Pakistani patients suffering from dengue fever rest in an isolation ward at a local hospital in Rawalpindi, Pakistan, Tuesday, Oct 21, 2014. Over 445 dengue patients suffering from the mosquito-borne disease, dengue fever registered in Rawalpindi, in the last week, health official said. Dengue, a flu-like illness is spread by the Aedes mosquito and spikes during the annual monsoons, when the rains leave puddles of stagnant water where the insects breed. (AP Photo/B.K. Bangash), APTOPIX