered concerns before his Nov. 8 election by opposing the U.S.-led Trans-Pacific Partnership trade pact and threatening to force allied countries to pay more to host U.S. forces.

Abe has tightened ties with Washington during his four years in office, stretching the limits of Japan’s pacifist constitution and boosting defense spending.

Amid wind and rain on Monday, Abe presented a wreath at the armed forces memorial located at Honolulu’s Punchbowl Crater. After a moment of silence, he signed a guestbook and then stopped at the grave of former U.S. Senator Daniel Inouye, who fought in World War II in Europe and whose parents were Japanese. He died in 2012.

Abe’s visit will come seven months after Obama became the first serving U.S. president to visit the Japanese city of Hiroshima, where the United States dropped an atomic bomb in the closing days of the war in 1945.

At least three Japanese premiers have visited Pearl Harbor, but the Japanese government says Abe will be the first to pray for the dead with a U.S. president at the memorial built over the remains of the sunken battleship USS Arizona.

(Reporting by Emily Stephenson, additional reporting by Hugh Gentry, and by Linda Sieg in Tokyo and Ben Blanchard in Beijing; Editing by Lisa Shumaker and Nick Macfie)

Hurricane warning issued for parts of Florida; Madeline weakens

A city worker fills sandbags to help residents prepare for an expected tropical storm in Gulfport, Florida

TAMPA BAY, Fla. (Reuters) – Forecasters and public officials urged Floridians to prepare for potentially catastrophic flooding and damaging winds as Tropical Storm Hermine was expected to become a hurricane by the time it reached Florida’s northern Gulf Coast on Thursday.

A hurricane warning was in effect for the Florida panhandle from the Suwannee River to Mexico Beach as the strengthening storm was expected to sweep across northern parts of the state and then northeast along the Atlantic Coast, the National Hurricane Center said in an advisory.

The forecast of rough weather prompted Florida Governor Rick Scott to declare an emergency on Wednesday as many school districts along the Gulf Coast canceled after-school activities and ordered students to stay home on Thursday.

Cities such as Tallahassee and Orlando were offering sandbags to residents to protect homes and businesses from flooding caused by the up to 10 inches (25 cm) of rain as heavy rains were already pounding parts of the state and were expected through Friday.

“There is a danger of life-threatening inundation,” said the center’s advisory that noted the possibility of as much as 20 inches (20 cm) of rain to fall in some isolated areas and life-threatening flash flooding.

The storm, packing winds of 60 mph (95 kmh) with higher gusts, was expected to get stronger by the time it reach landfall, making outside preparations difficult or dangerous, the center said.

“Heavy rainfall and strong winds will make driving dangerous. Even after the storm passes, citizens should avoid unnecessary travel to allow first responders and road clearing crews to quickly respond to emergency needs,” the City of Tallahassee said in an alert to residents.

Three storm systems are shown (L TO R) Tropical Depression Nine to the southeast of Florida, Tropical Depression Eight just off the coast of the Carolinas and Hurricane Gaston in the central Atlantic Ocean are shown in this GOES East satellite image captured August 29, 2016. NOAA/handout via REUTERS

Three storm systems are shown (L TO R) Tropical Depression Nine to the southeast of Florida, Tropical Depression Eight just off the coast of the Carolinas and Hurricane Gaston in the central Atlantic Ocean are shown in this GOES East satellite image captured August 29, 2016. NOAA/handout via REUTERS

On its current path, the system would also dump as much as 10 inches (25 cm) of rain on coastal areas of Georgia, which was under a tropical storm watch, and the Carolinas.

A tropical storm warning was also issued for the U.S. east coast from Marineland, Florida to South Santee River, South Carolina, the Miami-based weather forecaster said.

U.S. oil and gas producers in the east of the Gulf of Mexico removed workers from 10 offshore platforms, moved drilling rigs and shut some output because of the storm.

The hurricane center also said in an advisory that the center of Hurricane Gaston will move near the Azores on Friday.

Meantime, Hurricane Madeline weakened to a tropical storm as it passed south of Hawaii’s Big Island, where officials opened shelters and closed offices, schools and roads on Wednesday.

