Climate Change and Vector-Borne Diseases in Southeast Asia: A Systematic Literature Review

Putri Wulan Akbar, Nur Edy Suminarti, Nisa Arifani

Abstract


 

Background: Climate change contributes to the increasing risk of vector-borne diseases by altering environmental conditions that influence vector dynamics and disease transmission patterns. Southeast Asia is a region highly vulnerable to the impacts of climate change while simultaneously bearing a substantial burden of vector-borne diseases. However, scientific evidence that systematically examines the relationship between climatic variables and vector-borne diseases in this region remains limited and fragmented. Objective: This study aims to synthesize the most recent scientific evidence on the relationship between climate change and climate variability and the occurrence of vector-borne diseases in Southeast Asia. Methods: A literature search was conducted in the Scopus, EBSCOhost, and PubMed databases using combinations of keywords related to climate change and vector-borne diseases. Included studies were original research articles published in English between 2021 and 2026 and conducted in Southeast Asian countries. The selection process followed the PRISMA guidelines. Methodological quality was assessed using the Joanna Briggs Institute (JBI) critical appraisal tools. Data synthesis was performed narratively. Results:

Seven studies met the inclusion criteria. Temperature exhibited a non-linear relationship with disease risk, whereby increases within an optimal range enhanced transmission, while extreme temperatures tended to exert a protective effect. Absolute humidity and rainfall were generally positively associated with increased incidence, although their effects depended on intensity and temporal distribution. Heatwaves and drought demonstrated delayed effects that may elevate risk, whereas extremely wet conditions showed potential to reduce transmission in certain contexts. Environmental factors also played a significant role: high urban density supported the dominance of specific vectors, and air pollutants demonstrated protective associations in several studies. Conclusion: The relationship between climate variables and vector-borne diseases is complex, non-linear, and context-specific. The integration of extreme climate indicators and environmental factors into early warning systems and area-based control strategies is essential to address the challenges posed by climate change in Southeast Asia.     

Full Text:

PDF

References


1. Goetzl LM, Goetzl EJ. Threats of Emergent and Resurgent Vector-Borne Infectious Diseases. Am J Med. 2025 Jun;138(6):923–5. doi:10.1016/j.amjmed.2025.01.037

2. Hiscox A, Jones RT, Dennehy J, Dyall W, Paris L, Spencer FI, et al. An exploration of current and future vector-borne disease threats and opportunities for change. Front Public Health. 2025 May 15;13. doi:10.3389/fpubh.2025.1585412

3. Ansah EW, Ankomah-Appiah E, Amoadu M, Sarfo JO. Climate change, health and safety of workers in developing economies: A scoping review. Journal of Climate Change and Health. 2021. doi:10.1016/j.joclim.2021.100034

4. Ongoma V, Tabari H, editors. Climate Impacts on Extreme Weather [Internet]. Elsevier; 2022. Available from: https://linkinghub.elsevier.com/retrieve/pii/C2020002935X doi:10.1016/C2020-0-02935-X

5. Rocque RJ, Beaudoin C, Ndjaboue R, Cameron L, Poirier-Bergeron L, Poulin-Rheault RA, et al. Health effects of climate change: an overview of systematic reviews. BMJ Open. 2021 Jun 9;11(6):e046333. doi:10.1136/bmjopen-2020-046333

6. Zhong S, Huang C. Climate change and human health: Risks and responses. Kexue Tongbao/Chinese Science Bulletin. 2019;64(19). doi:10.1360/N972018-00898

7. Valentová A, Bostik V. Climate change and human health. Military Medical Science Letters (Vojenske Zdravotnicke Listy). 2021. doi:10.31482/mmsl.2021.010

8. Wei S, Zhang T, Sun S, Liang Y, Zhou W, Li W, et al. The shift in Mosquito-borne diseases incidence across Asia-Pacific region (1992–2021): insights from an Age-Period-Cohort analysis using the global burden of disease study 2021. BMC Public Health. 2025 Oct 8;25(1):3373. doi:10.1186/s12889-025-24765-y

9. Mboi N, Syailendrawati R, Ostroff SM, Elyazar IR, Glenn SD, Rachmawati T, et al. The state of health in Indonesia’s provinces, 1990–2019: a systematic analysis for the Global Burden of Disease Study 2019. Lancet Glob Health. 2022 Nov;10(11):e1632–45. doi:10.1016/S2214-109X(22)00371-0

10. Matlack M, Covert H, Shankar A, Zijlmans W, Wahid FA, Hindori-Mohangoo A, et al. A scoping review of current climate change and vector-borne disease literacy and implications for public health interventions. Journal of Climate Change and Health. 2024;15. doi:10.1016/j.joclim.2023.100295

11. Sutriyawan A, Rahardjo M, Martini M, Sutiningsih D, Akbar H, Sari DN, et al. Impact of Climate Change on Dengue Incidence: A Systematic Review of Evidence from Southeast Asia. Journal of Population and Social Studies. 2025 Sep 11;34:551–72. doi:10.25133/JPSSv342026.028

12. Fernando M, R.M NUR. How Do Climate Variables Affect the Transmission of Dengue Infection in South and Southeast Asia: A Scoping Review. Asian Journal of Interdisciplinary Research. 2023 Mar 30;6(1):25–41. doi:10.54392/ajir2314

