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<ArticleTitle Language="En" OutputMedium="All">Revealing Dengue Dynamics Through a Novel Bin-Wise Gaussian Process Model for Probabilistic Forecasting</ArticleTitle>
<ArticleCategory>OriginalPaper</ArticleCategory>
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<CopyrightYear>2018</CopyrightYear>
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<AuthorGroup><Annotation ID="1" RuleID="MissingAuthorNamesManuscriptToSubmission_01" Values="Ewerton Rocha  Vieira, Konstantin  Mischaikow, Claudia M.E.  Romero Vivas, Ubydul  Haque" Category="Completeness" Status="Neutral" />
<Author AffiliationIDS="Aff1" ID="Au1">
<AuthorName>
<GivenName>Ewerton</GivenName>
<GivenName>Rocha</GivenName>
<FamilyName>Vieira</FamilyName>
</AuthorName>
</Author>
<Author AffiliationIDS="Aff1" ID="Au2">
<AuthorName>
<GivenName>Konstantin</GivenName>
<FamilyName>Mischaikow</FamilyName>
</AuthorName>
</Author>
<Author AffiliationIDS="Aff2" ID="Au3">
<AuthorName>
<GivenName>Claudia</GivenName>
<GivenName>M.E.</GivenName>
<FamilyName>Romero Vivas</FamilyName>
</AuthorName>
</Author>
<Author AffiliationIDS="Aff3" CorrespondingAffiliationID="Aff3" ID="Au4">
<AuthorName>
<GivenName>Ubydul</GivenName>
<FamilyName>Haque</FamilyName>
</AuthorName>
<Contact>
<Email>ubydul.kth@gmail.com</Email>
</Contact>
</Author>
<Affiliation ID="Aff1">
<OrgDivision>Department of Mathematics</OrgDivision>
<OrgAddress>
<City>Rutgers</City>
<State>NJ</State>
<Country Code="US">USA</Country>
</OrgAddress>
</Affiliation>
<Affiliation ID="Aff2">
<OrgDivision>Laboratory of Tropical Diseases, Department of Medicine, Health Division</OrgDivision>
<OrgName>Universidad del Norte</OrgName>
<OrgAddress>
<Postcode>080003</Postcode>
<City>Barranquilla</City>
<Country Code="CO">Colombia</Country>
</OrgAddress>
</Affiliation>
<Affiliation ID="Aff3">
<OrgDivision>Rutgers Global Health Institute</OrgDivision>
<OrgName>Rutgers University</OrgName>
<OrgAddress>
<City>New Brunswick</City>
<State>NJ</State>
<Country Code="US">USA</Country>
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<Para ID="Par1">Ewerton Rocha Vieira<Superscript>1</Superscript>, Konstantin Mischaikow<Superscript>1</Superscript>, Claudia M.E. Romero Vivas<Superscript>2</Superscript>, Ubydul Haque<Superscript>3*</Superscript></Para>
<Para ID="Par2">
<Superscript>1</Superscript> Department of Mathematics, Rutgers, NJ, USA</Para>
<Para ID="Par3">
<Superscript>2</Superscript> Laboratory of Tropical Diseases, Department of Medicine, Health Division, Universidad del Norte, Barranquilla 080003, Colombia</Para>
<Para ID="Par4">
<Superscript>3</Superscript> Rutgers Global Health Institute, Rutgers University, New Brunswick, NJ, USA</Para>
<Para ID="Par5">*Corresponding author</Para>
<Para ID="Par6">Ubydul Haque</Para>
<Para ID="Par7">E-mail: ubydul.kth@gmail.com</Para>
</RawAuthorGroup>
<Abstract ID="Abs1" Language="En" OutputMedium="All">
<Heading>Abstract</Heading>
<Para ID="Par8"><Annotation ID="2" RuleID="IdentifyClinicalTrialsTerms_01" Values="human, Ethical, consent, intervention, interventions" Category="SREP" Status="Neutral" />
<Emphasis Type="Italic">Aedes aegypti</Emphasis> thrives in urban settings, where socio-economic and climatic factors sustain dengue transmission. This study develops a generalizable Gaussian Process model integrating these determinants to improve incidence forecasting and intervention planning.</Para>
<Para ID="Par9">This study analyzed dengue transmission dynamics in Barranquilla, Colombia, using a dataset from 2018&#x2013;2023 across 20 metropolitan areas. Monthly dengue cases were modeled against socio-environmental factors, including socio-economic strata, temperature, and rainfall. The dataset was normalized by adjusting dengue case counts relative to the population of each municipality, enabling comparisons across locations. Rainfall was modeled using an exponential distribution, introducing a novel approach. Socio-economic infrastructure indicators, temperature, and rainfall were discretized into 32 bins based on defined thresholds. A parameter-dependent function framework predicted month-to-month dengue progression, emphasizing environmental and socio-economic influences on disease transmission patterns.</Para>
<Para ID="Par10">This study utilized GP regression to predict month-to-month variations in dengue cases, leveraging socio-economic, temperature, and rainfall data. The models classified transmission dynamics into six categories: extinction, monotonic growth, oscillations, transient pulses, low-level persistence, and high uncertainty. High-risk scenarios were associated with elevated temperatures, rainfall, and lower socioeconomic strata, while conditions limiting mosquito development predicted rapid declines in transmission. Bin-specific analysis revealed ecological feedback driving oscillatory patterns and transient outbreaks. These robust predictions informed targeted mitigation strategies, despite uncertainties in certain parameter combinations, providing nuanced insights into the dynamics of dengue.</Para>
<Para ID="Par11">This study integrates socio-economic, environmental, and epidemiological factors into a probabilistic, adaptable model, providing a scalable framework to enhance vector-borne disease forecasting and public health decisions.</Para>
</Abstract>
<KeywordGroup Language="En" OutputMedium="All">
<Heading>Keywords:</Heading>
<Keyword>Vector-borne diseases</Keyword>
<Keyword>control</Keyword>
<Keyword>prevention</Keyword>
</KeywordGroup>
</ArticleHeader>
<Body><Annotation ID="3" RuleID="IdentifyClinicalTrialsKeywordsAndTRN_02" Category="Information" Status="Neutral" />
<Section1 ID="Sec1">
<Heading>Introduction</Heading>
<Para ID="Par12">
<Emphasis Type="Italic">Aedes aegypti</Emphasis> has adapted from sylvatic to urban environments, with behavioral flexibility and abundant man-made breeding sites driving high mosquito densities and human contact<Superscript>1&#x2013;4</Superscript>. Urban factors such as temperature, vegetation, and water practices further shape transmission patterns, making understanding these interactions essential for accurate dengue outbreak prediction<Superscript>5</Superscript>.</Para>
<Para ID="Par13"><Annotation ID="4" RuleID="IdentifyBiosecurityAgentsTerms_01" Values="vaccines" Category="SREP" Status="Neutral" />Dengue fever ranks among the world&#x2019;s top ten health threats<Superscript>6,7</Superscript>. Lacking effective treatments or vaccines, control depends on vector management, making predictive models crucial for anticipating outbreaks and guiding interventions amid rapid urbanization and climate variability.</Para>
<Para ID="Par14">Early dengue forecasting efforts primarily relied on theoretical epidemiological models, such as deterministic compartmental models (e.g., SIR, SEIR, SEIAR), that simulate disease spread through human and vector populations under varying transmission parameters<Superscript>8&#x2013;10</Superscript>. These models offer mechanistic insights but are limited in their predictive performance when confronted with noisy or incomplete data. For example, in &#x201C;A Coupled Statistical and Deterministic Model in Selangor, Malaysia&#x201D;, the SI-SIR component alone gives weaker forecasts than when coupled with climate data; similarly, SEIR-SEI models with data assimilation (e.g., SEIR-SEI-EnKF) improve but still face challenges in longer-horizon predictions<Superscript>11,12</Superscript>.</Para>
<Para ID="Par15">Subsequent studies introduced statistical models, including autoregressive integrated moving average (ARIMA), generalized linear models (GLM), and Poisson regression, to forecast dengue incidence based on historical case counts and climate covariates<Superscript>13&#x2013;16</Superscript>. While these approaches improved short-term forecasts, they often assume linear relationships and struggle to capture complex, nonlinear interactions among socio-environmental predictors. Reported predictive accuracies range from RMSE&#x2009;=&#x2009;X&#x2013;Y and correlation coefficients up to 0.8 for one-month-ahead predictions<Superscript>14,17,18</Superscript>.</Para>
<Para ID="Par16">Recent advances in machine learning, such as random forests, support vector machines, and deep learning models, have demonstrated enhanced flexibility in capturing nonlinear dynamics and interactions among climatic, entomological, and socioeconomic features<Superscript>17,19,20</Superscript>. Nevertheless, their black-box nature and dependence on large training datasets can limit interpretability and generalizability across different ecological or social contexts.</Para>
<Para ID="Par17">Thus, despite decades of progress, existing forecasting models remain limited by their inability to simultaneously integrate climatic, entomological, and socio-economic dimensions while maintaining interpretability and transferability across urban settings.</Para>
<Para ID="Par18">Gaussian Process (GP) regression is a flexible nonparametric method that can capture complex, nonlinear relationships in data. However, fitting a single GP across an entire dataset may be computationally expensive and can obscure local heterogeneity. To address these challenges, researchers have developed bin-wise GP modeling, where the data are partitioned into bins, defined by intervals or groups along dimensions such as time, space, or covariates, and a separate GP is fitted to each subset.</Para>
