Disease Outbreak Control Division

The Disease Outbreak Control Division (DOCD) comprises the Disease Investigation Branch, Immunization Branch, and Bioterrorism Preparedness and Response (Public Health Preparedness) Branch. These programs work together to monitor, investigate, prevent, and control infectious diseases in Hawaii, especially those preventable through immunizations, and to ensure Hawaii’s ability to respond to emergencies that threaten the public’s health. Toward these goals, DOCD works to strengthen the relationships between the Department of Health and other partners including laboratories, hospitals, schools, emergency response agencies, private organizations, and the military.



DOH Confirms Separate Measles Cases on Maui and Kauai

The Hawaii State Department of Health (DOH) has confirmed three cases of measles in the state, one on Maui and two on Kauai. The cases on the two islands are not related to each other, but all cases are unvaccinated young adults with recent travel either to the Philippines or Indonesia and Malaysia.

“Measles is highly contagious, spreading through the air by breathing, coughing or sneezing, and infecting 90 percent of the contacts who are not immune,” said Dr. Sarah Y. Park, state epidemiologist.

DOH staff continue to work closely with healthcare providers and facilities as well as CDC’s Honolulu Quarantine Station to identify and notify persons who may have been exposed.

People who suspect they have measles should call their doctor right away and isolate themselves from others to help contain the spread of illness.

The best way to prevent measles is to get vaccinated. DOH is urging everyone to check their immunization status and contact their healthcare provider if they need to be vaccinated.

For more information, visit http://health.hawaii.gov/docd/home/imm/.

October 2014

Ebola Virus Disease (EVD)

Following a disease investigation, on October 2, 2014 the Hawaii State Department of Health (HDOH) determined that a patient who was being kept in isolation at a Honolulu hospital did not have Ebola infection. As of October 21, 2014, there have been three confirmed cases of Ebola in the United States. A travel related case that was diagnosed in Dallas, Texas on  September 30, 2014, and passed away October 8, 2014, and two nurses that provided care to the original patient, confirmed on October 12, 2014 and on October 15, 2014. Both are still receiving treatment.

HDOH continues to closely monitor the Ebola outbreak in West Africa and the recent cases in Texas, and is working with state, local, federal, and community partners in Hawaii to make sure all involved are informed and prepared in the event of a possible case of Ebola infection.

For more information, go here: Ebola Virus Disease (EVD)


Enterovirus D68 (EV-D68)

Recently, hospitals in Missouri and Chicago, IL, have reported higher numbers of children with severe respiratory illness than usual for this time of year and have found EV-D68 in a large number of the children. Other states have also reported cases of EV-D68 in patients, but because it is difficult to define the baseline level of EV-D68 infections in states (EV-D68 is not a reportable illness, and often when an enterovirus infection is found, the specific type is not identified) it is not clear yet if there is an increase in EV-D68 activity in other states as well.

As of this time, HDOH has not identified any issues relating to EV-D68 impacting Hawaii; however, HDOH will continue to closely monitor the situation.

For more information on EV-D68, go here: