Abstract
Dengue fever is a flu-like illness of viral origin transmitted via various day-feeding mosquitoes. Annually there are approximately 20 million cases worldwide with 24,000 deaths. Hawaii's Dengue Fever outbreak in 2001 came during a terrorism national attack providing insight into a possible vector-borne bioterrorism (BT) event. The dengue model is valid, as the National Institutes of Health has upgraded dengue fever as a potential BT threat. The Hawaii experience makes it possible to list strengths/capabilities necessary for dealing with such biological events and relate this to the national state of BT preparedness.
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