PAGO PAGO, American Samoa >> American Samoa is issuing a health alert after about 100 people went to the territory’s only hospital with symptoms similar to Dengue fever.

The Department of Health and LBJ Medical Center officials say they detected an illness outbreak among people on the main island of Tutuila having fever, rash and joint pain in the past two weeks.

Health Director Motusa Tuileama Nua says the outbreak may be from mosquito-spread diseases in the South Pacific.

The alert says the diseases can cause complications including bleeding, paralysis and death.

Those who develop fever and body aches with or without a rash are directed to seek medical attention.

The alert prompted a media campaign Tuesday urging those who are ill to stay indoors in air conditioning, behind screens or under bed nets.