Projecting temperature-related dengue burden in the Philippines under various socioeconomic pathway scenarios

Introduction: As climate change advances, the looming threat of dengue fever, intricately tied to rising temperatures, intensifies, posing a substantial and enduring public health challenge in the Philippines. This study aims to investigate the historical and projected excess dengue disease burden attributable to temperature to help inform climate change policies, and guide resource allocation for strategic climate change and dengue disease interventions. Methods: The study utilized established temperature-dengue risk functions to estimate the historical dengue burden attributable to increased temperatures. Future projections were derived using Coupled Model Intercomparison Project Phase 6 (CMIP6) Shared Socioeconomic Pathway (SSP) scenarios to estimate the excess dengue burden on a national scale. Current health burden estimates were calculated by charting the attributable fraction per epidemiological week against the exponential risk function. Results: Projections indicate a substantial increase in temperature-related dengue incidence across all SSP climate scenarios by 2100. Between 2010-2019, 72.1% of reported dengue cases in the Philippines were attributable to temperature, demonstrating that temperature is a significant driver in dengue transmission. The highest attributable fractions were observed between the warm-dry season to early rainy season (Epi Weeks 15-25). Southern, periequatorial areas, particularly those undergoing rapid urbanization, had the highest temperature-related dengue incidence. Discussion: The findings emphasize the critical interplay between climate change and socioeconomic factors in shaping future dengue risk. By incorporating future climate scenarios and provincial-level projections, this study provides valuable insights for policy planning, early warning systems, and public health programming. Strengthening health infrastructure, promoting sustainable urban development, and implementing effective vector control measures are crucial to mitigating the future dengue burden in the Philippines.