How to avoid mosquito-borne illnesses
If you're researching Vietnam travel health tips, mosquito protection should be near the top of your list. Dengue, malaria, Japanese encephalitis, and even the occasional Zika case are all mosquito-borne diseases found in Vietnam. The good news? A few simple steps can help you stay bite-free.
How to avoid mosquito bites
- Use insect repellent with 20-30% DEET: Reapply it throughout the day, especially on exposed skin like ankles, arms, and neck.
- Wear light, long-sleeved clothing: Especially at dawn and dusk when mosquitoes are most active. Loose fabrics also help you stay cool in the heat.
- Stay in air-conditioned rooms: If that’s not an option, make sure windows and doors have screens and are actually shut.
- Check your room for mosquitoes: Look under the bed, behind curtains, and in bathroom corners. They like dark, damp spots.
- Use permethrin-treated gear if you’re trekking: Essential if you’re heading into national parks, jungles, or remote areas.
- Avoid peak mosquito season: Vietnam’s rainy season (May to October) sees a spike in mosquito activity, especially in the south.
Dengue fever
Dengue fever in Vietnam is a year-round risk, with outbreaks peaking during the rainy season. It’s most common in southern Vietnam, but even urban areas like Ho Chi Minh City, Hanoi, and Da Nang report regular cases.
Dengue is spread by Aedes mosquitoes, which bite during the day, especially in the early morning and late afternoon. Symptoms mimic the flu: fever, headache, eye pain, joint pain, and sometimes a rash. There's no treatment, so prevention is key: wear repellent and cover your skin.
Malaria
Malaria in Vietnam isn’t widespread, but there is a low risk in some rural and forested areas, especially along the borders with Laos and Cambodia.
You’re more likely to need malaria precautions if you plan to visit:
- Forest areas in Kon Tum, Gia Lai, or Quảng Nam
- Border regions in the Central Highlands
- Jungle areas in the Mekong Delta or near Cambodia
For most tourists sticking to major cities, beach towns, and popular routes, malaria pills aren’t necessary. But if you're trekking or spending nights in remote areas, talk to a travel clinic.
Japanese Encephalitis
Japanese Encephalitis (JE) is rare, but it exists in Vietnam, especially in rural areas with rice fields and pigs. It's spread by night-biting Culex mosquitoes, particularly during Vietnam’s monsoon season.
The JE vaccine is worth considering if:
- You’re staying in the countryside for over a month
- You’re traveling during the wet season (May to October)
- You’ll be near rice paddies or pig farms in areas like Ninh Bình or the Red River, and the Mekong Delta
Zika virus
There have been isolated Zika cases in Vietnam, mostly in southern regions and Ho Chi Minh City. The virus isn’t actively spreading now, but pregnant travelers, or anyone planning a pregnancy, should take extra care.
Zika is transmitted by the same daytime-biting mosquitoes that spread dengue. Most people don’t have symptoms or only get a mild fever, rash, or joint pain. But the risk to unborn babies is serious, so check health advisories before you go.