{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T22:18:30Z","timestamp":1790806710060,"version":"4.1.0"},"reference-count":48,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2026,2,9]],"date-time":"2026-02-09T00:00:00Z","timestamp":1770595200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,2,9]],"date-time":"2026-02-09T00:00:00Z","timestamp":1770595200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Vox Sanguinis"],"published-print":{"date-parts":[[2026,3]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background and Objectives<\/jats:title>\n                    <jats:p>Dengue can cause mild or no symptoms, meaning infected individuals can donate blood during the viraemic phase. Although transfusion transmission is rare, globally many blood operators restrict or test donors returning from dengue transmission areas before donating in non\u2010endemic regions. While Australia does not have endemic dengue, it has receptive areas with established competent mosquitoes, and local transmission has occurred. We assessed the residual risk to transfusion safety posed by travellers from outbreak\u2010affected receptive areas to other areas of Australia to inform evidence\u2010based blood safety policies.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods<\/jats:title>\n                    <jats:p>Dengue outbreaks were identified using National Notifiable Disease Surveillance System data, spatial classification, outbreak thresholds and literature\u2010based parameters. We used the European Up\u2010Front Risk Assessment Tool alongside national surveillance and population data to model transfusion risk at national and sub\u2010national levels during significant local outbreak periods in Australia.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The estimated risk of severe outcomes from dengue\u2010infected blood components was extremely low\u2014between 1 in 13.4 billion and 1 in 1.34 trillion at the national level. The risk differed regionally but still had only a negligible absolute impact.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The residual risk of transfusion\u2010transmitted dengue from travellers returning from outbreaks in Australia to non\u2010receptive regions is extremely low. These findings support that additional travel questions, restrictions or testing are unnecessary beyond the outbreak areas. This study provides a robust, evidence\u2010based framework for geographically targeted, risk\u2010based policies and concludes that additional restrictions outside the outbreak areas are not required to maintain negligible blood safety risk in Australia.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/vox.70185","type":"journal-article","created":{"date-parts":[[2026,2,10]],"date-time":"2026-02-10T02:36:19Z","timestamp":1770690979000},"page":"262-270","source":"Crossref","is-referenced-by-count":1,"title":["Assessing dengue outbreak risks to blood donation safety, beyond significant outbreak areas in Australia"],"prefix":"10.1111","volume":"121","author":[{"given":"Elvina","family":"Viennet","sequence":"first","affiliation":[{"name":"Australian Red Cross Lifeblood  Melbourne Victoria Australia"},{"name":"Centre for Immunology and Infection Control Queensland University of Technology  Brisbane Queensland Australia"},{"name":"School of Health, University of the Sunshine Coast  Petrie Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7827-3661","authenticated-orcid":false,"given":"Veronica","family":"Hoad","sequence":"additional","affiliation":[{"name":"Australian Red Cross Lifeblood  Melbourne Victoria Australia"},{"name":"School of Population and Global Health, University of Western Australia  Perth Western Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Francesca D.","family":"Frentiu","sequence":"additional","affiliation":[{"name":"Centre for Immunology and Infection Control Queensland University of Technology  Brisbane Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3446-8248","authenticated-orcid":false,"given":"Helen M.","family":"Faddy","sequence":"additional","affiliation":[{"name":"Australian Red Cross Lifeblood  Melbourne Victoria Australia"},{"name":"School of Health, University of the Sunshine Coast  Petrie Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,2,9]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1423-0410.2009.01286.x"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.heliyon.2023.e20069"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pntd.0005926"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pntd.0010843"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1093\/infdis\/jiv326"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.5694\/mja14.01522"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.3201\/eid2401.171297"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMc1607262"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/trf.13681"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1080\/15265161.2016.1276643"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.tmrv.2011.01.004"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1111\/tme.12225"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.1111\/vox.12708"},{"key":"e_1_2_9_15_1","unstructured":"Australian Red Cross Lifeblood.Recall of blood components. 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