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Multiplicative mixed-effects modelling of dengue incidence: An analysis of the 2019 outbreak in the Dominican Republic

Dengue is a vector-borne disease that is endemic to several countries, including the Dominican Republic, which has experienced dengue outbreaks for over four decades. With outbreaks growing in incidence in recent years, it is becoming increasingly important to develop better tools to understand drivers of dengue transmission. Such tools are critical for providing timely information to assist healthcare authorities in preparing human, material, and medical resources for outbreaks. Here, we investigate associations between meteorological variables and dengue transmission in the Dominican Republic in 2019, the year in which the country’s largest outbreak to date ocurred. We apply generalized linear mixed modelling with gamma family and log link to model the weekly dengue incidence rate. Because correlations in lags between climate variables and dengue cases exhibited different behaviour among provinces, a backward-type selection method was executed to find a final model with lags in the explanatory variables. We find that in the best models, meteorological conditions such as temperature and rainfall have an impact with a delay of 2-5 weeks in the development of an outbreak, ensuring breeding conditions for mosquitoes.

Returning to normal? ‘Building back better’ in the Dominican education system after Tropical Storm Erika and Hurricane Maria

Child-centred disaster risk reduction aims to reduce child vulnerability and increase resilience to disasters. The 2015 Comprehensive School Safety Framework (CSSF) sought to decrease hazard risks to education. Between 2015 and 2017, Dominica was struck by Tropical Storm Erika and Hurricane Maria, which significantly affected the education system at the local and national scales. Since Maria, a couple of national initiatives (Safer Schools and Smart Schools) have been introduced to increase resilience and meet the CSSF’s objectives. This paper assesses progress made through a qualitative analysis of interviews with 29 school leaders, government officials, and disaster risk reduction stakeholders. Implementation of the climate resilience programme in 2018 resulted in nationwide teacher training and production of school disaster plans. Limited successes have improved social resilience, but short-term implementation due to COVID-19 and a lack of a teacher knowledge base have presented challenges to the scheme’s long-term sustainability and the implementation of the CSSF’s goals.

Prioritising well-being and resilience to ‘build back better’: Insights from a Dominican small-scale fishing community

Climate change is increasing the severity of extreme weather events, particularly hurricanes, presenting a significant challenge to Caribbean coastal communities. In the aftermath of a major disaster, government interventions typically prioritise infrastructure, assets, and the economy through rebuilding roads, reviving economic sectors, and providing financial compensation. This is driven by a focus on macro-level quantitative indicators rather than by local, multidimensional subjective and relational factors, closer to lived experiences and livelihoods. Using frameworks outlining social well-being and agency, this paper explores strategies used by a fisheries-dependent community in Dominica to recover from Hurricane Maria in 2017 and pursue well-being. The findings highlight the importance of multidimensional well-being, particularly relational and subjective dimensions, including existing social networks, and personal relationships critical for recovery after Maria. Furthermore, the paper demonstrates how recovery initiatives that concentrate solely on material well-being, such as employment, can undermine agency in the capacity of a community to recover and build resilience.

EU/CARIFORUM Caribbean Climate Change and Health Leaders Fellowship Training Program

Human Climate Horizons (HCH)

The IAI Compendium on Climate Change Impacts in Latin America and the Caribbean

Caribbean Action Plan on Health and Climate Change

Climate Service Provider Profiles

SIDS Dynamic Data Dashboard on Health and Climate Change

Co-developing climate services for public health: Stakeholder needs and perceptions for the prevention and control of Aedes-transmitted diseases in the Caribbean

An assessment of climate change and health vulnerability and adaptation in Dominica

Dominica: Health and Climate Change Country Profile

The Caribbean Regional Climate Centre (CariCOF) Dry Spell Outlook

Caribbean Advanced Flood Forecasting

Caribbean Health-Climatic Bulletin

Eastern Caribbean Dust and Air Quality Forecasting System

Caribbean Regional Climate Centre (CariCOF) Temperature Outlooks

The Caribbean Regional Climate Centre (CariCOF) Heat Outlooks