The World Health Organisation says the latest dengue outbreaks suggest it is spreading across the Pacific.
Fiji has now confirmed 143 cases, Nauru has confirmed more than 50, and 13 have been confirmed in American Samoa.
That follows outbreaks in Solomon Islands which has had more than 10,000 dengue cases in the last seven months, and in Vanuatu which has had more than 1700 cases since November.
In New Caledonia three people have died and a health emergency has been declared as more than 1-thousand cases have been recorded since September.
Jo O'Brien asked WHO surveillance officer Viema Biaukula about efforts underway in Fiji to prevent the spread of dengue there.