Hydroclimatic whiplash events and social inequalities shape dengue outbreaks at the global scale
Year: 2026
Type: article
Abstract: Dengue is expanding worldwide under the combined pressures of climate change, rapid urbanization, and persistent social inequalities. While temperature and rainfall are established drivers of transmission, less is known about whether rapid transitions between dry and wet extremes (i.e., hydroclimatic whiplash events) influence dengue outbreak onsets and how social inequalities modify these associations. In this study, we examine dry and wet extremes and dry-to-wet (D2W) and wet-to-dry (W2D) whiplash events at subnational scale across Latin America, Southeast Asia, the Philippines, and Australia. Event coincidence analysis showed that dengue outbreak onsets frequently followed whiplash events, particularly W2D transitions at short lags. Whiplash characteristics were associated with outbreak onset, but duration and severity alone did not explain emergence. Temperature, humidity, inequality, and urban context modify dengue risk during hydroclimatic extremes. These findings suggest that whiplash events influence dengue risk and may support surveillance when interpreted alongside social vulnerability and local epidemiological information.
Source: Cell Reports Sustainability
Institutions: Vrije Universiteit Amsterdam, Istituto Zooprofilattico Sperimentale della Lombardia e dell'Emilia Romagna "Bruno Ubertini", International Institute for Geo-Information Science and Earth Observation, Uppsala University, University of Cambridge, Karolinska Institutet, British Heart Foundation
Language: English
Field: Medicine
Domain: Health Sciences
Open Access status: gold
Estimated APC paid: $5,730
Awards: Adapting to temperature extremes in a changing climate: Past trends and future scenarios (ADATES), Novel risk factors for cardiovascular disease during pregnancy in whole populations of the UK, Adapting to temperature extremes in pregnant women and infants: past trends and future scenarios (PRoMEThEUS), Centre of excellence on Impacts of Climate Extremes under global change (ICE), Assessing the impact of SARS-CoV-2 infection during pregnancy on women and infant health: from mechanisms to scenarios of a future respiratory virus-related epidemic and preventive strategies (ARTEMI), Dynamic Adaptation to Temporally compound hydroclimate Extremes: supporting a sustainable transformation under global changes (DATE)
OpenAlex ID: W7212138134
