In 2011, a devastating dengue outbreak reported in Lahore, the capital city of the Punjab, Pakistan. According to Health Departments in Pakistan, more than 23,000 people were hospitalized, of which at least 365 people died due to DHF and DSS . DENV-2 and DENV-3 and a single case of DENV-4 were previously reported the 2011 dengue outbreak in Punjab