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Arboviral Risk at Brazilian Tourist Destinations
Sebastian Vernal1,2, Eloise Skinner1, Beatris M Martin1
1Frazer Institute, Faculty of Health, Medicine and Behavioural Sciences, The University of Queensland, Brisbane, Queensland, Australia.
Journal of Travel Medicine
|July 19, 2026
Summary
Brazil faces recurring arbovirus outbreaks, including dengue, chikungunya, and yellow fever (YF). This study identifies high-risk regions and maps them to aid travel medicine professionals in advising travelers.
Area of Science:
- Public Health
- Epidemiology
- Travel Medicine
Background:
- Brazil experiences frequent outbreaks of dengue, chikungunya, and yellow fever (YF), posing risks to residents and travelers.
- Identifying high-risk areas is crucial for managing arboviral infections in a popular tourist destination.
Purpose of the Study:
- To identify high-risk regions for arboviral infections in Brazil.
- To develop a user-friendly, map-based resource for clinical decision-making in travel medicine.
Main Methods:
- Analysis of laboratory-confirmed dengue, chikungunya, and YF cases and deaths from 2019-2024 (YF from 2015).
- Data aggregated into 133 Intermediate Geographic Regions (IGRs), excluding those without cases.
- A composite risk score combining transmission duration and disease burden was calculated for each IGR.
Main Results:
- Over 4.35 million dengue, 294,921 chikungunya, and 2,312 YF cases analyzed.
- High-risk dengue regions identified in the Midwest (e.g., Pantanal).
- High-risk chikungunya regions found in the Northeast (e.g., Recife).
- Yellow fever risk identified in 38.3% of IGRs, notably in the Southeast (e.g., São Paulo state).
Conclusions:
- Arboviruses present varied risks across Brazil.
- A novel, spatially integrated map aids travel medicine practitioners.
- The tool supports tailored advice and pre-travel vaccinations for travelers.
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