Dengue and drought severity are rising worldwide, with drought responses shaping mosquito breeding conditions in cities. Current modeling approaches do not couple household water-use behavior, climate extremes, and vector-borne disease transmission. Here, we developed a system dynamics model that links dengue transmission, human-water interactions, multiple adaptation strategies, and social behavior in a synthetic city. We compared three adaptation pathways: dengue-focused, drought-focused, and co-adaptation guided by social awareness. Results show that adaptation choices strongly affect awareness, water shortages, mosquito abundance, and human infections. Drought-focused adaptation reduces average water shortages, but prolonged standing water in rainwater tanks increases mosquito growth and dengue transmission. Co-adaptation retains drought buffering while limiting favorable habitat for vector growth. Changes in drought-awareness decay can influence dengue outbreaks more strongly than changes in dengue-awareness decay. These results highlight the value of coordinated drought and dengue management for reducing health risks while maintaining water security under climate change.

A socio-hydro-epidemiological model for simulating trade-off between dengue infections, water shortages, and adaptive behavior

Mazzoleni, Maurizio;Torti, Carlo;Quiros-Roldan, Eugenia;Raffetti, Elena
2026-01-01

Abstract

Dengue and drought severity are rising worldwide, with drought responses shaping mosquito breeding conditions in cities. Current modeling approaches do not couple household water-use behavior, climate extremes, and vector-borne disease transmission. Here, we developed a system dynamics model that links dengue transmission, human-water interactions, multiple adaptation strategies, and social behavior in a synthetic city. We compared three adaptation pathways: dengue-focused, drought-focused, and co-adaptation guided by social awareness. Results show that adaptation choices strongly affect awareness, water shortages, mosquito abundance, and human infections. Drought-focused adaptation reduces average water shortages, but prolonged standing water in rainwater tanks increases mosquito growth and dengue transmission. Co-adaptation retains drought buffering while limiting favorable habitat for vector growth. Changes in drought-awareness decay can influence dengue outbreaks more strongly than changes in dengue-awareness decay. These results highlight the value of coordinated drought and dengue management for reducing health risks while maintaining water security under climate change.
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11379/648367
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