Experimental estimate · v0.2

Bangladesh dengue outbreak

Bangladesh1 Jan – 7 Aug 2023
Estimated USU0.53 million

Acute dengue symptoms

Reported deaths327

Same reporting period. Source context

Population modeled69,483

lab-confirmed cases

Approximate, assumption-based USU for the included experience. Deaths are a separate measure.

What this estimate tells us

The same five-day, intensity-3 dengue course gives about 7.6 USU per reported case. This entry covers laboratory-confirmed cases from hospital-based surveillance; the estimate cannot be read as the full outbreak burden.

The inputs behind the estimate

69,483 × 5 days × 24 hours × 3 ÷ 47.25
≈ 0.53 million USU

7.6 USU per modeled course, before multiplying by the reported count. The calculation uses unrounded values; only the headline is rounded.

Intensity is assigned on a 0–10 scale and averaged over the whole elapsed course, including relief and sleep. Why divide by 47.25?

Duration assumption

5 days

WHO describes acute symptoms lasting 2-7 days. Five days is a rounded representative choice inside that interval, not a measured mean for any listed outbreak. Later fatigue is excluded. [S2]

Intensity assumption

3 / 10

Fever, headache, body/joint aches and nausea support a meaningful acute symptom burden. Assigned intensity 3 is a working average across the whole day, including relief and sleep. It is lower than a severe-pain peak. WHO does not establish the value 3 or its ratio to the reference. [S2]

All dengue entries share this exact template. A revision applies to every linked entry. Case definitions and reporting coverage still differ across sources.

How much can the assumptions change the result?

At 3 days and intensity 2, the result is about 0.21 million USU. At 7 days and intensity 4, it is about 0.99 million USU.

These are alternative input scenarios, not confidence intervals or bounds on all uncertainty. Some cross-condition orderings change under these choices. The headline uses the single shared template above.

What goes into this number?

Included

A single acute symptom course for every reported case, combining fever, aches, headache and nausea.

Source population and period

WHO reported 69,483 laboratory-confirmed cases from 1 January to 7 August 2023. The surveillance system is hospital-based. This is an interim snapshot, not a full-year count or an estimate of all infections. [S9]

Outside this estimate

Later fatigue, prolonged recovery, separate severe-case templates, caregiver distress, unreported infections and post-death loss.

Omitted experiences are unestimated, not known to be zero. This is not a complete event total or a guaranteed lower bound.

Whole representative courses are assigned to the source-defined cases or cohort. Course time can extend beyond the reporting dates. Individual trajectories, fatal-case truncation and a causal baseline are not reconstructed; no suffering after death is assigned.

Mortality source context

WHO reported 327 related deaths for the same period; separate from USU. [S9]

USU estimates experienced suffering during lived time. The death count is shown alongside it and is not converted into USU.

Sources and calculation data

Related reading

The shared dengue assumptions