Students at up to nine schools in Auckland have been infected with hepatitis A and health officials are calling on parents to stress to children the importance of hygiene.
By yesterday evening, up to 31 cases of hepatitis A in the region had been confirmed. The youngest is a 1-year-old baby and the oldest is 19.
The number of cases has been rising steadily over the past few days and it is thought there could be more.
Most of those affected are said to be primary and secondary school-aged children, but people have been infected across the region.
The Auckland Regional Public Health Service is investigating how the disease arrived in Auckland, but it is believed the likely source is a person or a number of people returning with it from overseas.