Yap's 2007 Zika outbreak made history. Low-level dengue is what to plan for now.
- No CDC travel notice for mosquito-borne disease
There is no malaria in the Federated States of Micronesia. Dengue circulates at low levels, with cases confirmed in Chuuk in early 2026, so Chuuk Lagoon's wreck divers and Pohnpei's visitors need daytime repellent on land and a sealed room at night.
Are there mosquitoes in Micronesia? Yes. The Federated States of Micronesia has day-biting Aedes mosquitoes and dengue that circulates at low levels, and in 2007 Yap had the first Zika outbreak ever detected outside Africa and Asia. There is no malaria, so for a Chuuk wreck-diving trip or a visit to Pohnpei's Nan Madol, the routine is repellent by day and a sealed room at night.
Yap's place in Zika history
In April 2007, doctors on Yap noticed an outbreak of rash, conjunctivitis and joint pain. A rapid test first pointed to dengue. In June, CDC laboratory testing identified Zika virus, the first Zika outbreak detected outside Africa and Asia, as CDC's Emerging Infectious Diseases journal reported in 2008 and 2009. Aedes hensilii was the main mosquito on Yap during the outbreak, though no virus was found in mosquitoes, and a medical volunteer fell ill with Zika after returning to the United States.
Today CDC lists the country among areas with current or past Zika transmission and no outbreak. For those areas it tells pregnant travelers to "Talk to a health care provider about potential risks. If you decide to travel, prevent mosquito bites and sexual exposure to Zika."
Dengue, Chuuk and the wreck divers
Dengue circulates at low levels with occasional clusters, and dengue cases were confirmed in Chuuk in early 2026, regional Pacific health alerts reported. The World Health Organization's Pacific surveillance showed small rises in weekly dengue-like illness reports in May and early June 2026, and its charts have no FSM figures after early June. There is no CDC travel notice, and the country isn't on CDC's global dengue list.
Chuuk Lagoon's WWII wrecks keep divers on the water through the day, so the bites wait on land. On Weno, rooms with louvered jalousie windows have a reputation for letting mosquitoes in at night. Keep them shut, run the air conditioning and use a bed net if the room is open to the air. On Pohnpei, the waterfall hikes and the mangrove channels around Nan Madol's basalt ruins tend to be buggier, so spray before you set out and wear light long sleeves. Everywhere, put repellent on over sunscreen in the morning, reapply after diving and again from late afternoon. Our dengue & Zika routine has the schedule.
CDC recommends no malaria medicine and no yellow fever vaccine, and the vaccine isn't required for entry. Leptospirosis is on CDC's page, so avoid floodwater and wading in fresh water or mud.
When to go
Rain falls all year, and Pohnpei has a reputation as one of the wettest places on Earth. WHO's five-year baseline for FSM usually peaks around September, with a smaller rise in August, and roughly January to July has been quieter. In 2026 the highest weekly counts came in scattered weeks from late February to early June. Divers come in every month, and the routine is the same in all of them.
Where you're going
How the four states compare across the year.
Chuuk Lagoon & Weno
WWII wreck diving by day and nights on Weno, where louvered rooms tend to let mosquitoes in. Dengue cases were confirmed in Chuuk in early 2026, so keep the daytime routine on land.
Pohnpei: Kolonia & Nan Madol
The capital island, rainy all year. Nan Madol's mangrove channels and the waterfall hikes tend to be buggier, so cover up and spray before you set out.
Yap
Manta dives and stone money, and the island of the 2007 Zika outbreak. Yap has no recent dengue figures of its own, so the same daytime habit covers it.
Kosrae
The least-visited of the four states, with no recent dengue figures or bite reports. Pack the same spray and keep the same habits.
Visiting Guam or Palau on the same trip? Our Guam and Palau briefings cover both, and our Marshall Islands briefing covers the 2026 outbreak in Majuro.
The Micronesia kit
- Picaridin 20% travel sprays: odorless in the humidity, layers over sunscreen and quick to reapply after a dive. 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 two-week dive trip or a multi-island route.
- A travel bed net for rooms with louvered windows and no air conditioning.
One rule outlasts the trip. Any fever during or after your trip means a doctor visit, and you tell them you were in Micronesia and which islands, especially with headache, rash or body aches in the two weeks after you get home. Our after-bites guide covers the warning signs.
Traveler questions
Is there dengue in Micronesia right now?
At low levels, as far as recent reports show. Dengue cases were confirmed in Chuuk in early 2026, regional Pacific health alerts reported, and the World Health Organization's Pacific surveillance showed small rises in May and early June. WHO's charts have no FSM figures after early June, and there is no CDC travel notice. Use daytime repellent on land, especially on Weno and in Kolonia.
Is Zika still a concern on Yap?
CDC lists the Federated States of Micronesia, Yap included, as an area with current or past Zika transmission and no current outbreak. Yap's 2007 outbreak was the first detected outside Africa and Asia. If you're pregnant, CDC says to "Talk to a health care provider about potential risks. If you decide to travel, prevent mosquito bites and sexual exposure to Zika."
Will I get bitten on a Chuuk Lagoon dive trip?
Wreck-dive and liveaboard days are spent on the water, so most of the exposure comes on land, by day around Weno and at night in rooms that aren't sealed. Reapply repellent after each dive, keep louvered windows closed after dark and use a bed net in a room that's open to the air.
Do I need malaria pills or a yellow fever vaccine for Micronesia?
No. CDC lists no malaria for the Federated States of Micronesia and recommends no malaria medicine. The yellow fever vaccine isn't recommended, and it isn't required for entry.
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.