LIMA, Feb. 8 (Xinhua) -- A second person has died of dengue since the outbreak of the disease in the north of Peru, the Health Ministry said on Thursday.

    Tomasa Cruz died in the Trujillo Regional Hospital, in the province of La Libertad, 550 km north of Peru's capital Lima, after suffering high fever, hemorrhage and pain all over her body.

    Another 133 cases of dengue fever has been detected by the Regional Health Directorate (DRS) in the E1 Provenir district in the province, where the victim has been living.

    The first victim, a 79-year-old man, who died last week, was also a resident of La Libertad.

    Dengue is a disease carried by mosquito. It's symptoms include high fever, nausea, rash, backache and headache.

    The ministry said it started anti-mosquito spraying in a bid to stamp out the mosquito by clearing out stagnant water where it breeds.

    The DRS has identified 4,525 homes which are at risk from the mosquito that spreads dengue, and has declared a state of health emergency in the region.

    Another 16 cases were found this year in the neighboring province of Lambayeque, some 200 km distant, the Ministry said, adding that there was a 150-case outbreak of dengue in the province last year.

    The Ministry examined dengue samples sent to the Lima and said there has been no cases of hemorrhagic dengue in Lambayeque.

    Dengue is caused by four closely related viruses and is spread by the Aedes Aegypti mosquito, which breeds in still water. Most mainstream dengue cases are not fatal, but the hemorrhagic variant, which causes severe internal bleeding as blood vessels collapse, kills between one and 20 percent of its victims.