Dengue is a mosquito-borne viral disease commonly reported in the tropical regions of the world. The presence of two mosquito vectors (Aedes aegypti is highly urban, while A. albopictus is less urban) throughout the year makes dengue fever an endemic disease in a number of countries. Among the predicting variables, a rise of temperature and rainfall have shown to be associated with the number of dengue cases [1]. While relatively less emphasized compared to the climatic factors, mass movement is particularly important during large-scale outbreaks. This article presents a case based on the available data from the 2019 outbreak in Bangladesh, where the dengue fever was initially concentrated in Dhaka, the capital city. Dhaka is one of the most crowded megacities in the world, with over 19 million people distributed over 453 square km (spatial density of 41,000/square km) [2]. It is a hub of all key administrative, educational, and industrial activities in Bangladesh. Hence, a considerable proportion of the Bangladeshi population prefers to live in the city for better income, quality education, and better facilities overall. The 2019 dengue outbreak in Dhaka was the most intense since the emergence of dengue outbreaks in late the 1990s in Bangladesh [3]. According to Directorate General of Health Services (DGHS), Bangladesh, a total of 100,201 confirmed dengue cases were admitted in hospitals between January and December 2019; 51,179 cases were reported in Dhaka city and 49,022 across the rest of Bangladesh [4]. This implies a 10-fold increase in hospitalized cases compared with the largest outbreak before 2019. Since the first major outbreak in 2000, all four serotypes (DEN-1-4) were reported in Dhaka city until 2003, a with higher prevalence of DEN-3 serotype. After a hiatus (2013-2016), DEN-3 serotype re-emerged in 2017, and this serotype has been reported to be the most frequently identified during the 2019 outbreak [5,6]. Anecdotal evidence from medical practitioners suggests that dengue patients manifested with a spectrum of atypical symptoms in the 2019 outbreak, which can be related to serodiversity of the viral strains. A recently published nationwide seroprevalence study (2014-2015) showed that 24% of participants had past history of dengue infection in Bangladesh [7]. Seropositivity of the infected individuals was largely confined to three big cities, namely Dhaka, Chittagong, and Khulna, indicating that circulation of dengue virus was not high in the semi-urban and rural areas of Bangladesh [7]. Notably, all major dengue outbreaks in Bangladesh showed a tendency to remain confined mostly in Dhaka city [7], and the 2019 outbreak showed the same trend PLOS NEGLECTED TROPICAL DISEASES