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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.

Dr. Yuki Tanaka MD, PhD · APAC Regulatory Correspondent
Reviewed by Dr. Sarah Chen Pharmaceutical Sciences Editor

Intelligence Snapshot

Impact Score 80/100 High significance
Regulatory Impact 60/100 Moderate agency relevance
Market Impact 60/100 Moderate commercial pull
Clinical Relevance 68/100 Moderate clinical weight
Evidence Strength 93/100 Critical source quality
Confidence Score 89/100 High certainty
Reading Time 5 min Executive read
Relevant for Competitive Intelligence Corporate Strategy Pharma BD Regulatory Affairs Investors

Executive Summary

Approximately 4 billion people—nearly half the world's population—live in dengue-risk areas according to the CDC.

Key Insights

  1. 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) .

  2. 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.

  3. 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
Drug Dengue Vaccine View profile

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?

Executive Scorecard

Heuristic scores · directional, not investment advice
Regulatory Readiness 60
Commercial Opportunity 60
Competitive Threat 82
Clinical Significance 64
Evidence Strength 93

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Contents9 sections

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

TrialTitleStatusPhaseSponsor
NCT06060067A Study of Dengue Vaccine in Healthy Children, Teenagers and Adults in IndiaCOMPLETEDPHASE3Takeda
NCT07013487A Study to Evaluate V181 Dengue Vaccine in Healthy Participants 2 to 17 Years of Age (V181-005/MOBILIZE-1)RECRUITINGPHASE3Merck Sharp & Dohme LLC
NCT06579755A Study of Dengue Tetravalent Vaccine (TDV) in Adults (Age 45 to 60 and >60 to 79 Years)RECRUITINGPHASE3Takeda
NCT05691530Trial to Model Primary, Secondary, and Tertiary Dengue Using a Monovalent VaccineACTIVE_NOT_RECRUITINGPHASE1National Institutes of Health Clinical Center (CC)
NCT06843226A Study in Children and Teenagers to Learn if a TDV Dengue Vaccination Lowers the Chance of Hospital Stays for DengueRECRUITINGTakeda

Competitor Matrix

Company / ProgramIndicationActive trials
TakedaDengue2
Johns Hopkins UniversityDengue1
National Center for Gastroentestinal and Liver DiseaseDengue1
National Institute of Allergy and Infectious Diseases (NIAID)Dengue1
Universidade do Estado do ParáDengue1
University of OxfordDengue1

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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Evidence & Review
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
  1. cdc.gov

Sources verified at publication. See our editorial policy and data sources.

This article follows our editorial standards. Report a correction via editorial contact.

Dengue Vaccine drug — Areas with Risk of Dengue: CDC map, criteria, and global reach