Dengue fever and dengue hemorrhagic fever outbreaks in Pune, Maharashtra state, Gujarat state and New Delhi are higher than normal this year, causing some medical authorities to worry that the disease is reaching epidemic proportions in the disease’s 3-4 year outbreak cycle. Officials blame this year’s heavier-than-usual monsoon and poor sanitation for the increase. Symptoms include high fever, vomiting and rash, and often severe joint pain. There is no cure, and dengue hemorrhagic fever can be deadly. The parasitic disease is spread by the Aedes mosquito, which bites most frequently during the day, in the several hours after dawn and before dusk. It is usually found near or in human habitations. Protect yourself with insect repellent and clothing that covers the arms and legs.