<Para ID="Par19">Gaussian Process (GP) regression has recently emerged as a promising nonparametric method for dengue forecasting, owing to its ability to model nonlinear relationships and quantify predictive uncertainty<Superscript>21&#x2013;25</Superscript>. For instance, studies in Brazil demonstrated that GP models achieved higher short-term forecast accuracy (e.g., RMSE between X&#x2013;Y and correlation up to 0.9) compared to ARIMA or random forest approaches<Superscript>24</Superscript>. In Colombi, GP-based spatio-temporal models successfully identified early outbreak signals up to four weeks in advance<Superscript>22</Superscript>. However, most published GP applications to dengue forecasting remain limited by data sparsity, regional biases, and challenges in generalizing across different epidemiological settings<Superscript>22,25</Superscript>.</Para>
<Para ID="Par20">To address the limitations of conventional GP models, which often assume global homogeneity and therefore fail to capture local variations, we propose a bin-wise GP modeling framework. In this approach, the dataset is partitioned into bins along relevant dimensions such as time or geography, and a separate GP is fitted to each subset. This enables the model to capture localized temporal patterns (e.g., seasonal peaks in transmission) and spatial heterogeneity (e.g., differences in ecological or socio-economic risk factors), resulting in forecasts that are both more flexible and interpretable.</Para>
<Para ID="Par21">To the best of our knowledge, bin-wise GP modeling has not previously been applied to dengue forecasting. We hypothesize that socio-economic strata, entomological indices, mean temperature, and mean rainfall are significant predictors of dengue dynamics, and that the proposed bin-wise GP framework will more effectively capture their localized temporal and spatial effects than a single, global model.</Para>
<Para ID="Par22">Although the present analysis focuses on a single urban setting in Colombia, the proposed modeling framework is designed to be generalizable. Its structure allows the incorporation of diverse climatic, demographic, and socio-economic inputs, meaning that once trained and validated, the same framework can be transferred to other cities, such as Ibagu&#x00E9;, Cali, or Villavicencio, by retraining on locally available data. This adaptability stems from the nonparametric and modular nature of the GP approach, which does not require predefined parametric forms or site-specific assumptions.</Para>
<Para ID="Par23">The objectives of this study are threefold: i) To quantify the predictive power of socio-economic and weather factors in explaining monthly variations in dengue incidence, ii) To evaluate the utility of bin-wise modeling approaches for identifying high-risk transmission scenarios and uncovering nonlinear interactions among variables, and iii) To optimize Gaussian Process models for enhanced predictive accuracy and uncertainty quantification, thereby improving the reliability of dengue forecasting across varied urban contexts.</Para>
</Section1>
<Section1 ID="Sec2">
<Heading>Material and methods</Heading>
<Section2 ID="Sec3">
<Heading>Source of data</Heading>
<Para ID="Par24">This study used a comprehensive dengue dataset from Barranquilla, Colombia, spanning from 2018 to 2023 and covering 20 metropolitan areas (Fig.&#x00A0;<InternalRef RefID="Fig1">1</InternalRef>). The dataset includes key variables such as total yearly population in each metropolitan area from 2018&#x2013;2023 dengue cases, pupal house index (percentage of houses positive for the presence of <Emphasis Type="Italic">Ae. aegypti</Emphasis> pupae), and socio-economic strata - classification system that divides urban areas into six residential strata (from 1 to 6) based on the household income being the poorest the stratum 1 and the richest, the stratum 6. In some neighborhoods, different strata can be found (Table&#x00A0;<InternalRef RefID="Tab1">1</InternalRef>)<Superscript>26</Superscript>.</Para>
<Para ID="Par25">
<Figure Category="Standard" Float="Yes" ID="Fig1"><Annotation ID="5" RuleID="MissingFigureImage_01" Values="Fig. 1" Category="Completeness" Status="Neutral" />
<Caption Language="En">
<CaptionNumber>Fig. 1</CaptionNumber>
<CaptionContent>
<SimplePara>Location of study areas</SimplePara>
</CaptionContent>
</Caption>
</Figure>
</Para>
<Para ID="Par26">Monthly mean temperature and mean rainfall at the municipality level from January 2018 to December 2023 were extracted from Weather Spark [16]. The weather dataset provides monthly records of reported dengue cases along with key contextual variables, including population size, pupal house index, socio-economic strata, mean temperature, and mean rainfall. The study models monthly rainfall as an exponential distribution, an approach that contrasts with the linear or categorical treatments used in prior studies.</Para>
<Para ID="Par27">Our objective was to model the month-to-month progression of dengue cases as a function of relevant socio-environmental parameters. We defined a class of parameter-dependent functions &#x0192;<Subscript>&#x03B8;</Subscript> : [0,&#x221E;) &#x2192; [0,&#x221E;), where the function maps normalized dengue case counts in a given month (<Emphasis Type="Italic">x</Emphasis>) to those in the following month (<Emphasis Type="Italic">y</Emphasis>). The data were structured as sequential pairs (<Emphasis Type="Italic">x</Emphasis>, <Emphasis Type="Italic">y</Emphasis>), representing normalized cases count across time for each metropolitan area.</Para>
</Section2>
</Section1>
<Section1 ID="Sec4">
<Heading>Dataset</Heading>
<Section2 ID="Sec5">
<Heading>Step 1: Data normalization and organization</Heading>
<Para ID="Par28">To develop a location-independent model of dengue transmission, monthly case counts at the municipality level were normalized on a per capita basis. This standardization enabled meaningful comparisons of disease burden across metropolitan areas with differing population sizes. The data were structured as paired observations (<Emphasis Type="Italic">x, y), where x represents the normalized case count for a given month and y represents</Emphasis> the normalized count for the subsequent month in the same metropolitan area, resulting in a total of 1,420 data points.</Para>
<Para ID="Par29">Explanatory variables were discretized into i) yearly socio-economic strata: grouped into four distinct categories based on income and infrastructure indicators at the municipality level, ii) temperature: binned into two groups using the dataset's mean monthly average temperature (31.7&#x00B0;C) as the threshold, and iii) rainfall: Monthly average rainfall values were modeled using an exponential distribution and classified into quantiles for binning.</Para>
<Para ID="Par30">
<Table Float="Yes" ID="Tab1">
<Caption Language="En">
<CaptionNumber>Table 1</CaptionNumber>
<CaptionContent>
<SimplePara>Parameter binning scheme for dengue transmission modeling</SimplePara>
</CaptionContent>
</Caption>
<tgroup cols="4">
<colspec colnum="1" colname="c1" align="left" />
<colspec colnum="2" colname="c2" align="left" />
<colspec colnum="3" colname="c3" align="left" />
<colspec colnum="4" colname="c4" align="left" />
<thead>
<row>
<entry align="left" colname="c1">
<SimplePara><Emphasis Type="Italic">Parameter</Emphasis></SimplePara>
</entry>
<entry align="left" colname="c2">
<SimplePara><Emphasis Type="Italic">Bin label</Emphasis></SimplePara>
</entry>
<entry align="left" colname="c3">
<SimplePara><Emphasis Type="Italic">Range / Value</Emphasis></SimplePara>
</entry>
<entry align="left" colname="c4">
<SimplePara><Emphasis Type="Italic">Description</Emphasis></SimplePara>
</entry>
</row>
</thead>
<tbody>
<row>
<entry align="left" colname="c1">
<SimplePara>Socio-Economic Strata</SimplePara>
</entry>
<entry align="left" colname="c2">
<SimplePara>SE&#x2081;</SimplePara>
</entry>
<entry align="left" colname="c3">
<SimplePara>1.0</SimplePara>
</entry>
<entry align="left" colname="c4">
<SimplePara>Lowest socio-economic group</SimplePara>
</entry>
</row>
<row>
<entry align="left" colname="c1" />
<entry align="left" colname="c2">
<SimplePara>SE&#x2082;</SimplePara>
</entry>
<entry align="left" colname="c3">
<SimplePara>1.2</SimplePara>
</entry>
<entry align="left" colname="c4">
<SimplePara>Low-moderate group</SimplePara>
</entry>
</row>
<row>
<entry align="left" colname="c1" />
<entry align="left" colname="c2">
<SimplePara>SE&#x2083;</SimplePara>
</entry>
<entry align="left" colname="c3">
<SimplePara>2.3</SimplePara>
</entry>
<entry align="left" colname="c4">
<SimplePara>Moderate-high group</SimplePara>
</entry>
</row>
<row>
<entry align="left" colname="c1" />
<entry align="left" colname="c2">
<SimplePara>SE&#x2084;</SimplePara>
</entry>
<entry align="left" colname="c3">
<SimplePara>3.0</SimplePara>
</entry>
<entry align="left" colname="c4">
<SimplePara>The highest socio-economic group</SimplePara>
</entry>
</row>
<row>
<entry align="left" colname="c1">
<SimplePara>Temperature (&#x00B0;C)</SimplePara>
</entry>
<entry align="left" colname="c2">
<SimplePara>T&#x2081;</SimplePara>
</entry>
<entry align="left" colname="c3">
<SimplePara>&#x003C;&#x2009;31.70</SimplePara>
</entry>
<entry align="left" colname="c4">
<SimplePara>Low temperature (Temp_low)</SimplePara>
</entry>
</row>
<row>
<entry align="left" colname="c1" />
<entry align="left" colname="c2">
<SimplePara>T&#x2082;</SimplePara>
</entry>
<entry align="left" colname="c3">
<SimplePara>&#x2265;&#x2009;31.70</SimplePara>
</entry>
<entry align="left" colname="c4">
<SimplePara>High temperature (Temp_high)</SimplePara>
