Dengue in Bali: the risk, symptoms and the vaccine

Bali records dengue every month, more in the rains: warning signs that need a doctor, how to avoid bites, and who the vaccine suits.

On this page
  1. Short answer
  2. In detail
    1. How common is dengue in Bali?
    2. When is dengue season in Bali?
    3. What are the symptoms of dengue?
    4. When should you see a doctor for dengue?
    5. How do you avoid dengue in Bali?
    6. Is a second dengue infection worse?
    7. Should you get the dengue vaccine before Bali?
    8. Can you get the dengue vaccine in Bali?
  3. Sources

Short answer

Bali records dengue every month, 1,588 cases from January to July 2026, rising with the wet season from November. Avoid daytime bites, see a doctor at once if belly pain, vomiting or bleeding follows a fever, and ask about the vaccine if you have had dengue.[1, 6]

Wet season peak
February 2027
Symptoms start
4 to 10 days after the bite
Danger window
24 to 48 hours after the fever ends
Vaccine
2 doses, 3 months apart

In detail

Start where you are:

How common is dengue in Bali?

Common: Bali recorded 1,588 confirmed cases and 2 deaths from January to July 2026, under 300 cases every month, with a dip in June and July.[1, 2]

That follows 10,391 cases in 2025 and 15,570 in 2024. Badung, home to Kuta, Seminyak and Canggu, had the most cases in 2025, ahead of Gianyar, where Ubud sits.[3]

Visitors catch it too: dengue has been found in travellers returning to Australia from Indonesia, Bali included.[5]

When is dengue season in Bali?

Cases are recorded every month, but they climb with the rain. The wet season reaches part of Bali in November 2026 and most of the island by December, and peaks in February 2027.[6]

Rain is what feeds it. The mosquito lays its eggs just above the water line in bowls, vases, tyres and cups, and the eggs hatch when rain covers them. Standing water left after a downpour is where the next wave of mosquitoes starts.[2, 7]

What are the symptoms of dengue?

Dengue usually starts 4 to 10 days after an infected bite with a high fever, often around 40°C. A severe headache, pain behind the eyes, aching muscles and joints, nausea, vomiting, swollen glands and a rash can follow.[8]

The fever lasts 2 to 7 days, and most people recover within 1 to 2 weeks. Many people have mild symptoms or none, and tiredness can linger for weeks after.[8]

When should you see a doctor for dengue?

See a doctor as soon as a fever starts in Bali or after you get home, and say where you travelled. The dangerous part often comes after the fever breaks, when it can look as if you are getting better.[8, 11]

Warning signs usually show up 24 to 48 hours after the fever has gone. Go to a clinic or an emergency room straight away if you notice any of these:[8, 9]

  • Belly pain or tenderness
  • Vomiting at least 3 times in 24 hours
  • Bleeding from the nose or gums
  • Vomiting blood, or blood in your stool
  • Feeling extremely tired, restless or irritable
  • Fast breathing, intense thirst, or pale and cold skin

Severe dengue is a medical emergency and can turn life-threatening within a few hours. If you can't get to a clinic yourself, call 118 for an ambulance.[9, 10, 11]

The mistake to avoid is the painkiller. There is no specific medicine for dengue: rest, drink plenty of water or electrolyte drinks, and take paracetamol for the fever. Ibuprofen and aspirin raise the risk of bleeding.[8, 11]

Our rule

Take paracetamol for a fever in Bali, never ibuprofen or aspirin, until a doctor has ruled dengue out.

The wrong painkiller raises the risk of bleeding.

How do you avoid dengue in Bali?

Avoiding bites in daylight is the main protection. The mosquito that carries dengue bites during the day, so take extra care in the early morning and late afternoon, when mosquitoes are most active, and know that evening-only repellent misses the risk.[5, 8]

What that means in practice: the hours by the pool, at a café or on a temple visit matter as much as dusk. Pots, bowls and other containers holding water in a villa garden are a breeding ground on your doorstep.[7, 8]

  • Repellent with DEET, picaridin or IR3535, put on through the day
  • Clothing that covers as much skin as you can bear, most of all early and late in the day
  • Screens on the windows, or a net if you nap in the day
  • Coils or plug-in vaporisers in open-air rooms
  • Water containers around your villa emptied, covered or scrubbed once a week

Keep away from stagnant water where you can, because that is where mosquitoes gather in numbers.[5, 8]

Our rule

Keep repellent on through the day, not just at dusk.

Dengue mosquitoes bite in daylight.

Is a second dengue infection worse?

Yes. People who catch dengue a second time are at greater risk of severe dengue.[8, 12]

Should you get the dengue vaccine before Bali?

