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2025 Mosquito-Borne Disease Year In Review

Exploring the Impact of Mosquito-Borne Diseases In 2025

Mosquito populations and mosquito-bite disease risks are always changing due to weather, urban development, targeted management efforts, and other factors. Year-to-year variation is normal, and the 2025 data from the Centers for Disease Control and Prevention (CDC) reflect several notable changes in reported cases compared to 2024:

  • La Crosse Encephalitis: 203% increase; 194% increase in neuroinvasive
  • St. Louis Encephalitis: 200% increase; 200% increase in neuroinvasive
  • West Nile virus: 42% increase; 35% increase in neuroinvasive

Our 2025 year in review provides trends and insights that can help inform your mosquito management decisions in 2026.

West Nile Virus (WNv)

OVERVIEW:

  • The virus appeared in the U.S. in 1999, with the first case in New York City, leading to 62 human cases and 25 horse cases that year.
  • WNv is now the most common mosquito-borne disease in the country, with an estimated 2,000 cases reported each year.

TRANSMISSION:

  • The West Nile virus spreads primarily through mosquitoes that feed on infected birds, not through casual human-to-human contact.
  • In the U.S., Culex pipiens, Culex tarsalis, and Culex quinquefasciatus are the primary vectors.

RISKS:

  • Most cases are asymptomatic, but symptoms can include flu-like illness, fever, rash, headache, and neck stiffness.
  • Severe infections can cause encephalitis (brain swelling), affect the central nervous system, and may be fatal. Approximately 1 in 150 infections becomes neuroinvasive.

Year-Over-Year Change in West Nile Virus Cases

2025
2,076 cases (1,434 neuroinvasive)
2024
1,466 cases (1,063 neuroinvasive)
2023
2,406 cases (1,599 neuroinvasive)
2022
1,132 cases (827 neuroinvasive)
2021
2,911 cases (2,008 neuroinvasive)
2020
731 cases (559 neuroinvasive)

Top 5 States for West Nile Virus Human Case Count

2025 West Nile Virus Human Cases In the U.S.
2025-west-nile-virus-human-disease-case-reported-by-state-map
Image Source: U.S. Centers for Disease Control and Prevention https://www.cdc.gov/west-nile-virus/data-maps/current-year-data.html
Cases
0
Neuroinvasive Cases
0
States Reporting Human Cases
0

Dengue

NOTE: Most dengue cases in the 49 continental U.S. states are imported through travel. Although local transmission can occur, it is largely limited to U.S. territories and states where dengue is common. Below, cases are categorized separately as either locally acquired or travel-associated.

OVERVIEW 

  • Dengue is common in the U.S. territories of American Samoa, Puerto Rico, and the U.S. Virgin Islands.
  • Most dengue cases reported in the 49 continental US states occur in travelers infected in areas with risk of dengue.
  • Dengue has become the fastest-growing mosquito-transmitted disease, with nearly 400 million infections annually worldwide. 

TRANSMISSION

  • There are 4 common Dengue viruses, denoted as Dengue 1, 2, 3, and 4.
  • Dengue is transmitted to humans through infected Aedes mosquitoes, specifically Aedes aegypti and Aedes albopictus.

RISKS

  • Infection can cause “break-bone fever” (severe muscle/joint pain, high fever, rash, headache), with approximately 5% of cases developing severe dengue hemorrhagic fever, which can lead to internal bleeding and death.
  • Severe cases are more likely in young children and older adults.
  • The virus can be passed to fetuses during pregnancy.
2025 Dengue Human Cases In the U.S.
LOCALLY ACQUIRED

The chart below provides a year-over-year comparison of locally acquired dengue cases to highlight changes in local transmission activity.

Year-Over-Year Change in Dengue Cases

2025
3,809 locally acquired cases
2024
6,076 locally acquired cases
2023
1,104 locally acquired cases
2022
1,044 locally acquired cases
2021
609 locally acquired cases
2020
983 locally acquired cases

Top 5 States for Dengue Human Case Count

2025-dengue-human cases-locally-aquired-us-map
Image Source: U.S. Centers for Disease Control and Prevention, Accessed on January 1, 2025 https://www.cdc.gov/dengue/data-research/facts-stats/current-data.html
Locally Acquired Cases
0
Jurisdictions Reporting Locally Acquired Human Cases
0
2025 Dengue Human Cases In the U.S.
TRAVEL ASSOCIATED

The chart below provides a year-over-year comparison of travel-associated dengue cases to highlight changes in travel-related exposure patterns.

