Altogether 469 cases of dengue fever have been reported in Male', Villimale' and Hulhumale' during the first four months of the year, the Department of Public Health (DPH) has said. The DPH also said that four cases of dengue fever had been reported in Hulhumale so far this week. Earlier the DPH had said that 90 cases of dengue fever had been reported during January this year and that the disease was spreading swiftly.