</entry>
</row>
<row>
<entry align="left" colname="c1">
<SimplePara>Rainfall (mm)</SimplePara>
</entry>
<entry align="left" colname="c2">
<SimplePara>R&#x2081; (q1)</SimplePara>
</entry>
<entry align="left" colname="c3">
<SimplePara>[0, 0.67)</SimplePara>
</entry>
<entry align="left" colname="c4">
<SimplePara>0&#x2013;25th percentile</SimplePara>
</entry>
</row>
<row>
<entry align="left" colname="c1" />
<entry align="left" colname="c2">
<SimplePara>R&#x2082; (q2)</SimplePara>
</entry>
<entry align="left" colname="c3">
<SimplePara>[0.67, 1.62)</SimplePara>
</entry>
<entry align="left" colname="c4">
<SimplePara>25&#x2013;50th percentile</SimplePara>
</entry>
</row>
<row>
<entry align="left" colname="c1" />
<entry align="left" colname="c2">
<SimplePara>R&#x2083; (q3)</SimplePara>
</entry>
<entry align="left" colname="c3">
<SimplePara>[1.62, 3.23)</SimplePara>
</entry>
<entry align="left" colname="c4">
<SimplePara>50&#x2013;75th percentile</SimplePara>
</entry>
</row>
<row>
<entry align="left" colname="c1" />
<entry align="left" colname="c2">
<SimplePara>R&#x2084; (q4)</SimplePara>
</entry>
<entry align="left" colname="c3">
<SimplePara>[3.23, &#x221E;)</SimplePara>
</entry>
<entry align="left" colname="c4">
<SimplePara>75&#x2013;100th percentile</SimplePara>
</entry>
</row>
<row>
<entry align="left" colname="c1">
<SimplePara>Total Bin Combinations</SimplePara>
</entry>
<entry align="left" colname="c2">
<SimplePara>-</SimplePara>
</entry>
<entry align="left" colname="c3">
<SimplePara>4 (SE) &#x00D7; 2 (Temp) &#x00D7; 4 (Rainfall)&#x2009;=&#x2009;32</SimplePara>
</entry>
<entry align="left" colname="c4">
<SimplePara>Total combinations of &#x03B8; = (&#x03B8;&#x2081;, &#x03B8;&#x2082;, &#x03B8;&#x2083;)</SimplePara>
</entry>
</row>
</tbody>
</tgroup>
</Table>
</Para>
</Section2>
</Section1>
<Section1 ID="Sec6">
<Heading>Step 2: Defining the parameter space</Heading>
<Para ID="Par31">To capture external influences on transmission, socio-economic strata, mean temperature, and mean rainfall were integrated as exogenous variables [17]. These variables were then modeled as key parameters influencing dengue transmission dynamics. Due to data sparsity, the parameters were discretized into 32 bins to enable robust and stratified analysis. For temperature, the range was divided at a threshold of 31.70&#x00B0;C into low ([&#x2212;&#x221E;, 31.70]) and high ([31.70, &#x221E;]) categories. Rainfall and socio-economic strata were similarly binned using quantile-based segmentation, which partitions data into equal-probability intervals independent of calendar time. Socio-economic strata were categorized into four discrete subgroups: 1, 1.2, 2.3, and 3.</Para>
<Para ID="Par32">Monthly average rainfall was modeled using an exponential distribution (see Fig.&#x00A0;<InternalRef RefID="Fig2">2</InternalRef>). Based on the quantiles of this distribution, rainfall data were divided into four bins (Table&#x00A0;<InternalRef RefID="Tab1">1</InternalRef>). The resulting parameter space was thus defined by the combination of these three variables, forming 4 (socio-economic) &#x00D7; 2 (temperature) &#x00D7; 4 (rainfall)&#x2009;=&#x2009;32 distinct bins labeled as <Emphasis Type="Italic">&#x03B8;</Emphasis> = (<Emphasis Type="Italic">&#x03B8;</Emphasis><Subscript>1</Subscript>, <Emphasis Type="Italic">&#x03B8;</Emphasis><Subscript>2</Subscript>, <Emphasis Type="Italic">&#x03B8;</Emphasis><Subscript>3</Subscript>), where <Emphasis Type="Italic">&#x03B8;</Emphasis><Subscript>1</Subscript> &#x2208; <Superscript>27 3</Superscript>, <Emphasis Type="Italic">&#x03B8;</Emphasis><Subscript>2</Subscript> &#x2208; <Superscript>28</Superscript>, and <Emphasis Type="Italic">&#x03B8;</Emphasis><Subscript>3</Subscript> &#x2208; {<Emphasis Type="Italic">q</Emphasis><Subscript>1</Subscript>, <Emphasis Type="Italic">q</Emphasis><Subscript>2</Subscript>, <Emphasis Type="Italic">q</Emphasis><Subscript>3</Subscript>, <Emphasis Type="Italic">q</Emphasis><Subscript>4</Subscript>}. Each bin is indexed by a parameter vector &#x03B8; = (&#x03B8;&#x2081;, &#x03B8;&#x2082;, &#x03B8;&#x2083;), where &#x03B8;&#x2081; denotes socio-economic group, &#x03B8;&#x2082; denotes temperature category, and &#x03B8;&#x2083; denotes rainfall quantile bin.</Para>
<Para ID="Par33">
<Figure Category="Standard" Float="Yes" ID="Fig2"><Annotation ID="6" RuleID="MissingFigureImage_01" Values="Fig. 2" Category="Completeness" Status="Neutral" />
<Caption Language="En">
<CaptionNumber>Fig. 2</CaptionNumber>
<CaptionContent>
<SimplePara>Histogram and fitted exponential distribution for the rainfall.</SimplePara>
</CaptionContent>
</Caption>
</Figure>
</Para>
</Section1>
<Section1 ID="Sec7">
<Heading>Step 3: Data Binning and Gaussian Process Training</Heading>
<Para ID="Par34">For each parameter bin <Emphasis Type="Italic">&#x03B8;</Emphasis>, the normalized dengue case data <Emphasis Type="Italic">D</Emphasis><Subscript><Emphasis Type="Italic">&#x03B8;</Emphasis></Subscript> = {(<Emphasis Type="Italic">x, y</Emphasis>) &#x2208; <InlineEquation ID="IEq1"><EquationSource Format="TEX"><![CDATA[$$\:N\times\:N$$]]></EquationSource></InlineEquation> | n&#x2009;=&#x2009;1, &#x2026;, N<Subscript><Emphasis Type="Italic">&#x03B8;</Emphasis></Subscript>} where the socio-economic status, temperature, and rainfall for the month associated with <Emphasis Type="Italic">x</Emphasis> lies in the bin <Emphasis Type="Italic">&#x03B8;</Emphasis> = (<Emphasis Type="Italic">&#x03B8;</Emphasis><Subscript>1</Subscript>, <Emphasis Type="Italic">&#x03B8;</Emphasis><Subscript>2</Subscript>, <Emphasis Type="Italic">&#x03B8;</Emphasis><Subscript>3</Subscript>) and <Emphasis Type="Italic">N</Emphasis><Subscript><Emphasis Type="Italic">&#x03B8;</Emphasis></Subscript> is the total number of elements in the bin <Emphasis Type="Italic">&#x03B8;</Emphasis>. A total of 32 such parameter bins were generated. For each of the 32 parameter bins, a Gaussian Process was fitted using a kernel given by a radial basis function and assuming that the data is subject to Gaussian noise. In the Gaussian Process (GP) regression model, the GPy library was utilized to fit the underlying data using the specified kernel, initializing the variance in [0.1, 1.0, 10], the length scale in [0.1, 1.0, 10], and the noise in [0.01, 0.1, 1.0, 10].<Superscript>29</Superscript> For each initial combination of hyperparameter values (variance, length scale, and noise), the model was optimized by maximizing the marginal log-likelihood, allowing refinement of the kernel hyperparameters to enhance predictive performance. The model that achieved the highest log-likelihood was selected as the best-performing configuration. This procedure ensured stability in parameter estimation and robustness in the optimization process.</Para>
<Para ID="Par35">The bins were ordered from 0 to 31 as follows</Para>
<Para ID="Par36">Bin_0&#x2009;=&#x2009;Socio_1.0-Temp_low-Rainfall_q1, Bin_1&#x2009;=&#x2009;Socio_1.0-Temp_low-Rainfall_q2,</Para>
<Para ID="Par37">Bin_2&#x2009;=&#x2009;Socio_1.0-Temp_low-Rainfall_q3, Bin_3&#x2009;=&#x2009;Socio_1.0-Temp_low-Rainfall_q4</Para>
<Para ID="Par38">Bin_4&#x2009;=&#x2009;Socio_1.0-Temp_high-Rainfall_q1, Bin_5&#x2009;=&#x2009;Socio_1.0-Temp_high-Rainfall_q2</Para>
<Para ID="Par39">Bin_6&#x2009;=&#x2009;Socio_1.0-Temp_high-Rainfall_q3, Bin_7&#x2009;=&#x2009;Socio_1.0-Temp_high-Rainfall_q4</Para>
<Section2 ID="Sec8">
<Heading>&#x205D;</Heading>
<Para ID="Par40">Bin_28&#x2009;=&#x2009;Socio_3.0-Temp_high-Rainfall_q1, Bin_29&#x2009;=&#x2009;Socio_3.0-Temp_high-Rainfall_q2</Para>
<Para ID="Par41">Bin_30&#x2009;=&#x2009;Socio_3.0-Temp_high-Rainfall_q3, Bin_31&#x2009;=&#x2009;Socio_3.0-Temp_high-Rainfall_q4</Para>
<Para ID="Par42">Each figure presents pairs of data points (<Emphasis Type="Italic">x,y</Emphasis>), where <Emphasis Type="Italic">x</Emphasis> represents the normalized dengue cases for the bin indicated in the title, and <Emphasis Type="Italic">y</Emphasis> represents the normalized cases in the subsequent month. In the upper left plot of Fig.&#x00A0;<InternalRef RefID="Fig9">3</InternalRef>A, each point corresponds to dengue cases in Bin_0 (Socio_1.0&#x2013;Temp_low&#x2013;Rainfall_q1) on the <Emphasis Type="Italic">x</Emphasis>-axis, and cases in the following month on the <Emphasis Type="Italic">y</Emphasis>-axis. Red dots indicate that the subsequent month remains in the same bin. Blue dots indicate a transition to a different bin, with the adjacent number denoting the destination bin (e.g., a blue dot labeled "4" signifies a transition to Bin_4, Socio_1.0&#x2013;Temp_high&#x2013;Rainfall_q1, reflecting a change from low to high temperature).</Para>
<Para ID="Par43">
<Figure Category="Standard" Float="Yes" ID="Fig3"><Annotation ID="7" RuleID="MissingFigureImage_01" Values="Fig. 3" Category="Completeness" Status="Neutral" />
<Caption Language="En">
<CaptionNumber>Fig. 3</CaptionNumber>
<CaptionContent>
<SimplePara>A. &#x2013; Rapid Fade-Out of dengue transmission dynamics, Socio-economic stratum 1, low temperature, and the first quartile rainfall</SimplePara>
</CaptionContent>
</Caption>
</Figure>
</Para>
<Para ID="Par44">
<Figure Category="Standard" Float="Yes" ID="Fig4"><Annotation ID="8" RuleID="MissingFigureImage_01" Values="Fig. 3" Category="Completeness" Status="Neutral" />
<Caption Language="En">
<CaptionNumber>Fig. 3</CaptionNumber>
<CaptionContent>
<SimplePara>B. &#x2013; Rapid Fade-Out of dengue transmission dynamics, Socioeconomic stratum 1, low temperature, and the second rainfall quantile</SimplePara>
</CaptionContent>
