Mosquito-Borne Diseases in the U.S.: What Homeowners Should Know

If you are reading because someone in your home has a fever after a lot of bites, read the symptoms section first and call a clinician if anything there matches. The goal is a clear picture, not a scary one: for most households, mosquito-borne disease is a low but real risk that responds well to simple, consistent habits. The facts here follow what the Centers for Disease Control and Prevention and state health departments publish. S., which mosquitoes carry what, what symptoms deserve a call to a doctor, and what you can do around the house that makes a real difference. A small number, though, transmit viruses or parasites, and every summer a handful of headlines about West Nile virus or Eastern equine encephalitis remind homeowners that the mosquitoes in their own yard can matter. Most mosquito bites in the United States are an itchy nuisance and nothing more.

Several mosquitoes standing on the surface of dark, leaf-flecked water in a plastic tub
The short version

In the continental United States, West Nile virus is the mosquito-borne illness most people are likely to encounter, followed by rarer but more serious viruses such as Eastern equine encephalitis, La Crosse, and St. Louis encephalitis. Dengue, Zika, and chikungunya are mostly picked up while traveling, with limited local spread in warm states, and heartworm is the mosquito-borne disease that matters most for dogs. Your risk drops meaningfully when you remove standing water from your yard every week, keep screens intact, use an EPA-registered repellent outdoors, and keep pets on year-round heartworm prevention.

  • Most people bitten by an infected mosquito never get sick, but a small share develop serious neurologic illness.
  • Different mosquitoes carry different diseases: Culex spread West Nile and St. Louis encephalitis, Aedes spread dengue, Zika, chikungunya, and La Crosse.
  • Dengue, Zika, and chikungunya in the U.S. are mainly travel-related, with occasional local transmission in Florida, Texas, and a few other warm states.
  • Fever with severe headache, stiff neck, confusion, or weakness after mosquito exposure is a reason to seek medical care promptly.
  • Weekly water dumping, intact screens, EPA-registered repellent, and year-round heartworm preventive for dogs do most of the risk reduction.

For homeowners and renters who want to understand the actual disease risk from mosquitoes where they live, parents of young children in the Midwest and Appalachian states where La Crosse virus circulates, dog owners deciding on heartworm prevention, people planning travel to tropical regions, and anyone in Florida, Texas, or other warm states who has seen news of local dengue cases and wants to know what that means for their yard and family.

What to look for

Knowing which mosquito is biting you tells you where the water is and which disease, if any, is a realistic concern. Aedes aegypti and Aedes albopictus, the daytime biters that breed in anything holding a few tablespoons of rainwater, are the ones that spread dengue and its relatives. Culex mosquitoes that breed in stagnant, organically rich water such as clogged gutters, neglected pools, and catch basins are the main West Nile vectors. This is why the mosquitoes in your yard are not all equally worrying. Dengue, Zika, and chikungunya are different: people are the main reservoir, so the virus has to arrive in an infected traveler before local Aedes mosquitoes can pick it up and pass it on. La Crosse virus cycles between the eastern treehole mosquito and small mammals such as chipmunks and squirrels. Louis encephalitis, and Eastern equine encephalitis, that first meal comes from a bird, which is why these viruses build up over the summer as bird and mosquito populations grow and why human cases peak from late July through September. For West Nile, St. A mosquito is only a threat if it has first fed on an infected animal or person and then lives long enough to bite again.

  • Daytime bites around ankles and legs point to Aedes mosquitoes nearby.
  • Heavy biting at dusk and dawn suggests Culex breeding in stagnant water.
  • Wriggling larvae visible in buckets, saucers, gutters, or birdbaths.
  • Dead birds, especially crows and jays, during summer in your area.
  • Local health department notices of positive mosquito pools or sentinel chickens.
  • Neighborhood horse or pet cases of EEE or West Nile reported.
  • Standing water that persists more than a week after rain.
  • Mosquitoes indoors despite closed windows, indicating torn screens or gaps.

