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Abstract Background Dengue viruses are transmitted by anthropophilic mosquitoes and infect approximately 50 million humans annually. To investigate impacts of future climate change on dengue virus transmission, we investigated bionomics of the mosquito vector, Aedes aegypti. Methods Using a dynamic life table simulation model (the Container inhabiting mosquito simulation CIMSiM) and statistically downscaled daily values for future climate, we assessed climate change induced changes to mosquito bionomics. Simulations of Ae. aegypti populations for current (1991-2011) and future climate (2046-2065) were conducted for the city of Cairns, Queensland, the population centre with most dengue virus transmission in Australia. Female mosquito abundance, wet weight, and the extrinsic incubation period for dengue virus in these mosquitoes were estimated for current and future climate (MPI ECHAM 5 model, B1 and A2 emission scenarios). Results Overall mosquito abundance is predicted to change, but results were equivocal for different climate change scenarios. Aedes aegypti abundance is predicted to increase under the B1, but decrease under the A2 scenario. Mosquitoes are predicted to have a smaller body mass in a future climate. Shorter extrinsic incubation periods are projected. Conclusions It is therefore unclear whether dengue risk would increase or decrease in tropical Australia with climate change. Our findings challenge the prevailing view that a future, warmer climate will lead to larger mosquito populations and a definite increase in dengue transmission. Whilst general predictions can be made about future mosquito borne disease incidence, cautious interpretation is necessary due to interaction between local environment, human behaviour and built environment, dengue virus, and vectors.

Abstract Background Australia is one of the few high-income countries where dengue transmission regularly occurs. Dengue is a major health threat in North Queensland (NQ), where the vector Aedes aegypti is present. Whether NQ should be considered as a dengue endemic or epidemic region is an ongoing debate. To help address this issue, we analysed the characteristics of locally-acquired (LA) and imported dengue cases in NQ through time and space. We describe the epidemiology of dengue in NQ from 1995 to 2011, to identify areas to target interventions. We also investigated the timeliness of notification and identified high-risk areas. Methods Data sets of notified cases and viraemic arrivals from overseas were analysed. We developed a time series based on the LA cases and performed an analysis to capture the relationship between incidence rate and demographic factors. Spatial analysis was used to visualise incidence rates through space and time. Results Between 1995 and 2011, 93.9% of reported dengue cases were LA, mainly in the ‘Cairns and Hinterland’ district; 49.7% were males, and the mean age was 38.0 years old. The sources of imported cases (6.1%) were Indonesia (24.6%), Papua New Guinea (23.2%), Thailand (13.4%), East Timor (8.9%) and the Philippines (6.7%), consistent with national data. Travellers importing dengue were predominantly in the age groups 30–34 and 45–49 years old, whereas the age range of patients who acquired dengue locally was larger. The number of LA cases correlated with the number of viraemic importations. Duration of viraemia of public health importance was positively correlated with the delay in notification. Dengue incidence varied over the year and was typically highest in summer and autumn. However, dengue activity has been reported in winter, and a number of outbreaks resulted in transmission year-round. Conclusions This study emphasizes the importance of delay in notification and consequent duration of viraemia of public health importance for dengue outbreak duration. It also highlights the need for targeted vector control programmes and surveillance of travellers at airports as well as regularly affected local areas. Given the likely increase in dengue transmission with climate change, endemicity in NQ may become a very real possibility.