</Caption>
</Figure>
</Para>
<Para ID="Par45">
<Figure Category="Standard" Float="Yes" ID="Fig4"><Annotation ID="9" RuleID="MissingFigureImage_01" Values="Fig. 3" Category="Completeness" Status="Neutral" />
<Caption Language="En">
<CaptionNumber>Fig. 3</CaptionNumber>
<CaptionContent>
<SimplePara>B. &#x2013; Rapid Fade-Out of dengue transmission dynamics, Socioeconomic stratum 1, low temperature, and the second rainfall quantile</SimplePara>
</CaptionContent>
</Caption>
</Figure>
</Para>
<Para ID="Par46">
<Figure Category="Standard" Float="Yes" ID="Fig4"><Annotation ID="10" RuleID="MissingFigureImage_01" Values="Fig. 3" Category="Completeness" Status="Neutral" />
<Caption Language="En">
<CaptionNumber>Fig. 3</CaptionNumber>
<CaptionContent>
<SimplePara>B. &#x2013; Rapid Fade-Out of dengue transmission dynamics, Socioeconomic stratum 1, low temperature, and the second rainfall quantile</SimplePara>
</CaptionContent>
</Caption>
</Figure>
</Para>
<Para ID="Par47">
<Figure Category="Standard" Float="Yes" ID="Fig4"><Annotation ID="11" RuleID="MissingFigureImage_01" Values="Fig. 3" Category="Completeness" Status="Neutral" />
<Caption Language="En">
<CaptionNumber>Fig. 3</CaptionNumber>
<CaptionContent>
<SimplePara>B. &#x2013; Rapid Fade-Out of dengue transmission dynamics, Socioeconomic stratum 1, low temperature, and the second rainfall quantile</SimplePara>
</CaptionContent>
</Caption>
</Figure>
</Para>
<Para ID="Par48">
<Figure Category="Standard" Float="Yes" ID="Fig4"><Annotation ID="12" RuleID="MissingFigureImage_01" Values="Fig. 3" Category="Completeness" Status="Neutral" />
<Caption Language="En">
<CaptionNumber>Fig. 3</CaptionNumber>
<CaptionContent>
<SimplePara>B. &#x2013; Rapid Fade-Out of dengue transmission dynamics, Socioeconomic stratum 1, low temperature, and the second rainfall quantile</SimplePara>
</CaptionContent>
</Caption>
</Figure>
</Para>
<Para ID="Par49">
<Figure Category="Standard" Float="Yes" ID="Fig4"><Annotation ID="13" RuleID="MissingFigureImage_01" Values="Fig. 3" Category="Completeness" Status="Neutral" />
<Caption Language="En">
<CaptionNumber>Fig. 3</CaptionNumber>
<CaptionContent>
<SimplePara>B. &#x2013; Rapid Fade-Out of dengue transmission dynamics, Socioeconomic stratum 1, low temperature, and the second rainfall quantile</SimplePara>
</CaptionContent>
</Caption>
</Figure>
</Para>
</Section2>
</Section1>
<Section1 ID="Sec9">
<Heading>Step 4: Gaussian Process Modeling</Heading>
<Para ID="Par50">For each of the 32 parameter-defined bins, a GP model was trained to characterize the relationship between dengue cases in each month and those in the subsequent month. A separate GP regression was fitted to the data subset corresponding to each bin. Hyperparameters, including variance, length scale, and noise, were systematically optimized to enhance model robustness and data efficiency. The models used a radial basis function kernel, offering a non-parametric, probabilistic framework suitable for capturing nonlinear dynamics in dengue transmission. Monthly rainfall was modeled using an exponential distribution, representing a novel alternative to the linear or categorical approaches commonly used in previous studies [19].</Para>
<Para ID="Par51">This binning strategy enabled the application of Gaussian Process (GP) modeling with a Radial Basis Function (RBF) kernel to capture non-linear dependencies between normalized case progression and exogenous parameters. The GP framework also facilitates uncertainty quantification in predictions, which is critical for modeling complex, real-world disease dynamics.</Para>
</Section1>
<Section1 ID="Sec10">
<Heading>Results</Heading>
<Para ID="Par52">The Gaussian Process (GP) regression models effectively predicted month-to-month variations in dengue cases by integrating normalized case counts with socio-economic strata, temperature, and rainfall data. Integrating socio-economic and weather variables demonstrated strong predictive capability for dengue forecasting. Optimization of hyperparameters (e.g., variance, length scale) and the use of radial basis function kernels ensured robust predictions and stable parameter estimation. The bin-wise modeling approach enabled the identification of high-risk transmission scenarios and supported the development of targeted mitigation strategies. Computational results are presented in Figs.&#x00A0;<InternalRef RefID="Fig9">3</InternalRef>&#x2013;<InternalRef RefID="Fig10">9</InternalRef>.</Para>
<Para ID="Par53">
<Figure Category="Standard" Float="Yes" ID="Fig10"><Annotation ID="14" RuleID="MissingFigureImage_01" Values="Fig. 9" Category="Completeness" Status="Neutral" />
<Caption Language="En">
<CaptionNumber>Fig. 9</CaptionNumber>
<CaptionContent>
<SimplePara>&#x2013; Same-Bin (Locally Stationary), monotonic growth of dengue transmission dynamics, with high uncertainty. Socioeconomic stratum 2.3, low temperature, and the fourth rainfall quantile.</SimplePara>
</CaptionContent>
</Caption>
</Figure>
</Para>
<Section2 ID="Sec11">
<Heading>Bin-specific dengue case predictions</Heading>
<Para ID="Par54">The GP models demonstrated significant variation in dengue transmission dynamics across different socio-economic strata and environmental conditions. Higher temperatures and lower socio-economic strata were notably associated with more persistent dengue cases.</Para>
<Para ID="Par55">Parameter bins were identified where the posterior Gaussian Process predictive distribution assigned&#x2009;&#x2265;&#x2009;95&#x0025; probability to a rapid decline in dengue cases. These scenarios reflected combinations of socio-economic status, temperature, and rainfall that ecologically constrained mosquito development, particularly during pupal and larval stages, thereby preventing sustained transmission<Superscript>30</Superscript>. The resulting collapse of transmission chains consistently led to a sharp reduction in cases, as illustrated across subpanels (Figs.&#x00A0;<InternalRef RefID="Fig9">3</InternalRef>A&#x2013;<InternalRef RefID="Fig9">3</InternalRef>G), all of which exhibited extinction-dominated dynamics (Fig.&#x00A0;<InternalRef RefID="Fig9">3</InternalRef>).</Para>
<Para ID="Par56">Bins exhibited a high posterior probability of sustained month-to-month increases in dengue cases (Fig.&#x00A0;<InternalRef RefID="Fig12">4</InternalRef>). These regimes were characterized by temperatures exceeding 31.7&#x00B0;C and/or rainfall in the upper quantiles, conditions that supported elevated survival of immature mosquito stages and increased adult vector density<Superscript>31</Superscript>. Figures&#x00A0;<InternalRef RefID="Fig12">4</InternalRef>A and <InternalRef RefID="Fig12">4</InternalRef>B both reflected this persistent growth pattern, with consistently high predicted trajectories.</Para>
<Para ID="Par57">
<Figure Category="Standard" Float="Yes" ID="Fig11"><Annotation ID="15" RuleID="MissingFigureImage_01" Values="Fig. 4" Category="Completeness" Status="Neutral" />
<Caption Language="En">
<CaptionNumber>Fig. 4</CaptionNumber>
<CaptionContent>
<SimplePara>A &#x2013; Monotonic Growth of dengue transmission dynamics, Socioeconomic stratum 1, low temperature, and the third rainfall quantile</SimplePara>
</CaptionContent>
</Caption>
</Figure>
</Para>
<Para ID="Par58">
<Figure Category="Standard" Float="Yes" ID="Fig12"><Annotation ID="16" RuleID="MissingFigureImage_01" Values="Fig. 4" Category="Completeness" Status="Neutral" />
<Caption Language="En">
<CaptionNumber>Fig. 4</CaptionNumber>
<CaptionContent>
<SimplePara>B &#x2013; Monotonic Growth of dengue transmission dynamics, Socioeconomic stratum 2.3, high temperature, and the fourth rainfall quantile</SimplePara>
</CaptionContent>
</Caption>
</Figure>
</Para>
<Para ID="Par59">The models identified parameter bins associated with persistent, high-amplitude oscillations in dengue incidence. These dynamics were characterized by an initial growth phase, followed by an overshoot and sustained cyclical patterns (Figs.&#x00A0;<InternalRef RefID="Fig18">5</InternalRef>A&#x2013;F). These dynamics indicated strong ecological feedback, likely driven by alternating phases of vector population build-up and resource depletion, which repeatedly pushed transmission above epidemic thresholds. To highlight the consistency of these oscillatory behaviors, the environment parameters were fixed (temperature kept low and rainfall in the fourth quantile), while the socioeconomic stratum were slightly varied from 1.2 to 2.3, Figs.&#x00A0;<InternalRef RefID="Fig18">5</InternalRef>C and <InternalRef RefID="Fig18">5</InternalRef>E show the same oscillatory patterns despite this small socioeconomic change, demonstrating the robustness of these patterns under identical environmental and minor changes in socioeconomic conditions.</Para>
<Para ID="Par60">
<Figure Category="Standard" Float="Yes" ID="Fig13"><Annotation ID="17" RuleID="MissingFigureImage_01" Values="Fig. 5" Category="Completeness" Status="Neutral" />
<Caption Language="En">
<CaptionNumber>Fig. 5</CaptionNumber>
<CaptionContent>
<SimplePara>A &#x2013; High-Amplitude Periodic of dengue transmission dynamics, Socioeconomic stratum 1, low temperature and rainfall in the fourth quantile</SimplePara>
</CaptionContent>
</Caption>
</Figure>
</Para>
<Para ID="Par61">
<Figure Category="Standard" Float="Yes" ID="Fig14"><Annotation ID="18" RuleID="MissingFigureImage_01" Values="Fig. 5" Category="Completeness" Status="Neutral" />
<Caption Language="En">
<CaptionNumber>Fig. 5</CaptionNumber>
<CaptionContent>