Why it’s worth acting soon

  • Container-breeding Aedes populations build quickly, and each generation can be infected if a virus is circulating.
  • Untreated stagnant water near the house keeps Culex numbers high through the West Nile peak in late summer.
  • Dogs without preventive can acquire heartworm from a single infected bite, and treatment is costly and hard on the animal.
  • Neurologic mosquito-borne infections progress over days, so delaying medical care when warning symptoms appear can worsen outcomes.
  • In areas with local dengue transmission, an untreated yard can contribute to a neighborhood cluster.
bite, to get protein for their eggsOnly female mosquitoesUS CDC
in standing water, from a bottle cap to a pondMosquitoes breedUS EPA
West Nile virus is the most common mosquito-borne disease in the U.S.Mosquito diseasesUS CDC

Treatment options and typical costs

EPA-registered insect repellent

$5–$15 per bottle

Products containing DEET, picaridin, IR3535, oil of lemon eucalyptus (PMD), or 2-undecanone are registered with the EPA for effectiveness and safety when used as directed. Apply to exposed skin after sunscreen. CDC advises against oil of lemon eucalyptus for children under three and against DEET for infants under two months.

Time
Several hours per application, per label
Best for
Everyone outdoors during mosquito season, especially dusk and dawn

Permethrin-treated clothing and gear

$10–$20 for treatment spray; $25–$60 for pretreated garments

Permethrin is applied to fabric, not skin, and kills or repels mosquitoes and ticks that land on treated clothing. Pretreated shirts, pants, and socks are sold at outdoor retailers.

Time
Roughly six washes for spray treatment; longer for factory-treated clothing
Best for
Gardeners, hikers, campers, and anyone working outside daily

Weekly source reduction plus larvicide

$10–$25 for a pack of Bti dunks or granules

Tip, toss, or scrub anything that holds water once a week, since Aedes eggs hatch in days. For water you cannot drain, such as rain barrels, ponds, and low spots, Bti (Bacillus thuringiensis israelensis) kills larvae without harming pets, birds, or fish.

Time
Dunks last about 30 days in standing water
Best for
Every yard; the foundation of all mosquito control

Window screens, doors, and air conditioning

$10–$30 per screen for DIY repair; $50–$150 professional rescreening

Intact 18-by-16 mesh screens on every window and door, plus door sweeps, keep mosquitoes from following you inside. This matters most in warm states where Aedes aegypti lives close to homes.

Time
Years, with periodic inspection
Best for
Keeping Aedes and Culex out of bedrooms and living areas

Professional yard barrier treatment

$75–$150 per visit; $350–$700 per season

A technician applies a residual insecticide, usually a pyrethroid, to shaded foliage, under decks, and other resting sites, and may treat standing water with larvicide. It reduces adult numbers on the property but does not replace weekly water removal or repellent, and it cannot control mosquitoes flying in from neighboring yards.

Time
About three to four weeks per application
Best for
Heavily wooded or shaded lots with persistent biting after source reduction

Prices are typical published ranges. Ask what’s included before you compare quotes.

A white downspout at the base of a house buried in a pile of wet fallen leaves
Leaf-clogged gutters and downspouts hold water out of sight. Clearing them in fall means fewer places to breed in spring.

The four native viruses: West Nile, EEE, La Crosse, and St. Louis encephalitis.

Other species that bite both birds and mammals occasionally carry it to horses and people. Eastern equine encephalitis shares the bird-mosquito cycle but lives in freshwater hardwood swamps, where the mosquito Culiseta melanura keeps it circulating among birds. There is no human vaccine and no specific antiviral, so care is supportive. About eight in ten infected people never notice, most of the rest have a flu-like illness with fever, headache, body aches, and sometimes a rash, and a small minority, more often older adults and people with weakened immune systems, develop meningitis, encephalitis, or a polio-like paralysis. Birds are the reservoir, and the virus amplifies in bird and mosquito populations through the summer, which is why most human cases are reported from July through September. Its main carriers are Culex mosquitoes, with different species dominant in the North, South, and West. West Nile virus arrived in New York in 1999 and has since been detected in every state in the continental U.S. Louis encephalitis, spread by the same Culex species as West Nile, causes sporadic cases and occasional outbreaks in central and southern states, with older adults at the highest risk of severe disease. St. Old tires and tree holes near the house are the classic breeding sites. It is carried by the eastern treehole mosquito, cycles through chipmunks and squirrels, and mainly affects children in the Appalachian region and upper Midwest. La Crosse virus is a different story. Human cases are rare, but the disease is severe, with a high fatality rate among those who develop encephalitis and frequent long-term disability in survivors.

mosquitoes activity by season.