The tropical storm, before it moves westward out of reach of Hawaii, was expected to dump as much as 15 inches (40 cm) of rain on parts of the Big Island, according to the National Weather Service.

Hurricane Lester, currently a major Category 4 storm, could affect Hawaii over the weekend.

Hawaii Governor David Ige signed an emergency proclamation that runs through Sept. 9, freeing up state resources.

(Reporting by Brendan O’Brien in Milwaukee; Editing by Toby Chopra)

Storm bears down on Florida, hurricane threatens Hawaii

Three storm systems are shown (L TO R) Tropical Depression Nine to the southeast of Florida, Tropical Depression Eight just off the coast of the Carolinas and Hurricane Gaston in the central Atlantic Ocean are shown in this GOES East satellite image captured August 29, 2016.

(Reuters) – Forecasters issued a tropical storm warning on Wednesday for the Florida Gulf Coast, where preparations were being made for life-threatening flooding and fierce winds, while residents of Hawaii’s Big Island were warned of an encroaching hurricane.

Some local governments in Florida have begun distributing sandbags as the unnamed tropical depression heads toward the state’s Gulf Coast where as much as 15 inches of rain could fall from Indian Pass on the panhandle along the Gulf of Mexico to north of Tampa, the National Hurricane Center said in an early morning advisory.

“Persons located within these areas should be prepared to take all necessary actions to protect life and property from rising water,” the center said.

The center also issued a hurricane watch for the coast, saying the system, which is currently packing 35 mph (55 kph) with higher gusts, is expected to strengthen as it heads east.

Flooding, storm surge, fierce winds and tornadoes were all threats to the region, which could begin feeling the storm late on Wednesday, Florida Governor Rick Scott said in a statement.

On its current path, the system could make landfall on Florida’s north-central Gulf Coast on Thursday, bringing storms into Georgia and the eastern Carolinas on its way to the Atlantic Ocean.

Florida raised the activation status of its State Emergency Operations Center on Tuesday to begin preparing.

Another unnamed tropical depression was turning out to sea on Wednesday after threatening the North Carolina coast, according to the hurricane center.

On Hawaii’s Big Island, residents were warned on Tuesday of an encroaching hurricane expected to bring strong winds and heavy rains.

The National Weather Service (NWS) tracked Hurricane Madeline swirling about 235 miles (380 km) east of the town of Hilo around 11 p.m. local time on Tuesday. The storm was forecast to “pass dangerously close” on Wednesday, prompting the NWS to issue a hurricane warning for the island.

Madeline was ranked as a Category 1 hurricane with maximum sustained winds of 90 mph (150 kph), the weather service said.

The County of Hawaii sent residents an alert about the hurricane’s dangers, including heavy rains that could lead to mudslides, as well as possibly damaging ocean swells.

“Preparations to protect life and property should be completed by nightfall today,” the alert said.

(Reporting by Brendan O’Brien in Milwaukee; Editing by Richard

Hawaii County declares state of emergency over dengue fever outbreak

The growing number of dengue fever cases in Hawaii County has prompted the county’s mayor to declare a state of emergency, a measure that aims to reduce the spread of the disease.

William P. Kenoi issued the declaration on Monday as the state Department of Health reported that there have been confirmed 251 cases of the mosquito-borne illness since last September.

All of the confirmed cases have been in Hawaii County, which is the state’s largest island.

Kenoi’s declaration allows people to dump tires at county landfills, which had been outlawed. The Centers for Disease Control and Prevention (CDC) says used tires can collect rain, making them a good place for mosquitos to lay eggs, and mosquito control is key to combating dengue.

Hawaii Governor David Y. Ige issued a statement saying he supported Kenoi’s emergency proclamation, but he would only declare a statewide emergency if certain conditions were met.

According to the World Health Organization (WHO), dengue fever usually triggers a flu-like illness that lasts up to a week. Symptoms include headaches, vomiting, muscle pains and rashes. In some cases, however, dengue can become severe and lead to potentially fatal complications.

The WHO says severe dengue causes about 500,000 hospitalizations and 12,500 deaths every year, though access to proper medical care significantly lowers the disease’s mortality rate.

Hawaii health officials have not reported any deaths as a result of this outbreak.

