More cases of chikungunya, or chik, virus have been recorded in American Samoa.
The Health Department Director Motusa Tuileama Nua says there are now more than 390 recorded cases of chikungunya, with seven patients hospitalised and no deaths since July the 1st.
That is an increase in confirmed cases of about 45 over the last week.
In an updated health alert, health officials say the chik virus usually lasts one to two weeks but joint pain and stiffness can last many weeks or months.
It says other complications are rare and it pointed out that there is no cure for chik virus.
The government has now set up a chikungunya hotline for residents to call and the health alert urged affected residents not to travel outside Tutuila, even to the territory's Manu'a island group.