There are eight confirmed cases of typhoid fever in American Samoa but health officials insists there is no outbreak.
LBJ Medical Center pediatrician Dr Mike Favassa told reporters typhoid fever is nothing new to American Samoa but warned if it's not treated right away it can be fatal.
He says there are now eight confirmed cases since January and the last two cases since May are children, with one of them very sick and still recovering at the hospital.
Dr Mike Favassa says the cases illustrate the importance of taking care of problems earlier rather than later.
"We are taking this opportunity now to bring it to the public's attention that it is prevalent here. We are trying to nip it in the bud and find the source of the infection so we can prevent this from becoming an outbreak."
Dr Mike Favassa.