Current knowledge of dengue virus (DENV) transmission provides, at best, only a partial understanding of a complicated and dynamic system with a public health track record that has more failures than successes. An important part ofthe problems is that the foundation for contemporary interventions includes a series of longstanding, but untested, assumptions based on a relatively small portion ofthe human population;i.e., people who are convenient to study because they manifest clinically apparent disease. Approaching dengue from the perspective of people with overt illness has produced an extensive body of valuable literature. It has not, however, fully embraced heterogeneities in virus transmission dynamics that are increasingly recognized as key missing information in the struggle to control the most important insect-transmitted viral infection of humans. Only in the last 20 years there have been significant efforts to carry out comprehensive longitudinal dengue studies. Our research team was integrally involved in two prominent longitudinal dengue research projects in Iquitos, Peru and Kamphaeng Phet, Thailand. Our proposed POl represents the next crucial step in this line of inquiry. By studying people across the entire continuum of disease, including people with clinically inapparent and mild infections, we aim to quantify heterogeneities in human variables that affect DENV transmission dynamics and prevention. To do this, we will exploit the infrastructure we assembled over the past 14 years at our Iquitos study area. Our POl aims to help fill the void between understanding transmission dynamics and effective disease prevention by defining, for the first time, the contribution of the understudied majority of DENV infected people (the estimated 294 million with inapparent and mild infections) and the contributions of epidemiological, entomological, and socio-behavioral sources of heterogeneity to the dynamics of DENV transmission. By accounting for factors underlying variation in each person's contribution to transmission we will be able to better determine the type and extent of effort needed to prevent virus transmission and, thus, provide new insights for improved dengue prevention.

Public Health Relevance

An estimated 390 million people in 128 at risk countries experience a DENV infection each year. Dengue viruses cause more human morbidity and mortality than any other arthropod-borne virus. It is the most rapidly advancing vector-borne disease in the world and it serves as a model system for transmission of vector-borne pathogens in general. An improved understanding of DENV transmission dynamics, concepts, and theory will fill critical knowledge gaps and significantly improve disease prevention programs.

National Institute of Health (NIH)
National Institute of Allergy and Infectious Diseases (NIAID)
Research Program Projects (P01)
Project #
Application #
Study Section
Special Emphasis Panel (ZAI1)
Program Officer
Costero-Saint Denis, Adriana
Project Start
Project End
Budget Start
Budget End
Support Year
Fiscal Year
Total Cost
Indirect Cost
University of California Davis
Earth Sciences/Resources
United States
Zip Code
Perkins, T Alex (2017) Retracing Zika's footsteps across the Americas with computational modeling. Proc Natl Acad Sci U S A 114:5558-5560
Cromwell, Elizabeth A; Stoddard, Steven T; Barker, Christopher M et al. (2017) The relationship between entomological indicators of Aedes aegypti abundance and dengue virus infection. PLoS Negl Trop Dis 11:e0005429
Perkins, T Alex; Paz-Soldan, Valerie A; Stoddard, Steven T et al. (2016) Calling in sick: impacts of fever on intra-urban human mobility. Proc Biol Sci 283:
Cruz, Cristopher D; Torre, Armando; Troncos, Gilda et al. (2016) Targeted full-genome amplification and sequencing of dengue virus types 1-4 from South America. J Virol Methods 235:158-67
Fontaine, Albin; Jiolle, Davy; Moltini-Conclois, Isabelle et al. (2016) Excretion of dengue virus RNA by Aedes aegypti allows non-destructive monitoring of viral dissemination in individual mosquitoes. Sci Rep 6:24885
Monaghan, Andrew J; Morin, Cory W; Steinhoff, Daniel F et al. (2016) On the Seasonal Occurrence and Abundance of the Zika Virus Vector Mosquito Aedes Aegypti in the Contiguous United States. PLoS Curr 8:
Forshey, Brett M; Reiner, Robert C; Olkowski, Sandra et al. (2016) Incomplete Protection against Dengue Virus Type 2 Re-infection in Peru. PLoS Negl Trop Dis 10:e0004398
Legros, Mathieu; Otero, Marcelo; Aznar, Victoria Romeo et al. (2016) Comparison of Two Detailed Models ofAedes aegyptiPopulation Dynamics. Ecosphere 7:
Paz-Soldan, Valerie A; Bauer, Karin M; Lenhart, Audrey et al. (2016) Experiences with insecticide-treated curtains: a qualitative study in Iquitos, Peru. BMC Public Health 16:582
Brady, Oliver J; Godfray, H Charles J; Tatem, Andrew J et al. (2016) Vectorial capacity and vector control: reconsidering sensitivity to parameters for malaria elimination. Trans R Soc Trop Med Hyg 110:107-17

Showing the most recent 10 out of 22 publications