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Abstract Climate drives population dynamics through multiple mechanisms, which can lead to seemingly context-dependent effects of climate on natural populations. For climate-sensitive diseases, such as dengue, chikungunya, and Zika, climate appears to have opposing effects in different contexts. Here we show that a model, parameterized with laboratory measured climate-driven mosquito physiology, captures three key epidemic characteristics across ecologically and culturally distinct settings in Ecuador and Kenya: the number, timing, and duration of outbreaks. The model generates a range of disease dynamics consistent with observed Aedes aegypti abundances and laboratory-confirmed arboviral incidence with variable accuracy (28–85% for vectors, 44–88% for incidence). The model predicted vector dynamics better in sites with a smaller proportion of young children in the population, lower mean temperature, and homes with piped water and made of cement. Models with limited calibration that robustly capture climate-virus relationships can help guide intervention efforts and climate change disease projections. 

Between October 2018 ‐ May 2019, sea surface temperature conditions in the central‐eastern tropical Pacific indicated a mild El Niño event. In May 2019, the global El Niño Southern Oscillation (ENSO) forecast consensus was that these generally weak warm patterns will persist at least until the end of the northern hemisphere summer. El Niño and its impact on local climatic conditions in southern coastal Ecuador influence the inter‐annual transmission of dengue fever in the region. In this study, we use an ENSO model to issue forecasts of El Niño for the year 2019, which are then used to predict local climate variables, precipitation and minimum temperature, in the city of Machala, Ecuador. All these forecasts are incorporated in a dengue transmission model, specifically developed and tested for this area, to produce out‐of‐sample predictions of dengue risk. Predictions are issued at the beginning of January 2019 for the whole year, thus providing the longest forecast lead time of 12 months. Preliminary results indicate that the mild and ongoing El Niño event did not provide the optimum climate conditions for dengue transmission, with the model predicting a very low probability of a dengue outbreak during the typical peak season in Machala in 2019. This is contrary to 2016, when a large El Niño event resulted in excess rainfall and warmer temperatures in the region, and a dengue outbreak occurred 3 months earlier than expected. This event was successfully predicted using a similar prediction framework to the one applied here. With the present study, we continue our efforts to build and test a climate service tool to issue early warnings of dengue outbreaks in the region.