Where are you headed?
62 places Americans travel to, from Caribbean winter escapes to European summers and long-haul trips, each rated twice: how likely a mosquito-borne illness is, and how much the biting will bother you. They are not the same thing.
Cuba
CaribbeanThe region's hot spot: dengue far above normal, chikungunya still circulating, and power cuts that switch off the AC.
Read the briefing →Honduras
Mexico & Central AmericaRoatán is famous for sand flies, and CDC recommends malaria prevention medicine for the Bay Islands too, though few cases are reported there.
Travel-clinic note for some areas Read the briefing →Tanzania & Zanzibar
Africa & Middle EastCDC lists malaria pills below 1,800 m, including Serengeti and Zanzibar; Tarangire's tsetse flies are the classic safari nuisance.
Travel-clinic note for some areas Read the briefing →Bali & Indonesia
AsiaCDC Level 2 Zika notice for Bali says pregnant travelers should avoid it. Malaria pills for Komodo, rural Lombok and Papua, not Bali.
Travel-clinic note for some areas Read the briefing →Brazil
South AmericaDengue and chikungunya run year-round; CDC advises yellow fever shots for Rio, Iguaçu and the Pantanal and malaria pills for Manaus.
Travel-clinic note for some areas Read the briefing →Cambodia
AsiaDengue is up 138% on 2025, so use repellent at Angkor; CDC reports no or negligible malaria in Siem Reap and the main Angkor Wat complex.
Travel-clinic note for some areas Quick briefing →Costa Rica
Mexico & Central AmericaActive CDC Level 2 notice for chikungunya in the northwest, next to Tamarindo; dengue running above last year.
Travel-clinic note for some areas Read the briefing →Dominican Republic
CaribbeanCDC advises malaria pills for the province that includes Punta Cana, even though reported cases there are very low.
Travel-clinic note for some areas Read the briefing →India
AsiaCDC recommends malaria pills for nearly all of India, Delhi and Mumbai included. Dengue peaks Sept–Nov; Dec–Mar is the best window.
Travel-clinic note for some areas Read the briefing →Kenya
Africa & Middle EastMalaria pills for the Mara, Amboseli and the coast (not central Nairobi); Kenya is on CDC's dengue list, and tsetse flies bite in some parks.
Travel-clinic note for some areas Read the briefing →Malaysia
AsiaDengue is above its 5-year median in 2026, so KL and Penang need daily repellent; rural forest trips, in Borneo or the peninsula, need a malaria plan.
Travel-clinic note for some areas Read the briefing →Nicaragua
Mexico & Central AmericaCDC Level 2 chikungunya notice covers all of Nicaragua; the Corn Islands are in a CDC malaria-pill zone; Ometepe's chayule gnats swarm but don't bite.
Travel-clinic note for some areas Quick briefing →Panama
Mexico & Central AmericaDengue jumped from late June; Bocas del Toro and San Blas are inside CDC's malaria-pill areas, Panama City is not.
Travel-clinic note for some areas Read the briefing →Peru
South AmericaMachu Picchu's biting flies bother visitors more than mosquitoes; Amazon trips need malaria pills, and dengue more than doubled in 2026.
Travel-clinic note for some areas Read the briefing →Philippines
AsiaCDC lists malaria pills for all of Palawan, incl. El Nido and Coron; Bohol declared a dengue outbreak in Aug 2026; none needed for Manila.
Travel-clinic note for some areas Read the briefing →Sri Lanka
AsiaOn CDC's dengue list after a 100,000-case 2026 epidemic centered on Colombo. Malaria-free since 2016, so no pills are needed.
Quick briefing →Vietnam
AsiaDengue is running 37% above 2025, worst in Ho Chi Minh City and the Mekong; no malaria pills for Hanoi, Da Nang or Saigon.
Travel-clinic note for some areas Read the briefing →Ecuador
South AmericaGalápagos had Ecuador's top dengue rate in 2026; Quito is too high for mosquitoes, but Amazon lodges need malaria pills and yellow fever vaccine.
Travel-clinic note for some areas Quick briefing →Guatemala
Mexico & Central AmericaThe highlands around Antigua and Atitlán are low-bite. Tikal and the Petén lowlands carry CDC malaria advice.
Travel-clinic note for some areas Read the briefing →South Africa
Africa & Middle EastCape Town and the Winelands are malaria-free; Kruger and the Lowveld need CDC-listed malaria pills, most of all in the Sept-May rains.