The Hawaii Department of Health says dengue isn’t usually found in Hawaii, but there have been some cases of infected travelers coming to Hawaii from areas where the disease is spread. But it says this outbreak is of locally-acquired dengue, the state’s first such event since 2011.

Dengue is different than the Zika virus, another mosquito-borne illness. However, both dengue and Zika can be transmitted by the Aedes aegypti mosquito and both have spread to new areas.

The WHO says dengue has reached more than 100 countries over the past 50 years, recording a 30-fold increase in its incidence. About half the world’s population is now at risk of infection.

The CDC has issued numerous travel warnings about the Zika virus, and the WHO recently deemed Zika an international public health concern as scientists investigate its potential connection to a rare birth defect called microcephaly that affects head size.

The Hawaii Department of Health has said that one Oahu child who was born with microcephaly had been infected with Zika, though his mother likely got infected when she was living in Brazil. The country saw a substantial rise in microcephaly last year.

Only about 20 percent of those infected with Zika show any symptoms, according to the CDC. Those symptoms include fever, rash and joint pain and most people fully recover within a week.

U.S. weighs making Hawaii missile test site operational

WASHINGTON (Reuters) – The U.S. military has stepped up discussions on converting its Aegis missile defense test site in Hawaii into a combat-ready facility that would bolster American defenses against ballistic missile attacks, according to sources familiar with the discussions.

The proposal, which has been discussed sporadically for several years, was given fresh impetus by North Korea’s fourth nuclear test on Jan. 6 and by recent strides in China’s missile technology capabilities, said current and former U.S. military officials, congressional aides and other sources.

A Chinese official in Washington suggested that Beijing would see such a U.S. move as counter-productive to relations.

Aegis, developed by Lockheed Martin Corp for use on U.S. Navy destroyers, is among the most advanced U.S. missile defense systems, integrating radars, software, displays, weapons launchers and missiles.

Setting up its land version — Aegis Ashore — in Hawaii and linking it with Aegis destroyers would add a permanent missile defense site to the Pacific, providing an extra layer of protection for the U.S. islands and the West Coast at a time when North Korea is improving its missile capabilities.

Ground-based interceptors in Alaska and California provide the current defense for Hawaii and the continental United States against missile attacks.

The Navy also relies on deploying Aegis-equipped destroyers based on U.S. intelligence warnings about imminent threats. North Korea’s development of mobile missile launchers has made it more difficult to predict launches in advance.

To make the test site combat-ready, the U.S. military would need to add personnel, stockpile live missiles and beef up security, at an estimated cost of around $41 million, said the sources, who were not authorized to speak publicly.

It would also need to integrate the site into the larger U.S. ballistic missile defense system, with control likely shifting from the Pentagon’s Missile Defense Agency to the U.S. Navy, the sources said.

U.S. Navy Admiral Harry Harris, commander of U.S. Pacific Command, has been engaged in high-level discussions about ways to protect Hawaii, Guam and the continental United States from threats like North Korea, his spokesman, Captain Darryn James told Reuters.

James said no decisions had been made, but the Aegis Ashore site in Hawaii had a “proven test capability.”

“Admiral Harris is always exploring options to forward deploy and operationalize the latest advancements in ballistic missile defense technologies in the Pacific, where we face increasingly sophisticated threats to the homeland,” James said.

It remains unclear when the U.S. administration could reach a decision, but implementing the changes could be done swiftly, the sources said.

STRENGTHENING THE SHIELD

North Korea’s nuclear test in January underscored U.S. concerns that the secretive state has the ability to place a bomb on a long-range ballistic missile that could reach the U.S. West Coast.

Any moves to boost missile defenses could inflame growing military rivalry between China and Washington and its allies.

Converting the site on Hawaii’s Kauai island into combat use could rankle China at a time of heightened tensions with Washington over the disputed South China Sea. Beijing has already expressed concern about the possible deployment of the mobile U.S. Terminal High Altitude Area Defense (THAAD) system to South Korea.

Zhu Haiquan, spokesman for the Chinese Embassy in Washington, said Beijing believed the nuclear proliferation issue would be best resolved diplomatically.

“All measures seeking to increase military capacities will only intensify antagonism and will not help to solve the problem,” he said when asked about the possible U.S. move.

