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September 2, 2026PLoS neglected tropical diseasesOpen Access

The spatial structure of dengue transmission in Kamphaeng Phet Thailand

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Authors

SOSarah H. OoiAHAngkana T. HuangSKSurachai Kaewhiran

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Overview

Spatial analysis reveals localized transmission chains and serotype-specific immunity within five kilometers, indicating fine-scale spatial drivers of viral dynamics.

Key Points

  • To determine the spatial dependence of dengue virus transmission, quantify co-circulating transmission chains, and assess whether local community transmission generates serotype-specific herd immunity over time.
  • Analyzed 25 years of geolocated clinical case records (N = 7,487) from a provincial hospital in Kamphaeng Phet, Thailand, paired with genomic sequences for a subset of viral isolates (N = 302).
  • Calculated spatial dependence between paired cases across various spatiotemporal intervals using serotype and sequence data.
  • Applied logistic regression models to evaluate associations between viral diversity, host population size, and epidemic magnitude.
  • Significant spatial clustering occurred between cases at distances up to 5 km, driving localized, serotype-specific herd immunity patterns in following years.
  • An average of 9.6 distinct transmission chains co-circulated within a 78.5 km² area, with each 100,000-person increase in population associated with 9.8 additional chains.
  • Monthly viral diversity correlated positively with epidemic magnitude but exhibited only moderate predictive power for forecasting overall epidemic dynamics.

Cite This Study

Ooi et al. (2026) studied this question.

synapsesocial.com/papers/6a97e2f6c562ede874ec776fhttps://doi.org/10.1371/journal.pntd.0014605
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  5. 5Primary Drivers of Dengue Spatial Heterogeneity in Northeastern Thailand’s Border Provinces (2014–2023)2025