Travel-clinic note for some areas Quick briefing →Italy
EuropeTiger mosquitoes bite by day in Rome, Florence and Venice; 2025-26 brought record West Nile plus local dengue and chikungunya clusters.
Read the briefing →Barbados
CaribbeanDengue is back to baseline. The beach "sandflies" are biting midges, worst at dawn, dusk and on calm days.
Read the briefing →Belize
Mexico & Central AmericaMalaria-free since 2023 with endemic dengue. Sand flies on the cayes and in Placencia are the daily nuisance.
Read the briefing →Cancún & Riviera Maya
MexicoQuintana Roo's dengue count kept climbing into October, plus local chikungunya. Dusk at lagoon-side resorts and cenotes is the bite window.
Read the briefing →Colombia
South AmericaCartagena, Medellín and Bogotá need no malaria pills, but CDC lists a yellow fever vaccine entry requirement and an active outbreak notice.
Travel-clinic note for some areas Read the briefing →Fiji
OceaniaNo malaria, but dengue is endemic; 2025's big Western Division outbreak has eased to normal levels in 2026. Use daytime repellent.
Quick briefing →France
EuropeDaytime tiger mosquitoes across the south; Riviera and Provence had record chikungunya in 2025, Bordeaux in 2026, plus record West Nile.
Read the briefing →Greece
EuropeAthens was the center of Greece's record 2026 West Nile season; the windy Cyclades stay light and green islands bite harder.
Read the briefing →Grenada
CaribbeanDengue has been rising in Grenada since August 2026; around Grand Anse and Carriacou, use repellent by day and at dusk.
Quick briefing →Maldives
AsiaDengue ran above normal all of 2026 and the Maldives is on CDC's dengue list. Resorts fog; local islands less so. No malaria.
Quick briefing →Mexico
Mexico & Central AmericaCoastal dengue that dips in the dry winter months; Mexico City's altitude keeps it almost bite-free.
Travel-clinic note for some areas Read the briefing →Puerto Rico
CaribbeanCalmer after the 2024–25 dengue epidemic, but this year's cases still put half of patients in hospital.
Read the briefing →Saint Lucia
CaribbeanDengue fell sharply in 2025 after a 2024 outbreak. Rainforest hikes around Soufrière need the most repellent.
Read the briefing →Thailand
AsiaDaytime dengue everywhere but 2026 is a quieter year; malaria pills only for border provinces, not Bangkok, Phuket or Krabi's islands.
Travel-clinic note for some areas Read the briefing →U.S. Virgin Islands
CaribbeanA 2024–25 dengue outbreak hit all three islands and has since dropped sharply.
Read the briefing →Canada
North AmericaJune black flies and mosquitoes rule Ontario and Quebec cottage country; West Nile and Lyme ticks are the real health notes.
Read the briefing →Antigua & Barbuda
CaribbeanIn Antigua the usual biters are beach sand flies at sunrise and sunset; dengue was at baseline levels in early 2026.
Quick briefing →Australia
OceaniaSummer means Ross River virus in Queensland, sand flies on Whitsunday beaches and Outback bush flies; Sydney and Melbourne are low-risk.
Quick briefing →British Virgin Islands
CaribbeanIn the BVI, mosquitoes are rare under sail, but at sheltered moorings like the Bight they can come aboard at night.
Quick briefing →Croatia
EuropeEvening mosquitoes on the Dalmatian coast but low disease risk; West Nile stays mostly inland around Zagreb, and dengue last appeared in 2010.
Quick briefing →Egypt
Africa & Middle EastNo malaria since WHO's 2024 certification, but dengue hit Red Sea resorts (Hurghada 2023, Sharm 2024); Nile evenings bring mosquitoes.
Quick briefing →Finland
EuropeLapland's countryside mosquitoes swarm in late June and July, Helsinki is nearly bite-free, and archipelago ticks carry TBE.
Quick briefing →Jamaica
CaribbeanDengue below epidemic levels since 2024. Negril's sunset sand flies are the bigger complaint.
Read the briefing →Netherlands
EuropeUnscreened bedrooms on July nights are the main fight, but 2026 brought the first big West Nile season, centered on Rotterdam and Utrecht.