“China hopes the relevant country will proceed on the basis of regional peace and stability, adopt a responsible attitude and act prudently in regard to the anti-missile issue.”

Russia, meanwhile, has repeatedly objected to the U.S. Aegis Ashore site in Romania, which is due to become operational in the coming weeks. A similar site is due to open in Poland in 2018.

The Missile Defense Agency explored the prospect of putting the Hawaii test site into full operation in a classified report to Congress in September 2014, according to one of the sources.

Congress requires the agency to update its estimate of the cost, feasibility and effectiveness of adding more Aegis Ashore sites this spring.

The Aegis Ashore test site in Hawaii completed its first intercept test in December, using a Raytheon Co Standard Missile-3 Block 1B to destroy a target that replicated an Iranian Ghadr-110 medium-range missile.

Riki Ellison, who heads the non-profit Missile Defense Advocacy Alliance, said the new Aegis installation would in effect give the U.S. military three chances to shoot down a missile aimed at Hawaii, up from one currently.

“If you have the assets on the island, why not use them to protect against possible missile attacks from North Korea?” Ellison said.

The December test proved the Aegis Ashore system could fire two different Raytheon Co missiles — one inside the earth’s atmosphere and one outside — at an enemy missile.

Expansion of military operations in Hawaii have sparked protests by residents in the past.

But Hawaii Representative Mark Takai, a Democrat and member of the House Armed Services Committee, said the conversion is “the best way to ensure we have protection for Hawaii’s critical defense infrastructure against increasingly belligerent actors that threaten our country.

(Additional reporting by Matt Spetalnick and Jeff Mason; editing by Stuart Grudgings)

Hawaiian child born with birth defect was infected with Zika virus

A Hawaiian child who was recently born with a rare birth defect called microcephaly had been infected with the mosquito-borne Zika virus, the state Department of Health announced.

Officials made the announcement on Friday, the same day the Centers for Disease Control and Prevention (CDC) issued updated travel warnings for regions where Zika outbreaks are present.

The Zika virus usually only causes a mild illness and most people typically recover in a week, the CDC says, but the virus is collecting global attention because scientists are currently working to see if it is responsible for causing birth defects such as the one found in the Hawaiian child.

According to the CDC, children born with microcephaly have smaller-than-usual heads, and the defect may lead to other issues such as seizures, developmental delays and vision problems.

The Brazilian Ministry of Health reported a significant rise in the birth defect since the virus arrived in May. The country used to see fewer than 200 cases per year, but now has about 3,500.

The Hawaiian baby’s mother was living in Brazil last May, the state Department of Health said in a news release, and likely transmitted the virus to her child while he or she was in the womb.

Microcephaly can be caused by a variety of issues including genetic changes, malnutrition, alcohol exposure and certain kinds of infections, according to the CDC, but it’s still a relatively rare defect and only surfaces in about 2-12 babies out of every 10,000 born in the United States.

“We are saddened by the events that have affected this mother and her newborn,” Hawaii Department of Health State Epidemiologist Sarah Park said in a statement.

Hawaii health officials said neither the mother nor the child are currently at risk of transmitting Zika, nor were they ever at risk of spreading the virus throughout Hawaii. The country has yet to see a locally contracted case of Zika, the CDC has said.

However, the Hawaii Department of Health reported six people have gotten infected while visiting foreign countries and returned to the state.

The CDC on Friday sent out updated travel notices for Puerto Rico, Mexico, Central America, South America and the Caribbean, where Zika is found in local mosquitos, asking travelers — especially pregnant women — to “practice enhanced precautions” to prevent mosquito bites. Previously, the CDC had only been asking travelers to “practice usual precautions.”

There isn’t any vaccine against a Zika infection, the CDC says.

“The virus is spreading fairly rapidly throughout the Americas,” Dr. Lyle Petersen, the director of CDC’s division of vector-borne diseases, told reporters during a Friday evening news briefing, according to a transcript posted on the CDC’s website. “We know in populations that it does affect, a large percentage of the population may be become infected. And because of this growing risk of or growing evidence that there’s a link between Zika virus and microcephaly, which is a very severe and devastating outcome, it was important to warn people as soon as possible.”