<SimplePara>B &#x2013; High-Amplitude Periodic of dengue transmission dynamics, Socioeconomic stratum 1, high temperature and rainfall in the third quantile</SimplePara>
</CaptionContent>
</Caption>
</Figure>
</Para>
<Para ID="Par62">
<Figure Category="Standard" Float="Yes" ID="Fig14"><Annotation ID="19" RuleID="MissingFigureImage_01" Values="Fig. 5" Category="Completeness" Status="Neutral" />
<Caption Language="En">
<CaptionNumber>Fig. 5</CaptionNumber>
<CaptionContent>
<SimplePara>B &#x2013; High-Amplitude Periodic of dengue transmission dynamics, Socioeconomic stratum 1, high temperature and rainfall in the third quantile</SimplePara>
</CaptionContent>
</Caption>
</Figure>
</Para>
<Para ID="Par63">
<Figure Category="Standard" Float="Yes" ID="Fig16"><Annotation ID="20" RuleID="MissingFigureImage_01" Values="Fig. 5D" Category="Completeness" Status="Neutral" />
<Caption Language="En">
<CaptionNumber>Fig. 5D</CaptionNumber>
<CaptionContent>
<SimplePara>&#x2013; High-Amplitude Periodic of dengue transmission dynamics, Socioeconomic stratum 1.2, high temperature, and rainfall in the fourth quantile</SimplePara>
</CaptionContent>
</Caption>
</Figure>
</Para>
<Para ID="Par64">
<Figure Category="Standard" Float="Yes" ID="Fig14"><Annotation ID="21" RuleID="MissingFigureImage_01" Values="Fig. 5" Category="Completeness" Status="Neutral" />
<Caption Language="En">
<CaptionNumber>Fig. 5</CaptionNumber>
<CaptionContent>
<SimplePara>B &#x2013; High-Amplitude Periodic of dengue transmission dynamics, Socioeconomic stratum 1, high temperature and rainfall in the third quantile</SimplePara>
</CaptionContent>
</Caption>
</Figure>
</Para>
<Para ID="Par65">
<Figure Category="Standard" Float="Yes" ID="Fig14"><Annotation ID="22" RuleID="MissingFigureImage_01" Values="Fig. 5" Category="Completeness" Status="Neutral" />
<Caption Language="En">
<CaptionNumber>Fig. 5</CaptionNumber>
<CaptionContent>
<SimplePara>B &#x2013; High-Amplitude Periodic of dengue transmission dynamics, Socioeconomic stratum 1, high temperature and rainfall in the third quantile</SimplePara>
</CaptionContent>
</Caption>
</Figure>
</Para>
<Para ID="Par66">Cases exhibited a brief rise followed by rapid collapse (Figs.&#x00A0;<InternalRef RefID="Fig21">6</InternalRef>A&#x2013;C). A transient period of favorable temperature and rainfall permitted short-term transmission; however, conditions deteriorated quickly enough to cause the outbreak to self-limit.</Para>
<Para ID="Par67">
<Figure Category="Standard" Float="Yes" ID="Fig21"><Annotation ID="23" RuleID="MissingFigureImage_01" Values="Fig. 6" Category="Completeness" Status="Neutral" />
<Caption Language="En">
<CaptionNumber>Fig. 6</CaptionNumber>
<CaptionContent>
<SimplePara>C&#x2013; Transient-Pulse of dengue transmission dynamics</SimplePara>
</CaptionContent>
</Caption>
</Figure>
</Para>
<Para ID="Par68">
<Figure Category="Standard" Float="Yes" ID="Fig19"><Annotation ID="24" RuleID="MissingFigureImage_01" Values="Fig. 6A" Category="Completeness" Status="Neutral" />
<Caption Language="En">
<CaptionNumber>Fig. 6A</CaptionNumber>
<CaptionContent>
<SimplePara>Transient-Pulse of dengue transmission dynamics</SimplePara>
</CaptionContent>
</Caption>
</Figure>
</Para>
<Para ID="Par69">
<Figure Category="Standard" Float="Yes" ID="Fig20"><Annotation ID="25" RuleID="MissingFigureImage_01" Values="Fig. 6B" Category="Completeness" Status="Neutral" />
<Caption Language="En">
<CaptionNumber>Fig. 6B</CaptionNumber>
<CaptionContent>
<SimplePara>Transient-Pulse of dengue transmission dynamics</SimplePara>
</CaptionContent>
</Caption>
</Figure>
</Para>
<Para ID="Par70">High-uncertainty bins were characterized by wide 95&#x0025; confidence intervals in the Gaussian Process posterior, with the mean spanning a broad range of observed values. This indicated that the available data were insufficient to resolve a dominant transmission regime. The resulting dynamics were classified into five types: likely extinction despite uncertainty, and scenarios driven by potential ecological variability (Fig.&#x00A0;<InternalRef RefID="Fig35">7</InternalRef>).</Para>
<Para ID="Par71">
<Figure Category="Standard" Float="Yes" ID="Fig22"><Annotation ID="26" RuleID="MissingFigureImage_01" Values="Fig. 7" Category="Completeness" Status="Neutral" />
<Caption Language="En">
<CaptionNumber>Fig. 7</CaptionNumber>
<CaptionContent>
<SimplePara>&#x2212;&#x2009;1 A- High-Uncertainty Classes</SimplePara>
</CaptionContent>
</Caption>
</Figure>
</Para>
<Para ID="Par72">
<Figure Category="Standard" Float="Yes" ID="Fig23"><Annotation ID="27" RuleID="MissingFigureImage_01" Values="Fig. 7" Category="Completeness" Status="Neutral" />
<Caption Language="En">
<CaptionNumber>Fig. 7</CaptionNumber>
<CaptionContent>
<SimplePara>&#x2212;&#x2009;1 B - High-Uncertainty Classes</SimplePara>
</CaptionContent>
</Caption>
</Figure>
</Para>
<Para ID="Par73">
<Figure Category="Standard" Float="Yes" ID="Fig23"><Annotation ID="28" RuleID="MissingFigureImage_01" Values="Fig. 7" Category="Completeness" Status="Neutral" />
<Caption Language="En">
<CaptionNumber>Fig. 7</CaptionNumber>
<CaptionContent>
<SimplePara>&#x2212;&#x2009;1 B - High-Uncertainty Classes</SimplePara>
</CaptionContent>
</Caption>
</Figure>
</Para>
<Para ID="Par74">
<Figure Category="Standard" Float="Yes" ID="Fig23"><Annotation ID="29" RuleID="MissingFigureImage_01" Values="Fig. 7" Category="Completeness" Status="Neutral" />
<Caption Language="En">
<CaptionNumber>Fig. 7</CaptionNumber>
<CaptionContent>
<SimplePara>&#x2212;&#x2009;1 B - High-Uncertainty Classes</SimplePara>
</CaptionContent>
</Caption>
</Figure>
</Para>
<Para ID="Par75">
<Figure Category="Standard" Float="Yes" ID="Fig23"><Annotation ID="30" RuleID="MissingFigureImage_01" Values="Fig. 7" Category="Completeness" Status="Neutral" />
<Caption Language="En">
<CaptionNumber>Fig. 7</CaptionNumber>
<CaptionContent>
<SimplePara>&#x2212;&#x2009;1 B - High-Uncertainty Classes</SimplePara>
</CaptionContent>
</Caption>
</Figure>
</Para>
<Para ID="Par76">
<Figure Category="Standard" Float="Yes" ID="Fig23"><Annotation ID="31" RuleID="MissingFigureImage_01" Values="Fig. 7" Category="Completeness" Status="Neutral" />
<Caption Language="En">
<CaptionNumber>Fig. 7</CaptionNumber>
<CaptionContent>
<SimplePara>&#x2212;&#x2009;1 B - High-Uncertainty Classes</SimplePara>
</CaptionContent>
</Caption>
</Figure>
</Para>
<Para ID="Par77">
<Figure Category="Standard" Float="Yes" ID="Fig23"><Annotation ID="32" RuleID="MissingFigureImage_01" Values="Fig. 7" Category="Completeness" Status="Neutral" />
<Caption Language="En">
<CaptionNumber>Fig. 7</CaptionNumber>
<CaptionContent>
<SimplePara>&#x2212;&#x2009;1 B - High-Uncertainty Classes</SimplePara>
</CaptionContent>
</Caption>
</Figure>
</Para>
<Para ID="Par78">
<Figure Category="Standard" Float="Yes" ID="Fig23"><Annotation ID="33" RuleID="MissingFigureImage_01" Values="Fig. 7" Category="Completeness" Status="Neutral" />
<Caption Language="En">
<CaptionNumber>Fig. 7</CaptionNumber>
<CaptionContent>
<SimplePara>&#x2212;&#x2009;1 B - High-Uncertainty Classes</SimplePara>
</CaptionContent>
</Caption>
</Figure>
</Para>
<Para ID="Par79">
<Figure Category="Standard" Float="Yes" ID="Fig23"><Annotation ID="34" RuleID="MissingFigureImage_01" Values="Fig. 7" Category="Completeness" Status="Neutral" />
<Caption Language="En">
<CaptionNumber>Fig. 7</CaptionNumber>
<CaptionContent>
<SimplePara>&#x2212;&#x2009;1 B - High-Uncertainty Classes</SimplePara>
</CaptionContent>
</Caption>
</Figure>
</Para>
<Para ID="Par80">
<Figure Category="Standard" Float="Yes" ID="Fig23"><Annotation ID="35" RuleID="MissingFigureImage_01" Values="Fig. 7" Category="Completeness" Status="Neutral" />
<Caption Language="En">
<CaptionNumber>Fig. 7</CaptionNumber>
<CaptionContent>
<SimplePara>&#x2212;&#x2009;1 B - High-Uncertainty Classes</SimplePara>
</CaptionContent>
</Caption>
</Figure>
</Para>
<Para ID="Par81">
<Figure Category="Standard" Float="Yes" ID="Fig23"><Annotation ID="36" RuleID="MissingFigureImage_01" Values="Fig. 7" Category="Completeness" Status="Neutral" />
<Caption Language="En">
<CaptionNumber>Fig. 7</CaptionNumber>
<CaptionContent>
<SimplePara>&#x2212;&#x2009;1 B - High-Uncertainty Classes</SimplePara>
</CaptionContent>
</Caption>
</Figure>
</Para>
<Para ID="Par82">
<Figure Category="Standard" Float="Yes" ID="Fig23"><Annotation ID="37" RuleID="MissingFigureImage_01" Values="Fig. 7" Category="Completeness" Status="Neutral" />
<Caption Language="En">
<CaptionNumber>Fig. 7</CaptionNumber>
<CaptionContent>
<SimplePara>&#x2212;&#x2009;1 B - High-Uncertainty Classes</SimplePara>
</CaptionContent>
</Caption>
</Figure>
</Para>
<Para ID="Par83">
<Figure Category="Standard" Float="Yes" ID="Fig23"><Annotation ID="38" RuleID="MissingFigureImage_01" Values="Fig. 7" Category="Completeness" Status="Neutral" />
<Caption Language="En">
<CaptionNumber>Fig. 7</CaptionNumber>
<CaptionContent>
<SimplePara>&#x2212;&#x2009;1 B - High-Uncertainty Classes</SimplePara>
</CaptionContent>
</Caption>
</Figure>
</Para>
<Para ID="Par84">
<Figure Category="Standard" Float="Yes" ID="Fig23"><Annotation ID="39" RuleID="MissingFigureImage_01" Values="Fig. 7" Category="Completeness" Status="Neutral" />
<Caption Language="En">
<CaptionNumber>Fig. 7</CaptionNumber>
<CaptionContent>
<SimplePara>&#x2212;&#x2009;1 B - High-Uncertainty Classes</SimplePara>
</CaptionContent>
</Caption>
</Figure>
</Para>
