{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,8]],"date-time":"2026-11-08T17:45:27Z","timestamp":1794159927391,"version":"4.8.0"},"reference-count":39,"publisher":"Cambridge University Press (CUP)","license":[{"start":{"date-parts":[[2025,1,7]],"date-time":"2025-01-07T00:00:00Z","timestamp":1736208000000},"content-version":"unspecified","delay-in-days":6,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["cambridge.org"],"crossmark-restriction":true},"short-container-title":["Epidemiol. Infect."],"published-print":{"date-parts":[[2025]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>\n                    In 2023, Bangladesh experienced its largest and deadliest outbreak of the Dengue virus (DENV), reporting the highest-ever recorded annual cases and deaths. Historically, most of the cases were recorded in the capital city, Dhaka. We aimed to characterize the geographical transmission of DENV in Bangladesh. From 1 January\u201331 December 2023, we extracted and analyzed daily data on dengue cases and deaths from the Management Information System of the Ministry of Health and Family Welfare. We performed a generalized linear mixed model to identify the associations between division-wise daily dengue counts and various geographical and meteorological covariates. The number of dengue cases reported in 2023 was 1.3 times higher than the total number recorded in the past 23\u00a0years (321,179 vs. 244,246), with twice as many deaths than the total fatalities recorded over the past 23\u00a0years (1705 vs. 849). Of the 1,705 deaths in 2023, 67.4% (\n                    <jats:italic>n<\/jats:italic>\n                    \u00a0=\u00a01,015) died within one day after hospital admission. The divisions southern to Dhaka had a higher dengue incidence\/1000 population (2.30 vs. 0.50,\n                    <jats:italic>p<\/jats:italic>\n                    \u00a0&lt;0.01) than the northern divisions. Festival-related travel along with meteorological factors and urbanization are likely to have contributed to the shift of dengue from Dhaka to different districts in Bangladesh.\n                  <\/jats:p>","DOI":"10.1017\/s0950268824001791","type":"journal-article","created":{"date-parts":[[2025,1,7]],"date-time":"2025-01-07T02:11:50Z","timestamp":1736215910000},"update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":33,"title":["The 2023 fatal dengue outbreak in Bangladesh highlights a paradigm shift of geographical distribution of cases"],"prefix":"10.1017","volume":"153","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2383-0459","authenticated-orcid":false,"given":"Mohammad Nayeem","family":"Hasan","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mahbubur","family":"Rahman","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Meraj","family":"Uddin","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shah Ali Akbar","family":"Ashrafi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kazi Mizanur","family":"Rahman","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kishor Kumar","family":"Paul","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohammad Ferdous Rahman","family":"Sarker","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Farhana","family":"Haque","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Avinash","family":"Sharma","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1629-6937","authenticated-orcid":false,"given":"Danai","family":"Papakonstantinou","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Priyamvada","family":"Paudyal","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8885-6721","authenticated-orcid":false,"given":"Md","family":"Asaduzzaman","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alimuddin","family":"Zumla","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5980-3460","authenticated-orcid":false,"given":"Najmul","family":"Haider","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2025,1,7]]},"reference":[{"key":"S0950268824001791_r1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijregi.2024.100459"},{"key":"S0950268824001791_r23","volume-title":") Report: 3m People to Leave Dhaka, Adjacent Districts on Waterways Ahead of Eid-Ul-Azha. Dhaka Tribune","author":"Desk","year":"2023"},{"key":"S0950268824001791_r7","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph17249506"},{"key":"S0950268824001791_r32","unstructured":"[32] Management Information System (2024) Dengue Daily Press Release. Dhaka. https:\/\/old.dghs.gov.bd\/index.php\/bd\/home\/5200-daily-dengue-status-report."},{"key":"S0950268824001791_r27","unstructured":"[27] Haider, N (2018) Modeling the vector-borne disease transmission potential in northern Europe with a special emphasis on microclimatic temperature: PhD Thesis. [Lyngby]: Technical University of Denmark."},{"key":"S0950268824001791_r28","doi-asserted-by":"publisher","DOI":"10.1016\/j.onehlt.2022.100452"},{"key":"S0950268824001791_r11","doi-asserted-by":"publisher","DOI":"10.1089\/vbz.2007.0649"},{"key":"S0950268824001791_r16","volume-title":"Statistical Yearbook Bangladesh 2022","year":"2022"},{"key":"S0950268824001791_r20","first-page":"1","volume-title":") Dengue and Severe Dengue: Global Burden","year":"2024"},{"key":"S0950268824001791_r35","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pmed.1001082"},{"key":"S0950268824001791_r37","article-title":"Near coding-complete genome sequence of 12 dengue serotype 2 viruses from the 2023 outbreak in Bangladesh","author":"MdAO","year":"2024","journal-title":"Microbiology Resource Announcements"},{"key":"S0950268824001791_r10","doi-asserted-by":"publisher","DOI":"10.1038\/s41598-020-69759-5"},{"key":"S0950268824001791_r39","doi-asserted-by":"publisher","DOI":"10.1007\/s13337-018-0469-x"},{"key":"S0950268824001791_r34","unstructured":"[34] WHO (2019) Dengue Control: The Mosquito."