ArticleNew microbes and new infections2026
Dengue and malaria mortality in Ecuador: A population analysis of hospital deaths across 24 provinces, 2015-2023.
Article in New microbes and new infections, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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Who cites it
1 citing paper in PubMed.
- Presence of Dengue Virus NS1 antigen and IgM and IgG antibodies in asymptomatic individuals in Ecuadorian Amazonia - a descriptive repeated cross-sectional community-based survey.New microbes and new infections · 2026Article
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4 authors.
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Abstract
Background: Dengue and malaria remain critical vector-borne threats in Latin America, yet mortality surveillance at subnational levels is sparse. Ecuador, a country with diverse ecological zones and shifting transmission dynamics, lacks standardized hospital-based mortality indicators to guide targeted interventions. Objective: To analyze age-standardized hospital mortality rates for dengue and malaria across Ecuador's 24 provinces from 2015 to 2023, identifying geographic disparities, temporal trends, and surveillance gaps. Methods: We conducted a cross-sectional ecological study using anonymized hospital discharge data from the National Institute of Statistics and Censuses (INEC). Fatal dengue and malaria cases were identified using ICD-10 codes and stratified by year, age groups, and province. Standardized mortality rates per million inhabitants were calculated using population projections, and geographic and temporal patterns were visualized through heat maps and time-series plots. Results: Dengue accounted for 125 hospital deaths, with mortality concentrated in Amazonian and coastal provinces. Malaria, though markedly less frequent, resulted in five adult deaths (3 in 2019, 1 in 2021, and 1 in 2023), with Conclusion: Hospital-based mortality data expose critical gaps in Ecuador's arboviral and
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