Manuel Antonio's mosquitoes stay mostly in the forest, and dengue is the one to plan around.
- CDC Level 2 Chikungunya in northwest Costa Rica (the map shades the coast around Quepos)
- CDC Level 1 Global dengue (Costa Rica listed)
- Travel clinic CDC recommends medicine or vaccines for some areas · which ones
The health region around Quepos has had some of Costa Rica's highest dengue rates in 2026, and the map for the CDC's chikungunya notice shades the central Pacific coast. December to April is the dry season, the CDC recommends no malaria medicine here, and the stings in the surf are blamed on sea lice.
Yes, mostly on the national park's shaded forest trails, with fewer on the open beach. Dengue is the one to plan around. The health region that includes Quepos has had some of Costa Rica's highest dengue rates in 2026, and the map for the CDC's chikungunya notice shades the coast around Quepos. Both viruses spread through a mosquito that bites by day.
Dengue and the chikungunya map
Costa Rica's dengue count rose sharply from May and is running above 2025, with DENV-3 the main type, according to the Pan American Health Organization. Costa Rica is also on the CDC's global dengue list. By August, the health ministry's Pacífico Central region, which covers Quepos, Parrita and Jacó, had the highest rate for its population in the country, according to press coverage of ministry data.
The CDC's Level 2 chikungunya notice, last reviewed July 30, 2026, describes an outbreak in northwest Costa Rica, and the CDC's map for the notice shades Puntarenas' central Pacific coast around Quepos, which takes in Jacó, Parrita and Manuel Antonio. Local transmission there has been light so far. PAHO counted 29 of Costa Rica's 539 lab-confirmed 2026 cases in Puntarenas province by mid-September. The CDC says "Vaccination is recommended for travelers who are visiting an area with a chikungunya outbreak," and it advises pregnant travelers to reconsider travel to the affected areas, particularly close to delivery.
What we suggest you do with this: ask a travel clinic about the chikungunya vaccine 4–6 weeks before departure, and bring your dates and full route. The CDC lists no malaria medicine for Puntarenas, so Manuel Antonio calls for bite precautions only; if the trip continues to Arenal or the Caribbean coast, raise malaria for those provinces. The CDC also has a Level 1 hepatitis A notice for Costa Rica, with most cases in San José province, so check that your hepatitis A vaccine is current.
Forest trails, surf and mangroves
The park's mosquitoes tend to stay in the shaded forest behind the beaches, and the open sand is usually milder. Morning visits timed for the park's opening overlap the dengue mosquito's first daily peak, so put repellent on over sunscreen before you go in, reapply after swimming and wear light long sleeves on the trails. Lowland humidity means more bites here than in the highlands.
The small stings some swimmers feel in the water are blamed on sea lice or tiny jellyfish. They aren't insect bites, and repellent won't prevent them. Biting midges, the dawn-and-dusk beach complaint in Guanacaste, come up far less here. The Damas Island mangroves north of Quepos are a likely spot for dusk mosquitoes, so wear long sleeves on a late boat tour.
The dry season helps
December to April is the dry season on the central Pacific coast, and residents report very few mosquitoes on the Pacific side from January to early April. Dengue was still running above 2025 in September, though, so early December may still see transmission, and in October 2026 PAHO warned of outbreaks outside the usual seasons as El Niño strengthens. Check whether the chikungunya notice is still active before you fly.
Where you're going
Scores are for a December–April trip.
Manuel Antonio National Park
Mosquitoes tend to be more common on the shaded forest trails than on the park beaches. Morning visits overlap the dengue mosquito's first daily peak, so put repellent on before you go in.
Playa Espadilla & the hillside hotels
The public beach and the hotels along the ridge road. Insect complaints are few, and the stings some swimmers feel are blamed on sea lice.
Quepos & Marina Pez Vela
Inside the shaded part of the CDC's chikungunya map, in the health region with the country's top dengue rate by August. Keep the daytime repellent habit in town.
Damas Island mangroves
Estuary boat tours north of Quepos. Likely buggier at dusk, so wear long sleeves and fresh repellent on a late-afternoon trip.
The Costa Rica briefing covers the whole loop, and our Arenal and Guanacaste briefings cover the volcano and the northern beaches.
The Manuel Antonio 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.
- Permethrin 0.5% for a trail shirt: treat a light long-sleeved shirt and trousers at home 48 hours before you fly. Treated fabric repels and kills mosquitoes on contact through several washes. It goes on clothing, never on skin.
What travelers report
Paraphrased from TripAdvisor threads and linked so you can read them in full. None gives a year or a month, so read them as the general picture.
- Manuel Antonio
A traveler got only a handful of mosquito bites on a six-day Manuel Antonio trip and then came down with dengue. Forum members stressed using repellent, noting that dengue mosquitoes bite in the daytime and are most active around dusk. TripAdvisor ↗
- Manuel Antonio National Park
In a thread titled 'Mud, Mosquitoes and Monkeys', a poster said mosquitoes are more common in the shaded forest than on the beach. TripAdvisor ↗
- Manuel Antonio beaches
Visitors described small, painful stings while swimming. Posters put them down to sea lice or tiny jellyfish and said they are usually minor, though they can hurt more for children. TripAdvisor ↗
One rule outlasts the trip. Any fever or joint pain during or after the trip means a doctor visit, and you tell the doctor you were in Quepos, Costa Rica. If you were bitten, bitten in a dengue zone covers what to watch for.
Traveler questions
Is Manuel Antonio inside the chikungunya notice?
The notice text describes an outbreak in northwest Costa Rica, and the CDC's map for it shades Puntarenas' central Pacific coast around Quepos, Manuel Antonio included. Transmission in Puntarenas province has been light, with 29 lab-confirmed cases by mid-September 2026, by PAHO's count. The CDC recommends vaccination for travelers visiting an outbreak area, so ask a travel clinic whether it fits your trip, and check the notice again the week before you fly.
Do I need malaria pills for Manuel Antonio?
The CDC recommends none for Manuel Antonio or Quepos. It lists malaria prevention medicine only for Alajuela and Limón provinces and advises bite precautions alone for the rest of the country, Puntarenas included. If your route adds Arenal or the Caribbean coast, see a travel clinic 4–6 weeks before departure.
What stings swimmers at Manuel Antonio?
Posters blame the small, painful stings some swimmers feel on sea lice or tiny jellyfish. They're usually minor, though they can hurt more for children. They aren't insect bites, and repellent won't prevent them. Reapply repellent after swimming anyway, for the mosquitoes on land.
Is it safe to visit Manuel Antonio while pregnant?
The CDC advises pregnant travelers to reconsider travel to the areas affected by its chikungunya notice, particularly close to delivery, and its map shades the coast around Quepos. Costa Rica is also on the CDC's Zika risk map. Talk to a healthcare provider before you book, and check whether the notice is still active.
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 Travel Health Notice
- CDC Travelers' Health
- CDC destination page for travelers
- CDC Travel Health Notice
- CDC Travel Health Notice
- Pan American Health Organization (PAHO)
- Pan American Health Organization (PAHO)
- Health authority (ministeriodesalud.go.cr)
- Health authority (ministeriodesalud.go.cr)
- Health authority (ministeriodesalud.go.cr)
- delfino.cr
- CDC Travel Health Notice
- delfino.cr
- Health authority (ministeriodesalud.go.cr)
- European Centre for Disease Prevention and Control
- Health authority (ministeriodesalud.go.cr)
- infobae.com
- CDC: chikungunya
- CDC: zika
- CDC: zika
- CDC Travel Health Notice
- CDC Yellow Book (earlier edition)
- crhoy.com
- CDC Yellow Book 2026