},{"key":"S0950268824001791_r6","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pntd.0008349"},{"key":"S0950268824001791_r30","doi-asserted-by":"publisher","DOI":"10.1186\/s13071-022-05409-1"},{"key":"S0950268824001791_r31","unstructured":"[31] WHO (2023) Dengue \u2013 the Region of the Americas. Geneva. https:\/\/www.who.int\/emergencies\/disease-outbreak-news\/item\/2023-DON475."},{"key":"S0950268824001791_r15","doi-asserted-by":"crossref","unstructured":"[15] Ahsan, A , et al. (2021) Possible drivers of the 2019 dengue outbreak in Bangladesh: The need for a robust community-level surveillance system. Journal of Medical Entomology 58, 37\u201339.","DOI":"10.1093\/jme\/tjaa150"},{"key":"S0950268824001791_r3","doi-asserted-by":"publisher","DOI":"10.1093\/jme\/tjae001"},{"key":"S0950268824001791_r4","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijid.2023.08.026"},{"key":"S0950268824001791_r25","article-title":") Entomological survey for identification of Aedes larval breeding sites and their distribution in Chattogram, Bangladesh","volume":"10","author":"MdS","year":"2021","journal-title":"Beni-Suef University Journal of Basic and Applied Sciences"},{"key":"S0950268824001791_r19","doi-asserted-by":"publisher","DOI":"10.1016\/j.tree.2008.10.008"},{"key":"S0950268824001791_r22","unstructured":"[22] World Population Review (2023) World Population by Country 2023."},{"key":"S0950268824001791_r24","first-page":"1","volume-title":") Dengue and Severe Dengue","year":"2023"},{"key":"S0950268824001791_r12","doi-asserted-by":"publisher","DOI":"10.1186\/s41182-023-00528-6"},{"key":"S0950268824001791_r38","doi-asserted-by":"publisher","DOI":"10.1093\/jme\/tjad057"},{"key":"S0950268824001791_r29","unstructured":"[29] Sakib, SMN (2021) Bangladesh\u2019s Northern Region Lags Behind in Human Development. AA: Asia-Pacific. Dhaka, Published online: 21 October 2021. https:\/\/www.aa.com.tr\/en\/asia-pacific\/bangladeshs-northern-region-lags-behind-in-human-development\/2398274."},{"key":"S0950268824001791_r33","volume-title":"Comprehensive Guidelines for Prevention and Control of Dengue and Dengue Haemorrhagic Fever","year":"2011"},{"key":"S0950268824001791_r5","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pntd.0006947"},{"key":"S0950268824001791_r2","unstructured":"[2] World Bank (2024) Population, Total \u2013 Bangladesh. https:\/\/data.worldbank.org\/country\/bangladesh."},{"key":"S0950268824001791_r14","unstructured":"[14] Ministry of Health and Family Welfare (Management Information System). (2023) Daily Press Release on Dengue Outbreak, Bangladesh. https:\/\/old.dghs.gov.bd\/index.php\/bd\/home\/5200-daily-dengue-status-report."},{"key":"S0950268824001791_r26","first-page":"844","article-title":"Breeding habitats of Aedes aegypti (L) and Aedes. Albopictus (Skuse) in villages of Barru, South Sulawesi, Indonesia","volume":"28","author":"Ishak","year":"1997","journal-title":"The Southeast Asian Journal of Tropical Medicine and Public Health"},{"key":"S0950268824001791_r36","unstructured":"[36] WHO Bangladesh (2023) Dengue \u2013 Bangladesh: Situation at a Glance 2023. WHO, pp. 1\u20131. https:\/\/www.who.int\/emergencies\/disease-outbreak-news\/item\/2023-DON481#:~:text=WHO%20risk%20assessment,in%20high%20morbidity%20and%20mortality."},{"key":"S0950268824001791_r21","doi-asserted-by":"publisher","DOI":"10.1371\/journal.ppat.1011223"},{"key":"S0950268824001791_r17","volume-title":"Applied Generalized Linear Mixed Models: Continuous and Discrete Data","author":"Anderson","year":"2012"},{"key":"S0950268824001791_r13","doi-asserted-by":"crossref","first-page":"1359","DOI":"10.4269\/ajtmh.15-0846","article-title":") Seasonal distribution and climatic correlates of dengue disease in Dhaka, Bangladesh","volume":"94","author":"Salje","year":"2016","journal-title":"The American Journal of Tropical Medicine and Hygiene"},{"key":"S0950268824001791_r9","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijregi.2024.100406"},{"key":"S0950268824001791_r18","doi-asserted-by":"publisher","DOI":"10.1111\/2041-210X.12552"},{"key":"S0950268824001791_r8","doi-asserted-by":"publisher","DOI":"10.7554\/eLife.42869"}],"container-title":["Epidemiology and Infection"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S0950268824001791","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,1,7]],"date-time":"2025-01-07T02:11:59Z","timestamp":1736215919000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S0950268824001791\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025]]},"references-count":39,"alternative-id":["S0950268824001791"],"URL":"https:\/\/doi.org\/10.1017\/s0950268824001791","relation":{},"ISSN":["0950-2688","1469-4409"],"issn-type":[{"value":"0950-2688","type":"print"},{"value":"1469-4409","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025]]},"assertion":[{"value":"\u00a9 The Author(s), 2025. Published by Cambridge University Press","name":"copyright","label":"Copyright","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http:\/\/creativecommons.org\/licenses\/by\/4.0), which permits unrestricted re-use, distribution and reproduction, provided the original article is properly cited.","name":"license","label":"License","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This content has been made available to all.","name":"free","label":"Free to read"}],"article-number":"e3"}}