In Mosquito Borne Diseases, checking the foundation, gaps around doors and windows, and any moisture or clutter near the structure usually turns up the conditions that are letting them in. The most useful first step in Mosquito Borne Diseases is to note where you have seen mosquitoes and when they appear, because that timeline is what lets a provider focus on the right area instead of treating the whole property. Scheduling before the busy stretch, rather than after it, tends to mean faster service and a more accurate quote, and a local provider can point out the conditions that matter most in Mosquito Borne Diseases.

A gloved hand shining a flashlight along the threshold and weatherstrip at the bottom of a front door
Mosquitoes that bite indoors usually slip in through gaps around doors or torn window screens.

Dengue, Zika, chikungunya, and malaria: mostly imported, sometimes local.

Dengue usually causes high fever, severe headache, pain behind the eyes, muscle and joint pain, and rash. Puerto Rico and other territories have ongoing dengue transmission. In South Florida, the Texas Gulf Coast, and parts of Arizona, California, and Hawaii, local dengue transmission has been documented in several recent years, and health departments respond with targeted spraying and door-to-door container checks. In most of the country the season is too short and the Aedes population too sparse for that chain to go far. People, not birds, are the reservoir, so a local outbreak needs a starting point: an infected traveler who is bitten by a local Aedes mosquito during the few days the virus is in their blood. Dengue, Zika, and chikungunya are spread by Aedes aegypti and Aedes albopictus, the same container-breeding, daytime-biting mosquitoes that make late-afternoon patio time miserable in much of the South. Malaria, spread by Anopheles mosquitoes, is almost entirely travel-related, though a small number of locally acquired cases were reported in Florida, Texas, Maryland, and Arkansas in 2023. for specific groups; a travel clinic can tell you whether either applies to you. Vaccines for chikungunya and dengue have been approved in the U.S. Zika is often mild but can cause serious birth defects when a pregnant woman is infected, and it can be transmitted sexually, so pregnant travelers and their partners should follow current CDC travel guidance. Chikungunya is known for intense joint pain that can persist for months. Most people recover in about a week, but a second infection with a different dengue type raises the risk of severe dengue, which is why the warning signs listed above matter.

Heartworm: the mosquito-borne disease that affects dogs everywhere.

Early heartworm infection has no visible signs. Cats and ferrets can also be harmed by even a few worms. Over about six months the larvae migrate and mature into foot-long adult worms living in the pulmonary arteries and heart. A mosquito picks up microscopic larvae when it feeds on an infected dog, coyote, or fox, and deposits infective larvae onto the skin of the next animal it bites. The parasite, Dirofilaria immitis, is carried by many mosquito species, including common Aedes, Culex, and Anopheles. For most households, the mosquito-borne disease most likely to affect a family member is heartworm in the dog. No amount of yard spraying replaces the preventive. It typically costs many times more than a year of preventive and is hard on the dog. Treatment of an established infection involves a series of injections of an arsenic-based drug, strict exercise restriction for weeks, and a real risk of complications as dying worms break apart. Preventives are monthly chewables or topicals, or a long-acting injection given by a veterinarian, and they work by killing larvae acquired during the previous month before they can mature. Because the damage accumulates silently, the American Heartworm Society recommends testing every dog annually and keeping every dog on preventive all twelve months, even in northern states, since mosquito activity can extend into unexpected months and indoor mosquitoes bite in winter. As the worm burden grows, dogs develop a mild persistent cough, tire easily, lose weight, and eventually show heart failure.

How yard control and personal protection actually reduce risk.

Bti dunks handle the water you cannot drain, and a call to the municipality handles the storm drain at the curb. Culex prefer larger, dirtier water: clogged gutters, tarps sagging over firewood, neglected pools and hot tubs, and catch basins. The scrubbing matters because Aedes eggs stick to container walls just above the waterline and survive drying. Aedes eggs hatch within days of being wetted, and larvae need about a week to become adults, so a weekly walk through the yard that tips, tosses, scrubs, or covers every water-holding item breaks the cycle before adults emerge. Source reduction attacks the population where it starts. You control the first and third. Risk from a mosquito-borne disease is the product of three things: how many mosquitoes are around, how many of them are infected, and how often they bite you. During a health department alert for West Nile or local dengue, that combination is the response CDC recommends for households, and it is the same set of habits that keeps the dog's mosquito exposure low too. EPA-registered repellent applied to exposed skin, permethrin on clothing, long sleeves at dusk, intact screens, and air conditioning each reduce bites independently. Personal protection covers the bites that get through. Ask what product is used, whether flowering plants will be avoided to protect pollinators, whether larvicide is included, and what the technician found as breeding sources. The technician applies a residual insecticide to the undersides of leaves, dense shrubs, ivy, under decks, and shaded fence lines where mosquitoes rest during the day, and the product keeps killing for several weeks. A professional barrier treatment addresses adults that have already emerged or flown in.

