DENGUE.
Dengue in its initial stage or degree of progress in some respects resembles the Flu, and is often mistaken for it. Such was the case in the years 1900–1901 when imported laborers from Porto Rico, W. I. carried the Dengue or Breakbone fever with them.
This disease has practically disappeared, a sporadic case of it comes to light now and then. Its transmission by the Mosquito, Culex fatigans, is not yet definitely determined.
A new and more virulent type or species of the Influenza Bacillus was carried overseas to the port of Honolulu in the third week of June, 1918, and spread to the residents of the town; and it was this new imported type of Influenza that was responsible for the high mortality in the epidemics of that disease in 1918–1920, due to Influenza and complicating Pneumonia, the so-called Pulmonary or Pneumonic form of the disease.
All these matters have been fully described in the public press, and in part in the Reports of the Board of Health, which q—v.