The Tamil Nadu Health Department has commenced measures on a war footing to prevent the surge in Dengue cases in the state. The health department is worried as more than 4,000 cases of Dengue fever have been reported even before the onset of monsoon. The number of Dengue cases is increasing in the Theni, Namakkal, Tiruvannamalai, Ariyalur, Dindigul, Krishnagiri, Madurai, Coimbatore, and Thanjavur districts.