{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,31]],"date-time":"2026-08-31T10:13:45Z","timestamp":1788171225033,"version":"build-2803163510"},"reference-count":221,"publisher":"Walter de Gruyter GmbH","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,9,25]]},"abstract":"Abstract<\/jats:title>\n \n Introduction<\/jats:title>\n Dengue virus (DENV) and chikungunya virus (CHIKV) are Aedes-borne arboviruses with overlapping clinical manifestations, shared vectors, and substantial diagnostic challenges in co-endemic settings. This systematic review and meta-analysis synthesized published evidence on molecular detection, serological positivity, and DENV\u2013CHIKV dual positivity\/co-infection in human clinical, surveillance, and community-based study populations.<\/jats:p>\n <\/jats:sec>\n \n Content<\/jats:title>\n \n Following PRISMA 2020 guidance, five bibliographic databases (PubMed\/MEDLINE, Scopus, Web of Science, ScienceDirect, and Google Scholar) and supplementary grey-literature\/preprint sources were searched for English-language studies published from 1 January 1980 to 31 December 2024. No prospective PROSPERO or OSF protocol registration was available. Eligible records reported extractable numerators and denominators for DENV and\/or CHIKV in humans using recognized molecular or serological assays. A total of 196 studies comprising 158,608 tested or suspected participants were included in the extraction table. The pooled CHIKV estimate was 14.0\u202f% (95\u202f% CI: 12.0\u201316.4; I\n 2<\/jats:sup>\n =97.5\u202f%), with molecular and serological estimates of 9.8 and 15.7\u202f%, respectively. The pooled DENV estimate was 13.8\u202f% (95\u202f% CI: 10.9\u201317.3; I\n 2<\/jats:sup>\n =99.0\u202f%), with molecular and serological estimates of 13.1\u202f% (95\u202f% CI: 7.9\u201321.0) and 14.3\u202f% (95\u202f% CI: 10.2\u201319.8), respectively. DENV\u2013CHIKV dual positivity\/co-infection was 52.9\u202f% (95\u202f% CI: 48.7\u201357.1) among studies that tested and reported both outcomes. Country-level estimates varied widely and should be interpreted as summaries of available studies rather than nationally representative burden estimates. Funnel-plot asymmetry was statistically significant in DENV analyses but not in the overall CHIKV analysis.\n <\/jats:p>\n <\/jats:sec>\n \n Summary<\/jats:title>\n Available evidence indicates extensive but highly heterogeneous DENV and CHIKV positivity across selected clinical and surveillance populations. The pooled estimates should be interpreted cautiously because of substantial between-study heterogeneity, diagnostic variability, outbreak-period sampling, and uneven geographic representation.<\/jats:p>\n <\/jats:sec>\n \n Outlook<\/jats:title>\n The findings support integrated arboviral surveillance, multiplex diagnostics, and vector-control preparedness in co-endemic regions.<\/jats:p>\n <\/jats:sec>","DOI":"10.1515\/reveh-2026-0070","type":"journal-article","created":{"date-parts":[[2026,7,24]],"date-time":"2026-07-24T02:55:45Z","timestamp":1784861745000},"page":"388-411","source":"Crossref","is-referenced-by-count":0,"title":["Global molecular and serological evidence of dengue and chikungunya infection: a systematic review and meta-analysis of 158,608 tested participants"],"prefix":"10.1515","volume":"41","author":[{"given":"Mohammed","family":"Alissa","sequence":"first","affiliation":[{"name":"Department of Medical Laboratory , College of Applied Medical Sciences, Prince Sattam bin Abdulaziz University , Al-Kharj , Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abdullah","family":"Alghamdi","sequence":"additional","affiliation":[{"name":"Department of Medical Laboratory , College of Applied Medical Sciences, Prince Sattam bin Abdulaziz University , Al-Kharj , Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Suad A.","family":"Alghamdi","sequence":"additional","affiliation":[{"name":"Department of Medical Laboratory , College of Applied Medical Sciences, Prince Sattam bin Abdulaziz University , Al-Kharj , Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ghadah S.","family":"Abusalim","sequence":"additional","affiliation":[{"name":"Department of Medical Laboratory , College of Applied Medical Sciences, Prince Sattam bin Abdulaziz University , Al-Kharj , Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abdulkarim S.","family":"Binshaya","sequence":"additional","affiliation":[{"name":"Department of Medical Laboratory , College of Applied Medical Sciences, Prince Sattam bin Abdulaziz University , Al-Kharj , Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ghfren S.","family":"Aloraini","sequence":"additional","affiliation":[{"name":"Department of Medical Laboratory , College of Applied Medical Sciences, Prince Sattam bin Abdulaziz University , Al-Kharj , Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tawfiq N.","family":"Juraybi","sequence":"additional","affiliation":[{"name":"Department of Medical Laboratory , College of Applied Medical Sciences, Prince Sattam bin Abdulaziz University , Al-Kharj , Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Meshari A.","family":"Alsuwat","sequence":"additional","affiliation":[{"name":"Department of Basic Sciences , College of Nursing, Taif University , Taif , Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"374","published-online":{"date-parts":[[2026,7,27]]},"reference":[{"key":"2026083109133837616_j_reveh-2026-0070_ref_001","doi-asserted-by":"crossref","unstructured":"Castellanos, JE, Jaimes, N, Coronel-Ruiz, C, Rojas, JP, Mej\u00eda, LF, Villarreal, VH, et al.. 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