Year-Over-Year Change in Dengue Cases

2025
1,204 travel-related
2024
3,179 travel-related
2023
1,452 travel-related
2022
1,494 travel-related
2021
205 travel-related
2020
354 travel-related

Top 5 States for Dengue Human Case Count

2025-dengue-human cases-travel-associated-us-map
Travel Associated Cases
0
Jurisdictions Reporting Travel Associated Human Cases
0

Eastern Equine Encephalitis (EEE)

OVERVIEW 

  • Eastern Equine Encephalitis (EEE) was first recognized in horses in 1831, with the first confirmed human cases in 1938.
  • Today, EEE is found in North, Central, and South America, as well as the Caribbean.

TRANSMISSION

  • Culiseta melanura primarily infects birds, while bridge vectors like Coquillettidia pertubans, Aedes sollicitans, and Ochlerotatus canadensis transmit it to humans and horses.
  • People living or working near wetlands and swamps are at higher risk, and infections occur mainly during the summer months.

RISKS

  • Severe cases involve brain and spinal cord inflammation, with sudden high fever, stiff neck, disorientation, seizures, and coma.
  • Only about 5% of EEE infections lead to severe encephalitis; of those, 33% die, making it the deadliest arbovirus in the U.S.
  • The elderly (50+) and children (15 and younger) are most at risk for developing encephalitis.
  • There is no vaccine or antiviral treatment for humans.

Year-Over-Year Change in Eastern Equine Encephalitis Cases

2025
3 cases (3 neuroinvasive)
2024
19 cases (19 neuroinvasive)
2023
7 cases (7 neuroinvasive)
2022
1 case (1 neuroinvasive)
2021
5 cases (5 neuroinvasive)
2020
13 cases (13 neuroinvasive)

Top 3 States for Eastern Equine Encephalitis Human Case Count

2025 Eastern Equine Encephalitis Human Cases Reported In the U.S.
2025-eee-virus-human-disease-case-report-mao
Image Source: U.S. Centers for Disease Control and Prevention, Accessed on January 1, 205 https://www.cdc.gov/eastern-equine-encephalitis/data-maps/current-year-data.html
Cases
0
Neuroinvasive Cases
0
States Reporting Human Cases
0

La Crosse Encephalitis (LAC)

OVERVIEW 

  • La Crosse Encephalitis (LAC) was first identified in the United States in 1964.
  • Most commonly reported in the upper Midwest and Mid-Atlantic states, including Ohio, West Virginia, and Minnesota.

TRANSMISSION

  • Primarily spread by the Eastern treehole mosquito, Aedes triseriatus.
  • Aedes triseriatus can pass the virus to its offspring, which allows it to persist across mosquito generations.
  • Reservoir hosts like chipmunks and squirrels are also carriers. 

RISKS

  • LAC primarily affects children under 16, making it a rare but serious pediatric mosquito-borne disease.
  • Flu-like symptoms, including headache, fever, nausea, vomiting, and fatigue, may appear 5-15 days after infection.
  • Severe infections can cause brain inflammation, seizures, cognitive impairment, vision loss, paralysis, or coma, though mortality is less than 1%.
  • There is no vaccine or antiviral treatment.

Year-Over-Year Change in La Crosse Encephalitis​ Cases

2025
106 cases (100 neuroinvasive)
2024
35 cases (34 neuroinvasive)
2023
31 cases (30 neuroinvasive)
2022
22 cases (19 neuroinvasive)
2021
40 cases (39 neuroinvasive)
2020
88 cases (84 neuroinvasive)

Top States for La Crosse Encephalitis Human Case Count

2025 La Crosse Encephalitis Human Cases In the U.S.
2025-la-crosse-encephalitis-human-cases-in-us-map
Image Source: U.S. Centers for Disease Control and Prevention, Accessed on January 1, 2025 https://www.cdc.gov/la-crosse-encephalitis/data-maps/current-year-data.html
Cases
0
Neuroinvasive Cases
0
States Reporting Human Cases
0

St. Louis Encephalitis (SLEV)

OVERVIEW 

  • The St. Louis encephalitis virus (SLEV) was first recognized in 1933 during a St. Louis, Missouri, epidemic that resulted in over 1,000 cases of encephalitis.
  • Before West Nile virus appeared in 1999, SLEV was considered the most significant epidemic mosquito-borne virus in the U.S., with the last major epidemic in 1975 along the Ohio–Mississippi River Basin (nearly 2,000 cases, 142 deaths).

