Holidaymakers on the party island Ibiza have been warned they could be struck down with deadly dengue fever after six tourists were infected with the bug.
Officials on the Spanish island say up to six German tourists were infected between May and November last year, and now Spain's Ministry of Health is worried about a second wave.
The government has warned there is a "moderate" risk holidaymakers could be infected in this year's summer season.
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One confirmed case among the German tourists was a 27-year-old woman who was in Ibiza last August with her partner and their 14-month-old daughter.
All three had symptoms on August 31, but tests were only performed on the woman who was then diagnosed with dengue.
Another case involves a 37-year-old woman who – with her partner and 12-year-old son – also showed symptoms of the bug on the last day of her October stay.
Spanish health officials believe the bug could have been spread by a holidaymaker from Mexico who only displayed symptoms after arriving on the island.
Spain's Ministry of Health said in a statement: "One of the potential vectors of dengue is the Aedes albopictus mosquito, present throughout the area, the Spanish Mediterranean and the Balearic Islands and also in some areas of the interior and north of the country.
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"On the island of Ibiza it was first detected in 2014 and since then, it has been considered spread among the island.
"After learning about the cases, the authorities of the Balearic Islands have planned actions such as pertinent surveillance and vector control and also communication and information to the public, to be carried out before and during the start of the vector activity season."
Dengue fever is a mosquito-borne tropical disease that can cause fever, headaches, vomiting, muscle and joint pains, and skin rashes.
Most people recover after a few days, but it can be fatal if left untreated, if the patient has low blood pressure, or if they are very young or very old.
All of the German tourists are understood to have recovered.
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