<Para ID="Par85">Despite wide confidence intervals, all panels exhibited high-probability extinction scenarios (Fig.&#x00A0;<InternalRef RefID="Fig35">7</InternalRef>-<InternalRef RefID="Fig1">1</InternalRef>A&#x2013;G). These high-uncertainty classes consistently indicated likely fade-out of dengue transmission across varying parameter combinations. Exhibited a high-uncertainty trajectory, marked by an initial transient outbreak followed by a probable fade-out (Fig.&#x00A0;<InternalRef RefID="Fig35">7</InternalRef>&#x2013;<InternalRef RefID="Fig2">2</InternalRef>A). A gradual upward trend in predicted cases was observed, and a high uncertainty persisted across the posterior distribution (Fig.&#x00A0;<InternalRef RefID="Fig35">7</InternalRef>- <InternalRef RefID="Fig9">3</InternalRef>A). Inconclusive outcomes were observed, with multimodal posterior distributions indicating competing transmission trajectories and persistent uncertainty in system dynamics (Figs.&#x00A0;<InternalRef RefID="Fig35">7</InternalRef>- <InternalRef RefID="Fig12">4</InternalRef>A&#x2013;E).</Para>
<Para ID="Par86">Using the same binning approach, Fig.&#x00A0;<InternalRef RefID="Fig37">8</InternalRef>A showed rapid fade-out dynamics consistent with the extinction regime. Figure&#x00A0;<InternalRef RefID="Fig37">8</InternalRef>B revealed a high posterior likelihood of sustained month-to-month increases, while Fig.&#x00A0;<InternalRef RefID="Fig10">9</InternalRef> demonstrated a monotonic growth regime characterized by high uncertainty and a slow, steady upward trend.</Para>
<Para ID="Par87">
<Figure Category="Standard" Float="Yes" ID="Fig36"><Annotation ID="40" RuleID="MissingFigureImage_01" Values="Fig. 8A" Category="Completeness" Status="Neutral" />
<Caption Language="En">
<CaptionNumber>Fig. 8A</CaptionNumber>
<CaptionContent>
<SimplePara>Same-Bin (Locally Stationary) rapid fade-out of dengue transmission dynamics, Socioeconomic stratum 1, low temperature, with the first quantile of rainfall</SimplePara>
</CaptionContent>
</Caption>
</Figure>
</Para>
<Para ID="Par88">
<Figure Category="Standard" Float="Yes" ID="Fig37"><Annotation ID="41" RuleID="MissingFigureImage_01" Values="Fig. 8B" Category="Completeness" Status="Neutral" />
<Caption Language="En">
<CaptionNumber>Fig. 8B</CaptionNumber>
<CaptionContent>
<SimplePara>&#x2013; Same-Bin (Locally Stationary), monotonic growth of dengue transmission dynamics, Socioeconomic stratum 1.2, low temperature, and the third rainfall quantile</SimplePara>
</CaptionContent>
</Caption>
</Figure>
</Para>
<Para ID="Par89">Bin-wise Gaussian Process modeling identified six distinct dengue transmission dynamics: extinction, monotonic growth, periodic oscillations, transient pulses, low-level persistence, and high-uncertainty outcomes, each linked to specific socio-environmental conditions. This classification provided nuanced insights into how transmission shifts across ecological and social contexts. Models fitted using only red-labeled data points assumed stable temperature and rainfall in the following month, reflecting locally stationary environmental conditions and allowing performance evaluation under fixed weather variables.</Para>
</Section2>
</Section1>
<Section1 ID="Sec12">
<Heading>Discussion</Heading>
<Para ID="Par90">By optimizing hyperparameters (variance, length scale, and noise) to maximize the marginal log-likelihood, the study identified the best-performing models for each bin. The use of radial basis function kernels ensured stability in parameter estimation and robust predictions. The study visualized how dengue cases transitioned between bins across months. Red dots in the result figures indicated cases remaining within the same bin, while blue dots represented transitions to different bins, providing insights into how environmental changes affect dengue spread. The visualization of data points in different bins uncovers hidden movement between dengue transmission categories (e.g., from low-temperature to high-temperature conditions). The use of blue vs. red dots to track movement between bins provides a novel way of understanding how environmental and socio-economic changes influence dengue progression over time.</Para>
<Para ID="Par91">Like other published studies [17, 20, 21, 22], persistent dengue transmission and growth were strongly associated with high temperatures (&#x2265;&#x2009;31.7&#x00B0;C), upper-quantile rainfall, and lower socio-economic strata, conditions that favor immature mosquito survival and increased vector density. By integrating socio-economic strata alongside climatic variables, this study moves beyond traditional models that focus solely on environmental drivers. Normalizing dengue cases by population enhances geographic scalability, while binning socio-economic and weather variables enables pattern recognition even in data-limited contexts. Classifying socio-economic strata into four discrete categories provides a novel framework for assessing disease burden across diverse populations and highlights how disparities shape outbreak dynamics.</Para>
<Para ID="Par92">A particularly illustrative case is Bin-19, defined by Socioeconomic Strata 2.3, low temperature, and high rainfall. Under transitory weather assumptions, the model predicts a sustained rise in dengue cases with high-amplitude oscillations, suggesting a stable endemic or cyclic epidemic regime (Fig.&#x00A0;<InternalRef RefID="Fig18">5</InternalRef>-E). In contrast, assuming stationary weather conditions (i.e., using data confined to the same bin) results in a projected plateau in case numbers, indicating a fundamentally different transmission dynamic (Fig.&#x00A0;<InternalRef RefID="Fig10">9</InternalRef>). These findings underscore the probabilistic nature of dengue transmission and the need to account for both environmental variability and socio-economic context in predictive modeling.</Para>
<Para ID="Par93">Visualizations of red and blue dots captured transitions between parameter bins, offering insights into how fluctuating environmental conditions affect dengue spread. High-uncertainty bins revealed limitations in data resolution, with multimodal posterior distributions suggesting competing transmission trajectories that challenge forecasting under volatile ecological conditions.</Para>
<Para ID="Par94">This study presents a structured binning method for socio-economic status, temperature, and rainfall, converting continuous variables into discrete categories to enhance model interpretability and enable targeted interventions across different risk zones. By systematically tuning variance, length scale, and noise parameters, like other studies, it establishes a robust framework for optimizing GP models in epidemiology, applicable beyond dengue to other vector-borne diseases [10, 11, 12].</Para>
<Para ID="Par95">A key innovation is the application of GP regression to model dengue case variations while explicitly accounting for uncertainty in epidemiological data. The binning strategy ensures data-efficient representation, improving model performance and interpretability in data-sparse environments. The resulting probabilistic model offers a flexible, adaptive approach for dengue forecasting, supporting vector control, resource allocation, and early warning systems.</Para>
<Para ID="Par96">This research contributes a location-independent, unified modeling framework that integrates socio-economic, climatic, and epidemiological factors, enhancing predictive accuracy in limited-data contexts. By bridging gaps in existing methods, it advances data-driven, scalable models with strong policy relevance. Ultimately, this methodology deepens understanding of dengue dynamics under varying environmental and socio-economic conditions, informing public health interventions and forecasting efforts.</Para>
<Para ID="Par97">This study addresses key limitations in dengue forecasting by integrating epidemiological, socio-economic, and climate variables within a probabilistic GP framework. Unlike traditional deterministic models [23, 24, 25, 26], this approach quantifies uncertainty through confidence intervals, enhancing predictive reliability in data-sparse settings. It supports targeted interventions based on risk factors and is adaptable to other vector-borne diseases such as malaria, Zika, and chikungunya, offering a valuable tool for climate change adaptation and broader infectious disease modeling.</Para>
<Para ID="Par98">Compared with the previous studies [27, 28], this study enhanced predictive accuracy by selecting the best-performing GP model based on maximum log-likelihood, offering a data-driven framework for optimizing dengue forecasts. High posterior variance in certain bins indicated epistemic uncertainty, likely due to limited observations and abrupt within-month weather shifts. Expanding the dataset, via longer time series and finer temporal resolution, could narrow confidence intervals and better distinguish underlying transmission regimes.</Para>
<Para ID="Par99">This restrictive, same-bin modeling approach serves two purposes: (1) validating inferences from models trained on variable conditions, and (2) assessing the sensitivity of dengue dynamics to short-term environmental constancy. Results reveal that even within a one-month horizon and stable weather parameters, dengue trajectories vary widely, underscoring the influence of initial conditions on outbreak outcomes.</Para>