It depends on whether you have had dengue before and how long you are staying. The vaccine, Qdenga, is two doses three months apart, and the advice differs by home country.[12, 14, 15]

The dengue vaccine for travellers, by home country, October 2026
Home countryCan you get it?Had dengue beforeNever had dengue
AustraliaYes, from age 4; not on government schemesRecommendedRecommended for long or repeated stays; for a short trip, talk it through with a doctor
United KingdomLicensed from age 4Can be consideredCan be considered after talking it through with an experienced travel health clinician
United StatesNo dengue vaccine availableNot applicableNot applicable

From any other country, ask a travel doctor at home, who will follow your country's own advice.[12, 13, 14, 15]

Timing is the snag. Two doses take three months, but Australian advice is to have the first dose even if the second cannot fit before you fly. Qdenga is not for anyone who is immunocompromised, and is not advised in pregnancy.[12, 14]

Our rule

If you have had dengue before, ask your travel doctor about Qdenga at least three months before you fly.

A second infection is the one more likely to turn severe.

Can you get the dengue vaccine in Bali?

It is approved in Indonesia but is not part of a national programme: only 11 of 514 districts and cities run school vaccination. Ask a Bali clinic whether it has the vaccine in stock, and what the full course costs, before you plan around it.[4]

Indonesia approved Qdenga in 2022 for ages 6 to 45, two doses three months apart. The band may now run from age 4 to 60, given whether or not you have had dengue, so ask the clinic which band it follows before you book.[16, 17]

The three-month gap shapes the decision. Australian advice is that one dose before departure is still worth having, so an Australian visitor does best to start the course at home; someone living in Bali has time for both doses here.[12, 16]

Our rule

If you live in Bali, book both doses with one clinic and ask the price of the full course up front.

The second dose falls due three months after the first.

Next steps

FAQ

Do you need a blood test before the dengue vaccine?

Australian advice is against routine testing, and a doctor can judge from a confirmed or likely past infection. UK tests for past dengue are private, charged and not fully reliable.[12, 14]

Can you have the dengue vaccine if you are pregnant?

No, not as a rule. The vaccine is not advised in pregnancy in Australia, and UK advice rules it out for pregnant and breastfeeding travellers.[12, 14]

Conflicts

Sources differ on the age band for the dengue vaccine in Indonesia.

Sources disagree

Which ages can get the dengue vaccine in Indonesia?

Our reading

Ages 6 to 45 are certain; between 4 and 60, ask the clinic which band it follows before you book.

The only source for the 4 to 60 band is a vaccination provider's article; no BPOM or manufacturer notice of the change was found, so the official 2022 band is the safe floor.

See what each source says
  • BPOM licensed Qdenga on 9 September 2022 for ages 6 to 45, two doses three months apart.[16]

    9 September 2022

  • BPOM has licensed Qdenga for a wider age band, 4 to 60.[17]

    reviewed 5 February 2026

Sources

  1. Antara Bali, Beware dengue fever: two toddlers die in Bali

    published 11 August 2026 · accessed 12 October 2026

  2. Antara Bali, quoting the Bali Provincial Health Office, Dengue cases in Bali fell through 2025

    published 9 January 2026 · accessed 18 October 2026

  3. RRI (Indonesian public radio), quoting the Ministry of Health, Ministry of Health records tens of thousands of dengue cases in 2026

    published 16 June 2026 · accessed 18 October 2026

  4. Australian Government, Smartraveller, Indonesia travel advice

    updated 16 October 2026 · accessed 18 October 2026

  5. RCTI+ (iNews), BMKG predicts the rainy season starts in November 2026, and the regions affected

    published 3 October 2026 · accessed 12 October 2026

  6. US Centers for Disease Control and Prevention, Life cycle of Aedes mosquitoes

    published 16 April 2024 · accessed 14 October 2026

  7. World Health Organization, Dengue and severe dengue (fact sheet)

    published 21 August 2025 · accessed 18 October 2026

  8. US Centers for Disease Control and Prevention, Symptoms of dengue and testing

    published 7 August 2025 · accessed 18 October 2026

  9. UK Foreign, Commonwealth and Development Office, Indonesia travel advice: health

    accessed 18 October 2026

  10. US Centers for Disease Control and Prevention, Manage dengue

    published 15 May 2025 · accessed 18 October 2026

  11. Australian Technical Advisory Group on Immunisation (ATAGI), Department of Health, ATAGI statement on the clinical use of the dengue vaccine Qdenga for Australians

    published 24 September 2026 · accessed 18 October 2026

  12. Takeda Australia (manufacturer), Dengue vaccine now available in Australia (press release)

    published 1 October 2026 · accessed 18 October 2026

  13. National Travel Health Network and Centre (NaTHNaC), UK, Dengue (disease page, with JCVI vaccine advice)

    not stated; news item updated 17 September 2026 · accessed 18 October 2026

  14. US Centers for Disease Control and Prevention, Dengue vaccine (for healthcare providers)

    updated 1 September 2026 · accessed 18 October 2026

  15. Antara Babel, quoting the head of BPOM, BPOM issues a licence for the Qdenga dengue vaccine

    published 9 September 2022 · accessed 18 October 2026

  16. Halodoc (health platform and vaccination provider), A new step against dengue: Qdenga age band widened to 4 to 60

    reviewed 5 February 2026 · accessed 18 October 2026

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