The CDC reports no malaria in Manila. Dengue is the one to plan for, especially on a family visit.
- Travel clinic CDC recommends medicine or vaccines for some areas · which ones
- No CDC travel notice for mosquito-borne disease
A connection through NAIA needs nothing extra, since the CDC reports no malaria transmission in metropolitan Manila. Dengue is endemic and bites by day, and 2026 has been far quieter than 2025, when Quezon City declared an outbreak in February. Staying with family means more exposure than a hotel trip.
Yes. Manila has the day-biting Aedes mosquito that spreads dengue, and in February 2025 Quezon City, part of Metro Manila, declared a dengue outbreak. The CDC reports no malaria in metropolitan Manila, so a layover needs nothing extra. Most bites come outdoors and in homes without screens, which makes a family stay different from a hotel trip. Our Philippines briefing covers the rest of the country.
Dengue: a quiet year after a big one
Quezon City declared a dengue outbreak on February 15, 2025, after counting nearly three times as many cases in the first six weeks of the year as a year earlier. This year has been much quieter. By early August 2026, Quezon City's count was roughly half of the same period in 2025, with children 10 and under the most affected, according to press reports of city figures. Nationally, the health department reported roughly 40% fewer cases from January to August 2026.
The mosquito breeds in water containers around homes and bites in daylight, with peaks after sunrise and in the late afternoon. Put repellent on over sunscreen in the morning and late afternoon, and sleep in an air-conditioned or screened room. Our dengue & Zika routine has the full schedule.
Layovers and hotel stays
The CDC's Philippines page reports "No malaria transmission in metropolitan Manila (the capital) or other urban areas," and says Japanese encephalitis vaccine is "Not recommended for travelers planning short-term travel to urban areas." A connection spent airside or in an NAIA airport hotel means little dengue exposure, so carry repellent only for daytime trips out.
On a hotel trip, bites mostly come outdoors, around Intramuros and in Makati's open-air strolling areas. Continuing to Palawan, Siargao or elsewhere in Mindanao? The CDC recommends malaria medicine there, so see a travel clinic 4–6 weeks before departure.
Staying with family
A visit home usually means more exposure than a hotel trip. Houses with open windows, water drums, pails, potted plants and no screens are where the dengue mosquito breeds and bites, and growing up in the Philippines doesn't make you immune. You can catch dengue more than once, and a second infection can be more severe than the first.
Before a longer visit. See a travel clinic 4–6 weeks before departure. The CDC recommends Japanese encephalitis vaccine for "a month or more" in areas with the disease and suggests considering it for shorter stays with trips to rural areas or nights without air conditioning, screens or bed nets. It says chikungunya vaccine "may be considered" for stays of 6 months or more. The same visit can cover routine shots and rabies.
Use repellent on children too; our guide for babies and kids covers what's safe at each age. Help empty or cover water drums, pails and plant saucers around the house. The CDC's page also warns of leptospirosis after floods and of counterfeit rabies vaccines, so stay out of floodwater and take any dog bite to a major hospital.
When to go
Manila's dry season runs roughly December to May, and January to April tends to be the easiest stretch. Rain, typhoons and street flooding come roughly June to November, worst from July to October. Dengue usually builds through the rains, though the 2025 wave peaked early, in February. Many family visits fall around Christmas, in the drier months.
Where you're going
NAIA airport & Pasay (layovers)
Transit passengers mostly stay airside or in sealed airport hotels. The CDC reports no malaria in metropolitan Manila, and a short layover means little dengue exposure, so carry repellent only for daytime trips out.
Intramuros & Rizal Park
The walled Spanish-era city and the bayside park beside it, seen on foot in the dengue mosquito's daytime hours. Puddles and standing water tend to bring bites, so put repellent on before the walk.
Makati & BGC
Business districts with most of the international hotels, where air-conditioned towers and malls keep exposure low. Open-air strolling areas still bite, so carry repellent.
Quezon City
Metro Manila's largest city and the setting of many family visits. Its 2026 count ran at roughly half of 2025's by August, and homes without screens are where most of the exposure is.
Continuing to the islands? Our Boracay and Cebu & Bohol briefings cover two popular stops outside the CDC's malaria listing.
The Manila kit
- Picaridin 20% travel sprays: odorless in the heat and layers over sunscreen. 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 longer stay or a family. In a room without screens, a bed net or a plug-in helps too.
What travelers report
Paraphrased from TripAdvisor threads and reviews and linked so you can read them in full. Only the Makati thread is dated (2025), and bites vary with the season, the neighborhood and where you stay.
- Makati · August · 2025
Asked about mosquitoes in Makati in August, a poster said Makati has a lower propensity for mosquitoes and dengue than other parts of Metro Manila, but that the risk is not zero. TripAdvisor ↗
- Circuit Lane, Makati
In a review titled 'Strolling & Insect Bites', a visitor warned others to expect a lot of mosquito bites and flies. TripAdvisor ↗
- Intramuros, Manila
A reviewer said they had to escape the mosquitoes while walking Intramuros and described pools of dirty water along the way. TripAdvisor ↗
One rule outlasts the trip. Any fever during or within two weeks after your trip means a doctor visit, and you tell them you were in the Philippines. Until dengue is ruled out, take acetaminophen (paracetamol) rather than ibuprofen or aspirin.
Traveler questions
Do I need malaria pills or vaccines for a Manila layover?
The CDC reports "No malaria transmission in metropolitan Manila (the capital) or other urban areas," an airport transit included, and says Japanese encephalitis vaccine is "Not recommended for travelers planning short-term travel to urban areas." Yellow fever vaccine isn't required when you fly from the US. If your connection continues to Palawan, Siargao or elsewhere in Mindanao, where the CDC does recommend malaria medicine, see a travel clinic 4–6 weeks before departure.
I'm visiting family in Manila. What should I do differently?
Plan for more exposure than a hotel trip, since homes without screens and with water drums, pails and potted plants are where the dengue mosquito breeds. Before a longer visit, see a travel clinic 4–6 weeks ahead. The CDC recommends Japanese encephalitis vaccine for stays of a month or more and suggests considering it for shorter stays with rural trips or unscreened nights. Growing up in the Philippines doesn't protect you, because dengue can strike more than once. Use repellent on the children too, and help empty or cover standing water around the house.
Is dengue bad in Manila right now?
It's a quieter year. Quezon City's count by early August 2026 was roughly half of the same period in 2025, according to press reports of city figures, and nationally the health department reported roughly 40% fewer cases from January to August. That follows a heavy 2025, when Quezon City declared an outbreak on February 15. The Philippines has no CDC travel notice. The mosquito bites by day, so the morning repellent habit still applies.
Which parts of Manila have the most mosquitoes?
Older and greener outdoor areas tend to bite more. Travelers describe bites while walking Intramuros and in Makati's open-air strolling areas, while air-conditioned malls, hotels, BGC's towers and the airport terminals see few. Homes without screens see the most, which is why a family visit calls for a stronger routine.
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 Travel Health Notice
- newsinfo.inquirer.net
- gmanetwork.com
- gmanetwork.com
- tribune.net.ph
- tribune.net.ph
- dzrh.com.ph
- magzter.com
- sunstar.com.ph
- World Health Organization
- ddc.moph.go.th
- sunstar.com.ph
- tribune.net.ph
- sunstar.com.ph
- newsinfo.inquirer.net
- mb.com.ph
- newsinfo.inquirer.net
- outbreaknewstoday.substack.com