Evidence map›Paper›PMID 41283862›Full record

SynthesisJournal of travel medicine2026

Dengue in deployed military personnel, 1905-2024: a systematic review of incidence, diagnostics and prevention.

Eric Agboli, Hanna Jöst, Dimitrios Frangoulidis, Le Huu Song, Do Duc Anh, Antonios Katsounas, Thirumalaisamy P Velavan, Jonas Schmidt-Chanasit

Abstract readSystematic Review
In one paragraph

Synthesis in Journal of travel medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Eric AgboliDepartment of Arbovirology and Entomology, Bernhard Nocht Institute for Tropical Medicine, 20359 Hamburg, Germany.
Hanna JöstDepartment of Arbovirology and Entomology, Bernhard Nocht Institute for Tropical Medicine, 20359 Hamburg, Germany.
Dimitrios FrangoulidisH/MI2 Department, Bundeswehr Medical Academy, 80937 Munich, Germany.
Le Huu SongVietnamese German Center for Medical Research, Hanoi 100000, Vietnam.
Do Duc AnhVietnamese German Center for Medical Research, Hanoi 100000, Vietnam.
Antonios KatsounasFaculty of Medicine, Ruhr University Bochum, 44801 Bochum, Germany.
Thirumalaisamy P VelavanInstitute of Tropical Medicine, University of Tübingen, 72074 Tübingen, Germany.
Jonas Schmidt-ChanasitDepartment of Arbovirology and Entomology, Bernhard Nocht Institute for Tropical Medicine, 20359 Hamburg, Germany.

Funding

EcoSAP 01KA2406German Academic Exchange Service-DAAD 57592343Royal Society of Tropical Medicine and Hygiene NIHR25010
6 · The paper itself

Abstract

backgroundMilitary deployments to dengue-endemic regions present ongoing risks to health and mission readiness. This review synthesizes a century of evidence on the incidence, clinical features, diagnostics and prevention of dengue in military personnel, aiming to guide future health policies, research and Force Health Protection strategies.

methodsUsing Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) 2020 guidelines, a search of PubMed and Google Scholar (March 15-April 5, 2025) identified 32 English-language studies (1905-2024) reporting primary data on dengue in military personnel. Studies were selected based on predefined criteria and narratively synthesized.

resultsA review of 32 studies involving 42 272 military personnel across 41 deployment settings identified 69 224 dengue cases, with outbreaks dating back to 1904. A notable spike occurred between 2012 and 2017, likely due to increased deployments to endemic regions and better surveillance. Diagnostic methods have advanced from early clinical recognition to modern Non-structural Protein 1 (NS1) antigen and Polymerase Chain Reaction (PCR) tests. Common symptoms included high fever, intense headache and myalgia. Despite efforts such as integrated vector control and Personal Protective Measures (PPMs), and new vaccines (Qdenga®, Takeda), prevention remains limited by inconsistent use of integrated vector control and PPMs, low vaccine uptake and eligibility constraints.

conclusionDengue continues to threaten operational readiness in tropical deployments. Strengthening integrated vector control, PPMs, vaccination and real-time surveillance is crucial to reduce its impact and control other co-endemic diseases like malaria, yellow fever, chikungunya and Zika. Future research should focus on evaluating integrated vaccine and vector control strategies aimed at enhancing Force Health Protection among military personnel.

Indexed as

DengueMilitary DeploymentMilitary PersonnelDisease OutbreaksHumansIncidenceDenguediagnosticsendemic regionsforce health protectionmilitary deploymentsprevention

Identifiers

PMID41283862
PMCPMC13017649

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.