Read the briefing →Spain
EuropeDaytime tiger mosquitoes on the Costa Brava, Valencia and Mallorca; West Nile clusters around Seville; Aedes aegypti keeps reaching the Canaries.
Read the briefing →St. Maarten / St. Martin
CaribbeanThe French side reported a calm 2026 for dengue; the usual pests on both sides are beach sand flies at dawn and dusk.
Quick briefing →Tahiti & French Polynesia
OceaniaNo malaria; dengue is quiet in 2026 after the 2024-25 epidemic. Bring repellent for Moorea, the airports and Marquesas nonos.
Quick briefing →The Bahamas
CaribbeanLow disease risk. Out Island beaches in the Exumas and Eleuthera are no-see-um country on calm evenings.
Read the briefing →Turks and Caicos Islands
CaribbeanThe 2023–24 dengue outbreak is over. No-see-ums come out about an hour before sunset at Grace Bay.
Read the briefing →Argentina
South AmericaDengue can hit Buenos Aires and Iguazú in late summer, though 2025-26 was quiet; Iguazú needs yellow fever vaccine; Patagonia has January horseflies.
Travel-clinic note for some areas Quick briefing →Aruba
CaribbeanDry and windy, so mosquitoes are scarce. Expect the odd ankle bite at dawn or dusk on still days.
Read the briefing →Bonaire
CaribbeanDry, windy Bonaire has few biting bugs; expect some around sundown at open-air restaurants and more after rain.
Quick briefing →Cayman Islands
CaribbeanNo dengue cases reported in 2026 so far. Salt-marsh mosquito swarms are a fall problem, small in winter.
Read the briefing →Curaçao
CaribbeanQuiet in 2026 and kept in check by the trade winds; dawn and dusk sand flies on sheltered beaches.
Read the briefing →Portugal
EuropeNo local mosquito-borne disease on the mainland, but the day-biting tiger mosquito is spreading; Madeira has the dengue mosquito.
Read the briefing →Singapore
AsiaDengue near multi-year lows, helped by Wolbachia mosquito releases, and no malaria; bring repellent for the Botanic Gardens and Sentosa trails.
Quick briefing →New Zealand
OceaniaNo mosquito-borne disease, but Milford Sound and West Coast sandflies are legendary. Cover up and pack repellent for Dec–Apr trips.
Quick briefing →Ireland
EuropeThe biter in Connemara and Kerry is the midge, not a mosquito; there is no mosquito-borne disease, but hillwalkers should check for ticks.
Read the briefing →Japan
AsiaSummer brings day-biting tiger mosquitoes to Tokyo and Kyoto parks and shrines, but disease risk is minimal; JE matters only rurally.
Quick briefing →United Kingdom
EuropeNo mosquito-borne disease, but Highland midges swarm Skye and Glencoe on still summer days, and Highland ticks carry Lyme disease.
Quick briefing →Bermuda
North AmericaThe CDC lists no dengue here (two cases in 2026, origin unstated); summer mosquitoes are light thanks to sea breezes, with bites on still August evenings.
Quick briefing →Iceland
EuropeNearly bite-free, but Lake Mývatn's midge swarms (mostly non-biters) and the Laxá river's black flies (biters) peak in summer; first mosquitoes found in 2025.
Quick briefing →How we rate a destination
Each score describes a typical trip to the main tourist areas in the season shown on the card: December–April for most Caribbean, Latin American and southern-hemisphere trips, June–September for Europe and Canada, and a year-round view for tropical destinations Americans visit in every month. Data as of October 2026. Disease risk follows CDC travel notices, PAHO and national surveillance data. Bite nuisance comes from what biting insects do in practice, informed by traveler reports. Where the CDC recommends malaria pills or a vaccine for part of a country, the briefing says so separately and names the areas.
- Negligible: no relevant local transmission
- Low: sporadic dengue, no current notice
- Moderate: dengue present year-round at normal levels
- Elevated: an active CDC Level 2 notice, clearly above-normal activity in tourist areas, or CDC malaria pills for commonly visited areas
- High: documented outbreaks of several diseases in the main tourist areas
- Hardly any bites
- Occasional
- Noticeable at dawn, dusk or in certain spots
- Annoying: repellent is essential at the beach or in the evening
- Notorious: can spoil beach time
This index summarizes public-health guidance and is not medical advice. For malaria prevention and vaccines, see a travel medicine clinic 4–6 weeks before departure.