Drugs: Dengue Vaccine
Areas with Risk of Dengue: CDC map, criteria, and global reach
100% citation coverage1 regulatory sources
CDC says nearly half the world’s population lives in areas with dengue risk, spanning the Americas, Africa, the Middle East, Asia, and the Pacific Islands. This update explains the CDC risk classifications and the altitude factor that helps define exposure areas.
Intelligence Snapshot
Executive Summary
Approximately 4 billion people—nearly half the world's population—live in dengue-risk areas according to the CDC.
Key Insights
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The CDC uses a two-tier case-history framework to classify risk: frequent/continuous…
The CDC uses a two-tier case-history framework to classify risk: frequent/continuous (more than 10 locally acquired cases in at least 3 of the previous 10 years) and sporadic/uncertain (at least 1 locally acquired case in the last 10 years) .
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Mosquitoes capable of spreading dengue typically live below 6,500 feet in elevation , a…
Mosquitoes capable of spreading dengue typically live below 6,500 feet in elevation , a practical threshold for assessing geographic exposure.
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Dengue transmission is documented across the Americas, Africa, the Middle East, Asia, and…
Dengue transmission is documented across the Americas, Africa, the Middle East, Asia, and the Pacific Islands , making it a truly global public health concern.
Market Impact
| Regulatory | medium |
|---|---|
| Commercial | medium |
| Competitive | high |
| Investment | medium |
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Quick Answer
Approximately 4 billion people—nearly half the world's population—live in dengue-risk areas according to the CDC.
Key Questions
- What is the global population at risk for dengue?
- How does the CDC classify dengue risk?
- How does altitude influence dengue transmission risk?
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Areas with Risk of Dengue: CDC Map, Criteria, and Global Reach
CDC says nearly half the world's population lives in areas with dengue risk, spanning the Americas, Africa, the Middle East, Asia, and the Pacific Islands. This update explains the CDC risk classifications and the altitude factor that helps define exposure areas.
IntelligenceRegulatory Impact
CDC decisions frame this story. Regulatory relevance is medium for Dengue, with Dengue Vaccine most exposed. Track designations, submission types, and label or guidance shifts that could move timelines.
Key Takeaways
- Approximately 4 billion people—nearly half the world's population—live in dengue-risk areas according to the CDC.
- The CDC uses a two-tier case-history framework to classify risk: frequent/continuous (more than 10 locally acquired cases in at least 3 of the previous 10 years) and sporadic/uncertain (at least 1 locally acquired case in the last 10 years).
- Mosquitoes capable of spreading dengue typically live below 6,500 feet in elevation, a practical threshold for assessing geographic exposure.
- Dengue transmission is documented across the Americas, Africa, the Middle East, Asia, and the Pacific Islands, making it a truly global public health concern.
IntelligenceCompetitive Intelligence
Competitive pressure is high. the parties involved reshape positioning, formulary leverage, and partnership options. Benchmark pipeline differentiation and regional market access assumptions against this development.
How the CDC Defines Dengue Risk Areas
The CDC's Areas with Risk of Dengue page provides the current global framework for dengue exposure mapping. The agency employs a transparent, case-based classification system that separates regions into two categories.
Frequent or continuous risk areas show evidence of more than 10 locally acquired dengue cases in at least 3 of the previous 10 years. This threshold identifies regions where dengue transmission is established and recurrent. Sporadic or uncertain risk areas have documented at least 1 locally acquired case during the last 10 years, indicating potential for transmission even if cases are infrequent.
IntelligenceMarket Signals
Commercial pull is medium and investment relevance medium for Dengue. Expect implications for pricing, access, and launch sequencing.
Geographic Scope and the Altitude Factor
Dengue is a common disease affecting the Americas, Africa, the Middle East, Asia, and the Pacific Islands. The geographic footprint is vast, encompassing both endemic regions and popular travel destinations in the Caribbean, Central America, South America, and Southeast Asia.
A key practical element in dengue risk assessment is elevation. Mosquitoes capable of spreading dengue usually live in places below 6,500 feet. This altitude threshold provides a useful tool for clinicians, travelers, and public health officials to narrow exposure risk within regions classified as dengue-endemic.