13. Wang Y, Zhao S, Wei Y, Li K, Jiang X, Li C, et al. Impact of climate change on dengue fever epidemics in South and Southeast Asian settings: A modelling study. Infect Dis Model. 2023 Sep;8(3):645–55. doi:10.1016/j.idm.2023.05.008

14. Wang Y, Li C, Zhao S, Wei Y, Li K, Jiang X, et al. Projection of dengue fever transmissibility under climate change in South and Southeast Asian countries. PLoS Negl Trop Dis. 2024 Apr 29;18(4):e0012158. doi:10.1371/journal.pntd.0012158

15. Cahyati WH, Dina Nur Anggraini Ningrum, Andi Irwan Benardi, Hanif Pandu Suhito, Izha Fajar Al Isynaini, Ratna Sri Indrawati. The Phenomenon of Dengue Fever in Climate Change. Jurnal Kesehatan Masyarakat. 2025 Oct 23;21(2):473–84. doi:10.15294/kemas.v21i2.34137

16. Wang Y, Li C, Zhao S, Lin G, Jiang X, Yin S, et al. Evaluation of dengue fever vulnerability in south and southeast asian countries: A multidimensional approach. J Infect Public Health. 2025 Sep;18(9):102849. doi:10.1016/j.jiph.2025.102849

17. Ardiansyah Akbar K, Kumala Fatma R, Elamouri F, Rockstroh JK. Climate change and dengue Fever: A 14-year study of mortality trends during 2010–2023 in Indonesia. Travel Med Infect Dis. 2025 Sep;67:102893. doi:10.1016/j.tmaid.2025.102893

18. Hensher M. Climate change, health and sustainable healthcare: The role of health economics. Health Economics (United Kingdom). 2023;32(5). doi:10.1002/hec.4656

19. Aisyah DN, Sitompul D, Diva H, Tirmizi SN, Hakim L, Surya A, et al. The Changing Incidence of Malaria in Indonesia: A 9‐Year Analysis of Surveillance Data. Adv Public Health. 2024 Jan 12;2024(1). doi:10.1155/adph/2703477

20. Filho WL, Scheday S, Boenecke J, Gogoi A, Maharaj A, Korovou S. Climate change, health and mosquito-borne diseases: Trends and implications to the pacific region. Int J Environ Res Public Health. 2019;16(24). doi:10.3390/ijerph16245114

21. JBI. Critical Appraisal Tools [Internet]. 2020 [cited 2026 Mar 2]. Available from: https://jbi.global/critical-appraisal-tools

22. Moola S, Munn Z, Tufanaru C, Aromataris E, Sears K, Sfetcu R, et al. Systematic reviews of etiology and risk. In: JBI Manual for Evidence Synthesis [Internet]. JBI; 2020 [cited 2026 Mar 2]. Available from: https://synthesismanual.jbi.globa

23. Seah A, Aik J, Ng LC, Tam CC. The effects of maximum ambient temperature and heatwaves on dengue infections in the tropical city-state of Singapore – A time series analysis. Science of The Total Environment. 2021 Jun;775:145117. doi:10.1016/j.scitotenv.2021.145117

24. Ridha MR, Indriyati L, Juhairiyah J, Kusumaningtyas H. Malaria Incidence Trends and Their Association with Climatic Variables in East Kalimantan, Indonesia, 2014–2020. JURNAL KESEHATAN LINGKUNGAN. 2022 Apr 28;14(2):130–8. doi:10.20473/jkl.v14i2.2022.130-138

25. Sutriyawan A, Kurniati N, Novianti N, Farida U, Yusanti L, Destriani SN, et al. Analysis of temperature, humidity, rainfall, and wind velocity on dengue hemorrhagic fever in Bandung municipality. Russian Journal of Infection and Immunity. 2024 Apr 28;14(1):155–62. doi:10.15789/2220-7619-AOT-2110

26. Herbreteau V, Maquart PO, Hoeun S, Doeurk B, Girond F, Boyer S. Spatio-temporal distribution and environmental determinants of dengue vectors in Phnom Penh, Cambodia. PLoS Negl Trop Dis. 2025 Oct 29;19(10):e0013667. doi:10.1371/journal.pntd.0013667

27. Ith S, Seposo X, Phy V, Tantrakarnapa K, Apostol GLC, Dhewantara PW, et al. Extreme weather events and dengue in Southeast Asia: A regionally-representative analysis of 291 locations from 1998 to 2021. Kamel MG, editor. PLoS Negl Trop Dis. 2025 Sep 4;19(9):e0012649. doi:10.1371/journal.pntd.0012649

28. Tewari P, Ma P, Gan G, Janhavi A, Choo ELW, Koo JR, et al. Non-linear associations between meteorological factors, ambient air pollutants and major mosquito-borne diseases in Thailand. Pei S, editor. PLoS Negl Trop Dis. 2023 Dec 27;17(12):e0011763. doi:10.1371/journal.pntd.0011763




DOI: https://doi.org/10.18860/jim.v10i1.41558

Refbacks

  • There are currently no refbacks.


 

Editorial Office:

Faculty of Medical and Health Science
Universitas Islam Negeri Maulana Malik Ibrahim Malang
Campus 3, Jl. Locari, Tlekung, Batu City
e-mail: medicaljournal@uin-malang.ac.id


Creative Commons License
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.