What affects the price

  • Lot size and how much dense, shaded vegetation needs treating.
  • Whether a pro bundles larvicide for standing water into the visit.
  • Treatment frequency, from monthly to every three weeks in peak season.
  • Regional season length, from four months in the North to nearly year-round in South Florida.
  • Product choice, since botanical or reduced-risk formulations often cost more and last less time.
  • Screen repair versus full rescreening of a porch or lanai.
  • Number of dogs on heartworm preventive and whether the product also covers fleas and ticks.
  • Whether your health plan or a travel clinic covers vaccines before international travel.

When to call for help

For personal health, the professional to call is a clinician. Seek care promptly if, within about two weeks of mosquito exposure, you or a family member has a high fever with severe headache, stiff neck, confusion, disorientation, seizures, tremors, muscle weakness, or sudden vision problems. For a returning traveler with fever, rash, joint pain, or eye pain, mention the travel history, because dengue, Zika, and chikungunya are diagnosed with specific tests. Dengue has a dangerous phase that can begin as the fever drops: severe belly pain, repeated vomiting, bleeding from the nose or gums, blood in vomit or stool, and extreme drowsiness or restlessness are emergency warning signs. For the yard, call a mosquito control pro when weekly source reduction and repellent are not enough, when a shaded property stays heavily infested, when a health department has confirmed local virus activity nearby, or when you cannot physically manage gutters, low spots, and containers yourself. Ask the pro to walk the lot with you and point out the water sources before spraying anything.

What you can do yourself

Most of what reduces disease risk is within a homeowner's reach and costs very little. Emptying containers weekly, scrubbing birdbaths, keeping gutters flowing, fixing screens, dropping Bti dunks in a rain barrel, applying repellent, and keeping the dog on monthly heartworm preventive together address the majority of exposures. None of these require a license or special equipment, and they work regardless of whether a professional also treats the property. A yard treatment applied over untended standing water has a short-lived effect because new adults keep emerging. A professional adds value in specific situations. Trained technicians are better at finding hidden breeding sites such as corrugated downspout extensions, tarps, tree holes, and clogged French drains, and they can apply residual products to foliage and shaded resting areas that a consumer fogger reaches poorly. On wooded or waterfront lots where mosquitoes rest in dense vegetation, a barrier treatment can reduce biting for several weeks. What a professional cannot do is eliminate mosquito-borne disease risk, so treat the service as a supplement to personal protection, not a substitute for it.

Simple ways to keep mosquitoes away

  • Walk the yard every week and empty, scrub, or cover anything holding water.
  • Clean gutters each spring and fall and check that downspouts drain fully.
  • Change birdbath and pet bowl water at least twice a week.
  • Use Bti dunks or granules in rain barrels, ponds, and drainage areas.
  • Repair screens and add door sweeps before the season starts.
  • Apply an EPA-registered repellent whenever you are outside at dusk or dawn.
  • Wear long sleeves and pants, ideally permethrin-treated, for yard work and hikes.
  • Keep dogs and cats on veterinarian-recommended heartworm preventive all twelve months.
A blank checklist on a clipboard next to a flashlight, a tape measure and a simple house floor plan
Jot down where you found standing water and when you get bitten. It gives a pro a head start.

Did you know?

Only female mosquitoes bite; they need blood protein to produce eggs.

West Nile virus was first detected in the U.S. in New York in 1999.

Aedes eggs can survive months of drying and hatch when rain returns.

Questions people ask

What is the most common mosquito-borne disease in the United States?

Cases occur in nearly every state, peaking in late summer. Most infected people have no symptoms, about one in five develop a fever with headache and body aches, and a small fraction, on the order of one in 150, develop serious illness affecting the brain or spinal cord. It is spread mainly by Culex mosquitoes that pick it up from infected birds. West Nile virus is the leading cause of mosquito-borne illness in the continental U.S.