IntelligenceStrategic Takeaways
Approximately 4 billion people—nearly half the world's population—live in dengue-risk areas according to the CDC. The CDC uses a two-tier case-history framework to classify risk: frequent/continuous (more than 10 locally acquired cases in at least 3 of the previous 10 years) and sporadic/uncertain (at least 1 locally acquired case in the last 10 years) . Mosquitoes capable of spreading dengue typically live below 6,5
Population at Risk and Vaccine Development Context
Approximately 4 billion people live in areas with a risk of dengue, representing a substantial target population for prevention strategies. Several dengue vaccine candidates are currently in clinical development.
Takeda has completed a Phase 3 study of a dengue vaccine in healthy children, teenagers, and adults in India. The company is also recruiting for a Phase 3 trial of dengue tetravalent vaccine (TDV) in adults aged 45 to 60 and over 60 to 79 years, as well as recruiting for a study in children and teenagers to evaluate whether TDV vaccination lowers the chance of hospital stays for dengue. Merck Sharp & Dohme is recruiting for a Phase 3 trial of V181 dengue vaccine in healthy participants 2 to 17 years of age.
IntelligenceEvidence Quality
Grounded in 1 regulatory source.
Trial Snapshot
| Trial | Title | Status | Phase | Sponsor |
|---|---|---|---|---|
| NCT06060067 | A Study of Dengue Vaccine in Healthy Children, Teenagers and Adults in India | COMPLETED | PHASE3 | Takeda |
| NCT07013487 | A Study to Evaluate V181 Dengue Vaccine in Healthy Participants 2 to 17 Years of Age (V181-005/MOBILIZE-1) | RECRUITING | PHASE3 | Merck Sharp & Dohme LLC |
| NCT06579755 | A Study of Dengue Tetravalent Vaccine (TDV) in Adults (Age 45 to 60 and >60 to 79 Years) | RECRUITING | PHASE3 | Takeda |
| NCT05691530 | Trial to Model Primary, Secondary, and Tertiary Dengue Using a Monovalent Vaccine | ACTIVE_NOT_RECRUITING | PHASE1 | National Institutes of Health Clinical Center (CC) |
| NCT06843226 | A Study in Children and Teenagers to Learn if a TDV Dengue Vaccination Lowers the Chance of Hospital Stays for Dengue | RECRUITING | — | Takeda |
Competitor Matrix
| Company / Program | Indication | Active trials |
|---|---|---|
| Takeda | Dengue | 2 |
| Johns Hopkins University | Dengue | 1 |
| National Center for Gastroentestinal and Liver Disease | Dengue | 1 |
| National Institute of Allergy and Infectious Diseases (NIAID) | Dengue | 1 |
| Universidade do Estado do Pará | Dengue | 1 |
| University of Oxford | Dengue | 1 |
Timeline
- Recruiting trial NCT07013487 (PHASE3)
- Recruiting trial NCT06579755 (PHASE3)
- Active_Not_Recruiting trial NCT05691530 (PHASE1)
- Recruiting trial NCT06843226 (phase n/a)
Frequently Asked Questions
What is the global population at risk for dengue?
The CDC estimates that approximately 4 billion people worldwide live in dengue-risk areas. This includes populations across the Americas, Africa, the Middle East, Asia, and the Pacific Islands.
How does the CDC classify dengue risk?
The CDC uses a two-tier framework: frequent or continuous risk requires evidence of more than 10 locally acquired cases in at least 3 of the previous 10 years, while sporadic or uncertain risk requires evidence of at least 1 locally acquired case during the last 10 years.
How does altitude influence dengue transmission risk?
Mosquitoes capable of spreading dengue usually live in places below 6,500 feet. This elevation threshold provides a practical tool for narrowing exposure risk within dengue-endemic regions.
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- Sources analyzed
- 1
- Evidence strength
- 93/100
- Last verified
- Jun 8, 2026
- AI-assisted review
- Yes
- Editorial review
- Dr. Sarah Chen
Critical source quality · grounded in cited primary and secondary sources.
Sources & references 1 primary sources
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