# Existing strategies to address the risk of mosquito-transmitted dengue in the continental USA: opportunities to adopt a One Health approach

## TL;DR

This paper discusses how a One Health approach can help prevent and manage dengue outbreaks in the continental USA by integrating public health, social, and environmental strategies.

## Contribution

The paper highlights opportunities to adopt a One Health approach for dengue risk management in the USA.

## Key findings

- An integrated One Health approach is needed to address dengue risks in the continental USA.
- Improvements in public health infrastructure and mosquito control are essential for dengue preparedness.
- Adaptive strategies can help communities respond to potential dengue outbreaks.

## Abstract

Recent increases in dengue cases across the region of the Americas have underscored the need for an integrated and collaborative One Health approach to address the potential of widespread autochthonous dengue in the continental USA. Improvements in the public health, social and health sectors are paramount in ensuring that communities are better protected. Furthermore, communities would benefit from effective adaptive strategies in the event of autochthonous dengue outbreaks. There is an opportunity to address existing challenges in the control of mosquitoes, public health infrastructure and funding that are necessary to recover from threats from climate-sensitive pathogens. Each component will improve preparedness toward widespread autochthonous dengue. This review provides an outline of adaptive and mitigating strategies and offers opportunities to address challenges through a One Health lens.