1.3.1Active indicatorVector-borne diseases

Indicator 1.3.1 · Hazards

Vector-borne diseases

Data: loading…

Dengue, chikungunya and Zika

Changing climatic conditions, such as shifts in seasonal tempertures and precipitation levels, are altering the transmission potential of many vector-, water-, food-, and air-borne infectious diseases. Dengue is a mosquito-borne disease that can cause febrile illnesses and, in severe cases, organ failure and death, with children under five particularly at risk. With temperatures changing across the globe, this indicator tracks how this is affecting the climate suitability for these infections.

Headline finding

The annual average transmission suitability for dengue increased by 24.39% for Aedes albopictus and 7.39% for Aedes aegypti mosquitoes between 1981–90 and 2016–25

Figure 1

Climate Suitability for the Transmission of Dengue, Chikungunya and Zika

Basic reproduction number (R0) for transmission of dengue, chikungunya, and Zika by Aedes aegypti and Aedes albopictus mosquitoes, from 1951 to 2025. R0 indicates a pathogen’s potential contagiousness and transmissibility, describing how readily an infection could spread under suitable environmental conditions. Results are available for the world, individual countries, WHO regions, and Lancet Countdown regions, across four virus–vector combinations: dengue–Aedes aegypti, dengue–Aedes albopictus, chikungunya–Aedes albopictus, and Zika–Aedes aegypti. Metrics include both absolute R0 and percentage change in R0.

About this indicator

Loading chart…

About Dengue, chikungunya and Zika

Description

This indicator tracks the environmental suitability for the transmission of arboviruses (dengue, chikungunya, and Zika). It uses an improved model to capture the influence of temperature and rainfall on vectorial capacity and vector abundance, and overlays it with human population density data to estimate the R0 (the expected number of secondary infections resulting from one infected person).

Caveats

The model depends on climatic factors for explaining disease dynamics. It excludes humidity and socioeconomic elements. The indicator exclusively focuses on Aedes aegypti and Aedes albopictus and their spatial dispersion, excluding other Aedes species which are proven to be important for dengue transmission. The model computes R_0 independently for both vectors and does not assess overall transmission risk in regions where these vectors overlaps. The R_0 values predicted by this model represent potential outbreak risks rather than actual transmission rates, since real-world R_0 values result from complex interactions between socioeconomic conditions and climatic factors, which the current model does not encompass.

Data sources

  1. European Centre for Medium-Range Weather Forecasts Reanalysis 5th Generation-Land daily and monthly averaged data.
  2. Annual Population: Inter-Sectoral Impact Model Intercomparison Project (ISIMIP3a).

Malaria

Changing climatic conditions, including shifts in temperature and precipitation, are altering the suitability for malaria transmission. Malaria is transmitted by Anopheles mosquitoes and can cause severe illness and death. As global temperatures and rainfall patterns change, this sub-indicator tracks how climate affects the suitability for malaria transmission and the length of the transmission season. This sub-indicator uses a threshold-based model to estimate the number of months per year with suitable climatic conditions for Plasmodium falciparum and Plasmodium vivax malaria transmission by Anopheles mosquitoes. It shows how changing climate conditions can increase suitability in some areas while making conditions less suitable in others where they may become too hot, dry, or otherwise suboptimal for transmission.

Headline finding

Global climatic suitability for malaria transmission has decreased overall, falling by 5.65% for P. falciparum and 5.87% for P. vivax between 1981–90 and 2016–25. However, in highland areas above 1,500 m, suitability increased by 17.68% for P. falciparum and 5.41% for P. vivax over the same period, highlighting growing malaria risk in higher-altitude regions.

Figure 2

Climate Suitability for the Transmission of Malaria

Average number of months per year with climatic conditions suitable for malaria transmission, from 1951 to 2025. At the global level, results are available separately for highland and lowland areas and for the two malaria parasites, Plasmodium falciparum and Plasmodium vivax. For individual countries, WHO regions, and Lancet Countdown regions, results are presented as the average number of months of climate suitability for malaria transmission.

