Common Vector Borne Diseases: Dengue, Zika, and Prevention
Estimated reading time: 7 minutes
A mosquito lands quietly on your skin, seemingly without consequence. Yet this small moment can sometimes change a life, because the insect may carry a dangerous pathogen. Some of these pathogens are responsible for common vector-borne diseases.
Among these threats, dengue and Zika viruses deserve particular attention. Especially for children and pregnant people, infection can pose serious risks. Fortunately, recent research is providing new insights into these diseases and pointing toward improved strategies for prevention and control.
Key Takeaways
- Common vector-borne diseases like dengue and Zika are expanding their global reach rapidly.
- New medical interventions, including specific vaccines, are finally available for some mosquito-borne pathogens.
- Zika virus infection during pregnancy can lead to severe birth defects in the developing foetus.
- Effective prevention relies on a combined strategy of community mosquito control, personal protection, and vaccination where applicable.
The Shifting Landscape of Insect-Transmitted Illnesses
The world is entering a new era of public health challenges, with mosquito-borne pathogens among the leading concerns. Although vector-borne illnesses are not new, their patterns are changing. For example, dengue fever is increasingly recognised as a global health concern. A 2022 study by Wong and colleagues, published in Paediatrics, describes dengue’s expanding reach. Once concentrated in tropical regions, the disease is now appearing in more temperate areas. In part, warmer temperatures can create more favourable conditions for Aedes mosquitoes, which transmit dengue. Additionally, these mosquitoes can spread Zika and chikungunya viruses.
Dengue’s Exponential Growth and New Prevention Tools

The figures behind dengue’s spread are alarming. According to the World Health Organization, reported cases have increased dramatically over the past two decades, making dengue one of the fastest-growing vector-borne diseases. In this context, the Paediatrics paper highlights the importance of clinical awareness and calls on healthcare providers to recognise the illness.
Typically, dengue can cause a sudden high fever, severe headache, pain behind the eyes, and muscle and joint aches—hence its nickname, “breakbone fever.” A rash may also develop several days after symptoms begin. Although many people recover, recovery can take time.
However, severe dengue is a medical emergency. Therefore, it is important to watch for warning signs such as severe abdominal pain, persistent vomiting, bleeding gums, or rapid breathing, and seek urgent medical care if they occur.
Meanwhile, prevention and treatment research continues. The introduction of a live-attenuated vaccine marks an important development, while monoclonal antibody treatments remain under investigation in clinical trials. In the meantime, mosquito control is essential: removing standing water can reduce breeding sites, while window screens, protective clothing, and insect repellent help protect individuals. Together, these measures can reduce the risk of dengue and other vector-borne diseases.
Long-Term Consequences of Congenital Zika Syndrome
The effects on a child’s life can be profound and long-lasting. As the Marbán-Castro review explains, children with congenital Zika syndrome (CZS) may experience significant developmental delays and difficulties with motor skills. For example, sitting, standing, or speaking may be challenging. Consequently, families and healthcare systems can face substantial demands, while the emotional and financial impacts may also be considerable.
Because there is no specific cure for Zika, care focuses on support and rehabilitation. Physical and occupational therapy are often essential; in addition, children may need regular monitoring by a team that includes neurologists and developmental paediatricians.
At the same time, diagnosing Zika infection can be difficult. Many infected adults have no symptoms, and when symptoms do occur—such as fever, rash, and joint pain—they can resemble those of other arboviral diseases, including dengue. Therefore, laboratory testing may be needed to confirm infection. However, direct detection of the virus is possible only during a limited period, while antibody tests can be hard to interpret because they may cross-react with other flaviviruses. As a result, clinical surveillance is challenging, underscoring the need for better diagnostic tools.
Given these challenges, the review emphasises prevention. No Zika vaccine is currently available to the public, so avoiding mosquito bites remains an important protective measure, particularly for pregnant people and their partners.
How vectors drive the spread of infectious diseases
To understand these threats, it helps to understand what a vector is: a living organism that transmits an infectious agent. Mosquitoes spread many diseases, including malaria, which is caused by a parasite, as well as yellow fever and West Nile virus.
In particular, Aedes mosquitoes are well adapted to human environments and often bite during the day. Therefore, bed nets—commonly used to prevent malaria—may be less effective against daytime-biting mosquitoes that spread dengue and Zika. Female mosquitoes take blood meals to support egg production. If a mosquito bites an infected person, it may acquire the virus. Afterward, the virus can multiply inside the mosquito; following an incubation period, the mosquito may transmit it to another person.
Meanwhile, changes in the environment can favour the spread of mosquito-borne disease. Rapid, unplanned urbanisation can create suitable mosquito habitats, while densely populated areas provide abundant opportunities for blood meals. Together, these conditions can increase the risk of outbreaks. Climate change may add to the risk: warmer temperatures can speed up mosquito development and viral replication, potentially allowing mosquitoes to become infectious sooner.
For these reasons, effective vector control requires more than a single intervention. Instead, it combines community engagement, environmental management, and appropriate insecticide use. Finally, because vector-borne diseases cross borders, international cooperation is essential for effective surveillance and response.
Proven and Emerging Strategies to Prevent Arboviral Diseases
A multi-layered approach offers the best protection against mosquito-borne pathogens. First, focus on personal protection, which is practical and accessible.
- Use insect repellent: Choose an EPA-registered product containing an active ingredient such as DEET or picaridin. Apply it as directed to exposed skin, and reapply according to the label—especially after swimming or sweating.
- Add a physical barrier: Wear long sleeves and long pants. For additional protection, treat clothing and gear with permethrin, following the product instructions. At home, install secure screens on windows and doors, and use air conditioning when available.
Beyond individual steps, community action forms a second layer of defence. Because mosquitoes can move between properties, neighbourhood-wide efforts are important. One especially effective approach is source reduction, or removing standing water where mosquitoes can breed.
For example, once a week, empty and scrub water-holding containers such as birdbaths, pet bowls, and plant saucers. Also, clear gutters so water cannot collect, and properly dispose of old tyres. Even a small amount of standing water can provide a breeding site. By taking these steps regularly, households and communities can help reduce local mosquito populations.
Frequently Asked Questions
You can protect yourself by using insect repellents, wearing long-sleeved clothing, and sleeping under treated mosquito nets. Eliminating standing water around your home also reduces mosquito breeding. Community efforts, like clean-up drives, further help control vector populations.
Most common vector-borne diseases and preventions, like malaria and brachypterus fever, do not spread directly between people. Vectors, such as mosquitoes or ticks, transmit the pathogens. However, diseases like the Zika virus can spread through blood transfusions or from mother to child during pregnancy.
Vaccines exist for some diseases, like chikungunya and Japanese encephalitis. However, many diseases, such as brachyptosis fever and malaria, lack widely available vaccines. You should consult your healthcare provider about vaccinations before travelling to high-risk areas.
References
1. Wong, J. M., Adams, L. E., Durbin, A. P., Muñoz-Jordán, J. L., Poehling, K. A., Sánchez-González, L. M., Volkman, H. R., & Paz-Bailey, G. (2022). Dengue: a growing problem with new interventions. PAEDIATRICS, 149(6). https://doi.org/10.1542/peds.2021-055522
2. Marbán-Castro, E., Goncé, A., Fumadó, V., Romero-Acevedo, L., & Bardají, A. (2021). Zika virus infection in women and their children: A review. European Journal of Obstetrics & Gynaecology and Reproductive Biology, 265, 162–168. https://doi.org/10.1016/j.ejogrb.2021.07.012
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