Petersen told the news briefing that the CDC recently found its “strongest scientific evidence to date” of a link between Zika and “poor pregnancy outcomes” like microcephaly, but more tests and studies were needed to determine the risks the Zika virus may pose to pregnant women.

Common symptoms of Zika include fever, joint pain and rash, the CDC says. However, Petersen told the news briefing that only 1 in 5 people infected with the virus will display those symptoms.

Petersen also told reporters there have been at least eight United States travelers who tested positive for Zika after traveling overseas in the past 15 months, compared to just 12 who tested positive for the virus between 2007 and 2014. And the CDC is also still receiving samples from people displaying symptoms, so that number could increase as more test results come back.

While the specific kind of mosquito that transmit the virus are present in parts of the United States, Petersen told reporters that improvements in housing construction, air conditioning and mosquito control have helped prevent large outbreaks of other mosquito-borne illnesses.

He told the news briefing it would be difficult to determine exactly how Zika may spread in the coming months.

“I think we’re just going to have to wait to see how this all plays out,” he told reporters. “These viruses certainly can spread in populations for some time. But, again, this is new. This is a dynamic and changing situation. I think it’s really impossible for us to speculate what may happen in three or four or even next month for that matter.”

Separately, Hawaii is dealing with another outbreak of a mosquito-borne illness.

The state Department of Health says there have been 223 cases of dengue fever since Sept. 11. It’s the first locally-acquired outbreak of the disease since 2011.

The World Health Organization says dengue, which can cause fevers, headaches, muscle and joint pains and rashes, has become increasingly common in the past 50 years — spreading to more than 100 countries and placing about half the world’s population at risk of an infection.

Search for survivors after Marine helicopters crash off Hawaii

(Reuters) – The U.S. Coast Guard is leading a search for two Marine helicopters with a total of 12 people on board that collided near the island of Oahu in Hawaii, officials said on Friday.

The CH-53E helicopters, belonging to the 1st Marine Aircraft Wing from the Marine Corps Air Station at Kaneohe Bay, were reported to have collided just before midnight local time, Coast Guard spokeswoman Sara Mooers said.

No survivors have been rescued from the crash more than seven hours after it occurred, said another Coast Guard spokeswoman, Petty Officer Second Class Melissa McKenzie.

“We remain hopeful,” McKenzie said.

Just after midnight, the crew of a Coast Guard helicopter spotted debris in the waters off the town of Haleiwa on the north shore of Oahu, but did not find any of the passengers.

A Coast Guard cutter was on scene and another one was en route and expected to arrive shortly, McKenzie said.

Two U.S. Navy warships have also been sent to join the search, and local police and fire departments were assisting with helicopters, she said.

The initial effort was hampered by dark, cloudy conditions and waves of up to 15 feet, officials said.

The Marine Corps confirmed the search, but provided few additional details.

“Thoughts & prayers are with our Marines & their families in Hawaii as search efforts continue,” General Robert Neller, commandant of the Marine Corps, said in a message on Twitter.

(Reporting by Alex Dobuzinskis in Los Angeles and Susan Heavey, David Alexander and Laila Kearney in New York; Editing by Bernadette Baum)

Hawaii Reports Additional Cases of Dengue Fever

The number of people infected with dengue fever in Hawaii is climbing, officials said Monday.

The Hawaii Department of Health reported that it was investigating 167 total cases of the mosquito-borne illness, which can lead to fatal consequences in extreme cases. There were 122 confirmed dengue cases as of Dec. 2, signifying 45 additional infections in about three weeks.

State health officials said only three of the 167 cases are currently infectious. The other people got sick between Sept. 11 and Dec. 10, so they are no longer at risk of transmitting the disease.

The health department also reported there were 659 additional potential dengue infections that had been ruled out, either through test results or the illnesses failing to meet the case criteria.

Dengue isn’t endemic (regularly found) in Hawaii, though health officials said it can occasionally be brought in from travelers who got infected in endemic regions. But this latest outbreak on the Big Island is unique because it’s the first cluster of locally acquired cases since 2011, when Centers for Disease Control and Prevention (CDC) records indicate five people got sick in Oahu.