How dangerous is Eastern equine encephalitis?

There is no human vaccine, though one exists for horses. It circulates between birds and mosquitoes in freshwater hardwood swamps, mainly in Atlantic and Gulf Coast states and the Great Lakes region. Roughly a third of people who develop encephalitis from it die, and many survivors have lasting neurologic problems. EEE is rare, with only a small number of human cases reported in a typical year, but it is among the most severe mosquito-borne infections.

Can you get dengue or Zika from mosquitoes in the U.S.?

Health departments post advisories when local spread is detected, and yard container control is the main community response. Limited local transmission by Aedes mosquitoes has occurred in Florida, Texas, and occasionally California, Arizona, and Hawaii. dengue, Zika, and chikungunya cases are in travelers returning from tropical regions or in residents of Puerto Rico and other territories where dengue is endemic. Most U.S. Yes, but it is uncommon.

Which mosquitoes carry which diseases?

Many species transmit dog heartworm. Several species, including Culiseta and Coquillettidia, can bridge EEE from birds to people. The eastern treehole mosquito, Aedes triseriatus, carries La Crosse virus. Aedes aegypti and Aedes albopictus, aggressive daytime biters that breed in small containers, spread dengue, Zika, and chikungunya. Louis encephalitis. Culex mosquitoes, which bite mostly at dusk and dawn and breed in stagnant, polluted water, spread West Nile and St.

What is La Crosse virus and who is at risk?

Filling tree holes and removing containers is the main prevention. Most infections are mild or symptomless, but severe cases can cause seizures and encephalitis. Most cases occur in children under 16, and they cluster in the upper Midwest and the Appalachian and mid-Atlantic states, including parts of Ohio, West Virginia, North Carolina, and Tennessee. La Crosse encephalitis is spread by the eastern treehole mosquito, which breeds in water-filled tree holes and artificial containers such as old tires.

What symptoms after a mosquito bite mean I should see a doctor?

Pregnant travelers with any symptoms should seek testing. For dengue, treat severe abdominal pain, persistent vomiting, bleeding gums or nose, blood in vomit or stool, or unusual drowsiness as emergency warning signs, since they often appear just as the fever breaks. Returning travelers should report fever, rash, joint pain, or eye pain. Call a clinician for fever combined with severe headache, stiff neck, confusion, seizures, tremors, muscle weakness, or vision changes, especially in late summer.

How do dogs get heartworm from mosquitoes?

Treatment of an established infection is expensive and hard on the dog. Monthly or long-acting preventives kill the larvae before they mature, and the American Heartworm Society recommends year-round prevention with annual testing. Heartworm has been diagnosed in all 50 states. The larvae mature over months into adult worms living in the heart and lung vessels. Heartworm is a parasitic worm, Dirofilaria immitis, whose larvae are transmitted when an infected mosquito bites a dog, cat, or ferret.

Does spraying my yard for mosquitoes prevent West Nile virus?

Public health agencies rank source reduction, repellent, screens, and protective clothing as the core West Nile defenses, with adult spraying as a supplement during periods of confirmed virus activity. It does not stop infected mosquitoes from flying in from elsewhere, and it does nothing for water sources that keep producing new adults. A barrier treatment lowers the number of adult mosquitoes resting in your yard for a few weeks, which reduces bites and therefore exposure.

Do mosquitoes really change how people use their yards?

In Mosquito Borne Diseases, In Mosquito Borne Diseases, mosquito control works by removing standing water, treating the water that cannot be drained, and applying barrier treatments where adults rest. In Mosquito Borne Diseases, because they keep breeding through the season, an ongoing plan usually works best.

Are mosquitoes the biggest yard pest worry for homeowners?

In Mosquito Borne Diseases, In Mosquito Borne Diseases, mosquito control works by removing standing water, treating the water that cannot be drained, and applying barrier treatments where adults rest. In Mosquito Borne Diseases, because they keep breeding through the season, an ongoing plan usually works best.

Related guides

Sources (5)

The facts in this article come from the public sources listed above. Every home is different, so ask the company you talk to about pricing and what’s included. Published by Mosquito Exterminator · Updated September 11, 2026 · How we write these guides

Compare local mosquito control pros.

Tell us where you live and what you have tried and ask about an inspection or a quote.

  • Where you’ve seen mosquitoes or damage
  • When you first noticed it
  • Anything you’ve already tried