Israel has no malaria. Its summer mosquito issue is West Nile.
Israel's largest West Nile outbreak on record came in 2024, centered on central Israel and Tel Aviv, and the Culex mosquitoes that spread it bite in the evening from June to October. A summer trip calls for an evening repellent habit, and a November–April trip mostly skips the question. Sand flies in the desert and the Galilee are the second thing to know.
Yes, and in summer they matter. Israel's Culex mosquitoes spread West Nile virus, endemic there since 1951, and 2024 brought the largest outbreak on record, centered on central Israel and Tel Aviv. There is no malaria or dengue, bites tend to be rare from November to April, and the other biter to know is the sand fly, which spreads a skin infection in the desert south and the Galilee.
West Nile: an evening habit for summer
West Nile cases in Israel usually run from June to October and peak in August, according to a 2024 Eurosurveillance report. The 2024 season started unusually early, after a hot spring. By June 30, 125 cases had been diagnosed, against an average of 4 in June over 2014–2023, and all of them lived in central Israel. For the full year, Ministry of Health virology laboratory researchers counted 934 cases, and a Rabin Medical Center study counted about 72 deaths.
Since then the numbers have been far smaller. Press coverage described 2025 as quiet, with only a handful of cases. In 2026 the first case, a Tel Aviv resident, was announced on July 16. By about August 19, press reports citing the Health and Environmental Protection ministries counted 17 cases and at least one death, and infected mosquitoes had turned up at Ben Gurion Airport and elsewhere in central and southern Israel.
Culex mosquitoes bite mostly in the evening and at night. From June to October, put picaridin 20%, DEET 20–30% or oil of lemon eucalyptus 30% on exposed skin before an evening on the Tel Aviv promenade or a terrace dinner on the coastal plain, and sleep in an air-conditioned room with screens. Older travelers and anyone with a weakened immune system face the highest risk of severe illness. Forum posters tend to call Tel Aviv's biting mild, and some blame beach bites on midges, which our sand fly guide explains.
Sand flies in the desert and the Galilee
The CDC's Israel page lists leishmaniasis, spread by sand fly bites. A nationwide study counted 4,168 cases of cutaneous leishmaniasis from 2017 to 2022, about 700 a year. Of those, 84% were Leishmania major, endemic in the Negev and the Arava in the south, and 14% were Leishmania tropica, found in central Israel east of Tel Aviv and in the Galilee. Researchers have also found new urban foci in Tiberias, Yeruham and Ofakim.
Sand flies bite from dusk to dawn and tend to be a warm-season problem. For hikers, desert campers and anyone sleeping at the Dead Sea or in the Galilee, the risk on a short stay tends to be low, though not zero. Cover up after dark, sleep in a screened, air-conditioned room and treat clothes with permethrin for a desert camp.
When to go
November to April is the easy half of the year, with West Nile essentially absent and mosquito bites tending to be rare in Tel Aviv and Jerusalem. The season usually starts in June, earlier after a hot spring such as 2024's. July to September is the hardest stretch, peaking in August, and October is the tail end.
Where you're going
How the main stops compare.
Tel Aviv-Yafo
The center of Israel's West Nile activity. The first case of 2026 was a Tel Aviv resident, so from June to October put repellent on before the beach promenade or a terrace dinner.
Jerusalem
No West Nile or leishmaniasis figures single out Jerusalem, though the national summer season applies. Bites tend to be few, and fewer still in winter.
Dead Sea, Negev & Arava
Leishmania major is endemic in the Negev and Arava, spread by sand flies that bite from dusk to dawn. For a night at Masada, Ein Gedi or a desert camp, cover up after dark and pick a screened, air-conditioned room.
Tiberias & the Galilee
Leishmania tropica is endemic in the Galilee, and researchers found a new urban focus in Tiberias. Summer evenings by the Sea of Galilee also fall in the West Nile season.
Adding Egypt? Our Egypt briefing covers the Nile and the Red Sea.
The Israel kit
- Picaridin 20% travel sprays: odorless and light on the skin for a warm evening on the promenade, in a 3.4 oz size that rides in a carry-on.
- Permethrin 0.5% for desert-night clothes: treat a long-sleeved shirt, trousers and socks at home 48 hours before you fly if a Negev camp or a Dead Sea night is on the plan. It goes on clothing, never on skin.
What travelers report
Paraphrased from a TripAdvisor thread and linked so you can read it in full. It isn't dated, and bites on the Tel Aviv beach depend on the month and the hour.
- Tel Aviv beach · night
A visitor asked about bites after sitting on the beach at night. A reply said they were most likely from Culex mosquitoes, harmless apart from the itch, and judged the chance of leishmaniasis to be close to zero. TripAdvisor ↗
Two last notes. The CDC's Level 2 Global Polio notice, updated September 23, 2026, lists Israel, and the CDC advises being up to date on polio vaccination before any international trip. And any fever during or after your trip means a doctor visit, and you tell them you were in Israel. That includes a fever with headache or confusion after a summer trip, and a skin sore that hasn't healed weeks later.
Traveler questions
Is West Nile a risk in Tel Aviv?
In summer, yes. All the early cases of the record 2024 outbreak lived in central Israel, and the first case of 2026 was a Tel Aviv resident. Cases usually run from June to October and peak in August. The Culex mosquitoes that spread West Nile bite in the evening and at night, so repellent before an evening on the beach or a terrace dinner, plus a screened, air-conditioned room, covers it. From November to April, transmission is essentially absent.
Do I need malaria pills or a yellow fever vaccine for Israel?
No. The CDC's Israel page lists no malaria and no malaria medicine. It doesn't recommend the yellow fever vaccine, and Israel doesn't require it for entry. Dengue, chikungunya and Zika aren't listed for Israel either.
Should I worry about sand flies at the Dead Sea or in the Negev?
Take simple precautions. Sand flies spread cutaneous leishmaniasis, and the Leishmania major form is endemic in the Negev and the Arava, with older research covering the Dead Sea area too. They bite from dusk to dawn. Cover up after dark, sleep in a screened, air-conditioned room and treat your clothes with permethrin for a desert camp. The risk on a short stay tends to be low, though not zero.
What's the best time to visit Israel for fewer mosquitoes?
November to April. West Nile transmission is essentially absent in those months, and bites tend to be rare in Tel Aviv and Jerusalem. July to September is the peak of the West Nile season, especially in central Israel, and a hot spring can start it early, as in 2024.
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
- Peer-reviewed study (PubMed Central)
- Peer-reviewed study (PubMed Central)
- Peer-reviewed study (PubMed Central)
- ground.news
- thestar.com.my
- thestar.com.my
- minutemirror.com.pk
- i24news.tv
- Peer-reviewed study (PubMed Central)
- Peer-reviewed study (PubMed Central)
- CDC Travel Health Notice