According to the World Health Organization (WHO), an arm of the United Nations, dengue is transmitted when an infected mosquito bites a human. The infection generates a flu-like illness — from which most people usually recover within a week — though it sometimes progresses to severe dengue. In those instances, people can suffer organ impairment and severe bleeding.

The WHO estimates severe dengue hospitalizes about 500,000 people per year, and about 2.5 percent of them die. Dengue is much more common, with some estimates indicating as many as 136 million people falling ill every year, but non-severe cases of the disease are rarely ever fatal. Symptoms can include severe headaches, swollen glands, joint and muscle pain and a high fever.

The Hawaii outbreak reflects a global trend in which dengue is spreading to new locales.

The WHO reports the disease was traditionally found in the tropics and subtropics, but it’s now endemic in more than 100 countries and about half the world’s population is at risk of infection. Still, early detection and access to good medical care keeps the mortality rate below 1 percent. Without those, the WHO says severe dengue can be fatal in more than 20 percent of cases.

Hawaii health officials say it’s still safe to visit the island. The department encourages travelers to use insect repellant and wear long sleeves and pants to help prevent mosquitos from biting.

Hawaii Dealing with Rare Dengue Fever Outbreak

Health officials in Hawaii are currently investigating more than 100 cases of dengue fever, a mosquito-borne illness that experts say can lead to potentially lethal complications in rare cases.

The Hawaii Department of Health says on its website that there were 122 confirmed dengue cases as of Wednesday. The disease isn’t endemic (regularly found) in Hawaii, it says, but it can occasionally be brought in from someone who traveled to an endemic region and got infected.

However, the department indicates this is a cluster of people who contracted the disease locally.

It’s the first such outbreak since a 2011 cluster of cases in Oahu, the department says. According to Centers for Disease Control (CDC) and Prevention records, only five people fell ill in that outbreak.

This cluster is on Hawaii Island, the big one. CNN reported that CDC officials were traveling to the island on Wednesday and bringing specially designed mosquito traps to help catch the bugs.

Of the 122 confirmed cases, the health department says 106 are residents of the island and 16 were visiting. Ninety three were adults and 29 were children. They began falling ill between Sept. 11 and Nov. 24. No deaths have been reported, but the disease has been known to kill.

The World Health Organization (WHO), an arm of the United Nations, says dengue causes a flu-like illness and is traditionally found in the tropics and subtropics. But it says the disease has rapidly spread to new areas in recent years and roughly half the world’s population is at risk.

The disease is carried by certain types of mosquitos and transmitted to humans through bites. Symptoms can include a high fever, severe headaches, swollen glands and joint and muscle pain.

Dengue itself is seldom deadly, according to the WHO, but in some instances it can lead to severe dengue. That can cause respiratory distress, severe bleeding and organ impairment.

About 500,000 people (most of whom are children) need to be hospitalized for severe dengue treatment every year, according to the WHO, and approximately 2.5 percent of those who develop the disease die. Severe dengue has been a major issue in Asia and Latin America, the organization says, and is one of the top causes of hospitalization and death for children there.

The WHO says detecting the disease early enough and having access to medical care facilities drops the dengue mortality rate below 1 percent. The Hawaii Department of Health says it’s still safe to travel to the state, and a CDC official told CNN that the overall risk of getting infected is low because mosquitos in the United States have not been known to transmit the virus well.

Earthquake Hits City of Volcano

A major earthquake struck beneath the Hawaiian city of Volcano on Saturday evening.

The 5.2 magnitude quake was the strongest of 94 quakes that have struck the region in the last two weeks.

The USGS Hawaiian Volcano Observatory said that the quake caused no injuries and it doesn’t appear that any of the volcanoes are experiencing a major change in their activity.

“HVO monitoring networks have not detected any significant changes in activity at the summits or rift zones of Kilauea or other Hawaiian volcanoes,” HVO’s Scientist-in-Charge Tina Neal said.

Five aftershocks were recorded within an hour of the main quake with the strongest measuring magnitude 3.1.

The park is home to two active volcanoes including Kulauea, considered one of the world’s most active.

The Pacific Tsunami Warning Center said the quake did not cause a tsunami in the region.