Dengue, which was first reported as a travel case in Nepal in 2004, was initially confined to the lower plains but has spread to higher elevations. Large outbreaks in 2022 and 2023 (54,784 and 51,243 cases, respectively), reached every district (n = 77). We calculated the district-wise incidence for 2022 and 2023 by digitizing case data from Nepal’s Ministry of Health and Population and 2021 census data from the National Statistics Office. The incidence and peak incidence months for each ye...