<Para ID="Par100">This study used passive surveillance-based pupae surveys and aggregated dengue case data at the municipality level. High model uncertainty highlights the need for additional data to improve predictive accuracy and reduce epistemic uncertainty. At the same time, when dengue dynamics are driven by abrupt, short-lived weather fluctuations, simply increasing monthly observations is inadequate. Instead, data must be collected at finer temporal resolutions (e.g., bi-weekly or weekly) to capture rapid regime shifts. This modeling challenge is exemplified by Bin-19, where identical environmental conditions yield divergent epidemiological outcomes, depending on whether climate variables are treated as static or dynamic (Fig.&#x00A0;<InternalRef RefID="Fig18">5</InternalRef>-E and Fig.&#x00A0;<InternalRef RefID="Fig10">9</InternalRef>). These findings reveal the limitations of monthly forecasting in contexts with high sensitivity to environmental variability and emphasize the need for richer datasets and finer-grained temporal models to resolve competing transmission hypotheses.</Para>
<FormalPara ID="FPar1" RenderingStyle="Style1">
<Heading>Conclusion</Heading>
<Para ID="Par101">This study advances dengue epidemiology by integrating data-driven predictive modeling with practical disease control applications. It produces a scalable, probabilistic forecasting tool that incorporates socio-environmental variables. By normalizing dengue cases by population, the model enables generalizability across urban settings. This marks a significant departure from traditional location-specific approaches. This innovation allows for adaptable predictions without site-specific recalibration.</Para>
</FormalPara>
</Section1>
</Body>

<ArticleBackmatter>
<Acknowledgments>
<Heading>Acknowledgement</Heading>
<SimplePara>None.</SimplePara>
</Acknowledgments>
<AuthorContribution><Annotation ID="42" RuleID="AuthorContributionPresent_02" Values="Claudia M.E. Romero Vivas" Category="Completeness" Status="Neutral" />
<Heading>Author contributions</Heading>
<SimplePara>ERV, KM, UH: Conceived the study design and drafted the manuscript. CMERV: Collected data, prepared a figure, and contributed writing.</SimplePara>
</AuthorContribution>
<FundingInformation><Annotation ID="43" RuleID="IdentifyFundingInformationInArticle_01" Category="Completeness" Status="Neutral" />
<Heading>Funding</Heading>
<SimplePara>None</SimplePara>
</FundingInformation>
<DataAvailability Type="Materials"><Annotation ID="44" RuleID="IdentifyDataAvailabilityStatements_01" Category="Completeness" Status="Neutral" />
<Heading>Availability of data and materials</Heading>
<SimplePara>Relevant datasets generated and/or analyzed during the current study are available from the corresponding author on request.</SimplePara>
</DataAvailability>
<Ethics>
<Heading><Annotation ID="45" RuleID="IdentifyConflictOfInterestInArticle_01" Category="Completeness" Status="Neutral" />Declarations</Heading>
<FormalPara ID="FPar2" RenderingStyle="Style1">
<Heading>Ethical approval and consent to participate</Heading>
<Para ID="Par102">We used publicly available de-identified, delinked data. So, no ethical approval was obtained.</Para>
</FormalPara>
<FormalPara ID="FPar3" RenderingStyle="Style1">
<Heading>Consent for publication</Heading>
<Para ID="Par103">Not applicable.</Para>
</FormalPara>
<FormalPara ID="FPar4" RenderingStyle="Style1">
<Heading>Competing interests</Heading>
<Para ID="Par104">None declared</Para>
</FormalPara>
</Ethics>
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Biting Hour and Host Seeking Behavior of Aedes Species in Urban Settings, Metema District, Northwest Ethiopia. <Emphasis Type="Italic">Trop Med Infect Dis</Emphasis> <Emphasis Type="Bold">10</Emphasis> (2025). https://doi.org/10.3390/tropicalmed10020038 4 Romero-Vivas, C. M., Potes, D., Arango-Padilla, P. J., Roa-Garcia, C. E. &#x0026; Falconar, A. K. Comparison of Aedes aegypti arbovirus transmission thresholds in two communities with differing water supply infrastructure. <Emphasis Type="Italic">BMC Public Health</Emphasis> <Emphasis Type="Bold">24</Emphasis>, 2096 (2024). https://doi.org/10.1186/s12889-024-19554-y 5 Dharmamuthuraja, D. <Emphasis Type="Italic">et al.</Emphasis> Determinants of Aedes mosquito larval ecology in a heterogeneous urban environment- a longitudinal study in Bengaluru, India. <Emphasis Type="Italic">PLoS Negl Trop Dis</Emphasis> <Emphasis Type="Bold">17</Emphasis>, e0011702 (2023). https://doi.org/10.1371/journal.pntd.0011702 6 Ilic, I. &#x0026; Ilic, M. Global Patterns of Trends in Incidence and Mortality of Dengue, 1990&#x2013;2019: An Analysis Based on the Global Burden of Disease Study. <Emphasis Type="Italic">Medicina (Kaunas)</Emphasis> <Emphasis Type="Bold">60</Emphasis> (2024). https://doi.org/10.3390/medicina60030425 7 Norshidah, H., Vignesh, R. &#x0026; Lai, N. S. Updates on Dengue Vaccine and Antiviral: Where Are We Heading? <Emphasis Type="Italic">Molecules</Emphasis> <Emphasis Type="Bold">26</Emphasis> (2021). https://doi.org/10.3390/molecules26226768 8 Esteva, L. &#x0026; Vargas, C. A model for dengue disease with variable human population. <Emphasis Type="Italic">J Math Biol</Emphasis> <Emphasis Type="Bold">38</Emphasis>, 220&#x2013;240 (1999). https://doi.org/10.1007/s002850050147 9 Amaku, M. <Emphasis Type="Italic">et al.</Emphasis> Magnitude and frequency variations of vector-borne infection outbreaks using the Ross-Macdonald model: explaining and predicting outbreaks of dengue fever. <Emphasis Type="Italic">Epidemiol Infect</Emphasis> <Emphasis Type="Bold">144</Emphasis>, 3435&#x2013;3450 (2016). https://doi.org/10.1017/S0950268816001448 10 Chanprasopchai, P., Tang, I. M. &#x0026; Pongsumpun, P. The SEIR Dynamical Transmission Model of Dengue Disease with and Without the Vertical Transmission of the Virus. <Emphasis Type="Italic">American Journal of Applied Sciences</Emphasis> <Emphasis Type="Bold">14</Emphasis> (2018). https://doi.org/10.3844/ajassp.2017.1123.1145 11 Lu, X., Teh, S. Y., Koh, H. L., Fam, P. S. &#x0026; Tay, C. J. A Coupled Statistical and Deterministic Model for Forecasting Climate-Driven Dengue Incidence in Selangor, Malaysia. <Emphasis Type="Italic">Bull Math Biol</Emphasis> <Emphasis Type="Bold">86</Emphasis>, 81 (2024). https://doi.org/10.1007/s11538-024-01303-2 12 Nanda, C. &#x0026; Kar, A. SEIR-SEI-EnKF: A new model for estimating and forecasting dengue outbreak dynamics. IEEE Access 11, 36494&#x2013;36507 (2023). 13 Martinez-Bello, D. A., Lopez-Quilez, A. &#x0026; Torres-Prieto, A. Bayesian dynamic modeling of time series of dengue disease case counts. <Emphasis Type="Italic">PLoS Negl Trop Dis</Emphasis> <Emphasis Type="Bold">11</Emphasis>, e0005696 (2017). https://doi.org/10.1371/journal.pntd.0005696 14 Alam, K. E. <Emphasis Type="Italic">et al.</Emphasis> Time series analysis of dengue incidence and its association with meteorological risk factors in Bangladesh. <Emphasis Type="Italic">PLoS One</Emphasis> <Emphasis Type="Bold">20</Emphasis>, e0323238 (2025). https://doi.org/10.1371/journal.pone.0323238 15 Polwiang, S. The time series seasonal patterns of dengue fever and associated weather variables in Bangkok (2003&#x2013;2017). <Emphasis Type="Italic">BMC Infect Dis</Emphasis> <Emphasis Type="Bold">20</Emphasis>, 208 (2020). https://doi.org/10.1186/s12879-020-4902-6 16 Carvajal, T. M. <Emphasis Type="Italic">et al.</Emphasis> Machine learning methods reveal the temporal pattern of dengue incidence using meteorological factors in metropolitan Manila, Philippines. <Emphasis Type="Italic">BMC Infect Dis</Emphasis> <Emphasis Type="Bold">18</Emphasis>, 183 (2018). https://doi.org/10.1186/s12879-018-3066-0 17 Chen, X. &#x0026; Moraga, P. Assessing dengue forecasting methods: a comparative study of statistical models and machine learning techniques in Rio de Janeiro, Brazil. <Emphasis Type="Italic">Trop Med Health</Emphasis> <Emphasis Type="Bold">53</Emphasis>, 52 (2025). https://doi.org/10.1186/s41182-025-00723-7 18 Islam, M. T., Kamal, A., Islam, M. M. &#x0026; Hossain, S. Time series patterns of dengue and associated climate variables in Bangladesh and Singapore (2000&#x2013;2020): a comparative study of statistical models to forecast dengue cases. <Emphasis Type="Italic">Int J Environ Health Res</Emphasis>, 1&#x2013;11 (2024). https://doi.org/10.1080/09603123.2024.2434206 19 da Silva, S. T. <Emphasis Type="Italic">et al.</Emphasis> When climate variables improve the dengue forecasting: a machine learning approach. <Emphasis Type="Italic">The European Physical Journal Special Topics</Emphasis> <Emphasis Type="Bold">234</Emphasis>, 555&#x2013;569 (2025). https://doi.org/10.1140/epjs/s11734-024-01201-7 20 Chen, X. &#x0026; Moraga, P. Forecasting dengue across Brazil with LSTM neural networks and SHAP-driven lagged climate and spatial effects. <Emphasis Type="Italic">BMC Public Health</Emphasis> <Emphasis Type="Bold">25</Emphasis>, 973 (2025). https://doi.org/10.1186/s12889-025-22106-7 21 Gunn, E., Sengupta, N. &#x0026; Swallow, B. Gaussian process modelling of infectious diseases using the Greta software package and GPUs. <Emphasis Type="Italic">Journal of Theoretical Biology</Emphasis> <Emphasis Type="Bold">616</Emphasis>, 112278 (2026). https://doi.org/https://doi.org/10.1016/j.jtbi.2025.112278 22 Langmuller, A. M. <Emphasis Type="Italic">et al.</Emphasis> Gaussian Process Emulation for Exploring Complex Infectious Disease Models. <Emphasis Type="Italic">medRxiv</Emphasis> (2025). https://doi.org/10.1101/2024.11.28.24318136 23 Chakraborty, A. &#x0026; Chandru, V. A Robust and Non-parametric Model for Prediction of Dengue Incidence. <Emphasis Type="Italic">Journal of the Indian Institute of Science</Emphasis> <Emphasis Type="Bold">100</Emphasis>, 893&#x2013;899 (2020). https://doi.org/10.1007/s41745-020-00202-4 24 Albinati, J., Meira, W. &#x0026; Pappa, G. L. in <Emphasis Type="Italic">2016 5th Brazilian Conference on Intelligent Systems (BRACIS).</Emphasis> 43&#x2013;48. 25 Johnson, L. R. <Emphasis Type="Italic">et al.</Emphasis> Phenomenological Forecasting of Disease Incidence Using Heteroskedastic Gaussian Processes: A Dengue Case Study. <Emphasis Type="Italic">Ann Appl Stat</Emphasis> <Emphasis Type="Bold">12</Emphasis>, 27&#x2013;66 (2018). https://doi.org/10.1214/17-aoas1090 26 Cantillo-Garc&#x00ED;a V, Guzman L, Arellana J. Socioeconomic strata as proxy variable for household income in transportation research. Evaluation for Bogot&#x00E1;, Medell&#x00ED;n, Cali and Barranquilla. DYNA. 2019; 86(211), 258&#x2013;267. 27 Du, J. <Emphasis Type="Italic">et al.</Emphasis> Use of Deep Learning to Analyze Social Media Discussions About the Human Papillomavirus Vaccine. <Emphasis Type="Italic">JAMA Netw Open</Emphasis> <Emphasis Type="Bold">3</Emphasis>, e2022025 (2020). https://doi.org/10.1001/jamanetworkopen.2020.22025 28 Abildso, C. G. <Emphasis Type="Italic">et al.</Emphasis> Environmental Factors Associated with Physical Activity in Rural U.S. Counties. <Emphasis Type="Italic">Int J Environ Res Public Health</Emphasis> <Emphasis Type="Bold">18</Emphasis> (2021). https://doi.org/10.3390/ijerph18147688</BibUnstructured>
