Published April 10, 2025 | Version v1
Journal article Open

The overlapping global distribution of dengue, chikungunya, Zika and yellow fever

  • 1. ROR icon London School of Hygiene & Tropical Medicine
  • 2. EDMO icon The University of Melbourne
  • 3. ROR icon Boston Children's Hospital
  • 4. ROR icon University of Washington
  • 5. ROR icon University of Cambridge
  • 6. ROR icon University of Oxford
  • 7. ROR icon Imperial College London
  • 8. ROR icon University of Kentucky
  • 9. ROR icon Boston University
  • 10. ROR icon University of Florida
  • 11. ROR icon World Health Organization
  • 12. ROR icon Harvard Medical School
  • 13. ROR icon University of Melbourne

Description

Abstract

Arboviruses transmitted mainly by Aedes (Stegomyia) aegypti and Ae. albopictus, including dengue, chikungunya, and Zika viruses, and yellow fever virus in urban settings, pose an escalating global threat. Existing risk maps, often hampered by surveillance biases, may underestimate or misrepresent the true distribution of these diseases and do not incorporate epidemiological similarities despite shared vector species. We address this by generating new global environmental suitability maps for Aedes-borne arboviruses using a multi-disease ecological niche model with a nested surveillance model fit to a dataset of over 21,000 occurrence points. This reveals a convergence in suitability around a common global distribution with recent spread of chikungunya and Zika closely aligning with areas suitable for dengue. We estimate that 5.66 (95% confidence interval 5.64-5.68) billion people live in areas suitable for dengue, chikungunya and Zika and 1.54 (1.53-1.54) billion people for yellow fever. We find large national and subnational differences in surveillance capabilities with higher income more accessible areas more likely to detect, diagnose and report viral diseases, which may have led to overestimation of risk in the United States and Europe. When combined with estimates of uncertainty, these suitability maps can be used by ministries of health to target limited surveillance and intervention resources in new strategies against these emerging threats.

Files

s41467-025-58609-5.pdf

Files (2.9 MB)

Name Size Download all
md5:0295ef44360ac198d1dc4e57f18045b0
2.9 MB Preview Download

Additional details

Funding

European Commission
E4Warning – Eco-Epidemiological Intelligence for early Warning and response to mosquito-borne disease risk in Endemic and Emergence settings 101086640
UK Research and Innovation
E4WARNING: ECO-EPIDEMIOLOGICAL INTELLIGENCE FOR EARLY WARNING AND RESPONSE TO MOSQUITO-BORNE DISEASE RISK IN ENDEMIC AND EMERGENCE SETTINGS 10066422

Dates

Available
2025-04-10

Software

Repository URL
https://github.com/ahyoung-lim/Arbo_riskmaps_public
Programming language
R
Development Status
Active