Egypt is malaria-free. The Red Sea has a dengue footnote.
The World Health Organization certified Egypt malaria-free in 2024, and Cairo and the Nile Valley tourist sites have no documented dengue outbreaks. The Red Sea coast and Upper Egypt saw dengue in 2023 and 2024, and Nile evenings bring mosquitoes to cruise decks.
Are there mosquitoes in Egypt? Yes, mostly in the evening along the Nile and in some Red Sea hotels, and the World Health Organization certified the country malaria-free in October 2024. The disease to know about is dengue, which broke out on the Red Sea coast and in Upper Egypt in 2023 and reached travelers in Sharm el-Sheikh in 2024.
No malaria, and dengue on the Red Sea
Malaria is off the list. WHO's certification on October 20, 2024, followed at least three consecutive years without local transmission, and the CDC's Egypt page recommends no malaria medicine.
Dengue is a different story. WHO counts Egypt among nine dengue-endemic countries in its Eastern Mediterranean Region, and recent outbreaks have clustered on the Red Sea and in Upper Egypt. In July 2023 the health ministry confirmed dengue in Al-Aliqat, a village in Qena, with all cases mild and treated at home, and linked some patients to cases in Safaga and Quseir on the coast. The same year, a rise in German travelers coming home with dengue revealed an outbreak in Hurghada. El-Quseir had an earlier one in 2017.
In 2024 dengue reached Sharm el-Sheikh. A report in the CDC's Emerging Infectious Diseases journal, published in November 2025, describes four infections in Israeli travelers who visited the resort between April and June 2024, likely from one outbreak, in a desert town once thought unsuitable for the mosquito. The report says Aedes aegypti, the main dengue mosquito, has spread along Egypt's Red Sea coast, and suggests ferries from Hurghada may have carried the virus across. Whether dengue kept circulating on the coast after 2024 isn't known.
Aedes bites by day, with peaks after sunrise and in the late afternoon. On the Red Sea, put repellent on over sunscreen in the morning and again after a swim. Our dengue & Zika daily routine has the full schedule.
Nile evenings: decks, terraces and feluccas
Along the Nile, mosquitoes are an evening thing. They tend to come out on cruise decks and riverside terraces in Luxor and Aswan from dusk into the late evening, more in spring and summer, though many cruisers report no problem at all. Black flies, which bite by day near running water, are the other river nuisance, and some felucca passengers blame midges or sand flies for bites on their ankles. Our sand fly guide explains those tiny ankle biters.
Put repellent on before dinner on deck, wear light long sleeves and trousers for evenings by the river, and keep the cabin or balcony door closed with the lights off. Hurghada hotel rooms with open balcony doors draw mosquito complaints too, so the same habit applies on the Red Sea. The CDC's Egypt page also lists leishmaniasis, spread by sand flies that bite from dusk to dawn, and the evening routine covers it.
When to go
October to April, the cooler main tourist season, tends to be the lower-bite stretch. Late spring and summer are hotter, and they are when the recent dengue cases with known dates occurred, the Qena outbreak in July 2023 and the Sharm el-Sheikh infections in April–June 2024. Keep the same routine in every month, and be strictest from spring through summer on the Red Sea.
Where you're going
Here is how the main stops compare.
Cairo & Giza
No malaria and no documented dengue outbreaks. Mosquitoes in hotel rooms at night are the usual complaint, so keep windows shut and the air-conditioning on.
Luxor, Aswan & the Nile cruise
Evening mosquitoes and black flies on deck and on riverside terraces; air-conditioned cabins help. The 2023 Qena dengue outbreak was in a village between Luxor and the Red Sea, away from the tourist sites.
Hurghada & Marsa Alam
Dengue broke out in Hurghada in 2023 and in El-Quseir in 2017, and the dengue mosquito is established on this coast. Wear repellent by day and keep the balcony door closed in the evening.
Sharm el-Sheikh
Travelers caught dengue here in April–June 2024, in a desert resort once thought unsuitable for the dengue mosquito. Repellent by day as well as in the evening.
The Egypt kit
- Picaridin 20% travel sprays: odorless, layers over sunscreen on the Red Sea and goes on fast before dinner on deck. One 3.4 oz bottle covers about a week of daily use for one person.
- A full-size backup in the checked bag for a cruise plus a beach week, or a family.
- Light long sleeves and trousers for evenings on deck and riverside terraces.
What travelers report
Paraphrased from TripAdvisor threads and hotel reviews, newest first, and linked so you can read them in full. The season, your room and whether the balcony door stays shut change the picture.
- Caves Beach Resort, Hurghada · November · 2025
A November 2025 guest got only one bite each but noticed other guests with many bites. TripAdvisor ↗
- Hilton Hurghada Plaza · June · 2024
A June 2024 guest counted 57 bites on their legs alone and suggested the hotel warn guests about mosquitoes. TripAdvisor ↗
- El Karma Aqua Beach Resort, Hurghada · October · 2021
An October 2021 reviewer titled the review 'Serious Mosquito problems' and warned that mosquitoes get into the room if the balcony or main door is left open. TripAdvisor ↗
- Nile dahabiya cruise · October and spring
Planning an October dahabiya trip, a traveler asked about insects. One reply said the only mildly annoying insects were mosquitoes in the mid-to-late evening on spring visits, another named black flies as the bigger nuisance, and a third said there are very few mosquitoes most of the year. TripAdvisor ↗
One rule outlasts the trip. Any fever during or after your trip means a doctor visit, and you tell them you were in Egypt, especially if it comes with a rash or body aches.
Traveler questions
Do I need malaria pills for Egypt?
The CDC recommends no malaria medicine for Egypt. The World Health Organization certified the country malaria-free on October 20, 2024, after at least three consecutive years without local transmission. That covers Cairo, the Nile cruise and the Red Sea resorts alike.
Is there dengue in Hurghada or Sharm el-Sheikh?
There has been. Dengue broke out in Hurghada in 2023, and a report in the CDC's Emerging Infectious Diseases journal describes four travelers infected in Sharm el-Sheikh in April–June 2024. Whether it kept circulating on the coast after 2024 isn't known. The dengue mosquito bites by day, so on the Red Sea wear repellent in daylight, over sunscreen, and reapply after swimming.
Are there mosquitoes on a Nile cruise?
Often in the evening, on deck and on riverside terraces in Luxor and Aswan, and they tend to be worse in spring and summer. Plenty of cruisers report no trouble at all. Repellent before dinner, light long sleeves and a closed cabin door with the lights off handle most of it.
Do I need a yellow fever vaccine for Egypt?
No. The CDC doesn't recommend it, and it isn't required when you fly in directly from the US. Egypt does require proof of vaccination from travelers 9 months or older arriving from a country with yellow fever risk, including airport layovers of more than 12 hours in one, so check the rule if your route passes through such a country.
Sources
Health authorities, surveillance reports and news coverage of official bulletins used for this briefing, last checked October 2026. Traveler reports are linked where they appear. This page summarizes public-health guidance and is not medical advice.
- CDC destination page for travelers
- CDC Emerging Infectious Diseases journal
- english.ahram.org.eg
- english.ahram.org.eg
- egyptianstreets.com
- doi.org
- doi.org
- World Health Organization
- European Centre for Disease Prevention and Control
- CDC Travelers' Health
- World Health Organization
- World Health Organization