Health officials are investigating a case of possibly locally acquired malaria in New Jersey, just weeks after a health department in Washington State launched a similar investigation. The cases are sparking alarm over rising risks of mosquito-borne illnesses as climates warm.

According to the New Jersey Department of Health and the state’s Department of Environmental Protection, a resident of Morris County with no recent history of travel possibly came down with the mosquito-borne disease, which is marked by fever, headaches, chills and gastrointestinal symptoms. While the state sees about 100 cases of malaria that are contracted abroad each year, if confirmed, the Morris County case will be New Jersey’s first case of locally acquired malaria since 1991.

Washington State has reported a similar case. A patient in Pierce County with no recent travel history was diagnosed with possible malaria on August 2, prompting the Tacoma-Pierce County Health Department to begin trapping and testing mosquitoes for the disease-causing Plasmodium parasite, which the insects transmit with their bites. If it is determined to be locally acquired, the case will be the first non-travel-related malaria infection known in Washington State.

Malaria was once common in North America but was eliminated from the U.S. by 1951 by a national campaign that pushed for pesticide use and drainage of mosquito breeding sites. Most of the country still hosts species of Anopheles mosquitoes that can transmit the Plasmodium parasite, however. According to the Centers for Disease Control and Prevention, there have been around 150 cases of malaria caught within the U.S. in the past 50 years.