The Director of Health in Tonga says many residents need to improve their sanitation practices and facilities if the kingdom is to avoid another typhoid outbreak.
Last year there were 8 confirmed cases of typhoid and Dr Siale 'Akau'ola says locals should work on getting rid of the causes of typhoid fever.
Dr 'Akau'ola says people need to learn to be clean, wash their hands after using the bathroom, and adapt to an environment that is hygienic.
He says the government has tried to encourage hygienic practices with pilot programmes replacing latrine style systems with modern toilet facilities.
"To try to get initiatives to improve the sanitation environment. The environment within where they're living and get them to think of it as a priority for their family and their loved ones to make sure that they live in a safe environment. Legally if you have a family you are obliged to have clean sanitation."
The latest case was reported in the village of Veitongo which is banned from preparing any feasts or food for any occasion until the end of the month.