TRANSMISSION

  • Primary vectors include Culex pipiens, Culex quinquefasciatus, Culex tarsalis, and Culex nigripalpus.
  • Wild birds, such as blue jays, sparrows, robins, and pigeons, act as amplifying hosts, but typically remain asymptomatic.

RISKS

  • Most infections are asymptomatic; severe cases can cause high fever, neck stiffness, disorientation, coma, or death, with mortality ranging from 3-30% depending on age.
  • Adults over 50 are more likely to develop severe disease, with mortality between 7-24%, while those under 50 generally face less than 5% mortality.

Year-Over-Year Change in St. Louis Encephalitis​ Cases

2025
3 case (2 neuroinvasive)
2024
1 case (0 neuroinvasive)
2023
19 cases (13 neuroinvasive)
2022
33 cases (27 neuroinvasive)
2021
17 cases (11 neuroinvasive)
2020
16 cases (14 neuroinvasive)

Top State for St. Louis Encephalitis Human Case Count

2025 St. Louis Encephalitis Human Cases In the U.S.
2025-st-louis-encephalitis-human-cases-map
Image Source: U.S. Centers for Disease Control and Prevention, Accessed on January 24, 2024 https://www.cdc.gov/sle/data-maps/current-year-data.html
Case
0
Neuroinvasive Cases
0
States Reporting Human Cases
0

Jamestown Canyon virus (JCV)

OVERVIEW

  • Jamestown Canyon virus (JCV) was first discovered in Culiseta mosquitoes in Jamestown, Colorado, in 1961.
  • It is found throughout much of the U.S., with most cases reported in the upper Midwest.

TRANSMISSION

  • Various mosquito species serve as vectors: Aedes, Culex, Coquillettidia.
  • JCV can be transmitted from mosquito parents to offspring. 
  • Deer often serve as the amplifying host, while humans are “dead-end” hosts and cannot transmit the virus to other mosquitoes.

RISKS

  • Symptoms include fever, headache, and fatigue.
  • Most JCV cases are neuroinvasive. About 68% of reported infections affect the nervous system, with symptoms ranging from fever and rash to meningitis or encephalitis.
  • No treatment currently exists.

Year-Over-Year Change in Jamestown Canyon Virus Cases

2024
22 cases (15 neuroinvasive)
2023
21 cases (15 neuroinvasive)
2022
12 cases (11 neuroinvasive)
2021
32 cases (21 neuroinvasive)
2020
13 cases (10 neuroinvasive)

Top States for Jamestown Canyon Virus Human Case Count:

2025 Jamestown Canyon virus Human Cases Reported In the U.S.
2025-jamestown-canyon-virus-human-disease-case-report-map
Image Source: U.S. Centers for Disease Control and Prevention, Accessed on January 24, 2025 https://www.cdc.gov/jamestown-canyon/data-maps/current-year-data.html
Locally Acquired Cases
0
Neuroinvasive Cases
0
States Reporting Human Cases
0

DATA IS THE BACKBONE OF EFFECTIVE MOSQUITO CONTROL PROGRAMS

Data from 2025 and prior years reveal that disease risks are continually shifting and evolving across the country. Protecting our local communities not only requires reactive solutions but also tailored, preventative strategies driven by data. 

Integrated Mosquito Management programs incorporate data and insights from surveillance, disease testing, and mosquito control at every lifecycle stage—all supported by robust public education initiatives—to stay ahead of mosquito-borne disease threats. 

Whether you need full program management or expert support, VDCI has the technical expertise to partner with local leaders and jurisdictions. Contact our mosquito management experts today to help curb the spread of mosquito-borne diseases in 2026.

SOURCES

1. U.S. Centers for Disease Control and Prevention (CDC). https://www.cdc.gov/ 

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VDCI_Logo_squareSince 1992, Vector Disease Control International (VDCI) has taken pride in providing municipalities, mosquito abatement districts, industrial sites, planned communities, homeowners associations, and golf courses with the tools they need to run effective mosquito control programs. We are determined to protect the public health of the communities in which we operate. Our mosquito control professionals have over 100 years of combined experience in the field of public health, specifically vector disease control. We strive to provide the most effective and scientifically sound mosquito surveillance and control programs possible based on an Integrated Mosquito Management approach recommended by the American Mosquito Control Association (AMCA) and Centers for Disease Control and Prevention (CDC). VDCI is the only company in the country that can manage all aspects of an integrated mosquito management program, from surveillance to disease testing to aerial application in emergency situations.