There have been more reports of people becoming infected with the bird flu in eastern China.
Hawaii has seen a recent increase in visitors from China, especially with the first direct flight from Beijing this month.
Honolulu International Airport has a program to screen and swab any passengers who appear to have the flu, but they depend on the airlines to report it to them.
“If there’s a higher rate of occurrence occurring anywhere, we usually become more vigilant and try to get that information out to the airlines to be more vigilant to look for passengers,” Airport Medical Operations Supervisor Dennis Ma’ele said.
So far, Honolulu International Airport has not screened anyone with the bird flu.
An official news agency in China says the H7N9 strain of the bird flu has already killed 19 people in china this year and infected 96.