Dengue transmission risk in a changing climate: Bangladesh is likely to experience a longer dengue fever season in the future

Our changing climate is already affecting the transmission of dengue fever, the fastest growing vector-borne viral disease in the world. This issue presents a significant public health concern for some nations, such as Bangladesh, which already experience regular seasonal outbreaks of dengue fever under present day conditions. To provide guidance for proactive public health planning to potentially mitigate the severity of future outbreaks, we explored the impact of climate change on dengue infections by calculating the change in vectorial capacity (VC) of Aedes aegypti mosquitoes at a seasonal level for all regions in Bangladesh under two scenarios for future atmospheric greenhouse gas concentrations. For each of the four climate models used, and for both scenarios, our analysis revealed that the annual VC remains at a level that would enable potential dengue epidemic transmission in all regions in Bangladesh. We found a slight decline in VC in half of the regions examined during the last two decades of the 21st century for the lower-concentration scenario, with a pronounced decline in VC in all geographic regions beginning in 2060 for the higher-concentration scenario. The likely reason is that in many regions, warming will lead to sub-optimal mosquito breeding temperatures. However, seasonal differences in VC will dissipate as the climate warms, to the point that there is almost no observable seasonality for the higher-concentration scenario during the last two decades of this century. This finding suggests the dengue transmission season could eventually extend to all-year-round transmission, with outbreaks occurring at any time. Consequently, disease surveillance and control activities would need to be geographically and temporally adapted to mitigate dengue epidemic risk in response to climate change.