Jahedul Islam

As Bangladesh enters 2026, the country’s public health system finds itself facing a familiar yet worsening reality. Each year, new challenges emerge, but some crises no longer arrive as isolated shocks. Instead, they unfold together, feeding into each other and exposing deeper structural weaknesses. Among these, extreme heat and dengue now stand out as a twin crisis, two public health threats that cannot be addressed separately, yet continue to be managed as if they were.

Conflicts of Interest The authors declare no conflicts of interest. Supporting Information Filename Description sum70135-sup-0001-AppendixS1.docxWord 2007 document , 133.8 KB Table S1: Mean monthly average temperature, rainfall, relative humidity, average sunshine and evapotranspiration of Pabna district during the year 2019 and 2020. Figure S1: Long term average temperature, rainfall and relative humidity of Pabna district from the year 1987 to 2020.