LAUSR

BACKGROUND Dengue fever is a viral disease that affects tropical and subtropical regions of the world. It is well known that processes related to virus transmission by mosquitoes are highly influenced by weather. Temperature has been described as one of the climatic variables that largely governs the development and survival of mosquito eggs as well as the survival of all insect stages. Previously, we noted that high temperatures in the Colombian city of Riohacha negatively affect the establishment of dengue virus (DENV) infection in mosquitoes; in Bello and Villavicencio cities, which have lower average temperatures, DENV infection rates in mosquitoes are positively associated with a gradual increase in temperature. Here, we test the hypothesis that a similar effect of temperature can be detected in the incidence in the human population inhabiting dengue-endemic cities in Colombia. OBJECTIVE Our objective was to evaluate the effect of climate variables related to temperature on DENV incidence in human populations living in DENV-endemic cities in Colombia. METHODS Epidemiologic data from the Instituto Nacional de Salud from 2012-2015 and 7 variables related to temperature were used to perform Spearman rank sum test analyses on 20 Colombian cities. Additionally, locally estimated scatterplot smoothing analyses were performed to describe the relationship among temperatures and incidence. FINDINGS Results indicated that Colombian cities with average and maximum temperatures greater than 28°C and 32°C, respectively, had an inversely related relationship to DENV incidence, which is in accordance with areas where higher temperatures are recorded in Colombia. CONCLUSION Climatic variables related to temperature affect dengue epidemiology in different way. According to the temperature of each city, transmission might be positively or negatively affected.