Warmer temperatures and changing rainfall are making more of India suitable for mosquito-borne and water-borne infections, according to the 2025 India data sheet of the Lancet Countdown on Health and Climate Change. Fresh dengue figures and new 2026 modelling studies point the same way. They suggest that public health planning can no longer treat these diseases as purely seasonal or limited to a few states.
What the numbers show
The Lancet Countdown uses a measure called R0, the number of people one infected person could be expected to infect. For dengue spread by the Aedes albopictus mosquito, India’s average R0 rose from 0.86 in 1951–1960 to 1.60 in 2015–2024, crossing from below one to above one. In everyday terms, a value above one means conditions can sustain spread rather than let it fade. The Countdown cautions that these values show potential outbreak risk, not actual transmission rates.
The same data sheet says changing temperature and precipitation patterns are expanding the risk zones for dengue, vibrio and other climate-sensitive diseases in India. Vibrio bacteria live in brackish marine waters and can cause gastroenteritis, wound infections, sepsis and cholera. Media coverage of the report says the coastal area suitable for Vibrio has grown by 46% since the 1980s.
Dengue is starting earlier
Reported cases show a similar shift. The National Center for Vector Borne Diseases Control recorded 6,927 dengue cases by the end of February 2026. That is only two months of data, and the comparison with earlier years is not like-for-like. Even so, epidemiologists say it matters because transmission has historically stayed low between January and May. Tamil Nadu reported the most cases (2,873), followed by Maharashtra, Kerala and Karnataka. Dr Harshdeep Joshi of Maharishi Markandeshwar Medical College told Al Jazeera: “Dengue is no longer restricted to the post-monsoon period.”
A PLOS Neglected Tropical Diseases study published in March 2026 found that dengue cases reported during 2016–2022 were three times higher than those in 2007–2015. Its projections for 2030 and 2050 are uncertain. They suggest more outbreaks in southern India, but a significant decrease in the densely populated Gangetic Plains states. The authors say targeted surveillance and early detection may matter most where future risk is projected to change.
Not every disease moves the same way
A review in Science Advances, published on 2 October 2026, stresses that climate effects on disease are nonlinear, seasonal and highly local. It notes that climate suitability for malaria is predicted to decrease in India and much of Southeast Asia. Dengue and malaria therefore need different planning, and risk will not rise uniformly everywhere.
What this means for India
The Lancet Countdown findings show climate risk is already part of India’s disease picture, especially for dengue and for the coastal bacteria that cause cholera. Early-year dengue cases in southern states and projections of shifting hotspots suggest surveillance may need to run beyond the post-monsoon months. They also suggest it should be tuned to each state rather than applied uniformly. Because malaria suitability is projected to fall in India, planners will need disease-specific, local evidence rather than a single national assumption.
Sources
- Health and climate change in India: Lancet Countdown Data Sheet 2025
- Explore Our Data – Lancet Countdown
- Why India’s deadly dengue crisis is now no longer confined to the monsoons – Al Jazeera
- Impact of projected climate and socioeconomic scenarios on state-wise annual dengue incidence in India using ensemble models – PLOS NTDs
- How climate change affects mosquito-borne infectious disease: The different trajectories of malaria and dengue – Science Advances
- 2025 Lancet Countdown Report: Climate Change Is Now India’s Biggest Public Health Threat – ETV Bharat