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Biting Hour and Host Seeking Behavior of Aedes Species in Urban Settings, Metema District, Northwest Ethiopia. <Emphasis Type="Italic">Trop Med Infect Dis</Emphasis> <Emphasis Type="Bold">10</Emphasis> (2025). https://doi.org/10.3390/tropicalmed10020038 4 Romero-Vivas, C. M., Potes, D., Arango-Padilla, P. J., Roa-Garcia, C. E. &#x0026; Falconar, A. K. Comparison of Aedes aegypti arbovirus transmission thresholds in two communities with differing water supply infrastructure. <Emphasis Type="Italic">BMC Public Health</Emphasis> <Emphasis Type="Bold">24</Emphasis>, 2096 (2024). https://doi.org/10.1186/s12889-024-19554-y 5 Dharmamuthuraja, D. <Emphasis Type="Italic">et al.</Emphasis> Determinants of Aedes mosquito larval ecology in a heterogeneous urban environment- a longitudinal study in Bengaluru, India. <Emphasis Type="Italic">PLoS Negl Trop Dis</Emphasis> <Emphasis Type="Bold">17</Emphasis>, e0011702 (2023). https://doi.org/10.1371/journal.pntd.0011702 6 Ilic, I. &#x0026; Ilic, M. Global Patterns of Trends in Incidence and Mortality of Dengue, 1990&#x2013;2019: An Analysis Based on the Global Burden of Disease Study. <Emphasis Type="Italic">Medicina (Kaunas)</Emphasis> <Emphasis Type="Bold">60</Emphasis> (2024). https://doi.org/10.3390/medicina60030425 7 Norshidah, H., Vignesh, R. &#x0026; Lai, N. S. Updates on Dengue Vaccine and Antiviral: Where Are We Heading? <Emphasis Type="Italic">Molecules</Emphasis> <Emphasis Type="Bold">26</Emphasis> (2021). https://doi.org/10.3390/molecules26226768 8 Esteva, L. &#x0026; Vargas, C. A model for dengue disease with variable human population. <Emphasis Type="Italic">J Math Biol</Emphasis> <Emphasis Type="Bold">38</Emphasis>, 220&#x2013;240 (1999). https://doi.org/10.1007/s002850050147 9 Amaku, M. <Emphasis Type="Italic">et al.</Emphasis> Magnitude and frequency variations of vector-borne infection outbreaks using the Ross-Macdonald model: explaining and predicting outbreaks of dengue fever. <Emphasis Type="Italic">Epidemiol Infect</Emphasis> <Emphasis Type="Bold">144</Emphasis>, 3435&#x2013;3450 (2016). https://doi.org/10.1017/S0950268816001448 10 Chanprasopchai, P., Tang, I. M. &#x0026; Pongsumpun, P. The SEIR Dynamical Transmission Model of Dengue Disease with and Without the Vertical Transmission of the Virus. <Emphasis Type="Italic">American Journal of Applied Sciences</Emphasis> <Emphasis Type="Bold">14</Emphasis> (2018). https://doi.org/10.3844/ajassp.2017.1123.1145 11 Lu, X., Teh, S. Y., Koh, H. L., Fam, P. S. &#x0026; Tay, C. J. A Coupled Statistical and Deterministic Model for Forecasting Climate-Driven Dengue Incidence in Selangor, Malaysia. <Emphasis Type="Italic">Bull Math Biol</Emphasis> <Emphasis Type="Bold">86</Emphasis>, 81 (2024). https://doi.org/10.1007/s11538-024-01303-2 12 Nanda, C. &#x0026; Kar, A. SEIR-SEI-EnKF: A new model for estimating and forecasting dengue outbreak dynamics. IEEE Access 11, 36494&#x2013;36507 (2023). 13 Martinez-Bello, D. A., Lopez-Quilez, A. &#x0026; Torres-Prieto, A. Bayesian dynamic modeling of time series of dengue disease case counts. <Emphasis Type="Italic">PLoS Negl Trop Dis</Emphasis> <Emphasis Type="Bold">11</Emphasis>, e0005696 (2017). https://doi.org/10.1371/journal.pntd.0005696 14 Alam, K. E. <Emphasis Type="Italic">et al.</Emphasis> Time series analysis of dengue incidence and its association with meteorological risk factors in Bangladesh. <Emphasis Type="Italic">PLoS One</Emphasis> <Emphasis Type="Bold">20</Emphasis>, e0323238 (2025). https://doi.org/10.1371/journal.pone.0323238 15 Polwiang, S. The time series seasonal patterns of dengue fever and associated weather variables in Bangkok (2003&#x2013;2017). <Emphasis Type="Italic">BMC Infect Dis</Emphasis> <Emphasis Type="Bold">20</Emphasis>, 208 (2020). https://doi.org/10.1186/s12879-020-4902-6 16 Carvajal, T. M. <Emphasis Type="Italic">et al.</Emphasis> Machine learning methods reveal the temporal pattern of dengue incidence using meteorological factors in metropolitan Manila, Philippines. <Emphasis Type="Italic">BMC Infect Dis</Emphasis> <Emphasis Type="Bold">18</Emphasis>, 183 (2018). https://doi.org/10.1186/s12879-018-3066-0 17 Chen, X. &#x0026; Moraga, P. Assessing dengue forecasting methods: a comparative study of statistical models and machine learning techniques in Rio de Janeiro, Brazil. <Emphasis Type="Italic">Trop Med Health</Emphasis> <Emphasis Type="Bold">53</Emphasis>, 52 (2025). https://doi.org/10.1186/s41182-025-00723-7 18 Islam, M. T., Kamal, A., Islam, M. M. &#x0026; Hossain, S. Time series patterns of dengue and associated climate variables in Bangladesh and Singapore (2000&#x2013;2020): a comparative study of statistical models to forecast dengue cases. <Emphasis Type="Italic">Int J Environ Health Res</Emphasis>, 1&#x2013;11 (2024). https://doi.org/10.1080/09603123.2024.2434206 19 da Silva, S. T. <Emphasis Type="Italic">et al.</Emphasis> When climate variables improve the dengue forecasting: a machine learning approach. <Emphasis Type="Italic">The European Physical Journal Special Topics</Emphasis> <Emphasis Type="Bold">234</Emphasis>, 555&#x2013;569 (2025). https://doi.org/10.1140/epjs/s11734-024-01201-7 20 Chen, X. &#x0026; Moraga, P. Forecasting dengue across Brazil with LSTM neural networks and SHAP-driven lagged climate and spatial effects. <Emphasis Type="Italic">BMC Public Health</Emphasis> <Emphasis Type="Bold">25</Emphasis>, 973 (2025). https://doi.org/10.1186/s12889-025-22106-7 21 Gunn, E., Sengupta, N. &#x0026; Swallow, B. Gaussian process modelling of infectious diseases using the Greta software package and GPUs. <Emphasis Type="Italic">Journal of Theoretical Biology</Emphasis> <Emphasis Type="Bold">616</Emphasis>, 112278 (2026). https://doi.org/https://doi.org/10.1016/j.jtbi.2025.112278 22 Langmuller, A. M. <Emphasis Type="Italic">et al.</Emphasis> Gaussian Process Emulation for Exploring Complex Infectious Disease Models. <Emphasis Type="Italic">medRxiv</Emphasis> (2025). https://doi.org/10.1101/2024.11.28.24318136 23 Chakraborty, A. &#x0026; Chandru, V. A Robust and Non-parametric Model for Prediction of Dengue Incidence. <Emphasis Type="Italic">Journal of the Indian Institute of Science</Emphasis> <Emphasis Type="Bold">100</Emphasis>, 893&#x2013;899 (2020). https://doi.org/10.1007/s41745-020-00202-4 24 Albinati, J., Meira, W. &#x0026; Pappa, G. L. in <Emphasis Type="Italic">2016 5th Brazilian Conference on Intelligent Systems (BRACIS).</Emphasis> 43&#x2013;48. 25 Johnson, L. R. <Emphasis Type="Italic">et al.</Emphasis> Phenomenological Forecasting of Disease Incidence Using Heteroskedastic Gaussian Processes: A Dengue Case Study. <Emphasis Type="Italic">Ann Appl Stat</Emphasis> <Emphasis Type="Bold">12</Emphasis>, 27&#x2013;66 (2018). https://doi.org/10.1214/17-aoas1090 26 Cantillo-Garc&#x00ED;a V, Guzman L, Arellana J. Socioeconomic strata as proxy variable for household income in transportation research. Evaluation for Bogot&#x00E1;, Medell&#x00ED;n, Cali and Barranquilla. DYNA. 2019; 86(211), 258&#x2013;267. 27 Du, J. <Emphasis Type="Italic">et al.</Emphasis> Use of Deep Learning to Analyze Social Media Discussions About the Human Papillomavirus Vaccine. <Emphasis Type="Italic">JAMA Netw Open</Emphasis> <Emphasis Type="Bold">3</Emphasis>, e2022025 (2020). https://doi.org/10.1001/jamanetworkopen.2020.22025 28 Abildso, C. 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<BibUnstructured>29. J. Wang, "An Intuitive Tutorial to Gaussian Process Regression," in Computing in Science &#x0026; Engineering, vol. 25, no. 4, pp. 4&#x2013;11, July-Aug. 2023.</BibUnstructured>
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<BibUnstructured>30. Liu YQ, Yang XF. Life cycle dynamics of mosquitoes under varied environmental conditions. J Mosquito Res. 2024;14(3):147&#x2013;160.</BibUnstructured>
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<BibUnstructured>31. Reinhold, J. M., Lazzari, C. R. &#x0026; Lahondere, C. Effects of the Environmental Temperature on Aedes aegypti and Aedes albopictus Mosquitoes: A Review. <Emphasis Type="Italic">Insects</Emphasis> <Emphasis Type="Bold">9</Emphasis> (2018). https://doi.org/10.3390/insects9040158</BibUnstructured>
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