Evidence map›Paper›PMID 42875433›Full record

ArticleNature communications2026

Sero-catalytic and spatial modeling of dengue virus force of infection in Timor-Leste.

Paul Arkell, Filipe de Neri Machado, Anna Vicco, Victoria M Cox, Maria Y Tanesi, Deolindo Ximenes, Wes Hinsley, Frederico Bosco, Nelia Gomes, Tessa Oakley and 15 more

Abstract read
In one paragraph

Article in Nature communications, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

The trial behind it

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

25 authors.

Paul Arkell *Global and Tropical Health Division, Menzies School of Health Research, Charles Darwin University, Dili, Timor-Leste. paul.arkell@menzies.edu.au.ORCID http://orcid.org/0000-0003-3702-2716
Filipe de Neri Machado *Instituto Nacional de Saude Publica de Timor-Leste, Timor-Leste Ministry of Health, Dili, Timor-Leste.
Anna Vicco *MRC Centre for Global Infectious Disease Analysis, Department of Infectious Disease Epidemiology, School of Public Health, Imperial College, London, UK.ORCID http://orcid.org/0000-0002-6555-3090
Victoria M Cox *MRC Centre for Global Infectious Disease Analysis, Department of Infectious Disease Epidemiology, School of Public Health, Imperial College, London, UK.ORCID http://orcid.org/0000-0003-3852-7855
Maria Y TanesiGlobal and Tropical Health Division, Menzies School of Health Research, Charles Darwin University, Dili, Timor-Leste.
Deolindo XimenesGlobal and Tropical Health Division, Menzies School of Health Research, Charles Darwin University, Dili, Timor-Leste.
Wes HinsleyMRC Centre for Global Infectious Disease Analysis, Department of Infectious Disease Epidemiology, School of Public Health, Imperial College, London, UK.
Frederico BoscoInstituto Nacional de Saude Publica de Timor-Leste, Timor-Leste Ministry of Health, Dili, Timor-Leste.
Nelia GomesGlobal and Tropical Health Division, Menzies School of Health Research, Charles Darwin University, Dili, Timor-Leste.
Tessa OakleyGlobal and Tropical Health Division, Menzies School of Health Research, Charles Darwin University, Dili, Timor-Leste.
Vanessa SolanoResearch Institute for the Environment and Livelihoods, Charles Darwin University, Darwin, NT, Australia.
Sarah L SheridanNational Centre for Immunisation Research and Surveillance (NCIRS), Sydney, NSW, Australia.
Michael DavidDaffodil Centre, The University of Sydney, a joint venture with Cancer Council New South Wales, Sydney, NSW, Australia.
Salvador AmaralGlobal and Tropical Health Division, Menzies School of Health Research, Charles Darwin University, Dili, Timor-Leste.
Luzia FreitasMRC Centre for Global Infectious Disease Analysis, Department of Infectious Disease Epidemiology, School of Public Health, Imperial College, London, UK.
Anthony Dk DraperGlobal and Tropical Health Division, Menzies School of Health Research, Charles Darwin University, Dili, Timor-Leste.
Nevio SarmentoGlobal and Tropical Health Division, Menzies School of Health Research, Charles Darwin University, Dili, Timor-Leste.
Endang Soares da SilvaLaboratório Nacional da Saúde, Dili, Timor-Leste.
Lucsendar AlvesGlobal and Tropical Health Division, Menzies School of Health Research, Charles Darwin University, Dili, Timor-Leste.
Neil FergusonMRC Centre for Global Infectious Disease Analysis, Department of Infectious Disease Epidemiology, School of Public Health, Imperial College, London, UK.
Christl A DonnellyDepartment of Statistics, University of Oxford, Oxford, UK.
Jennifer YanGlobal and Tropical Health Division, Menzies School of Health Research, Charles Darwin University, Dili, Timor-Leste.
Joshua R FrancisGlobal and Tropical Health Division, Menzies School of Health Research, Charles Darwin University, Dili, Timor-Leste.
Ilaria DorigattiMRC Centre for Global Infectious Disease Analysis, Department of Infectious Disease Epidemiology, School of Public Health, Imperial College, London, UK.ORCID http://orcid.org/0000-0001-9959-0706
Nelson MartinsGlobal and Tropical Health Division, Menzies School of Health Research, Charles Darwin University, Dili, Timor-Leste.

Funding

Department of Foreign Affairs and Trade, Australian Government (Department of Foreign Affairs and Trade) Complex Grant Agreement Number 75889Wellcome Trust (Wellcome) ref: 215688/Z/19/Z
6 · The paper itself

Abstract

Dengue virus (DENV) infection causes significant morbidity and mortality across tropical and sub-tropical regions, including in Timor-Leste. In this study we present the results of a national, population-representative serological survey, used to determine the drivers of observed variations in DENV force-of-infection (FOI, i.e. the average annual per-capita risk of infection for a susceptible person) at high spatial resolution. Households were randomly selected from census data and occupants aged above one year were tested using the Panbio Indirect dengue IgG enzyme-linked immunosorbent assay between October 2021 and February 2023. Sero-catalytic models accounting for household effect were applied to estimate the DENV FOI in enumeration areas (EAs, roughly equivalent to neighbourhoods/villages). Spatial models were applied to the local FOI estimates to assess their associations with climate and environmental factors, and to predict the FOI across the rest of Timor-Leste. A total of 4780 individuals from 1755 households across 102 EAs participated. DENV seroprevalence and FOI estimates were highly spatially heterogeneous across Timor-Leste, ranging from 0.010 (95% Credible Interval (CrI): 0.005, 0.018) in EA 10104032 in Fatubossa, municipality Aileu, to 0.519 (0.295, 0.816) in EA 40403012 in Goulolo, municipality Bobonaro. Relative humidity was negatively associated with DENV FOI. The spatial models predicted highest DENV FOI along the Northern and Eastern coasts, with hotspots of transmission in Dili and Baucau cities. Findings will strengthen surveillance and guide the implementation of additional DENV control strategies such as Wolbachia-carrying mosquitoes (currently being deployed in some parts of Timor-Leste), or vaccination.

Indexed as

DengueDengue VirusAdolescentAdultAedesAnimalsAntibodies, ViralChildFemaleHumansImmunoglobulin GMaleSeroepidemiologic StudiesTimor-LesteAntibodies, ViralImmunoglobulin G

Identifiers

PMID42875433
PMCPMC13669370

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.