Dengue viruses and malaria protozoa are of increasing global concern in pub
lic health. The diseases caused by these pathogens often show regular seaso
nal patterns in incidence because of the sensitivity of their mosquito vect
ors to climate. Between years in endemic areas, however, there can be furth
er significant variation in case numbers for which public health systems ar
e generally unprepared. There is an acute need for reliable predictions of
within-year and between-year epidemic events. The prerequisite for developi
ng any system of early warning is a detailed understanding of the factors i
nvolved in epidemic genesis. In this report we discuss the potential causes
of the interepidemic periods in dengue hemorrhagic fever in Bangkok and of
Plasmodium falciparum malaria in a highland area of western Kenya. The alt
ernative causes are distinguished by a retrospective analysis of two unique
and contemporaneous 33-year time series of epidemiological and associated
meteorological data recorded at these two sites. We conclude that intrinsic
population dynamics offer the most parsimonious explanation for the observ
ed interepidemic periods of disease in these locations.