About this indicator

Loading chart…

About Malaria

Description

Malaria is widely recognised as a climate-sensitive infectious disease, because both the Anopheles mosquitoes that transmit it and the Plasmodium parasites that cause infection are strongly affected by climate. Temperature, precipitation, and relative humidity influence the abundance and feeding cycle of Anopheles mosquitoes, while temperature also affects the development of Plasmodium parasites inside the mosquito. This indicator tracks historical climatic suitability for malaria transmission by Anopheles mosquitoes, focusing on the two main malaria-causing parasites: Plasmodium falciparum and Plasmodium vivax. Suitability is defined as the coincidence of key climatic conditions: monthly precipitation above 80 mm, relative humidity above 60%, and average temperatures of 16–32°C for P. vivax and 18–32°C for P. falciparum.

Authors

Emma Roberts, Dr Carles Milà, Prof Rachel Lowe

Data downloads

Caveats

This indicator measures climatic suitability for malaria transmission, not actual malaria cases, Anopheles mosquito presence, or direct disease risk. It should therefore be interpreted as showing where and when climate conditions are becoming more or less suitable for malaria transmission by the vector and parasites. The analysis does not currently capture the effects of land-use or land-cover change, which can influence Anopheles mosquito distribution. It also treats Anopheles as a broad mosquito group, although different species may have different climatic and habitat preferences. Finally, the indicator does not account for population immunity, malaria control measures, or healthcare interventions, all of which can strongly affect real-world malaria risk.

Data sources

  1. Climate data (monthly 2-metre dew point temperature, 2-metre air temperature, and precipitation): ERA5, ECMWF
  2. Altitude: WorldClim, 2017.
  3. Malaria incidence rate: Malaria Atlas Project, 2024

West Nile virus

Changing climatic conditions, such as shifts in seasonal tempertures and precipitation levels, are altering the transmission potential of many vector-, water-, food-, and air-borned infectious diseases. WNV is a mosquito-transmitted pathogen that can cause severe disease with central nervous system involvement in birds, humans, and other mammals.  With temperatures changing across the globe, this indicator tracks how this is affecting the climate suitability for these infections.

Headline finding

Between 2016–25 and 2006–15, global annual average temperature suitability for West Nile virus (WNV) decreased by 1.16%. However, compared with 1981–90, suitability in 2006–15 had increased by 0.62%, resulting in an overall 0.54% decrease from 1981–90 to 2016–25.

Figure 3

Climate Suitability for the Transmission of West Nile Virus

Yearly average temperature suitability for West Nile virus (WNV) transmission, based on three WNV mosquito vectors and their geographic distribution ranges. Climate suitability is expressed as a dimensionless index from 0 to 1, where 1 represents the species-specific optimal temperature for transmission and 0 represents temperatures outside the lower or upper limits at which transmission can occur. Results are available for individual countries, the world, WHO regions, and Lancet Countdown regions.

About this indicator

Loading chart…

About West Nile virus

Description

This indicator tracks the temperature suitability of WNV taking into account the species-specific responses of mosquito-pathogen traits to temperature. The temperature suitability index is based on a relative version of the basic reproduction number (R0) incorporating the mosquito-pathogen traits and parameterized from laboratory experimental data for Culex pipiens, Culex quinquefasciatus, and Culex tarsalis. The species-specific temperature suitability values are scaled to range from 0 to 1, where 1 represents optimal temperature conditions for transmission and 0 represents temperatures outside the lower and upper temperature limits for transmission. Species-specific temperature suitability is calculated within each species’ distribution range desribed by approximate distribution maps.

Authors

Julian Heidecke, Prof Joacim Rocklöv, Dr Marina Treskova

Data downloads

Caveats

The indicator is limited to three WNV vectors and their approximate spatial distribution. Local intra-species variation of temperature responses is not considered. In addition, the indicator only isolates the effects of temperature on WNV transmission potential via the mosquito-pathogen traits. Effects of temperature on other processes and effects of other drivers of transmission are currently not incorporated. Since the temperature suitability index is build on a relative version of R0, it cannot be interpreted as an absolute measure of secondary infections and, without additional information, cannot be used as a threshold parameter for the occurrence of outbreaks.

Data sources

  1. Monthly 2m air temperature data from the European Centre for Medium-Range Weather Forecasts (ECMWF) ERA5-Land reanalysis: global, 1950–2025
  2. Approximate mosquito distribution maps from: Transmission of West Nile and five other temperature mosquito-borne viruses peaks at temperatures between 23°C and 26°C. eLife 2020. Shocket MS, Verwillow AB, Numazu MG et al.