New Delhi, June 12, 2026. For decades, dengue outbreaks in India followed a fixed cycle, with cases rising during the monsoon, peaking after heavy rains and then declining as temperatures cooled. But that pattern is now changing rapidly. This year, even before the monsoon season officially began, the country had recorded 6,927 dengue cases by the end of February 2026, signalling unusually early transmission of the disease.
The State-Wise Picture
In the early figures for this year, Tamil Nadu was the worst affected state, with 2,873 cases recorded. It was followed by Maharashtra with 786, Kerala with 670 and Karnataka with 560 cases. What is worrying is that, even before the onset of the monsoon, hospitals in several cities reported a rise in suspected dengue cases, indicating that the seasonal character of the disease is now shifting. This change presents a new challenge for the health system.
Why the Pattern Is Changing
According to experts, rising temperatures and erratic rainfall now allow mosquitoes to survive for longer. Dr Harshdeep Joshi, a professor of community medicine at Maharishi Markandeshwar Medical College, said that dengue is no longer restricted to the post-monsoon period and that the transmission window appears to be expanding. According to a scientific study, temperatures above 27 degrees Celsius, humidity between 60 and 78 percent and moderate rainfall create ideal conditions for the mosquitoes that spread dengue.
A Link With Air Pollution
A 2026 environmental pollution study revealed a startling fact. The study found that countries with higher levels of PM2.5 pollution recorded dengue death rates three to five times higher than cleaner regions. This finding is particularly worrying for a country like India, where many cities are already struggling with severe air pollution. It shows that several public health challenges are deeply interconnected and cannot be tackled in isolation, demanding a coordinated approach across sectors.
The Threat of Chikungunya Too
Alongside dengue, chikungunya is also emerging as a growing threat that is being monitored more closely. India remains the largest bearer of the chikungunya burden in the Southeast Asia region, where 34,876 suspected and confirmed cases were reported in 2025. Together, these mosquito-borne diseases are placing heavy pressure on the country's health system, particularly when their transmission seasons overlap and hospitals see a simultaneous rise in fever cases.