Pago Pago, AMERICAN SAMOA — The recent health notice released by the Department of Health confirmed 48 new cases of dengue fever, bringing the total number of confirmed cases in American Samoa to 348. 

The American Samoa Department of Health has confirmed that the villages of Vatia, Afono, and Masefau are currently free from dengue fever, as are the majority of the villages situated along the eastern end of the island. This is the same for the Manu’a Islands. 

In contrast, several villages are experiencing higher incidences of dengue fever, indicating an ongoing health concern. These include Tafuna, the largest district on the island, followed by Iliili, Vaitogi, and Nu'uuli. Other hotspots are Malaeimi, Faleniu, Mesepa, Leone, Malaeloa, as well as the capital, Pago Pago, and the adjacent village of Fagatogo. 

The Department of Health (DOH) has confirmed that, as of November 2, 2025, none of the reported dengue cases are classified as critical. However, six patients have been admitted to LBJ Hospital for close monitoring due to the severity of their symptoms. 

In response to the rising number of dengue fever cases, DOH teams are proactively conducting mosquito control efforts, including spraying insecticides in affected villages. The department emphasizes the importance of community involvement in combating the spread of the dengue virus. Residents are urged to take the following preventive measures:

— Eliminate Standing Water: Regularly check and remove any containers, such as buckets, tires, or flower pots, that can collect rainwater. These stagnant water sources can become breeding sites for mosquitoes, which are the vectors for the dengue virus.

— Use Mosquito Repellents: Apply mosquito repellent that contains DEET (N, N-diethyl-meta-toluamide) on exposed skin, particularly during the early morning and late afternoon when mosquitoes are most active.

— Wear Protective Clothing: When spending time outdoors, dress in long-sleeved shirts and long pants, ideally light-colored, as darker colors can attract mosquitoes.

— Secure Home Entry Points: Ensure that windows and doors have intact screens and repair any gaps or holes to prevent mosquitoes from entering the home.

DOH also strongly advises anyone experiencing symptoms associated with dengue fever to seek medical attention promptly at the nearest community health center. This approach will help prevent overcrowding in the LBJ Hospital emergency room, allowing for timely care for those in more critical conditions. 

Common symptoms of dengue fever include: A sudden high fever; Severe headaches; Pain behind the eyes; Muscle and joint pain; Nausea and vomiting; and, Skin rash.

By following these guidelines and being vigilant, community members can significantly reduce the risk of dengue virus transmission and protect their health and the well-being of those around them.