Timor-Leste’s Ministry of Health on Saturday said five more children died from the mosquito-borne disease in Dili last week, the highest single fatality number, reported over a 72-hour period.

Fatalities have occurred across nine municipalities this year, with Dili reporting 23 deaths, Covalima (6), Ermera (4), Aileu (2)  Viqueque (2), Bobonaro (2), Liquicia (1), Manufahi (1) and RAEOA (1), a Ministry of Health release said.

The government data showed some 2,389 cases were reported in the capital Dili alone, with hotspots in coastal regions such as Crito Rei where over 1,330 cases have been logged.

But health observers warn the actual number of dengue patients is higher than the government figures as people who do not receive treatment at government facilities are not added to the official tally.

Officials have said the number of fatalities – mostly in young children -  will continue to go up amid slow response to getting medical assistance at onset of disease.

They also warn the outbreak will continue if efforts to combat the disease spread by the Aedes mosquito aren’t increased, which breeds in stagnant water during the rain season.

Dengue is not usually fatal and can be treated with painkillers.

Severe dengue is treated with intravenous fluids and those who do not get tested are at risk of dangerous complications.