Evidence map›Paper›PMID 40137820›Full record

ArticleTropical medicine and infectious disease2025

Estimating Dengue Outbreak Thresholds in West Africa: A Comprehensive Analysis of Climatic Influences in Burkina Faso, 2018-2024.

John Otokoye Otshudiema, Watton R Diao, Sonia Marie Wend-Kuuni Ouedraogo, Alain Ngoy Kapete, Laurent Moyenga, Emmanuel Chanda, Tieble Traore, Otim Patrick Ramadan, Alimuddin Zumla

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Article in Tropical medicine and infectious disease, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

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4citing papers in PubMed
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1 · What the graph read from it

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3 · Its place in the literature

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4 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

9 authors.

John Otokoye OtshudiemaDengue Regional Dengue Incident Management Support Team (IMST), African Regional Office, World Health Organization (WHO), Brazzaville B.P. 06, Congo.ORCID 0000-0001-9946-7951
Watton R DiaoMinistry of Health, Ouagadougou 03 BP 7009, Burkina Faso.ORCID 0009-0009-5330-6197
Sonia Marie Wend-Kuuni OuedraogoWorld Health Organization (WHO) Country Office, Ouagadougou 01 BP 7019, Burkina Faso.
Alain Ngoy KapeteWorld Health Organization (WHO) Country Office, Ouagadougou 01 BP 7019, Burkina Faso.
Laurent MoyengaWorld Health Organization (WHO) Country Office, Ouagadougou 01 BP 7019, Burkina Faso.
Emmanuel ChandaDengue Regional Dengue Incident Management Support Team (IMST), African Regional Office, World Health Organization (WHO), Brazzaville B.P. 06, Congo.
Tieble TraoreDengue Regional Dengue Incident Management Support Team (IMST), African Regional Office, World Health Organization (WHO), Brazzaville B.P. 06, Congo.
Otim Patrick RamadanDengue Regional Dengue Incident Management Support Team (IMST), African Regional Office, World Health Organization (WHO), Brazzaville B.P. 06, Congo.ORCID 0000-0003-2326-9291
Alimuddin ZumlaDivision of Infection and Immunity, Centre for Clinical Microbiology, University College London, London WC1E 6BT, UK.

Funding

World Health Organization 001
6 · The paper itself

Abstract

backgroundDengue, transmitted by METHODOLOGY: This retrospective ecological study utilized historical and contemporary data from Burkina Faso's Public Health Ministry (2018-2024) to model dengue outbreak thresholds. A combination of epidemic channel analysis, joinpoint regression, climate-disease relationship analysis, and negative binomial regression was employed to provide comprehensive insights into the factors driving dengue outbreaks. PRINCIPAL

findingsThe incidence of probable dengue cases remained stable, mostly below 5 cases per 100,000 people, except for a sharp surge in week 40 of 2023, peaking at 38 cases per 100,000. This surge was brief, normalizing by week 47, but coincided with a marked increase in mortality, reaching 90 deaths in week 45. Joinpoint regression identified key thresholds, an alert at 2.1 cases per 100,000 by week 41 and an intervention threshold at 19.1 cases by week 44, providing a framework for timely public health responses. Climatic factors significantly influenced dengue transmission, with higher temperatures (RR = 2.764) linked to increased incidence, while higher precipitation (RR = 0.551) was associated with lower case numbers, likely due to disrupted mosquito breeding conditions. Additionally, intermediate precipitation levels showed a complex relationship with higher incidence rates.

conclusionsThis study established evidence-based epidemiological thresholds for dengue outbreak detection in Burkina Faso (2018-2024), demonstrating temperature as a primary transmission driver while precipitation showed inverse relationships. Analysis of the 2023 outbreak identified a critical five-week intervention window (weeks 40-45), providing a framework for climate-sensitive early warning systems. These findings advance the understanding of dengue dynamics in West Africa, though future research should integrate geographical and socioeconomic variables to enhance predictive modeling and outbreak preparedness.

Indexed as

Burkina Fasoclimatic impact on transmissiondengue outbreak thresholdsearly warning systemsepidemiological analysispublic health strategies

Identifiers

PMID40137820
PMCPMC11946643

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