The dengue fever outbreak is continuing to grow on the big island with nearly 100 cases reported. That’s prompting the federal Centers for Disease Control and Prevention to send a top-ranking official to the island to check on how containment efforts are going and lend advice, according to a story in West Hawaii Today and the Hawaii Tribune-Herald.

In the same piece, sate Rep. Richard Creagan, who’s also a retired physician, says pregnant women, especially those in the early stages of pregnancy, should stay away from the island.

“If someone is in the early stages of their pregnancy, they probably shouldn’t come to the Big Island at all,” Creagan is quoted as saying. “For the ones that are here, a lot of pregnant women don’t want to spread DEET around. They need to know what they can use and how they can protect themselves.”

Other news outlets have reported that some visitors are already cancelling their hotel reservations due to the outbreak.

As of Tuesday, 93 confirmed cases had been reported, according to the state Department of Health.