Dengue fever surging in all 50 states. These are symptoms you should watch for [Video]

Editor’s note: The headline has been updated to clarify the area where dengue fever cases have risen.

(NEXSTAR/AP) — U.S. health officials on Tuesday warned doctors to be alert for dengue cases as the tropical disease breaks international records.

The virus, which is spread by mosquitoes, has been surging worldwide, helped by climate change. In barely six months, countries in the Americas have already broken calendar-year records for dengue cases.

The World Health Organization declared an emergency in December, and Puerto Rico declared a public health emergency in March.

Dengue remains less common in the continental United States, but in the 50 states so far this year there have been three times more cases than at the same point last year. Most were infections that travelers got abroad, but officials warn that local mosquitos are a growing dengue threat.

In its health alert Tuesday, the Centers for Disease Control and Prevention advised doctors to know the symptoms, …