<p>The dengue outbreak in Metahara town is a result of epidemiological, entomological, and environmental factors, with <em>Aedes aegypti</em> as the primary vector. Insufficient vector control measures, improper water storage, and inadequate protective clothing increase vulnerability. The recommended strategies include integrating vector control measures with community education, promoting long-sleeved clothing, raising awareness about dengue transmission, and establishing robust surveillance systems.</p>