“Why dengue remains uncontrolled in Pakistan even in 2025? From seasonal crisis to systems failure.”

“Why dengue remains uncontrolled in Pakistan even in 2025? From seasonal crisis to systems failure.” | Authorea try { document.documentElement.classList.add('js'); } catch (e) { } var _gaq = _gaq || []; _gaq.push(['_setAccount', 'G-8VDV14Y67G']); _gaq.push(['_trackPageview']); (function() { var ga = document.createElement('script'); ga.type = 'text/javascript'; ga.async = true; ga.src = ('https:' == document.location.protocol ? 'https://ssl' : 'http://www') + '.google-analytics.com/ga.js'; var s = document.getElementsByTagName('script')[0]; s.parentNode.insertBefore(ga, s); })(); Skip to main content Preprints Collections Wiley Open Research IET Open Research Ecological Society of Japan All Collections About About Authorea FAQs Contact Us Quick Search anywhere Search for preprint articles, keywords, etc. Search Search ADVANCED SEARCH SCROLL This is a preprint and has not been peer reviewed. Data may be preliminary. 20 November 2025 V1 Latest version Share on “Why dengue remains uncontrolled in Pakistan even in 2025? From seasonal crisis to systems failure.” Authors : Ahmad Furqan Anjum and Meer Hassan Khalid 0009-0009-5519-2840 [email protected] Authors Info & Affiliations https://doi.org/10.22541/au.176364561.18468278/v1 407 views 134 downloads Contents Abstract Supplementary Material Information & Authors Metrics & Citations View Options References Figures Tables Media Share Abstract Pakistan continues to face recurrent, increasingly severe dengue outbreaks, and 2025 has again exposed deep systemic failures rather than an inevitable seasonal pattern. Despite national and provincial policies promoting integrated vector management and climate-informed preparedness, implementation remains fragmented, reactive, and heavily reliant on short-term fogging. Early-warning alerts issued after heavy rains and favourable temperature--humidity conditions did not trigger timely action, while monsoon flooding, urban infrastructure deficits, and unmanaged waste created extensive Aedes breeding environments. Overwhelmed hospitals, patchy surveillance, limited entomological capacity, and inconsistent community engagement further amplified transmission. This short communication argues that sustainable dengue control in Pakistan now depends on operationalising district-level integrated vector management, linking climate alerts to pre-agreed response triggers, strengthening health-system surge planning, investing in entomology and data integration, and addressing structural urban vulnerabilities. Without cross-sectoral accountability and consistent implementation, dengue will remain an annual indictment of broader public-health governance. Supplementary Material File (main manuscript dengue v2.docx) Download 28.88 KB Information & Authors Information Version history V1 Version 1 20 November 2025 Copyright This work is licensed under a Non Exclusive No Reuse License. Keywords dengue virus endemic infection epidemiology immune system pathogenesis virus classification Authors Affiliations Ahmad Furqan Anjum Shaikh Khalifa Bin Zayed Al Nahyan Medical and Dental College View all articles by this author Meer Hassan Khalid 0009-0009-5519-2840 [email protected] Shaikh Khalifa Bin Zayed Al Nahyan Medical and Dental College View all articles by this author Metrics & Citations Metrics Article Usage 407 views 134 downloads .FvxKWukQNSOunydq8rnd { width: 100px; } Citations Download citation Ahmad Furqan Anjum, Meer Hassan Khalid. “Why dengue remains uncontrolled in Pakistan even in 2025? From seasonal crisis to systems failure.”. Authorea . 20 November 2025. DOI: https://doi.org/10.22541/au.176364561.18468278/v1 If you have the appropriate software installed, you can download article citation data to the citation manager of your choice. Simply select your manager software from the list below and click Download. For more information or tips please see 'Downloading to a citation manager' in the Help menu . Format Please select one from the list RIS (ProCite, Reference Manager) EndNote BibTex Medlars RefWorks Direct import Tips for downloading citations document.getElementById('citMgrHelpLink').addEventListener('click', function() { popupHelp(this.href); return false; }); $(".js__slcInclude").on("change", function(e){ if ($(this).val() == 'refworks') $('#direct').prop("checked", false); $('#direct').prop("disabled", ($(this).val() == 'refworks')); }); View Options View options PDF View PDF Figures Tables Media Share Share Share article link Copy Link Copied! Copying failed. 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