ArticleLancet regional health. Americas2026
Dengue transmission risk in California under climate and land-use change: a semi-mechanistic modelling study.
Article in Lancet regional health. Americas, 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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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
1 citing paper in PubMed.
- Unresolved questions in pediatric dengue: from disease mechanisms to prevention.Current opinion in infectious diseases · 2026Review
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Authors and funding
10 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: Dengue cases are increasing in non-endemic regions due to environmental change and increasing travel and trade. For these non-endemic regions, estimating dengue risk is challenging as transmission is driven by both local environmental conditions and the introduction of viremic travelers. In this study, we aimed to estimate current and future dengue risk in California, USA-a region that has recently experienced its first cases of locally-acquired dengue. Methods: We modeled dengue risk as the product of three key components needed for local transmission-vector presence, temperature-suitability for pathogen transmission, and viral introductions via travel-associated cases-estimated using vector and case surveillance, sociodemographic, and environmental data. We estimated risk for locations and months where local transmission was reported in 2023-2024 to define a 'threshold' level of risk. We then projected monthly, census tract-level risk under both current conditions and future scenarios of climate warming and urban expansion. Findings: Approximately 18.2 million (95% CI: 17.9-18.3) California residents-primarily in the Central Valley and the Los Angeles and San Diego metropolitan areas-currently live in areas where peak monthly dengue risk exceeds levels estimated during observed local transmission. Under moderate scenarios of climate warming and urban expansion, an additional 4.1 million (95% CI: 3.7-4.6) residents may be at risk by mid-century. Outside the summer months and beyond the Central Valley and southern California, current and future risk remains low due to one or more major bottlenecks to transmission. Interpretation: Our study identifies the specific regions and months conducive to dengue transmission in the non-endemic setting of California. At present, this covers a substantial portion of the state and is projected to expand under ongoing climate warming and urbanization. Our results underscore the need for sustained vector control, and timely detection of travel-associated cases. Funding: National Science Foundation, National Institute of Food and Agriculture.
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