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A nationwide surveillance study by ICMR-NIV and NCVBDC confirmed the simultaneous circulation of all four dengue virus serotypes, DENV-1 through DENV-4, across eight Indian states.
Researchers identified that the co-circulation of these four strains increases the risk of severe secondary infections, necessitating a tetravalent vaccine strategy for future immunization.
The study provides critical data for policymakers to map regional transmission patterns and improve vector-control measures ahead of the country's first dengue vaccine rollout.